c
FundamentalsofNursing 9thEdition c c c c
Chapter01:Nursing Today
c c c
Potter et al.: Fundamentalsof Nursing, 9th Edition MULTIPLE
c c c c c c c c
cCHOICE
1. Which nurse mostlikelykept records on sanitation techniques and theeffects on health?
c c c c c c c c c c c c c c
a. FlorenceNightingale c c
c c
b. MaryNutting c c
c. ClaraBarton c c
c c
d. LillianWald c c
ANS: A c c
Nightingale wasthe first practicing nurse epidemiologist. Herstatistical analysesconnected poor
c c c c c c c c c c c
csanitation withcholera and dysentery. MaryNutting,Clara Barton, and Lillian Waldcame after
c c c c c c c c c c c c c
Nightingale, eachcontributing to the nursing profession in her own way. MaryNutting was instrumentalin
c c c c c c c c c c c c c c c c
moving nursing educationinto universities. Clara Barton founded the American Red Cross. LillianWald
c c c c c c c c c c c c c c
helped open the HenryStreet Settlement.
c c c c c c c
DIF:Understand (comprehension)REF:5 c c
OBJ: Discussthe influence ofsocial, historical, political, and economic changes on nursing
c c c c c c c c c c c c c practices.
TOP: Evaluation MSC: Health Promotion and Maintenance
c c c c c c c c
2. The nurse prescribes strategies and alternatives to attain expected outcome.Which standard of
c c c c c c c c c c c c
cnursing practiceis the nurse following? c c c c c c
a. Assessment c
c c
b. Diagnosis c
c. Planning c
c c
d. Implementation c
ANS: C c c
In planning, the registerednurse develops a plan that prescribesstrategies and alternativesto attain
c c c c c c c c c c c c c c
cexpected outcomes. During assessment,the registered nurse collectscomprehensive data pertinent to
c c c c c c c c c c c
the patient’s health and/orthe situation. In diagnosis, the registered nurse analyzes the assessment data
c c c c c c c c c c c c c c c c
to determine the diagnoses orissues. During implementation,the registered nurse implements(carries
c c c c c c c c c c c c c
out) the identified plan.
c c c c c
DIF:Understand (comprehension)REF:2 c c
OBJ:Discussthe development of professional nursingroles. TOP: Planning
c c c c c c c c c c
,MSC:Management of Care c c
3. An experienced medical-surgical nursechoosesto workin obstetrics. Whichlevel of proficiencyis
c c c c c c c c c c c c c c the
nurse upon initial transition to the obstetricalfloor?
c c c c c c c c c
a. Novice c
b. Proficient c
c. Competent c
d. Advancedbeginner c c
ANS: A c c
A beginning nursing student or anynurse entering a situation in which thereisno previous level of
c c c c c c c c c c c c c c c c c
cexperience (e.g., an experienced operatingroom nurse chooses to now practicein home health)is an c c c c c c c c c c c c c c c c c
example of a novice nurse. A proficient nurse perceives a patient’sclinicalsituation as a whole,is able to
c c c c c c c c c c c c c c c c c c c
assess an entire situation, and can readilytransferknowledge gained from multiple previous experiences
c c c c c c c c c c c c c c
to a situation. Acompetent nurse understandsthe organization and specificcare required by the type of
c c c c c c c c c c c c c c c c c c
patients(e.g., surgical, oncology, or orthopedic patients). This nurseis a
c c c c c c c c c c c c
competent practitioner who is able to anticipate nursing care and establishlong-range goals. A nurse who
c c c c c c c c c c c c c c c
has had somelevel of experience withthe situation is an advanced beginner. Thisexperience mayonly be
c c c c c c c c c c c c c c c c c c
observationalin nature, but the nurse isable to identify meaningful aspects or principles of nursing care.
