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