Fundamentals of Nursing 2nd Edition Yoost Test Bank
Fundamentals of Nursing 2nd Edition Yoost Test Bank
Chapter 01: Nursing, Theory, and Professional Practice
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 2nd Edition
MULTIPLE CHOICE
1. A group of nursing students are discussing the impact of nonnursing theories in clinical
T T T T T T T T T T T T T
practice. The students would be correct if they chose which theory to prioritize patient care?
T T T T T T T T T T T T T T
a. Erikson’s Psychosocial Theory T T
b. Paul’s Critical-Thinking Theory T T
c. Maslow’s Hierarchy of Needs T T T
d. Rosenstock’s Health Belief Model T T T
ANS: C T
Maslow’s hierarchy of needs specifies the psychological and physiologic factors that affect
T T T T T T T T T T T T
each person’s physical and mental health. The nurse’s understanding of these factors helps
T T T T T T T T T T T T T
with formulating Nursing diagnoses that address the patient’s needs and values to prioritize
T T T T T T T T T T T T T
care. Erikson’s Psychosocial Theory of Development and Socialization is based on
T T T T T T T T T T T
individuals’ interacting and learning about their world. Nurses use concepts of developmental
T T T T T T T T T T T T
theory to critically think in providing care for their patients at various stages of their lives.
T T T T T T T T T T T T T T T
Rosenstock (1974) developed the psychological Health Belief Model. The model addresses possible
T T T T T T T T T T T T
reasons for why a patient may not comply with recommended health promotion behaviors. This
T T T T T T T T T T T T T T
model is especially useful to nurses as they educate patients.
T T T T T T T T T
DIF: Remembering OBJ: 1.5 TOP: Planning T T T
MSC: NCLEX Client Needs CN
T a t egR
or y:IS a f G
e a nB
d E.f C
f e c t iM
T v e Care Environment: Management of Care
T T T T T T T T T T
NOT: Concepts: Care CoordinatiU
T on S N T O T T T T T
2. A nursing student is preparing study notes from a recent lecture in nursing history. The
T T T T T T T T T T T T T T T
student would credit Florence Nightingale for which definition of nursing?
T T T T T T T T T
a. The imbalance between the patient and the environment decreases the capacity for
T T T T T T T T T T T T
health.
b. The nurse needs to focus on interpersonal processes between nurse and patient.
T T T T T T T T T T T
c. The nurse assists the patient with essential functions toward independence.
T T T T T T T T T
d. Human beings are interacting in continuous motion as energy fields.
T T T T T T T T T
ANS: A T
Florence Nightingale’s (1860) concept of the environment emphasized prevention and clean
T T T T T T T T T T T
air, water, and housing. This theory states that the imbalance between the patient and the
T T T T T T T T T T T T T T T
environment decreases the capacity for health and does not allow for conservation of energy.
T T T T T T T T T T T T T T
Hildegard Peplau (1952) focused on the roles played by the nurse and the interpersonal
T T T T T T T T T T T T T T
process between a nurse and a patient. Virginia Henderson described the nurse’s role as
T T T T T T T T T T T T T T
substitutive (doing for the person), supplementary (helping the person), or complementary
T T T T T T T T T T T
(working with the person), with the goal of independence for the patient. Martha Rogers
T T T T T T T T T T T T T T
(1970) developed the Science of Unitary Human Beings. She stated that human beings and
T T T T T T T T T T T T T T
their environments are interacting in continuous motion as infinite energy fields.
T T T T T T T T T T
DIF: Understanding OBJ: 1.4 TOP: Planning T T T
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
T T T T T T T T T
NOT: Concepts: Health Promotion
T T T
PRIMEXAM.COM
, Fundamentals of Nursing 2nd Edition Yoost Test Bank
3. The nurse identifies which nurse established the American Red Cross during the Civil War?
T T T T T T T T T T T T T
a. Dorothea Dix T
b. Linda Richards T
c. Lena Higbee T
d. Clara Barton T
ANS: D T
Clara Barton practiced nursing in the Civil War and established the American Red Cross.