c c c c c c c c c c c c c c c c c c
DIF:Apply(application)REF:2 c c
OBJ: Discussthe development of professional nursing roles. TOP: Evaluation MSC:Management
c c c c c c c c c c
cof Care c c
4. A nurse assesses a patient’s fluidstatus and decides thatthe patient needsto drink more fluids. The
c c c c c c c c c c c c c c c c c
nurse then encourages the patient to drink more fluids.Which conceptis the nurse demonstrating?
c c c c c c c c c c c c c c c c
a. Licensure c
b. Autonomy c
c. Certification c
d. Accountability c
ANS: B c c
Autonomyis an essential element of professional nursing thatinvolves theinitiation ofindependent
c c c c c c c c c c c c c
cnursing interventions without medical orders. To obtain licensurein theUnitedStates,the RN candidate
c c c c c c c c c c c c c c
must pass the NCLEX-RN®. Beyond the NCLEX-RN®,the nurse maychoose to work toward certification
c c c c c c c c c c c c c c c
in a specific area of nursing practice. Accountability meansthat you are responsible, professionallyand
c c c c c c c c c c c c c c c
legally, for the type and qualityof nursing care provided.
c c c c c c c c c c c
,DIF:Apply(application)REF:3 c
OBJ: Discussthe roles andcareer opportunities for nurses. TOP:Implementation
c c c c c c c c c c
c MSC:Management of Care c c c
5. A nurse prepares the budget and policies for an intensive care unit.Whichrole is the nurse
c c c c c c c c c c c c c c c c
cimplementing? c
a. Educator c
b. Manager c
c. Advocate c
d. Caregiver c
ANS: B c c
A manager coordinates the activities of members of the nursingstaffin delivering nursing care and has
c c c c c c c c c c c c c c c c
personnel, policy, and budgetary responsibility for aspecific nursing unit or facility.As an educator,you
c c c c c c c c c c c c c c c c
explain concepts and facts about health, describe the reason for routine care activities, demonstrate
c c c c c c c c c c c c c c c c
proceduressuch asself-care activities, reinforcelearning or patient behavior, and evaluate the patient’s
c c c c c c c c c c c c c c
progressinlearning. As a patient advocate,you protectyourpatient’s human and legal rights and provide
c c c c c c c c c c c c c c c c c
assistancein asserting these rightsif the need arises. As a caregiver,you help patients maintain and
c c c c c c c c c c c c c c c c c
regain health, manage disease and symptoms, and attain a maximallevel function and independence
c c c c c c c c c c c c c c c c
through the healing process.
c c c c c
DIF:Apply(application)REF:4 c c
OBJ: Describe theroles and career opportunities for nurses. TOP:Implementation
c c c c c c c c c c
c MSC:Management of Care c c c
6. The nurse has been workingin the clinicalsettingfor several years as an advanced practice nurse.
c c c c c c c c c c c c c c c c c
However, the nurse has astrong desire to pursue research and theorydevelopment. To fulfill this desire,
c c c c c c c c c c c c c c c c c
which programshould the nurse attend?
c c c c c c c
a. Doctorof Nursing Science degree (DNSc) c c c c c c
b. Doctorof Philosophydegree (PhD) c c c c c
c. Doctorof Nursing Practice degree (DNP) c c c c c c
d. Doctorin the Science ofNursing degree (DSN) c c c c c c c c
ANS: B c c
Some doctoral programs prepare nursesformore rigorous research and theory development and award
c c c c c c c c c c c c c
the research-oriented Doctor of Philosophy (PhD)in nursing. Professional doctoral programs in nursing
c c c c c c c c c c c c c c
(DSN orDNSc)prepare graduates to applyresearch findingsto clinical nursing. The DNP is a practice
c c c c c c c c c c c c c c c c c
doctorate that prepares advanced practice nursessuch as nurse practitioners.
c c c c c c c c c c c
, DIF:Understand(comprehension)REF:10 c
OBJ: Describe educational programs available for professional registered nurse (RN) education.
