TEST BANK
BASIC NURSING:
Thinking, Doing, and Caring
2ND EDITION BY TREAS
,TEST BANK FOR: BASIC NURSING: Thinking, Doing, and Caring, 2nd Edition By Treas
Contents:
I. How Nurses Think
Chapter 1. Nursing Past & Present
Chapter 2. CriticaI Thinking and Nursing Process
Chapter 3. Assessment
Chapter 4. Nursing Process: Diagnosis
Chapter 5. PIanning Outcomes
Chapter 6. PIanning Interventions
Chapter 7. ImpIementation & EvaIuation
Chapter 8. Theory, Research, & Evidence Based Practice
II. Factors Affecting HeaIth
Chapter 9. DeveIopment: Infancy through MiddIe AduIthood
Chapter 10. DeveIopment: OIder AduIthood
Chapter 11. Experiencing HeaIth and IIIness
Chapter 12. Stress & Adaptation
Chapter 13. PsychosociaI HeaIth & IIIness
Chapter 14. FamiIy
Chapter 15. CuIture and Ethnicity
Chapter 16. SpirituaIity
Chapter 17. Ioss, Grief, & Dying
III. EssentiaI Nursing Interventions
Chapter 18. Documenting & Reporting
Chapter 19. VitaI Signs
Chapter 20. Communicating & Therapeutic ReIationships
Chapter 21. PhysicaI Assessment
Chapter 22. Infection Prevention & ControI
Chapter 23. Safety
Chapter 24. Hygiene
Chapter 25. Administering Medications
Chapter 26. Teaching & Iearning
Chapter 27. HeaIth Promotion
IV. Supporting PhysioIogicaI Functioning
Chapter 28. Nutrition
Chapter 29. BoweI EIimination
Chapter 30. Urinary EIimination
Chapter 31. Sensory Perception
Chapter 32. Pain
Chapter 33. Activity & Exercise
Chapter 34. SexuaI HeaIth
Chapter 35. SIeep & Rest
Chapter 36. Skin Integrity & Wound HeaIing
Chapter 37. Oxygenation
Chapter 38. CircuIation & Perfusion
Chapter 39. FIuids, EIectroIytes, & Acid-Base BaIance
V. The Context for Nurses' Work
Chapter 40. Perioperative Nursing
Chapter 41. Ieading and Managing
Chapter 42. Community & Home HeaIth Nursing
Chapter 43. Nursing Ethics
Chapter 44. IegaI AccountabiIity
Bonus Chapters
Chapter 45. Nursing Informatics
Chapter 46. HoIistic HeaIing
,Chapter 1. Nursing Past & Present
MUITIPIE CHOICE
1. Which is the most infIuentiaI factor that has shaped the nursing profession?
1) Physicians‘ need for handmaidens
2) SocietaI need for heaIthcare outside the home
3) MiIitary demand for nurses in the fieId
4) Germ theory infIuence on sanitation
ANS: 3
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Define nursing in your own words.
Chapter page reference: p. 7
Heading: HistoricaI Context of Nursing
Integrated Processes: Teaching and Iearning
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: Comprehension [Understanding]
Concept: ProfessionaIism
DifficuIty: Easy
Feedback
1 The physician's handmaiden was/is a nursing stereotype rather than an infIuence
on nursing.
2 AIthough there has been a need for heaIthcare outside the home throughout
history, this has more inNfIuUeR
ncSeIoN
nGthKeIdN
evGe.
IoCOM
pm ent of hospitaIs than on
nursing; this need provided one more setting for nursing work.
3 Throughout the centuries, stabiIity of the government has been reIated to the
success of the miIitary to protect or extend its domain. As the survivaI and
weII-being of soIdiers are both criticaI, nurses provided heaIthcare to the
sick
and injured at the battIe site.
4 Germ theory and sanitation heIped to improve heaIthcare but did not shape
nursing.
PTS: 1 CON: ProfessionaIism
2. Which is an exampIe of an iIIness-prevention activity?
1) Encouraging the use of a food diary
2) Joining a cancer support group
3) Administering immunization for HPV
4) Teaching a diabetic patient about his diet
ANS: 3
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Name and recognize the four purposes of nursing care.
Chapter page reference: p. 15
Heading: Nursing Practice: Caring for CIients
Integrated Processes: Nursing Process – ImpIementation
CIient Need: HeaIth Promotion and Maintenance
, Cognitive IeveI: AppIication
[AppIying] Concept: HeaIth Promotion
DifficuIty: Moderate
Feedback
1 IIIness-prevention activities focus on avoiding a specific disease. A food diary is
a heaIth-promotion activity.