T T T T T T T T T T T T T T
Dorothea Dix was the head of the U.S. Sanitary Commission, which was a forerunner of the
T T T T T T T T T T T T T T T T
Army Nurse Corps. Linda Richards was America’s first trained nurse, graduating from
T T T T T T T T T T T T
Boston’s Women’s Hospital in 1873, and Lena Higbee, superintendent of the U.S. Navy
T T T T T T T T T T T T T
Nurse Corps, was awarded the Navy Cross in 1918.
T T T T T T T T
DIF: Remembering OBJ: 1.3 TOP: Assessment T T T
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
T T T T T T T T
NOT: Concepts: Professionalism
T T
4. The nursing instructor is researching the five proficiencies regarded as essential for students
T T T T T T T T T T T T T
and professionals. The nursing instructor identifies which organization would be found to
T T T T T T T T T T T T
have added safety as a sixth competency?
T T T T T T
a. Quality and Safety Education for Nurses (QSEN)
T T T T T T
b. Institute of Medicine (IOM) T T T
c. American Association of Colleges of Nursing (AACN) T T T T T T
d. National League for Nursing (NLN) T T T T
ANS: A T
The Institute of Medicine r epNo r t ,RHe I GP r oBf e.s sCi o nMs Education: A Bridge to Quality (2003),
T
outlines five core competencies.
T
Sa l tNhinclude
UThese
T
T
T
patient-centered care, interdisciplinary
T
T
T T T
T
T
T T
T
T T T T
teamwork, use of evidence-based medicine, quality improvement, and use of information
T T T T T T T T T T T
technology. QSEN added safety as a sixth competency. The Essentials of Baccalaureate
T T T T T T T T T T T T
Education for Professional Nursing Practice are provided and updated by the American
T T T T T T T T T T T T
Association of Colleges of Nursing (AACN) (2008). The document offers a framework for the
T T T T T T T T T T T T T T
education of professional nurses with outcomes for students to meet. The National League for
T T T T T T T T T T T T T T
Nursing (NLN) outlines and updates competencies for practical, associate, baccalaureate, and
T T T T T T T T T T T
graduate nursing education programs.
T T T
DIF: Remembering OBJ: 1.1 TOP: Planning T T T
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
T T T T T T T T T T T T T
NOT: Concepts: Care Coordination
T T T
5. The nurse manager is interviewing graduate nurses to fill existing staffing vacancies. When
T T T T T T T T T T T T T
hiring graduate nurses, the nurse manager realizes that they will probably not be considered
T T T T T T T T T T T T T T
“competent” until they complete which task? T T T T T
a. They graduate and pass NCLEX.
T T T T
b. They have worked 2 to 3 years.
T T T T T T
c. Their last year of nursing school.
T T T T T
d. They are actually hired. T T T
ANS: B T
PRIMEXAM.COM
, Fundamentals of Nursing 2nd Edition Yoost Test Bank
Benner’s model identifies five levels of proficiency: novice, advanced beginner, competent,
T T T T T T T T T T T
proficient, and expert. The student nurse progresses from novice to advanced beginner during
T T T T T T T T T T T T T
nursing school and attains the competent level after approximately 2 to 3 years of work
T T T T T T T T T T T T T T T
experience after graduation. To obtain the RN credential, a person must graduate from an
T T T T T T T T T T T T T T
approved school of nursing and pass a state licensing examination called the National Council
T T T T T T T T T T T T T T
Licensure Examination for Registered Nurses (NCLEX-RN) usually taken soon after
T T T T T T T T T T
completion of an approved nursing program. T T T T T
DIF: Remembering OBJ: 1.7 TOP: Planning T T T
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
T T T T T T T T T T T T T
NOT: Concepts: Care Coordination
T T T
6. The prospective student is considering options for beginning a career in nursing. Which
T T T T T T T T T T T T T
degree would best match the student’s desire to conduct research at the university level?
