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,Chapter 01: Nursing Today
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Potter: Fundamentals of Nursing, 11th Edition
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MULTIPLE CHOICE s
1. Which nurse most likely kept records on sanitation techniques and the effects on health? a.
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Florence Nightingale s
b. Mary Nutting s
c. Clara Barton s
d. Lillian Wald s
ANS: A s
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
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poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
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came after Nightingale, each contributing to the nursing profession in her own way. Mary
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Nutting was instrumental in moving nursing education into universities. Clara Barton founded
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the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
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DIF:Understand (comprehension) s
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
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TOP: Evaluation MSC: Health Promotion and Maintenance s s s s
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard
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of nursing practice is the nurse following? a. Assessment
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b. Diagnosis
c. Planning
d. Implementation
ANS: C s
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
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sattain expected outcomes. During assessment, the registered nurse collects comprehensive
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sdata pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
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sanalyzes the assessment data to determine the diagnoses or issues. During implementation,
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sthe registered nurse implements (carries out) the identified plan.
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DIF:Understand (comprehension) s
OBJ:Discuss the development of professional nursing roles. s s s s s s TOP: Planning MSC: s s
Management of Care
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3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
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proficiency is the nurse upon initial transition to the obstetrical floor? a. Novice
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b. Proficient
c. Competent
d. Advanced beginner s
, ANS: A s
A beginning nursing student or any nurse entering a situation in which there is no previous
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level of experience (e.g., an experienced operating room nurse chooses to now practice in
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home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
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situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
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gained from multiple previous experiences to a situation. A competent nurse understands the
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organization and specific care required by the type of patients (e.g., surgical, oncology, or
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orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
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care and establish long-range goals. A nurse who has had some level of experience with the
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situation is an advanced beginner. This experience may only be observational in nature, but
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the nurse is able to identify meaningful aspects or principles of nursing care.
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DIF:Apply (application) s
OBJ:Discuss the development of professional nursing roles. s s s s s s TOP: Evaluation MSC: s s
Management of Care
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4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more
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fluids. The nurse then encourages the patient to drink more fluids. Which concept is the
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nurse demonstrating? a. Licensure
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b. Autonomy
c. Certification
d. Accountability
ANS: B s
Autonomy is an essential element of professional nursing that involves the initiation of
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independent nursing interventions without medical orders. To obtain licensure in the United
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States, the RN candidate must pass the NCLEX-RN . Beyond the NCLEX-RN , the nurse may
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choose to work toward certification in a specific area of nursing practice. Accountability means
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that you are responsible, professionally and legally, for the type and quality of nursing care
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provided.
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DIF:Apply (application) s
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation MSC:
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Management of Care
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5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
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s implementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B s
A manager coordinates the activities of members of the nursing staff in delivering nursing care
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and has personnel, policy, and budgetary responsibility for a specific nursing unit or
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, facility. As an educator, you explain concepts and facts about health, describe the reason for
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routine care activities, demonstrate procedures such as self-care activities, reinforce learning
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or patient behavior, and evaluate the patient’s progress in learning. As a patient advocate, you
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protect your patient’s human and legal rights and provide assistance in asserting these rights if
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the need arises. As a caregiver, you help patients maintain and regain health, manage disease
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and symptoms, and attain a maximal level function and independence through the healing
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process.
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DIF:Apply (application) s
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation MSC:
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Management of Care
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6. The nurse has been working in the clinical setting for several years as an advanced practice
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nurse. However, the nurse has a strong desire to pursue research and theory development. To
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fulfill this desire, which program should the nurse attend? a. Doctor of Nursing Science
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degree (DNSc)
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b. Doctor of Philosophy degree (PhD) s s s s
c. Doctor of Nursing Practice degree (DNP) s s s s s
d. Doctor in the Science of Nursing degree (DSN) s s s s s s s
ANS: B s
Some doctoral programs prepare nurses for more rigorous research and theory development
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and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral
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programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
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nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
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practitioners.
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DIF:Understand (comprehension) s
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
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education. TOP: Teaching/Learning MSC: Management of Care
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7. A nurse attends a workshop on current nursing issues provided by the American Nurses
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Association. Which type of education did the nurse receive? a. Graduate education
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b. Inservice education s
c. Continuing education s
d. Registered nurse education s s
ANS: C s
Continuing education involves formal, organized educational programs offered by
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universities, hospitals, state nurses associations, professional nursing organizations, and
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educational and health care institutions. After obtaining a baccalaureate degree in nursing,
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you can pursue graduate education leading to a master’s or doctoral degree in any number of
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graduate fields, including nursing. Inservice education programs are instruction or training
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provided by a health care facility or institution. Registered nurse education is the education
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preparation for an individual intending to be an RN.
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