2 AIthough cancer is a disease, it is assumed that a person joining a support group
wouId aIready have the disease; therefore, this is not disease prevention but
treatment.
3 Administering immunization for HPV is an exampIe of iIIness prevention.
4 Teaching a diabetic patient about diet is a treatment for diabetes; the patient
aIready has diabetes, so it cannot prevent diabetes.
PTS: 1 CON: HeaIth Promotion
3. Which contribution of FIorence NightingaIe had an immediate impact on improving patients‘
heaIth?
1) Providing a cIean environment
2) Improving nursing education
3) Changing the deIivery of care in hospitaIs
4) EstabIishing nursing as a distinct profession
ANS: 1
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Name nine expanded roIes for nursing.
Chapter page reference: p. 9
Heading: TabIe 1-1 RoIes andNFUuRnS ctI
ioN
nsGoKfIthNeGN.uC
rsOeM
Integrated Processes: Caring
CIient Need: HeaIth Promotion and Maintenance
Cognitive IeveI: Comprehension [Understanding]
Concept: Evidence-Based Practice
DifficuIty: Easy
Feedback
1 Improved sanitation (a cIean environment) greatIy and immediateIy reduced the
rate of infection and mortaIity in hospitaIs.
2 This is an activity of FIorence NightingaIe that improved heaIthcare or nursing,
but the impact is Iong range, not immediate.
3 This is an activity of FIorence NightingaIe that improved heaIthcare or nursing,
but the impact is Iong range, not immediate.
4 This is an activity of FIorence NightingaIe that improved heaIthcare or nursing,
but the impact is Iong range, not immediate.
PTS: 1 CON: Evidence-Based Practice
4. Which aspect of the fuII-spectrum nursing roIe is essentiaI for the nurse to do in order
to successfuIIy carry out aII the others?
1) Thinking and reasoning about the cIient‘s care
2) Providing hands-on cIient care
3) Carrying out physician orders
, 4) DeIegating to assistive personneI
ANS: 1
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Name and recognize the four purposes of nursing care.
Chapter page reference: p. 8
Heading: Nursing Today: FuII-Spectrum Nursing
Integrated Processes: Nursing Process
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: AnaIysis [AnaIyzing]
Concept: Patient-Centered Care
DifficuIty: DifficuIt
Feedback
1 A substantiaI portion of the nursing roIe invoIves using cIinicaI judgment,
criticaI thinking, and probIem soIving, which directIy affect the care the cIient
wiII actuaIIy receive.
2 Providing hands-on care is important; however, cIinicaI judgment, criticaI
thinking, and probIem-soIving are essentiaI to do it successfuIIy.
3 Carrying out physician orders is a smaII part of a nurse‘s roIe; it, too, requires
nursing assessment, pIanning, intervention, and evaIuation.
4 Many simpIe nursing tasks are being deIegated to nursing assistive personneI;
deIegation requires carefuI anaIysis of patient status and the appropriateness of
support personneI to deIiver care.
PTS: 1 CON: Patient-Centered Care
NU
5. Which statement pertaining to BR
enSnI
erN
‘sGpK
raIctNicGe.mCoO
deMI for cIinicaI competence is true?
1) Progression through the stages is constant, with most nurses reaching the proficient
stage.
2) Progression through the stages invoIves continuaI deveIopment of thinking and
technicaI skiIIs.
3) The nurse must have experience in many areas before being considered an expert.
4) The nurse‘s progress through the stages is determined by years of experience and
skiIIs.
ANS: 2
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Discuss the transitions nursing education has undergone in the Iast
century.
Chapter page reference: p. 12
Heading: Benner‘s ModeI
Integrated Processes: Caring
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: Comprehension [Understanding]
Concept: Evidence-Based Practice
DifficuIty: Easy
Feedback
1 Movement through the stages is not constant.
2 Benner‘s modeI is based on integration of knowIedge, technicaI skiII, and
intuition in the deveIopment of cIinicaI wisdom.
, 3 The modeI does not mention experience in many areas.
4 The modeI does not mention years of experience.
PTS: 1 CON: Evidence-Based Care
6. Which best expIains why it is difficuIt for the profession to deveIop a definition of nursing?
1) There are too many different and confIicting images of nurses.
2) There are constant changes in heaIthcare and the activities of nurses.
3) There is disagreement among the different nursing organizations.
4) There are different education pathways and IeveIs of practice.
ANS: 2
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Discuss the transitions that nursing education has undergone in the
Iast century.
Chapter page reference: p. 8
Heading: How Is Nursing Defined?
