Test Bank Leddy Peppers Professional Nursing 10th Edition Hood

Test Bank Leddy Peppers Professional Nursing 10th Edition Hood Table of Contents Chapter 1: The Professional Nurse .................................................................................................... 2 Chapter 2: The History Behind the Development of Professional Nursing ........................................ 10 Chapter 3: Contextual, Philosophical, and Ethical Elements of Professional Nursing ....................... 25 Chapter 4: Nursing Education in an Evolving Health Care Environment ........................................... 34 Chapter 4: Establishing Helping and Healing Relationships ............................................................. 42 Chapter 5: The Health Process and Self-Care of the Nurse ............................................................. 47 Chapter 6: Patterns of Knowing and Nursing Science ...................................................................... 51 Chapter 7: Nursing Models and Theories ......................................................................................... 56 Chapter 8: Professional Nursing Processes ..................................................................................... 75 Chapter 9: Health Care Delivery Systems ........................................................................................ 80 Chapter 10: Developing and Using Nursing Knowledge Through Research ..................................... 83 Chapter 11: Multicultural Issues in Professional Practice ................................................................. 92 Chapter 12: Professional Nurse Accountability .............................................................................. 105 Chapter 13: Environmental and Global Health ............................................................................... 115 Chapter 14: Informatics and Technology in Nursing Practice ......................................................... 121 Chapter 15: Nursing Approaches to Client Systems ....................................................................... 125 Chapter 16: The Professional Nurse's Role in Teaching and Learning ........................................... 130 Chapter 17: Leadership and Management in Professional Nursing ................................................ 138 Chapter 18: Quality Improvement: Enhancing Patient Safety and Health Care Quality .................. 145 Chapter 19: The Professional Nurse's Role in Public Policy ........................................................... 151 Chapter 20: Career Options for Professional Nurses ..................................................................... 161 Chapter 21: Development of a Professional Nursing Career .......................................................... 168 Chapter 22: Shaping the Future of Nursing .................................................................................... 177 1 | P a g elOMoARcPSD| Chapter 1: The Professional Nurse 1. Which of the following could eventually change the historical status of nursing as a female- dominated profession? a. More men graduating from baccalaureate and higher degree programs b. The proportion of men in nursing beginning to increase c. More male graduates of basic nursing programs entering the workplace d. Salary compensation increasing to attract more men ANS: C A More men graduating from baccalaureate and higher degree programs is not the best answer because associate degree programs produce the most new graduates. B The percentage of men in nursing has increased 50% since 2000. C The more men who enter the workplace as nurses, the less nursing will be seen as a female-dominated profession. D Salary rates do not appear to relate to the recruitment of men into nursing. DIF: Cognitive Level: Comprehension REF: MCS: 2 2. The racial and ethnic composition of the nursing profession will change to more accurately reflect the population as a whole when a. the increased numbers of racial and ethnic minorities enrolled in educational programs graduate and begin to practice. b. the number of Asians or Native Hawaiian-Pacific Islanders begins to increase. c. the percentage of African-American and Hispanic nurses decreases more than the percentage of white nurses. 