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Fundamentals of Nursing Active Learning for Collaborative
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Practice 4TH Edition by Barbara L. Yoost, Lynne R. Crawford
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, Chapter 01: Nursing, Theory, and Professional Practice
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Yoost& Crawford: Fundamentals of Nursing: Active Learning for CollaborativePractice,
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4TH Edition
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MULTIPLE CHOICE gc
1. A group of nursing learners are discussing the impact of nonnursing theories in clinical
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gc practice. The learners would be correct if they chose which theory to prioritize client care?
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a. Erikson‘s Psychosocial Theory gc gc
b. Paul‘s Critical-Thinking Theory gc gc
c. Maslow‘s Hierarchyof Needs gc gc gc
d. Rosenstock‘s Health Belief Model gc gc gc
CORRECT ANS: C gc g c
FEEDBACK: Maslow‘s hierarchy of needs specifies the psychological and physiologic gc gc gc gc gc gc gc gc gc
factors that affect each person‘s physical and mental health. The RN‘s understanding of these
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factors helps with formulating Nursing diagnoses that address the client‘s needs and values to
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prioritize care. Erikson‘s Psychosocial Theory of Development and Socialization is based on
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individuals‘ interacting and learning about their world. RNs use concepts of developmental
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theory to critically think in providing care for their clients at various stages of their lives.
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Rosenstock (1974) developed the psychological Health Belief Model. The model addresses gc gc gc gc gc gc gc gc gc gc
possible reasons for why a client may not comply with recommended health promotion
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behaviors. This model is especially useful to RNs as they educate clients.
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DIF: Remembering OBJ: 1.5 TOP: Planning gc gc g c g c
MSC: NCLEX Client Needs CN ategR
ory:I
SafG
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dE fectiM
ve Care Environment: Management of Care gc gc gc gc gc gc gc gc gc gc
NOT: Concepts: Care CoordinatiU
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2. A nursing learner is preparing studynotes from a recent lecture in nursing history. The
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learner would credit Florence Nightingale for which definition of nursing?
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a. The imbalance between the client and the environment decreases the capacity for
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health. c
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b. The RN needs to focus on interpersonal processes between RN and client.
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c. The RN assists the client with essential functions toward independence.
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d. Human beings are interacting in continuous motion as energy fields. gc gc gc gc gc gc gc gc gc
CORRECT ANS: A gc g c
FEEDBACK: Florence Nightingale‘s (1860) concept of the environment emphasized gc gc gc gc gc gc gc gc
prevention and cleanair, water, and housing. This theory states that the imbalance between
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the client and the environment decreases the capacity for health and does not allow for
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conservation of energy.Hildegard Peplau (1952) focused on the roles played by the RN and
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the interpersonal process between a RN and a client. Virginia Henderson described the RN‘s
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role as substitutive (doing for the person), supplementary (helping the person), or
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complementary (working with the person), with the goal of independence for the client.
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Martha Rogers (1970) developed the Science of Unitary Human Beings. She stated that
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human beings and their environments are interacting in continuous motion as infinite energy
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fields.
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DIF: Understanding OBJ: 1.4 TOP: Planning gc gc g c gc
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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NOT: Concepts: Health Promotion
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,3. The RN identifies which RN established the American Red Cross during the Civil War?
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a. Dorothea Dix gc
b. Linda Richards gc
c. Lena Higbee gc
d. Clara Barton g c
CORRECT ANS: D gc g c
FEEDBACK: Clara Barton practiced nursing in the Civil War and established the American gc gc gc gc gc gc gc gc gc gc gc gc
Red Cross. Dorothea Dix was the head of the U.S. Sanitary Commission, which was a forerunner
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of theArmy RN Corps. Linda Richards was America‘s first trained RN, graduating from
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Boston‘s Women‘s Hospital in 1873, and Lena Higbee, superintendent of the U.S. Navy RN
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Corps, was awarded the Navy Cross in 1918.
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DIF: Remembering OBJ: 1.3 TOP: Assessment gc gc g c gc
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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NOT: Concepts: Professionalism
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4. The nursing instructor is researching the five proficiencies regarded as essential for learnersand
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professionals. The nursing instructor identifies which organization would be found to have
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added safety as a sixth competency?
