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Chapter1.NursingPast& Present f ,o
Chapter 1.NursingPast & Present f f f f ,o
f Multiple Choice f
Identify the choice that best completes the statement or answers the question.
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1.Whatisthemostinfluentialfactorthathasshapedthenursingprofession? 1)
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Physiciansneedforhandmaidens 2) f f f f
Societalneedforhealthcareoutsidethehome f f f f f f
3)
Military demand for nurses in the field ,o ,o ,o ,o ,o ,o
4)
Germtheoryinfluenceonsanitation
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ANS:3
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Throughoutthecenturies,stabilityofthegovernmenthasbeenrelatedtothesuccessofthe military
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toprotectorextenditsdomain.Asthesurvivalandwell-beingofsoldiersiscritical, nurses provided
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healthcare tothesickandinjuredatthebattlesite.Thephysicians handmaidenwas/isanursing
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stereotyperatherthananinfluenceonnursing.Althoughthere
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f hasbeenneedforhealthcareoutsidethehomethroughouthistory,thishasmoreinfluenceon
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f thedevelopmentofhospitalsthanonnursing;thisneedprovidedonemoresettingfornursing work.
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Germtheoryandsanitation helpedtoimprove healthcare butdidnotshape nursing.
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PTS:1DIF:ModerateREF:pp.910KEY:Nursingprocess:N/AClientneed:N/A|Cognitive
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f level:Recall f
, 2.Whichofthefollowingisanexampleofanillnesspreventionactivity?Selectallthat apply.
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1)
Encouragingtheuseofafooddiary 2) f f f f f f f
Joiningacancersupportgroup f f f f
3)
Administering immunization for HPV ,o ,o ,o
4)
Teachingadiabeticpatientabouthisdiet f f f f f f
f ANS:3 f
Administeringimmunization forHPVisanexampleofillnessprevention.Althoughcancerisa f f f f f f f f f f f f f
disease,itisassumedthatapersonjoiningasupportgroupwouldalreadyhavethedisease;
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f therefore,thisisnotdiseasepreventionbuttreatment.Illness-preventionactivitiesfocuson
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f avoidingaspecificdisease. Afooddiaryisahealth-promotion activity.Teachingadiabetic patient
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aboutdietisatreatmentfordiabetes;thepatientalreadyhasdiabetes,soitcannot
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f preventdiabetes. f
PTS:1DIF:ModerateREF:p.18;high-levelquestion,notdirectlystatedintextKEY:Nursing process:
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N/A | Clientneed: HPM | Cognitive level: Application
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3.WhichofthefollowingcontributionsofFlorenceNightingalehadanimmediateimpact on
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f improving patients health? f f
1)
Providing a clean environment ,o ,o ,o
2)
Improving nursingeducation f f
,3)
Changingthedeliveryofcareinhospitals 4) f f f f f f f
Establishingnursingasadistinctprofession ANS:1 f f f f f f f
Improved sanitation (aclean environment) greatly and immediatelyreduced the rate of infection
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andmortality in hospitals.Theother responsesare allactivitiesof Florence Nightingalethat
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improvedhealthcareornursing,buttheimpactislongrange,notimmediate.
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PTS:1DIF:EasyREF:V1,p.3;studentmustinferfromcontent|V1,p.10;studentmustinfer
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f fromcontent f
KEY:Nursingprocess:N/A|Clientneed:SECE|Cognitivelevel:Application
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4.Allofthefollowingareaspectsofthefull-spectrumnursingrole.Whichoneisessential forthe
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nurse todoinorder tosuccessfully carryoutalltheothers?
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1)
Thinking and reasoning about the clients care
,o ,o ,o ,o ,o ,o
2)
Providinghands-onclientcare f f f
3)
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Carryingoutphysicianorders 4) f f f f
Delegatingtoassistivepersonnel f f f
ANS:1
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Asubstantialportionofthenursingroleinvolvesusingclinicaljudgment,criticalthinking,and
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f problemsolving,whichdirectlyaffectthecaretheclientwillactuallyreceive.Providinghands- on
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care is important;however, clinical judgment,criticalthinking,andproblem solvingare
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, essentialtodoitsuccessfully.Carryingoutphysicianordersisasmallpartofanursesrole;it,
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f too,requiresnursingassessment,planning,intervention,andevaluation.Manysimplenursing
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f tasksarebeingdelegatedtonursingassistive personnel;delegationrequirescarefulanalysis
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f ofpatientstatusandtheappropriatenessofsupportpersonneltodelivercare.Anotherwayto
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f analyzethisquestionisthatnoneoftheoptionsofprovidinghands-oncare,carryingout physician
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orders,anddelegatingtoassistivepersonnelisrequiredforthenurse tothinkand reason about a
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clients care; so the answer must be 1.
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PTS:1DIFifficultREF: p. 11 f f
KEY:Nursingprocess:N/A|Clientneed:N/A|Cognitivelevel:Analysis
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5.WhichstatementpertainingtoBennerspracticemodelforclinicalcompetenceistrue? 1)
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Progressionthroughthestagesisconstant,withmostnursesreachingtheproficient stage.
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2)
Progression through the stages involves continual development of thinking and technical skills.
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3)
Thenursemusthaveexperienceinmanyareasbeforebeingconsideredanexpert. 4)
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Thenursesprogressthroughthestagesisdeterminedbyyearsofexperienceandskills.
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f ANS:2 f
Movementthrough thestages isnotconstant.Bennersmodelisbasedonintegration of
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f knowledge,technicalskill,andintuitioninthedevelopmentofclinicalwisdom.Themodeldoes not
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mentionexperience inmanyareas.Themodeldoesnotmentionyearsofexperience.
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PTS:1DIF:ModerateREF:p. 15 f
KEY:Nursingprocess:N/A|Clientneed:N/A|Cognitivelevel:Recall
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6.Whichofthefollowingbestexplainswhyitisdifficultfortheprofessiontodevelopa
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f definition of nursing? f f