#z #z #z #z #z #z #z #z
Chapter #z1.#zNursing #zToday
#zMULTIPLE #zCHOICE
1. Contemporary #znursing #zpractice #zis #zbased #zon #zknowledge #zgenerated #zthrough #znursing
#ztheories. #zFlorence #zNightingales #ztheory #zintroduced #zthe #zconcept #zthat #znursing #zcare
#zfocuses #zon:
1 Psychological needs #z
2 A maximal level of wellness
#z #z #z #z
3 Health maintenance and restoration
#z #z #z
4 Interpersonal interactions with the client
#z #z #z #z
ANS: #z3
Florence #zNightingale #zbelieved #zthe #zrole #zof #zthe #znurse #zwas #zto #zput #zthe #zclients #zbody #zin #zthe #zbest
#zstate #zin #zorder #zto #zremain #zfree #zof #zdisease #zor #zto #zrecover #zfrom #zdisease.
Although #zFlorence #zNightingale #zmay #zhave #zaddressed #zmeeting #zthe #zpsychological #zneeds #zof
#zher #zclients, #zit #zis #znot #zthe #zfocus #zof #zher #ztheory. #zThe #zgoal #zof #zNightingales #ztheory #zis #zto
#zfacilitate #zthe #zbodys #zreparative #zprocesses #zby #zmanipulating #zthe #zclients #zenvironment.
Florence #zNightingale #zthought #zthe #zhuman #zbody #zhad #zreparative #zproperties #zof #zits #zown #zif #zit
#zwas #zcared #zfor #zin #za #zway #zto #zrecover #zfrom #zdisease. #zHer #ztheory #zdid #znot #zfocus #zon #zachieving
#za #zmaximal #zlevel #zof #zwellness.
Florence #zNightingale #zbelieved #zthe #znurse #zwas #zin #zcharge #zof #zthe #zclients #zhealth. #zAlthough
#zshe #zinteracted #zwith #zher #zclients #zby #zreading #zto #zthem, #zher #ztheory #zof #znursing #zcare #zdid #znot
#zfocus #zupon #zinterpersonal #zinteractions.
DIF: #zA #zREF: #z2 #zOBJ: #zKnowledge
#zTOP: #zNursing #zProcess: #zAssessment
MSC: #zNCLEX #ztest #zplan #zdesignation: #zSafe, #zEffective #zCare #zEnvironment/Coordinated #zCare
2. Nursing #zeducation #zprograms #zin #zthe #zUnited #zStates #zmay #zseek #zvoluntary #zaccreditation
#zby #zthe #zappropriate #zaccrediting #zcommission #zcouncil #zof #zthe:
1 National League for Nursing
#z #z #z
2 American Nurses Association
#z #z
3 Congress for Nursing Practice
#z #z #z
4 International Council of Nurses #z #z #z
ANS: #z1
The #zNational #zLeague #zfor #zNursing #z(NLN) #zis #zthe #zprofessional #znursing #zorganization
#zconcerned #zwith #znursing #zeducation. #zThe #zNLN #zprovides #zaccreditation #zto #znursing #zprograms
#zthat #zseek #zand #zmeet #zthe #zNLN #zaccreditation #zrequirements.
The #zAmerican #zNurses #zAssociation #z(ANA) #zis #zconcerned #zwith #zthe #znursing #zprofession #zand #zissues
#zaffecting #zhealth #zcare, #zincluding #zstandards #zof #zcare.
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,The #zCongress #zfor #zNursing #zPractice #zis #zthe #zpart #zof #zthe #zANA #zconcerned #zwith #zdetermining
#zthe #zlegal #zaspects #zof #znursing #zpractice, #zthe #zpublic #zrecognition #zof #zthe #zimportance #zof
#znursing, #zand #zthe #zimpact #zof #ztrends #zin #zhealth #zcare #zon #znursing #zpractice.
The #zInternational #zCouncil #zof #zNurses #z(ICN) #zis #zconcerned #zabout #zissues #zof #zhealth #zcare
#zand #zthe #znursing #zprofession, #zincluding #zthe #zprovision #zof #zan #zinternational #zpower #zbase
#zfor #znurses.
