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Chapter 1 The Vista of Nursing T L T L T L T L T L
nursing care
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1. The first practicing nurse epidemiologist was
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a. Florence Nightingale. T L
b. Mildred Montag. L
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c. Clara Barton. L
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d. Mary Agnes Snively. L
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ANS: A L
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Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor
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T sanitation with cholera and dysentery. Mildred Montag, Clara Barton, and Mary Agnes Snively
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T came after Nightingale, each contributing to the nursing profession in her own way. Clara Barton
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T founded the American Red Cross. Dr. Mildred Montag established the first associate degree
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T nursing program in 1952. Mary Agnes Snively began forming the Canadian National Association
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T of Trained Nurses in 1883.
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2. The American Red Cross was founded by
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a. Florence Nightingale. T L
b. Harriet Tubman. L
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c. Clara Barton. L
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d. Mary Mahoney. L
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ANS: C L
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In 1882, the United States ratified the American Red Cross, founded by Clara Barton. Florence
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T Nightingale established the Training School for Nurses in London, England, in 1860. Harriet
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T Tubman was active in the Underground Railroad movement during the American Civil War.
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Mary Mahoney was the first professionally trained African American nurse.
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3. Nurses working in the Henry Street Settlement in 1893 were among the first nurses to
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T demonstrate autonomy in practice. This was because those nurses L
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a. Had no ability to work in the hospital setting. L
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b. Were required to use critical thinking skills. L
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c. Focused solely on healing the very ill. T L L
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d. Planned their care around research findings. L
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ANS: B L
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In 1893, nurses working in the Henry Street Settlement were some of the first to demonstrate
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T autonomy in practice because they encountered situations that required quick and innovative
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T problem solving and critical thinking, and provided therapies aimed at maintaining wellness, as
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T well as curing the ill. Nursing hospitals expanded in the late nineteenth century and were major
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T providers of nursing care. Not until the early twentieth century was there a movement toward a
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T scientific, research-based body of nursing knowledge. T L L
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4. In 1923, the Goldmark Report was an important study that
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a. Formed formal nurse midwifery programs. L
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b. Established the Center for Ethics and Human Rights. L
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c. Revised the ANA code of ethics. T L L
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d. Led to the development of the Yale School of Nursing.
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In 1923, the Goldmark Report identified the need for increased financial support for university-
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based schools of nursing. As a result, the Yale School of Nursing was developed. Graduate nurse
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T midwifery programs did not come into existence until the 1940s, and the Center for Ethics and
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T Human Rights was founded in 1990. The ANA code of ethics was published in 1985 and was last
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5. The major difference between a baccalaureate degree nursing program and an associates
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T degree nursing program is that the baccalaureate program includes studies in
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a. Basic sciences and theoretical courses. L
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b. Social sciences and humanities. L
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c. Theoretical and clinical courses. L
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d. Basic sciences and clinical courses. L
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ANS: B L
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Both associates degree programs and baccalaureate programs focus on basic sciences and on
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T theoretical and clinical courses. Baccalaureate programs, however, also focus on courses in the
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T social sciences, arts, and humanities to support nursing theory.
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6. The nurse has been working in the clinical setting for several years as an advanced practice
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T nurse and has earned her masters degree as a family nurse practitioner. However, she seems
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T unfulfilled and has a strong desire to do research. To fulfill her desire, the nurse most likely
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T would apply to attend a program that would lead to a
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a. Doctor of Nursing Science degree (DNSc). L
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b. Doctor of Philosophy degree (PhD). L
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c. Doctor of Nursing Practice degree (DNP). L
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d. Doctor in the Science of Nursing degree (DSN). L
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ANS: B L
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PhD programs emphasize basic research and theory and are research oriented. Professional
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T doctoral programs in nursing (DSN or DNSc) prepare graduates to apply research findings to
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T clinical nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as
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7. The nurse is caring for her patients and is focused on managing their care as opposed to
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T managing and performing skills. This nurse demonstrates which level of proficiency according to
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T Benner?
a. Novice
b. Competent
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c. Proficient
d. Expert
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The proficient nurse focuses on managing care as opposed to managing and performing skills.
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T linear. The competent nurse understands the organization and the specific care required by
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T specific types of patients and has experience with psychomotor skills. The expert nurse identifies
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T patient-centered problems, as well as problems related to the health care system. L
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8. Which of the following resources guides faculty on structure and evaluation of the nursing
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a. ANAs Standards of Nursing Practice L
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b. Essentials of Baccalaureate Education L
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c. NLNAC Interpretive Guidelines L
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d. Standards of Professional Performance L
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The American Association of Colleges of Nursing (AACN) published Essentials of
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T Baccalaureate Education for Professional Nursing: A Final Report (1998), which guides faculty L
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T Standards of Nursing Practice demonstrates the critical thinking model known as the nursing
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T process. Standards of Professional Performance describes a competent level of behavior in the
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T professional role. NLNAC Interpretive Guidelines identifies core competencies for the T L L
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T professional nurse. T L
9. The nurse is caring for the patient who has had major abdominal surgery and also has a large
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T sacral pressure sore. The nurse implements coughing and deep breathing exercises and consults
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T the wound care specialist to evaluate and prescribe care for the pressure sore, even though no
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T physician order has provided instructions to do so. In doing this, the nurse is implementing the
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