2 | P a g elOMoARcPSD| d. the nonwhite portion of the general population decreases. ANS: A A A larger percentage of minorities are enrolled in nursing educational programs than previously. B Asians and Native Hawaiian-Pacific Islanders are over represented in nursing compared to their percentage of the general population. C Not only would the percentage of African-American and Hispanic nurses need to increase, the percentage of white nurses would have to decrease in order to more accurately reflect the population as a whole. D The nonwhite portion of the general population is not likely to decrease. DIF: Cognitive Level: Comprehension REF: MCS: 3 3. Which of the following is a correct statement about the registered nurse (RN) population? a. The racial/ethnic composition of RNs closely resembles that of the general population. b. The number of men entering nursing has decreased steadily over the last decade. c. The rate of aging of RNs has slowed for the first time in the past 30 years. d. The majority of employed RNs working full time must work a second position. ANS: C A The racial/ethnic composition of RNs is increasing, but does not approximate their percentage of the overall population. B The number of men entering nursing is increasing. C The average age of RNs in both 2004 and 2008 was 46. This is a result of the numbers of RNs under 30 in the workforce. D According to 2008 data, only 12% of nurses working full time hold second positions. DIF: Cognitive Level: Knowledge REF: MCS: 3 4. Which of the following best describes trends in nursing education? a. Numbers of RNs with bachelors and higher degrees are increasing. b. Numbers of RNs with associate degrees are decreasing. 3 | P a g elOMoARcPSD| c. Foreign-born nurses practicing in the United States are seen as less knowledgeable because of their lesser educational preparation. d. Numbers of RNs with diploma educations are increasing. ANS: A A Slightly over 50% of RNs eventually obtain their bachelors of science in nursing (BSN) or a higher nursing degree. B The majority of nurses in this country get their initial nursing education in associate degree in nursing (ADN) programs. C Foreign-born nurses practicing in the United States may be viewed as less knowledgeable by their peers because of language and cultural differences. D The numbers of diploma-educated nurses are declining. DIF: Cognitive Level: Knowledge REF: MCS: 4 5. Despite the variety of work settings available to the RN, data from 2008 indicate that the primary work site for RNs is a. ambulatory care settings. b. community health settings. c. long-term care facilities. d. acute care hospitals. ANS: D A Ambulatory care settings account for about 10.5% of RNs places of employment. B Public health and community health settings account for 7.8% of employed RNs. C Long-term care facilities account for 5.3% of RNs places of employment. D Statistics show that 62.2% of RNs work in acute care hospitals. DIF: Cognitive Level: Knowledge REF: MCS: 5 6. One important advantage of clinical ladder programs for hospital-based RNs is that they a. allow career advancement for nurses who choose to remain at the bedside. 4 | P a g elOMoARcPSD| b. encourage nurses to move into management positions in which they can influence patient care on a broader scale. c. encourage RNs to become politically active and guide the profession of nursing. d. provide training to staff nurses so they can move seamlessly across departments. ANS: A A Clinical ladder programs allow nurses to advance professionally while remaining at the bedside. B Clinical ladder programs are designed to keep proficient nurses at the bedside. C Encouraging RNs to become politically active and guide the profession of nursing is not the goal of clinical ladder programs. D Clinical ladder programs are not designed to facilitate transfer between departments. DIF: Cognitive Level: Comprehension REF: MCS: 7 7. Which of the following statements is correct about community health nursing (CHN)? a. Prevention and community education are the cornerstones of CHN. b. Nursing care is rapidly moving from the home setting to the institutional setting. c. High-tech care such as ventilators and total parenteral nutrition cannot be handled in the home. d. Assessment skills are less important in CHN because patients are not acutely ill. ANS: A A The community health nurse provides educational programs in health maintenance, disease prevention, nutrition, and child care. B Care is moving into the home setting. C Home care is increasing in complexity. D Community health nurses must have excellent assessment skills as they do not have the immediate backup that an acute care facility offers. DIF: Cognitive Level: Comprehension REF: MCS: 9 8. Which of the following is most essential for the nurse entrepreneur to be successful? 5 | P a g elOMoARcPSD| a. Ability to take direction well b. Excellent time-management skills c. Avoidance of risks d. A college degree in business ANS: B A Nurse entrepreneurs must function autonomously. B Nurse entrepreneurs must be well organized and efficient. C Starting a business involves risk. D A degree in business is not required to be a nurse entrepreneur. DIF: Cognitive Level: Analysis REF: MCS: 10 9. The major benefit of serving as a military nurse is a. broader responsibilities and scope of practice than civilian nurses. b. working with entirely baccalaureate-prepared peers on active duty. c. serving as an officer on active duty or in the reserves. d. the financial support to seek advanced degrees ANS: D A Although military nurses do have broader responsibilities and scopes of practice than civilian nurses do, this is not the major benefit. B Although military nurses do work with entirely baccalaureate-prepared peers on active duty, this is not the major benefit. C Although military nurses serve as officers on active duty or in the reserves, this is not the major benefit. D Advanced education is supported by the military financially and also allows for promotion in rank at an accelerated pace. DIF: Cognitive Level: Comprehension REF: MCS: 13 10. Which of the following statements explains why the school nurse of today is truly a community health nurse? 