, Chapter1 : Foundations of Nursing Practice
Stem: According to the ANA Scope and Standards, which
statement best defines the professional nursing role?
A. Nursing primarily provides comfort and emotional support
while physicians direct clinical decisions.
B. Nursing is the protection, promotion, and optimization of
health, prevention of illness and injury, facilitation of healing,
alleviation of suffering, and advocacy.
C. Nursing focuses exclusively on technical tasks and medication
administration delegated by providers.
D. Nursing’s role is limited to educating patients about disease
processes.
Correct Answer: B
Rationales:
• Correct (B): This statement matches the ANA’s
comprehensive definition of nursing that emphasizes
health promotion, prevention, healing, alleviating
suffering, and advocacy — core scope elements.
• Incorrect (A): Minimizes nursing autonomy and scope;
nursing participates in and leads many clinical decisions,
not just emotional support.
• Incorrect (C): Reduces nursing to tasks; scope includes
clinical judgment, assessment, and professional
responsibilities beyond delegated tasks.
, • Incorrect (D): Education is important but is only one
nursing activity; the scope is far broader.
Teaching Point: Nursing is a holistic, autonomous profession
focused on health and advocacy.
2.
Chapter 1, Section 1: Foundations of Nursing Practice
Stem: Which of the following best describes the relationship
between Scope of Practice and Standards of Practice in the ANA
document?
A. Scope of Practice prescribes legal penalties; Standards of
Practice describe how to avoid penalties.
B. Scope of Practice defines who may practice nursing;
Standards of Practice describe the responsibilities and
expectations for practice.
C. Scope of Practice lists every task a nurse must perform;
Standards of Practice explain employment policies.
D. Scope of Practice and Standards of Practice are
interchangeable terms.
Correct Answer: B
Rationales:
• Correct (B): Scope defines the boundaries and functions of
nursing; standards detail professional responsibilities and
expectations for competent practice.
, • Incorrect (A): Neither section primarily focuses on legal
penalties; regulation is a separate legal framework.
• Incorrect (C): Scope does not list every task; standards set
expectations for professional performance and practice.
• Incorrect (D): They are distinct concepts: scope (what) vs
standards (how).
Teaching Point: Scope = boundaries; standards = expectations
for professional practice.
3.
Chapter 1, Section 1: Foundations of Nursing Practice
Stem: The ANA Standards of Practice include a sequence of
steps describing the nursing process. Which is the correct order
of these standards?
A. Planning → Assessment → Implementation → Diagnosis →
Evaluation → Outcomes Identification
B. Assessment → Diagnosis → Outcomes Identification →
Planning → Implementation → Evaluation
C. Diagnosis → Assessment → Planning → Implementation →
Outcomes Identification → Evaluation
D. Implementation → Assessment → Diagnosis → Planning →
Outcomes Identification → Evaluation
Correct Answer: B
Rationales:
Stem: According to the ANA Scope and Standards, which
statement best defines the professional nursing role?
A. Nursing primarily provides comfort and emotional support
while physicians direct clinical decisions.
B. Nursing is the protection, promotion, and optimization of
health, prevention of illness and injury, facilitation of healing,
alleviation of suffering, and advocacy.
C. Nursing focuses exclusively on technical tasks and medication
administration delegated by providers.
D. Nursing’s role is limited to educating patients about disease
processes.
Correct Answer: B
Rationales:
• Correct (B): This statement matches the ANA’s
comprehensive definition of nursing that emphasizes
health promotion, prevention, healing, alleviating
suffering, and advocacy — core scope elements.
• Incorrect (A): Minimizes nursing autonomy and scope;
nursing participates in and leads many clinical decisions,
not just emotional support.
• Incorrect (C): Reduces nursing to tasks; scope includes
clinical judgment, assessment, and professional
responsibilities beyond delegated tasks.
, • Incorrect (D): Education is important but is only one
nursing activity; the scope is far broader.
Teaching Point: Nursing is a holistic, autonomous profession
focused on health and advocacy.
2.
Chapter 1, Section 1: Foundations of Nursing Practice
Stem: Which of the following best describes the relationship
between Scope of Practice and Standards of Practice in the ANA
document?
A. Scope of Practice prescribes legal penalties; Standards of
Practice describe how to avoid penalties.
B. Scope of Practice defines who may practice nursing;
Standards of Practice describe the responsibilities and
expectations for practice.
C. Scope of Practice lists every task a nurse must perform;
Standards of Practice explain employment policies.
D. Scope of Practice and Standards of Practice are
interchangeable terms.
Correct Answer: B
Rationales:
• Correct (B): Scope defines the boundaries and functions of
nursing; standards detail professional responsibilities and
expectations for competent practice.
, • Incorrect (A): Neither section primarily focuses on legal
penalties; regulation is a separate legal framework.
• Incorrect (C): Scope does not list every task; standards set
expectations for professional performance and practice.
• Incorrect (D): They are distinct concepts: scope (what) vs
standards (how).
Teaching Point: Scope = boundaries; standards = expectations
for professional practice.
3.
Chapter 1, Section 1: Foundations of Nursing Practice
Stem: The ANA Standards of Practice include a sequence of
steps describing the nursing process. Which is the correct order
of these standards?
A. Planning → Assessment → Implementation → Diagnosis →
Evaluation → Outcomes Identification
B. Assessment → Diagnosis → Outcomes Identification →
Planning → Implementation → Evaluation
C. Diagnosis → Assessment → Planning → Implementation →
Outcomes Identification → Evaluation
D. Implementation → Assessment → Diagnosis → Planning →
Outcomes Identification → Evaluation
Correct Answer: B
Rationales:
