v v
FundamentalsofNursing
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ActiveLearningforCollaborativePractice3rd
Edition
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By
BarbaraL. Yoost, Lynne R. Crawford
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,Chapter01:Nursing,Theory,andProfessionalPractice
Yoost&Crawford:FundamentalsofNursing:ActiveLearningforCollaborativePractice,
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3rdEdition
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MULTIPLECHOICE
1. Agroupofnursingstudentsarediscussingtheimpactofnonnursingtheoriesinclinical v v v
practice.Thestudentswould becorrectiftheychosewhichtheoryto prioritizepatientcare?
z B z v z
a. Erikson‗sPsychosocial Theory v z
b. Paul‗sCritical-ThinkingTheory
c. Maslow‗sHierarchyofNeeds
d. Rosenstock‗sHealth BeliefModel z
ANS:C
Maslow‗shierarchyofneedsspecifiesthepsychologicalandphysiologicfactorsthataffecteach v v v v v
person‗sphysicalandmentalhealth.Thenurse‗sunderstandingofthesefactorshelpswith
z v v v v v
formulatingNursingdiagnosesthataddressthepatient‗sneedsandvaluestoprioritizecare.
z v v v
Erikson‗sPsychosocialTheoryofDevelopmentandSocializationisbasedonindividuals‗ v v v v
interactingand learningabouttheirworld.Nursesuseconcepts
z ofdevelopmentaltheoryto
B z
criticallythinkinprovidingcarefortheirpatientsatvariousstagesoftheirlives.
z v v v
Rosenstock(1974)developedthepsychologicalHealthBeliefModel.Themodeladdresses B
possiblereasonsforwhyapatientmaynotcomplywithrecommendedhealthpromotion
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behaviors.Thismodelisespeciallyusefultonursesastheyeducatepatients.
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DIF: Remembering OBJ: 1.5 TOP: Planning z z z z
MSC:NCLEX Client NeedsCN
a tegR
ory:IS a f G
e anB
d E.C M
ffecti
Bv e Care Environment:Management
B of CareNOT: B B B B B B
U
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Concepts:CareCoordinati on
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2. Anursingstudentis preparingstudynotesfromarecentlectureinnursinghistory.The B z z z
studentwouldcreditFlorenceNightingaleforwhichdefinitionofnursing?
z v v
a. Theimbalancebetweenthepatientandtheenvironmentdecreasesthecapacityfor
health. z
b. Thenurseneedstofocusoninterpersonalprocessesbetweennurseandpatient.
c. Thenurseassiststhepatientwithessentialfunctions towardindependence. z
d. Humanbeingsareinteractingincontinuousmotionasenergyfields.
ANS:A
FlorenceNightingale‗s(1860)conceptoftheenvironmentemphasizedpreventionandcleanair, v v v v v
water,andhousing.Thistheorystatesthattheimbalancebetweenthepatientandthe
z v v v
environmentdecreasesthecapacityforhealthand doesnotallowforconservation ofenergy. z z B
HildegardPeplau(1952)focusedontherolesplayedbythenurseandtheinterpersonalprocess
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betweenanurseandapatient.VirginiaHendersondescribedthenurse‗sroleassubstitutive
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(doingfortheperson),supplementary(helpingtheperson),orcomplementary(workingwiththe
z v v v
person),withthegoalofindependenceforthepatient.MarthaRogers(1970)developedthe
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ScienceofUnitaryHumanBeings.Shestatedthathumanbeingsandtheirenvironmentsareinteracting
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incontinuousmotionasinfiniteenergyfields.
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DIF: Understanding z OBJ: 1.4 TOP:Planning z
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance NOT:
z z z z z z z z z z
Concepts:HealthPromotion
z
,3. ThenurseidentifieswhichnurseestablishedtheAmericanRedCrossduringtheCivilWar?
a. DorotheaDix
b. LindaRichards
c. LenaHigbee
d. ClaraBarton
ANS:D
ClaraBartonpracticednursingintheCivilWarandestablishedtheAmericanRedCross.
v v v v
DorotheaDixwastheheadoftheU.S.SanitaryCommission,whichwasaforerunneroftheArmy
z B z z
NurseCorps.LindaRichardswasAmerica‗sfirsttrainednurse,graduatingfromBoston‗s
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Women‗sHospitalin1873,andLenaHigbee,superintendentoftheU.S.NavyNurseCorps,was
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awardedtheNavyCrossin1918.
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DIF: Remembering OBJ: 1.3 TOP:Assessment z
MSC: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
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NOT:Concepts:Professionalism
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4. Thenursinginstructorisresearchingthefiveproficienciesregardedasessentialforstudentsand z v
professionals.Thenursinginstructoridentifieswhichorganizationwouldbefoundtohaveadded
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safetyasasixthcompetency?
