Fundamentals of Nursing 9th Edition v v v v
Chapter 01: Nursing Today
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Potter et al.: Fundamentals of Nursing, 9th Edition MULTIPLE
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v CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
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a. Florence Nightingale v v
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b. Mary Nutting v v
c. Clara Barton v v
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d. Lillian Wald v v
ANS: A v v
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor
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vsanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came after
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Nightingale, each contributing to the nursing profession in her own way. Mary Nutting was
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instrumental in moving nursing education into universities. Clara Barton founded the American Red
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Cross. Lillian Wald helped open the Henry Street Settlement.
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DIF:Understand (comprehension)REF:5 v v
OBJ: Discuss the influence of social, historical, political, and economic changes on nursing
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TOP: Evaluation MSC: Health Promotion and Maintenance
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2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
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vnursing practice is the nurse following? v v v v v v
a. Assessment v
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b. Diagnosis v
c. Planning v
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d. Implementation v
ANS: C v v
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to attain
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vexpected outcomes. During assessment, the registered nurse collects comprehensive data pertinent
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vto the patient’s health and/or the situation. In diagnosis, the registered nurse analyzes the assessment
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data to determine the diagnoses or issues. During implementation, the registered nurse implements
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(carries out) the identified plan.
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DIF:Understand (comprehension)REF:2 v v
OBJ: Discuss the development of professional nursing roles. TOP: Planning
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,MSC:Management of Care v v
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is
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vthe nurse upon initial transition to the obstetrical floor?
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a. Novice v
b. Proficient v
c. Competent v
d. Advanced beginner v v
ANS: A v v
A beginning nursing student or any nurse entering a situation in which there is no previous level of
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vexperience (e.g., an experienced operating room nurse chooses to now practice in home health) is an
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example of a novice nurse. A proficient nurse perceives a patient’s clinical situation as a whole, is able
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to assess an entire situation, and can readily transfer knowledge gained from multiple previous
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vexperiences to a situation. A competent nurse understands the organization and specific care required
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by the type of patients (e.g., surgical, oncology, or orthopedic patients). This nurse is a
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competent practitioner who is able to anticipate nursing care and establish long-range goals. A nurse
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vwho has had some level of experience with the situation is an advanced beginner. This experience may
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only be observational in nature, but the nurse is able to identify meaningful aspects or principles of
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nursing care.
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DIF:Apply (application)REF:2 v v
OBJ: Discuss the development of professional nursing roles. TOP: Evaluation
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4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids. The
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nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?
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a. Licensure v
b. Autonomy v
c. Certification v
d. Accountability v
ANS: B v v
Autonomy is an essential element of professional nursing that involves the initiation of independent
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v nursing interventions without medical orders. To obtain licensure in the United States, the RN
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vcandidate must pass the NCLEX-RN®. Beyond the NCLEX-RN®, the nurse may choose to work
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vtoward certification in a specific area of nursing practice. Accountability means that you are
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vresponsible, professionally and legally, for the type and quality of nursing care provided. v v v v v v v v v v v v v
,DIF:Apply(application)REF:3 v
OBJ: Discuss the roles and career opportunities for nurses. TOP: Implementation
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5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
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vimplementing? v
a. Educator v
b. Manager v
c. Advocate v
d. Caregiver v
ANS: B v v
A manager coordinates the activities of members of the nursing staff in delivering nursing care and has
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personnel, policy, and budgetary responsibility for a specific nursing unit or facility. As an educator,
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you explain concepts and facts about health, describe the reason for routine care activities,
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demonstrate procedures such as self-care activities, reinforce learning or patient behavior, and
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evaluate the patient’s progress in learning. As a patient advocate, you protect your patient’s human
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and legal rights and provide assistance in asserting these rights if the need arises. As a caregiver, you
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help patients maintain and regain health, manage disease and symptoms, and attain a maximal level
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function and independence through the healing process.
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DIF:Apply (application)REF:4 v v
OBJ: Describe the roles and career opportunities for nurses. TOP: Implementation
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6. The nurse has been working in the clinical setting for several years as an advanced practice nurse.
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However, the nurse has a strong desire to pursue research and theory development. To fulfill this
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desire, which program should the nurse attend?
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a. Doctor of Nursing Science degree (DNSc) v v v v v v
b. Doctor of Philosophy degree (PhD) v v v v v
c. Doctor of Nursing Practice degree (DNP) v v v v v v
d. Doctor in the Science of Nursing degree (DSN)
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ANS: B v v
Some doctoral programs prepare nurses for more rigorous research and theory development and
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vaward the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral programs
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vin nursing (DSN or DNSc) prepare graduates to apply research findings to clinical nursing. The DNP is
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a practice doctorate that prepares advanced practice nurses such as nurse practitioners.
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, DIF:Understand (comprehension)REF:10 v
OBJ: Describe educational programs available for professional registered nurse (RN) education.
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v TOP:Teaching/LearningMSC:Management of Care v v v
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
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vAssociation. Which type of education did the nurse receive?
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a. Graduate education v v
b. Inservice education v v
c. Continuing education v v
d. Registered nurse education v v v
ANS: C v v
Continuing education involves formal, organized educational programs offered by universities,
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vhospitals, state nurses associations, professional nursing organizations, and educational and health
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vcare institutions. After obtaining a baccalaureate degree in nursing, you can pursue graduate
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veducation leading to a master’s or doctoral degree in any number of graduate fields, including nursing.
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Inservice education programs are instruction or training provided by a health care facility or institution.
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Registered nurse education is the education preparation for an individual intending to be an RN.
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DIF:Apply (application)REF:10 v v
OBJ: Describe educational programs available for professional registered nurse (RN) education.
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v TOP:Teaching/LearningMSC:Management of Care v v v
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education for
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vNurses (QSEN) competency is the nurse demonstrating?
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a. Safety v
b. Patient-centered care v
c. Quality improvement v v
d. Teamwork and collaboration v v
ANS: C v v
Quality improvement identifies gaps between local and best practices. Safety minimizes risk of harm to
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patients and providers through both system effectiveness and individual performance. Patient-
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vcentered care recognizes the patient or designee as the source of control and full partner in providing
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compassionate and coordinated care based on respect for patient’s preferences, values, and needs.
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Teamwork and collaboration allows effective functioning within nursing and
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