Fundamentals of Nursing: The Art and Science of
Person-Centered Care
Carol R. Taylor, Pamela B. Lynn, and Jennifer L. Bartlett
10th Edition
,
,Chapter 1. Introduction to Nursing
MULTIPLE CHOICE
1. An oncology nurse with 15 years of experience, certification in the area of oncology nursing, and a
master’s degree is considered to be an expert in her area of practice and works on an oncology unit in a
large teaching hospital. Based upon this description, which of the following career roles best describes
this nurse’s role, taking into account her qualifications and experience?
a. Clinical nurse specialist
b. Nurse entrepreneur
c. Nurse practitioner
d. Nurse educator
ANS: A
Feedback:
A clinical nurse specialist is a nurse with an advanced degree, education, or experience who is
considered to be an expert in a specialized area of nursing. The clinical nurse specialist carries out
direct patient care; consultation; teaching of patients, families, and staff; and research. A nurse
practitioner has an advanced degree and works in a variety of settings to deliver primary care. A nurse
educator usually has an advanced degree and teaches in the educational or clinical setting. A nurse
entrepreneur may manage a clinic or health-related business.
2. What guidelines do nurses follow to identify the patient’s health care needs and strengths, to establish
and carry out a plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet
established outcomes?
a. Nursing process
b. ANA Standards of Professional Performance
c. Evidence-based practice guideliW neWs W.
d. Nurse Practice Acts
ANS: A
Feedback:
The nursing process is one of the major guidelines for nursing practice. Nurses implement their roles
through the nursing process. The nursing process is used by the nurse to identify the patient’s health
care needs and strengths, to establish and carry out a plan of care to meet those needs, and to evaluate
the effectiveness of the plan to meet established outcomes.
3. Which of the following organizations is the best source of information when a nurse wishes to
determine whether an action is within the scope of nursing practice?
a. American Nurses Association (ANA)
b. American Association of Colleges in Nursing (AACN)
c. National League for Nursing (NLN)
d. International Council of Nurses (ICN)
ANS: A
Feedback:
The ANA produces the 2003 Nursing: Scope and Standards of Practice, which defines the activities
specific and unique to nursing. The AACN addresses educational standards, while the NLN promotes
and fosters various aspects of nursing. The ICN provides a venue for national nursing organizations to
collaborate, but does not define standards and scope of practice.
4. Who is considered to be the founder of professional nursing?
a. Dorothea Dix
, b. Lillian Wald
c. Florence Nightingale
d. Clara Barton
ANS: C
Feedback:
Florence Nightingale is considered to be the founder of professional nursing. She elevated the status of
nursing to a respected occupation, improved the quality of nursing care, and founded modern nursing
education. Although the other choices are women who were important to the development of nursing,
none of them is considered the founder.
5. Which of the following nursing pioneers established the Red Cross in the United States in 1882?
a. Florence Nightingale
b. Clara Barton
c. Dorothea Dix
d. Jane Addams
ANS: B
Feedback:
Clara Barton volunteered to care for wounds and feed union soldiers during the civil war, served as the
supervisor of nurses for the Army of the James, organized hospitals and nurses, and established the
Red Cross in the United States in 1882.
6. A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Down
Syndrome. The nurse makes referrals for a parent support group for the family. This is an example of
which nursing role?
a. Teacher/Educator
b. Leader
c. Counselor
d. Collaborator
ANS: C
Feedback:
Counseling skills involve the use of therapeutic interpersonal communication skills to provide
information, make appropriate referrals, and facilitate the patient’s problem-solving and
decision-making skills. The teacher/educator uses communication skills to assess, implement, and
evaluate individualized teaching plans to meet learning needs of clients and their families. A leader
displays an assertive, self-confident practice of nursing when providing care, effecting change, and
functioning with groups. The collaborator uses skills in organization, communication, and advocacy to
facilitate the functions of all members of the health care team as they provide patient care.
7. A nurse is providing nursing care in a neighborhood clinic to single, pregnant teens. Which of the
following actions is the best example of using the counselor role as a nurse?
a. Discussing the legal aspects of adoption for teens wishing to place their infants with a
family
b. Searching the Internet for information on child care for the teens who wish to return to
school
c. Conducting a client interview and documenting the information on the client’s chart
d. Referring a teen who admits having suicidal thoughts to a mental health care specialist
ANS: D
Feedback:
The role of the counselor includes making appropriate referrals. Discussing legal issues is the role of
the advocate and searching for information on the Internet is the role of a researcher. Conducting a
client interview would fall under the role of the caregiver.