b b b b b bb
nd Caring 3rd Edition TreasWilkinson Test Bank
b b b b b b b
,Chapterb1b Evolutionb ofbNursingb Thoughtb &bAction
MultiplebChoice
Identifyb thebchoiceb thatb bestb completesb theb statementb orb answersb theb question.
1. Whatbisbthebmostbinfluentialbfactorbthatbhasbshapedbthebnursingbp
rofession?b1)
Physiciansbneedbforbhandmaidensb
2)
Societalbneedbforbhealthcareboutsidebthebhomeb
3)
Militarybdemandbforbnursesbinbthebfieldb4)b
GermbtheorybinfluencebonbsanitationbANS
:b3
Throughoutbthebcenturies,bstabilitybofbthebgovernmentbhasbbeenbrelatedbtobthebsuccessbofbtheb
militarybtobprotectborbextendbitsbdomain.bAsbthebsurvivalbandbwell-
beingbofbsoldiersbisb critical,bnursesbprovidedbhealthcarebtobthebsickbandbinjuredbatbthebbattlebsi
te.bThebphysiciansbhandmaidenb was/isb ab nursingb stereotypeb ratherb thanb anb influenceb onb nu
rsing.bAlthoughbtherebhasbbeenbneedbforbhealthcareboutsidebthebhomebthroughoutbhistory,bthis
bhasbmorebinfluencebonbthebdevelopmentbofbhospitalsbthanbonbnursing; bthisbneedbprovidedbone
bmorebsettingbforbnursingbwork.bGermbtheorybandbsanitationbhelpedbtobimprovebhealthcarebbut
bdidbnotbshapebnursing.
PTS:b1bDIF:bModeratebREF:bdmb910bKEY:bNursingbprocess:bN/AbClientbneed:bN/Ab|bCogniti
veblevel:bRecall
2. Whichbofbthebfollowingbisbanbexamplebofbanbillnessbpreventionbactivity?bSelectbal
lbthatbapply.
1)
Encouragingbthebusebofbabfoodbdiaryb
2)
Joiningbabcancerbsupportbgroupb
3)
AdministeringbimmunizationbforbHPVb4
)
TeachingbabdiabeticbpatientbaboutbhisbdietbAN
S:b3
AdministeringbimmunizationbforbHPVbisbanbexamplebofbillnessbprevention.bAlthoughbcancerbi
sbabdisease,bitbisbassumedbthatbabpersonbjoiningbabsupportbgroupbwouldbalreadybhavebthebdiseas
e;btherefore,bthisbisbnotbdiseasebpreventionbbutbtreatment.bIllness-
preventionbactivitiesbfocusb onb avoidingbab specificb disease.bAbfoodb diarybisb ab health-
promotionbactivity.bTeachingbab diabeticb patientbaboutb dietb isbab treatmentb forb diabetes;b theb pat
ientbalreadybhasb diabetes,b sobitbcannotbpreventbdiabetes.
PTS:b1bDIF:bModeratebREF:bp.b18;bhigh-
levelbquestion,bnotbdirectlybstatedbinbtextbKEY:bNursingbprocess:bN/Ab|bClientbneed:bHPMb|bCog
nitiveblevel:bApplication
3. WhichbofbthebfollowingbcontributionsbofbFlorencebNightingalebhadbanbi
mmediatebimpactbonbimprovingbpatientsbhealth?
1)
Providingbabcleanbenvironmentb
2)
,Improvingbnursingbeducationb
3)
Changingbthebdeliverybofbcarebinbhospitalsb4
)
EstablishingbnursingbasbabdistinctbprofessionbA
NS:b1
Improvedbsanitationb(abcleanbenvironment)bgreatlybandbimmediatelybreducedbthebratebofbin
fectionbandbmortalitybinbhospitals.bThebotherbresponsesbareballbactivitiesbofbFlorencebNighti
ngalebthatbimprovedbhealthcareborbnursing,bbutbthebimpactbisblongbrange,bnotbimmediate.
PTS:b1bDIF:bEasybREF:bV1,bp.b3;bstudentbmustbinferbfrombcontentb|bV1,bp.b10;bstudentbmust
binferbfrombcontent
KEY:bNursingbprocess:bN/Ab|bClientbneed:bSECEb |bCognitiveb level:bApplication
4. Allbofbthebfollowingbarebaspectsbofbthebfull-
spectrumbnursingbrole.bWhichbonebisbessentialbforbthebnursebtobdobinborderbtobsuccessfullyb
carryboutballbthebothers?
1)
Thinkingbandbreasoningbaboutbthebclientsbcareb
2)
Providingbhands-
onbclientbcareb3)
Carryingboutbphysicianbordersb4
)
Delegatingbtobassistivebpersonnelb
ANS:b1
Absubstantialbportionbofbthebnursingbrolebinvolvesbusingbclinicalbjudgment,bcriticalbthinking
,bandbproblembsolving,bwhichbdirectlybaffectbthebcarebthebclientbwillbactuallybreceive.bProvi
dingbhands-
onbcarebisbimportant;bhowever,bclinicalbjudgment,bcriticalbthinking,bandbproblembsolvingbar
ebessentialbtobdobitbsuccessfully.bCarryingboutbphysicianbordersbisbabsmallbpartbofbabnursesbro
le;bit,btoo,brequiresbnursingbassessment,bplanning,bintervention,bandbevaluation.bManybsimp
lebnursingbtasksbarebbeingbdelegatedbtobnursingbassistivebpersonnel;bdelegationbrequiresbcar
efulbanalysisbofbpatientbstatusbandbthebappropriatenessbofbsupportbpersonnelbtobdeliverbcare.b
Anotherbwaybtobanalyzebthisb questionbisbthatbnonebofbtheboptionsbofbprovidingbhands-
onbcare,bcarryingboutbphysicianborders,bandbdelegatingbtobassistivebpersonnelbisbrequiredbfor
bthebnursebtobthinkbandbreasonbaboutbabclientsbcare;bsobthebanswerbmustbbeb1.
