v v
v FundamentalsofNursing
ActiveLearningforCollaborativePractice3rd B v
vEdition
By
Barbara L. Yoost, Lynne R. Crawford
v v v v v
,Chapter01:Nursing, Theory,andProfessional Practice B B
Yoost&Crawford:FundamentalsofNursing:ActiveLearningforCollaborativePractice, v
3rdEdition
v v
MULTIPLECHOICE
1. Agroupofnursingstudentsarediscussingtheimpactofnonnursingtheoriesinclinical
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practice.Thestudentswould becorrectiftheychosewhichtheoryto prioritizepatient care?
v v v B v B
a. Erikson‗sPsychosocial Theory v v
b. Paul‗s Critical-ThinkingTheory B
c. Maslow‗sHierarchyofNeeds
d. Rosenstock‗s Health BeliefModel B v
ANS: C v
Maslow‗shierarchyofneedsspecifiesthepsychologicalandphysiologicfactorsthataffecteach v v v v v v v v v v v v
person‗sphysicalandmentalhealth.Thenurse‗sunderstandingofthesefactorshelpswith
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formulatingNursingdiagnosesthataddressthepatient‗sneedsandvaluestoprioritizecare.
v v v v v v v v v v v v v
Erikson‗sPsychosocialTheoryofDevelopmentandSocializationisbasedonindividuals‗ v v v v v v v v v v
interacting and learningabout theirworld.Nursesuseconcepts ofdevelopmentaltheoryto
v B B B v v
criticallythinkinprovidingcarefortheirpatientsatvariousstagesoftheirlives.
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Rosenstock(1974)developedthepsychologicalHealth BeliefModel.Themodeladdresses B B v
possiblereasonsforwhyapatientmaynotcomplywithrecommendedhealthpromotion
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behaviors.Thismodelisespeciallyusefultonursesastheyeducatepatients.
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DIF: Remembering v v OBJ: 1.5 TOP: Planning v v v v
MSC: NCLEXClientNeedsC N
a te g R
v o ry : ISaf G
e anB .C M
d E ffective Care Environment:Management ofCareNOT: B B B v v B v v B v B v B v B B v v B B B B
Concepts: Care CoordinatiU
v on v v
2. Anursingstudentis preparing studynotesfrom a recentlecturein nursing history.The B B v
v studentwouldcreditFlorenceNightingaleforwhich definitionofnursing?
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a. Theimbalancebetweenthepatientandtheenvironmentdecreasesthecapacityfor v
health. v
b. Thenurseneedstofocusoninterpersonalprocessesbetweennurseandpatient. v v v
c. Thenurseassiststhepatientwithessentialfunctions towardindependence. v v
d. Humanbeingsareinteractingincontinuousmotionasenergyfields.
ANS: A v
FlorenceNightingale‗s(1860)conceptoftheenvironmentemphasizedpreventionandcleanair,
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water,andhousing.Thistheorystatesthattheimbalancebetweenthepatientandthe
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environmentdecreasesthecapacityforhealthanddoesnot allowforconservation ofenergy.
v B B
HildegardPeplau(1952)focusedontherolesplayedbythenurseandtheinterpersonalprocess v v v v v v v v v v v v v v
betweenanurseandapatient.VirginiaHendersondescribedthenurse‗sroleassubstitutive
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(doingfortheperson),supplementary(helpingtheperson),orcomplementary(workingwiththe
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person),withthegoalofindependenceforthepatient.MarthaRogers(1970)developedthe
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ScienceofUnitaryHumanBeings.Shestatedthathumanbeingsandtheirenvironmentsare interacting
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in continuous motion as infinite energyfields.
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DIF: Understanding v OBJ: 1.4 TOP:Planning v
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance NOT:
v v v v v v v v v v
Concepts: Health Promotion
v v v
,3. Thenurseidentifieswhichnurseestablishedthe AmericanRedCrossduringtheCivilWar? v v v v v
a. DorotheaDix
b. Linda Richards B
c. Lena Higbee B
d. Clara Barton B
ANS: D v
ClaraBartonpracticednursingintheCivilWarandestablishedtheAmericanRedCross.
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DorotheaDix wastheheadoftheU.S.SanitaryCommission,whichwasaforerunnerofthe Army
v B v v v
NurseCorps.LindaRichardswasAmerica‗sfirsttrainednurse,graduatingfromBoston‗s
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Women‗sHospitalin1873,andLenaHigbee,superintendentoftheU.S.NavyNurseCorps,was
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awarded the NavyCross in 1918.
