,CHAPTER 1: Evolution of Nursing Thought &
Action
Key Concept: Full-spectrum nursing (holistic assessment →
intervention → evaluation)
Question Stem: A nurse using full-spectrum nursing approaches a
newly admitted patient by first collecting a focused history and
physical, identifying problems, and then planning interventions.
Which action best reflects the assessment phase of full-spectrum
nursing? (≤65 words)
A. Teaching the patient how to use inhaler spacers.
B. Performing a focused respiratory assessment and oxygen
saturation measurement.
C. Administering a prescribed bronchodilator.
D. Evaluating the patient's response to breathing treatments.
Correct Answer: B
Rationales (Correct + Incorrect):
• Correct (B): Performing focused assessment and O₂
saturation measurement is the assessment phase of full-
spectrum nursing (Capriotti, Ch.1, “Full-Spectrum Nursing”).
Assessment identifies physiologic status and guides
subsequent planning/interventions.
• A: Teaching is an intervention/education phase, not initial
assessment.
• C: Administering medication is an intervention, dependent
on prior assessment.
• D: Evaluation occurs after interventions have been
implemented.
Teaching Point: Assess first — objective measures guide safe,
targeted nursing interventions.
, 2.
Chapter 1 – Historical Leaders Who Advanced the Profession of
Nursing
Key Concept: Influence of nurse leaders on professional standards
and evidence-based practice
Question Stem: Which historical contribution most directly
enabled modern nursing regulation and standardized education?
A. Development of hospital apprenticeship models.
B. Founding of early nursing schools with formal curricula.
C. Publication of popular nursing magazines.
D. Informal bedside mentorship by senior nurses.
Correct Answer: B
Rationales (Correct + Incorrect):
• Correct (B): Founding formal nursing schools established
standardized curricula and professional training, paving the
way for regulation and licensure (Capriotti, Ch.1, “Historical
Leaders”).
• A: Apprenticeships were variable and delayed
standardization.
• C: Magazines aided dissemination but didn’t set curricula or
regulation.
• D: Mentorship supports skill transfer but lacks formal
standard setting.
Teaching Point: Formal education programs are central to
professional regulation and standards.
3.
Chapter 1 – Nursing Today: Full-Spectrum Nursing
Key Concept: Prioritization and delegation within the nursing
, process
Question Stem: A nurse must delegate a task to a nursing
assistant. Which task is appropriate to delegate under full-
spectrum nursing while preserving safety?
A. Administering oral medications.
B. Performing morning hygiene and measuring intake/output.
C. Performing a focused neurovascular assessment.
D. Initiating IV therapy for a new admission.
Correct Answer: B
Rationales (Correct + Incorrect):
• Correct (B): ADLs and I/O measurement are appropriate
delegation tasks when the assistant is trained and supervised
(Capriotti, Ch.1, “Full-Spectrum Nursing: Delegation”).
• A: Medication administration is a licensed nursing
responsibility in most jurisdictions.
• C: Neurovascular assessments require clinical judgment and
are RN responsibilities.
• D: Initiating IVs is a skilled procedure requiring licensed
practice and assessment.
Teaching Point: Delegate routine, non-judgment tasks; retain
assessments and procedures requiring clinical judgment.
4.
Chapter 1 – Contemporary Nursing: Education, Regulation, and
Practice
Key Concept: Scope of practice and licensure
Question Stem: A newly graduated nurse is unsure which
procedures are allowed under their state’s scope of practice.
What's the best first resource to clarify legal scope and licensure
requirements?
Action
Key Concept: Full-spectrum nursing (holistic assessment →
intervention → evaluation)
Question Stem: A nurse using full-spectrum nursing approaches a
newly admitted patient by first collecting a focused history and
physical, identifying problems, and then planning interventions.
Which action best reflects the assessment phase of full-spectrum
nursing? (≤65 words)
A. Teaching the patient how to use inhaler spacers.
B. Performing a focused respiratory assessment and oxygen
saturation measurement.
C. Administering a prescribed bronchodilator.
D. Evaluating the patient's response to breathing treatments.
Correct Answer: B
Rationales (Correct + Incorrect):
• Correct (B): Performing focused assessment and O₂
saturation measurement is the assessment phase of full-
spectrum nursing (Capriotti, Ch.1, “Full-Spectrum Nursing”).
Assessment identifies physiologic status and guides
subsequent planning/interventions.
• A: Teaching is an intervention/education phase, not initial
assessment.
• C: Administering medication is an intervention, dependent
on prior assessment.
• D: Evaluation occurs after interventions have been
implemented.
Teaching Point: Assess first — objective measures guide safe,
targeted nursing interventions.
, 2.
Chapter 1 – Historical Leaders Who Advanced the Profession of
Nursing
Key Concept: Influence of nurse leaders on professional standards
and evidence-based practice
Question Stem: Which historical contribution most directly
enabled modern nursing regulation and standardized education?
A. Development of hospital apprenticeship models.
B. Founding of early nursing schools with formal curricula.
C. Publication of popular nursing magazines.
D. Informal bedside mentorship by senior nurses.
Correct Answer: B
Rationales (Correct + Incorrect):
• Correct (B): Founding formal nursing schools established
standardized curricula and professional training, paving the
way for regulation and licensure (Capriotti, Ch.1, “Historical
Leaders”).
• A: Apprenticeships were variable and delayed
standardization.
• C: Magazines aided dissemination but didn’t set curricula or
regulation.
• D: Mentorship supports skill transfer but lacks formal
standard setting.
Teaching Point: Formal education programs are central to
professional regulation and standards.
3.
Chapter 1 – Nursing Today: Full-Spectrum Nursing
Key Concept: Prioritization and delegation within the nursing
, process
Question Stem: A nurse must delegate a task to a nursing
assistant. Which task is appropriate to delegate under full-
spectrum nursing while preserving safety?
A. Administering oral medications.
B. Performing morning hygiene and measuring intake/output.
C. Performing a focused neurovascular assessment.
D. Initiating IV therapy for a new admission.
Correct Answer: B
Rationales (Correct + Incorrect):
• Correct (B): ADLs and I/O measurement are appropriate
delegation tasks when the assistant is trained and supervised
(Capriotti, Ch.1, “Full-Spectrum Nursing: Delegation”).
• A: Medication administration is a licensed nursing
responsibility in most jurisdictions.
• C: Neurovascular assessments require clinical judgment and
are RN responsibilities.
• D: Initiating IVs is a skilled procedure requiring licensed
practice and assessment.
Teaching Point: Delegate routine, non-judgment tasks; retain
assessments and procedures requiring clinical judgment.
4.
Chapter 1 – Contemporary Nursing: Education, Regulation, and
Practice
Key Concept: Scope of practice and licensure
Question Stem: A newly graduated nurse is unsure which
procedures are allowed under their state’s scope of practice.
What's the best first resource to clarify legal scope and licensure
requirements?
