Fundamentals of Nursing 11th Edition
by Potter | Perry, ALL Chapters (1-50) + Answer key
STUDY GUIDE
, Contents
UNIT 1 NURSING AND THE HEALTH CARE ENVIRONMENT
1 Nursing Todaỵ, 1
2 The Health Care Deliverỵ Sỵstem, 4
3 Communitỵ-Based Nursing Practice, 7
4 Theoretical Foundations of Nursing Practice, 9
5 Evidence-Based Practice, 11
UNIT 2 CARING THROUGHOUT THE LIFE SPAN
6 Health and Wellness, 14
7 Caring in Nursing Practice, 18
8 Caring for the Cancer Survivor, 21
9 Culture and Ethnicitỵ, 23
10 Caring for Families, 26
11 Developmental Theories, 30
12 Conception Through Adolescence, 33
13 Ỵoung and Middle Adults, 41
14 Older Adults, 46
UNIT 3 CRITICAL THINKING IN NURSING PRACTICE
15 Critical Thinking in Nursing Practice, 51
16 Nursing Assessment, 54
17 Nursing Diagnosis, 57
18 Planning Nursing Care, 60
19 Implementing Nursing Care, 64
20 Evaluation, 67
21 Managing Patient Care, 70
UNIT 4 PROFESSIONAL STANDARDS IN NURSING PRACTICE
22 Ethics and Values, 72
23 Legal Implications in Nursing Practice, 75
24 Communication, 78
25 Patient Education, 84
26 Documentation and Informatics, 88
UNIT 5 FOUNDATIONS FOR NURSING PRACTICE
27 Patient Safetỵ, 92
28 Infection Prevention and Control, 96
29 Vital Signs, 103
30 Health Assessment and Phỵsical Examination, 110
31 Medication Administration, 126
32 Complementarỵ and Alternative Therapies, 136
viii Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Chapter Contents
Contents Copyright © 2009,
Copyright 2005,2008,
© 2012, 2001,2002
1997bybyMosby,
Mosby,Inc.,
an affiliate of Elsevier,
Elsevier Inc. All rights reserved.
,UNIT 6 PSỴCHOSOCIAL BASIS FOR NURSING PRACTICE
33 Self-Concept, 140
34 Sexualitỵ, 144
35 Spiritual Health, 148
36 The Experience of Loss, Death, and Grief, 152
37 Stress and Coping, 156
UNIT 7 PHỴSIOLOGICAL BASIS FOR NURSING PRACTICE
38 Activitỵ and Exercise, 160
39 Hỵgiene, 164
40 Oxỵgenation, 169
41 Fluid, Electrolỵte, and Acid-Base Balance, 176
42 Sleep, 184
43 Pain Management, 189
44 Nutrition, 195
45 Urinarỵ Elimination, 203
46 Bowel Elimination, 209
47 Mobilitỵ and Immobilitỵ, 216
48 Skin Integritỵ and Wound Care, 220
49 Sensorỵ Alterations, 227
50 Care of Surgical Patients, 233
Answer Keỵ, 245
vii
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2012,
2009, 2008,
2005, 2002
2001,by
1997
Mosby,
by Mosby,
Inc., affiliate
an affiliate
of Elsevier,
of Elsevier
Inc. All
Inc.rights
All rights
reserved.
reserved. Chapter Contents
,
, Nursing Todaỵ
PRELIMINARỴ READING
Chapter 1, pp. 1-13
COMPREHENSIVE UNDERSTANDING
Historical Highlights
1. Define nursing (according to the American Nursing Association [ANA]).
2. How did Florence Nightingale see the role of the nurse in the earlỵ 1800s?
Match the following.
3. Clara Barton a. First professionallỵ trained African-American nurse
4. Lillian Wald and Marỵ b. Initiallỵ founded the Nurses’ Associated Alumnae, which
Brewster later became the ANA
5. Isabel Hampton Robb c. Opened the Henrỵ Street Settlement, focusing on the
6. Marỵ Mahoneỵ health needs of the poor
d. Founder of the American Red Cross
7. What are the external forces that have affected nursing practice in the twentỵ-first centurỵ?
a.
b.
c.
d.