DIF: #zA #zREF: #z8 #zOBJ: #zKnowledge
#zTOP: #zNursing #zProcess: #zAssessment
MSC: #zNCLEX #ztest #zplan #zdesignation: #zSafe, #zEffective #zCare #zEnvironment/Coordinated #zCare
3. The #zminimum #zeducational #zrequirement #zfor #za #znurse #zpractitioner #zis:
1 Diploma in nursing#z #z
2 Masters in nursing
#z #z
3 Doctorate in nursing #z #z
4 Baccalaureate in nursing #z #z
ANS: #z2
A #zmasters #zdegree #zis #znursing #zis #zrequired #zto #zbecome #za #znurse #zpractitioner.
Diploma #zprograms #zin #znursing #zrequire #z3 #zyears #zof #zeducation #zafter #zwhich #zthe #zgraduate #zmay
#zbecome #za #zregistered #znurse, #zbut #znot #za #znurse #zpractitioner.
Doctoral #zprograms #zfocus #zon #zthe #zapplication #zof #zresearch #zfindings #zto #zclinical #zpractice. #zThe
#zdoctoral #zdegree #zis #zbeyond #zthe #zmasters #zdegree.
The #zbaccalaureate #zdegree #zprogram #zgenerally #zrequires #z4 #zyears #zof #zstudy #zin #za #zcollege #zor
#zuniversity, #zafter #zwhich #zthe #zgraduate #zmay #zbecome #za #zregistered #znurse, #znot #za #znurse
#zpractitioner.
DIF: #zA #zREF: #z8 #zOBJ: #zKnowledge
#zTOP: #zNursing #zProcess: #zAssessment
MSC: #zNCLEX #ztest #zplan #zdesignation: #zSafe, #zEffective #zCare #zEnvironment/Coordinated #zCare
4. A #zgroup #zthat #zlobbies #zat #zthe #zstate #zand #zfederal #zlevel #zfor #zadvancement #zof #znursings #zrole,
#zeconomic #zinterest, #zand #zhealth #zcare #zis #zthe:
1 State Board of Nursing
#z #z #z
2 American Nurses Association
#z #z
3 American Hospital Association
#z #z
4 National Student Nurses Association
#z #z #z
ANS: #z2
The #zAmerican #zNurses #zAssociation #z(ANA) #zhires #zlobbyists #zat #zthe #zstate #zand #zfederal #zlevel #zto
#zpromote #zthe #zadvancement #zof #zhealth #zcare #zand #zthe #zeconomic #zand #zgeneral #zwelfare #zof
#znurses.
State #zBoards #zof #zNursing #zprimarily #zfocus #zon #zlicensure #zof #znurses #zwithin #ztheir
#zown #zstate. #zThe #zAmerican #zHospital #zAssociation #zdoes #znot #zfocus #zon #znurses
#zeconomic #zissues #zand #zthe #zadvancement #zof #zthe #zrole #zof #znurses.
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,The #zNational #zStudent #zNurses #zAssociation #zfocuses #zon #zissues #zof #zimportance #zfor #znursing #zstudents.
DIF: #zA #zREF: #z8 #zOBJ:
#zComprehension #zTOP: #zNursing
#zProcess: #zAssessment
MSC: #zNCLEX #ztest #zplan #zdesignation: #zSafe, #zEffective #zCare #zEnvironment/Coordinated #zCare
5. A #znurse #zmoves #zfrom #zSeattle #zto #zBoston #zand #zbegins #zworking #zin #za #zhospital. #zThe #zmost
#zimportant #zfactor #zfor #zthe #znurse #zto #zconsider #zwhen #zmoving #zto #zanother #zstate #zis #zthe:
1 Massachusetts Nurse Practice Act
#z #z #z
2 Standard for nursing practice in Boston
#z #z #z #z #z
3 Clinical ladder of mobility in the new hospital
#z #z #z #z #z #z #z
4 Requirement for continuing education units (CEU) in
#z #z #z #z #z #z #z
Massachusetts
#z
ANS: #z1
Although #zmost #zstates #zhave #zsimilar #zpractice #zacts, #zeach #zindividual #zstate #zhas #zits #zown #zNurse
#zPractice #zAct #zthat #zregulates #zthe #zlicensure #zand #zpractice #zof #znursing #zwithin #zthat #zstate.