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a. Qualityand SafetyEducationforNurses(QSEN) z v
b. InstituteofMedicine(IOM)
c. AmericanAssociationofCollegesofNursing (AACN)v B
d. NationalLeagueforNursing(NLN)
ANS:A
TheInstituteofMedicinerepNort, RHeIalth GProBfe.ssCionMs Education:ABridgetoQuality(2003),outlines
B B B v B z v B v B z B B
fivecorecompetencies.Theseincludepatient-centeredcare,interdisciplinary
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teamwork,useofevidence-basedmedicine,qualityimprovement,anduseofinformationtechnology. v v v v
QSENaddedsafetyasasixthcompetency.TheEssentialsofBaccalaureate
z v v
EducationforProfessionalNursingPracticeareprovidedandupdatedbytheAmerican
z v
AssociationofColleges ofNursing(AACN)(2008).Thedocument offersaframework forthe
z B B
educationofprofessionalnurseswithoutcomesforstudentstomeet.TheNationalLeaguefor
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Nursing(NLN)outlinesandupdatescompetenciesforpractical,associate,baccalaureate,and
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graduatenursingeducationprograms.
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DIF: Remembering OBJ: 1.1 TOP: Planning z z
MSC:NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:
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Concepts:CareCoordination
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5. Thenursemanagerisinterviewinggraduatenursestofillexistingstaffingvacancies.When
hiringgraduatenurses,thenursemanagerrealizesthattheywillprobablynotbeconsidered
z
―competentǁuntiltheycompletewhich task? B
a. TheygraduateandpassNCLEX. v
b. Theyhaveworked2to3years. v
c. Theirlastyearofnursingschool. z
d. Theyareactuallyhired.
ANS:B
, DIF: Remembering OBJ: 1.1 TOP: Assessment z
MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:
z z B
Concepts:CareCoordination
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8. Thenurseis caringforapatientwhorefusestwo unitsofpackedredblood cells.Whenthenurse
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z notifiesthehealthcareproviderofthepatient‘sdecision,thenurseisactinginwhichrole?
v v v
a. Manager
b. Changeagent
c. Advocate
d. Educator
ANS:C z
Asthepatient‘sadvocate,thenurseinterpretsinformationandprovidesthenecessary
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education.Thenursethenacceptsandrespectsthepatient‘sdecisionseveniftheyaredifferent
z v v v
fromthenurse‘sownbeliefs.Thenursesupportsthepatient‘swishesandcommunicatesthem
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tootherhealthcareproviders.Anursemanagesalloftheactivitiesandtreatmentsforpatients.Inthe
z v v v
roleofchangeagent,thenurseworkswithpatientstoaddresstheirhealthconcernsand
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zwithstaffmemberstoaddresschangeinanorganizationorwithinacommunity.Thenurse v
zensuresthatthepatientreceivessufficientinformationonwhichtobaseconsentforcareand
v v v v v v v
relatedtreatment.Educationbecomesamajorfocusofdischargeplanningsothatpatientswillbe
z v v v v v v
preparedtohandletheirownneedsat home.
z v v
DIF: Applying OBJ: 1.2 TOP: Implementation z z z
MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:
z z B
Concepts:CareCoordination
z
9. The nursing student develops a plan of care based on a recentlypublished article describing the
z z z z z z z z z z z z z z
effectsofbedreston apatient‘s calciumbloodlevels. Whencreatingtheplanofcare, the nursing
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studenthastheobligationtoconsiderwhichaction?
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a. Criticallyappraisetheevidenceanddeterminevalidity.
b. Ensurethattheplanofcaredoesnotaltercurrentpractice. v
c. Changetheprocesseven whenthereisnoproblemidentified. v
d. Maintaintheplan ofcareregardlessofinitial outcome. B
ANS:A z
Evidence-basedpractice(EBP)isanintegrationofthebest-availableresearchevidencewith
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clinicaljudgmentaboutaspecificpatientsituation.Thenurseassessescurrentandpastresearch,
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clinicalguidelines,and otherresourcestoidentifyrelevantliterature.TheapplicationofEBP
z B z
includescriticallyappraisingtheevidencetoassessits validity,designingachangeforpractice,
z z v z
assessingtheneedforchangeandidentifyingaproblem,andintegratingandmaintainingchange
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whilemonitoringprocessandoutcomesbyreevaluatingtheapplicationofevidenceand assessing
z z z z z z v
areasforimprovement.
z
DIF: Applying OBJ: 1.2 TOP: Implementation z z z
MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:
z z B
Concepts:CareCoordination
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