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Fundamentals of Nursing 10th Edition Potter Perry Test Bank
Chapter 1. Nursing Today
MULTIPLE CHOICE
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
1. In looking at the nineteenth century, the growth of professional nursing was stimulated by:
1 The Civil War
2 Federal legislation
3 Florence Nightingale
4 The womens suffrage movement
ANS: 1
The Civil War stimulated the growth of nursing in the United States. Nurses were in demand to
tend to the soldiers of the battlefield.
Throughout history, nurses and their professional organizations have lobbied for health care
legislation to meet the needs of clients. However, legislation was not responsible for the growth
of nursing in the nineteenth century.
Although Florence Nightingale had great impact on the practice of nursing, she was not the cause
for the growth of nursing in the United States during the nineteenth century.
The womens movement has encouraged nurses to seek greater autonomy and responsibility in
providing care, and has caused female clients to seek more control of their health and lives. The
womens movement was not responsible for the growth of nursing in the nineteenth century.
,DIF: A REF: 3 OBJ: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
2. Which of the following educational activities is an example of in-service education?
1 A workshop given at a nursing convention on malpractice
2 A program on new cardiac medications provided at a local
hospital
3 Credit courses in communication offered at the community
college
4 Noncredit courses on nursing issues available through the
internet
ANS: 2
An in-service education program is instruction or training provided by a health care agency or
institution for its employees.
A workshop at a nursing convention is an example of a continuing education program.
Credit courses at a college are examples of continuing education that could possibly by applied
toward furthering ones degree.
Noncredit courses offered via the internet are an example of a continuing education program.
DIF: A REF: 8 OBJ: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
3. Nurses need to be aware of current trends in the health care delivery system in order
to respond in educational preparation and practice. A major trend that is influencing
nursing practice today is:
1 Decreased client acuity
2 Increased hospital stays
3 Decreased emphasis on health promotion
4 Increased incidence of chronic disease processes
,ANS: 4
In recent decades, there is a higher incidence of chronic, long-term illness.
With shortened hospital stays, client acuity has increased, not decreased.
Hospital stays have decreased, not increased. Lengths of stay have shortened with a trend
toward home care, and health promotion and illness prevention.
With increased public awareness and rising health care costs, greater emphasis has been placed
on health promotion and illness prevention.
DIF: A REF: 4 OBJ: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
4. The nurse assists the client in a health promotion activity that also reduces the cost of
health care delivery when:
1 Administering medication
2 Treating a diabetic foot ulcer
3 Obtaining an operative consent
4 Discussing exercise and nutrition
ANS: 4
The nurse may educate the client in such areas as exercise, nutrition, and healthy lifestyles to
assist the client in health promotion and illness prevention.
By administering medication, the nurse is assisting to restore a person to health or maintain ones
health.
A nurse who treats a foot ulcer is assisting a client to restore their health, rather than promoting
healthy behaviors.
Obtaining an operative consent pertains to legal aspects of care and is not considered a health
promotion activity.
DIF: A REF: 5 OBJ: Comprehension
TOP: Nursing Process: Planning
MSC: NCLEX test plan designation: Health Promotion and Maintenance/Programs
5. The nurse is best able to provide quality care that benefits both client and family by:
1 Incorporating caring into the practice
2 Making the client the center of the practice
, 3 Integrating the science and art of nursing into the practice
4 Being knowledgeable of the institutions standards of practice
ANS: 3
Nursing is an art and a science. As a professional nurse you will learn to deliver care artfully with
compassion, caring, and a respect for each clients dignity and personhood. As a science, nursing
is based on a body of knowledge that is continually changing with new discoveries and
innovations. When you integrate the science and art of nursing into your practice, the quality of
care you provide to your clients is at a level of excellence that benefits clients and their families.
Caring is one part of the art of nursing.
While the client is the focus of nursing practice, this focus is not the main contributor to quality
care.
Standards of care provide guidelines for the delivery of client care. Awareness of the standards
does not guarantee quality care.
DIF: C REF: 2 OBJ: Analysis TOP:
Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
6. Which of the following statements best reflects Nightingales nursing philosophy on health
maintenance and restoration?
1 Did all the clients eat a good breakfast?
2 What is the client rating his pain level after his medication?
3 Have any clients developed a nosocomial infection last
month?
4 Is anyone interested in volunteering to mentor our new
graduates?
ANS: 3
Florence Nightingale studied and implemented methods to improve battlefield sanitation, which
ultimately reduced illness, infection, and mortality (Cohen, 1984). Today nurses are active in
determining the best practices for skin care management, pain control, nutritional
management, and care of older adults. Infection control and its impact on disease prevention