,Chapterc01:cNursingcToday
Potter:cFundamentalscofcNursing,c11thcEdition
MULTIPLEcCHOICE
1. Whichcnursecmostclikelyckeptcrecordsconcsanitationctechniquescandctheceffectsconchealth?
a. FlorencecNightingale
b. MarycNutting
c. ClaracBarton
d. LilliancWald
ANS:c A
Nightingalecwascthecfirstcpracticingcnursecepidemiologist.cHercstatisticalcanalysescconnectedc
poorcsanitationcwithccholeracandcdysentery.cMarycNutting,cClaracBarton,candcLilliancWaldcca
mecaftercNightingale,ceachccontributingctocthecnursingcprofessioncinchercowncway.cMarycNutt
ingcwascinstrumentalcincmovingcnursingceducationcintocuniversities.cClaracBartoncfoundedcthe
cAmericancRedcCross.cLilliancWaldchelpedcopencthecHenrycStreetcSettlement.
DIF:Understandc (comprehension)
OBJ:Discusscthecinfluencecofcsocial,chistorical,cpolitical,candceconomiccchangesconcnursingcpractices.
TOP: Evaluation MSC:c HealthcPromotioncandcMaintenance
2. Thecnursecprescribescstrategiescandcalternativesctocattaincexpectedcoutcome.cWhichcstandardc
ofcnursingcpracticeciscthecnursecfollowing?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS:c C
Incplanning,cthecregisteredcnursecdevelopscacplancthatcprescribescstrategiescandcalternativescto
cattaincexpectedcoutcomes.cDuringcassessment,cthecregisteredcnurseccollectsccomprehensivecd
atacpertinentctocthecpatient’schealthcand/orcthecsituation.cIncdiagnosis,cthecregisteredcnursecan
alyzescthecassessmentcdatactocdeterminecthecdiagnosescorcissues.cDuringcimplementation,cthec
registeredcnursecimplementsc(carriescout)cthecidentifiedcplan.
DIF:Understandc (comprehension)
OBJ:Discusscthecdevelopmentcofcprofessionalcnursingcroles.
TOP:cPlanning
cMSC:c ManagementcofcCare
3. Ancexperiencedcmedical-
surgicalcnursecchoosesctocworkcincobstetrics.cWhichclevelcofcproficiencyciscthecnurse
cuponcinitialctransitionctocthecobstetricalcfloor?
a. Novice
b. Proficient
c. Competent
d. Advancedcbeginner
ANS:c A
, Acbeginningcnursingcstudentcorcanycnursecenteringcacsituationcincwhichcthereciscnocpreviouscl
evelcofcexperiencec(e.g.,cancexperiencedcoperatingcroomcnursecchoosesctocnowcpracticecincho
mechealth)ciscancexamplecofcacnovicecnurse.cAcproficientcnursecperceivescacpatient’scclinicalcs
ituationcascacwhole,ciscablectocassesscancentirecsituation,candccancreadilyctransfercknowledgec
gainedcfromcmultiplecpreviouscexperiencesctocacsituation.cAccompetentcnursecunderstandscthe
corganizationcandcspecificccarecrequiredcbycthectypecofcpatientsc(e.g.,csurgical,concology,corco
rthopediccpatients).cThiscnurseciscaccompetentcpractitionercwhociscablectocanticipatecnursingcc
arecandcestablishclong-
rangecgoals.cAcnursecwhochaschadcsomeclevelcofcexperiencecwithcthecsituationciscancadvance
dcbeginner.cThiscexperiencecmayconlycbecobservationalcincnature,cbutcthecnurseciscablectocide
ntifycmeaningfulcaspectscorcprinciplescofcnursingccare.
DIF:Applyc(application)
OBJ:Discusscthecdevelopmentcofcprofessionalcnursingcroles.
TOP:cEvaluatio
ncMSC:c ManagementcofcCare
4. Acnursecassessescacpatient’scfluidcstatuscandcdecidescthatcthecpatientcneedsctocdrinkcmorecfluid
s.cThecnursecthencencouragescthecpatientctocdrinkcmorecfluids.cWhichcconceptciscthecnursecde
monstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS:c B
Autonomyciscancessentialcelementcofcprofessionalcnursingcthatcinvolvescthecinitiationcofcindep
endentcnursingcinterventionscwithoutcmedicalcorders.cTocobtainclicensurecincthecUnitedcStates,
cthecRNccandidatecmustcpasscthecNCLEX-RN.cBeyondcthecNCLEX-
RN,cthecnursecmaycchoosectocworkctowardccertificationcincacspecificcareacofcnursingcpractice
.cAccountabilitycmeanscthatcyoucarecresponsible,cprofessionallycandclegally,cforcthectypecandcq
ualitycofcnursingccarecprovided.
