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PERRY CHAPTER 1-50
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,Chapter01: Nursing TodayIl̀ Il̀ Il̀
Potter:Fundamentals ofNursing,11thEdition
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MULTIPLE CHOICE Il`
1. Which nurse most likely kept records on sanitation techniques and the effects on health? a.
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Florence Nightingale Il`
b. Mary Nutting Il`
c. Clara Barton Il`
d. LillianWald Il̀
ANS: A Il`
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected Il` Il` Il` Il` Il` Il` Il` Il` I l` Il`
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
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came after Nightingale, each contributing to the nursing profession in her own way. Mary
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Nutting was instrumental in moving nursing education into universities. Clara Barton founded
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the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
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DIF:Understand (comprehension) Il`
OBJ:Discusstheinfluenceofsocial, historical, political, andeconomicchanges onnursingpractices. Il̀ Il̀ Il̀ Il̀ Il̀ Il̀ Il̀ Il̀ Il̀ Il` Il̀ Il̀
TOP: Evaluation MSC:HealthPromotionandMaintenance Il̀ Il̀ Il` Il̀
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
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nursing practice is the nurse following? a. Assessment
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b. Diagnosis
c. Planning
d. Implementation
ANS:C Il`
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
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attain expected outcomes. During assessment, the registered nurse collects comprehensive
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data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
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analyzes the assessment data to determine the diagnoses or issues. During implementation,
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the registered nurse implements (carries out) the identified plan.
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DIF:Understand (comprehension) Il`
OBJ:Discuss the development of professional nursing roles. Il` Il` I l` Il` Il` Il` TOP:PlanningMSC: Il̀ Il̀
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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proficiency is the nurse upon initial transition to the obstetrical floor? a. Novice
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b. Proficient
c. Competent
d. Advanced beginner Il`
, ANS: A Il`
A beginning nursing student or any nurse entering a situation in which there is no previous
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level of experience (e.g., an experienced operating room nurse chooses to now practice in
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homehealth) is an example of a novice nurse. Aproficient nurse perceives a patient’s clinical
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situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
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gained from multiple previous experiences to a situation. Acompetent nurse understands the
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organization and specific care required by the type of patients (e.g., surgical, oncology, or
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orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
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care and establish long-range goals. A nurse who has had some level of experience with the
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situation is an advanced beginner. This experience may only be observational in nature, but the
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nurse is able to identify meaningful aspects or principles of nursing care.
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DIF:Apply (application) I l`
OBJ:Discuss the development of professional nursing roles. Il` Il` I l` Il` Il` Il` TOP:EvaluationMSC: Il̀ Il̀
Management of Care
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4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more
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fluids. The nurse then encourages the patient to drink more fluids. Which concept is the
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nurse demonstrating? a. Licensure
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b. Autonomy
c. Certification
d. Accountability
ANS:B Il`
Autonomy is an essential element of professional nursing that involves the initiation of Il` Il` Il` I l` Il` Il` Il` Il` Il` Il` Il` Il`
independent nursing interventions without medical orders. To obtain licensure in the United
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States, the RN candidate must pass the NCLEX-RN . Beyond the NCLEX-RN , the nurse may
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choose to work toward certification in a specific area of nursing practice.Accountability means that
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you are responsible, professionally and legally, forthe type and qualityo f nursing care provided.
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DIF:Apply (application) I l`
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation MSC: I l ` I l ` I l ` I l ` I l ` I l ` I l ` I l ` I l ` I l `
Management of Care
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5. Anurse prepares the budget and policies for an intensive care unit. Which role is the nurse
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implementing?
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a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS:B Il`
Amanager coordinates the activities of members of the nursing staff in delivering nursing care
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and has personnel, policy, and budgetary responsibility for a specific nursing unit or
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, facility. As an educator, you explain concepts and facts about health, describe the reason for
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routine care activities, demonstrate procedures such as self-care activities, reinforce learning
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or patient behavior, and evaluate the patient’s progress in learning. As a patient advocate, you
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protect your patient’s human and legal rights and provide assistance in asserting these rights if the
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need arises. As a caregiver, you help patients maintain and regain health, manage disease and
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symptoms, and attain a maximal level function and independence through the healing process.
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DIF:Apply (application) I l`
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation MSC: I l ` I l ` I l ` I l ` I l ` I l ` I l ` I l ` I l ` I l `
Management of Care
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6. The nurse has been working in the clinical setting for several years as an advanced practice
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nurse. However, the nurse has a strong desire to pursue research and theorydevelopment.To
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fulfill this desire, which program should the nurse attend? a. Doctor of Nursing Science
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degree (DNSc)
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b. Doctor of Philosophy degree (PhD) Il` Il` Il` Il`
c. Doctor of Nursing Practice degree (DNP) Il` Il` Il` Il` I l`
d. Doctor in the Science of Nursing degree (DSN) Il` Il` Il` Il` Il` Il` I l`
ANS:B Il`
Some doctoral programs prepare nurses for more rigorous research and theory development
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and award the research-oriented Doctor 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) Il`
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN) Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
education. TOP: Teaching/Learning MSC: Management of Care
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7. Anurse attends a workshop on current nursing issues provided bytheAmerican Nurses
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Association. Which type of education did the nurse receive? a. Graduate education
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b. Inservice education Il`
c. Continuing education Il`
d. Registered nurse education Il` Il`
ANS:C Il`
Continuing education involves formal, organized educational programs offered by Il` Il` Il` Il` I l` Il` Il` Il`
universities, hospitals, state nurses associations, professional nursing organizations, and
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educational and health care institutions. After obtaining a baccalaureate degree in nursing,
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you can pursue graduate education leading to a master’s or doctoral degree in any number of
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graduate fields, including nursing. Inservice education programs are instruction or training
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provided by a health care facility or institution. Registered nurse education is the education
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preparation for an individual intending to be an RN.
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