Fundamentals of Nursing 9th Edition w w w w
Chapter01: Nursing Today w w w
Potter et al.: Fundamentals of Nursing, 9th Edition MULTIPLE
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w CHOICE
1. Which nurse most likelykept records on sanitation techniques and theeffects on health?
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a. Florence Nightingale w w
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b. Mary Nutting w w
c. Clara Barton w w
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d. LillianWald w w
ANS: A w w
Nightingale was the first practicing nurse epidemiologist. Her statistical analysesconnected poor
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wsanitation with cholera and dysentery. MaryNutting, Clara Barton, and Lillian Waldcame after
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wNightingale, each contributing to the nursing profession in her own way. Mary Nutting was instrumental
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in moving nursing education into universities. Clara Barton founded the American Red Cross. Lillian
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Wald helped open the Henry Street Settlement.
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DIF:Understand (comprehension)REF:5 w w
OBJ: Discussthe influence ofsocial, historical, political, and economic changes on nursing
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TOP: Evaluation MSC: Health Promotion and Maintenance
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2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
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wnursing practice is the nurse following? w w w w w w
a. Assessment w
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b. Diagnosis w
c. Planning w
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d. Implementation w
ANS: C w w
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to attain
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wexpected outcomes. During assessment,the registered nurse collects comprehensive data pertinent to
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the patient’s health and/orthe situation. In diagnosis, the registered nurse analyzes the assessment data
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to determine the diagnoses or issues. During implementation, the registered nurse implements (carries
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out) the identified plan.
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DIF:Understand (comprehension)REF:2 w w
OBJ:Discussthe development of professional nursing roles. TOP: Planning
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,MSC:Management of Care w w
3. An experienced medical-surgical nurse chooses to workin obstetrics. Which level of proficiency is
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nurse upon initial transition to the obstetrical floor?
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a. Novice w
b. Proficient w
c. Competent w
d. Advanced beginner w w
ANS: A w w
A beginning nursing student or any nurse entering a situation in which there is no previous level of
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wexperience (e.g., an experienced operating room nurse chooses to now practice in home health) is an
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example of a novice nurse. A proficient nurse perceives a patient’s clinical situation as a whole, is able to
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assess an entire situation, and can readily transferknowledge gained from multiple previous experiences
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to a situation. A competent nurse understands the organization and specific care required by the type of
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patients (e.g., surgical, oncology, or orthopedic patients). This nurseis a
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competent practitioner who is able to anticipate nursing care and establish long-range goals. A nurse who
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has had some level of experience with the situation is an advanced beginner. Thisexperience may only be
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observationalin nature, but the nurse is able to identify meaningful aspects or principles of nursing care.
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DIF:Apply (application)REF:2 w w
OBJ: Discussthe development of professional nursing roles. TOP: Evaluation MSC:Management
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w of Care
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4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids. The
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nurse then encourages the patient to drink more fluids.Which concept is the nurse demonstrating?
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a. Licensure w
b. Autonomy w
c. Certification w
d. Accountability w
ANS: B w w
Autonomyis an essential element of professional nursing thatinvolves the initiation ofindependent
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wnursing interventions without medical orders. To obtain licensurein the United States, the RN candidate
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must pass the NCLEX-RN®. Beyond the NCLEX-RN®,the nurse maychoose to work toward
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certificationin a specific area of nursing practice. Accountability means that you are responsible,
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professionally and legally, for the type and quality of nursing care provided.
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,DIF:Apply(application)REF:3 w
OBJ: Discussthe roles andcareer opportunities for nurses. TOP:Implementation
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w MSC:Management of Care w w w
5. A nurse prepares the budget and policies for an intensive care unit.Which role is the nurse
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wimplementing? w
a. Educator w
b. Manager w
c. Advocate w
d. Caregiver w
ANS: B w w
A manager coordinates the activities of members of the nursing staffin delivering nursing care and has
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personnel, policy, and budgetary responsibility for a specific nursing unit or facility.As an educator,you
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explain concepts and facts about health, describe the reason for routine care activities, demonstrate
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procedures such asself-care activities, reinforce learning or patient behavior, and evaluate the patient’s
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progress in learning. As a patient advocate, you protect your patient’s human and legal rights and
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provide assistancein asserting these rights if the need arises. As a caregiver,you help patients maintain
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and regain health, manage disease and symptoms, and attain a maximal level function and
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independence through the healing process.
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DIF:Apply (application)REF:4 w w
OBJ: Describe the roles and career opportunities for nurses. TOP:Implementation
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w MSC:Management of Care w w w
6. The nurse has been working in the clinical setting for several years as an advanced practice nurse.
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However, the nurse has a strong desire to pursue research and theory development. To fulfill this desire,
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which program should the nurse attend?
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a. Doctorof Nursing Science degree (DNSc) w w w w w w
b. Doctor of Philosophy degree (PhD) w w w w w
c. Doctorof Nursing Practice degree (DNP) w w w w w w
d. Doctorin the Science of Nursing degree (DSN)w w w w w w w w
ANS: B w w
Some doctoral programs prepare nurses for more rigorous research and theory development and award
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the research-oriented Doctor of Philosophy (PhD)in nursing. Professional doctoral programs in
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nursing (DSN or DNSc)prepare graduates to apply research findings to clinical nursing. The DNP is a
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practice doctorate that prepares advanced practice nurses such as nurse practitioners.
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, DIF:Understand(comprehension)REF:10 w
OBJ: Describe educational programs available for professional registered nurse (RN) education.
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w TOP:Teaching/LearningMSC:Management of Care w w w
7. A nurse attends a workshop on current nursing issues provided bythe American Nurses
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wAssociation.Which type of education did the nurse receive?
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a. Graduate education w w
b. Inserviceeducation w w
c. Continuing education w w
d. Registered nurse education w w w
ANS: C w w
Continuing educationinvolves formal, organized educational programs offered by universities,
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whospitals, state nurses associations, professional nursing organizations, and educational and health
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wcare institutions. After obtaining a baccalaureate degree in nursing, you can pursue graduate
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weducation leading to a master’s or doctoraldegree in any number of graduate fields,including nursing.
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Inservice education programs are instruction or training provided by a health care facility or institution.
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Registered nurse education is the education preparation for an individual intending to be an RN.
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DIF:Apply (application)REF:10 w w
OBJ: Describe educational programs available for professional registered nurse (RN) education.
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w TOP:Teaching/LearningMSC:Management of Care w w w
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education for
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wNurses (QSEN) competency is the nurse demonstrating?
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a. Safety w
b. Patient-centered care w
c. Quality improvement w w
d. Teamwork and collaboration w w
ANS: C w w
Quality improvement identifies gaps between local and best practices. Safety minimizes risk of harm to
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patients and providers through both system effectiveness and individual performance. Patient-
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wcentered care recognizes the patient or designee as the source of control and full partner in providing
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compassionate and coordinated care based on respect for patient’s preferences, values, and needs.
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Teamwork and collaboration allows effective functioning within nursing and
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