PTS:1DIFifficultREF:bp.b11
KEY:bNursingbprocess:bN/Ab|bClientb need:bN/Ab|bCognitiveblevel:bAnalysis
5. Whichbstatementb pertainingbtob Bennersb practiceb modelb forb clinicalb competence
isbtrue?
b1)
Progressionbthroughbthebstagesbisbconstant,bwithbmostbnursesbreachingbthebproficientb stage.
2)
Progressionbthroughbthebstagesbinvolvesbcontinualbdevelopmentbofbthinkingbandbtechnicalbskills
.
3)
Thebnursebmustbhavebexperiencebinbmanybareasbbeforebbeingbconsideredbanbexpert.b
4)
Thebnursesbprogressbthroughbthebstagesbisbdeterminedbbybyearsbofbexperiencebandbskills.bANS
:b2
Movementbthroughb theb stagesb isbnotb constant.bBennersb modelbisb basedb onbintegrationb of
, knowledge,btechnicalbskill,bandbintuitionbinbthebdevelopmentbofbclinicalbwisdom.bThebmode
lbdoesbnotbmentionbexperiencebinbmanybareas.bThebmodelbdoesbnotbmentionbyearsbofbexperi
ence.
PTS:1DIF:ModerateREF:p.b15
KEY:bNursingbprocess:b N/Ab|bClientbneed:bN/Ab|bCognitiveb level:bRecall
6. Whichbofbthebfollowingbbestbexplainsbwhybitbisbdifficultbforbthebprofessionbt
obdevelopbabdefinitionbofbnursing?
1)
Therebarebtoobmanybdifferentbandbconflictingbimagesbofbnurses.b
2)
Therebarebconstantbchangesbinbhealthcarebandbthebactivitiesbofbnurses.b3)
Therebisbdisagreementbamongbthebdifferentbnursingborganizations.b
4)
Therebarebdifferentbeducationbpathwaysbandblevelsbofbpractice.b
ANS:b2
Thebconflictingbimagesbofbnursingbmakebitbmorebimportantbtobdevelopbabdefinition;btheybma
ybalsobmakebitbmorebdifficult,bbutbnotbtobthebextentbthatbconstantbchangebdoes.
Healthcarebisbconstantlybchangingbandbwithbitbcomebchangesbinbwhere,bhow,bandbwhatbnurs
ingbcarebisbdelivered.bConstantbchangesbmakebitbdifficultbtobdevelopbabdefinition.bAlthoughb
differentbnursingborganizationsbhavebdifferentbdefinitions,btheybarebsimilarbinbmostbways.bT
hebdifferentbeducationbpathwaysbaffectbentrybintobpractice,bnotbthebdefinitionbofbnursing.
PTS:b1bDIF:bModeratebREF:bp.b11;bHowbIsbNursingbDefined?
KEY:bNursingbprocess:bN/Ab|bClientb need:bN/Ab|bCognitiveblevel:bAnalysis
7. Nursesbhavebthebpotentialbtobbebverybinfluentialbinbshapingbhealthcarebp
olicy.bWhichbofbthebfollowingbfactorsbcontributesbmostbtobnursesbinfluence?
1)
Nursesbarebtheblargestbhealthbprofessionalbgroup.b2
)
Nursesbhavebablongbhistorybofbservingbthebpublic.b
3)
Nursesbhavebachievedbsomebindependencebfrombphysiciansbinbrecentbyears.b4
)
Politicalbinvolvementbhasbhelpedbrefutebnegativebimagesbportrayedbinbthebmedia.bA
NS:b1
Nursesbarebtrustedbprofessionalsbandbtheblargestbhealthbprofessionalbgroup.bAsbsuch,btheyb
havebpoliticalbpowerbtobeffectbchanges.bIfbnursingbwerebabsmallbgroup,btherebwouldbbeblittl
ebpotentialbforbpowerbinbshapingbpolicies,bevenbifballbthebotherbanswersbwerebtrue.
Servingbthebpublic,bwhilebpositive,bdoesbnotbnecessarilybhelpbnursesbtobbebinfluentialbinbestabl
ishingbhealthbpolicy.bIndependencebfrombphysicians,balthoughbpositive,bdoesbnotbnecessarilyb
makebnursesbinfluentialbinbestablishingbhealthcarebpolicy.bRefutingbnegativebmedia,balthough
bpositive,bdoesbnotbnecessarilybmakebnursesbinfluentialbinbestablishingbhealthcarebpolicy.
PTS:b1bDIF:bModeratebREF:bp.b21
KEY:bNursingbprocess:b N/Ab|bClientb need:bN/Ab|bCognitiveblevel:bAnalysis
8. Nursingbwasbdescribedbasbabdistinctboccupationbinbthebsacredbbooksbofb
whichbfaith?
1)