Test Bank For
Fundamentals Of Nursing Active Learning For Collaborative Practice 3rd Edition
By Barbara L. Yoost, Lynne R. Crawford
,Table Of Contents
Chapter 01: Nursing, Theory, And Professional Practice ............................. 4
Chapter 02: Values, Beliefs, And Caring .......................................................... 21
Chapter 03: Communication .............................................................................. 36
Chapter 04: Critical Thinking In Nursing ....................................................... 52
Chapter 05: Introduction To The Nursing Process ....................................... 69
Chapter 06: Assessment ....................................................................................... 86
Chapter 07: Nursing Diagnosis ........................................................................ 103
Chapter 08: Planning ......................................................................................... 119
Chapter 09: Implementation And Evaluation .............................................. 134
Chapter 10: Documentation, Electronic Health Records, And Reporting
................................................................................................................................. 149
Chapter 11: Ethical And Legal Considerations ............................................ 164
Chapter 12: Leadership And Management.................................................... 183
Chapter 13: Evidence-Based Practice And Nursing Research ................. 198
Chapter 14: Health Literacy And Patient Education ................................. 214
Chapter 15: Nursing Informatics .................................................................... 230
Chapter 16: Health And Wellness .................................................................... 246
Chapter 17: Human Development: Conception Through Adolescence ... 264
Chapter 18: Human Development: Young Adult Through Older Adult .. 277
Chapter 19: Vital Signs ...................................................................................... 291
Chapter 20: Health History And Physical Assessment ............................... 304
Chapter 21: Ethnicity And Cultural Assessment ......................................... 317
Chapter 22: Spiritual Health ............................................................................ 331
Chapter 23: Public Health, Community-Based, And Home Health Care 344
Chapter 24: Human Sexuality .......................................................................... 357
Chapter 25: Safety .............................................................................................. 370
Chapter 26: Asepsis And Infection Control ................................................... 384
Chapter 27: Hygiene And Personal Care ....................................................... 396
Chapter 28: Activity, Immobility, And Safe Movement .............................. 409
,Chapter 29: Skin Integrity And Wound Care ............................................... 423
Chapter 30: Nutrition......................................................................................... 437
Chapter 31: Cognitive And Sensory Alterations .......................................... 452
Chapter 32: Stress And Coping ........................................................................ 465
Chapter 33: Sleep ................................................................................................ 478
Chapter 34: Diagnostic Testing ....................................................................... 491
Chapter 35: Medication Administration ........................................................ 506
Chapter 36: Pain Management ........................................................................ 519
Chapter 37: Perioperative Nursing Care....................................................... 532
Chapter 38: Oxygenation And Tissue Perfusion .......................................... 546
Chapter 39: Fluid, Electrolytes, And Acid-Base Balance ........................... 559
Chapter 40: Bowel Elimination........................................................................ 573
Chapter 41: Urinary Elimination .................................................................... 586
Chapter 42: Death And Loss ............................................................................. 600
,Chapter 01: Nursing, Theory, And Professional Practice
Yoost & Crawford: Fundamentals Of Nursing: Active Learning For Collaborative Practice, 3rd
Edition
Multiple Choice
1. A Group Of Nursing Students Are Discussing The Impact Of Nonnursing Theories In
Clinical Practice. The Students Would Be Correct If They Chose Which Theory To Prioritize
Patient Care?
A. Erikson‘S Psychosocial Theory
B. Paul‘S Critical-Thinking Theory
C. Maslow‘S Hierarchy Of Needs
D. Rosenstock‘S Health Belief Model
Ans: C
Maslow‘S Hierarchy Of Needs Specifies The Psychological And Physiologic Factors That Affect
Each Person‘S Physical And Mental Health. The Nurse‘S Understanding Of These Factors Helps
With Formulating Nursing Diagnoses That Address The Patient‘S Needs And Values To Prioritize
Care. Erikson‘S Psychosocial Theory Of Development And Socialization Is Based On Individuals‘
Interacting And Learning About Their World. Nurses Use Concepts Of Developmental Theory To
Critically Think In Providing Care For Their Patients At Various Stages Of Their Lives.
