b b v
chapters-VerifiedAnswers
v v v v
,MULTIPLECHOICE v
1. Whichnursemostlikelykept recordsonsanitationtechniquesandtheeffectsonhealth?
v v v v v v v v v v v v v
a. FlorenceNightingale v
b. MaryNutting v
c. ClaraBarton v
d. LillianWald v
ANS: A v
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor
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sanitationwithcholeraanddysentery.MaryNutting,ClaraBarton,andLillianWaldcame after
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Nightingale, each contributing to thenursingprofessionin herown way. MaryNutting was
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instrumentalinmovingnursingeducationintouniversities.ClaraBartonfounded the American Red
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Cross. Lillian Wald helped open the Henry Street Settlement.
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DIF:Understand(comprehension)
OBJ:Discuss theinfluenceof social,historical,political,andeconomicchangesonnursingpractices.
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TOP: Evaluation MSC: HealthPromotionandMaintenance v v v v
2. Thenurseprescribesstrategiesandalternativestoattainexpectedoutcome.Whichstandardof
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nursing practice is the nurse following?
v v v v v v
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C v
In planning,theregistered nursedevelopsaplanthatprescribes strategiesandalternativesto attain
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vexpected outcomes. During assessment, the registered nurse collects comprehensive datapertinent
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tothepatient’shealth and/orthesituation. Indiagnosis, theregisterednurse analyzestheassessment
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vdatatodeterminethediagnosesorissues.Duringimplementation,theregistered nurse implements
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v(carries out) the identified plan. v v v v
DIF:Understand(comprehension)
OBJ:Discuss the development of professional nursing roles. v v v v v v TOP:Planning
MSC: Management of Care
v v v v
3. Anexperiencedmedical-surgicalnursechoosestoworkinobstetrics.Whichlevelof
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proficiency is the nurse upon initial transition to the obstetrical floor?
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a. Novice
b. Proficient
c. Competent
d. Advancedbeginner v
ANS: A v
, Abeginningnursingstudentoranynurseenteringasituationinwhichthereisnopreviouslevel of
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experience(e.g., anexperienced operating room nursechooses tonowpracticeinhome health)isan
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exampleofanovicenurse.Aproficientnurseperceivesapatient’sclinicalsituation asawhole,isable
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toassessanentiresituation,andcanreadilytransferknowledgegainedfrom multiple previous
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experiences to asituation. A competent nurseunderstands theorganization andspecificcare
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required bythetypeofpatients (e.g.,surgical, oncology, ororthopedic patients). Thisnurseisa
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competent practitioner whoisabletoanticipatenursingcareand establishlong-rangegoals. Anurse
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whohashadsomelevelofexperiencewiththesituationis anadvancedbeginner. Thisexperiencemay
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onlybeobservational innature,butthenurseis able to identify meaningful aspects or principles of
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nursing care.
v v
DIF:Apply(application) v
OBJ:Discuss the development of professional nursing roles. v v v v v v TOP:Evaluation
MSC: Management of Care
v v v v
4. Anurseassessesapatient’sfluidstatusanddecidesthatthepatientneedstodrinkmorefluids. The
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nursethenencourages thepatienttodrinkmorefluids. Whichconcept is thenurse demonstrating?
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a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B v
Autonomy is an essentialelement ofprofessional nursing that involves the initiation of
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independentnursinginterventionswithoutmedicalorders.ToobtainlicensureintheUnited
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States,theRNcandidatemustpasstheNCLEX-RN.BeyondtheNCLEX-RN,thenurse may
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choosetoworktowardcertificationinaspecificareaofnursingpractice.Accountability meansthat
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youareresponsible,professionallyandlegally,forthetypeandqualityofnursing careprovided.
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DIF:Apply(application) v
OBJ:Discuss the roles and career opportunities for nurses. v v v v v v v TOP:Implementation
MSC: Management of Care
v v v v
5. Anursepreparesthebudgetandpoliciesforanintensivecareunit.Whichroleisthenurse
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implementing?
v
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B v
, Amanagercoordinatestheactivitiesofmembersofthenursingstaffindeliveringnursingcare andhas
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personnel,policy,andbudgetaryresponsibilityforaspecificnursingunitorfacility.As aneducator,
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youexplain concepts and facts about health, describe thereasonforroutinecare activities,
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demonstrate procedures such as self-care activities, reinforce learning orpatient behavior,and
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evaluate thepatient’sprogressinlearning.As apatient advocate,youprotect yourpatient’shuman
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andlegalrightsandprovideassistanceinassertingtheserightsiftheneed arises. As acaregiver,you
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help patients maintainandregain health, manage diseaseand symptoms,andattainamaximallevel
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functionandindependencethroughthehealingprocess.
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DIF:Apply(application) v
OBJ:Discuss the roles and career opportunities for nurses. v v v v v v v TOP:Implementation
MSC: Management of Care
v v v v
6. Thenursehasbeen workingintheclinicalsettingforseveralyearsasanadvancedpractice nurse.
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However,thenursehasastrongdesiretopursueresearchandtheorydevelopment.To fulfill this
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desire, which program should the nurse attend?
v v v v v v v
a. DoctorofNursingSciencedegree(DNSc) v v v v v
b. DoctorofPhilosophydegree(PhD) v v v v
c. DoctorofNursingPracticedegree(DNP) v v v v v
d. DoctorintheScienceof Nursingdegree(DSN) v v v v v v v
ANS: B v
Somedoctoralprogramspreparenursesformorerigorousresearchandtheorydevelopmentand
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awardtheresearch-orientedDoctorofPhilosophy(PhD)innursing.Professionaldoctoral programs
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innursing (DSNorDNSc)prepare graduatestoapply researchfindings toclinical nursing.TheDNP
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isapracticedoctoratethatpreparesadvanced practicenursessuchas nurse practitioners.
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DIF:Understand(comprehension)
OBJ:Compareandcontrasttheeducationalprogramsavailableforprofessionalregisterednurse(RN) v v v v v v v v v v v
education.
v TOP: Teaching/Learning MSC: Management of Care v v v
7. AnurseattendsaworkshoponcurrentnursingissuesprovidedbytheAmericanNurses
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vAssociation. Which type of education did the nurse receive? v v v v v v v v
a. Graduateeducation v
b. Inserviceeducation
c. Continuingeducation v
d. Registerednurseeducation v v
ANS: C v
Continuingeducationinvolvesformal,organizededucationalprogramsofferedbyuniversities, v v v v v v v v v
hospitals, state nurses associations, professional nursing organizations, and educational and health
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careinstitutions.Afterobtainingabaccalaureatedegreeinnursing,you can pursue graduate
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educationleading toamaster’s ordoctoral degree inanynumberofgraduate fields, including
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nursing.Inserviceeducationprogramsareinstructionortrainingprovidedbyahealth carefacility or
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institution. Registered nurseeducation istheeducation preparation foran individual intending to be
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an RN.
v v
DIF:Apply(application) v
OBJ:Compareandcontrasttheeducational programsavailablefor professionalregisterednurse(RN) v v v v v v v v