Davis Advantage Basic Nursing: Thinking, Doing, and Caring 3rd Edition Treas Wilkinson Test Bank

,Chapter 1 Evolution of Nursing Thought & Action iv iv iv iv iv iv iv


Multiple Choice iv


Identify the choice that best completes the statement or answers the question.
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1. What is the most influential factor that has shaped the iv iv iv iv iv iv iv iv iv


nursingprofession? 1)
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Physicians need for iv iv


handmaidens2)
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Societal need for healthcare outside the iv iv iv iv iv


home3)
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Military demand for nurses in the field iv iv iv iv iv iv


4)Germ theory influence on sanitation
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ANS: 3
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Throughout the centuries, stability of the government has been related to the success
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of themilitary to protect or extend its domain. As the survival and well-being of
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soldiers is critical, nurses provided healthcare to the sick and injured at the battle
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site. The physicians handmaiden was/is a nursing stereotype rather than an
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influence on nursing. Although there has been need for healthcare outside the home
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throughout history, this has more influence on the development of hospitals than on
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nursing; this need provided one more setting for nursing work. Germ theory and
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sanitation helped to improve healthcare but did not shape nursing.
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PTS: 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Client need:
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N/A |Cognitive level: Recall
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2. Which of the following is an example of an illness prevention activity? iv iv iv iv iv iv iv iv iv iv iv


Selectall that apply.
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1)
Encouraging the use of a food iv iv iv iv iv


diary2)
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Joining a cancer support iv iv iv


group3)
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Administering immunization for iv iv


HPV4)
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Teaching a diabetic patient about his iv iv iv iv iv


dietANS: 3
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Administering immunization for HPV is an example of illness prevention. Although iv iv iv iv iv iv iv iv iv iv


canceris a disease, it is assumed that a person joining a support group would already
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have the disease; therefore, this is not disease prevention but treatment. Illness-
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prevention activities focus on avoiding a specific disease. A food diary is a health-
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promotion activity. Teaching a diabetic patient about diet is a treatment for diabetes;
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the patient already has diabetes, so it cannot prevent diabetes.
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PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in text
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KEY:Nursing process: N/A | Client need: HPM | Cognitive level: Application
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3. Which of the following contributions of Florence Nightingale iv iv iv iv iv iv iv


had animmediate impact on improving patients health?
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1)
Providing a clean iv iv


environment2)
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,Improving nursing iv


education3)
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Changing the delivery of care in iv iv iv iv iv


hospitals4)
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Establishing nursing as a distinct iv iv iv iv


professionANS: 1
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Improved sanitation (a clean environment) greatly and immediately reduced the
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rate ofinfection and mortality in hospitals. The other responses are all activities
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of Florence Nightingale that improved healthcare or nursing, but the impact is
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long range, not immediate.
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PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10;
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studentmust infer from content
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KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
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4. All of the following are aspects of the full-spectrum nursing role.
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Which oneis essential for the nurse to do in order to successfully carry out all
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the others?
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1)
Thinking and reasoning about the clients iv iv iv iv iv


care2)
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Providing hands-on client iv iv


care3)
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Carrying out physician iv iv


orders4)
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Delegating to assistive iv iv


ivpersonnelANS: 1 iv iv


A substantial portion of the nursing role involves using clinical judgment, critical
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thinking, and problem solving, which directly affect the care the client will actually
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receive. Providing hands-on care is important; however, clinical judgment, critical
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thinking, and problem solving are essential to do it successfully. Carrying out
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physician orders is a small part of a nurses role; it, too, requires nursing
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assessment, planning, intervention, and evaluation. Many simple nursing tasks are
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being delegated to nursing assistive personnel; delegation requires careful analysis
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of patient status and the appropriateness of support personnel to deliver care.
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Another way to analyze this question is that none of the options of providing
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hands-on care, carrying out physician orders, and delegating to assistive personnel
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is required for the nurse to think and reasonabout a clients care; so the answer
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must be 1.
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PTS:1DIFifficultREF: p. 11 iv iv


KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
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5. Which statement pertaining to Benners practice model for clinical competence iv iv iv iv iv iv iv iv iv


is
true?
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1)
Progression through the stages is constant, with most nurses reaching the proficient
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stage.
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2)
Progression through the stages involves continual development of thinking and
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technicalskills.
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3)
The nurse must have experience in many areas before being considered an
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expert.4)
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, The nurses progress through the stages is determined by years of experience and
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skills.ANS: 2
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Movement through the stages is not constant. Benners model is based on integration of
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