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 patients.
PTS: 1
DIF: Remembering
REF: Concepts: Care Coordination
OBJ: 1.5
TOP: Nursing Process: Planning
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care
2.A nursing student is preparing study notes from a recent lecture in
nursing history. The student would credit Florence Nightingale for
which definition of nursing?
,a. The imbalance between the patient and the environment decreases the
capacity for health.
b. The nurse needs to focus on interpersonal processes between nurse
and patient.
c. The nurse assists the patient with essential functions toward
independence.
d. Human beings are interacting in continuous motion as energy fields.
ANS: a
Florence Nightingale's (1860) concept of the environment emphasized
prevention and clean air, water, and housing. This theory states that the
imbalance between the 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.
PTS: 1
DIF: Understanding
REF: Concepts: Health Promotion
OBJ: 1.4
TOP: Nursing Process: Planning
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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.
PTS: 1
DIF: Remembering
REF: Concepts: Professionalism
OBJ: 1.3
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
4.The nursing instructor is researching the five proficiencies regarded as
essential for students and professionals. The nursing instructor identifies
which organization would be found to have added safety as a sixth
competency?
a. Quality and Safety Education for Nurses (QSEN)
b. Institute of Medicine (IOM)
c. American Association of Colleges of Nursing (AACN)
d. National League for Nursing (NLN)
ANS: a
The Institute of Medicine report, Health Professions Education: A
Bridge to Quality (2003), outlines five core competencies. These include
patient-centered care, interdisciplinary 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 updated by the American Association of Colleges of
Nursing (AACN) (2008). The document offers a framework for the
education of professional nurses with outcomes for students to meet. The
National League for Nursing (NLN) outlines and updates competencies
for practical, associate, baccalaureate, and graduate nursing education
programs.
PTS: 1