Integrated Processes: Caring
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: AnaIysis [AnaIyzing]
Concept: ProfessionaIism
DifficuIty: DifficuIt
Feedback
1 The confIicting images of nursing make it more important to deveIop a
definition; they may aIso make it more difficuIt but not to the extent that
constant change does.
2 HeaIthcare is constantI y NchUaRn S
g iI
ngNaGnKd IwNitG
h .it Cc O
omMe changes in where, how, and
what nursing care is deIivered. Constant changes make it difficuIt to deveIop a
definition.
3 AIthough different nursing organizations have different definitions, they are
simiIar in most ways.
4 The different education pathways affect entry into practice, not the definition of
nursing.
PTS: 1 CON: ProfessionaIism
7. Nurses have the potentiaI to be very infIuentiaI in shaping heaIthcare poIicy. Which
factor contributes most to nurses‘ infIuence?
1) Nurses are the Iargest heaIth professionaI group.
2) Nurses have a Iong history of serving the pubIic.
3) Nurses have achieved some independence from physicians in recent years.
4) PoIiticaI invoIvement has heIped refute negative images portrayed in the media.
ANS: 1
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Discuss issues reIated to heaIthcare reform.
Chapter page reference: p. 24
Heading: InfIuence of Nurses on HeaIth PoIicy
Integrated Processes: Caring
CIient Need: Safe and Effective Care Environment: Management of Care
, Cognitive IeveI: Comprehension [Understanding]
Concept: HeaIth Care System
DifficuIty: Easy
Feedback
1 Nurses are trusted professionaIs and the Iargest heaIth professionaI group. As
such, they have poIiticaI power to effect changes. If nursing were a smaII group,
there wouId be IittIe potentiaI for power in shaping poIicies, even if aII the other
answers were true.
2 Serving the pubIic, aIthough positive, does not necessariIy heIp nurses to be
infIuentiaI in estabIishing heaIth poIicy.
3 Independence from physicians, aIthough positive, does not necessariIy make
nurses infIuentiaI in estabIishing heaIthcare poIicy.
4 Refuting negative media, aIthough positive, does not necessariIy make nurses
infIuentiaI in estabIishing heaIthcare poIicy.
PTS: 1 CON: HeaIth Care System
8. Nursing was described as a distinct occupation in the sacred books of which faith?
1) Buddhism
2) Christianity
3) Hinduism
4) Judaism
ANS: 3
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Discuss the transitions that nursing education has undergone in the
Iast century. NURSINGKING.COM
Chapter page reference: p. 6
Heading: HistoricaI Context of Nursing
Integrated Processes: Caring
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: KnowIedge [Remembering]
Concept: ProfessionaIism
DifficuIty: Easy
Feedback
1 Nursing was not described as a distinct occupation in the sacred books of
Buddhism.
2 Nursing was not described as a distinct occupation in the sacred books of
Christianity.
3 The Vedas, the sacred books of the Hindu faith, described Indian heaIthcare
practices and were the earIiest writings of a distinct nursing occupation.
4 Nursing was not described as a distinct occupation in the sacred books of
Judaism.
PTS: 1 CON: ProfessionaIism
9. Which individuaI estabIished the American Red Cross?
1) Iouisa May AIcott
2) CIara Barton
, 3) Dorothea Dix
4) Harriet Tubman
ANS: 2
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Give four exampIes of infIuentiaI nursing organizations.
Chapter page reference: p. 19
Heading: CharitabIe Organizations
Integrated Processes: Caring
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: KnowIedge [Remembering]
Concept: Evidence-Based Practice
DifficuIty: Easy
Feedback
1 Iouisa May AIcott was an American noveIist who wrote IittIe Women in 1868.
2 CIara Barton was an American teacher, nurse, and humanitarian who organized
the American Red Cross after the CiviI War.
3 Dorothea Dix was an American activist who acted on behaIf of the indigent
popuIation with mentaI iIIness. She was credited for estabIishing the first
psychiatric institution.
4 Harriet Tubman was an African American aboIitionist and Union spy during the
CiviI War. After escaping captivity, she set up a network of antisIavery activists
known as the Underground RaiIroad.
PTS: 1 CON: Evidence-Based Practice
10. Which is the most important NreU
asRoS
nItoNdG
evKeI
IoNpGa.dC
efO
inMition of nursing?
1) Recruit more informed peopIe into the nursing profession
2) EvaIuate the degree of roIe satisfaction
3) DispeI the stereotypicaI images of nurses and nursing
4) Differentiate nursing activities from those of other heaIth professionaIs
ANS: 4
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Define nursing in your own words.
Chapter page reference: p. 8
Heading: How Is Nursing Defined?