DIF:Applyc(application)
OBJ:Discusscthecrolescandccareercopportunitiescforcnurses.
TOP:cImplementation
cMSC:c ManagementcofcCare
5. Acnursecpreparescthecbudgetcandcpoliciescforcancintensiveccarecunit.cWhichcroleciscthecnur
secimplementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS:c B
, Acmanagerccoordinatescthecactivitiescofcmemberscofcthecnursingcstaffcincdeliveringcnursingcc
arecandchascpersonnel,cpolicy,candcbudgetarycresponsibilitycforcacspecificcnursingcunitcorcfaci
lity.cAscanceducator,cyoucexplaincconceptscandcfactscaboutchealth,cdescribecthecreasoncforcrou
tineccarecactivities,cdemonstratecprocedurescsuchcascself-
carecactivities,creinforceclearningcorcpatientcbehavior,candcevaluatecthecpatient’scprogresscincl
earning.cAscacpatientcadvocate,cyoucprotectcyourcpatient’schumancandclegalcrightscandcprovid
ecassistancecincassertingcthesecrightscifcthecneedcarises.cAscaccaregiver,cyouchelpcpatientscmai
ntaincandcregainchealth,cmanagecdiseasecandcsymptoms,candcattaincacmaximalclevelcfunctionc
andcindependencecthroughcthechealingcprocess.
DIF:Applyc(application)
OBJ:Discusscthecrolescandccareercopportunitiescforcnurses.
TOP:cImplementation
cMSC:c ManagementcofcCare
6. Thecnursechascbeencworkingcincthecclinicalcsettingcforcseveralcyearscascancadvancedcpractice
cnurse.cHowever,cthecnursechascacstrongcdesirectocpursuecresearchcandctheorycdevelopment.c
Tocfulfillcthiscdesire,cwhichcprogramcshouldcthecnursecattend?
a. DoctorcofcNursingcSciencecdegreec(DNSc)
b. DoctorcofcPhilosophycdegreec(PhD)
c. DoctorcofcNursingcPracticecdegreec(DNP)
d. DoctorcincthecSciencecofcNursingcdegreec(DSN)
ANS:c B
Somecdoctoralcprogramscpreparecnursescforcmorecrigorouscresearchcandctheorycdevelopmentc
andcawardcthecresearch-
orientedcDoctorcofcPhilosophyc(PhD)cincnursing.cProfessionalcdoctoralcprogramscincnursingc(
DSNcorcDNSc)cpreparecgraduatesctocapplycresearchcfindingsctocclinicalcnursing.cThecDNPcisc
acpracticecdoctoratecthatcpreparescadvancedcpracticecnursescsuchcascnursecpractitioners.
DIF:Understandc (comprehension)
OBJ:Comparecandccontrastctheceducationalcprogramscavailablecforcprofessionalcregisteredcnursec(R
N)ceducation. TOP:c Teaching/Learning MSC:c ManagementcofcCare
7. AcnursecattendscacworkshopconccurrentcnursingcissuescprovidedcbycthecAmericancNurs
escAssociation.cWhichctypecofceducationcdidcthecnursecreceive?
a. Graduateceducation
b. Inserviceceducation
c. Continuingceducation
d. Registeredcnurseceducation
ANS:c C
Continuingceducationcinvolvescformal,corganizedceducationalcprogramscofferedcbycuniversiti
es,chospitals,cstatecnursescassociations,cprofessionalcnursingcorganizations,candceducationalca
ndchealthccarecinstitutions.cAftercobtainingcacbaccalaureatecdegreecincnursing,cyouccancpursue
cgraduateceducationcleadingctocacmaster’scorcdoctoralcdegreecincanycnumbercofcgraduatecfield
s,cincludingcnursing.cInserviceceducationcprogramscarecinstructioncorctrainingcprovidedcbycac
healthccarecfacilitycorcinstitution.cRegisteredcnurseceducationcisctheceducationcpreparationcforc
ancindividualcintendingctocbecancRN.
