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Chapter 01: Nursing Today
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Potter: Fundamentals of Nursing, 11th Edition
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MULTIPLE CHOICE C
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
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a. Florence Nightingale C
b. Mary Nutting C
c. Clara Barton C
d. Lillian Wald C
ANS: A C
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor
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sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came after
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Nightingale, each contributing to the nursing profession in her own way. Mary Nutting was
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instrumental in moving nursing education into universities. Clara Barton founded the American
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Red Cross. Lillian Wald helped open the Henry Street Settlement.
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DIF:Understand (comprehension) C
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 C C C C
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
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nursing practice is the nurse following?
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a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C C
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
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attain expected outcomes. During assessment, the registered nurse collects comprehensive data
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pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse analyzes
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the assessment data to determine the diagnoses or issues. During implementation, the registered
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nurse implements (carries out) the identified plan.
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DIF:Understand (comprehension) C
OBJ:Discuss the development of professional nursing roles. C C C C C C TOP: Planning C
MSC: 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?
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a. Novice
b. Proficient
c. Competent
d. Advanced beginner C
ANS: A C
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A beginning nursing student or any nurse entering a situation in which there is no previous level
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of experience (e.g., an experienced operating room nurse chooses to now practice in home
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health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical situation
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as a whole, is able to assess an entire situation, and can readily transfer knowledge gained from
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multiple previous experiences to a situation. A competent nurse understands the organization
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and specific care required by the type of patients (e.g., surgical, oncology, or orthopedic
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patients). This nurse is a competent practitioner who is able to anticipate nursing care and
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establish long-range goals. A nurse who has had some level of experience with the situation is an
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advanced beginner. This experience may only be observational in nature, but the nurse is able to
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identify meaningful aspects or principles of nursing care.
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DIF:Apply (application) C
OBJ:Discuss the development of professional nursing roles. C C C C C C TOP: Evaluation C
MSC: 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 fluids. The
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nurse then encourages the patient to drink more fluids. Which concept is the nurse
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demonstrating?
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a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B C
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) C
OBJ:Discuss the roles and career opportunities for nurses. C C C C C C C TOP: Implementation C
MSC: 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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implementing?
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a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B C
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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 facility. As
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an educator, you explain concepts and facts about health, describe the reason for routine care
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activities, demonstrate procedures such as self-care activities, reinforce learning or patient
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behavior, and evaluate the patient’s progress in learning. As a patient advocate, you protect your
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patient’s human and legal rights and provide assistance in asserting these rights if the need arises.
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As a caregiver, you help patients maintain and regain health, manage disease and symptoms, and
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attain a maximal level function and independence through the healing process.
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DIF:Apply (application) C
OBJ:Discuss the roles and career opportunities for nurses. C C C C C C C TOP: Implementation C
MSC: 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?
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a. Doctor of Nursing Science degree (DNSc) C C C C C
b. Doctor of Philosophy degree (PhD) C C C C
c. Doctor of Nursing Practice degree (DNP) C C C C C
d. Doctor in the Science of Nursing degree (DSN) C C C C C C C
ANS: B C
Some doctoral programs prepare nurses for more rigorous research and theory development and
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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) C
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
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education.
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7. A nurse attends a workshop on current nursing issues provided by the American Nurses
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CAssociation. Which type of education did the nurse receive? C C C C C C C C
a. Graduate education C
b. Inservice education C
c. Continuing education C
d. Registered nurse education C C
ANS: C C
Continuing education involves formal, organized educational programs offered by universities,
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hospitals, state nurses associations, professional nursing organizations, and educational and
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health care institutions. After obtaining a baccalaureate degree in nursing, you can pursue
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graduate education leading to a master’s or doctoral degree in any number of graduate fields,
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including nursing. Inservice education programs are instruction or training provided by a health
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care facility or institution. Registered nurse education is the education preparation for an
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individual intending to be an RN.
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DIF:Apply (application) C
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
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