DavisAdvantageBasic
Nursing:Thinking,Doing,
andCaring
3rdEditionWilkinson
TestBank
,Chapter 1 Evolution of Nursing Thought & Action
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Multiple Choice ju
Identify the choice that best completes the statement or answers the question.
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1. What is the most influential factor that has shaped the
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nursing profession? 1)
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Physicians need for ju ju
handmaidens 2)
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Societal need for healthcare outside the
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home 3)
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Military demand for nurses in the field
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4) Germ theory influence on sanitation
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ANS: 3
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Throughout the centuries, stability of the government has been related to the success
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of the military to protect or extend its domain. As the survival and well-being of
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soldiers is critical, nurses provided healthcare to the sick and injured at the battle
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site. The physicians handmaiden was/is a nursing stereotype rather
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j uthan an influence on nursing. Although there has been need for healthcare
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outside the home throughout history, this has more influence on the development of
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hospitals than on nursing; this need provided one more setting for nursing work.
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Germ theory and sanitation helped to improve healthcare but did not shape nursing.
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PTS: 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Client need: N/A |
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Cognitive level: Recall
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2. Which of the following is an example of an illness prevention activity?
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Select all that apply.
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1)
Encouraging the use of a food ju ju ju ju ju
diary 2)
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,Joining a cancer support group
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3)
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Administering immunization for HPV ju ju ju
4)
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Teaching a diabetic patient about his diet
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ANS: 3
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Administering immunization for HPV is an example of illness prevention. Although
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cancer is a disease, it is assumed that a person joining a support group would already
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have the disease; therefore, this is not disease prevention but treatment. Illness-
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prevention activities focus on avoiding a specific disease. A food diary is a
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health-promotion activity.
j u ju
Teaching a diabetic patient about diet is a treatment for diabetes; the
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patient already has diabetes, so it cannot prevent diabetes.
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PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in text
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KEY: Nursing process: N/A | Client need: HPM | Cognitive level: Application
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3. Which of the following contributions of Florence Nightingale had
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an immediate impact on improving patients health?
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1)
Providing a clean environment ju ju ju
2)
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, Improving nursingeducation ll ju
3)
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Changing the delivery of care in ju ju ju ju ju
hospitals 4)
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Establishing nursing as a distinct profession ju ju ju ju ju
ANS: 1
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Improved sanitation (a clean environment) greatly and immediately reduced the rate
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of infection and mortality in hospitals. The other responses are all activities of
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Florence Nightingale that improved healthcare or nursing, but the impact is long
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range, not immediate.
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PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10; student
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must infer from content
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KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
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4. All of the following are aspects of the full-spectrum nursing role. Which
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one is essential for the nurse to do in order to successfully carry out all the others?
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1)
Thinking and reasoning about the clients ju ju ju ju ju
care 2)
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Providing hands-on client care ju ju ju
3)
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Carrying out physician orders ju ju ju
4)
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Delegating to assistive personnel ju ju ju
ANS: 1
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A substantial portion of the nursing role involves using clinical judgment, critical
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thinking, and problem solving, which directly affect the care the client will actually
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receive. Providing hands-on care is important; however, clinical judgment, critical
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thinking, and problem solving are essential to do it successfully. Carrying out
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physician orders is a small part of a nurses role; it, too, requires nursing
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assessment, planning, intervention, and evaluation. Many simple nursing tasks are
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being delegated to nursing assistive personnel; delegation requires careful analysis
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of patient status and the appropriateness of support personnel to deliver care.
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Another way to analyze this question is that none of the options of providing
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hands-on care, carrying out physician orders, and delegating to assistive personnel
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is required for the nurse to think and reason about a clients care; so the answer
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must be 1.
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PTS:1DIFifficultREF: p. 11 ju ju
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
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5. Which statement pertaining to Benners practice model for clinical ju j u ju ju ju j u ju j u
competence j u
istrue?
1)
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Progression through the stages is constant, with most nurses reaching the proficient
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stage.
j u
2)
Progression through the stages involves continual development of thinking
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and technical skills.
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3)
The nurse must have experience in many areas before being considered an
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expert. 4)
ju ju
Nursing:Thinking,Doing,
andCaring
3rdEditionWilkinson
TestBank
,Chapter 1 Evolution of Nursing Thought & Action
ju ju ju ju ju
ll ll ll
Multiple Choice ju
Identify the choice that best completes the statement or answers the question.
ju ju ju ju j u ju j u ju ju ju ju
1. What is the most influential factor that has shaped the
ju ju ju ju ju ju ju ju ju
nursing profession? 1)
ju ju ju
Physicians need for ju ju
handmaidens 2)
ju ju
Societal need for healthcare outside the
ju ju ju ju ju
home 3)
ju ju
Military demand for nurses in the field
ju ju ju ju ju ju
4) Germ theory influence on sanitation
ju ju ju ju ju ju
ANS: 3
ju ju
Throughout the centuries, stability of the government has been related to the success
ju ju ju ju ju ju ju ju ju ju ju ju
of the military to protect or extend its domain. As the survival and well-being of
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
soldiers is critical, nurses provided healthcare to the sick and injured at the battle
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
site. The physicians handmaiden was/is a nursing stereotype rather
ju ju ju ju j u j u j u j u j u
j uthan an influence on nursing. Although there has been need for healthcare
j u j u j u ju ju ju ju ju ju ju ju
outside the home throughout history, this has more influence on the development of
ju ju ju ju ju ju ju ju ju ju ju ju ju
hospitals than on nursing; this need provided one more setting for nursing work.
