TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry

Chapter01:NursingToday c/t c/t c/t




Potter:FundamentalsofNursing,11thEdition
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MULTIPLECHOICE c/t




1. Whichnurse most likelykept records on sanitationtechniques and the effects on health?
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a. FlorenceNightingale c/t




b. MaryNutting c/t




c. ClaraBarton c/t




d. LillianWald c/t




ANS: A c / t




Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor c/t c /t c/ t c/ t c/t c/ t c/t c/t c/t c/t c/t




sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came after
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Nightingale, each contributing to the nursing profession in her own way. Mary Nutting was
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instrumental in moving nursing educationinto universities. ClaraBarton founded the American
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Red Cross. Lillian Wald helped open the Henry Street Settlement.
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DIF:Understand(comprehension) c/t




OBJ:Discusstheinfluenceof social,historical,political, andeconomicchangesonnursingpractices. c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




TOP: Evaluation MSC: Health Promotion and Maintenance c / t c/t c/t c/t




2. Thenurseprescribes strategies and alternatives to attain expectedoutcome. Which standard of
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c/t nursing practice is the nurse following? c /t c/t c/ t c/t c/t




a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C c / t




In planning, the registered nurse develops a plan that prescribes strategies and alternatives to attain
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expected outcomes. During assessment, the registered nurse collects comprehensive data
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pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse analyzes the
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assessment data to determinethe diagnoses or issues. During implementation,the registered nurse
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implements (carries out) the identified plan.
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DIF:Understand(comprehension) c/t




OBJ:Discuss the development of professional nursing roles. c/t c /t c/t c/t c/t c/t TOP:Planning c/t




MSC: Management of Care
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3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
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c/t proficiency is the nurse upon initial transition to the obstetrical floor? c/t c/ t c/t c/t c/ t c/t c/t c /t c/ t c/t




a. Novice
b. Proficient
c. Competent
d. Advancedbeginner c/t




ANS: A c / t

, A beginning nursing student or any nurse entering a situation in which there is no previous level of
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experience (e.g., an experienced operating room nurse chooses to now practice in home health) is
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an example of a novicenurse. A proficient nurse perceives a patient’s clinical situation as a whole, is
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able to assess an entire situation, and can readily transfer knowledge gained from multiple
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previous experiences to a situation. A competent nurse understands the organization and specific
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care required by the type of patients (e.g., surgical, oncology, or orthopedic patients). This nurse is
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a competent practitioner who is able to anticipate nursing care and establish long-range goals. A
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nurse who has had some level of experience with the situation is an advanced beginner. This
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experience may only be observational in nature, but the nurse is able to identify meaningful aspects
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or principles of nursing care.
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DIF:Apply(application) c/t




OBJ:Discuss the development of professional nursing roles. c/t c /t c/t c/t c/t c/t TOP:Evaluation c/t




MSC: Management of Care
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4. A nurse assesses a patient’sfluid status and decidesthat the patient needs to drink more fluids. The
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c/t nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?
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a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B c / t




Autonomy is an essential element of professional nursing that involves the initiation of independent c/t c /t c /t c/t c/t c/t c/t c/t c/ t c/t c/ t c/t c /t




nursing interventions without medical orders. To obtain licensure in the United States, the RN
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candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse may chooseto work
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toward certification in a specificareaof nursing practice. Accountability means that you are
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responsible, professionally and legally, for the type and quality of nursing care provided.
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DIF:Apply(application) c/t




OBJ:Discuss the roles and career opportunities for nurses. c/t c /t c /t c/ t c /t c/ t c/t TOP:Implementation c/t




MSC: Management of Care
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5. A nurse prepares the budget and policies for an intensive careunit. Which role is the nurse
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implementing?
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a. Educator
b. Manager
c. Advocate
d. Caregiver

ANS: B c / t

, A manager coordinates the activities of members of the nursing staff in delivering nursing care and
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has personnel, policy, and budgetary responsibility for a specific nursing unit or facility. As an
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educator, you explain concepts and facts about health, describe the reason for routine care
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activities, demonstrate procedures such as self-care activities, reinforce learning or patient
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behavior, and evaluate the patient’s progress in learning. As a patient advocate, you protectyour
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patient’s human and legal rights and provide assistance in asserting theserights if the need arises. As
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a caregiver, you help patients maintain and regain health, manage disease and symptoms, and
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attain a maximal level function and independence through the healing process.
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DIF:Apply(application) c/t




OBJ:Discuss the roles and career opportunities for nurses. c/t c /t c /t c/ t c /t c/ t c/t TOP:Implementation c/t