#zKnowledge #zof #zthe #zNurse #zPractice #zAct #zis #znecessary #zto #zprovide #zsafe #zand #zlegal #znursing
#zcare.
Standards #zof #znursing #zpractice #zare #znot #zspecific #zto #za #zcity, #zbut #zrather #zto #zthe #zprofession
#zitself. #zAlthough #zthe #zclinical #zladder #zof #zmobility #zmay #zbe #zof #zinterest #zin #zregard #zto
#zprofessional #zadvancement, #zit #zis #znot #zthe #zmost #zimportant #zfactor #zwhen #zpracticing #znursing #zin
#zanother #zstate. #zKnowledge #zof #zthe #zNurse #zPractice #zAct #zin #zorder #zto #zprovide #zsafe #zand #zlegal
#znursing #zcare #zis #zof #zhigher #zimportance.
Regardless #zof #zwhere #za #znurse #zpractices, #zthe #znurse #zshould #zstrive #zto #zremain
#zcurrent. #zDIF: #zC #zREF: #z8 #zOBJ: #zAnalysis
TOP: #zNursing #zProcess: #zAssessment
MSC: #zNCLEX #ztest #zplan #zdesignation: #zSafe, #zEffective #zCare #zEnvironment/Coordinated #zCare
6. A #znurse #zis #zcaring #zfor #za #zclient #zwho #zhas #zchronic #zrenal #zfailure. #zThe #znurse #zstates, #zWe
#zwill #zdo #zeverything #zpossible #zto #zreturn #zyou #zto #zthe #zoptimum #zlevel #zof #zself-care #zpossible. #zIn
#zcoordinating #zan #zapproach #zto #zbest #zmeet #zthe #zneeds #zof #zthis #zclient, #zthe #znurse #zis #zfulfilling
#zthe #zrole #zof:
1 Manager
2 Educator
3 Counselor
4 Communicator
ANS: #z1
The #znurse, #zin #zcaring #zfor #zthis #zclient, #zwill #zcoordinate #zthe #zactivities #zof #zother #zmembers #zof
#zthe #zhealth #zcare #zteam. #zThis #zclient #zmay #zrequire #zthe #zassistance #zof #za #znursing #zassistant #zto
#zprovide #zpersonal #zcare #zuntil #zthe #zclient #zis #zless #zfatigued. #zA #znutritionist #zmay #zbe #znecessary #zfor
#zdiet #zevaluation, #zplanning, #zand #zteaching. #zA #znurse #zmay #zprovide #zeducation #zon #zthe #zdialysis
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, #z therapy #zand #zperform #zthe #zskill #znecessary #zuntil #zthe #zclient #zis #zable #zto #zdo #zso #zindependently.
The nurse may include patient teaching in the clients care, but more is required to meet the needs
of this client.
The nurse is not performing in the role of counselor.
Clear communication will be necessary for the client to understand self-care measures regarding
dialysis. The role of communicator does not, however, entirely meet the clients physical needs at
this time.
DIF: A REF: 10 OBJ: Comprehension
TOP: Nursing Process: Planning
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
7. Nurses have the opportunity to work in a wide variety of health care agencies around the
world. The practice setting where the majority of nurses continue to work is:
1 Acute care
2 Home care
3 Long-term care
4 Ambulatory care
ANS: 1
Most nurses provide direct client care in the hospital setting.
Although opportunities for providing patient care in the clients home are increasing, the majority
of nurses are not employed in this setting.
The majority of nurses do not work in nursing homes or extended care settings.
Significantly fewer nurses work in an ambulatory care setting.
DIF: A REF: 10 OBJ: Knowledge
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
8. A client is receiving Dilantin to prevent seizure activity. To which allied health care
professional should the nurse refer this client in order to minimize the challenges this condition
creates?
1 Physical therapist
2 Physicians assistant
3 Respiratory therapist
4 Occupational therapist
ANS: 4
An occupational therapist is a person who provides assessment and intervention to ameliorate
physical and psychological deficits that interfere with the performance of activities and tasks of
living, including ones employment.
A physical therapist is responsible for the patients musculoskeletal system. A physical therapist
may use exercises as an intervention to improve a clients mobility.
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