6 | P a g elOMoARcPSD| a. The school nurse may be called on to care for a students family members in underserved areas. b. The school nurses primary responsibility is centered on the well child. c. The school nurses primary responsibility is to maintain immunization records. d. The school nurse must be certified in CHN. ANS: A A In medically underserved areas a school nurse may be called on to care for members of a childs immediate family. B Chronically ill, disabled, and physically challenged students are in regular classrooms. C School nurses detect developmental problems; counsel and educate children, parents, and teachers; and maintain immunization records. D Although school nurses are considered community health nurses, certification in community health is not required. DIF: Cognitive Level: Comprehension REF: MCS: 13 11. What has been found about the outcomes of patients cared for in hospitals with a higher percentage of BSN-prepared nurses as compared to patients in hospitals with a lower percentage of BSN-prepared nurses? a. Patient outcomes are more dependent on nurse-patient ratios. b. Outcomes were better in hospitals with more BSN-prepared nurses. c. Outcomes were similar in both types of hospitals. d. Medical patients had better outcomes, but surgical patients fared the same. ANS: B A Nurse-patient ratio is an important determinant of patient care outcomes but has not been shown to be more or less important that the percentage of BSN- prepared nurses providing direct patient care. B Research by Aiken, et al, (2003) showed that patient outcomes were better in hospitals where higher percentages of BSN-prepared nurses were employed. 7 | P a g elOMoARcPSD| C Research by Aiken, et al, (2003) showed that patient outcomes were better in hospitals where higher percentages of BSN-prepared nurses were employed. D Aiken, et al (2003) studied orthopedic, general surgical, and vascular surgery patients and found the outcomes were improved for these patients in hospitals with a higher percentage of BSN-prepared nurses. DIF: Cognitive Level: Knowledge REF: MCS: 7 12. Faith community nursing (FCN) was founded on which of the following premises? a. Nurses faith beliefs do not play a part in healing. b. The spiritual aspect takes precedence over the physical body in healing. c. Spiritual health is central to a persons well-being. d. Faith community nurses must receive formal training as a minister or clergy. ANS: C A The nurses spiritual journey is believed to be an essential aspect of this nursing role. B Patients are treated holistically under FCN. C FCN is based on the belief that spiritual health is central to well-being. D Faith community nurses do not need to have formal training as a ministers. DIF: Cognitive Level: Comprehension REF: MCS: 16 13. One important advantage of the evolution of nursing informatics is that a. it allows any RN to become a certified informatics nurse. b. informatics nurses are best able to design systems with the needs and skills of nurses who use them. c. informatics nurses will reduce the need for direct caregivers to document care. d. benefits of informatics advancements include improved patient safety and increased variability of care. ANS: B A Although all nurses may use informatics, a nurse specializing in informatics 8 | P a g elOMoARcPSD| should have a BSN and additional knowledge and experience in the field of informatics. B Informatics nurses understand how the information needs to be used and how to make the systems work for the nurses. C Direct caregivers will still need to document the care provided. D Benefits do include improved patient safety, but decreased variability of care is expected with informatics systems. DIF: Cognitive Level: Comprehension REF: MCS: 17 14. Which of the following nursing roles is not considered an advanced practice role? a. Certified nurse-midwife (CNM) b. Community health nurse c. Certified nurse practitioner (CNP) d. Clinical nurse specialist (CNS) ANS: B A A CNM is an advanced practice role. B The community health nurse is not an advanced practice role. C CNP is an advanced practice role. D CNS is an advanced practice role. DIF: Cognitive Level: Comprehension REF: MCS: 17 15. NPs are advanced practice nurses who a. are required to have physician collaboration or supervision. b. function under a set of universal advanced practitioner laws. c. cannot receive direct reimbursement for their services. d. can diagnose and treat common and chronic conditions. ANS: D A The laws governing the practice of NPs vary from state to state, including the degree of supervision required and how they may be reimbursed for their services. 