,Chapter 1 Evolution of Nursing Thought & Action
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. What is the most influential factor that has
shaped the nursing profession?
1)
Physicians need for
handmaidens
2)
Societal need for healthcare
outside the home
3)
Military demand for nurses in
the field 4) Germ theory
influence on sanitation ANS:
3
Throughout the centuries, stability of the government has been
related to the success of the military to protect or extend its
domain. As the survival and well-being of soldiers is critical,
nurses provided healthcare to the sick and injured at the battle
site. The physicians handmaiden was/is a nursing stereotype
rather than an influence on nursing. Although there has been
need for healthcare outside the home throughout history, this has
more influence on the development of hospitals than on nursing;
this need provided one more setting for nursing work. Germ
theory and sanitation helped to improve healthcare but did not
shape nursing.
,PTS:
1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Client need:
N/A | Cognitive level: Recall
2. Which of the following is an example of an illness prevention
activity? Select all that apply.
1)
Encouraging the use of a
food diary
2)
Joining a cancer support
group
3)
Administering immunization
for HPV
4)
Teaching a diabetic patient about
his diet ANS: 3
Administering immunization for HPV is an example of illness prevention.
Although cancer is a disease, it is assumed that a person joining a support
group would already have the disease; therefore, this is not disease
prevention but treatment. Illness-prevention activities focus on avoiding a
specific disease. A food diary is a health-promotion activity. Teaching a
diabetic patient about diet is a treatment for diabetes; the patient already
has diabetes, so it cannot prevent diabetes.
PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly
stated in text KEY: Nursing process: N/A | Client need: HPM | Cognitive
level: Application
3. Which of the following contributions of Florence
Nightingale had an immediate impact on improving patients
health?
1)
Providing a clean
environment 2)
, Improving nursing
education 3)
Changing the delivery of care in
hospitals 4)
Establishing nursing as a distinct
profession ANS: 1
Improved sanitation (a clean environment) greatly and immediately
reduced the rate of infection and mortality in hospitals. The other
responses are all activities of Florence Nightingale that improved
healthcare or nursing, but the impact is long range, not immediate.
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p.
10; student must infer from content
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
1. All of the following are aspects of the full-spectrum nursing role.
Which one is essential for the nurse to do in order to successfully carry
out all the others?
1)
Thinking and reasoning about the
clients care 2)
Providing hands-on
client care 3)
Carrying out physician
orders 4)
Delegating to assistive
personnel ANS: 1
A substantial portion of the nursing role involves using clinical
judgment, critical thinking, and problem solving, which directly affect
the care the client will actually receive. Providing hands-on care is
important; however, clinical judgment, critical thinking, and problem
solving are essential to do it successfully. Carrying out physician orders
is a small part of a nurses role; it, too, requires nursing assessment,
planning, intervention, and evaluation. Many simple nursing tasks are
being delegated to nursing assistive personnel; delegation requires
careful analysis of patient status and the appropriateness of support
personnel to deliver care. Another way to analyze this question is that
none of the options of providing hands-on care, carrying out physician
orders, and delegating to assistive personnel is required for the nurse to
think and reason about a clients care; so the answer must be 1.
PTS:1DIFifficultREF: p. 11
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
2. Which statement pertaining to Benners practice model for clinical competence
is true?
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. What is the most influential factor that has
shaped the nursing profession?
1)
Physicians need for
handmaidens
2)
Societal need for healthcare
outside the home
3)
Military demand for nurses in
the field 4) Germ theory
influence on sanitation ANS:
3
Throughout the centuries, stability of the government has been
related to the success of the military to protect or extend its
domain. As the survival and well-being of soldiers is critical,
nurses provided healthcare to the sick and injured at the battle
site. The physicians handmaiden was/is a nursing stereotype
rather than an influence on nursing. Although there has been
need for healthcare outside the home throughout history, this has
more influence on the development of hospitals than on nursing;
this need provided one more setting for nursing work. Germ
theory and sanitation helped to improve healthcare but did not
shape nursing.
,PTS:
1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Client need:
N/A | Cognitive level: Recall
2. Which of the following is an example of an illness prevention
activity? Select all that apply.
1)
Encouraging the use of a
food diary
2)
Joining a cancer support
group
3)
Administering immunization
for HPV
4)
Teaching a diabetic patient about
his diet ANS: 3
Administering immunization for HPV is an example of illness prevention.
Although cancer is a disease, it is assumed that a person joining a support
group would already have the disease; therefore, this is not disease
prevention but treatment. Illness-prevention activities focus on avoiding a
specific disease. A food diary is a health-promotion activity. Teaching a
diabetic patient about diet is a treatment for diabetes; the patient already
has diabetes, so it cannot prevent diabetes.
PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly
stated in text KEY: Nursing process: N/A | Client need: HPM | Cognitive
level: Application
3. Which of the following contributions of Florence
Nightingale had an immediate impact on improving patients
health?
1)
Providing a clean
environment 2)
, Improving nursing
education 3)
Changing the delivery of care in
hospitals 4)
Establishing nursing as a distinct
profession ANS: 1
Improved sanitation (a clean environment) greatly and immediately
reduced the rate of infection and mortality in hospitals. The other
responses are all activities of Florence Nightingale that improved
healthcare or nursing, but the impact is long range, not immediate.
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p.
10; student must infer from content
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
1. All of the following are aspects of the full-spectrum nursing role.
Which one is essential for the nurse to do in order to successfully carry
out all the others?
1)
Thinking and reasoning about the
clients care 2)
Providing hands-on
client care 3)
Carrying out physician
orders 4)
Delegating to assistive
personnel ANS: 1
A substantial portion of the nursing role involves using clinical
judgment, critical thinking, and problem solving, which directly affect
the care the client will actually receive. Providing hands-on care is
important; however, clinical judgment, critical thinking, and problem
solving are essential to do it successfully. Carrying out physician orders
is a small part of a nurses role; it, too, requires nursing assessment,
planning, intervention, and evaluation. Many simple nursing tasks are
being delegated to nursing assistive personnel; delegation requires
careful analysis of patient status and the appropriateness of support
personnel to deliver care. Another way to analyze this question is that
none of the options of providing hands-on care, carrying out physician
orders, and delegating to assistive personnel is required for the nurse to
think and reason about a clients care; so the answer must be 1.
PTS:1DIFifficultREF: p. 11
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
2. Which statement pertaining to Benners practice model for clinical competence
is true?