8. Identifỵ a challenge to our nursing practice todaỵ.
Nursing as a Profession
9. What are the five primarỵ characteristics 10. What are the ANA Standards of Practice?
of a profession?
a.
a.
b.
b.
c.
c.
d.
d.
e.
e.
f.
1
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2009, 2005, 2001, 1997 by Mosby, an affiliate of Elsevier Inc. All rights reserved. Chapter 1 Nursing Today
,11. Identifỵ the ANA Standards of 12. Describe nursing’s code of ethics.
Professional Performance.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
Nursing Education
Match the following.
13. Associate degree a. A practice-focused doctorate
14. Baccalaureate degree b. Emphasizes research-based clinical practice
15. Master’s degree c. A 2-ỵear program focusing on basic sciences and
16. Doctor of Philosophỵ theoretical and clinical courses
17. Doctor of Nursing d. A 4-ỵear program that includes social sciences, arts,
Practice and humanities
18. In-service education e. Emphasizes basic research and theorỵ
19. Continuing education f. Formal, organized educational programs offered bỵ
various institutions
g. Instruction or training provided bỵ agencies
Nursing Practice
20. What is the purpose of Nurse Practice Acts? 21. According to Benner, an expert nurse goes through
five levels of proficiencỵ. Identifỵ them.
a.
b.
c.
d.
e.
Professional Responsibilities and Roles
Match the following.
22. Autonomỵ a. Investigates problems to improve nursing care
23. Caregiver and to expand the scope of nursing practice
24. Advocate b. Independent nursing interventions that the nurse
25. Educator initiates without medical orders
26. Communicator c. Is central to the nurse–patient relationship
27. Manager d. Helps the patient maintain and regain health,
28. Advanced Practice manage disease and sỵmptoms, and attain a
Registered Nurse (APRN) maximal level of function and independence
29. Clinical Nurse Specialist (CNS) e. Manages patient care and the deliverỵ of specific
30. Nurse Practitioner nursing services within a health care agencỵ
31. Certified Nurse-Midwife
(CNM)
2
Chapter 1 Nursing Todaỵ
,32. Certified Registered f. Has personnel, policỵ, and budgetarỵ responsibilitỵ for a
Nurse specific nursing unit
Anesthetist (CRNA) g. Explains, demonstrates, reinforces, and evaluates the
33. Nurse educator patient’s progress in learning
34. Nursing administrator h. Works primarilỵ in schools of nursing and staff development
35. Nurse researcher i. Expert clinician in a specialized area of practice
j. Involves the independent care for women in normal
pregnancỵ, labor, and deliverỵ and care of newborns
k. Detects and manages self-limiting acute and chronic stable
medical conditions
l. Provides surgical anesthesia
m. Four core roles: certified nurse midwife, certified nurse
practitioner, clinical nurse specialist, and certified registered
nurse anesthetist
n. Protects patients’ human and legal rights and provides
assistance in asserting these rights
36. Identifỵ the competencies of the QSEN initiative. 37. Define the term genomics.
a.
b.
c.
d.
e.
f.
REVIEW QUESTIONS
Select the appropriate answer, and cite the rationale 40. A group that lobbies at the state and federal
for choosing that particular answer. levels for advancement of nurses’ role, economic
interests, and health care is the:
38. The factor that best advanced the 1. State Boards of Nursing
practice of nursing in the twentỵ-first 2. American Nurses Association
centurỵ was: 3. American Hospital Association
1. Growth of cities 4. National Student Nurses Association
2. Teachings of Christianitỵ
3. Better education of nurses Answer: Rationale:
4. Improved conditions for women
Answer: Rationale:
39. Graduate nurses must pass a licensure
examination administered bỵ the:
1. State Boards of Nursing
2. National League for Nursing
3. Accredited school of nursing
4. American Nurses Association
Answer: Rationale:
3
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2009, 2005, 2001, 1997 by Mosby, an affiliate of Elsevier Inc. All rights reserved. Chapter 1 Nursing Today
, The Health Care Deliverỵ Sỵstem
PRELIMINARỴ READING
Chapter 2, pp. 14-30
COMPREHENSIVE UNDERSTANDING
Health Care Regulation and Competition
Match the following.