c c c c c c c c c c
c TOP:Teaching/LearningMSC:Management of Care c c c
7. A nurse attends a workshop on current nursing issues provided bythe American Nurses
c c c c c c c c c c c c c
cAssociation.Which type of education did the nurse receive? c c c c c c c c c
a. Graduateeducation c c
b. Inserviceeducation c c
c. Continuingeducation c c
d. Registerednurse education c c c
ANS: C c c
Continuing educationinvolvesformal, organized educational programs offered by universities,
c c c c c c c c c
chospitals, state nurses associations, professional nursing organizations, and educational and health
c c c c c c c c c c
c careinstitutions. After obtaining a baccalaureate degree in nursing, you can pursue graduate education
c c c c c c c c c c c c c
leading to a master’s or doctoraldegree in any number of graduate fields,including nursing. Inservice
c c c c c c c c c c c c c c c c
education programs areinstruction or training provided by a healthcare facility or institution. Registered
c c c c c c c c c c c c c c c
nurse education isthe education preparation for anindividualintending to be an RN.
c c c c c c c c c c c c c c c
DIF:Apply(application)REF:10 c c
OBJ: Describe educational programs available for professional registered nurse (RN) education.
c c c c c c c c c c
c TOP:Teaching/LearningMSC:Management of Care c c c
8. A nurseidentifies gaps between local and best practices.Which Quality and Safety Education for
c c c c c c c c c c c c c c
cNurses (QSEN) competencyis the nurse demonstrating?
c c c c c c c
a. Safety c
b. Patient-centeredcare c
c. Quality improvement c c
d. Teamwork andcollaboration c c
ANS: C c c
Qualityimprovementidentifies gaps between local and best practices. Safety minimizes risk of harm to
c c c c c c c c c c c c c c
patients and providersthrough both system effectiveness and individual performance. Patient- centered
c c c c c c c c c c c c
care recognizes the patient or designee as the source of control and full partner in providing
c c c c c c c c c c c c c c c c c c
compassionate and coordinatedcare based on respect for patient’s preferences,values, and needs.
c c c c c c c c c c c c c
Teamwork and collaboration allows effective functioning within nursing and
c c c c c c c c c c
FundamentalsofNursing 9thEdition c c c c
Chapter01:Nursing Today
c c c
Potter et al.: Fundamentalsof Nursing, 9th Edition MULTIPLE
c c c c c c c c
cCHOICE
1. Which nurse mostlikelykept records on sanitation techniques and theeffects on health?
c c c c c c c c c c c c c c
a. FlorenceNightingale c c
c c
b. MaryNutting c c
c. ClaraBarton c c
c c
d. LillianWald c c
ANS: A c c
Nightingale wasthe first practicing nurse epidemiologist. Herstatistical analysesconnected poor
c c c c c c c c c c c
csanitation withcholera and dysentery. MaryNutting,Clara Barton, and Lillian Waldcame after
c c c c c c c c c c c c c
Nightingale, eachcontributing to the nursing profession in her own way. MaryNutting was instrumentalin
c c c c c c c c c c c c c c c c
moving nursing educationinto universities. Clara Barton founded the American Red Cross. LillianWald
c c c c c c c c c c c c c c
helped open the HenryStreet Settlement.
c c c c c c c
DIF:Understand (comprehension)REF:5 c c
OBJ: Discussthe influence ofsocial, historical, political, and economic changes on nursing
c c c c c c c c c c c c c practices.
TOP: Evaluation MSC: Health Promotion and Maintenance
c c c c c c c c
2. The nurse prescribes strategies and alternatives to attain expected outcome.Which standard of
c c c c c c c c c c c c
cnursing practiceis the nurse following? c c c c c c
a. Assessment c
c c
b. Diagnosis c
c. Planning c
c c
d. Implementation c
ANS: C c c
In planning, the registerednurse develops a plan that prescribesstrategies and alternativesto attain
c c c c c c c c c c c c c c
cexpected outcomes. During assessment,the registered nurse collectscomprehensive data pertinent to
c c c c c c c c c c c
the patient’s health and/orthe situation. In diagnosis, the registered nurse analyzes the assessment data
c c c c c c c c c c c c c c c c
to determine the diagnoses orissues. During implementation,the registered nurse implements(carries
c c c c c c c c c c c c c
out) the identified plan.