MSC: Management of Care
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6. The nurse has been working in the clinical setting for several years as an advanced practice nurse.
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However, thenurse has a strong desire to pursueresearch and theory development. To fulfill this
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desire, which program should the nurse attend?
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a. Doctorof NursingSciencedegree (DNSc) c/t c/t c/t c/t c/t




b. Doctor of Philosophydegree (PhD) c/t c/t c/t c/t




c. Doctor of NursingPractice degree (DNP) c/t c/t c/t c/t c/t




d. Doctor in theScienceof Nursing degree (DSN) c/t c/t c/t c/t c/t c/t c/t




ANS: B c / t




Some doctoral programs prepare nurses for more rigorous research and theory development and
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award theresearch-orientedDoctor of Philosophy (PhD) in nursing. Professional doctoral
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programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
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nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
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practitioners.
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DIF:Understand(comprehension) c/t




OBJ:Compareand contrast the educational programs available for professional registered nurse (RN) c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




education.
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7. A nurse attends aworkshop on current nursing issues provided by the AmericanNurses
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Association. Which type of education did the nurse receive?
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a. Graduateeducation c/t




b. Inserviceeducation c/t




c. Continuingeducation c/t




d. Registerednurse education c/t c/t




ANS: C c / t




Continuing education involves formal, organized educational programs offered by universities, c/t c/t c/t c/t c/t c/t c/t c/t c/ t




hospitals, state nurses associations, professional nursing organizations, and educational and health
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careinstitutions. Afterobtaining a baccalaureate degreein nursing, you can pursue graduate
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education leading to a master’s or doctoral degree in any number of graduate fields, including
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nursing. Inservice education programs are instruction or training provided by a health care facility
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or institution. Registered nurse education is the education preparation for an individual intending
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to be an RN.
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DIF:Apply(application) c/t




OBJ:Compareandcontrasttheeducationalprogramsavailableforprofessionalregisterednurse(RN) c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t

, education. TOP: c / t Teaching/Learning MSC: Management of Care c / t c/t c/t




8. A nurse identifiesgaps between local and best practices.Which Quality and Safety Education for
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c/t Nurses (QSEN) competency is the nurse demonstrating?
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a. Safety
b. Patient-centeredcare c/t




c. Qualityimprovement c/t




d. Teamwork andcollaboration c/t c/t




ANS: C c / t




Quality improvement identifies gaps between local and best practices. Safety minimizes risk of
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harm to patients and providers through both system effectiveness and individual performance.
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Patient-centeredcare recognizes the patient or designee as the sourceof control and full partner in
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providing compassionate and coordinated care based on respect for patient’s preferences, values,
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and needs. Teamwork and collaboration allows effective functioning within nursing and
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interprofessional teams, fostering open communication, mutual respect, and shared decision
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making.
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DIF:Understand(comprehension) c/t




OBJ:Discuss the roles and career opportunities for nurses. c/t c /t c /t c/ t c /t c/ t c/t TOP:Evaluation c/t




MSC: Management of Care
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9. Anursehas compassion fatigue. What is the nurse experiencing?
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a. Lateralviolenceandintrapersonal conflict c/t c/t c/t c/t




b. Burnout and secondarytraumatic stress c/t c/t c/t c/t




c. Short-termgriefand single stressor c/t c/t c/t c/t




d. Physicaland mental exhaustion c/t c/t c/t




ANS: B c / t




Compassion fatigue is a term used to describea state of burnout and secondary traumatic stress. c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




Compassion fatigue may contribute to what is described as lateral violence
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(nurse-nurseinteractions,not intrapersonal). Frequent, intense, or prolonged exposureto grief and c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




loss places nurses at risk for developing compassion fatigue. Stressors, not a single stressor,
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contribute to compassion fatigue. Physical and mental exhaustion describes burnout only.
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DIF:Understand(comprehension) c/t




OBJ:Discusstheinfluenceof social,historical,political, andeconomicchangesonnursingpractices. c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




TOP: Assessment MSC: Health Promotion and Maintenance c / t c/t c/t c/t




10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient
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tellsthenurse, ―Ihaveno ideawhatis goingtohappen. Icouldn’t ask anyquestions.‖ Thenursedoes
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not allow the patient to sign the permit and notifies the health careprovider of the situation. Which
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role is the nurse displaying?
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a. Manager
b. Patienteducator c/t




c. Patientadvocate c/t




d. Clinicalnurse specialist c/t c/t




ANS: C c / t