|
Fundamentals of Nursing 9th Edition | | | |
Chapter |01: |Nursing |Today
Potter |et |al.: |Fundamentals |of |Nursing, |9th |Edition
| MULTIPLE |CHOICE
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 |connected |poor
| 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 |Nutting |was
| instrumental |in |moving |nursing |education |into |universities. |Clara |Barton |founded |the |American |Red
| Cross. |Lillian |Wald |helped |open |the |Henry |Street |Settlement. |
DIF:Understand |(comprehension)REF:5 |
OBJ: |Discuss |the |influence |of |social, |historical, |political, |and |economic |changes |on |nursing
| practices. |TOP: |Evaluation |MSC: |Health |Promotion |and |Maintenance |
2. The |nurse |prescribes |strategies |and |alternatives |to |attain |expected |outcome. |Which |standard |of
| nursing |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 |alternatives |to |attain
| expected |outcomes. |During |assessment, |the |registered |nurse |collects |comprehensive |data |pertinent
| to |the |patient’s |health |and/or |the |situation. |In |diagnosis, |the |registered |nurse |analyzes |the |
| assessment |data |to |determine |the |diagnoses |or |issues. |During |implementation, |the |registered |nurse
| implements |(carries |out) |the |identified |plan. |
DIF:Understand |(comprehension)REF:2 |
OBJ: |Discuss |the |development |of |professional |nursing |roles. |TOP: |Planning |
,MSC:Management |of |Care
3. An |experienced |medical-surgical |nurse |chooses |to |work |in |obstetrics. |Which |level |of |proficiency |is
| the |nurse |upon |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 |previous |level |of
| experience |(e.g., |an |experienced |operating |room |nurse |chooses |to |now |practice |in |home |health) |is | |
| an |example |of |a |novice |nurse. |A |proficient |nurse |perceives |a |patient’s |clinical |situation |as |a |whole, |is
| able |to |assess |an |entire |situation, |and |can |readily |transfer |knowledge |gained |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 |practitioner |who |is |able |to |anticipate |nursing |care |and |establish |long-range |goals. |A |nurse
| who |has |had |some |level |of |experience |with |the |situation |is |an |advanced |beginner. |This |experience
| may |only |be |observational |in |nature, |but |the |nurse |is |able |to |identify |meaningful |aspects |or |principles
| of |nursing | care. |
DIF:Apply |(application)REF:2 |
OBJ: |Discuss |the |development |of |professional |nursing |roles. |TOP: |Evaluation
| MSC:Management |of |Care |
4. A |nurse |assesses |a |patient’s |fluid |status |and |decides |that |the |patient |needs |to |drink |more |fluids.
| The |nurse |then |encourages |the |patient |to |drink |more |fluids. |Which |concept |is |the |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 |United |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 |practice. |Accountability |means |that |you |are
| responsible, |professionally |and |legally, |for |the |type |and |quality |of |nursing |care |provided. |
,DIF:Apply |(application)REF:3
OBJ: |Discuss |the |roles |and |career |opportunities |for |nurses. |TOP: |Implementation
| MSC:Management |of |Care |
5. A |nurse |prepares |the |budget |and |policies |for |an |intensive |care |unit. |Which |role |is |the |nurse
| implementing? |
a. Educator |
b. Manager |
c. Advocate |
d. Caregiver |
ANS: |B |
A |manager |coordinates |the |activities |of |members |of |the |nursing |staff |in |delivering |nursing |care |and
| has |personnel, |policy, |and |budgetary |responsibility |for |a |specific |nursing |unit |or |facility. |As |an
| educator, |you |explain |concepts |and |facts |about |health, |describe |the |reason |for |routine |care | |
| activities, |demonstrate |procedures |such |as |self-care |activities, |reinforce |learning |or |patient |behavior,
| and |evaluate |the |patient’s |progress |in |learning. |As |a |patient |advocate, |you |protect |your |patient’s
| human |and |legal |rights |and |provide |assistance |in |asserting |these |rights |if |the |need |arises. |As |a
| caregiver, |you |help |patients |maintain |and |regain |health, |manage |disease |and |symptoms, |and |attain |
| | a |maximal |level |function |and |independence |through |the |healing |process. |
DIF:Apply |(application)REF:4 |
OBJ: |Describe |the |roles |and |career |opportunities |for |nurses. |TOP: |Implementation
| MSC:Management |of |Care |
6. The |nurse |has |been |working |in |the |clinical |setting |for |several |years |as |an |advanced |practice |
| nurse. |However, |the |nurse |has |a |strong |desire |to |pursue |research |and |theory |development. |To |fulfill
| this |desire, |which |program |should |the |nurse |attend? |
a. Doctor |of |Nursing |Science |degree |(DNSc) |
b. Doctor |of |Philosophy |degree |(PhD) |
c. Doctor |of |Nursing |Practice |degree |(DNP) |
d. Doctor |in |the |Science |of |Nursing |degree |(DSN) |
ANS: |B |
Some |doctoral |programs |prepare |nurses |for |more |rigorous |research |and |theory |development |and
| award |the |research-oriented |Doctor |of |Philosophy |(PhD) |in |nursing. |Professional |doctoral |programs |
| in |nursing |(DSN |or |DNSc) |prepare |graduates |to |apply |research |findings |to |clinical |nursing. |The
|DNP | is |a |practice |doctorate |that |prepares |advanced |practice |nurses |such |as |nurse |practitioners. |
, DIF:Understand |(comprehension)REF:10
OBJ: |Describe |educational |programs |available |for |professional |registered |nurse |(RN) |education.
