for Collaborative Practice 2nd Edition by Barbara L. Yoost
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, Chapter 01: Nursing, Theory, and Professional Practice
MULTIPLE CHOICE
1. A group of nursing students are discussing the impact of nonnursing theories in
clinical practice. The students would be correct if they chose which theory to
prioritize patient care?
a. Erikson‘s Psychosocial Theory
b. Paul‘s Critical-Thinking Theory
c. Maslow‘s Hierarchy of Needs
d. Rosenstock‘s Health Belief Model
ANS: C
Maslow‘s hierarchy of needs specifies the psychological and physiologic factors
that affect each person‘s physical and mental health. The nurse‘s understanding of
these factors helps with formulating Nursing diagnoses that address the patient‘s
needs and values to prioritize care. Erikson‘s Psychosocial Theory of Development
and Socialization is based on individuals‘ interacting and learning about their
world. Nurses use concepts of developmental theory to critically think in providing
care for their patients at various stages of their lives.
Rosenstock (1974) developed the psychological Health Belief Model. The model
addresses possible reasons for why a patient may not comply with recommended
health promotion behaviors. This model is especially useful to nurses as they educate
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patients.
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DIF: Remembering OBJ: 1.5 TOP: Planning
MSC: NCLEX Client Needs CN
ategRory:Saf
I G e a nB
d E.fC
f e c t iMve Care Environment:
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Management of Care NOT: Concepts: Care CoordinatiUon S N T O
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2. A nursing student is preparing study notes from a recent lecture in nursing
history. The student would credit Florence Nightingale for which definition
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of nursing?
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a. The imbalance between the patient and the environment decreases the
capacity for health.
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b. The nurse needs to focus on interpersonal processes between nurse and patient.
c. The nurse assists the patient with essential functions toward independence.
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d. Human beings are interacting in continuous motion as energy fields.
ANS: A
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Florence Nightingale‘s (1860) concept of the environment emphasized prevention
and clean air, water, and housing. This theory states that the imbalance between the
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, patient and the environment decreases the capacity for health and does not allow
for conservation of energy. Hildegard Peplau (1952) focused on the roles played by
the nurse and the interpersonal process between a nurse and a patient. Virginia
Henderson described the nurse‘s role as substitutive (doing for the person),
supplementary (helping the person), or complementary (working with the person),
with the goal of independence for the patient. Martha Rogers (1970) developed the
Science of Unitary Human Beings. She stated that human beings and their
environments are interacting in continuous motion as infinite energy fields.
DIF: Understanding OBJ: 1.4 TOP:
Planning MSC: NCLEX Client Needs Category: Health
Promotion and Maintenance NOT: Concepts: Health Promotion
3. The nurse identifies which nurse established the American Red Cross during the Civil
War?
a. Dorothea Dix
b. Linda Richards
c. Lena Higbee
d. Clara Barton
ANS: D
Clara Barton practiced nursing in the Civil War and established the American Red
Cross. Dorothea Dix was the head of the U.S. Sanitary Commission, which was a
forerunner of the Army Nurse Corps. Linda Richards was America‘s first trained
nurse, graduating from Boston‘s Women‘s Hospital in 1873, and Lena Higbee,
superintendent of the U.S. Navy Nurse Corps, was awarded the Navy Cross in
1918.
DIF: Remembering OBJ: 1.3 TOP:
Assessment MSC: NCLEX Client Needs Category: Health
Promotion and Maintenance
NOT: Concepts: Professionalism
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4. The nursing instructor is researching the five proficiencies regarded as essential
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for students and professionals. The nursing instructor identifies which
organization would be found to have added safety as a sixth competency?
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a. Quality and Safety Education for Nurses (QSEN)
b. Institute of Medicine (IOM)
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c. American Association of Colleges of Nursing (AACN)
d. National League for Nursing (NLN)
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ANS: A
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The Institute of Medicine repNoUrt,S
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NaI l thGP roBfes. sCio nMs Education: A Bridge to Quality
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(2003), outlines five core competencies. These include patient-centered care,
interdisciplinary
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teamwork, use of evidence-based medicine, quality improvement, and use of
information technology. QSEN added safety as a sixth competency. The Essentials
of Baccalaureate Education for Professional Nursing Practice are provided and
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updated by the American Association of Colleges of Nursing (AACN) (2008). The
document offers a framework for the education of professional nurses with
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, outcomes for students to meet. The National League for Nursing (NLN) outlines
and updates competencies for practical, associate, baccalaureate, and graduate
nursing education programs.
DIF: Remembering OBJ: 1.1 TOP: Planning
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care NOT: Concepts: Care Coordination
5. The nurse manager is interviewing graduate nurses to fill existing staffing
vacancies. When hiring graduate nurses, the nurse manager realizes that they will
probably not be considered ―competent‖ until they complete which task?
a. They graduate and pass NCLEX.
b. They have worked 2 to 3 years.
c. Their last year of nursing school.
d. They are actually hired.
ANS: B
Benner‘s model identifies five levels of proficiency: novice, advanced beginner,
competent, proficient, and expert. The student nurse progresses from novice to
advanced beginner during nursing school and attains the competent level after
approximately 2 to 3 years of work experience after graduation. To obtain the RN
credential, a person must graduate from an approved school of nursing and pass a
state licensing examination called the National Council Licensure Examination for
Registered Nurses (NCLEX-RN) usually taken soon after completion of an
approved nursing program.
DIF: Remembering OBJ: 1.7 TOP: Planning
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care NOT: Concepts: Care Coordination
6. The prospective student is considering options for beginning a career in
nursing. Which degree would best match the student‘s desire to conduct
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research at the university level?
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a. Associate Degree in Nursing (ADN)
b. Bachelor of Science in Nursing (BSN)
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c. Doctor of Nursing Practice (DNP)
d. Doctor of Philosophy in Nursing (PhD)
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ANS: D
Doctoral nursing education can result in a Doctor of Philosophy (PhD) degree.
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This degree prepares nurses for leadership roles in research, teaching, and
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administration that are essential to advancing nursing as a profession. Associate
Degree in Nursing (ADN) programs usually are conducted in a community college
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setting. The nursing curriculum focuses on adult acute and chronic disease;
maternal/child health; pediatrics; and psychiatric/mental health nursing. ADN RNs
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may return to school to earn a bachelor‘s
I G B.Cdegree or higher in an RN-to-BSN or
RN-to-MSN program. Bachelor‘s degree programs include community health and
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management courses beyond t hUo s eSp r oNv i d T
e d in anOassociate degree program. A
newer
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practice-focused doctoral degree is the Doctor of Nursing practice (DNP), which
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