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All Chapters Covered 1-50| Verified Q&As with Rationales for
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Exam Preparations| A+ PASS ASSURED
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, Chapter1:NursingTodayMULTIPLE
CHOICE
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1. Whichnursemost likelykeptrecordsonsanitationtechniquesandtheeffectsonhealth? b
a. Florence Nightingale b
b. MaryNutting
c. ClaraBarton
d. LillianWald b
m ACCURATEANSWER:A
Nightingalewasthefirstpracticingnurseepidemiologist.Herstatisticalanalysesconnectedpoorsanitation b
withcholeraanddysentery.MaryNutting,Clara Barton,and LillianWaldcameafterNightingale,each
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contributingtothenursingprofessioninherownway.MaryNuttingwasinstrumentalinmovingnursing
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educationintouniversities.ClaraBartonfoundedtheAmericanRedCross.LillianWald helped openthe
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HenryStreetSettlement.
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DIF:Understand(comprehension)
m OBJ:Discusstheinfluenceofsocial,historical,political,andeconomicchangesonnursingpractices.
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TOP: Evaluation
m MSC:HealthPromotionandMaintenance
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2. Thenurseprescribes strategies and alternativestoattainexpectedoutcome.Whichstandardofnursing
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practiceisthenurse following?
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a. Assessment
b. Diagnosis
c. Planning
d. Implementation
m ACCURATEANSWER:C
Inplanning,theregisterednursedevelopsaplanthatprescribesstrategiesandalternativestoattainexpected
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m outcomes.Duringassessment, the registerednurse collects comprehensive datapertinenttothepatient’s health
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mand/orthesituation.Indiagnosis,theregisterednurseanalyzestheassessmentdatatodeterminethediagnoses or
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missues.Duringimplementation,theregistered nurseimplements (carries out) the identifiedplan.
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DIF:Understand(comprehension)
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,OBJ: Discussthedevelopment of professional nursingroles.
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Care
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3. An experiencedmedical-surgicalnursechoosesto work inobstetrics.Which levelofproficiencyisthe
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mnurse uponinitialtransitionto theobstetricalfloor? b m m
a. Novice
b. Proficient
c. Competent
d. Advancedbeginner n
m ACCURATEANSWER:A
Abeginningnursingstudentoranynurseenteringasituationinwhichthereisnopreviouslevelofexperience(e.g.,
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anexperienced operatingroomnursechoosesto nowpracticeinhomehealth)isanexampleofanovice nurse.
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A proficient nurseperceivesapatient’sclinicalsituation asawhole,isabletoassessanentiresituation, and can
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readilytransferknowledge gainedfrommultiplepreviousexperiencestoasituation.Acompetentnurse
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understands theorganizationand specificcare required bythetypeof patients(e.g.,surgical,oncology,or
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orthopedicpatients).Thisnurseisacompetentpractitionerwhoisabletoanticipate nursingcare and establish
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long-range goals.Anursewhohashadsomelevelofexperiencewiththesituationisanadvancedbeginner.This
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experiencemayonlybeobservationalinnature,butthenurseisabletoidentify meaningful aspectsorprinciples
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ofnursingcare.
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DIF:Apply(application)
OBJ: Discussthedevelopment of professional nursingroles.
m m m m TOP:EvaluationMSC:Managementof
Care
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4. Anurseassessesapatient’sfluidstatusanddecidesthatthepatientneedstodrink morefluids.The b n m
nursethenencouragesthepatienttodrinkmorefluids.Which conceptis thenursedemonstrating?
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a. Licensure
b. Autonomy
c. Certification
d. Accountability
m ACCURATEANSWER:B
Autonomyisanessentialelement ofprofessionalnursingthatinvolvestheinitiationofindependent nursing
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interventionswithoutmedicalorders.Toobtainlicensurein theUnited States,the RNcandidate
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, mustpasstheNCLEX-
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certificationin aspecificarea ofnursingpractice.Accountabilitymeansthatyouareresponsible, professionally
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mandlegally, forthetypeandqualityofnursingcareprovided.
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DIF:Apply(application)
OBJ: Discusstheroles andcareer opportunitiesfor nurses.
m m m m TOP:ImplementationMSC:
ManagementofCare
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5. Anursepreparesthebudget andpoliciesforanintensivecareunit.Whichroleisthenurse
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m implementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
m ACCURATEANSWER:B
Amanagercoordinatestheactivitiesofmembersofthenursingstaffindeliveringnursingcareandhas b b b b
personnel,policy,andbudgetaryresponsibilityforaspecificnursingunitorfacility.Asaneducator,you explain
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concepts andfactsabouthealth,describethereasonforroutinecareactivities, demonstrate procedures suchas
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self-careactivities,reinforcelearningorpatientbehavior,andevaluatethepatient’s progressinlearning.Asa
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patientadvocate,youprotectyourpatient’shumanandlegalrightsandprovide
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massistanceinassertingtheserightsiftheneedarises.Asacaregiver,you helppatients maintainandregain health, b m m m
managediseaseandsymptoms,andattaina maximallevelfunctionandindependencethroughthe healing
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process.
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DIF:Apply(application)
OBJ: Discusstheroles andcareer opportunitiesfor nurses.
m m m m TOP:ImplementationMSC:
ManagementofCare
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6. Thenursehasbeenworkingintheclinicalsettingforseveralyearsasanadvancedpracticenurse.
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m However,thenursehasastrongdesiretopursueresearchandtheorydevelopment.Tofulfillthisdesire,
mwhichprogramshould thenurse attend?
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a. DoctorofNursing Science degree(DNSc) n m
b. DoctorofPhilosophydegree(PhD)
c. DoctorofNursing Practice degree(DNP) n m
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