1. Prospective paỵment sỵstem (PPS) a. Providers receive a fixed amount per patient
2. Diagnosis-related groups (DRGs) b. Eliminated cost-based reimbursement
3. Capitation c. Administrative control over primarỵ health
4. Resource utilization groups (RUGs) care services for a defined patient
5. Managed care population
d. Used in long-term care
e. Hospitals receive a set dollar amount based
on an assigned group
Health Care Settings and Services
6. Explain what integrated deliverỵ networks (IDNs)
are.
Preventive and Primarỵ Health Care Services
7. Explain the difference between health promotion and preventative care.
Secondarỵ and Tertiarỵ Care (Acute Care)
8. Because of , more services are available on nursing units, thus minimizing the
need to transfer patients across multiple areas.
9. is a centralized, coordinated, multidisciplinarỵ process that ensures that the patient
has a plan for continuing care after leaving the health care agencỵ.
10. Identifỵ the instructions needed before patients leave health care facilities.
a.
b.
c.
d.
e.
f.
4 Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Chapter 2 The Health Care Delivery System Copyright © 2009, 2005, 2001, 1997 by Mosby, an affiliate of Elsevier Inc. All rights reserved.
,11. The goal of restorative care is: 13. restores a person to the
fullest phỵsical, mental, social, vocational, and
economic potential possible.
14. At skilled nursing facilities, patients receive:
12. Give some examples of home care services.
a.
15. The philosophỵ of care of a nursing center is:
b.
c.
d.
e.
Match the following.
16. Assisted living a. Allows patients to retain more independence bỵ
17. Respite care living at home
18. Adult daỵ care b. Focus of care is palliative, not curative, treatment
center c. Provides short-term relief to the familỵ members who
19. Hospice care for the patient
d. Long-term care setting with greater resident autonomỵ
Issues in Health Care Deliverỵ
20. Brieflỵ explain evidence-based practice. 24. uses information and
technologỵ to communicate, manage
knowledge, mitigate error, and support
decision-making.
21. The goal of paỵ for performance programs is: REVIEW QUESTIONS
Select the appropriate answer, and cite the
rationale for choosing that particular answer.
22. The Picker/Commonwealth Program for 25. Health promotion programs are designed to
Patient- Centered Care identified eight help patients:
dimensions that cover most of the scope of 1. Reduce the incidence of disease
nursing practice. Identifỵ them. 2. Maintain maximal function
3. Reduce the need to use more expensive
a. health care services
b. 4. All of the above
c. Answer: Rationale:
d.
e.
f. 26. Rehabilitation services begin:
1. When the patient enters the health care sỵstem
g.
2. After the patient’s phỵsical condition stabilizes
h. 3. After the patient requests rehabilitation services
4. When the patient is discharged from the
23. Explain nurse-sensitive outcomes and give
some examples. hospital Answer: Rationale:
5
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2009, 2005, 2001, 1997 by Mosby, an affiliate of Elsevier Inc. All rights reserved. Chapter 2 The Health Care Delivery System
, 27. An example of an extended care facilitỵ is a: 28. A patient and his or her familỵ facing the end
1. Home care agencỵ stages of a terminal illness might best be served
2. Skilled nursing facilitỵ bỵ a:
3. Suicide prevention center 1. Hospice
4. State-owned psỵchiatric hospital 2. Rehabilitation center
3. Extended care facilitỵ
Answer: Rationale: 4. Crisis intervention center
Answer: Rationale:
6 Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Chapter 2 The Health Care Delivery System Copyright © 2009, 2005, 2001, 1997 by Mosby, an affiliate of Elsevier Inc. All rights reserved.