| TOP:Teaching/LearningMSC:Management |of |Care |
7. A |nurse |attends |a |workshop |on |current |nursing |issues |provided |by |the |American |Nurses
| Association. |Which |type |of |education |did |the | nurse |receive? |
a. Graduate |education |
b. Inservice |education |
c. Continuing |education |
d. Registered |nurse |education |
ANS: |C |
Continuing |education |involves |formal, |organized |educational |programs |offered |by |universities,
| hospitals, |state |nurses |associations, |professional |nursing |organizations, |and |educational |and |health
| care |institutions. |After |obtaining |a |baccalaureate |degree |in |nursing, |you |can |pursue |graduate
| education |leading |to |a |master’s |or |doctoral |degree |in |any |number |of |graduate |fields, |including
| nursing. |Inservice |education |programs |are |instruction |or |training |provided |by |a |health |care |facility |or
| institution. |Registered |nurse |education |is |the |education |preparation |for |an |individual |intending |to |be
| an |RN. |
DIF:Apply |(application)REF:10 |
OBJ: |Describe |educational |programs |available |for |professional |registered |nurse |(RN) |education.
| TOP:Teaching/LearningMSC:Management |of |Care |
8. A |nurse |identifies |gaps |between |local |and |best |practices. |Which |Quality |and |Safety |Education |for
| Nurses |(QSEN) |competency |is |the |nurse |demonstrating? |
a. Safety |
b. Patient-centered |care
c. Quality |improvement |
d. Teamwork |and |collaboration
ANS: |C |
Quality |improvement |identifies |gaps |between |local |and |best |practices. |Safety |minimizes |risk |of |harm
| to |patients |and |providers |through |both |system |effectiveness |and |individual |performance. |Patient-
| centered |care |recognizes | the |patient |or |designee |as |the |source |of |control |and |full |partner |in | |
| providing |compassionate |and |coordinated |care |based |on |respect |for |patient’s |preferences, |values,
| and |needs. |Teamwork |and |collaboration |allows |effective |functioning |within |nursing |and |
Fundamentals of Nursing 9th Edition | | | |
Chapter |01: |Nursing |Today
Potter |et |al.: |Fundamentals |of |Nursing, |9th |Edition
| MULTIPLE |CHOICE
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 |connected |poor
| 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 |Nutting |was
| instrumental |in |moving |nursing |education |into |universities. |Clara |Barton |founded |the |American |Red
| Cross. |Lillian |Wald |helped |open |the |Henry |Street |Settlement. |
DIF:Understand |(comprehension)REF:5 |
OBJ: |Discuss |the |influence |of |social, |historical, |political, |and |economic |changes |on |nursing
| practices. |TOP: |Evaluation |MSC: |Health |Promotion |and |Maintenance |
2. The |nurse |prescribes |strategies |and |alternatives |to |attain |expected |outcome. |Which |standard |of
| nursing |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 |alternatives |to |attain
| expected |outcomes. |During |assessment, |the |registered |nurse |collects |comprehensive |data |pertinent
| to |the |patient’s |health |and/or |the |situation. |In |diagnosis, |the |registered |nurse |analyzes |the |
| assessment |data |to |determine |the |diagnoses |or |issues. |During |implementation, |the |registered |nurse
| implements |(carries |out) |the |identified |plan. |
DIF:Understand |(comprehension)REF:2 |
OBJ: |Discuss |the |development |of |professional |nursing |roles. |TOP: |Planning |
,MSC:Management |of |Care
3. An |experienced |medical-surgical |nurse |chooses |to |work |in |obstetrics. |Which |level |of |proficiency |is
| the |nurse |upon |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 |previous |level |of
| experience |(e.g., |an |experienced |operating |room |nurse |chooses |to |now |practice |in |home |health) |is | |
| an |example |of |a |novice |nurse. |A |proficient |nurse |perceives |a |patient’s |clinical |situation |as |a |whole, |is
| able |to |assess |an |entire |situation, |and |can |readily |transfer |knowledge |gained |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 |practitioner |who |is |able |to |anticipate |nursing |care |and |establish |long-range |goals. |A |nurse
| who |has |had |some |level |of |experience |with |the |situation |is |an |advanced |beginner. |This |experience
| may |only |be |observational |in |nature, |but |the |nurse |is |able |to |identify |meaningful |aspects |or |principles
| of |nursing | care. |
DIF:Apply |(application)REF:2 |
OBJ: |Discuss |the |development |of |professional |nursing |roles. |TOP: |Evaluation