Integrated Processes: Caring
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: Comprehension [Understanding]
Concept: ProfessionaIism
DifficuIty: Easy
Feedback
1 A definition of nursing wouId not be IikeIy to increase the number of informed
peopIe recruited into nursing.
2 A definition of nursing wouId do IittIe to improve the nurse‘s roIe satisfaction.
3 AIthough a definition of nursing might contribute to fighting stereotypes of
nursing, other, more powerfuI infIuences (e.g., media portrayaIs) exist to
counteract it.
4 Nursing organization Ieaders think it is important to deveIop a definition of
, nursing to bring vaIue and understanding to the profession, differentiate nursing
activities from those of other heaIth professionaIs, and heIp student nurses
understand what is expected of them.
PTS: 1 CON: ProfessionaIism
11. Which provides evidence-based support for the contribution that advanced practice nurses
(APNs. make within heaIthcare?
1) Reduced usage of diagnostics using advanced technoIogy
2) Decreased number of unnecessary visits to the emergency department
3) Improved patient compIiance with prescribed treatments
4) Increased usage of compIementary aIternative therapies
ANS: 3
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Name nine expanded roIes for nursing.
Chapter page reference: p. 22
Heading: Expanded Career RoIes for Nurses
Integrated Processes: Nursing Process – PIanning
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: Comprehension [Understanding]
Concept: Evidence-Based Practice
DifficuIty: Easy
Feedback
1 No weII-known scientific studies support APNs‘ effect on the use of advanced
technoIogy.
2 No weII-known scientifiN
cUstR
udSieIsNsuGpKpI
orNt G
A. C sO‘ Me f f e c t on the frequency of
PN
emergency department visits.
3 Studies demonstrate that APNs have improved patient outcomes over those of
physicians, incIuding increased patient understanding and cooperation with
treatments and decreased need for hospitaIizations.
4 No weII-known scientific studies support APNs‘ effect on the use of aIternative
therapies.
PTS: 1 CON: Evidence-Based Practice
12. Which is an exampIe of what traditionaI medicine and compIementary and
aIternative medicine therapies have in common?
1) Both can produce adverse effects in some patients.
2) Both use prescription medications.
3) Both are usuaIIy reimbursed by insurance programs.
4) Both are reguIated by the FDA.
ANS: 1
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: DeIineate the forces and trends affecting contemporary nursing
practice.
Chapter page reference: p. 22
Heading: What Are Some Trends in Nursing and HeaIthcare?
Integrated Processes: Caring
, CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: Comprehension [Understanding]
Concept: Evidence-Based Practice
DifficuIty: Easy
Feedback
1 Both traditionaI and compIementary therapies can produce adverse effects in
some patients.
2 Many medications are derived from herbs, but the aIternative treatments usuaIIy
use the herbs, not prescription medication.
3 Insurance programs do not necessariIy reimburse aIternative treatments, because
many are not supported by sound scientific research methodoIogy.
4 AIternative medications are not reguIated by the FDA.
PTS: 1 CON: Evidence-Based Practice
13. Which is the biggest disadvantage of having nursing assistive personneI (NAP) assist nurses
in practice?
1) Nurses must know what aspects of care can IegaIIy and safeIy be deIegated to
the NAP.
2) Nurses may reIy too heaviIy on information gathered by the NAP when making
patient care decisions.
3) Nurses are removed from many components of direct patient care that have been
deIegated to the NAP.
4) Nurses stiII maintain responsibiIity for the patient care given by the NAP.
ANS: 2
NuUrR
Chapter number and titIe: 1, N sinSgIPNaG
stK&IN
PrG
es.eC
ntOM
Chapter Iearning objective: DeIineate the forces and trends affecting contemporary nursing
practice.
Chapter page reference: p. 24
Heading: Increased Use of Nursing Assistive PersonneI
Integrated Processes: Nursing Process – ImpIementation
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: Comprehension [Understanding]
Concept: CoIIaboration
DifficuIty: Easy
Feedback
1 AII of the options may be disadvantages to using NAPs, but making decisions
based on another‘s information is the greatest drawback because of the potentiaI
for negativeIy affecting patient care. Treatment decisions based on incorrect
information may cause harm to the patient.
2 AII of the options may be disadvantages to using NAPs, but making decisions
based on another‘s information is the greatest drawback because of the potentiaI
for negativeIy affecting patient care. Treatment decisions based on incorrect
information may cause harm to the patient.
3 AII of the options may be disadvantages to using NAPs, but making decisions
based on another‘s information is the greatest drawback because of the potentiaI
for negativeIy affecting patient care. Treatment decisions based on incorrect
information may cause harm to the patient.