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DIF: Remembering OBJ: 1.3 TOP:Assessment v
MSC: NCLEX Client NeedsCategory: HealthPromotionandMaintenance
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NOT:Concepts:Professionalism
v v
4. Thenursinginstructorisresearchingthefiveproficienciesregarded asessentialforstudentsand B v v
professionals.Thenursinginstructoridentifieswhichorganizationwouldbefoundtohave added
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safety as a sixth competency?
v v v v v
a. Qualityand SafetyEducation forNurses(QSEN) B B v
b. InstituteofMedicine(IOM)
c. AmericanAssociationofCollegesofNursing (AACN) v v B
d. NationalLeagueforNursing(NLN) v
ANS: A v
TheInstituteofMedicinerepNort, RHeI
B althGProBfe.ssCio n Ms Education:ABridgetoQuality(2003),outlines
B B v v B v v v B v B B v v B B B
vfivecore competencies. Theseinclude patient-centered care, interdisciplinary
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teamwork,useofevidence-basedmedicine,qualityimprovement,anduseofinformation technology.
v v v v v v v v v v v
QSENaddedsafetyasasixthcompetency.TheEssentialsofBaccalaureate
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vEducationforProfessionalNursingPracticeareprovidedandupdatedbythe American
v v v v v v v v v v v
vAssociation ofColleges ofNursing(AACN)(2008).Thedocument offersaframework forthe
B v B B
v educationofprofessional nurses withoutcomesforstudentstomeet. TheNational Leaguefor v v v v v v v v
vNursing(NLN)outlinesandupdatescompetenciesforpractical,associate,baccalaureate,and
v v v v v v v v v
vgraduate nursingeducation programs. v v v
DIF: Remembering OBJ: 1.1 TOP: Planning v v v
MSC:NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:
v v v v v v v v v v
Concepts: Care Coordination
v v v
5. Thenursemanagerisinterviewinggraduatenursestofillexistingstaffingvacancies.When v
v hiringgraduatenurses,thenursemanagerrealizesthattheywillprobablynotbeconsidered v v v
―competentǁuntiltheycompletewhich task? B
a. Theygraduateand passNCLEX. B v
b. Theyhaveworked2to3years. v v v v
c. Theirlast yearofnursingschool. v
d. Theyare actuallyhired. B
ANS: B v
, DIF: Remembering OBJ: 1.1 TOP: Assessment v
MSC: NCLEXClientNeedsCategory:Safeand EffectiveCareEnvironment:ManagementofCare NOT:
v B v v
Concepts: Care Coordination
v v v
8. The nurse is caring for a patient who refuses two units of packed red blood cells. When the nurse
v v v v v v v v v v v v v v v v v v
v notifiesthehealth careproviderofthepatient‘s decision, thenurseis actingin which role?
v v v v v v v v v v v v v v v
a. Manager
b. Changeagent
c. Advocate
d. Educator
ANS: C v
Asthepatient‘sadvocate,thenurseinterpretsinformationandprovidesthenecessary
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education.Thenursethenacceptsandrespectsthepatient‘sdecisionseveniftheyaredifferent
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fromthenurse‘sownbeliefs.Thenursesupportsthepatient‘swishesandcommunicatesthem
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tootherhealthcareproviders.Anursemanagesalloftheactivitiesandtreatmentsforpatients. Inthe
v v v v v v v v v v v v v v v v v v
roleofchangeagent,thenurseworkswithpatientstoaddresstheirhealthconcernsand
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withstaffmemberstoaddresschangeinanorganizationorwithina community. The nurse
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ensuresthatthepatientreceivessufficientinformationonwhichtobaseconsentforcareand
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relatedtreatment.Educationbecomesamajorfocusofdischargeplanningsothatpatientswill be
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prepared tohandletheirownneeds at home.
v v v v v v v v
DIF: Applying OBJ: 1.2 TOP: Implementation v v v
MSC: NCLEXClientNeedsCategory:Safeand EffectiveCareEnvironment:ManagementofCare NOT:
v B v v
Concepts: Care Coordination
v v v
9. The nursing student develops a plan of care based on a recentlypublished article describing the
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effectsofbedreston apatient‘s calciumbloodlevels. Whencreatingtheplanofcare, the nursing
v v v v v v
student has theobligation to consider which action?
v v v v v v v v
a. Criticallyappraisetheevidenceanddeterminevalidity.
b. Ensure thattheplanofcaredoesnotaltercurrentpractice. B v v v v v v v
c. Changetheprocesseven whenthereisnoproblemidentified. v v v
d. Maintainthe plan ofcare regardless ofinitial outcome. B v v
ANS: A v
Evidence-basedpractice(EBP)isanintegrationofthebest-availableresearchevidencewith v v v v v v v v v v v
clinicaljudgmentaboutaspecificpatientsituation.Thenurseassessescurrentandpastresearch,
v v v v v v v v v v v v v v
clinical guidelines,and otherresourcestoidentifyrelevantliterature.TheapplicationofEBP
v B v v
includes criticallyappraising theevidence to assess its validity,designinga changeforpractice,
v B v B v
vassessingtheneedforchangeandidentifyingaproblem,andintegratingandmaintainingchange
v v v v v v v v v v v v
whilemonitoring process and outcomes byreevaluatingtheapplicationof evidence and assessing
v B v v v
areasforimprovement.
v v v
DIF: Applying OBJ: 1.2 TOP: Implementation v v v
MSC: NCLEXClientNeedsCategory:Safeand EffectiveCareEnvironment:ManagementofCare NOT:
v B v v
Concepts: Care Coordination
v v v