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a. Quality and Safety Education for RNs (QSEN) gc gc gc gc gc gc
b. Institute of Medicine (IOM) gc gc gc
c. American Association of Colleges ofNursing (AACN) gc gc gc gc gc gc
d. National League for Nursing (NLN) gc gc gc gc
CORRECT ANS: A gc g c
FEEDBACK: The Institute of Medicine repN
ort,RHeaIlthGProBfe.ssCionM
s Education: A Bridge to
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US
Quality (2003), outlines five core competencies. These include client-centered care,
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interdisciplinary
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teamwork, use of evidence-based medicine, quality improvement, and use of information
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technology. QSEN added safety as a sixth competency. The Essentials of Baccalaureate
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Education for Professional Nursing Practice are provided and updated by the American
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Association of Colleges of Nursing (AACN) (2008). The document offers a framework for the
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education of professional RNs with outcomes for learners to meet. The National League for
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Nursing (NLN) outlines and updates competencies for practical, associate, baccalaureate, and
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graduate nursing education programs.
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DIF: Remembering OBJ: 1.1 TOP: Planning gc gc g c g c
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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5. The RN manager is interviewing graduate RNs to fill existing staffing vacancies. Whenhiring
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graduate RNs, the RN manager realizes that they will probably not be considered
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―competent‖ until they complete which task? g c g c gc g c g c
a. They graduate and pass NCLEX. gc gc gc gc
b. They have worked 2 to 3 years. gc gc gc gc gc gc
c. Their last year of nursing school. gc gc gc gc gc
d. They are actually hired. gc gc gc
CORRECT ANS: B gc g c
, FEEDBACK: Benner‘s model identifies five levels of proficiency: novice, advanced gc gc gc gc gc gc gc gc gc
beginner, competent, proficient, and expert. The learner RN progresses from novice to
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advanced beginner duringnursing school and attains the competent level after approximately 2
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to 3 years of work experience after graduation. To obtain the RN credential, a person must
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graduate from an approved school of nursing and pass a state licensing examination called the
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National CouncilLicensure Examination for Registered RNs (NCLEX-RN) usually taken soon
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after completion of an approved nursing program.
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DIF: Remembering OBJ: 1.7 TOP: Planning gc gc g c g c
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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6. The prospective learner is considering options for beginning a career in nursing. Which
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degree would best match the learner‘s desire to conduct research at the university level?
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a. Associate Degree in Nursing (ADN) gc gc gc gc
b. Bachelor of Science in Nursing (BSN) gc gc gc gc gc
c. Doctor of Nursing Practice (DNP) gc gc gc gc
d. Doctor of Philosophy in Nursing (PhD) gc gc gc gc gc
CORRECT ANS: D gc g c
FEEDBACK: Doctoral nursing education can result in a Doctor of Philosophy (PhD) degree. gc gc gc gc gc gc gc gc gc gc gc gc
This degree prepares RNs for leadership roles in research, teaching, and administration that are
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essentialto advancing nursing as a profession. Associate Degree in Nursing (ADN) programs
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usually are conducted in a community college setting. The nursing curriculum focuses on
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adult acuteand chronic disease; maternal/child health; pediatrics; and psychiatric/mental
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health nursing.ADN RNs may return to school to earn a bachelor‘s degree or higher in an RN-
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to-BSN or RN-to-MSN program. Bachelor‘s degree programs include community health and
management courses beyondN thUoR
seSpI viGedBi.
nCanOassociate degree program. A newer
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roN dT gc gc gc gc gc gc
practice-focused doctoral degree is the Doctor of Nursing practice (DNP), which concentrateson gc gc gc gc gc gc gc gc gc gc gc c
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the clinical aspects of nursing. DNP specialties include the four advanced practice roles of NP,
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CNS, CNM, and CRNA.
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DIF: Rememberinggc gc g c OBJ: 1.9 TOP: Assessment gc gc g c g c
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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7. During a staff meeting, the RN manager announces that the hospital will be seeking Magnet
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status. To explain the requirements for this award, the RN manager will contact which
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organization?
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a. American RNs Association (ANA) gc gc gc
b. American RNs Credentialing Center (ANCC) gc gc gc gc
c. National League for Nursing (NLN) gc gc gc gc
d. Joint Commission gc
CORRECT ANS: B gc g c
FEEDBACK: The American RNs Credentialing Center (ANCC) awards Magnet Recognition gc gc gc gc gc gc gc gc gc
to hospitalsthat have shown excellence and innovation in nursing. The ANA is a professional
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organization that provides standards of nursing practice. The National League for Nursing
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(NLN) outlines and updates competencies for practical, associate, baccalaureate, and graduate
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nursing education programs. The Joint Commission is the accrediting organization for health
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care facilities in the United States.
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