Davis Advantage Basic Nursing: Thinking, Doing, and Caring 3rd Edition Treas Wilkinson Test Bank

Davis Advantage Basic Nursing: Thinking, Doing,
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and Caring 3rd Edition TreasWilkinson Test Bank
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,Chapter 1 Evolution of Nursing Thought & Action jj jj jj jj jj jj jj




Multiple Choice jj



Identify the choice that best completes the statement or answers the question.
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1. What is the most influential factor that has shaped the jj jj jj jj jj jj jj jj jj



nursingprofession? 1)
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Physicians need for jj jj



handmaidens2)
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Societal need for healthcare outside the jj jj jj jj jj



home3)
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Military demand for nurses in the field 4) jj jj jj jj jj jj jj



Germ theory influence on sanitation
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ANS: 3
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Throughout the centuries, stability of the government has been related to the success of
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themilitary to protect or extend its domain. As the survival and well-being of soldiers is
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critical, nurses provided healthcare to the sick and injured at the battle site. The
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physicians handmaiden was/is a nursing stereotype rather than an influence on nursing.
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Although there has been need for healthcare outside the home throughout history, this has
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more influence on the development of hospitals than on nursing; this need provided one
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more setting for nursing work. Germ theory and sanitation helped to improve healthcare
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but did not shape nursing.
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PTS: 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Client need: N/A |
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Cognitive level: Recall
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2. Which of the following is an example of an illness prevention activity? jj jj jj jj jj jj jj jj jj jj jj



Selectall that apply.
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1)
Encouraging the use of a food diary jj jj jj jj jj jj



2)
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Joining a cancer support group jj jj jj jj



3)
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Administering immunization for jj jj



HPV4)
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Teaching a diabetic patient about his diet jj jj jj jj jj jj



ANS: 3
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Administering immunization for HPV is an example of illness prevention. Although jj jj jj jj jj jj jj jj jj jj



canceris a disease, it is assumed that a person joining a support group would already have
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the disease; therefore, this is not disease prevention but treatment. Illness-prevention
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activities focus on avoiding a specific disease. A food diary is a health-promotion activity.
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Teaching a diabetic patient about diet is a treatment for diabetes; the patient already has
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diabetes, so it cannot prevent diabetes.
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PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in text KEY:
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Nursing process: N/A | Client need: HPM | Cognitive level: Application
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3. Which of the following contributions of Florence Nightingale had jj jj jj jj jj jj jj jj



animmediate impact on improving patients health?
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1)
Providing a clean jj jj



environment2)
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,Improving nursing education jj jj



3)
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Changing the delivery of care in hospitals jj jj jj jj jj jj



4)
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Establishing nursing as a distinct jj jj jj jj



professionANS: 1
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Improved sanitation (a clean environment) greatly and immediately reduced the rate
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ofinfection and mortality in hospitals. The other responses are all activities of Florence
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Nightingale that improved healthcare or nursing, but the impact is long range, not
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immediate.
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PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10; student
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must infer from content
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KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
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4. All of the following are aspects of the full-spectrum nursing role. Which jj jj jj jj jj jj jj jj jj jj jj



oneis essential for the nurse to do in order to successfully carry out all the others?
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1)
Thinking and reasoning about the clients care jj jj jj jj jj jj



2)
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Providing hands-on client jj jj



care3)
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Carrying out physician orders jj jj jj



4)
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Delegating to assistive jj jj



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A substantial portion of the nursing role involves using clinical judgment, critical
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thinking, and problem solving, which directly affect the care the client will actually
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receive. Providing hands-on care is important; however, clinical judgment, critical
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thinking, and problem solving are essential to do it successfully. Carrying out
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physician orders is a small part of a nurses role; it, too, requires nursing assessment,
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planning, intervention, and evaluation. Many simple nursing tasks are being delegated
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to nursing assistive personnel; delegation requires careful analysis of patient status and
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the appropriateness of support personnel to deliver care. Another way to analyze this
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question is that none of the options of providing hands-on care, carrying out physician
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orders, and delegating to assistive personnel is required for the nurse to think and
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reasonabout a clients care; so the answer must be 1.
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PTS:1DIFifficultREF: p. 11 jj jj



KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
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5. Which statement pertaining to Benners practice model for clinical competence jj jj jj jj jj jj jj jj jj



is true?
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1)
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Progression through the stages is constant, with most nurses reaching the proficient stage.
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2)
Progression through the stages involves continual development of thinking and technical
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skills.
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3)
The nurse must have experience in many areas before being considered an
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expert.4)
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The nurses progress through the stages is determined by years of experience and skills.
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ANS: 2
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Movement through the stages is not constant. Benners model is based on integration of
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, knowledge, technical skill, and intuition in the development of clinical wisdom. The
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model does not mention experience in many areas. The model does not mention years
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ofexperience.
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PTS:1DIF:ModerateREF:p. 15 jj



KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall
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6. Which of the following best explains why it is difficult for the jj jj jj jj jj jj jj jj jj jj jj



professionto develop a definition of nursing?
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1)
There are too many different and conflicting images of
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nurses.2)
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There are constant changes in healthcare and the activities of nurses.
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3)
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There is disagreement among the different nursingorganizations.
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4)
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There are different education pathways and levels of practice.
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ANS: 2
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The conflicting images of nursing make it more important to develop a definition; they
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may also make it more difficult, but not to the extent that constant change does.
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Healthcare is constantly changing and with it come changes in where, how, and what
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nursing care is delivered. Constant changes make it difficult to develop a definition.
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Although different nursing organizations have different definitions, they are similar in
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most ways. The different education pathways affect entry into practice, not the
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definitionof nursing.
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PTS: 1 DIF: Moderate REF: p. 11; How Is Nursing Defined?
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KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
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7. Nurses have the potential to be very influential in shaping jj jj jj jj jj jj jj jj jj



healthcarepolicy. Which of the following factors contributes most to nurses
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influence?
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1)
Nurses are the largest health professional
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group.2)
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Nurses have a long history of serving the
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public.3)
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Nurses have achieved some independence from physicians in recent
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years.4)
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Political involvement has helped refute negative images portrayed in the media.
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ANS: 1
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Nurses are trusted professionals and the largest health professional group. As such,
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theyhave political power to effect changes. If nursing were a small group, there would
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be little potential for power in shaping policies, even if all the other answers were true.
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Serving the public, while positive, does not necessarily help nurses to be influential in
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establishing health policy. Independence from physicians, although positive, does not
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necessarily make nurses influential in establishing healthcare policy. Refuting negative
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media, although positive, does not necessarily make nurses influential in establishing
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healthcare policy.
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PTS: 1 DIF: Moderate REF: p. 21
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KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
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8. Nursing was described as a distinct occupation in the sacred books jj jj jj jj jj jj jj jj jj jj



ofwhich faith?
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1)