9 | P a g elOMoARcPSD| Chapter 2: The History Behind the Development of Professional Nursing 1. Which early nursing leader founded the first training school for nurses that would later become a model for early nursing education? a. Dorothea Dix b. Florence Nightingale c. Clara Barton d. Mary Ann Bickerdyke ANS: B A Dorothea Dix is best known as an advocate for the mentally ill, and she created a brief training program at two New York hospitals for women who wished to serve as nurses in the Civil War. B Florence Nightingale founded the first training school for nurses at St. Thomass Hospital in London in 1806. This became the model for nursing education in the United States. C Clara Barton is known for founding the American Red Cross. D Mary Ann Bickerdyke is best known for nursing services during the Civil War. DIF: Cognitive Level: Knowledge REF: MCS: 25 2. Who was the first educated African-American professional nurse? a. Linda Richards b. Phoebe Pember c. Sojourner Truth d. Mary Eliza Mahoney 10 | P a g elOMoARcPSD| ANS: D A Linda Richards was the first trained nurse in the United States. B Phoebe Pember was one of the first women placed in charge of a hospital. C Sojourner Truth was a famous abolitionist who served as a nurse for the Union forces in the Civil War. D Mary Eliza Mahoney was the first African-American professional nurse; she was educated at the New England Hospital for Women and Children. DIF: Cognitive Level: Knowledge REF: MCS: 27 3. To which early nursing leader is attributed the founding of the American Red Cross? a. Clara Barton b. Dorothea Dix c. Florence Nightingale d. Lavinia Lloyd Dock ANS: A A Founding the American Red Cross is attributed to Clara Barton. B Dorothea Dix was superintendent of women nurses of the Union Army. C Florence Nightingale was an English pioneer in nursing. D Lavinia Lloyd Dock was influential in forming the National League for Nursing (NLN). DIF: Cognitive Level: Knowledge REF: MCS: 26 4. What were some of the application requirements of nursing education programs in the 1900s? a. Male, intelligent, strong b. Female, sensitive, subservient c. Female, docile, from poor background d. Male, high breeding, independent ANS: B 11 | P a g elOMoARcPSD| A Men were not thought to be sensitive enough for nursing. B Sensitivity, breeding, intelligence, ladylike behavior, and submission to authority were highly desired personal traits for nursing students. C High breeding was desirable for nursing education program applicants. D Men were not desired nursing education program applicants. DIF: Cognitive Level: Knowledge REF: MCS: 27 5. Which of the following statements best describes how the Chicago Worlds Fair of 1893 became a pivotal point in the history of nursing education in the United States? a. Florence Nightingales work on sanitation and its relationship to mortality rates was finally recognized. b. The organization today known as the NLN was formed to address issues in nursing education. c. The American Nurses Association (ANA) was formed to oversee nursing education in the United States. d. The International Council of Nurses (ICN) was formed to enhance collaboration between practicing nurses and educators. ANS: B A Florence Nightingales paper was on scientific training of nurses. B Several influential nursing leaders met at the Chicago Worlds Fair and started the National League for Nursing Educationthe precursor to the NLN. C The NLN, not the ANA, was formed to oversee nursing education in the United States. D The ICN was not founded until 1899 and is not involved in U.S. education of nurses. DIF: Cognitive Level: Comprehension REF: MCS: 28 6. Which early nursing organization is credited with first recommending state registration for nurses? a. ICN b. NLN c. ANA 12 | P a g elOMoARcPSD| d. National Association of Colored Graduate Nurses ANS: A A The ICN was formed to unite all nursing organizations. The topic of the first meeting was registration for nurses by each country and state. B The NLN was formed to oversee nursing education in the United States. C The ANA was formed to enhance collaboration between practicing nurses and educators. D The National Association of Colored Graduate Nurses was formed to develop leadership among African-American nurses. DIF: Cognitive Level: Knowledge REF: MCS: 28 7. Which of the following nursing leaders, because of her work in the Henry Street Settlement, is considered the founder of public health nursing? a. Margaret Sanger b. Clara Barton c. Lillian Wald d. Lavinia Lloyd Dock ANS: C A Margaret Sanger is known for her work on birth control with immigrant women from the Lower East Side of New York City. B Clara Barton founded the American Red Cross. C Lillian Wald founded the Henry Street Settlement, the first formalized public health nursing project. D Lavinia Lloyd Dock was instrumental in the formation of the NLN. DIF: Cognitive Level: Knowledge REF: MCS: 28 8. Despite the caring efforts of early public health nurses in the Henry Street Settlement, racial disparity left many people underserved. Which of the following African- American public health nurses was instrumental in providing excellent nursing care to underserved families despite these social challenges? 