T T T T T T T T T T T T T
a. Associate Degree in Nursing (ADN) T T T T
b. Bachelor of Science in Nursing (BSN) T T T T T
c. Doctor of Nursing Practice (DNP) T T T T
d. Doctor of Philosophy in Nursing (PhD) T T T T T
ANS: D T
Doctoral nursing education can result in a Doctor of Philosophy (PhD) degree. This degree
T T T T T T T T T T T T T T
prepares nurses for leadership roles in research, teaching, and administration that are essential
T T T T T T T T T T T T T
to advancing nursing as a profession. Associate Degree in Nursing (ADN) programs usually
T T T T T T T T T T T T T
are conducted in a community college setting. The nursing curriculum focuses on adult acute
T T T T T T T T T T T T T T
and chronic disease; maternal/child health; pediatrics; and psychiatric/mental health nursing.
T T T T T T T T T T
ADN RNs may return to school to earn a bachelor’s degree or higher in an RN-to-BSN or RN-
T T T T T T T T T T T T T T T T T
to-MSN program. Bachelor’s degree programs include community health and management
T T T T T T T T T T
courses beyond t hUo s eSp r oNv N eR
d inIanO
idT
T
Gassociate
B.C degree program. A newer T T T T T T T
practice-focused doctoral degree is the Doctor of Nursing practice (DNP), which concentrates T T T T T T T T T T T T
on the clinical aspects of nursing. DNP specialties include the four advanced practice roles of
T T T T T T T T T T T T T T
NP, CNS, CNM, and CRNA.
T T T T
DIF: Remembering OBJ: 1.9 TOP: Assessment T T T
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
T T T T T T T T T T T T T
NOT: Concepts: Care Coordination
T T T
7. During a staff meeting, the nurse manager announces that the hospital will be seeking Magnet
T T T T T T T T T T T T T T T
status. To explain the requirements for this award, the nurse manager will contact which
T T T T T T T T T T T T T T
organization?
a. American Nurses Association (ANA) T T T
b. American Nurses Credentialing Center (ANCC) T T T T
c. National League for Nursing (NLN) T T T T
d. Joint Commission T
ANS: B T
The American Nurses Credentialing Center (ANCC) awards Magnet Recognition to hospitals
T T T T T T T T T T T
that have shown excellence and innovation in nursing. The ANA is a professional
T T T T T T T T T T T T T
organization that provides standards of nursing practice. The National League for Nursing
T T T T T T T T T T T T
(NLN) outlines and updates competencies for practical, associate, baccalaureate, and graduate
T T T T T T T T T T T
nursing education programs. The Joint Commission is the accrediting organization for health
T T T T T T T T T T T T
care facilities in the United States.
T T T T T
PRIMEXAM.COM
, Fundamentals of Nursing 2nd Edition Yoost Test Bank
DIF: Remembering OBJ: 1.1 TOP: Assessment T T T
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
T T T T T T T T T T T T T
NOT: Concepts: Care Coordination
T T T
8. The nurse is caring for a patient who refuses two units of packed red blood cells. When the
T T T T T T T T T T T T T T T T T T
nurse notifies the health care provider of the patient’s decision, the nurse is acting in which
T T T T T T T T T T T T T T T T
role?
a. Manager
b. Change agent T
c. Advocate
d. Educator
ANS: C T
As the patient’s advocate, the nurse interprets information and provides the necessary
T T T T T T T T T T T T
education. The nurse then accepts and respects the patient’s decisions even if they are
T T T T T T T T T T T T T T
different from the nurse’s own beliefs. The nurse supports the patient’s wishes and
T T T T T T T T T T T T T
communicates them to other health care providers. A nurse manages all of the activities and
T T T T T T T T T T T T T T T
treatments for patients. In the role of change agent, the nurse works with patients to address
T T T T T T T T T T T T T T T T
their health concerns and with staff members to address change in an organization or within a
T T T T T T T T T T T T T T T T
community. The nurse ensures that the patient receives sufficient information on which to
T T T T T T T T T T T T T
base consent for care and related treatment. Education becomes a major focus of discharge
T T T T T T T T T T T T T T
planning so that patients will be prepared to handle their own needs at home.
