Test bank for Fundamentals of Nursing: Concepts and Competencies for Practice 9th Edition( Ruth F Craven , 2020)

The nurse in a rehabilitative facility makes certain the patient he is caring for is participating in group activities that are of interest to the patient. The nurse is ensuring which patient need is met? A) Love and belonging B) Self-actualization C) Safety and security D) Self-esteem Ans: A Feedback: The nurse is responsible for making sure the needs of the patient are met based on Maslows hierarchy of needs. Attending a group activity helps meet the needs of love and belonging (need to feel that one belongs and is loved to avoid loneliness and isolation). Self-actualization is the highest need and refers to realizing fully all of ones abilities and qualities. Safety and security refers to physical and psychological protection issues. Self-esteem indicates a feeling of self-worth. 12. The nurse is caring for a postoperative patient. The nurse administers a pain medication prescribed on a prn basis by the physician. What best describes the type of intervention the nurse is demonstrating? A) Physician-prescribed intervention B) Collaborative intervention Test Bank - Fundamentals of Nursing (9th Edition by Craven) 10 C) Patient advocacy intervention D) Nurse-prescribed intervention Ans: B Feedback: Nurse initiated interventions, such as turning and repositioning a patient, are described as nurse-prescribed interventions. Physician-directed actions are described as physician-prescribed interventions. The administration of a prn medication requires a physician-prescribed intervention (the medication order) as well as a nurse-prescribed intervention (determining when the order should be carried out and proper administration of the medication); therefore, this action would be considered a collaborative intervention. Patient advocacy refers to communicating the needs and protecting the safety of the patient. 13. A nurse in the community has been asked to join an organization based on the leadership abilities she has demonstrated both in her facility of employment and community-based activities. What organization best describes this process? A) nurse researcher B) clinical nurse specialist C) nurse educator D) nurse administrator Ans: B Test Bank - Fundamentals of Nursing (9th Edition by Craven) 11 Feedback: The clinical nurse specialist has advanced experience and expertise in a specialized area of practice such as gerontology, and would be best suited to provide education on palliative care. The nurse researcher is responsible for the continued development and refinement of nursing knowledge and practice through the investigation of nursing problems. The nurse educator generally has specific clinical specialties and advanced clinical experience in a particular area. The nurse administrator is responsible for managing patient care. 14. During the Christian era, nursing care excluded which area? A) Nutrition B) Personal counseling C) Comfort measures D) Psychiatric services Ans: D Feedback: During the Christian era nursing focused on many of the same areas that nursing focuses on today. Included areas of focus were nutrition, mobility, medication administration, personal counseling, hygiene, and comfort measures. 15. The nurse is caring for a postoperative patient. The physician has written orders for a pain medication. The order gives a dosage range for the amount the nurse may give depending on the severity of the patients pain. This type of functioning within the healthcare team is called: Test Bank - Fundamentals of Nursing (9th Edition by Craven) 12 A) Authoritative functioning B) Independent functioning C) Assistive functioning D) Dependent functioning E) Collaborative functioning Ans: E Feedback: Nurses manage collaborative problems using both nurse- and physician-prescribed interventions to reduce risk of complications (Carpenito-Moyet, 2009). 16. Which of the following is an appropriately stated nursing intervention? A) Ambulate in the hall B) Stand at bedside with assistance C) Ambulate 30 ft. twice a day with assistance of walker D) Ambulate with assistance of walker Ans: C Test Bank - Fundamentals of Nursing (9th Edition by Craven) 13 Feedback: Correctly stated patient outcomes are specific, measurable, and realistic. The other choices are poorly defined and do not specify when or how or by whom. 17. All members of the healthcare team are encouraged to read and contribute to the individual plans of care for their patients. Which of the following healthcare providers develops the plan of care? A) The RN B) The LPN or RN C) The physician D) The patient E) Any licensed member of the healthcare team Ans: A Feedback: To serve as evaluation criteria and meet the standards of the Joint Commission (2010), the plan must be developed by a registered nurse, it must be documented in the patients health record, and it must reflect the standards of care established by the institution and the profession. Test Bank - Fundamentals of Nursing (9th Edition by Craven) 14 18. Current trends in nursing practice include the development of A) Acute care centers B) Birthing centers C) Homeless shelters D) Ambulatory surgery centers Ans: B Feedback: Current trends in nursing practice include the development of nursing centers, wellness promotion programs, care of older adults, birthing centers, and home and community healthcare. 