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B Fundamentals of Nursing B B
ActiveLearningfor CollaborativePractice 3rd
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B Edition
By
Barbara L. Yoost, Lynne R. Crawford
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,Chapter 01: Nursing, Theory, and Professional Practice
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Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative Practice,
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3rd Edition
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MULTIPLE CHOICE B
1. A group of nursing students are discussing the impact of nonnursing theories in clinical
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practice. The students would be correct if they chose which theory to prioritize patient care?
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a. Erikson‗s Psychosocial Theory B B
b. Paul‗s Critical-Thinking Theory B B
c. Maslow‗s Hierarchy of Needs B B B
d. Rosenstock‗s Health Belief Model B B B
ANS: C B
Maslow‗s hierarchy of needs specifies the psychological and physiologic factors that affect each
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person‗s physical and mental health. The nurse‗s understanding of these factors helps with
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formulating Nursing diagnoses that address the patient‗s needs and values to prioritize care.
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Erikson‗s Psychosocial Theory of Development and Socialization is based on individuals‗
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interacting and learning about their world. Nurses use concepts of developmental theory to
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critically think in providing care for their patients at various stages of their lives.
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Rosenstock (1974) developed the psychological Health Belief Model. The model addresses
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possible reasons for why a patient may not comply with recommended health promotion
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behaviors. This model is especially useful to nurses as they educate patients.
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DIF: Remembering OBJ: 1.5 TOP: Planning B B B
MSC: NCLEXClientNeedsC N
B a te g R
o ry : ISafG
e anB .C M
d Effective CareEnvironment:ManagementofCareNOT:
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B U
Concepts: Care Coordinati on B B
2. A nursing student is preparing study notes from a recent lecture in nursing history. The
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student would credit Florence Nightingale for which definition of nursing?
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a. The imbalance between the patient and the environment decreases the capacity for
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health.
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b. The nurse needs to focus on interpersonal processes between nurse and patient.
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c. The nurse assists the patient with essential functions toward independence.
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d. Human beings are interacting in continuous motion as energy fields. B B B B B B B B B
ANS: A B
Florence Nightingale‗s (1860) concept of the environment emphasized prevention and clean air,
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water, and housing. This theory states that the imbalance between the patient and the
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environment decreases the capacity for health and does not allow for conservation of energy.
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Hildegard Peplau (1952) focused on the roles played by the nurse and the interpersonal process
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between a nurse and a patient. Virginia Henderson described the nurse‗s role as substitutive
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(doing for the person), supplementary (helping the person), or complementary (working with the
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person), with the goal of independence for the patient. Martha Rogers (1970) developed the
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Science of Unitary Human Beings. She stated that human beings and their environments are
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interacting in continuous motion as infinite energy fields.
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DIF: Understanding OBJ: 1.4 TOP: Planning B B
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance NOT:
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Concepts: Health Promotion
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,3. The nurse identifies which nurse established the American Red Cross during the Civil War?
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a. Dorothea Dix B
b. Linda Richards B
c. Lena Higbee B
d. Clara Barton B
ANS: D B
Clara Barton practiced nursing in the Civil War and established the American Red Cross.
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Dorothea Dix was the head of the U.S. Sanitary Commission, which was a forerunner of the Army
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Nurse Corps. Linda Richards was America‗s first trained nurse, graduating from Boston‗s
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Women‗s Hospital in 1873, and Lena Higbee, superintendent of the U.S. Navy Nurse Corps, was
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awarded the Navy Cross in 1918.
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DIF: Remembering OBJ: 1.3 TOP: Assessment B B
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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NOT: Concepts: Professionalism
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4. The nursing instructor is researching the five proficiencies regarded as essential for students and
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professionals. The nursing instructor identifies which organization would be found to have
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added safety as a sixth competency?
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a. Quality and Safety Education for Nurses (QSEN)
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b. Institute of Medicine (IOM) B B B
c. American Association of Colleges of Nursing (AACN) B B B B B B
d. National League for Nursing (NLN) B B B B
ANS: A B
TheInstituteof Mediciner e pNort,RHe I
B
Ua lt hGPpatient-centered
B
five core competencies. These include
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roBfe.ssCio n M
B s Education:ABridgetoQuality(2003),outlines
care, interdisciplinary
B
B
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B
B B
B
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B B
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teamwork, use of evidence-based medicine, quality improvement, and use of information
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technology. QSEN added safety as a sixth competency. The Essentials of Baccalaureate
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Education for Professional Nursing Practice are provided and updated by the American
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Association of Colleges of Nursing (AACN) (2008). The document offers a framework for the
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education of professional nurses with outcomes for students to meet. The National League for
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Nursing (NLN) outlines and updates competencies for practical, associate, baccalaureate, and
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graduate nursing education programs.
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DIF: Remembering OBJ: 1.1 TOP: Planning B B B
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care NOT:
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Concepts: Care Coordination
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5. The nurse manager is interviewing graduate nurses to fill existing staffing vacancies. When
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hiring graduate nurses, the nurse manager realizes that they will probably not be considered
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―competentǁ until they complete which task? B B B B B
a. They graduate and pass NCLEX.
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b. They have worked 2 to 3 years.
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c. Their last year of nursing school.
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d. They are actually hired. B B B
ANS: B B
, DIF: Remembering OBJ: 1.1 TOP: Assessment B B B
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care NOT:
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Concepts: Care Coordination
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8. The nurse is caring for a patient who refuses two units of packed red blood cells. When the
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nurse notifies the health care provider of the patient‘s decision, the nurse is acting in which
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role?
B
a. Manager
b. Change agent B
c. Advocate
d. Educator
ANS: C B
As the patient‘s advocate, the nurse interprets information and provides the necessary
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education. The nurse then accepts and respects the patient‘s decisions even if they are different
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from the nurse‘s own beliefs. The nurse supports the patient‘s wishes and communicates them
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to other health care providers. A nurse manages all of the activities and treatments for patients.
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In the role of change agent, the nurse works with patients to address their health concerns and
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with staff members to address change in an organization or within a community. The nurse
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ensures that the patient receives sufficient information on which to base consent for care and
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related treatment. Education becomes a major focus of discharge planning so that patients will
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be prepared to handle their own needs at home.
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DIF: Applying OBJ: 1.2 TOP: Implementation B B B
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care NOT:
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Concepts: Care Coordination
B B B
9. The nursing student develops a plan of care based on a recently published article describing the
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effects of bed rest on a patient‘s calcium blood levels. When creating the plan of care, the nursing
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student has the obligation to consider which action?
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a. Criticallyappraise the evidence and determine validity. B B B B B B
b. Ensure that the plan of care does not alter current practice.
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c. Change the process even when there is no problem identified. B B B B B B B B B
d. Maintain the plan of care regardless of initial outcome. B B B B B B B B
ANS: A B
Evidence-based practice (EBP) is an integration of the best-available research evidence with B B B B B B B B B B B
clinical judgment about a specific patient situation. The nurse assesses current and past research,
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clinical guidelines, and other resources to identify relevant literature. The application of EBP
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includes critically appraising the evidence to assess its validity, designing a change for practice,
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assessing the need for change and identifying a problem, and integrating and maintaining change
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while monitoring process and outcomes by reevaluating the application of evidence and assessing
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areas for improvement.
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DIF: Applying OBJ: 1.2 TOP: Implementation B B B
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care NOT:
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Concepts: Care Coordination
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