T T T T T T T T T T T T T
DIF: Applying OBJ: 1.2 TOP: Implementation T T T
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
T T T T T T T T T T T T T
NOT: Concepts: Care Coordination
T T T
NURSINGTB.COM
9. The nursing student develops a plan of care based on a recently published article describing
T T T T T T T T T T T T T T
the effects of bed rest on a patient’s calcium blood levels. When creating the plan of care, the
T T T T T T T T T T T T T T T T T T
nursing student has the obligation to consider which action?
T T T T T T T T
a. Critically appraise the evidence and determine validity. T T T T T T
b. Ensure that the plan of care does not alter current practice.
T T T T T T T T T T
c. Change the process even when there is no problem identified.
T T T T T T T T T
d. Maintain the plan of care regardless of initial outcome.
T T T T T T T T
ANS: A T
Evidence-based practice (EBP) is an integration of the best-available research evidence with
T T T T T T T T T T T T
clinical judgment about a specific patient situation. The nurse assesses current and past
T T T T T T T T T T T T T
research, clinical guidelines, and other resources to identify relevant literature. The application
T T T T T T T T T T T T
of EBP includes critically appraising the evidence to assess its validity, designing a change for
T T T T T T T T T T T T T T T
practice, assessing the need for change and identifying a problem, and integrating and
T T T T T T T T T T T T T
maintaining change while monitoring process and outcomes by reevaluating the application of
T T T T T T T T T T T T
evidence and assessing areas for improvement.
T T T T T
DIF: Applying OBJ: 1.2 TOP: Implementation T T T
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
T T T T T T T T T T T T T
NOT: Concepts: Care Coordination
T T T
PRIMEXAM.COM
Fundamentals of Nursing 2nd Edition Yoost Test Bank
Chapter 01: Nursing, Theory, and Professional Practice
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 2nd Edition
MULTIPLE CHOICE
1. A group of nursing students are discussing the impact of nonnursing theories in clinical
T T T T T T T T T T T T T
practice. The students would be correct if they chose which theory to prioritize patient care?
T T T T T T T T T T T T T T
a. Erikson’s Psychosocial Theory T T
b. Paul’s Critical-Thinking Theory T T
c. Maslow’s Hierarchy of Needs T T T
d. Rosenstock’s Health Belief Model T T T
ANS: C T
Maslow’s hierarchy of needs specifies the psychological and physiologic factors that affect
T T T T T T T T T T T T
each person’s physical and mental health. The nurse’s understanding of these factors helps
T T T T T T T T T T T T T
with formulating Nursing diagnoses that address the patient’s needs and values to prioritize
T T T T T T T T T T T T T
care. Erikson’s Psychosocial Theory of Development and Socialization is based on
T T T T T T T T T T T
individuals’ interacting and learning about their world. Nurses use concepts of developmental
T T T T T T T T T T T T
theory to critically think in providing care for their patients at various stages of their lives.
T T T T T T T T T T T T T T T
Rosenstock (1974) developed the psychological Health Belief Model. The model addresses possible
T T T T T T T T T T T T
reasons for why a patient may not comply with recommended health promotion behaviors. This
T T T T T T T T T T T T T T
model is especially useful to nurses as they educate patients.
T T T T T T T T T
DIF: Remembering OBJ: 1.5 TOP: Planning T T T
MSC: NCLEX Client Needs CN
T a t egR
or y:IS a f G
e a nB
d E.f C
f e c t iM
T v e Care Environment: Management of Care
T T T T T T T T T T
NOT: Concepts: Care CoordinatiU
T on S N T O T T T T T
2. A nursing student is preparing study notes from a recent lecture in nursing history. The
T T T T T T T T T T T T T T T
student would credit Florence Nightingale for which definition of nursing?
