Test Bank Davis Advantage for Basic Nursing: Thinking, Doing, and Caring 3rd Edition Treas, Barnett and Smith |Newest Update (2024) All Chapters 1-41 Exam Elaborations Questions and Answer Key Feedback

,DAVIS ADVANTAGE BASIC NURSING :THINKING, DOING AND
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Davis Advantage Basic Nursing: Thinking, Doing, and Caring 3rd Edition Tre
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CARING 3RD EDITION TREAS WIKINSON
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Wilkinson Test Bank
Chapter 1 Evolution of Nursing Thought & Action
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Multiple Choice sx


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 nursin sx sx sx sx sx sx sx sx sx sx


g profession? 1)
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Physicians need for handmaidens sx sx sx


sx2)
Societal need for healthcare outside the hom
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e 3) sx


Military demand for nurses in the field 4
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) Germ theory influence on sanitation A
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NS: 3 sx


Throughout the centuries, stability of the government has been related to the success of t
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he military to protect or extend its domain. As the survival and well-
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being of soldiers is critical, nurses provided healthcare to the sick and injured at the bat
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tle site. The physicians handmaiden was/is a nursing stereotype rather than an influe
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nce on nursing. Although there has been need for healthcare outside the home througho
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ut history, this has more influence on the development of hospitals than on nursing; this
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need provided one more setting for nursing work. Germ theory and sanitation helped to i
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mprove 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 | Cog
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nitive level: Recall sx sx


2. Which of the following is an example of an illness prevention activity? Selec
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t all that apply.
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1)
Encouraging the use of a food diar sx sx sx sx sx sx


y 2) sx


Joining a cancer support group sx sx sx sx


sx3)
Administering immunization for HPV sx sx sx sx


4)
Teaching a diabetic patient about his diet A
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NS: 3 sx


Administering immunization for HPV is an example of illness prevention. Although cancer
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sxis a disease, it is assumed that a person joining a support group would already have the di
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sease; 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; th
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e patient already has diabetes, so it cannot prevent diabetes.
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PTS: 1 DIF: Moderate REF: p. 18; high-
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level question, not directly stated in text KEY: Nursing process: N/A | Client need: HPM
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| Cognitive level: Application
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3. Which of the following contributions of Florence Nightingale had an sx sx sx sx sx sx sx sx sx


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


2)
x

,Improving nursing education sx sx s


x3)
Changing the delivery of care in hospital sx sx sx sx sx sx


s 4) sx


Establishing nursing as a distinct profession sx sx sx sx sx sx


ANS: 1 sx


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


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- sx sx sx sx sx sx sx sx


spectrum nursing role. Which one is essential for the nurse to do in order to successfu
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lly carry out all the others?
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1)
Thinking and reasoning about the clients car sx sx sx sx sx sx


e 2) sx


Providing hands- sx


on client care 3)
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Carrying out physician orders sx sx sx sx


4)
Delegating to assistive personnel sx sx sx s


xANS: 1 sx


A substantial portion of the nursing role involves using clinical judgment, critical think
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ing, and problem solving, which directly affect the care the client will actually receive.
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xProviding hands- sx


on care is important; however, clinical judgment, critical thinking, and problem solving
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are essential to do it successfully. Carrying out physician orders is a small part of a nu
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rses role; it, too, requires nursing assessment, planning, intervention, and evaluation. M
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any simple nursing tasks are being delegated to nursing assistive personnel; delegation
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requires careful analysis of patient status and the appropriateness of support personnel
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to deliver care. Another way to analyze this question is that none of the options of pr
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oviding hands- sx


on care, carrying out physician orders, and delegating to assistive personnel is required
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xfor the nurse to think and reason about a clients care; so the answer must be 1.
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PTS:1DIFifficultREF: p. 11 sx sx


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
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is true?
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1)
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.
3)
The nurse must have experience in many areas before being considered an expe
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rt. 4) sx


The nurses progress through the stages is determined by years of experience and skills. A
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NS: 2 sx


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 m
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odel does not mention experience in many areas. The model does not mention years of
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xexperience.
PTS:1DIF:ModerateREF:p. 15 s 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 professio
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n to develop a definition of nursing?
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1)
There are too many different and conflicting images of nurse
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s. 2) sx


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


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


There are different education pathways and levels of practice.
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ANS: 2
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The conflicting images of nursing make it more important to develop a definition; they
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xmay 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 nu
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rsing care is delivered. Constant changes make it difficult to develop a definition. Altho
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ugh different nursing organizations have different definitions, they are similar in most w
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ays. The different education pathways affect entry into practice, not the definition of nur
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sing.
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 healthcar sx sx sx sx sx sx sx sx sx sx


e 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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x2)
Nurses have a long history of serving the public
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. 3)sx


Nurses have achieved some independence from physicians in recent years.
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x4)
Political involvement has helped refute negative images portrayed in the media.
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ANS: 1 sx




Nurses are trusted professionals and the largest health professional group. As such, the
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y 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 est
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ablishing health policy. Independence from physicians, although positive, does not necess
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arily make nurses influential in establishing healthcare policy. Refuting negative media, a
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lthough positive, does not necessarily make nurses influential in establishing healthcare p
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olicy.
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 o sx sx sx sx sx sx sx sx sx sx sx


f which faith?
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1)