Rosenstock (1974) Developed The Psychological Health Belief Model. The Model Addresses
Possible Reasons For Why A Patient May Not Comply With Recommended Health Promotion
Behaviors. This Model Is Especially Useful To Nurses As They Educate Patients.
,Dif: Remembering Obj: 1.5 Top: Planning
Msc: Nclex Client Needs Cnategrory:Isafge Anbd E.Fcfectimve Care Environment: Management
Of Care Not: Concepts: Care Coordinatiuon
2. A Nursing Student Is Preparing Study Notes From A Recent Lecture In Nursing History.
The Student Would Credit Florence Nightingale For Which Definition Of Nursing?
A. The Imbalance Between The Patient And The Environment Decreases The Capacity For
Health.
B. The Nurse Needs To Focus On Interpersonal Processes Between Nurse And Patient.
C. The Nurse Assists The Patient With Essential Functions Toward Independence.
D. Human Beings Are Interacting In Continuous Motion As Energy Fields.
Ans: A
Florence Nightingale‘S (1860) Concept Of The Environment Emphasized Prevention And Clean
Air, Water, And Housing. This Theory States That The Imbalance Between The Patient And The
Environment Decreases The Capacity For Health And Does Not Allow For Conservation Of
Energy. Hildegard Peplau (1952) Focused On The Roles Played By The Nurse And The
Interpersonal Process Between A Nurse And A Patient. Virginia Henderson Described The
Nurse‘S Role As Substitutive (Doing For The Person), Supplementary (Helping The Person), Or
Complementary (Working With The Person), With The Goal Of Independence For The Patient.
Martha Rogers (1970) Developed The Science Of Unitary Human Beings. She Stated That Human
Beings And Their Environments Are Interacting In Continuous Motion As Infinite Energy Fields.
Dif: UnderstandingObj: 1.4 Top: Planning Msc: Nclex Client Needs Category: Health
Promotion And Maintenance Not: Concepts: Health Promotion
3. The Nurse Identifies Which Nurse Established The American Red Cross During The Civil
War?
A. Dorothea Dix
B. Linda Richards
C. Lena Higbee
D. Clara Barton
,Ans: D
Clara Barton Practiced Nursing In The Civil War And Established The American Red Cross.
Dorothea Dix Was The Head Of The U.S. Sanitary Commission, Which Was A Forerunner Of The
Army Nurse Corps. Linda Richards Was America‘S First Trained Nurse, Graduating From Boston‘S
Women‘S Hospital In 1873, And Lena Higbee, Superintendent Of The U.S. Navy Nurse Corps,
Was Awarded The Navy Cross In 1918.
Dif: Remembering Obj: 1.3 Top: Assessment Msc: Nclex Client Needs Category: Health
Promotion And Maintenance
Not: Concepts: Professionalism
4. The Nursing Instructor Is Researching The Five Proficiencies Regarded As Essential For
Students And Professionals. The Nursing Instructor Identifies Which Organization Would Be
Found To Have Added Safety As A Sixth Competency?
A. Quality And Safety Education For Nurses (Qsen)
B. Institute Of Medicine (Iom)
C. American Association Of Colleges Of Nursing (Aacn)
D. National League For Nursing (Nln)
Ans: A
The Institute Of Medicine Repnort,Rheialthgprobfe.Sscionms Education: A Bridge To Quality
(2003), Outlines Five Core Competencies. These Include Patient-Centered Care, Interdisciplinary
Teamwork, Use Of Evidence-Based Medicine, Quality Improvement, And Use Of Information
Technology. Qsen Added Safety As A Sixth Competency. The Essentials Of Baccalaureate
Education For Professional Nursing Practice Are Provided And Updated By The American
Association Of Colleges Of Nursing (Aacn) (2008). The Document Offers A Framework For The
Education Of Professional Nurses With Outcomes For Students To Meet. The National League
For Nursing (Nln) Outlines And Updates Competencies For Practical, Associate, Baccalaureate,
And Graduate Nursing Education Programs.