T T T T T T T T T
a. The imbalance between the patient and the environment decreases the capacity for
T T T T T T T T T T T T
health.
b. The nurse needs to focus on interpersonal processes between nurse and patient.
T T T T T T T T T T T
c. The nurse assists the patient with essential functions toward independence.
T T T T T T T T T
d. Human beings are interacting in continuous motion as energy fields.
T T T T T T T T T
ANS: A T
Florence Nightingale’s (1860) concept of the environment emphasized prevention and clean
T T T T T T T T T T T
air, water, and housing. This theory states that the imbalance between the patient and the
T T T T T T T T T T T T T T T
environment decreases the capacity for health and does not allow for conservation of energy.
T T T T T T T T T T T T T T
Hildegard Peplau (1952) focused on the roles played by the nurse and the interpersonal
T T T T T T T T T T T T T T
process between a nurse and a patient. Virginia Henderson described the nurse’s role as
T T T T T T T T T T T T T T
substitutive (doing for the person), supplementary (helping the person), or complementary
T T T T T T T T T T T
(working with the person), with the goal of independence for the patient. Martha Rogers
T T T T T T T T T T T T T T
(1970) developed the Science of Unitary Human Beings. She stated that human beings and
T T T T T T T T T T T T T T
their environments are interacting in continuous motion as infinite energy fields.
T T T T T T T T T T
DIF: Understanding OBJ: 1.4 TOP: Planning T T T
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
T T T T T T T T T
NOT: Concepts: Health Promotion
T T T
PRIMEXAM.COM
, Fundamentals of Nursing 2nd Edition Yoost Test Bank
3. The nurse identifies which nurse established the American Red Cross during the Civil War?
T T T T T T T T T T T T T
a. Dorothea Dix T
b. Linda Richards T
c. Lena Higbee T
d. Clara Barton T
ANS: D T
Clara Barton practiced nursing in the Civil War and established the American Red Cross.
T T T T T T T T T T T T T T
Dorothea Dix was the head of the U.S. Sanitary Commission, which was a forerunner of the
T T T T T T T T T T T T T T T T
Army Nurse Corps. Linda Richards was America’s first trained nurse, graduating from
T T T T T T T T T T T T
Boston’s Women’s Hospital in 1873, and Lena Higbee, superintendent of the U.S. Navy
T T T T T T T T T T T T T
Nurse Corps, was awarded the Navy Cross in 1918.
T T T T T T T T
DIF: Remembering OBJ: 1.3 TOP: Assessment T T T
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
T T T T T T T T
NOT: Concepts: Professionalism
T T
4. The nursing instructor is researching the five proficiencies regarded as essential for students
T T T T T T T T T T T T T
and professionals. The nursing instructor identifies which organization would be found to
T T T T T T T T T T T T
have added safety as a sixth competency?
T T T T T T
a. Quality and Safety Education for Nurses (QSEN)
T T T T T T
b. Institute of Medicine (IOM) T T T
c. American Association of Colleges of Nursing (AACN) T T T T T T
d. National League for Nursing (NLN) T T T T
ANS: A T
The Institute of Medicine r epNo r t ,RHe I GP r oBf e.s sCi o nMs Education: A Bridge to Quality (2003),
T
outlines five core competencies.
T
Sa l tNhinclude
UThese
T
T
T
patient-centered care, interdisciplinary
T
T
T T T
T
T
T T
T
T T T T
teamwork, use of evidence-based medicine, quality improvement, and use of information
T T T T T T T T T T T
technology. QSEN added safety as a sixth competency. The Essentials of Baccalaureate
T T T T T T T T T T T T
Education for Professional Nursing Practice are provided and updated by the American
T T T T T T T T T T T T
Association of Colleges of Nursing (AACN) (2008). The document offers a framework for the
T T T T T T T T T T T T T T
education of professional nurses with outcomes for students to meet. The National League for
T T T T T T T T T T T T T T
Nursing (NLN) outlines and updates competencies for practical, associate, baccalaureate, and
T T T T T T T T T T T
graduate nursing education programs.
