Davis Advantage Basic Nursing: Thinking, Doing, and Caring (3rd Edition) Test Bank Authors: Treas, Barnett, Smith

Davis Advantage Basic Nursing: Thinking, Doing,
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and Caring 3rd Edition TreasWilkinson Test Bank
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,Chapter 1 Evolution of Nursing Thought & Action
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Multiple Choice x



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 nursing x x x x x x x x x x



profession? 1)
x x



Physicians need for handmaidens x x x



2)
x



Societal need for healthcare outside the home
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3)
x



Military demand for nurses in the field 4)
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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 of the
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military to protect or extend its domain. As the survival and well-being of soldiers is
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xcritical, nurses provided healthcare to the sick and injured at the battle site. The
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physicians handmaiden was/is a nursing stereotype rather than an influence on
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xnursing. Although there has been need for healthcare outside the home throughout history,
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this has more influence on the development of hospitals than on nursing; this need
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provided one more setting for nursing work. Germ theory and sanitation helped to
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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: N/A |
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Cognitive level: Recall
x x x



2. Which of the following is an example of an illness prevention activity? Select x x x x x x x x x x x x



all that apply.
x x x



1)
Encouraging the use of a food diary x x x x x x



2)
x



Joining a cancer support group
x x x x



3)
x



Administering immunization for HPV x x x



4)
x



Teaching a diabetic patient about his diet x x x x x x



ANS: 3
x x



Administering immunization for HPV is an example of illness prevention. Although cancer x x x x x x x x x x x



is a disease, it is assumed that a person joining a support group would already have the
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disease; therefore, this is not disease prevention but treatment. Illness-prevention activities
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focus on avoiding a specific disease. A food diary is a health-promotion activity.
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Teaching a diabetic patient about diet is a treatment for diabetes; the patient already
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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 KEY:
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Nursing process: N/A | Client need: HPM | Cognitive level: Application
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3. Which of the following contributions of Florence Nightingale had an x x x x x x x x x



immediate impact on improving patients health?
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1)
Providing a clean environment x x x



2)
x

,Improving nursing education x x



3)
x



Changing the delivery of care in hospitals x x x x x x



4)
x



Establishing nursing as a distinct profession x x x x x



ANS: 1
x x



Improved sanitation (a clean environment) greatly and immediately reduced the rate of
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infection and mortality in hospitals. The other responses are all activities of Florence
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Nightingale that improved healthcare or nursing, but the impact is long range, not
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immediate.
x



PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10; student
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must 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. Which one
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is essential for the nurse to do in order to successfully carry out all the others?
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1)
Thinking and reasoning about the clients care
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2)
x



Providing hands-on client care x x x



3)
x



Carrying out physician orders x x x



4)
x



Delegating to assistive personnel x x x



ANS: 1
x x



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 physician
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orders is a small part of a nurses role; it, too, requires nursing assessment, planning,
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intervention, and evaluation. Many simple nursing tasks are being delegated to nursing
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assistive personnel; delegation requires careful analysis of patient status and the
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appropriateness of support personnel to deliver care. Another way to analyze this
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xquestion is that none of the options of providing hands-on care, carrying out physician
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orders, and delegating to assistive personnel is required for the nurse to think and reason
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about a clients care; so the answer must be 1.
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PTS:1DIFifficultREF: p. 11 x x



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 x x x x x x x x x



is true?
x



1)
x



Progression through the stages is constant, with most nurses reaching the proficient stage.
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2)
Progression through the stages involves continual development of thinking and technical
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skills.
x



3)
The nurse must have experience in many areas before being considered an expert.
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4)
x



The nurses progress through the stages is determined by years of experience and skills.
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ANS: 2
x x



Movement through the stages is not constant. Benners model is based on integration of
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, knowledge, technical skill, and intuition in the development of clinical wisdom. The
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model does not mention experience in many areas. The model does not mention years of
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experience.
x



PTS:1DIF:ModerateREF:p. 15 x



KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall
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6. Which of the following best explains why it is difficult for the profession x x x x x x x x x x x x



to develop a definition of nursing?
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1)
There are too many different and conflicting images of nurses.
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2)
x



There are constant changes in healthcare and the activities of nurses.
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3)
x



There is disagreement among the different nursing organizations.
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4)
x



There are different education pathways and levels of practice.
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ANS: 2
x x



The conflicting images of nursing make it more important to develop a definition; they
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may also make it more difficult, but not to the extent that constant change does.
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Healthcare is constantly changing and with it come changes in where, how, and what
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nursing care is delivered. Constant changes make it difficult to develop a definition.
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Although different nursing organizations have different definitions, they are similar in
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most ways. The different education pathways affect entry into practice, not the
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definition of nursing.
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PTS: 1 DIF: Moderate REF: p. 11; How Is Nursing Defined?
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KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
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7. Nurses have the potential to be very influential in shaping healthcare x x x x x x x x x x



policy. Which of the following factors contributes most to nurses influence?
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1)
Nurses are the largest health professional group.
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2)
x



Nurses have a long history of serving the public.
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3)
x



Nurses have achieved some independence from physicians in recent years.
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4)
x



Political involvement has helped refute negative images portrayed in the media.
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ANS: 1
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Nurses are trusted professionals and the largest health professional group. As such, they
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have political power to effect changes. If nursing were a small group, there would be
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little potential for power in shaping policies, even if all the other answers were true.
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Serving the public, while positive, does not necessarily help nurses to be influential in
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establishing health policy. Independence from physicians, although positive, does not
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necessarily make nurses influential in establishing healthcare policy. Refuting negative
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media, although positive, does not necessarily make nurses influential in establishing
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healthcare policy.
x x



PTS: 1 DIF: Moderate REF: p. 21
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KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
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8. Nursing was described as a distinct occupation in the sacred books of x x x x x x x x x x x



which faith?
x x



1)