level of experience (e.g., an experienced operating room nurse chooses to now practice in
Perry Stockert & Hall Isbn: 9780323810340 Newest Version home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
Chapter 01: Nursing Today situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
Potter: Fundamentals of Nursing, 11th Edition gained from multiple previous experiences to a situation. A competent nurse understands the
organization and specific care required by the type of patients (e.g., surgical, oncology, or
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
MULTIPLE CHOICE care and establish long-range goals. A nurse who has had some level of experience with the
situation is an advanced beginner. This experience may only be observational in nature, but
1. Which nurse most likely kept records on sanitation techniques and the effects on health? the nurse is able to identify meaningful aspects or principles of nursing care.
a. Florence Nightingale
b. Mary Nutting DIF:Apply (application)
c. Clara Barton OBJ:Discuss the development of professional nursing roles. TOP: Evaluation
d. Lillian Wald MSC: Management of Care
ANS: A 4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected The nurse then encourages the patient to drink more fluids. Which concept is the nurse
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald demonstrating?
came after Nightingale, each contributing to the nursing profession in her own way. Mary a. Licensure
Nutting was instrumental in moving nursing education into universities. Clara Barton founded b. Autonomy
the American Red Cross. Lillian Wald helped open the Henry Street Settlement. c. Certification
d. Accountability
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices. ANS: B
TOP: Evaluation MSC: Health Promotion and Maintenance Autonomy is an essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders. To obtain licensure in the United
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
nursing practice is the nurse following? may choose to work toward certification in a specific area of nursing practice. Accountability
a. Assessment means that you are responsible, professionally and legally, for the type and quality of nursing
b. Diagnosis care provided.
c. Planning
d. Implementation DIF:Apply (application)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation
ANS: C MSC: Management of Care
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
attain expected outcomes. During assessment, the registered nurse collects comprehensive 5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse implementing?
analyzes the assessment data to determine the diagnoses or issues. During implementation, the a. Educator
registered nurse implements (carries out) the identified plan. b. Manager
c. Advocate
DIF:Understand (comprehension) d. Caregiver
OBJ:Discuss the development of professional nursing roles. TOP: Planning
MSC: Management of Care ANS: B
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
proficiency is the nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
ANS: A
, A manager coordinates the activities of members of the nursing staff in delivering nursing education. TOP: Teaching/Learning MSC: Management of Care
care and has personnel, policy, and budgetary responsibility for a specific nursing unit or
facility. As an educator, you explain concepts and facts about health, describe the reason for 8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education
routine care activities, demonstrate procedures such as self-care activities, reinforce learning for Nurses (QSEN) competency is the nurse demonstrating?
or patient behavior, and evaluate the patient’s progress in learning. As a patient advocate, you a. Safety
protect your patient’s human and legal rights and provide assistance in asserting these rights if b. Patient-centered care
the need arises. As a caregiver, you help patients maintain and regain health, manage disease c. Quality improvement
and symptoms, and attain a maximal level function and independence through the healing d. Teamwork and collaboration
process. ANS: C
Quality improvement identifies gaps between local and best practices. Safety minimizes risk
DIF:Apply (application)
of harm to patients and providers through both system effectiveness and individual
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation
MSC: Management of Care performance. Patient-centered care recognizes the patient or designee as the source of control
and full partner in providing compassionate and coordinated care based on respect for
6. The nurse has been working in the clinical setting for several years as an advanced practice patient’s preferences, values, and needs. Teamwork and collaboration allows effective
nurse. However, the nurse has a strong desire to pursue research and theory development. To functioning within nursing and interprofessional teams, fostering open communication,
fulfill this desire, which program should the nurse attend? mutual respect, and shared decision making.
a. Doctor of Nursing Science degree (DNSc)
b. Doctor of Philosophy degree (PhD) DIF:Understand (comprehension)
c. Doctor of Nursing Practice degree (DNP) OBJ:Discuss the roles and career opportunities for nurses. TOP: Evaluation
MSC: Management of Care
d. Doctor in the Science of Nursing degree (DSN)
ANS: B 9. A nurse has compassion fatigue. What is the nurse experiencing?
Some doctoral programs prepare nurses for more rigorous research and theory development a. Lateral violence and intrapersonal conflict
and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral b. Burnout and secondary traumatic stress
programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical c. Short-term grief and single stressor
nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse d. Physical and mental exhaustion
practitioners. ANS: B
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic
DIF:Understand (comprehension)
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
stress. Compassion fatigue may contribute to what is described as lateral violence
education. TOP: Teaching/Learning MSC: Management of Care (nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to grief
and loss places nurses at risk for developing compassion fatigue. Stressors, not a single
7. A nurse attends a workshop on current nursing issues provided by the American Nurses stressor, contribute to compassion fatigue. Physical and mental exhaustion describes burnout
Association. Which type of education did the nurse receive? only.
a. Graduate education
b. Inservice education DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
c. Continuing education
TOP: Assessment MSC: Health Promotion and Maintenance
d. Registered nurse education
ANS: C 10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the
Continuing education involves formal, organized educational programs offered by patient tells the nurse, ―I have no idea what is going to happen. I couldn’t ask any questions.‖
universities, hospitals, state nurses associations, professional nursing organizations, and The nurse does not allow the patient to sign the permit and notifies the health care provider of
educational and health care institutions. After obtaining a baccalaureate degree in nursing, you the situation. Which role is the nurse displaying?
can pursue graduate education leading to a master’s or doctoral degree in any number of a. Manager
graduate fields, including nursing. Inservice education programs are instruction or training b. Patient educator
provided by a health care facility or institution. Registered nurse education is the education c. Patient advocate
preparation for an individual intending to be an RN. d. Clinical nurse specialist
ANS: C
DIF:Apply (application)
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)