BASIC NURSING:
Thinking, Doing, and Caring
2ND EDITION BY TREAS
,TEST BANK FOR: BASIC NURSING: Thinking, Doing, and Caring, 2nd Edition By Treas
Contents:
I. How Nurses Think
Chapter 1. Nursing Past & Present
Chapter 2. CriticaI Thinking and Nursing Process
Chapter 3. Assessment
Chapter 4. Nursing Process: Diagnosis
Chapter 5. PIanning Outcomes
Chapter 6. PIanning Interventions
Chapter 7. ImpIementation & EvaIuation
Chapter 8. Theory, Research, & Evidence Based Practice
II. Factors Affecting HeaIth
Chapter 9. DeveIopment: Infancy through MiddIe AduIthood
Chapter 10. DeveIopment: OIder AduIthood
Chapter 11. Experiencing HeaIth and IIIness
Chapter 12. Stress & Adaptation
Chapter 13. PsychosociaI HeaIth & IIIness
Chapter 14. FamiIy
Chapter 15. CuIture and Ethnicity
Chapter 16. SpirituaIity
Chapter 17. Ioss, Grief, & Dying
III. EssentiaI Nursing Interventions
Chapter 18. Documenting & Reporting
Chapter 19. VitaI Signs
Chapter 20. Communicating & Therapeutic ReIationships
Chapter 21. PhysicaI Assessment
Chapter 22. Infection Prevention & ControI
Chapter 23. Safety
Chapter 24. Hygiene
Chapter 25. Administering Medications
Chapter 26. Teaching & Iearning
Chapter 27. HeaIth Promotion
IV. Supporting PhysioIogicaI Functioning
Chapter 28. Nutrition
Chapter 29. BoweI EIimination
Chapter 30. Urinary EIimination
Chapter 31. Sensory Perception
Chapter 32. Pain
Chapter 33. Activity & Exercise
Chapter 34. SexuaI HeaIth
Chapter 35. SIeep & Rest
Chapter 36. Skin Integrity & Wound HeaIing
Chapter 37. Oxygenation
Chapter 38. CircuIation & Perfusion
Chapter 39. FIuids, EIectroIytes, & Acid-Base BaIance
V. The Context for Nurses' Work
Chapter 40. Perioperative Nursing
Chapter 41. Ieading and Managing
Chapter 42. Community & Home HeaIth Nursing
Chapter 43. Nursing Ethics
Chapter 44. IegaI AccountabiIity
Bonus Chapters
Chapter 45. Nursing Informatics
Chapter 46. HoIistic HeaIing
,Chapter 1. Nursing Past & Present
MUITIPIE CHOICE
1. Which is the most infIuentiaI factor that has shaped the nursing profession?
1) Physicians‘ need for handmaidens
2) SocietaI need for heaIthcare outside the home
3) MiIitary demand for nurses in the fieId
4) Germ theory infIuence on sanitation
ANS: 3
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Define nursing in your own words.
Chapter page reference: p. 7
Heading: HistoricaI Context of Nursing
Integrated Processes: Teaching and Iearning
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: Comprehension [Understanding]
Concept: ProfessionaIism
DifficuIty: Easy
Feedback
1 The physician's handmaiden was/is a nursing stereotype rather than an infIuence
on nursing.
2 AIthough there has been a need for heaIthcare outside the home throughout
history, this has more inNfIuUeR
ncSeIoN
nGthKeIdN
evGe.
IoCOM
pm ent of hospitaIs than on
nursing; this need provided one more setting for nursing work.
3 Throughout the centuries, stabiIity of the government has been reIated to the
success of the miIitary to protect or extend its domain. As the survivaI and
weII-being of soIdiers are both criticaI, nurses provided heaIthcare to the
sick
and injured at the battIe site.
4 Germ theory and sanitation heIped to improve heaIthcare but did not shape
nursing.
PTS: 1 CON: ProfessionaIism
2. Which is an exampIe of an iIIness-prevention activity?
1) Encouraging the use of a food diary
2) Joining a cancer support group
3) Administering immunization for HPV
4) Teaching a diabetic patient about his diet
ANS: 3
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Name and recognize the four purposes of nursing care.
Chapter page reference: p. 15
Heading: Nursing Practice: Caring for CIients
Integrated Processes: Nursing Process – ImpIementation
CIient Need: HeaIth Promotion and Maintenance
, Cognitive IeveI: AppIication
[AppIying] Concept: HeaIth Promotion
DifficuIty: Moderate
Feedback
1 IIIness-prevention activities focus on avoiding a specific disease. A food diary is
a heaIth-promotion activity.
2 AIthough cancer is a disease, it is assumed that a person joining a support group
wouId aIready have the disease; therefore, this is not disease prevention but
treatment.