DIF:Applyc(application)
OBJ:Comparecandccontrastctheceducationalcprogramscavailablecforcprofessionalcregisteredcnursec(RN)
Potter:cFundamentalscofcNursing,c11thcEdition
MULTIPLEcCHOICE
1. Whichcnursecmostclikelyckeptcrecordsconcsanitationctechniquescandctheceffectsconchealth?
a. FlorencecNightingale
b. MarycNutting
c. ClaracBarton
d. LilliancWald
ANS:c A
Nightingalecwascthecfirstcpracticingcnursecepidemiologist.cHercstatisticalcanalysescconnectedc
poorcsanitationcwithccholeracandcdysentery.cMarycNutting,cClaracBarton,candcLilliancWaldcca
mecaftercNightingale,ceachccontributingctocthecnursingcprofessioncinchercowncway.cMarycNutt
ingcwascinstrumentalcincmovingcnursingceducationcintocuniversities.cClaracBartoncfoundedcthe
cAmericancRedcCross.cLilliancWaldchelpedcopencthecHenrycStreetcSettlement.
DIF:Understandc (comprehension)
OBJ:Discusscthecinfluencecofcsocial,chistorical,cpolitical,candceconomiccchangesconcnursingcpractices.
TOP: Evaluation MSC:c HealthcPromotioncandcMaintenance
2. Thecnursecprescribescstrategiescandcalternativesctocattaincexpectedcoutcome.cWhichcstandardc
ofcnursingcpracticeciscthecnursecfollowing?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS:c C
Incplanning,cthecregisteredcnursecdevelopscacplancthatcprescribescstrategiescandcalternativescto
cattaincexpectedcoutcomes.cDuringcassessment,cthecregisteredcnurseccollectsccomprehensivecd
atacpertinentctocthecpatient’schealthcand/orcthecsituation.cIncdiagnosis,cthecregisteredcnursecan
alyzescthecassessmentcdatactocdeterminecthecdiagnosescorcissues.cDuringcimplementation,cthec
registeredcnursecimplementsc(carriescout)cthecidentifiedcplan.
DIF:Understandc (comprehension)
OBJ:Discusscthecdevelopmentcofcprofessionalcnursingcroles.
TOP:cPlanning
cMSC:c ManagementcofcCare
3. Ancexperiencedcmedical-
surgicalcnursecchoosesctocworkcincobstetrics.cWhichclevelcofcproficiencyciscthecnurse
cuponcinitialctransitionctocthecobstetricalcfloor?
a. Novice
b. Proficient
c. Competent
d. Advancedcbeginner
ANS:c A
, Acbeginningcnursingcstudentcorcanycnursecenteringcacsituationcincwhichcthereciscnocpreviouscl
evelcofcexperiencec(e.g.,cancexperiencedcoperatingcroomcnursecchoosesctocnowcpracticecincho
mechealth)ciscancexamplecofcacnovicecnurse.cAcproficientcnursecperceivescacpatient’scclinicalcs
ituationcascacwhole,ciscablectocassesscancentirecsituation,candccancreadilyctransfercknowledgec
gainedcfromcmultiplecpreviouscexperiencesctocacsituation.cAccompetentcnursecunderstandscthe
corganizationcandcspecificccarecrequiredcbycthectypecofcpatientsc(e.g.,csurgical,concology,corco
rthopediccpatients).cThiscnurseciscaccompetentcpractitionercwhociscablectocanticipatecnursingcc
arecandcestablishclong-
rangecgoals.cAcnursecwhochaschadcsomeclevelcofcexperiencecwithcthecsituationciscancadvance
dcbeginner.cThiscexperiencecmayconlycbecobservationalcincnature,cbutcthecnurseciscablectocide
ntifycmeaningfulcaspectscorcprinciplescofcnursingccare.
DIF:Applyc(application)
OBJ:Discusscthecdevelopmentcofcprofessionalcnursingcroles.
TOP:cEvaluatio
ncMSC:c ManagementcofcCare
4. Acnursecassessescacpatient’scfluidcstatuscandcdecidescthatcthecpatientcneedsctocdrinkcmorecfluid
s.cThecnursecthencencouragescthecpatientctocdrinkcmorecfluids.cWhichcconceptciscthecnursecde
monstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS:c B
Autonomyciscancessentialcelementcofcprofessionalcnursingcthatcinvolvescthecinitiationcofcindep
endentcnursingcinterventionscwithoutcmedicalcorders.cTocobtainclicensurecincthecUnitedcStates,
cthecRNccandidatecmustcpasscthecNCLEX-RN.cBeyondcthecNCLEX-
RN,cthecnursecmaycchoosectocworkctowardccertificationcincacspecificcareacofcnursingcpractice
.cAccountabilitycmeanscthatcyoucarecresponsible,cprofessionallycandclegally,cforcthectypecandcq
ualitycofcnursingccarecprovided.