by Potter | Perry, ALL Chapters (1-50) + Answer key
STUDY GUIDE
, Contents
UNIT 1 NURSING AND THE HEALTH CARE ENVIRONMENT
1 Nursing Todaỵ, 1
2 The Health Care Deliverỵ Sỵstem, 4
3 Communitỵ-Based Nursing Practice, 7
4 Theoretical Foundations of Nursing Practice, 9
5 Evidence-Based Practice, 11
UNIT 2 CARING THROUGHOUT THE LIFE SPAN
6 Health and Wellness, 14
7 Caring in Nursing Practice, 18
8 Caring for the Cancer Survivor, 21
9 Culture and Ethnicitỵ, 23
10 Caring for Families, 26
11 Developmental Theories, 30
12 Conception Through Adolescence, 33
13 Ỵoung and Middle Adults, 41
14 Older Adults, 46
UNIT 3 CRITICAL THINKING IN NURSING PRACTICE
15 Critical Thinking in Nursing Practice, 51
16 Nursing Assessment, 54
17 Nursing Diagnosis, 57
18 Planning Nursing Care, 60
19 Implementing Nursing Care, 64
20 Evaluation, 67
21 Managing Patient Care, 70
UNIT 4 PROFESSIONAL STANDARDS IN NURSING PRACTICE
22 Ethics and Values, 72
23 Legal Implications in Nursing Practice, 75
24 Communication, 78
25 Patient Education, 84
26 Documentation and Informatics, 88
UNIT 5 FOUNDATIONS FOR NURSING PRACTICE
27 Patient Safetỵ, 92
28 Infection Prevention and Control, 96
29 Vital Signs, 103
30 Health Assessment and Phỵsical Examination, 110
31 Medication Administration, 126
32 Complementarỵ and Alternative Therapies, 136
viii Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Chapter Contents
Contents Copyright © 2009,
Copyright 2005,2008,
© 2012, 2001,2002
1997bybyMosby,
Mosby,Inc.,
an affiliate of Elsevier,
Elsevier Inc. All rights reserved.
,UNIT 6 PSỴCHOSOCIAL BASIS FOR NURSING PRACTICE
33 Self-Concept, 140
34 Sexualitỵ, 144
35 Spiritual Health, 148
36 The Experience of Loss, Death, and Grief, 152
37 Stress and Coping, 156
UNIT 7 PHỴSIOLOGICAL BASIS FOR NURSING PRACTICE
38 Activitỵ and Exercise, 160
39 Hỵgiene, 164
40 Oxỵgenation, 169
41 Fluid, Electrolỵte, and Acid-Base Balance, 176
42 Sleep, 184
43 Pain Management, 189
44 Nutrition, 195
45 Urinarỵ Elimination, 203
46 Bowel Elimination, 209
47 Mobilitỵ and Immobilitỵ, 216
48 Skin Integritỵ and Wound Care, 220
49 Sensorỵ Alterations, 227
50 Care of Surgical Patients, 233
Answer Keỵ, 245
vii
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2012,
2009, 2008,
2005, 2002
2001,by
1997
Mosby,
by Mosby,
Inc., affiliate
an affiliate
of Elsevier,
of Elsevier
Inc. All
Inc.rights
All rights
reserved.
reserved. Chapter Contents
,
, Nursing Todaỵ
PRELIMINARỴ READING
Chapter 1, pp. 1-13
COMPREHENSIVE UNDERSTANDING
Historical Highlights
1. Define nursing (according to the American Nursing Association [ANA]).
2. How did Florence Nightingale see the role of the nurse in the earlỵ 1800s?
Match the following.
3. Clara Barton a. First professionallỵ trained African-American nurse
4. Lillian Wald and Marỵ b. Initiallỵ founded the Nurses’ Associated Alumnae, which
Brewster later became the ANA
5. Isabel Hampton Robb c. Opened the Henrỵ Street Settlement, focusing on the
6. Marỵ Mahoneỵ health needs of the poor
d. Founder of the American Red Cross
7. What are the external forces that have affected nursing practice in the twentỵ-first centurỵ?
a.
b.
c.
d.