T T T
DIF: Remembering OBJ: 1.1 TOP: Planning T T T
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
T T T T T T T T T T T T T
NOT: Concepts: Care Coordination
T T T
5. The nurse manager is interviewing graduate nurses to fill existing staffing vacancies. When
T T T T T T T T T T T T T
hiring graduate nurses, the nurse manager realizes that they will probably not be considered
T T T T T T T T T T T T T T
“competent” until they complete which task? T T T T T
a. They graduate and pass NCLEX.
T T T T
b. They have worked 2 to 3 years.
T T T T T T
c. Their last year of nursing school.
T T T T T
d. They are actually hired. T T T
ANS: B T
PRIMEXAM.COM
, Fundamentals of Nursing 2nd Edition Yoost Test Bank
Benner’s model identifies five levels of proficiency: novice, advanced beginner, competent,
T T T T T T T T T T T
proficient, and expert. The student nurse progresses from novice to advanced beginner during
T T T T T T T T T T T T T
nursing school and attains the competent level after approximately 2 to 3 years of work
T T T T T T T T T T T T T T T
experience after graduation. To obtain the RN credential, a person must graduate from an
T T T T T T T T T T T T T T
approved school of nursing and pass a state licensing examination called the National Council
T T T T T T T T T T T T T T
Licensure Examination for Registered Nurses (NCLEX-RN) usually taken soon after
T T T T T T T T T T
completion of an approved nursing program. T T T T T
DIF: Remembering OBJ: 1.7 TOP: Planning T T T
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
T T T T T T T T T T T T T
NOT: Concepts: Care Coordination
T T T
6. The prospective student is considering options for beginning a career in nursing. Which
T T T T T T T T T T T T T
degree would best match the student’s desire to conduct research at the university level?
T T T T T T T T T T T T T
a. Associate Degree in Nursing (ADN) T T T T
b. Bachelor of Science in Nursing (BSN) T T T T T
c. Doctor of Nursing Practice (DNP) T T T T
d. Doctor of Philosophy in Nursing (PhD) T T T T T
ANS: D T
Doctoral nursing education can result in a Doctor of Philosophy (PhD) degree. This degree
T T T T T T T T T T T T T T
prepares nurses for leadership roles in research, teaching, and administration that are essential
T T T T T T T T T T T T T
to advancing nursing as a profession. Associate Degree in Nursing (ADN) programs usually
T T T T T T T T T T T T T
are conducted in a community college setting. The nursing curriculum focuses on adult acute
T T T T T T T T T T T T T T
and chronic disease; maternal/child health; pediatrics; and psychiatric/mental health nursing.
T T T T T T T T T T
ADN RNs may return to school to earn a bachelor’s degree or higher in an RN-to-BSN or RN-
T T T T T T T T T T T T T T T T T
to-MSN program. Bachelor’s degree programs include community health and management
T T T T T T T T T T
courses beyond t hUo s eSp r oNv N eR
d inIanO
idT
T
Gassociate
B.C degree program. A newer T T T T T T T
practice-focused doctoral degree is the Doctor of Nursing practice (DNP), which concentrates T T T T T T T T T T T T
on the clinical aspects of nursing. DNP specialties include the four advanced practice roles of
T T T T T T T T T T T T T T
NP, CNS, CNM, and CRNA.