DIF:Applyc(application)
OBJ:Discusscthecrolescandccareercopportunitiescforcnurses.
TOP:cImplementation
cMSC:c ManagementcofcCare
5. Acnursecpreparescthecbudgetcandcpoliciescforcancintensiveccarecunit.cWhichcroleciscthecnur
secimplementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS:c B
, Acmanagerccoordinatescthecactivitiescofcmemberscofcthecnursingcstaffcincdeliveringcnursingcc
arecandchascpersonnel,cpolicy,candcbudgetarycresponsibilitycforcacspecificcnursingcunitcorcfaci
lity.cAscanceducator,cyoucexplaincconceptscandcfactscaboutchealth,cdescribecthecreasoncforcrou
tineccarecactivities,cdemonstratecprocedurescsuchcascself-
carecactivities,creinforceclearningcorcpatientcbehavior,candcevaluatecthecpatient’scprogresscincl
earning.cAscacpatientcadvocate,cyoucprotectcyourcpatient’schumancandclegalcrightscandcprovid
ecassistancecincassertingcthesecrightscifcthecneedcarises.cAscaccaregiver,cyouchelpcpatientscmai
ntaincandcregainchealth,cmanagecdiseasecandcsymptoms,candcattaincacmaximalclevelcfunctionc
andcindependencecthroughcthechealingcprocess.
DIF:Applyc(application)
OBJ:Discusscthecrolescandccareercopportunitiescforcnurses.
TOP:cImplementation
cMSC:c ManagementcofcCare
6. Thecnursechascbeencworkingcincthecclinicalcsettingcforcseveralcyearscascancadvancedcpractice
cnurse.cHowever,cthecnursechascacstrongcdesirectocpursuecresearchcandctheorycdevelopment.c
Tocfulfillcthiscdesire,cwhichcprogramcshouldcthecnursecattend?
a. DoctorcofcNursingcSciencecdegreec(DNSc)
b. DoctorcofcPhilosophycdegreec(PhD)
c. DoctorcofcNursingcPracticecdegreec(DNP)
d. DoctorcincthecSciencecofcNursingcdegreec(DSN)
ANS:c B
Somecdoctoralcprogramscpreparecnursescforcmorecrigorouscresearchcandctheorycdevelopmentc
andcawardcthecresearch-
orientedcDoctorcofcPhilosophyc(PhD)cincnursing.cProfessionalcdoctoralcprogramscincnursingc(
DSNcorcDNSc)cpreparecgraduatesctocapplycresearchcfindingsctocclinicalcnursing.cThecDNPcisc
acpracticecdoctoratecthatcpreparescadvancedcpracticecnursescsuchcascnursecpractitioners.
DIF:Understandc (comprehension)
OBJ:Comparecandccontrastctheceducationalcprogramscavailablecforcprofessionalcregisteredcnursec(R
N)ceducation. TOP:c Teaching/Learning MSC:c ManagementcofcCare
7. AcnursecattendscacworkshopconccurrentcnursingcissuescprovidedcbycthecAmericancNurs
escAssociation.cWhichctypecofceducationcdidcthecnursecreceive?
a. Graduateceducation
b. Inserviceceducation
c. Continuingceducation
d. Registeredcnurseceducation
ANS:c C
Continuingceducationcinvolvescformal,corganizedceducationalcprogramscofferedcbycuniversiti
es,chospitals,cstatecnursescassociations,cprofessionalcnursingcorganizations,candceducationalca
ndchealthccarecinstitutions.cAftercobtainingcacbaccalaureatecdegreecincnursing,cyouccancpursue
cgraduateceducationcleadingctocacmaster’scorcdoctoralcdegreecincanycnumbercofcgraduatecfield
s,cincludingcnursing.cInserviceceducationcprogramscarecinstructioncorctrainingcprovidedcbycac
healthccarecfacilitycorcinstitution.cRegisteredcnurseceducationcisctheceducationcpreparationcforc
ancindividualcintendingctocbecancRN.
DIF:Applyc(application)
OBJ:Comparecandccontrastctheceducationalcprogramscavailablecforcprofessionalcregisteredcnursec(RN)
