Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOIC
E
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
a. Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
ANS: A
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connec
ted piooor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian
Wald came after Nightingale, each contributing to the nursing profession in her own
way. Mary Nuttingwas instrumental in moving nursing education into universities. Clar
a Barton foundedthe American Red Cross. Lillian Wald helped open the Henry Street
Settlement.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practic
es.
TOP: Evaluation MSC: Health Promotion and Maintenance
2. The nurse prescribes strategies and
alternatives to attain expected
outcome. Which stand ard ofnursing
practice is the nurse following?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C
In planning, the registered nurse develops a plan that prescribes strategies and alternativ
es to attain expected outcomes. During assessment, the registered nurse collects compreh
ensive dataiopertinent to the patient’s health and/or the situation. In diagnosis, the register
ed nurse analyze s the assessment data to determine the diagnoses or issues. During im
plementation, theregisterioed nurse implements (carries out) the identified plan.
DIF:Understand (comprehension)
OBJ:Discuss the development of professional nursing r
TOP: Planning
oles.MSC: Management of Care
3. An experienced medical-
surgical nurse chooses to work in obstetrics. Which level ofproficiency is the
nurseupon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
,ANS: A
,A beginning nursing student or any nurse entering a situation in which there is no pre
vious leiovel of experience (e.g., an experienced operating room nurse chooses to now p
ractice in hom e health) is an example of a novice nurse. A proficient nurse perceives
a patient’s clinicalsitu ation as a whole, is able to assess an entire situation, and can r
eadily transfer knowledge gain ed from multiple previous experiences to a situation. A
competent nurse understands the organization and specific care required by the type of
patients (e.g., surgical, oncology, or orthopedic patients). This nurse is a competent pr
actitioner who is able to anticipate nursing care andestablish long-
range goals. A nurse who has had some level of experience with the situation is an a
dvanced beginner. This experience may only be observational in nature, but the nurse i
s able to identify meaningful aspects or principles of nursing care.
DIF:Apply (application)
OBJ:Discuss the development of professional nursing r
TOP: Evaluation
oles.MSC: Management of Care
4. A nurse assesses a patient’s fluid
status and decides that the patient
needs to drink mor e fluids.The nurse
then encourages the patient to drink
more fluids. Which concept is t he
nurse demonstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B
Autonomy is an essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders. To obtain licensure in the U
nited States,the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-
RN, the nurse may choose to work toward certification in a specific area of nursing prac
tic
e. Accountabilitymeans that you are responsible, professionally and legally, for the typ
e andioquality of nursingcare provided.
DIF:Apply (application)
OBJ:Discuss the roles and career opportunities for nur
TOP: Implementation
ses.MSC: Management of Care
5. A nurse prepares the budget and
policies for an intensive care
unit. Which role is t he
nurseimplementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B
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