Leddy & Pepper's Professional Nursing
Lucy J. Hood
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10th Edition
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Chapter 1, The Professional Nurse
1. The nursing director attends a workshop and is presenting information on the ANA's
Nursing's Social Policy Statement (2015b). Which statement regarding the profession of
nursing is included in the publication?
a. Nurses are expected to have the necessary knowledge, skill, and competence to
execute their professional duties.
b. Use public policy of current legislature to shape the future of the nursing
profession.
c. Use scientific knowledge to ration care to those individuals with noncomplex
diagnoses and simple treatment options.
d. Use assessment as the guide in order to treat the full range of human responses
within the physical environment.
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ANS: A
Feedback: According to the ANA (2015b) Nursing's Social Policy Statement, nurses are
expected to have the necessary knowledge, skill, and competence to execute their
professional duties. In return, nurses expect society to authorize practice autonomy, extend
self-governance, protect the title of RN and scope of practice, receive respect and fair
remuneration for services, be free to practice nursing to the full extent of educational
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preparation, receive support to sustain the nursing profession, and be protected from
hazardous service activities. Shaping the future of nursing is a primary goal of the ANA and
all its efforts. Use of scientific knowledge and assessment are characteristics of the nursing
profession and are included in the nursing process.
PTS: 1 REF: Page and Header: p. 25, Service to Society
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OBJ: 5
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
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2. A nurse who has worked for 15 years in the hospital has an opportunity to attend an
RN-to-BSN program, and the hospital will pay for the cost of tuition if the nurse agrees to
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work there for 2 years following graduation. The nurse has accepted and is in the first term
at the local college. If the nurse wants to work on critical and reflective thinking skills,
which activity should the nurse focus on developing?
a. Reading a chapter on “Care of the Cardiac Patient”
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b. Speaking to the nurses on the clinical unit
c. Listening to family as they share the client's story
d. Writing a paper on nursing for the palliative client
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ANS: D
Feedback: Writing requires nurses to use critical and reflective thinking. Speaking enables
the nurse to develop skills to communicate effectively verbally with clients as well as
colleagues. Listening enables thought organization. Reading stimulates the release of
neurotrophins, strengthening neural pathways.
PTS: 1 REF: Page and Header: p. 11, Writing OBJ: 4
NAT: Client Needs: Psychosocial Integrity: Psychosocial Integrity
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TOP: Chapter: 1 KEY: Integrated Process: Communication
BLM: Cognitive Level: Apply NOT: Multiple Choice
3. A nurse in the long-term care facility has decided to return to nursing school to earn a higher
degree. The nurse is full of positive thoughts and energy when contemplates all the new
things to learn. According to Shane's returning-to-school syndrome, which phase is this
nurse experiencing?
a. Conflict phase
b. Reintegration phase
c. Integration phase
d. Honeymoon phase
ANS: D
Feedback: Shane describes a “returning-to-school syndrome” encountered by registered
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nurses returning to earn higher nursing degrees. The first phase, the honeymoon, is positive
and the nurse recognizes similarities between previous educational experiences and the
present experiences that reinforce their original role identity as a nurse. As a result, the nurse
feels energetic about learning new things. The conflict phase is characterized by turbulent
negative emotions when faculty members challenge the nurse to change ways of thinking
and/or practicing. Phase 3, or reintegration, identifies the successful resolution of conflict. In
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this stage, nurses struggle to hold on to cherished beliefs about practice and frequently
wonder why they decided to pursue a higher degree. The final stage, integration, is
characterized by the ability to blend the original culture of work with the new culture of
school. Integration of the old with the new results in a positive resolution of the
returning-to-school syndrome but occurs later in the process.
PTS: 1
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REF: Page and Header: p. 15, Shane’s Returning-to-School Syndrome
OBJ: 4 NAT: Client Needs: Psychosocial Integrity: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Teaching/Learning
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BLM: Cognitive Level: Apply NOT: Multiple Choice
4. A student nurse, who is in the second semester of nursing school, is experiencing an
unsettled feeling. The nurse notes a lack of confidence in knowing how to act or what
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questions to ask. According to Bridges' Managing Transitions theory, what phase of
transition is this student experiencing?
a. New beginning
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b. Neutral zone
c. Transition one
d. Letting go
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ANS: B
Feedback: The second phase that Bridges calls “the neutral zone” is when the old identity
has vanished but the new one is not fully developed. In this phase, people experience a very
unsettled feeling because they may not know how to act or what questions to ask. A new
beginning is the third phase and is characterized by a new mental image or experience
hallmarked by “a release of new energy in a new direction.” A transition is the
psychological adaptation that occurs and is not part of the phases. Letting go is the first
phase of the process and requires letting go of the old identity.
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PTS: 1 REF: Page and Header: p. 16, Bridges’ Managing Transitions
OBJ: 4 NAT: Client Needs: Psychosocial Integrity: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
5. A nurse returns to school to complete an advanced nursing degree and is finding it difficult
to meet all expectations of daily life. The nurse is a new parent, a student, a spouse, and a
full-time employee. The nurse is experiencing what type of issue?
a. Value conflict
b. Behavioral conflict
c. Role conflict
d. Attitude conflict
ANS: C
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Feedback: Role conflict arises when roles assumed by a person compete with each other for
time and attention. The newly acquired student role competes with other roles because of
school demands. Roles contain three pieces: values, attitudes, and behaviors. Therefore,
behavioral conflict, role conflict, and attitude conflict are incorrect, because all three are
parts of a role and must be present to have conflict.
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PTS: 1 REF: Page and Header: p. 13, Managing Personal Time
OBJ: 3 NAT: Client Needs: Psychosocial Integrity: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
6. The characteristics of a profession are many, and nursing is delineated as an emerging
profession. This delineation exists because of the absence of which characteristic?
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a. Use of a specialized database
b. Standardized educational entry
c. Specialized competencies
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d. Autonomy and control over work
ANS: B
Feedback: Nursing is characterized as an emerging profession due to the fact that the
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standardized educational level is absent in that there are three levels considered to be
acceptable entry. These include associate degree, baccalaureate degree, and diploma
programs. Nursing uses a specialized database, specialized competencies, and autonomy and
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control over work.
PTS: 1 REF: Page and Header: p. 18, Characteristics of a Profession
OBJ: 8
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NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple Choice
7. A nurse works in the medical-surgical unit of a suburban hospital and is taking care of a
client who has many complex physiologic processes going on at the same time. The nurse
exhibits flexibility, inquisitiveness, and open mindedness in caring for the client as their
condition changes from day-to-day. The nurse is primarily exhibiting which type of
thinking?
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