13 | P a g elOMoARcPSD| a. Jessie Sleet Scales b. Margaret Sanger c. Lavinia Lloyd Dock d. Anita M. McGee ANS: A A Jessie Sleet Scales established the Stillman House, a part of the Henry Street Settlement that provided care to African Americans. B Margaret Sanger worked to provide immigrant women on the Lower East Side of New York City with birth control information. C Lavinia Lloyd Dock founded the NLN. D Anita M. McGee was a physician appointed as head of the Hospital Corps, who recruited nurses for the Spanish-American War of 1898. DIF: Cognitive Level: Comprehension REF: MCS: 29 9. Which one of the following events occurring during the first decade of the twentieth century brought sweeping changes to nursing? a. It was required that all practicing nurses be licensed. b. Permissive licensing laws allowed registered nurses (RNs) to practice without a license if they registered with the state. c. All states required a standardized licensing examination. d. Nurses had to pass a licensing examination to use the title RN. ANS: D A Practicing nurses did not have to be licensed but could not use the title. B Permissive licensing laws required all nurses using the title RN to be licensed. C Licensing examinations were not standardized until 1950. D Licensure laws were passed that required all people using the title of RN to be licensed. DIF: Cognitive Level: Comprehension REF: MCS: 30 10. What was the most significant impact on the profession of nursing made 14 | P a g elOMoARcPSD| by Mary Breckenridge in her role as a frontier nurse? a. She demonstrated that nurses could provide primary care in rural settings. b. She demonstrated that female nurses could protect themselves in unsettled rural environments. c. She demonstrated that nurses were capable of teaching new mothers to care for babies. d. She demonstrated that nurses could provide care to many clients despite geographic boundaries. ANS: A A Mary Breckenridge established frontier nursing services. She provided primary care to women and babies and demonstrated that nurses could provide primary care. B Safety was not the primary impact of the success of frontier nursing. C Although she was a nurse-midwife, this was not the most significant impact. D Demonstrating that nurses could provide care to many clients despite geographic boundaries was not the most significant impact made by Mary Breckenridge. DIF: Cognitive Level: Comprehension REF: MCS: 32 11. Which of the following trends in health care delivery that began in the second half of the twentieth century continues today? a. Widespread use of team nursing to address the nursing shortage b. Massive movement of nurses out of acute care and into home care c. Advent of primary care to replace specialized care d. Provision of care to the poor, elderly, and disabled through Medicare and Medicaid ANS: D A Team nursing is rarely used today. B More nurses work in acute care today than in home care. C After World War II, specialization became popular. D Two amendments to the Social Security Act in 1965 designed to ensure access 15 | P a g elOMoARcPSD| to health care for elderly, poor, and disabled Americans were the establishment of Medicare and Medicaid. DIF: Cognitive Level: Comprehension REF: MCS: 34 12. A recent trend in nursing has been an increase in the number of men and women with degrees in other fields or other careers applying to nursing programs. What is the single most important reason for this trend? a. Nursing as a career has gained increased status and prestige. b. Nursing salaries have outpaced many other fields. c. A nursing career provides both job security and meaningful employment. d. Working conditions in nursing have improved. ANS: C A While true, nursings increased status and prestige is not a significant factor in the trend of people choosing it as a second career. B Salary is not a major factor. C The current appeal to men and women with degrees in other fields is that nursing can provide job opportunities, economic security, and the opportunity to help others. D Working conditions are not identified as a reason for choosing a second career in nursing. DIF: Cognitive Level: Knowledge REF: MCS: 39 13. What specialty of nursing was considered well suited for men at a time when other areas were excluding men from practicing? a. Obstetric nursing b. Pediatric nursing c. Psychiatric nursing d. Nurse educator ANS: C 16 | P a g elOMoARcPSD| A Obstetric nursing was not considered an appropriate area for men in nursing. B Pediatric nursing was not considered an appropriate area for men in nursing. C Psychiatric nursing was considered well suited for men because it