Dif: Remembering Obj: 1.1 Top: Planning
Msc: Nclex Client Needs Category: Safe And Effective Care Environment: Management Of Care
Not: Concepts: Care Coordination
,5. The Nurse Manager Is Interviewing Graduate Nurses To Fill Existing Staffing Vacancies.
When Hiring Graduate Nurses, The Nurse Manager Realizes That They Will Probably Not Be
Considered
―Competent‖ Until They Complete Which Task?
A. They Graduate And Pass Nclex.
B. They Have Worked 2 To 3 Years.
C. Their Last Year Of Nursing School.
D. They Are Actually Hired.
Ans: B
Benner‘S Model Identifies Five Levels Of Proficiency: Novice, Advanced Beginner, Competent,
Proficient, And Expert. The Student Nurse Progresses From Novice To Advanced Beginner During
Nursing School And Attains The Competent Level After Approximately 2 To 3 Years Of Work
Experience After Graduation. To Obtain The Rn Credential, A Person Must Graduate From An
Approved School Of Nursing And Pass A State Licensing Examination Called The National Council
Licensure Examination For Registered Nurses (Nclex-Rn) Usually Taken Soon After Completion Of
An Approved Nursing Program.
Dif: Remembering Obj: 1.7 Top: Planning
Msc: Nclex Client Needs Category: Safe And Effective Care Environment: Management Of Care
Not: Concepts: Care Coordination
6. The Prospective Student Is Considering Options For Beginning A Career In Nursing.
Which Degree Would Best Match The Student‘S Desire To Conduct Research At The University
Level?
A. Associate Degree In Nursing (Adn)
B. Bachelor Of Science In Nursing (Bsn)
C. Doctor Of Nursing Practice (Dnp)
D. Doctor Of Philosophy In Nursing (Phd)
,Ans: D
Doctoral Nursing Education Can Result In A Doctor Of Philosophy (Phd) Degree. This Degree
Prepares Nurses For Leadership Roles In Research, Teaching, And Administration That Are
Essential To Advancing Nursing As A Profession. Associate Degree In Nursing (Adn) Programs
Usually Are Conducted In A Community College Setting. The Nursing Curriculum Focuses On
Adult Acute And Chronic Disease; Maternal/Child Health; Pediatrics; And Psychiatric/Mental
Health Nursing. Adn Rns May Return To School To Earn A Bachelor‘S Degree Or Higher In An Rn-
To-Bsn Or Rn-To-Msn Program. Bachelor‘S Degree Programs Include Community Health And
Management Courses Beyondnthuorsespironvigdtedbi.Ncanoassociate Degree Program. A
Newer
Practice-Focused Doctoral Degree Is The Doctor Of Nursing Practice (Dnp), Which Concentrates
On The Clinical Aspects Of Nursing. Dnp Specialties Include The Four Advanced Practice Roles Of
Np, Cns, Cnm, And Crna.
Dif: Remembering Obj: 1.9 Top: Assessment
Msc: Nclex Client Needs Category: Safe And Effective Care Environment: Management Of Care
Not: Concepts: Care Coordination
7. During A Staff Meeting, The Nurse Manager Announces That The Hospital Will Be
Seeking Magnet Status. To Explain The Requirements For This Award, The Nurse Manager Will
Contact Which Organization?
A. American Nurses Association (Ana)
B. American Nurses Credentialing Center (Ancc)
C. National League For Nursing (Nln)
D. Joint Commission
Ans: B
The American Nurses Credentialing Center (Ancc) Awards Magnet Recognition To Hospitals That
Have Shown Excellence And Innovation In Nursing. The Ana Is A Professional Organization That
Provides Standards Of Nursing Practice. The National League For Nursing (Nln) Outlines And
Updates Competencies For Practical, Associate, Baccalaureate, And Graduate Nursing Education
Programs. The Joint Commission Is The Accrediting Organization For Health Care Facilities In The
United States.