| MSC:Management |of |Care |
4. A |nurse |assesses |a |patient’s |fluid |status |and |decides |that |the |patient |needs |to |drink |more |fluids.
| The |nurse |then |encourages |the |patient |to |drink |more |fluids. |Which |concept |is |the |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 |United |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 |practice. |Accountability |means |that |you |are
| responsible, |professionally |and |legally, |for |the |type |and |quality |of |nursing |care |provided. |
,DIF:Apply |(application)REF:3
OBJ: |Discuss |the |roles |and |career |opportunities |for |nurses. |TOP: |Implementation
| MSC:Management |of |Care |
5. A |nurse |prepares |the |budget |and |policies |for |an |intensive |care |unit. |Which |role |is |the |nurse
| implementing? |
a. Educator |
b. Manager |
c. Advocate |
d. Caregiver |
ANS: |B |
A |manager |coordinates |the |activities |of |members |of |the |nursing |staff |in |delivering |nursing |care |and
| has |personnel, |policy, |and |budgetary |responsibility |for |a |specific |nursing |unit |or |facility. |As |an
| educator, |you |explain |concepts |and |facts |about |health, |describe |the |reason |for |routine |care | |
| activities, |demonstrate |procedures |such |as |self-care |activities, |reinforce |learning |or |patient |behavior,
| and |evaluate |the |patient’s |progress |in |learning. |As |a |patient |advocate, |you |protect |your |patient’s
| human |and |legal |rights |and |provide |assistance |in |asserting |these |rights |if |the |need |arises. |As |a
| caregiver, |you |help |patients |maintain |and |regain |health, |manage |disease |and |symptoms, |and |attain |
| | a |maximal |level |function |and |independence |through |the |healing |process. |
DIF:Apply |(application)REF:4 |
OBJ: |Describe |the |roles |and |career |opportunities |for |nurses. |TOP: |Implementation
| MSC:Management |of |Care |
6. The |nurse |has |been |working |in |the |clinical |setting |for |several |years |as |an |advanced |practice |
| nurse. |However, |the |nurse |has |a |strong |desire |to |pursue |research |and |theory |development. |To |fulfill
| this |desire, |which |program |should |the |nurse |attend? |
a. Doctor |of |Nursing |Science |degree |(DNSc) |
b. Doctor |of |Philosophy |degree |(PhD) |
c. Doctor |of |Nursing |Practice |degree |(DNP) |
d. Doctor |in |the |Science |of |Nursing |degree |(DSN) |
ANS: |B |
Some |doctoral |programs |prepare |nurses |for |more |rigorous |research |and |theory |development |and
| award |the |research-oriented |Doctor |of |Philosophy |(PhD) |in |nursing. |Professional |doctoral |programs |
| in |nursing |(DSN |or |DNSc) |prepare |graduates |to |apply |research |findings |to |clinical |nursing. |The
|DNP | is |a |practice |doctorate |that |prepares |advanced |practice |nurses |such |as |nurse |practitioners. |
, DIF:Understand |(comprehension)REF:10
OBJ: |Describe |educational |programs |available |for |professional |registered |nurse |(RN) |education.
| TOP:Teaching/LearningMSC:Management |of |Care |
7. A |nurse |attends |a |workshop |on |current |nursing |issues |provided |by |the |American |Nurses
| Association. |Which |type |of |education |did |the | nurse |receive? |
a. Graduate |education |
b. Inservice |education |
c. Continuing |education |
d. Registered |nurse |education |
ANS: |C |
Continuing |education |involves |formal, |organized |educational |programs |offered |by |universities,
| hospitals, |state |nurses |associations, |professional |nursing |organizations, |and |educational |and |health
| care |institutions. |After |obtaining |a |baccalaureate |degree |in |nursing, |you |can |pursue |graduate
| education |leading |to |a |master’s |or |doctoral |degree |in |any |number |of |graduate |fields, |including
| nursing. |Inservice |education |programs |are |instruction |or |training |provided |by |a |health |care |facility |or
| institution. |Registered |nurse |education |is |the |education |preparation |for |an |individual |intending |to |be
| an |RN. |
DIF:Apply |(application)REF:10 |
OBJ: |Describe |educational |programs |available |for |professional |registered |nurse |(RN) |education.
| TOP:Teaching/LearningMSC:Management |of |Care |
8. A |nurse |identifies |gaps |between |local |and |best |practices. |Which |Quality |and |Safety |Education |for
| Nurses |(QSEN) |competency |is |the |nurse |demonstrating? |
a. Safety |
b. Patient-centered |care
c. Quality |improvement |
d. Teamwork |and |collaboration
ANS: |C |
Quality |improvement |identifies |gaps |between |local |and |best |practices. |Safety |minimizes |risk |of |harm
| to |patients |and |providers |through |both |system |effectiveness |and |individual |performance. |Patient-
| centered |care |recognizes | the |patient |or |designee |as |the |source |of |control |and |full |partner |in | |
| providing |compassionate |and |coordinated |care |based |on |respect |for |patient’s |preferences, |values,
| and |needs. |Teamwork |and |collaboration |allows |effective |functioning |within |nursing |and |