c c c c c
DIF:Understand (comprehension)REF:2 c c
OBJ:Discussthe development of professional nursingroles. TOP: Planning
c c c c c c c c c c
,MSC:Management of Care c c
3. An experienced medical-surgical nursechoosesto workin obstetrics. Whichlevel of proficiencyis
c c c c c c c c c c c c c c the
nurse upon initial transition to the obstetricalfloor?
c c c c c c c c c
a. Novice c
b. Proficient c
c. Competent c
d. Advancedbeginner c c
ANS: A c c
A beginning nursing student or anynurse entering a situation in which thereisno previous level of
c c c c c c c c c c c c c c c c c
cexperience (e.g., an experienced operatingroom nurse chooses to now practicein home health)is an c c c c c c c c c c c c c c c c c
example of a novice nurse. A proficient nurse perceives a patient’sclinicalsituation as a whole,is able to
c c c c c c c c c c c c c c c c c c c
assess an entire situation, and can readilytransferknowledge gained from multiple previous experiences
c c c c c c c c c c c c c c
to a situation. Acompetent nurse understandsthe organization and specificcare required by the type of
c c c c c c c c c c c c c c c c c c
patients(e.g., surgical, oncology, or orthopedic patients). This nurseis a
c c c c c c c c c c c c
competent practitioner who is able to anticipate nursing care and establishlong-range goals. A nurse who
c c c c c c c c c c c c c c c
has had somelevel of experience withthe situation is an advanced beginner. Thisexperience mayonly be
c c c c c c c c c c c c c c c c c c
observationalin nature, but the nurse isable to identify meaningful aspects or principles of nursing care.
c c c c c c c c c c c c c c c c c c
DIF:Apply(application)REF:2 c c
OBJ: Discussthe development of professional nursing roles. TOP: Evaluation MSC:Management
c c c c c c c c c c
cof Care c c
4. A nurse assesses a patient’s fluidstatus and decides thatthe patient needsto drink more fluids. The
c c c c c c c c c c c c c c c c c
nurse then encourages the patient to drink more fluids.Which conceptis the nurse demonstrating?
c c c c c c c c c c c c c c c c
a. Licensure c
b. Autonomy c
c. Certification c
d. Accountability c
ANS: B c c
Autonomyis an essential element of professional nursing thatinvolves theinitiation ofindependent
c c c c c c c c c c c c c
cnursing interventions without medical orders. To obtain licensurein theUnitedStates,the RN candidate
c c c c c c c c c c c c c c
must pass the NCLEX-RN®. Beyond the NCLEX-RN®,the nurse maychoose to work toward certification
c c c c c c c c c c c c c c c
in a specific area of nursing practice. Accountability meansthat you are responsible, professionallyand
c c c c c c c c c c c c c c c
legally, for the type and qualityof nursing care provided.
c c c c c c c c c c c
,DIF:Apply(application)REF:3 c
OBJ: Discussthe roles andcareer opportunities for nurses. TOP:Implementation
c c c c c c c c c c
c MSC:Management of Care c c c
5. A nurse prepares the budget and policies for an intensive care unit.Whichrole is the nurse
c c c c c c c c c c c c c c c c
cimplementing? c
a. Educator c
b. Manager c
c. Advocate c
d. Caregiver c
ANS: B c c
A manager coordinates the activities of members of the nursingstaffin delivering nursing care and has
c c c c c c c c c c c c c c c c
personnel, policy, and budgetary responsibility for aspecific nursing unit or facility.As an educator,you
c c c c c c c c c c c c c c c c
explain concepts and facts about health, describe the reason for routine care activities, demonstrate
c c c c c c c c c c c c c c c c
proceduressuch asself-care activities, reinforcelearning or patient behavior, and evaluate the patient’s
c c c c c c c c c c c c c c
progressinlearning. As a patient advocate,you protectyourpatient’s human and legal rights and provide
c c c c c c c c c c c c c c c c c
assistancein asserting these rightsif the need arises. As a caregiver,you help patients maintain and
c c c c c c c c c c c c c c c c c
regain health, manage disease and symptoms, and attain a maximallevel function and independence
c c c c c c c c c c c c c c c c
through the healing process.