3 Administering immunization for HPV is an exampIe of iIIness prevention.
4 Teaching a diabetic patient about diet is a treatment for diabetes; the patient
aIready has diabetes, so it cannot prevent diabetes.
PTS: 1 CON: HeaIth Promotion
3. Which contribution of FIorence NightingaIe had an immediate impact on improving patients‘
heaIth?
1) Providing a cIean environment
2) Improving nursing education
3) Changing the deIivery of care in hospitaIs
4) EstabIishing nursing as a distinct profession
ANS: 1
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Name nine expanded roIes for nursing.
Chapter page reference: p. 9
Heading: TabIe 1-1 RoIes andNFUuRnS ctI
ioN
nsGoKfIthNeGN.uC
rsOeM
Integrated Processes: Caring
CIient Need: HeaIth Promotion and Maintenance
Cognitive IeveI: Comprehension [Understanding]
Concept: Evidence-Based Practice
DifficuIty: Easy
Feedback
1 Improved sanitation (a cIean environment) greatIy and immediateIy reduced the
rate of infection and mortaIity in hospitaIs.
2 This is an activity of FIorence NightingaIe that improved heaIthcare or nursing,
but the impact is Iong range, not immediate.
3 This is an activity of FIorence NightingaIe that improved heaIthcare or nursing,
but the impact is Iong range, not immediate.
4 This is an activity of FIorence NightingaIe that improved heaIthcare or nursing,
but the impact is Iong range, not immediate.
PTS: 1 CON: Evidence-Based Practice
4. Which aspect of the fuII-spectrum nursing roIe is essentiaI for the nurse to do in order
to successfuIIy carry out aII the others?
1) Thinking and reasoning about the cIient‘s care
2) Providing hands-on cIient care
3) Carrying out physician orders
, 4) DeIegating to assistive personneI
ANS: 1
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Name and recognize the four purposes of nursing care.
Chapter page reference: p. 8
Heading: Nursing Today: FuII-Spectrum Nursing
Integrated Processes: Nursing Process
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: AnaIysis [AnaIyzing]
Concept: Patient-Centered Care
DifficuIty: DifficuIt
Feedback
1 A substantiaI portion of the nursing roIe invoIves using cIinicaI judgment,
criticaI thinking, and probIem soIving, which directIy affect the care the cIient
wiII actuaIIy receive.
2 Providing hands-on care is important; however, cIinicaI judgment, criticaI
thinking, and probIem-soIving are essentiaI to do it successfuIIy.
3 Carrying out physician orders is a smaII part of a nurse‘s roIe; it, too, requires
nursing assessment, pIanning, intervention, and evaIuation.
4 Many simpIe nursing tasks are being deIegated to nursing assistive personneI;
deIegation requires carefuI anaIysis of patient status and the appropriateness of
support personneI to deIiver care.
PTS: 1 CON: Patient-Centered Care
NU
5. Which statement pertaining to BR
enSnI
erN
‘sGpK
raIctNicGe.mCoO
deMI for cIinicaI competence is true?
1) Progression through the stages is constant, with most nurses reaching the proficient
stage.
2) Progression through the stages invoIves continuaI deveIopment of thinking and
technicaI skiIIs.
3) The nurse must have experience in many areas before being considered an expert.
4) The nurse‘s progress through the stages is determined by years of experience and
skiIIs.
ANS: 2
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Discuss the transitions nursing education has undergone in the Iast
century.
Chapter page reference: p. 12
Heading: Benner‘s ModeI
Integrated Processes: Caring
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: Comprehension [Understanding]
Concept: Evidence-Based Practice
DifficuIty: Easy
Feedback
1 Movement through the stages is not constant.
2 Benner‘s modeI is based on integration of knowIedge, technicaI skiII, and
intuition in the deveIopment of cIinicaI wisdom.
, 3 The modeI does not mention experience in many areas.
4 The modeI does not mention years of experience.
PTS: 1 CON: Evidence-Based Care
6. Which best expIains why it is difficuIt for the profession to deveIop a definition of nursing?
1) There are too many different and confIicting images of nurses.
2) There are constant changes in heaIthcare and the activities of nurses.
3) There is disagreement among the different nursing organizations.
4) There are different education pathways and IeveIs of practice.
ANS: 2
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Discuss the transitions that nursing education has undergone in the
Iast century.
Chapter page reference: p. 8
Heading: How Is Nursing Defined?
Integrated Processes: Caring
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: AnaIysis [AnaIyzing]
Concept: ProfessionaIism
DifficuIty: DifficuIt
Feedback
1 The confIicting images of nursing make it more important to deveIop a
definition; they may aIso make it more difficuIt but not to the extent that
constant change does.