,Dif: Remembering Obj: 1.1 Top: Assessment
Msc: Nclex Client Needs Category: Safe And Effective Care Environment: Management Of Care
Not: Concepts: Care Coordination
8. The Nurse Is Caring For A Patient Who Refuses Two Units Of Packed Red Blood Cells.
When The Nurse Notifies The Health Care Provider Of The Patient‘S Decision, The Nurse Is
Acting In Which Role?
A. Manager
B. Change Agent
C. Advocate
D. Educator
Ans: C
As The Patient‘S Advocate, The Nurse Interprets Information And Provides The Necessary
Education. The Nurse Then Accepts And Respects The Patient‘S Decisions Even If They Are
Different From The Nurse‘S Own Beliefs. The Nurse Supports The Patient‘S Wishes And
Communicates Them To Other Health Care Providers. A Nurse Manages All Of The Activities And
Treatments For Patients. In The Role Of Change Agent, The Nurse Works With Patients To
Address Their Health Concerns And With Staff Members To Address Change In An Organization
Or Within A Community. The Nurse Ensures That The Patient Receives Sufficient Information On
Which To Base Consent For Care And Related Treatment. Education Becomes A Major Focus Of
Discharge Planning So That Patients Will Be Prepared To Handle Their Own Needs At Home.
Dif: Applying Obj: 1.2 Top: Implementation
Msc: Nclex Client Needs Category: Safe And Effective Care Environment: Management Of Care
Not: Concepts: Care Coordination
9. The Nursing Student Develops A Plan Of Care Based On A Recently Published Article
Describing The Effects Of Bed Rest On A Patient‘S Calcium Blood Levels. When Creating The Plan
Of Care, The Nursing Student Has The Obligation To Consider Which Action?
A. Critically Appraise The Evidence And Determine Validity.
B. Ensure That The Plan Of Care Does Not Alter Current Practice.
C. Change The Process Even When There Is No Problem Identified.
, D. Maintain The Plan Of Care Regardless Of Initial Outcome.
Ans: A
Evidence-Based Practice (Ebp) Is An Integration Of The Best-Available Research Evidence With
Clinical Judgment About A Specific Patient Situation. The Nurse Assesses Current And Past
Research, Clinical Guidelines, And Other Resources To Identify Relevant Literature. The
Application Of Ebp Includes Critically Appraising The Evidence To Assess Its Validity, Designing A
Change For Practice, Assessing The Need For Change And Identifying A Problem, And Integrating
And Maintaining Change While Monitoring Process And Outcomes By Reevaluating The
Application Of Evidence And Assessing Areas For Improvement.
Dif: Applying Obj: 1.2 Top: Implementation
Msc: Nclex Client Needs Category: Safe And Effective Care Environment: Management Of Care
Not: Concepts: Care Coordination
10. The Nurse Is Delegating Frequent Blood Pressure (Bp) Measurements For A Patient
Admitted With A Gunshot Wound To A Licensed Practical Nurse (Lpn). When Delegating, The
Nurse Understands Which Fact?
A. He/She May Assume That The Lpn Is Able To Perform This Task Appropriately.
B. The Lpn Is Ultimately Responsible For The Patient Findings And Assessment.
C. The Lpn May Perform The Tasks Assigned Without Further Supervision.
D. He/She Retains Ultimate Responsibility For Patient Care And Supervision Is Needed.
Ans: D
The Rn Retains Ultimate Responsibility For Patient Care, Which Requires Supervision Of Those
To Whom Patient Care Is Delegated. In The Process Of Collaboration, The Nurse Delegates
Certain Activities To Other Health Care Personnel. The Rn Needs To Know The Scope Of Practice
Or Capabilities Of Each Health Care Member For Delegation To Be Effective And Safe.