ju ju ju ju ju ju ju ju ju ju ju ju ju
Germ theory and sanitation helped to improve healthcare but did not shape nursing.
ju ju ju ju ju ju ju ju ju ju ju ju ju
PTS: 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Client need: N/A |
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
Cognitive level: Recall
ju ju ju
2. Which of the following is an example of an illness prevention activity?
ju ju ju ju ju ju ju ju ju ju ju
Select all that apply.
ju ju ju ju
1)
Encouraging the use of a food ju ju ju ju ju
diary 2)
ju ju
,Joining a cancer support group
ju ju ju ju
3)
ju
Administering immunization for HPV ju ju ju
4)
ju
Teaching a diabetic patient about his diet
ju ju ju ju ju ju
ANS: 3
ju ju
Administering immunization for HPV is an example of illness prevention. Although
ju ju ju ju ju ju ju ju ju ju
cancer is a disease, it is assumed that a person joining a support group would already
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
have the disease; therefore, this is not disease prevention but treatment. Illness-
ju ju ju ju ju ju ju ju ju ju ju ju
prevention activities focus on avoiding a specific disease. A food diary is a
ju ju j u j u ju j u j u ju ju j u ju j u
health-promotion activity.
j u ju
Teaching a diabetic patient about diet is a treatment for diabetes; the
ju j u j u ju j u j u ju j u j u j u j u
patient already has diabetes, so it cannot prevent diabetes.
j u ju ju j u j u ju ju ju ju
PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in text
ju ju ju ju ju ju ju ju ju ju ju ju ju
KEY: Nursing process: N/A | Client need: HPM | Cognitive level: Application
ju ju ju ju ju ju ju ju ju ju ju ju
3. Which of the following contributions of Florence Nightingale had
ju ju ju ju ju ju ju ju
an immediate impact on improving patients health?
ju ju ju ju ju ju ju
1)
Providing a clean environment ju ju ju
2)
ju
, Improving nursingeducation ll ju
3)
ju
Changing the delivery of care in ju ju ju ju ju
hospitals 4)
ju ju
Establishing nursing as a distinct profession ju ju ju ju ju
ANS: 1
ju ju
Improved sanitation (a clean environment) greatly and immediately reduced the rate
ju ju ju ju ju ju ju ju ju ju
of infection and mortality in hospitals. The other responses are all activities of
ju ju ju ju ju ju ju ju ju ju ju ju ju
Florence Nightingale that improved healthcare or nursing, but the impact is long
ju ju ju ju ju ju ju ju ju ju ju ju
range, not immediate.
ju ju ju
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10; student
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
must infer from content
ju ju ju ju
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
ju ju ju ju j u ju ju ju ju j u ju
4. All of the following are aspects of the full-spectrum nursing role. Which
ju ju ju ju ju ju ju ju ju ju ju
one is essential for the nurse to do in order to successfully carry out all the others?
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
1)
Thinking and reasoning about the clients ju ju ju ju ju
care 2)
ju ju
Providing hands-on client care ju ju ju
3)
ju
Carrying out physician orders ju ju ju
4)
ju
Delegating to assistive personnel ju ju ju
ANS: 1
ju ju
A substantial portion of the nursing role involves using clinical judgment, critical
ju ju ju ju ju ju ju ju ju ju ju
thinking, and problem solving, which directly affect the care the client will actually
ju ju ju ju ju ju ju ju ju ju ju ju ju
receive. Providing hands-on care is important; however, clinical judgment, critical
ju ju ju ju ju ju ju ju ju ju
thinking, and problem solving are essential to do it successfully. Carrying out
ju ju ju ju ju ju ju ju ju ju ju ju
physician orders is a small part of a nurses role; it, too, requires nursing
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
assessment, planning, intervention, and evaluation. Many simple nursing tasks are
ju ju ju ju ju ju ju ju ju ju
being delegated to nursing assistive personnel; delegation requires careful analysis
ju ju ju ju ju ju ju ju ju ju
of patient status and the appropriateness of support personnel to deliver care.
ju ju ju ju ju ju ju ju ju ju ju ju
Another way to analyze this question is that none of the options of providing
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
hands-on care, carrying out physician orders, and delegating to assistive personnel
ju ju ju ju ju ju ju ju ju ju ju
is required for the nurse to think and reason about a clients care; so the answer
ju ju ju ju ju ju ju ju j u ju ju ju ju ju ju ju
must be 1.
ju ju ju
PTS:1DIFifficultREF: p. 11 ju ju
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
ju ju ju ju j u ju ju ju j u ju ju
5. Which statement pertaining to Benners practice model for clinical ju j u ju ju ju j u ju j u
competence j u
istrue?
1)
ju
Progression through the stages is constant, with most nurses reaching the proficient
ju ju ju ju ju ju ju ju ju ju ju
stage.
j u
2)
Progression through the stages involves continual development of thinking
ju ju ju ju ju ju ju ju
and technical skills.
ju ju ju
3)
The nurse must have experience in many areas before being considered an
ju ju ju ju ju ju ju ju ju ju ju
expert. 4)
ju ju
