,Chapter 1 — Nursing Today — Nursing as a profession
Key Concept: Professional attributes of nursing
Nursing Process: Assessment
Stem: When assessing a newly hired nurse, which
characteristic best indicates that the nurse views nursing
as a profession rather than just a job?
Options:
A. Prefers shift work that avoids overtime.
B. Attends a professional association meeting to learn
about standards.
C. Requests assignments only within familiar tasks.
D. Focuses primarily on hourly pay rates.
Correct Answer: B — attends a professional association
meeting.
Rationale:
Correct (2–3 sentences): Attending professional
association meetings demonstrates commitment to
professional growth, standards, and accountability—key
markers of a profession. Fundamentals of Nursing, 12th
Ed., Ch. 1, p. 6. (ANA Standards: Professional Practice;
Nursing Process: Assessment.)
A (incorrect): Preferring shift work for lifestyle reasons
reflects personal preference, not professional identity.
C (incorrect): Limiting practice to familiar tasks suggests
, avoidance of professional development.
D (incorrect): Focusing on pay emphasizes job aspects
rather than professional values.
Teaching Point: Professionalism includes engagement with
organizations and standards.
2.
Question /stem
Chapter 1 — Nursing Today — Historical influences
Key Concept: Nightingale’s impact
Nursing Process: Assessment
Stem: Which historical contribution of Florence Nightingale
most directly shaped modern nursing’s focus on sanitation
and patient environment?
Options:
A. Development of advanced pharmacology texts.
B. Establishment of formal nursing education emphasizing
hygiene.
C. Creation of the first modern hospital administrative
system.
D. Introduction of patient-controlled analgesia.
Correct Answer: B — establishment of formal nursing
education emphasizing hygiene.
Rationale:
Correct (2–3 sentences): Nightingale’s writings and training
programs emphasized cleanliness and environmental
control, forming the foundation for nursing practice
, centered on patient environment and infection prevention.
Fundamentals of Nursing, 12th Ed., Ch. 1, p. 4. (ANA
Standards: Quality of Practice; Nursing Process:
Assessment.)
A (incorrect): Nightingale did not develop pharmacology
texts; her influence was environmental and educational.
C (incorrect): While she influenced organization, the key
lasting effect was education and sanitation.
D (incorrect): Patient-controlled analgesia is a modern
technology unrelated to Nightingale’s era.
Teaching Point: Nightingale’s legacy centers on
environment and nursing education.
3.
Question /stem
Chapter 1 — Nursing Today — Contemporary influences
Key Concept: Technology in nursing practice
Nursing Process: Implementation
Stem: A nurse uses a handheld electronic device to scan
medications and document administration at the bedside.
This practice best exemplifies which contemporary
influence on nursing?
Options:
A. Globalization of healthcare.
B. Emphasis on interprofessional conflict.
C. Integration of health information technology to improve
safety.
Key Concept: Professional attributes of nursing
Nursing Process: Assessment
Stem: When assessing a newly hired nurse, which
characteristic best indicates that the nurse views nursing
as a profession rather than just a job?
Options:
A. Prefers shift work that avoids overtime.
B. Attends a professional association meeting to learn
about standards.
C. Requests assignments only within familiar tasks.
D. Focuses primarily on hourly pay rates.
Correct Answer: B — attends a professional association
meeting.
Rationale:
Correct (2–3 sentences): Attending professional
association meetings demonstrates commitment to
professional growth, standards, and accountability—key
markers of a profession. Fundamentals of Nursing, 12th
Ed., Ch. 1, p. 6. (ANA Standards: Professional Practice;
Nursing Process: Assessment.)
A (incorrect): Preferring shift work for lifestyle reasons
reflects personal preference, not professional identity.
C (incorrect): Limiting practice to familiar tasks suggests
, avoidance of professional development.
D (incorrect): Focusing on pay emphasizes job aspects
rather than professional values.
Teaching Point: Professionalism includes engagement with
organizations and standards.
2.
Question /stem
Chapter 1 — Nursing Today — Historical influences
Key Concept: Nightingale’s impact
Nursing Process: Assessment
Stem: Which historical contribution of Florence Nightingale
most directly shaped modern nursing’s focus on sanitation
and patient environment?
Options:
A. Development of advanced pharmacology texts.
B. Establishment of formal nursing education emphasizing
hygiene.
C. Creation of the first modern hospital administrative
system.
D. Introduction of patient-controlled analgesia.
Correct Answer: B — establishment of formal nursing
education emphasizing hygiene.
Rationale:
Correct (2–3 sentences): Nightingale’s writings and training
programs emphasized cleanliness and environmental
control, forming the foundation for nursing practice
, centered on patient environment and infection prevention.
Fundamentals of Nursing, 12th Ed., Ch. 1, p. 4. (ANA
Standards: Quality of Practice; Nursing Process:
Assessment.)
A (incorrect): Nightingale did not develop pharmacology
texts; her influence was environmental and educational.
C (incorrect): While she influenced organization, the key
lasting effect was education and sanitation.
D (incorrect): Patient-controlled analgesia is a modern
technology unrelated to Nightingale’s era.
Teaching Point: Nightingale’s legacy centers on
environment and nursing education.
3.
Question /stem
Chapter 1 — Nursing Today — Contemporary influences
Key Concept: Technology in nursing practice
Nursing Process: Implementation
Stem: A nurse uses a handheld electronic device to scan
medications and document administration at the bedside.
This practice best exemplifies which contemporary
influence on nursing?
Options:
A. Globalization of healthcare.
B. Emphasis on interprofessional conflict.
C. Integration of health information technology to improve
safety.