Dif: UnderstandingObj: 1.2 Top: Implementation
Msc: Nclex Client Needs Category: Safe And Effective Care Environment: Management Of Care
Not: Concepts: Care Coordination
11. The Nurse Is Preparing To Discharge A Patient Admitted With Fever Of Unknown Origin.
The Patient States, ―I Never Got Past The Fifth Grade In School. Don‘T Read Much. Never Saw
Much Sense In It. But I Do Ok. I Can Read Most Stuff. But My Doctor Explains Things Good And
Fundamentals Of Nursing Active Learning For Collaborative Practice 3rd Edition
By Barbara L. Yoost, Lynne R. Crawford
,Table Of Contents
Chapter 01: Nursing, Theory, And Professional Practice ............................. 4
Chapter 02: Values, Beliefs, And Caring .......................................................... 21
Chapter 03: Communication .............................................................................. 36
Chapter 04: Critical Thinking In Nursing ....................................................... 52
Chapter 05: Introduction To The Nursing Process ....................................... 69
Chapter 06: Assessment ....................................................................................... 86
Chapter 07: Nursing Diagnosis ........................................................................ 103
Chapter 08: Planning ......................................................................................... 119
Chapter 09: Implementation And Evaluation .............................................. 134
Chapter 10: Documentation, Electronic Health Records, And Reporting
................................................................................................................................. 149
Chapter 11: Ethical And Legal Considerations ............................................ 164
Chapter 12: Leadership And Management.................................................... 183
Chapter 13: Evidence-Based Practice And Nursing Research ................. 198
Chapter 14: Health Literacy And Patient Education ................................. 214
Chapter 15: Nursing Informatics .................................................................... 230
Chapter 16: Health And Wellness .................................................................... 246
Chapter 17: Human Development: Conception Through Adolescence ... 264
Chapter 18: Human Development: Young Adult Through Older Adult .. 277
Chapter 19: Vital Signs ...................................................................................... 291
Chapter 20: Health History And Physical Assessment ............................... 304
Chapter 21: Ethnicity And Cultural Assessment ......................................... 317
Chapter 22: Spiritual Health ............................................................................ 331
Chapter 23: Public Health, Community-Based, And Home Health Care 344
Chapter 24: Human Sexuality .......................................................................... 357
Chapter 25: Safety .............................................................................................. 370
Chapter 26: Asepsis And Infection Control ................................................... 384
Chapter 27: Hygiene And Personal Care ....................................................... 396
Chapter 28: Activity, Immobility, And Safe Movement .............................. 409
,Chapter 29: Skin Integrity And Wound Care ............................................... 423
Chapter 30: Nutrition......................................................................................... 437
Chapter 31: Cognitive And Sensory Alterations .......................................... 452
Chapter 32: Stress And Coping ........................................................................ 465
Chapter 33: Sleep ................................................................................................ 478
Chapter 34: Diagnostic Testing ....................................................................... 491
Chapter 35: Medication Administration ........................................................ 506
Chapter 36: Pain Management ........................................................................ 519
Chapter 37: Perioperative Nursing Care....................................................... 532
Chapter 38: Oxygenation And Tissue Perfusion .......................................... 546
Chapter 39: Fluid, Electrolytes, And Acid-Base Balance ........................... 559
Chapter 40: Bowel Elimination........................................................................ 573
Chapter 41: Urinary Elimination .................................................................... 586
Chapter 42: Death And Loss ............................................................................. 600
,Chapter 01: Nursing, Theory, And Professional Practice
Yoost & Crawford: Fundamentals Of Nursing: Active Learning For Collaborative Practice, 3rd
Edition
Multiple Choice
1. A Group Of Nursing Students Are Discussing The Impact Of Nonnursing Theories In
Clinical Practice. The Students Would Be Correct If They Chose Which Theory To Prioritize
Patient Care?
A. Erikson‘S Psychosocial Theory
B. Paul‘S Critical-Thinking Theory
C. Maslow‘S Hierarchy Of Needs
D. Rosenstock‘S Health Belief Model
Ans: C
Maslow‘S Hierarchy Of Needs Specifies The Psychological And Physiologic Factors That Affect
Each Person‘S Physical And Mental Health. The Nurse‘S Understanding Of These Factors Helps
With Formulating Nursing Diagnoses That Address The Patient‘S Needs And Values To Prioritize
Care. Erikson‘S Psychosocial Theory Of Development And Socialization Is Based On Individuals‘
Interacting And Learning About Their World. Nurses Use Concepts Of Developmental Theory To
Critically Think In Providing Care For Their Patients At Various Stages Of Their Lives.