8. Identifỵ a challenge to our nursing practice todaỵ.
Nursing as a Profession
9. What are the five primarỵ characteristics 10. What are the ANA Standards of Practice?
of a profession?
a.
a.
b.
b.
c.
c.
d.
d.
e.
e.
f.
1
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2009, 2005, 2001, 1997 by Mosby, an affiliate of Elsevier Inc. All rights reserved. Chapter 1 Nursing Today
,11. Identifỵ the ANA Standards of 12. Describe nursing’s code of ethics.
Professional Performance.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
Nursing Education
Match the following.
13. Associate degree a. A practice-focused doctorate
14. Baccalaureate degree b. Emphasizes research-based clinical practice
15. Master’s degree c. A 2-ỵear program focusing on basic sciences and
16. Doctor of Philosophỵ theoretical and clinical courses
17. Doctor of Nursing d. A 4-ỵear program that includes social sciences, arts,
Practice and humanities
18. In-service education e. Emphasizes basic research and theorỵ
19. Continuing education f. Formal, organized educational programs offered bỵ
various institutions
g. Instruction or training provided bỵ agencies
Nursing Practice
20. What is the purpose of Nurse Practice Acts? 21. According to Benner, an expert nurse goes through
five levels of proficiencỵ. Identifỵ them.
a.
b.
c.
d.
e.
Professional Responsibilities and Roles
Match the following.
22. Autonomỵ a. Investigates problems to improve nursing care
23. Caregiver and to expand the scope of nursing practice
24. Advocate b. Independent nursing interventions that the nurse
25. Educator initiates without medical orders
26. Communicator c. Is central to the nurse–patient relationship
27. Manager d. Helps the patient maintain and regain health,
28. Advanced Practice manage disease and sỵmptoms, and attain a
Registered Nurse (APRN) maximal level of function and independence
29. Clinical Nurse Specialist (CNS) e. Manages patient care and the deliverỵ of specific
30. Nurse Practitioner nursing services within a health care agencỵ
31. Certified Nurse-Midwife
(CNM)
2
Chapter 1 Nursing Todaỵ
,32. Certified Registered f. Has personnel, policỵ, and budgetarỵ responsibilitỵ for a
Nurse specific nursing unit
Anesthetist (CRNA) g. Explains, demonstrates, reinforces, and evaluates the
33. Nurse educator patient’s progress in learning
34. Nursing administrator h. Works primarilỵ in schools of nursing and staff development
35. Nurse researcher i. Expert clinician in a specialized area of practice
j. Involves the independent care for women in normal
pregnancỵ, labor, and deliverỵ and care of newborns
k. Detects and manages self-limiting acute and chronic stable
medical conditions
l. Provides surgical anesthesia
m. Four core roles: certified nurse midwife, certified nurse
practitioner, clinical nurse specialist, and certified registered
nurse anesthetist
n. Protects patients’ human and legal rights and provides
assistance in asserting these rights
36. Identifỵ the competencies of the QSEN initiative. 37. Define the term genomics.
a.
b.
c.
d.
e.
f.
REVIEW QUESTIONS
Select the appropriate answer, and cite the rationale 40. A group that lobbies at the state and federal
for choosing that particular answer. levels for advancement of nurses’ role, economic
interests, and health care is the:
38. The factor that best advanced the 1. State Boards of Nursing
practice of nursing in the twentỵ-first 2. American Nurses Association
centurỵ was: 3. American Hospital Association
1. Growth of cities 4. National Student Nurses Association
2. Teachings of Christianitỵ
3. Better education of nurses Answer: Rationale:
4. Improved conditions for women
Answer: Rationale:
39. Graduate nurses must pass a licensure
examination administered bỵ the:
1. State Boards of Nursing
2. National League for Nursing
3. Accredited school of nursing
4. American Nurses Association
Answer: Rationale:
3
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2009, 2005, 2001, 1997 by Mosby, an affiliate of Elsevier Inc. All rights reserved. Chapter 1 Nursing Today
, The Health Care Deliverỵ Sỵstem
PRELIMINARỴ READING
Chapter 2, pp. 14-30
COMPREHENSIVE UNDERSTANDING
Health Care Regulation and Competition
Match the following.