c c c c c
DIF:Apply(application)REF:4 c c
OBJ: Describe theroles and career opportunities for nurses. TOP:Implementation
c c c c c c c c c c
c MSC:Management of Care c c c
6. The nurse has been workingin the clinicalsettingfor several years as an advanced practice nurse.
c c c c c c c c c c c c c c c c c
However, the nurse has astrong desire to pursue research and theorydevelopment. To fulfill this desire,
c c c c c c c c c c c c c c c c c
which programshould the nurse attend?
c c c c c c c
a. Doctorof Nursing Science degree (DNSc) c c c c c c
b. Doctorof Philosophydegree (PhD) c c c c c
c. Doctorof Nursing Practice degree (DNP) c c c c c c
d. Doctorin the Science ofNursing degree (DSN) c c c c c c c c
ANS: B c c
Some doctoral programs prepare nursesformore rigorous research and theory development and award
c c c c c c c c c c c c c
the research-oriented Doctor of Philosophy (PhD)in nursing. Professional doctoral programs in nursing
c c c c c c c c c c c c c c
(DSN orDNSc)prepare graduates to applyresearch findingsto clinical nursing. The DNP is a practice
c c c c c c c c c c c c c c c c c
doctorate that prepares advanced practice nursessuch as nurse practitioners.
c c c c c c c c c c c
, DIF:Understand(comprehension)REF:10 c
OBJ: Describe educational programs available for professional registered nurse (RN) education.
c c c c c c c c c c
c TOP:Teaching/LearningMSC:Management of Care c c c
7. A nurse attends a workshop on current nursing issues provided bythe American Nurses
c c c c c c c c c c c c c
cAssociation.Which type of education did the nurse receive? c c c c c c c c c
a. Graduateeducation c c
b. Inserviceeducation c c
c. Continuingeducation c c
d. Registerednurse education c c c
ANS: C c c
Continuing educationinvolvesformal, organized educational programs offered by universities,
c c c c c c c c c
chospitals, state nurses associations, professional nursing organizations, and educational and health
c c c c c c c c c c
c careinstitutions. After obtaining a baccalaureate degree in nursing, you can pursue graduate education
c c c c c c c c c c c c c
leading to a master’s or doctoraldegree in any number of graduate fields,including nursing. Inservice
c c c c c c c c c c c c c c c c
education programs areinstruction or training provided by a healthcare facility or institution. Registered
c c c c c c c c c c c c c c c
nurse education isthe education preparation for anindividualintending to be an RN.
c c c c c c c c c c c c c c c
DIF:Apply(application)REF:10 c c
OBJ: Describe educational programs available for professional registered nurse (RN) education.
c c c c c c c c c c
c TOP:Teaching/LearningMSC:Management of Care c c c
8. A nurseidentifies gaps between local and best practices.Which Quality and Safety Education for
c c c c c c c c c c c c c c
cNurses (QSEN) competencyis the nurse demonstrating?
c c c c c c c
a. Safety c
b. Patient-centeredcare c
c. Quality improvement c c
d. Teamwork andcollaboration c c
ANS: C c c
Qualityimprovementidentifies gaps between local and best practices. Safety minimizes risk of harm to
c c c c c c c c c c c c c c
patients and providersthrough both system effectiveness and individual performance. Patient- centered
c c c c c c c c c c c c
care recognizes the patient or designee as the source of control and full partner in providing
c c c c c c c c c c c c c c c c c c
compassionate and coordinatedcare based on respect for patient’s preferences,values, and needs.
c c c c c c c c c c c c c
Teamwork and collaboration allows effective functioning within nursing and
c c c c c c c c c c