Rosenstock (1974) Developed The Psychological Health Belief Model. The Model Addresses
Possible Reasons For Why A Patient May Not Comply With Recommended Health Promotion
Behaviors. This Model Is Especially Useful To Nurses As They Educate Patients.
,Dif: Remembering Obj: 1.5 Top: Planning
Msc: Nclex Client Needs Cnategrory:Isafge Anbd E.Fcfectimve Care Environment: Management
Of Care Not: Concepts: Care Coordinatiuon
2. A Nursing Student Is Preparing Study Notes From A Recent Lecture In Nursing History.
The Student Would Credit Florence Nightingale For Which Definition Of Nursing?
A. The Imbalance Between The Patient And The Environment Decreases The Capacity For
Health.
B. The Nurse Needs To Focus On Interpersonal Processes Between Nurse And Patient.
C. The Nurse Assists The Patient With Essential Functions Toward Independence.
D. Human Beings Are Interacting In Continuous Motion As Energy Fields.
Ans: A
Florence Nightingale‘S (1860) Concept Of The Environment Emphasized Prevention And Clean
Air, Water, And Housing. This Theory States That The Imbalance Between The Patient And The
Environment Decreases The Capacity For Health And Does Not Allow For Conservation Of
Energy. Hildegard Peplau (1952) Focused On The Roles Played By The Nurse And The
Interpersonal Process Between A Nurse And A Patient. Virginia Henderson Described The
Nurse‘S Role As Substitutive (Doing For The Person), Supplementary (Helping The Person), Or
Complementary (Working With The Person), With The Goal Of Independence For The Patient.
Martha Rogers (1970) Developed The Science Of Unitary Human Beings. She Stated That Human
Beings And Their Environments Are Interacting In Continuous Motion As Infinite Energy Fields.
Dif: UnderstandingObj: 1.4 Top: Planning Msc: Nclex Client Needs Category: Health
Promotion And Maintenance Not: Concepts: Health Promotion
3. The Nurse Identifies Which Nurse Established The American Red Cross During The Civil
War?
A. Dorothea Dix
B. Linda Richards
C. Lena Higbee
D. Clara Barton
,Ans: D
Clara Barton Practiced Nursing In The Civil War And Established The American Red Cross.
Dorothea Dix Was The Head Of The U.S. Sanitary Commission, Which Was A Forerunner Of The
Army Nurse Corps. Linda Richards Was America‘S First Trained Nurse, Graduating From Boston‘S
Women‘S Hospital In 1873, And Lena Higbee, Superintendent Of The U.S. Navy Nurse Corps,
Was Awarded The Navy Cross In 1918.
Dif: Remembering Obj: 1.3 Top: Assessment Msc: Nclex Client Needs Category: Health
Promotion And Maintenance
Not: Concepts: Professionalism
4. The Nursing Instructor Is Researching The Five Proficiencies Regarded As Essential For
Students And Professionals. The Nursing Instructor Identifies Which Organization Would Be
Found To Have Added Safety As A Sixth Competency?
A. Quality And Safety Education For Nurses (Qsen)
B. Institute Of Medicine (Iom)
C. American Association Of Colleges Of Nursing (Aacn)
D. National League For Nursing (Nln)
Ans: A
The Institute Of Medicine Repnort,Rheialthgprobfe.Sscionms Education: A Bridge To Quality
(2003), Outlines Five Core Competencies. These Include Patient-Centered Care, Interdisciplinary
Teamwork, Use Of Evidence-Based Medicine, Quality Improvement, And Use Of Information
Technology. Qsen Added Safety As A Sixth Competency. The Essentials Of Baccalaureate
Education For Professional Nursing Practice Are Provided And Updated By The American
Association Of Colleges Of Nursing (Aacn) (2008). The Document Offers A Framework For The
Education Of Professional Nurses With Outcomes For Students To Meet. The National League
For Nursing (Nln) Outlines And Updates Competencies For Practical, Associate, Baccalaureate,
And Graduate Nursing Education Programs.
