Ch. 1 Nursing, Theory, and Professional
Practice
A group of nursing students are discussing the impact of non nursing 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
\A newly licensed registered nurse is curious about the scope of care that he or she has in
caring for patients undergoing conscious sedation. Which would be the best source of
information for this nurse?
a. National Student Nurses Association
b. Nurse Practice Act
c. ANA Standards of Professional Performance
d. National League for Nursing - ANS-B
\A nurse is caring for a patient who lost a large amount of blood during childbirth. The nurse
provides the opportunity for the patient to maintain her activity level while providing adequate
periods of rest and encouragement. Which nursing theory would the nurse most likely choose
as a framework for addressing the fatigue associated with the low blood count?
a. Watson Human Caring Theory
b. Parse's Theory of Human Becoming
c. Roy's Adaptation Model
d. Rogers' Science of Unitary Human Beings - ANS-C
\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
\A patient is being discharged from the hospital with wound care dressing changes. The nurse
recommends a referral for home health nursing care. The nurse is using which standard of
practice?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation - ANS-C
\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 Institute of Medicine (IOM) Report identified several goals for nursing in the United States.
The nurse identifies that the IOM offered which suggestions? (Select all that apply.)
a. Nurses should practice to the full extent of their education.
b. Nursing education should demonstrate seamless progression.
c. Nurses should continue to be subservient to physicians in the hospital setting.
d. Policy making requires better data collection and information infrastructure.
e. Higher levels of education will not be needed by practicing nurses. - ANS-A, B, D
\The nurse administers a medication to the patient and then realizes that the medication had
been discontinued. The error is immediately reported to the physician. The nurse recognizes
which term that identifies complying with the standards of professional performance?
a. Ethics
b. Socialization
c. Altruism
d. Autonomy - ANS-A
\The nurse documents that patient laboratory results often take 4 hours to populate into the
electronic medical record. The lengthy time frame has contributed to delayed antibiotic
administration. From this point, what should the nurse do to produce change using
Evidence-Based practice? (Select all that apply.)
a. Identify a problem affecting patient care.
b. Realize the facility resources may influence the decision.
c. Review pertinent journal articles from the literature search.
d. Apply the findings to clinical practice considering patient preferences.
e. Using the process recommended by the best clinical article. - ANS-A, B, C, D
\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
\The nurse is caring for a patient admitted for the removal of an infected appendix. Which
actions by the nurse would indicate an understanding of the 2018 hospital safety goals? (Select
all that apply.)
a. Places an identification band on the right arm.
b. Marks the surgical site with a black-felt pen.
c. Checks medications three times before administration.
d. Washes hands between patients and/or when soiled.
e. Removes allergy bands prior to transfer to surgery. - ANS-A, B, C, D
\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
Practice
A group of nursing students are discussing the impact of non nursing 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
\A newly licensed registered nurse is curious about the scope of care that he or she has in
caring for patients undergoing conscious sedation. Which would be the best source of
information for this nurse?
a. National Student Nurses Association
b. Nurse Practice Act
c. ANA Standards of Professional Performance
d. National League for Nursing - ANS-B
\A nurse is caring for a patient who lost a large amount of blood during childbirth. The nurse
provides the opportunity for the patient to maintain her activity level while providing adequate
periods of rest and encouragement. Which nursing theory would the nurse most likely choose
as a framework for addressing the fatigue associated with the low blood count?
a. Watson Human Caring Theory
b. Parse's Theory of Human Becoming
c. Roy's Adaptation Model
d. Rogers' Science of Unitary Human Beings - ANS-C
\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
\A patient is being discharged from the hospital with wound care dressing changes. The nurse
recommends a referral for home health nursing care. The nurse is using which standard of
practice?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation - ANS-C
\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 Institute of Medicine (IOM) Report identified several goals for nursing in the United States.
The nurse identifies that the IOM offered which suggestions? (Select all that apply.)
a. Nurses should practice to the full extent of their education.
b. Nursing education should demonstrate seamless progression.
c. Nurses should continue to be subservient to physicians in the hospital setting.
d. Policy making requires better data collection and information infrastructure.
e. Higher levels of education will not be needed by practicing nurses. - ANS-A, B, D
\The nurse administers a medication to the patient and then realizes that the medication had
been discontinued. The error is immediately reported to the physician. The nurse recognizes
which term that identifies complying with the standards of professional performance?
a. Ethics
b. Socialization
c. Altruism
d. Autonomy - ANS-A
\The nurse documents that patient laboratory results often take 4 hours to populate into the
electronic medical record. The lengthy time frame has contributed to delayed antibiotic
administration. From this point, what should the nurse do to produce change using
Evidence-Based practice? (Select all that apply.)
a. Identify a problem affecting patient care.
b. Realize the facility resources may influence the decision.
c. Review pertinent journal articles from the literature search.
d. Apply the findings to clinical practice considering patient preferences.
e. Using the process recommended by the best clinical article. - ANS-A, B, C, D
\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
\The nurse is caring for a patient admitted for the removal of an infected appendix. Which
actions by the nurse would indicate an understanding of the 2018 hospital safety goals? (Select
all that apply.)
a. Places an identification band on the right arm.
b. Marks the surgical site with a black-felt pen.
c. Checks medications three times before administration.
d. Washes hands between patients and/or when soiled.
e. Removes allergy bands prior to transfer to surgery. - ANS-A, B, C, D
\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