19. The Standards of Practice provide nurses with A) Legislation for healthcare reform B) Evaluation of care provided by nurses C) Measurement criteria for payment D) Guidelines for providing care Test Bank - Fundamentals of Nursing (9th Edition by Craven) 15 Ans: D Feedback: Standards of practice are essential because they serve as guidelines for providing and evaluating nursing care. 20. A nurse receives an x-ray report on a newly admitted patient suspected of having a fractured tibia. The nurse contacts the physician to report the findings. What role is the nurse engaged in? A) Communicator B) Advocate C) Caregiver D) Researcher Ans: A Feedback: Nurses are communicators when they report findings to the healthcare team. Advocacy involves actions such as protecting the patients safety or rights. Administering care measures directly to the patient and demonstrates the caregiver role. Research involves collecting and analyzing data. 21. A nurse is caring for a young victim of a terrorist attack. During the rehabilitative process, the nurse assists the patient in bathing and dressing. The role the nurse is engaged in is Test Bank - Fundamentals of Nursing (9th Edition by Craven) 16 A) Advocate B) Caregiver C) Counselor D) Educator Ans: B Feedback: As providers of care, nurses assume responsibility for helping patients promote, restore, and maintain health and wellness. Communicating the patients needs and concerns, and protecting the patient and the patients rights are components of the advocacy role of nursing. The nurse is simply assisting in hygiene measures; no education or counseling is being provided. 22. A student is choosing her educational path and desires a nursing degree that has a track that contains community nursing and leadership, as well as liberal arts. The student would best be suited in which type of program? A) Licensed practical nursing program B) Certification in a nursing specialty C) Diploma nursing program D) Baccalaureate program Test Bank - Fundamentals of Nursing (9th Edition by Craven) 17 Ans: D Feedback: The baccalaureate degree in nursing offers students a full college or university education with a background in the liberal arts. 23. The director of nursing (DON) of a major hospital is searching to hire a nurse with a strong technical background to care for patients on a busy surgical unit. The DON is most likely going to hire a nurse prepared at which level of nursing? A) Doctoral level B) Masters level C) Baccalaureate level D) Associate level Ans: D Feedback: The ANAs 1965 resolution prompted the 1985 ANA statement adopting the titles of associate nurse (a nurse prepared in an associate degree program with an emphasis on technical practice) and professional nurse (a nurse possessing the baccalaureate degree in nursing) for these two levels. Masters and doctoral prepared nurses possess higher degrees and expertise. 24. A nursing student begins to speak using medical terminology. This is considered to be part of which process? Test Bank - Fundamentals of Nursing (9th Edition by Craven) 18 A) Learning B) Socialization C) Role development D) Evolutionary Ans: B Feedback: Socialization is a process that involves learning theory and skills and internalizing an identity appropriate to a specific role. 25. Which of the following factors has most influenced how nurses practice their profession? A) Financial support of nursing education B) Professional organizations such as ANA C) National Commission on Nursing D) Increased incidence of chronic illness Ans: D Test Bank - Fundamentals of Nursing (9th Edition by Craven) 19 Feedback: Professional organizations speak to nurses on various topics and may have some influence on ideas regarding nursing care, but longer lifespans, increased incidence of chronic illness, and new family structures have dramatically affected where and how nurses practice. 26. The first nursing journal owned, operated, and published by nurses was A) American Journal of Nursing B) Nurse Educator C) Nursing Research D) Standards of Clinical Nursing Practice Ans: A Feedback: The American Journal of Nursing was first published in 1900 and was owned, operated, and published by nurses. 27. Advocating for financial support for university-based schools of nursing was noted in which government document? A) The Goldmark Report Test Bank - Fundamentals of Nursing (9th Edition by Craven) 20 B) Hill Burton Amendment C) Health Care Initiative Reform Act D) Lysaught Report Ans: A Feedback: The Goldmark Report in 1923 advocated for financial support for university-based schools of nursing. 28. The need for university-based nursing education programs was brought to light during which important historical time? A) Spanish American War B) World War I C) World War II D) Korean War Ans: C Feedback: Test Bank - Fundamentals of Nursing (9th Edition by Craven) 21 Esther Lucille Brown, in her report on nursing education published at that time, wrote that nursing education belonged in colleges and universities, not in hospitals. 29. The Henry Street Settlement was founded by A) Dorothea Dix B) Lillian Wald C) Florence Nightinga