Dif: Remembering Obj: 1.1 Top: Planning
Msc: Nclex Client Needs Category: Safe And Effective Care Environment: Management Of Care
Not: Concepts: Care Coordination
,5. The Nurse Manager Is Interviewing Graduate Nurses To Fill Existing Staffing Vacancies.
When Hiring Graduate Nurses, The Nurse Manager Realizes That They Will Probably Not Be
Considered
―Competent‖ Until They Complete Which Task?
A. They Graduate And Pass Nclex.
B. They Have Worked 2 To 3 Years.
C. Their Last Year Of Nursing School.
D. They Are Actually Hired.
Ans: B
Benner‘S Model Identifies Five Levels Of Proficiency: Novice, Advanced Beginner, Competent,
Proficient, And Expert. The Student Nurse Progresses From Novice To Advanced Beginner During
Nursing School And Attains The Competent Level After Approximately 2 To 3 Years Of Work
Experience After Graduation. To Obtain The Rn Credential, A Person Must Graduate From An
Approved School Of Nursing And Pass A State Licensing Examination Called The National Council
Licensure Examination For Registered Nurses (Nclex-Rn) Usually Taken Soon After Completion Of
An Approved Nursing Program.
Dif: Remembering Obj: 1.7 Top: Planning
Msc: Nclex Client Needs Category: Safe And Effective Care Environment: Management Of Care
Not: Concepts: Care Coordination
6. The Prospective Student Is Considering Options For Beginning A Career In Nursing.
Which Degree Would Best Match The Student‘S Desire To Conduct Research At The University
Level?
A. Associate Degree In Nursing (Adn)
B. Bachelor Of Science In Nursing (Bsn)
C. Doctor Of Nursing Practice (Dnp)
D. Doctor Of Philosophy In Nursing (Phd)
,Ans: D
Doctoral Nursing Education Can Result In A Doctor Of Philosophy (Phd) Degree. This Degree
Prepares Nurses For Leadership Roles In Research, Teaching, And Administration That Are
Essential To Advancing Nursing As A Profession. Associate Degree In Nursing (Adn) Programs
Usually Are Conducted In A Community College Setting. The Nursing Curriculum Focuses On
Adult Acute And Chronic Disease; Maternal/Child Health; Pediatrics; And Psychiatric/Mental
Health Nursing. Adn Rns May Return To School To Earn A Bachelor‘S Degree Or Higher In An Rn-
To-Bsn Or Rn-To-Msn Program. Bachelor‘S Degree Programs Include Community Health And
Management Courses Beyondnthuorsespironvigdtedbi.Ncanoassociate Degree Program. A
Newer
Practice-Focused Doctoral Degree Is The Doctor Of Nursing Practice (Dnp), Which Concentrates
On The Clinical Aspects Of Nursing. Dnp Specialties Include The Four Advanced Practice Roles Of
Np, Cns, Cnm, And Crna.
Dif: Remembering Obj: 1.9 Top: Assessment
Msc: Nclex Client Needs Category: Safe And Effective Care Environment: Management Of Care
Not: Concepts: Care Coordination
7. During A Staff Meeting, The Nurse Manager Announces That The Hospital Will Be
Seeking Magnet Status. To Explain The Requirements For This Award, The Nurse Manager Will
Contact Which Organization?
A. American Nurses Association (Ana)
B. American Nurses Credentialing Center (Ancc)
C. National League For Nursing (Nln)
D. Joint Commission
Ans: B
The American Nurses Credentialing Center (Ancc) Awards Magnet Recognition To Hospitals That
Have Shown Excellence And Innovation In Nursing. The Ana Is A Professional Organization That
Provides Standards Of Nursing Practice. The National League For Nursing (Nln) Outlines And
Updates Competencies For Practical, Associate, Baccalaureate, And Graduate Nursing Education
Programs. The Joint Commission Is The Accrediting Organization For Health Care Facilities In The
United States.