required physical stamina and strength. D Education was not a specialty considered well suited for men in nursing. DIF: Cognitive Level: Knowledge REF: MCS: 37 14. When surveyed, what is the primary reason given by men for entering nursing? a. To make a difference b. High salaries c. Flexible schedules d. Opportunity for travel ANS: A A Men who want to make a difference in peoples lives find nursing an appealing career choice B Economic and job security are important factors for men entering nursing, but more significant is the opportunity to make a difference in peoples lives. C Flexible schedules, where provided, are an attractive incentive for employment, but that is not as significant as being able to make a difference in peoples lives. D Opportunity for travel is available for travel and military nurses, otherwise it is not an important aspect of nursing as a career. DIF: Cognitive Level: Knowledge REF: MCS: 38 15. What was the purpose of the Hill-Burton Act? a. It established funding for the construction of hospitals. b. It provided women in the service with military rank. c. It established and funded the Frontier Nursing Service. d. It created the Cadet Nurse Corps. 17 | P a g elOMoARcPSD| ANS: A A The 1946 Hill-Burton Act provided funding for the construction of hospitals. B Congress passed a bill in 1920 that allowed women to hold military rank. C The Frontier Nursing Service, originally known as the Kentucky Committee for Mothers and Babies, was established by Mary Breckinridge. D The Cadet Nurse Corps was an alliance between military and collegiate nursing programs to train nurses and was funded by Congress. DIF: Cognitive Level: Knowledge REF: MCS: 33 16. When surveyed, which profession was chosen by the general public as highest in honesty and ethics? a. Physician b. Pharmacist c. Nurse d. Attorney ANS: C A Physicians were not ranked over nurses. B Pharmacists were not ranked over nurses. C Gallup polls from 1999 to 2010 rated nursing as the top profession in honesty and ethics. D Attorneys were not ranked over nurses in honesty and ethics. DIF: Cognitive Level: Knowledge REF: MCS: 40 17. In 2002 which major American corporation partnered with nursing to design a media campaign to promote the image of nursing? a. Johnson & Johnson b. Baxter 18 | P a g elOMoARcPSD| c. Microsoft d. Wal-Mart ANS: A A In 2003 Johnson & Johnson began a $20 million campaignCampaign for Nursings Futureto enhance the image of nursing, to recruit new nurses and educators, and to retain nurses. B Baxter did not launch a media campaign to promote the image of nursing. C Microsoft did not launch a media campaign to promote the image of nursing. D Wal-Mart did not launch a media campaign to promote the image of nursing. DIF: Cognitive Level: Knowledge REF: MCS: 40 18. A shift in population growth is expected to place stress on nursing resources. Which age- group is expected to experience the greatest population growth in the next decade? a. Older than 85 years of age b. 75 to 85 years of age c. 35 to 65 years of age d. 18 to 35 years of age ANS: A A People older than 85 years, known as the very old, represent the fastest- growing segment of the total population. B Although the 75 to 85 age-group is growing, it is not the fastest-growing segment of the population. C The group of individuals 35 to 65 years of age is not expected to grow as dramatically as is the group termed very old. D The 18 to 35 age-group is not expected to be the fastest-growing segment of the population in the next decade. DIF: Cognitive Level: Knowledge REF: MCS: 42 19. In which practice area was the first clinical nurse specialist (CNS) role developed? 19 | P a g elOMoARcPSD| a. Mother-baby b. Psychiatric nursing c. Intensive care nursing d. Emergency nursing ANS: B A The first CNS role was developed in psychiatric nursing in the 1960s. B The first CNS role was developed in psychiatric nursing in the 1960s. C The first CNS role was developed in psychiatric nursing in the 1960s. D The first CNS role was developed in psychiatric nursing in the 1960s. DIF: Cognitive Level: Knowledge REF: MCS: 34 20. Which of the following was an unsuccessful attempt by the American Medical Association (AMA) to alleviate the nursing shortage of the time? a. Creation of the nurse manager position b. Creation of the registered care technician c. Recruitment of RNs from English-speaking countries d. edistribution of qualified nurses to certain geographic locations ANS: B A The nurse manager position was not created by the AMA. B In response to the nursing shortage in the late 1980s, the AMA proposed a nurse extender called the registered care technician. C The recruitment of foreign nurses was not a proposal of the AMA. D Travel nursing was not a proposal of the AMA. DIF: Cognitive Level: Knowledge REF: MCS: 47 21. The first trained nurse in the United States graduated in 1873 and later became the supervisor of the Boston Training School. Who was this nurse? a. Mary Ann Bickerdyke 20 | P a g elOMoARcPSD|