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Chapter 01: Nursing Today
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Potter: Fundamentals of Nursing, 11th Edition
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MULTIPLE CHOICE YFT L
1. Which nurse most likely kept records on sanitation techniques and the effects on health? a.
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Florence Nightingale YFT L
b. Mary Nutting YFT L
c. Clara Barton YFT L
d. Lillian Wald L
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ANS: A L
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Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
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poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
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came after Nightingale, each contributing to the nursing profession in her own way. Mary
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Nutting was instrumental in moving nursing education into universities. Clara Barton
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founded the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
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DIF:Understand (comprehension) L
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OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
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TOP: Evaluation MSC: Health Promotion and Maintenance YFT L L
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2. The nurse prescribes strategies and alternatives to attain expected outcome. Which
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standard of nursing practice is the nurse following? a. Assessment
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b. Diagnosis
, c. Planning
d. Implementation
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In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
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attain expected outcomes. During assessment, the registered nurse collects comprehensive
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data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
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analyzes the assessment data to determine the diagnoses or issues. During
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implementation, the registered nurse implements (carries out) the identified plan.
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OBJ:Discuss the development of professional nursing roles. YF T L Y FT L YFT L Y FT L YF TL YF T L TOP: Planning
MSC: Management of Care
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3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level
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of proficiency is the nurse upon initial transition to the obstetrical floor? a.
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Novice
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b. Proficient
c. Competent
d. Advanced beginner YFT L
ANS: A L
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A beginning nursing student or any nurse entering a situation in which there is no previous
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level of experience (e.g., an experienced operating room nurse chooses to now practice in
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home health) is an example of a novice nurse. A proficient nurse perceives a patient’s
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clinical situation as a whole, is able to assess an entire situation, and can readily transfer
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knowledge gained from multiple previous experiences to a situation. A competent nurse
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understands the organization and specific care required by the type of patients (e.g.,
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surgical, oncology, or orthopedic patients). This nurse is a competent practitioner who is
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able to anticipate nursing care and establish long-range goals. A nurse who has had some
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level of experience with the situation is an advanced beginner. This experience may only
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be observational in nature, but the nurse is able to identify meaningful aspects or
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principles of nursing care.
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OBJ:Discuss the development of professional nursing roles. YF T L Y FT L YFT L Y FT L YF TL YF T L TOP: Evaluation
MSC: Management of Care
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4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink
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more fluids. The nurse then encourages the patient to drink more fluids. Which
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concept is the nurse demonstrating? a. Licensure
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b. Autonomy
c. Certification
d. Accountability
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Autonomy is an essential element of professional nursing that involves the initiation of YF TL YF T L YFT L Y FT L YFTL YF T L YF T L YF T L YFT L YF T L YF T L YF T L
independent nursing interventions without medical orders. To obtain licensure in the United
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States, the RN candidate must pass the NCLEX-RN
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the nurse may choose to work toward certification in a specific area of nursing practice.
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Accountability
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, means that you are responsible, professionally and legally, for the type and quality of nursing
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care provided.
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OBJ:Discuss the roles Y F T L Y F T L Y F T L and career opportunities Y F T L Y F T L Y F T L for Y F T L nurses. Y F T L TOP:
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5. A nurse prepares the budget and policies for an intensive care unit. Which role is the
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nurse implementing?
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a. Educator
b. Manager
c. Advocate
d. Caregiver
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A manager coordinates the activities of members of the nursing staff in delivering nursing
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care and has personnel, policy, and budgetary responsibility for a specific nursing unit or
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facility. As an educator, you explain concepts and facts about health, describe the reason
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for routine care activities, demonstrate procedures such as self-care activities, reinforce
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learning or patient behavior, and evaluate the patient’s progress in learning. As a patient
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advocate, you protect your patient’s human and legal rights and provide assistance in
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asserting these rights if the need arises. As a caregiver, you help patients maintain and
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regain health, manage disease and symptoms, and attain a maximal level function and
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independence through the healing process.
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DIF:Apply (application) YFT L
OBJ:Discuss the roles Y F T L Y F T L Y F T L and career opportunities Y F T L Y F T L Y F T L for Y F T L nurses. Y F T L TOP:
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6. The nurse has been working in the clinical setting for several years as an advanced
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practice nurse. However, the nurse has a strong desire to pursue research and theory
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development. To fulfill this desire, which program should the nurse attend? a. Doctor of
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Nursing Science degree (DNSc)
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b. Doctor of Philosophy degree (PhD) YFT L YFT L L
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c. Doctor of Nursing Practice degree (DNP) YFT L YFT L YFT L YFT L Y FT L
d. Doctor in the Science of Nursing degree (DSN) YFT L YFT L YFT L YF T L L
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ANS: B L
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Some doctoral programs prepare nurses for more rigorous research and theory development
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and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional
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doctoral programs in nursing (DSN or DNSc) prepare graduates to apply research findings
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to clinical nursing. The DNP is a practice doctorate that prepares advanced practice nurses
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such as nurse practitioners.
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OBJ:Compare and contrast the educational programs available for professional registered nurse Y FT L YF T L YFT L YF T L YF T L YFT L Y FT L YFT L L
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(RN) education. TOP: Teaching/Learning MSC: Management of Care
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, 7. A nurse attends a workshop on current nursing issues provided by the American
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Nurses Association. Which type of education did the nurse receive? a. Graduate
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education
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Continuing education involves formal, organized educational programs offered by YF T L YF T L YF T L YF T L YF T L Y FT L L
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universities, hospitals, state nurses associations, professional nursing organizations, and
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educational and health care institutions. After obtaining a baccalaureate degree in nursing,
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you can pursue graduate education leading to a master’s or doctoral degree in any number
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of graduate fields, including nursing. Inservice education programs are instruction or
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training provided by a health care facility or institution. Registered nurse education is the
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education preparation for an individual intending to be an RN.
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(RN) education.
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8. A nurse identifies gaps between local and best practices. Which Quality and Safety
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Education for Nurses (QSEN) competency is the nurse demonstrating? a. Safety
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Quality improvement identifies gaps between local and best practices. Safety minimizes
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risk of harm to patients and providers through both system effectiveness and individual
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performance. Patient-centered care recognizes the patient or designee as the source of
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control and full partner in providing compassionate and coordinated care based on respect
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for patient’s preferences, values, and needs. Teamwork and collaboration allows effective
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functioning within nursing and interprofessional teams, fostering open communication,
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mutual respect, and shared decision making.
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9. A nurse has compassion fatigue. What is the nurse experiencing?
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d. Physical and mental exhaustion YFT L YFT L YFT L
ANS: B L
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stress. Compassion fatigue may contribute to what is described as lateral violence
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(nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to grief L
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and loss places nurses at risk for developing compassion fatigue. Stressors, not a single
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