,Dif: Remembering Obj: 1.1 Top: Assessment
Msc: Nclex Client Needs Category: Safe And Effective Care Environment: Management Of Care
Not: Concepts: Care Coordination
8. The Nurse Is Caring For A Patient Who Refuses Two Units Of Packed Red Blood Cells.
When The Nurse Notifies The Health Care Provider Of The Patient‘S Decision, The Nurse Is
Acting In Which Role?
A. Manager
B. Change Agent
C. Advocate
D. Educator
Ans: C
As The Patient‘S Advocate, The Nurse Interprets Information And Provides The Necessary
Education. The Nurse Then Accepts And Respects The Patient‘S Decisions Even If They Are
Different From The Nurse‘S Own Beliefs. The Nurse Supports The Patient‘S Wishes And
Communicates Them To Other Health Care Providers. A Nurse Manages All Of The Activities And
Treatments For Patients. In The Role Of Change Agent, The Nurse Works With Patients To
Address Their Health Concerns And With Staff Members To Address Change In An Organization
Or Within A Community. The Nurse Ensures That The Patient Receives Sufficient Information On
Which To Base Consent For Care And Related Treatment. Education Becomes A Major Focus Of
Discharge Planning So That Patients Will Be Prepared To Handle Their Own Needs At Home.
Dif: Applying Obj: 1.2 Top: Implementation
Msc: Nclex Client Needs Category: Safe And Effective Care Environment: Management Of Care
Not: Concepts: Care Coordination
9. The Nursing Student Develops A Plan Of Care Based On A Recently Published Article
Describing The Effects Of Bed Rest On A Patient‘S Calcium Blood Levels. When Creating The Plan
Of Care, The Nursing Student Has The Obligation To Consider Which Action?
A. Critically Appraise The Evidence And Determine Validity.
B. Ensure That The Plan Of Care Does Not Alter Current Practice.
C. Change The Process Even When There Is No Problem Identified.
, D. Maintain The Plan Of Care Regardless Of Initial Outcome.
Ans: A
Evidence-Based Practice (Ebp) Is An Integration Of The Best-Available Research Evidence With
Clinical Judgment About A Specific Patient Situation. The Nurse Assesses Current And Past
Research, Clinical Guidelines, And Other Resources To Identify Relevant Literature. The
Application Of Ebp Includes Critically Appraising The Evidence To Assess Its Validity, Designing A
Change For Practice, Assessing The Need For Change And Identifying A Problem, And Integrating
And Maintaining Change While Monitoring Process And Outcomes By Reevaluating The
Application Of Evidence And Assessing Areas For Improvement.
Dif: Applying Obj: 1.2 Top: Implementation
Msc: Nclex Client Needs Category: Safe And Effective Care Environment: Management Of Care
Not: Concepts: Care Coordination
10. The Nurse Is Delegating Frequent Blood Pressure (Bp) Measurements For A Patient
Admitted With A Gunshot Wound To A Licensed Practical Nurse (Lpn). When Delegating, The
Nurse Understands Which Fact?
A. He/She May Assume That The Lpn Is Able To Perform This Task Appropriately.
B. The Lpn Is Ultimately Responsible For The Patient Findings And Assessment.
C. The Lpn May Perform The Tasks Assigned Without Further Supervision.
D. He/She Retains Ultimate Responsibility For Patient Care And Supervision Is Needed.
Ans: D
The Rn Retains Ultimate Responsibility For Patient Care, Which Requires Supervision Of Those
To Whom Patient Care Is Delegated. In The Process Of Collaboration, The Nurse Delegates
Certain Activities To Other Health Care Personnel. The Rn Needs To Know The Scope Of Practice
Or Capabilities Of Each Health Care Member For Delegation To Be Effective And Safe.
Dif: UnderstandingObj: 1.2 Top: Implementation
Msc: Nclex Client Needs Category: Safe And Effective Care Environment: Management Of Care
Not: Concepts: Care Coordination
11. The Nurse Is Preparing To Discharge A Patient Admitted With Fever Of Unknown Origin.
The Patient States, ―I Never Got Past The Fifth Grade In School. Don‘T Read Much. Never Saw
Much Sense In It. But I Do Ok. I Can Read Most Stuff. But My Doctor Explains Things Good And
