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Chapter 1. Nursing Today T
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MULTIPLE CHOICE
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1. Contemporary nursing practice is based on knowledge generated through nursing T
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theories.Florence Nightingales theory introduced the concept that nursing care focuses on:
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1 Psychological needs T
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2 A maximal level of wellness
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3 Health maintenance and restoration T
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4 Interpersonal interactions with the client F T F T F T F T
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Florence Nightingale believed the role of the nurse was to put the clients body in the best state
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Finorder to remain free of disease or to recover from disease.
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Although Florence Nightingale may have addressed meeting the psychological needs of her
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clients, it is not the focus of her theory. The goal of Nightingales theory is to facilitate the
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bodysreparative processes by manipulating the clients environment.
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Florence Nightingale thought the human body had reparative properties of its own if it was
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caredfor in a way to recover from disease. Her theory did not focus on achieving a maximal
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Flevel of wellness. T
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Florence Nightingale believed the nurse was in charge of the clients health. Although she
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Finteracted with her clients by reading to them, her theory of nursing care did not focus
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uponinterpersonal interactions.
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DIF: A REF: 2 OBJ: Knowledge
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TOP: Nursing Process: Assessment
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MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
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2. Nursing education programs in the United States may seek voluntary accreditation by
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theappropriate accrediting commission council of the:
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1 National League for Nursing F T T
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2 American Nurses Association T
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3 Congress for Nursing Practice T
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4 International Council of Nurses F T F T F T
ANS: 1 F T
The National League for Nursing (NLN) is the professional nursing organization concerned with
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nursing education. The NLN provides accreditation to nursing programs that seek and meet the
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FNLN accreditation requirements.
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The American Nurses Association (ANA) is concerned with the nursing profession and
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Fissuesaffecting health care, including standards of care.
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,The Congress for Nursing Practice is the part of the ANA concerned with determining the legal
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aspects of nursing practice, the public recognition of the importance of nursing, and the
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Fimpactof trends in health care on nursing practice.
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The International Council of Nurses (ICN) is concerned about issues of health care and
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Fthenursing profession, including the provision of an international power base for nurses.
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DIF: A REF: 8 OBJ: Knowledge
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FTOP: Nursing Process: Assessment
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MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
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3. The minimum educational requirement for a nurse practitioner is:
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1 Diploma in nursing T
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2 Masters in nursing T
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3 Doctorate in nursing T
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4 Baccalaureate in nursing F T T
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ANS: 2 F T
A masters degree is nursing is required to become a nurse practitioner.
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Diploma programs in nursing require 3 years of education after which the graduate may
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becomea registered nurse, but not a nurse practitioner.
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Doctoral programs focus on the application of research findings to clinical practice. The
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doctoraldegree is beyond the masters degree.
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The baccalaureate degree program generally requires 4 years of study in a college or
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university,after which the graduate may become a registered nurse, not a nurse practitioner.
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DIF: A REF: 8 OBJ: Knowledge
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TOP: Nursing Process: Assessment
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MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
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4. A group that lobbies at the state and federal level for advancement of nursings role,
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economicinterest, and health care is the:
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1 State Board of Nursing F T T
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2 American Nurses Association T
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3 American Hospital Association T
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4 National Student Nurses Association F T F T T
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ANS: 2 F T
The American Nurses Association (ANA) hires lobbyists at the state and federal level to
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promotethe advancement of health care and the economic and general welfare of nurses.
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State Boards of Nursing primarily focus on licensure of nurses within their own
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state. The American Hospital Association does not focus on nurses economic issues
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and theadvancement of the role of nurses.
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The National Student Nurses Association focuses on issues of importance for nursing students.
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, DIF: A REF: 8 OBJ: Comprehension
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TOP: Nursing Process: Assessment
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MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
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5. A nurse moves from Seattle to Boston and begins working in a hospital. The most
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Fimportantfactor for the nurse to consider when moving to another state is the:
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1 Massachusetts Nurse Practice Act F T T
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2 Standard for nursing practice in Boston T
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3 Clinical ladder of mobility in the new hospital F T T
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4 Requirement for continuing education units (CEU) in F T T
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Massachusetts
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Although most states have similar practice acts, each individual state has its own Nurse
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Practice Act that regulates the licensure and practice of nursing within that state. Knowledge
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of the NursePractice Act is necessary to provide safe and legal nursing care.
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Standards of nursing practice are not specific to a city, but rather to the profession itself.
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FAlthough the clinical ladder of mobility may be of interest in regard to professional
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advancement, it is not the most important factor when practicing nursing in another state.
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FKnowledge of the Nurse Practice Act in order to provide safe and legal nursing care is of
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higher importance.
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Regardless of where a nurse practices, the nurse should strive to remainT
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current.DIF: C REF: 8 OBJ: Analysis
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TOP: Nursing Process: Assessment
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MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
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6. A nurse is caring for a client who has chronic renal failure. The nurse states, We will do
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everything possible to return you to the optimum level of self-care possible. In coordinating
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anapproach to best meet the needs of this client, the nurse is fulfilling the role of:
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1 Manager
2 Educator
3 Counselor
4 Communicator
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The nurse, in caring for this client, will coordinate the activities of other members of the health
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care team. This client may require the assistance of a nursing assistant to provide personal care
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until the client is less fatigued. A nutritionist may be necessary for diet evaluation, planning,
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andteaching. A nurse may provide education on the dialysis therapy and perform the skill
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necessaryuntil the client is able to do so independently.
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