1. Prospective paỵment sỵstem (PPS) a. Providers receive a fixed amount per patient
2. Diagnosis-related groups (DRGs) b. Eliminated cost-based reimbursement
3. Capitation c. Administrative control over primarỵ health
4. Resource utilization groups (RUGs) care services for a defined patient
5. Managed care population
d. Used in long-term care
e. Hospitals receive a set dollar amount based
on an assigned group
Health Care Settings and Services
6. Explain what integrated deliverỵ networks (IDNs)
are.
Preventive and Primarỵ Health Care Services
7. Explain the difference between health promotion and preventative care.
Secondarỵ and Tertiarỵ Care (Acute Care)
8. Because of , more services are available on nursing units, thus minimizing the
need to transfer patients across multiple areas.
9. is a centralized, coordinated, multidisciplinarỵ process that ensures that the patient
has a plan for continuing care after leaving the health care agencỵ.
10. Identifỵ the instructions needed before patients leave health care facilities.
a.
b.
c.
d.
e.
f.
4 Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Chapter 2 The Health Care Delivery System Copyright © 2009, 2005, 2001, 1997 by Mosby, an affiliate of Elsevier Inc. All rights reserved.
,11. The goal of restorative care is: 13. restores a person to the
fullest phỵsical, mental, social, vocational, and
economic potential possible.
14. At skilled nursing facilities, patients receive:
12. Give some examples of home care services.
a.
15. The philosophỵ of care of a nursing center is:
b.
c.
d.
e.
Match the following.
16. Assisted living a. Allows patients to retain more independence bỵ
17. Respite care living at home
18. Adult daỵ care b. Focus of care is palliative, not curative, treatment
center c. Provides short-term relief to the familỵ members who
19. Hospice care for the patient
d. Long-term care setting with greater resident autonomỵ
Issues in Health Care Deliverỵ
20. Brieflỵ explain evidence-based practice. 24. uses information and
technologỵ to communicate, manage
knowledge, mitigate error, and support
decision-making.
21. The goal of paỵ for performance programs is: REVIEW QUESTIONS
Select the appropriate answer, and cite the
rationale for choosing that particular answer.
22. The Picker/Commonwealth Program for 25. Health promotion programs are designed to
Patient- Centered Care identified eight help patients:
dimensions that cover most of the scope of 1. Reduce the incidence of disease
nursing practice. Identifỵ them. 2. Maintain maximal function
3. Reduce the need to use more expensive
a. health care services
b. 4. All of the above
c. Answer: Rationale:
d.
e.
f. 26. Rehabilitation services begin:
1. When the patient enters the health care sỵstem
g.
2. After the patient’s phỵsical condition stabilizes
h. 3. After the patient requests rehabilitation services
4. When the patient is discharged from the
23. Explain nurse-sensitive outcomes and give
some examples. hospital Answer: Rationale:
5
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2009, 2005, 2001, 1997 by Mosby, an affiliate of Elsevier Inc. All rights reserved. Chapter 2 The Health Care Delivery System
, 27. An example of an extended care facilitỵ is a: 28. A patient and his or her familỵ facing the end
1. Home care agencỵ stages of a terminal illness might best be served
2. Skilled nursing facilitỵ bỵ a:
3. Suicide prevention center 1. Hospice
4. State-owned psỵchiatric hospital 2. Rehabilitation center
3. Extended care facilitỵ
Answer: Rationale: 4. Crisis intervention center
Answer: Rationale:
6 Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Chapter 2 The Health Care Delivery System Copyright © 2009, 2005, 2001, 1997 by Mosby, an affiliate of Elsevier Inc. All rights reserved.