T T T T
DIF: Remembering OBJ: 1.9 TOP: Assessment T T T
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
T T T T T T T T T T T T T
NOT: Concepts: Care Coordination
T T T
7. During a staff meeting, the nurse manager announces that the hospital will be seeking Magnet
T T T T T T T T T T T T T T T
status. To explain the requirements for this award, the nurse manager will contact which
T T T T T T T T T T T T T T
organization?
a. American Nurses Association (ANA) T T T
b. American Nurses Credentialing Center (ANCC) T T T T
c. National League for Nursing (NLN) T T T T
d. Joint Commission T
ANS: B T
The American Nurses Credentialing Center (ANCC) awards Magnet Recognition to hospitals
T T T T T T T T T T T
that have shown excellence and innovation in nursing. The ANA is a professional
T T T T T T T T T T T T T
organization that provides standards of nursing practice. The National League for Nursing
T T T T T T T T T T T T
(NLN) outlines and updates competencies for practical, associate, baccalaureate, and graduate
T T T T T T T T T T T
nursing education programs. The Joint Commission is the accrediting organization for health
T T T T T T T T T T T T
care facilities in the United States.
T T T T T
PRIMEXAM.COM
, Fundamentals of Nursing 2nd Edition Yoost Test Bank
DIF: Remembering OBJ: 1.1 TOP: Assessment T T T
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
T T T T T T T T T T T T T
NOT: Concepts: Care Coordination
T T T
8. The nurse is caring for a patient who refuses two units of packed red blood cells. When the
T T T T T T T T T T T T T T T T T T
nurse notifies the health care provider of the patient’s decision, the nurse is acting in which
T T T T T T T T T T T T T T T T
role?
a. Manager
b. Change agent T
c. Advocate
d. Educator
ANS: C T
As the patient’s advocate, the nurse interprets information and provides the necessary
T T T T T T T T T T T T
education. The nurse then accepts and respects the patient’s decisions even if they are
T T T T T T T T T T T T T T
different from the nurse’s own beliefs. The nurse supports the patient’s wishes and
T T T T T T T T T T T T T
communicates them to other health care providers. A nurse manages all of the activities and
T T T T T T T T T T T T T T T
treatments for patients. In the role of change agent, the nurse works with patients to address
T T T T T T T T T T T T T T T T
their health concerns and with staff members to address change in an organization or within a
T T T T T T T T T T T T T T T T
community. The nurse ensures that the patient receives sufficient information on which to
T T T T T T T T T T T T T
base consent for care and related treatment. Education becomes a major focus of discharge
T T T T T T T T T T T T T T
planning so that patients will be prepared to handle their own needs at home.
T T T T T T T T T T T T T
DIF: Applying OBJ: 1.2 TOP: Implementation T T T
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
T T T T T T T T T T T T T
NOT: Concepts: Care Coordination
T T T
NURSINGTB.COM
9. The nursing student develops a plan of care based on a recently published article describing
T T T T T T T T T T T T T T
the effects of bed rest on a patient’s calcium blood levels. When creating the plan of care, the
T T T T T T T T T T T T T T T T T T
nursing student has the obligation to consider which action?
T T T T T T T T
a. Critically appraise the evidence and determine validity. T T T T T T
b. Ensure that the plan of care does not alter current practice.
T T T T T T T T T T
c. Change the process even when there is no problem identified.
T T T T T T T T T
d. Maintain the plan of care regardless of initial outcome.
T T T T T T T T
ANS: A T
Evidence-based practice (EBP) is an integration of the best-available research evidence with
T T T T T T T T T T T T
clinical judgment about a specific patient situation. The nurse assesses current and past
T T T T T T T T T T T T T
research, clinical guidelines, and other resources to identify relevant literature. The application
T T T T T T T T T T T T
of EBP includes critically appraising the evidence to assess its validity, designing a change for
T T T T T T T T T T T T T T T
practice, assessing the need for change and identifying a problem, and integrating and
T T T T T T T T T T T T T
maintaining change while monitoring process and outcomes by reevaluating the application of
T T T T T T T T T T T T
evidence and assessing areas for improvement.
T T T T T
DIF: Applying OBJ: 1.2 TOP: Implementation T T T
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
T T T T T T T T T T T T T
NOT: Concepts: Care Coordination
T T T
PRIMEXAM.COM
