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CHAPTER 01: NURSING TODAY {Potter: Fundamentals of Nursing, 11th Edition}

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MULTIPLE CHOICE 1. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient tells the nurse, “I have no idea what is going to happen. I couldn’t ask any questions.” The nurse does not allow the patient to sign the permit and notifies the health care provider of the situation. Which role is the nurse displaying? a. Manager b. Patient educator c. Patient advocate d. Clinical nurse specialist ANS: C As a patient advocate, the nurse protects the patient’s human and legal rights, including the right of the patient to understand procedures before signing permits. Although nurses can be educators, it is the responsibility of the surgeon to provide education for the patient in preparation for surgery, and it is the nurse’s responsibility to notify the health care provider if the patient is not properly educated. Managers coordinate the activities of members of the nursing staff in delivering nursing care, and clinical nurse specialists are experts in a specialized area of nursing practice in a variety of settings. DIF: Apply (application) OBJ: Discuss the roles and career opportunities for nurses. TOP: Evaluation MSC: Management of Care 2. The patient requires routine gynecological services after giving birth to her son, and while seeing the nurse-midwife, the patient asks for a referral to a pediatrician for the new-born. Which action should the nurse-midwife take initially? a. Provide the referral as requested. b. Offer to provide the new-born care. c. Refer the patient to the supervising provider. d. Tell the patient that is not allowed to make referrals. ANS: B The practice of nurse-midwifery involves providing independent care for women during normal pregnancy, labor, and delivery, as well as care for the new-born. After being apprised of the midwifery role, if the patient insists on seeing a pediatrician, the nurse-midwife should provide the referral. The supervising provider is an obstetric provider, not a pediatrician. A nurse-midwife can make referrals. DIF: Analyze (analysis) OBJ: Discuss the roles and career opportunities for nurses. TOP: Implementation MSC: Management of Care 3. The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which activity is appropriate for a CRNA? a. Manages gynecological services such as PAP smears. b. Works under the guidance of an anesthesiologist. c. Obtains a PhD degree in anesthesiology. d. Coordinates acute medical conditions.

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C HAPTER 01: N URSING T ODAY
Potter: Fundamentals of Nurs ing, 11th Edition



MULTIPLE CHOICE


1. A patient is scheduled for surgery. When getting ready to obtain the
informed consent, the patient tells the nurse , “I have no idea what is going
to happen. I couldn’t ask any questions. ” The nurse does not allow the
patient to sign the permit and notifies the health care provider of the
situation. Which role is the nurse displayi ng?
a. Manager
b. Patient educator
c. Patient advocate
d. Clinical nurse specialist



ANS: C



As a patient advocate, the nurse protects the patient’s human and legal
rights, including the right of the patient to understand procedures
before signing permits. Although nurses can be educators, it is the
responsibilit y of the surgeon to provide education for the patient in
preparation for surgery, and it is the nurse’s responsibilit y to notify the
health care provider if the patient is not properl y educated. Managers
coordinate the activities of members of the nursing staff in delivering
nursing care, and clinical nurse specialists are experts in a specialized
area of nursing practice in a variet y of settings.

, DIF: Appl y (application) OBJ: Discuss the roles and career
opportunities for nurses. TOP: Evaluation MSC: Management of
Care



2. The patient requires routine gynecological services after giving birth to
her son, and while seeing the nurse -midwife, the patient asks for a referral
to a pediatrician for the new -born. Which action should the nurse -midwife
take initiall y?
a. Provide the referral as requested.
b. Offer to provide the new -born care.
c. Refer the patient to the supervising provider.
d. Tell the patient that is not allowed to make referrals.



ANS: B



The practice of nurse -midwifery involves providing independent ca re
for women during normal pregnancy, labor, and delivery, as well as
care for the new -born. After being apprised of the midwifery role, if
the patient insists on seeing a pediatrician, the nurse -midwife should
provide the referral. The supervising provider is an obstetric provider,
not a pediatrician. A nurse -midwife can make referrals.



DIF: Anal yze (anal ysis) OBJ: Discuss the roles and career
opportunities for nurses. TOP: Implementation MSC:
Management of Care



3. The nurse has a goal of becoming a certifi ed registered nurse anesthetist
(CRNA). Which activit y is appropriate for a CRNA?
a. Manages gynecological services such as PAP smears.
b. Works under the guidance of an anesthesiologist.

, c. Obtains a PhD degree in anesthesiology.
d. Coordinates acute medical conditio ns.



ANS: B



Nurse anesthetists provide surgical anesthesia under the guidance and
supervision of an anesthesiologist, who is a physician (health care
provider) with advanced knowledge of surgical anesthesia. Nurse
practitioners, not CRNAs, manage self -limiting acute and chronic
stable medical conditions; certified nurse -midwives provide
gynecological services such as routine Papanicolaou (Pap) smears. The
CRNA is an RN with an advanced education in a nurse anesthesia
accredited program. A PhD is not a requ irement.



DIF: Understand (comprehension) OBJ: Discuss the roles and
career opportunities for nurses. TOP: Implementation MSC:
Management of Care



4. A nurse teaches a group of nursing students about nurse practice acts.
Which information is most important to include in the teaching session
about nurse practice acts?
a. Protects the nurse.
b. Protects the public.
c. Protects the provider.
d. Protects the hospital.



ANS: B

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