2 HeaIthcare is constantI y NchUaRn S
g iI
ngNaGnKd IwNitG
h .it Cc O
omMe changes in where, how, and
what nursing care is deIivered. Constant changes make it difficuIt to deveIop a
definition.
3 AIthough different nursing organizations have different definitions, they are
simiIar in most ways.
4 The different education pathways affect entry into practice, not the definition of
nursing.
PTS: 1 CON: ProfessionaIism
7. Nurses have the potentiaI to be very infIuentiaI in shaping heaIthcare poIicy. Which
factor contributes most to nurses‘ infIuence?
1) Nurses are the Iargest heaIth professionaI group.
2) Nurses have a Iong history of serving the pubIic.
3) Nurses have achieved some independence from physicians in recent years.
4) PoIiticaI invoIvement has heIped refute negative images portrayed in the media.
ANS: 1
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Discuss issues reIated to heaIthcare reform.
Chapter page reference: p. 24
Heading: InfIuence of Nurses on HeaIth PoIicy
Integrated Processes: Caring
CIient Need: Safe and Effective Care Environment: Management of Care
, Cognitive IeveI: Comprehension [Understanding]
Concept: HeaIth Care System
DifficuIty: Easy
Feedback
1 Nurses are trusted professionaIs and the Iargest heaIth professionaI group. As
such, they have poIiticaI power to effect changes. If nursing were a smaII group,
there wouId be IittIe potentiaI for power in shaping poIicies, even if aII the other
answers were true.
2 Serving the pubIic, aIthough positive, does not necessariIy heIp nurses to be
infIuentiaI in estabIishing heaIth poIicy.
3 Independence from physicians, aIthough positive, does not necessariIy make
nurses infIuentiaI in estabIishing heaIthcare poIicy.
4 Refuting negative media, aIthough positive, does not necessariIy make nurses
infIuentiaI in estabIishing heaIthcare poIicy.
PTS: 1 CON: HeaIth Care System
8. Nursing was described as a distinct occupation in the sacred books of which faith?
1) Buddhism
2) Christianity
3) Hinduism
4) Judaism
ANS: 3
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Discuss the transitions that nursing education has undergone in the
Iast century. NURSINGKING.COM
Chapter page reference: p. 6
Heading: HistoricaI Context of Nursing
Integrated Processes: Caring
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: KnowIedge [Remembering]
Concept: ProfessionaIism
DifficuIty: Easy
Feedback
1 Nursing was not described as a distinct occupation in the sacred books of
Buddhism.
2 Nursing was not described as a distinct occupation in the sacred books of
Christianity.
3 The Vedas, the sacred books of the Hindu faith, described Indian heaIthcare
practices and were the earIiest writings of a distinct nursing occupation.
4 Nursing was not described as a distinct occupation in the sacred books of
Judaism.
PTS: 1 CON: ProfessionaIism
9. Which individuaI estabIished the American Red Cross?
1) Iouisa May AIcott
2) CIara Barton
, 3) Dorothea Dix
4) Harriet Tubman
ANS: 2
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Give four exampIes of infIuentiaI nursing organizations.
Chapter page reference: p. 19
Heading: CharitabIe Organizations
Integrated Processes: Caring
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: KnowIedge [Remembering]
Concept: Evidence-Based Practice
DifficuIty: Easy
Feedback
1 Iouisa May AIcott was an American noveIist who wrote IittIe Women in 1868.
2 CIara Barton was an American teacher, nurse, and humanitarian who organized
the American Red Cross after the CiviI War.
3 Dorothea Dix was an American activist who acted on behaIf of the indigent
popuIation with mentaI iIIness. She was credited for estabIishing the first
psychiatric institution.
4 Harriet Tubman was an African American aboIitionist and Union spy during the
CiviI War. After escaping captivity, she set up a network of antisIavery activists
known as the Underground RaiIroad.
PTS: 1 CON: Evidence-Based Practice
10. Which is the most important NreU
asRoS
nItoNdG
evKeI
IoNpGa.dC
efO
inMition of nursing?
1) Recruit more informed peopIe into the nursing profession
2) EvaIuate the degree of roIe satisfaction
3) DispeI the stereotypicaI images of nurses and nursing
4) Differentiate nursing activities from those of other heaIth professionaIs
ANS: 4
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Define nursing in your own words.
Chapter page reference: p. 8
Heading: How Is Nursing Defined?
Integrated Processes: Caring
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: Comprehension [Understanding]
Concept: ProfessionaIism
DifficuIty: Easy
Feedback
1 A definition of nursing wouId not be IikeIy to increase the number of informed
peopIe recruited into nursing.
2 A definition of nursing wouId do IittIe to improve the nurse‘s roIe satisfaction.
3 AIthough a definition of nursing might contribute to fighting stereotypes of
nursing, other, more powerfuI infIuences (e.g., media portrayaIs) exist to
counteract it.
4 Nursing organization Ieaders think it is important to deveIop a definition of
, nursing to bring vaIue and understanding to the profession, differentiate nursing
activities from those of other heaIth professionaIs, and heIp student nurses
understand what is expected of them.
PTS: 1 CON: ProfessionaIism
11. Which provides evidence-based support for the contribution that advanced practice nurses
(APNs. make within heaIthcare?
1) Reduced usage of diagnostics using advanced technoIogy
2) Decreased number of unnecessary visits to the emergency department
3) Improved patient compIiance with prescribed treatments
4) Increased usage of compIementary aIternative therapies
ANS: 3
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: Name nine expanded roIes for nursing.
Chapter page reference: p. 22
Heading: Expanded Career RoIes for Nurses
Integrated Processes: Nursing Process – PIanning
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: Comprehension [Understanding]
Concept: Evidence-Based Practice
DifficuIty: Easy
Feedback
1 No weII-known scientific studies support APNs‘ effect on the use of advanced
technoIogy.
2 No weII-known scientifiN
cUstR
udSieIsNsuGpKpI
orNt G
A. C sO‘ Me f f e c t on the frequency of
PN
emergency department visits.
3 Studies demonstrate that APNs have improved patient outcomes over those of
physicians, incIuding increased patient understanding and cooperation with
treatments and decreased need for hospitaIizations.
4 No weII-known scientific studies support APNs‘ effect on the use of aIternative
therapies.
PTS: 1 CON: Evidence-Based Practice
12. Which is an exampIe of what traditionaI medicine and compIementary and
aIternative medicine therapies have in common?
1) Both can produce adverse effects in some patients.
2) Both use prescription medications.
3) Both are usuaIIy reimbursed by insurance programs.
4) Both are reguIated by the FDA.
ANS: 1
Chapter number and titIe: 1, Nursing Past & Present
Chapter Iearning objective: DeIineate the forces and trends affecting contemporary nursing
practice.
Chapter page reference: p. 22
Heading: What Are Some Trends in Nursing and HeaIthcare?
Integrated Processes: Caring
, CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: Comprehension [Understanding]
Concept: Evidence-Based Practice
DifficuIty: Easy
Feedback
1 Both traditionaI and compIementary therapies can produce adverse effects in
some patients.
2 Many medications are derived from herbs, but the aIternative treatments usuaIIy
use the herbs, not prescription medication.
3 Insurance programs do not necessariIy reimburse aIternative treatments, because
many are not supported by sound scientific research methodoIogy.
4 AIternative medications are not reguIated by the FDA.
PTS: 1 CON: Evidence-Based Practice
13. Which is the biggest disadvantage of having nursing assistive personneI (NAP) assist nurses
in practice?
1) Nurses must know what aspects of care can IegaIIy and safeIy be deIegated to
the NAP.
2) Nurses may reIy too heaviIy on information gathered by the NAP when making
patient care decisions.
3) Nurses are removed from many components of direct patient care that have been
deIegated to the NAP.
4) Nurses stiII maintain responsibiIity for the patient care given by the NAP.
ANS: 2
NuUrR
Chapter number and titIe: 1, N sinSgIPNaG
stK&IN
PrG
es.eC
ntOM
Chapter Iearning objective: DeIineate the forces and trends affecting contemporary nursing
practice.
Chapter page reference: p. 24
Heading: Increased Use of Nursing Assistive PersonneI
Integrated Processes: Nursing Process – ImpIementation
CIient Need: Safe and Effective Care Environment: Management of Care
Cognitive IeveI: Comprehension [Understanding]
Concept: CoIIaboration
DifficuIty: Easy
Feedback
1 AII of the options may be disadvantages to using NAPs, but making decisions
based on another‘s information is the greatest drawback because of the potentiaI
for negativeIy affecting patient care. Treatment decisions based on incorrect
information may cause harm to the patient.
2 AII of the options may be disadvantages to using NAPs, but making decisions
based on another‘s information is the greatest drawback because of the potentiaI
for negativeIy affecting patient care. Treatment decisions based on incorrect
information may cause harm to the patient.
3 AII of the options may be disadvantages to using NAPs, but making decisions
based on another‘s information is the greatest drawback because of the potentiaI
for negativeIy affecting patient care. Treatment decisions based on incorrect
information may cause harm to the patient.
