TES BANK J
BASIC NURSING:
Thinking, Doing, and Caring
2ND EDITION BY TREAS
COMPLETE TES BANK
J
Q&A
,TES BANK FOR: BASIC NURSING: Thinking, Doing, and Caring, 2nd Edition By Treas
J
Contents:
I. How Nurses Think
Chapter 1. Nursing Pas & Present
J
Chapter 2. Critical Thinking and Nursing Process
Chapter 3. Assessment
Chapter 4. Nursing Process: Diagnosis
Chapter 5. Planning Outcomes
Chapter 6. Planning Interventions
Chapter 7. Implementation & Evaluation
Chapter 8. Theory, Research, & Evidence Based Practice
II. Factors Affecting Health
Chapter 9. Development: Infancy through Middle Adulthood
Chapter 10. Development: Older Adulthood
Chapter 11. Experiencing Health and Illness
Chapter 12. Stress & Adaptation
Chapter 13. Psychosocial Health & Illness
Chapter 14. Family
Chapter 15. Culture and Ethnicity
Chapter 16. Spirituality
Chapter 17. Loss, Grief, & Dying
III. Essential Nursing Interventions
Chapter 18. Documenting & Reporting
Chapter 19. Vital Signs
Chapter 20. Communicating & Therapeutic Relationships
Chapter 21. Physical Assessment
Chapter 22. Infection Prevention & Control
Chapter 23. Safety
Chapter 24. Hygiene
Chapter 25. Administering Medications
Chapter 26. Teaching & Learning
Chapter 27. Health Promotion
IV. Supporting Physiological Functioning
Chapter 28. Nutrition
Chapter 29. Bowel Elimination
Chapter 30. Urinary Elimination
Chapter 31. Sensory Perception
Chapter 32. Pain
Chapter 33. Activity & Exercise
Chapter 34. Sexual Health
Chapter 35. Sleep & Rest
Chapter 36. Skin Integrity & Wound Healing
Chapter 37. Oxygenation
Chapter 38. Circulation & Perfusion
Chapter 39. Fluids, Electrolytes, & Acid-Base Balance
V. The Contex for Nurses' Work
J
Chapter 40. Perioperative Nursing
Chapter 41. Leading and Managing
Chapter 42. Community & Home Health Nursing
Chapter 43. Nursing Ethics
Chapter 44. Legal Accountability
Bonus Chapters
Chapter 45. Nursing Informatics
Chapter 46. Holistic Healing
,Chapter 1. Nursing Pas & Present
J
MULTIPLE CHOICE
1. Which is the most/ influential/ factor/ that/ has/ shaped/ the/ nursing/ profession?
1) Physicians’/ need/ for/ handmaidens
2) Societal/ need/ for/ healthcare/ outside/ the/ home
3) Military/ demand/ for/ nurses/ in/ the/ field
4) Germ/ theory/ influence/ on/ sanitation
ANS:/ 3
Chapter/ number/ and/ title:/ 1,/ Nursing/ Past/ &/ Present
Chapter/ learning/ objective:/ Define/ nursing/ in/ your/ own/ words./
Chapter/ page/ reference:/ p./ 7
Heading:/ Historical/ Context/ of/ Nursing/
Integrated/Processes:/Teaching/and/ Learning
Client/ Need:/ Safe/ and/ Effective/ Care/ Environment:/ Management/ of/ Care/
Cognitive/ level:/ Comprehension/ [Understanding]
Concept:/ Professionalism/
Difficulty:/ Easy
Feedback
1 The/ physician's/ handmaiden/ was/is/ a/ nursing/ stereotype/ rather/ than/ an/ influence
on/ nursing.
2 Although/ there/ has/ been/ a/ need/ for/ healthcare/ outside/ the/ home/ throughout/
history,/ this/ has/ more/ inN fluUeR
ncSeIoN
nGthKeIdN
evGe.
loC
pmOMent/ of/ hospitals/ than/ on/
nursing;/ this/ need/ provided/ one/ more/ setting/ for/ nursing/ work.
3 Throughout/ the/ centuries,/ stability/ of/ the/ government/ has/ been/ related/ to/ the/
success/ of/ the/ military/ to/ protect/ or/ extend/ its/ domain./ As/ the/ survival/ and/
well-being/ of/ soldiers/ are/ both/ critical,/ nurses/ provided/ healthcare/ to/ the/ sick
and/ injured/ at/ the/ battle/ site.
4 Germ/ theory/ and/ sanitation/ helped/ to/ improve/ healthcare/ but/ did/ not/ shape
nursing.
PTS:/ / 1 CON:/ Professionalism
2. Which/ is/ an/ example/ of/ an/ illness-prevention/ activity?
1) Encouraging/ the/ use/ of/ a/ food/ diary
2) Joining/ a/ cancer/ support/ group
3) Administering/ immunization/ for/ HPV
4) Teaching/ a/ diabetic/ patient/ about/ his/ diet
ANS:/ 3
Chapter/ number/ and/ title:/ 1,/ Nursing/ Past/ &/ Present
Chapter/ learning/ objective:/ Name/ and/ recognize/ the/ four/ purposes/ of/ nursing/ care./
Chapter/ page/ reference:/ p./ 15
Heading:/ Nursing/ Practice:/ Caring/ for/ Clients/
Integrated/ Processes:/ Nursing/ Process/ –/ Implementation/
Client/ Need:/ Health/ Promotion/ and/ Maintenance
, Cognitive/ level:/ Application/ [Applying]/
Concept:/ Health/ Promotion
Difficulty:/ Moderate
Feedback
1 Illness-prevention/ activities/ focus/ on/ avoiding/ a/ specific/ disease./ A/ food/ diary/ is/
a/ health-promotion/ activity.
2 Although/ cancer/ is/ a/ disease,/ it/ is/ assumed/ that/ a/ person/ joining/ a/ support/ group/
would/ already/ have/ the/ disease;/ therefore,/ this/ is/ not/ disease/ prevention/ but
treatment.
3 Administering/ immunization/ for/ HPV/ is/ an/ example/ of/ illness/ prevention.
4 Teaching/ a/ diabetic/ patient/ about/ diet/ is/ a/ treatment/ for/ diabetes;/ the/ patient
already/ has/ diabetes,/ so/ it/ cannot/ prevent/ diabetes.
PTS:/ / 1 CON:/ Health/ Promotion
3. Which/ contribution/ of/ Florence/ Nightingale/ had/ an/ immediate/ impact/ on/ improving/ patients’/
health?
1) Providing/ a/ clean/ environment
2) Improving/ nursing/ education
3) Changing/ the/ delivery/ of/ care/ in/ hospitals
4) Establishing/ nursing/ as/ a/ distinct/ profession
ANS:/ 1
Chapter/ number/ and/ title:/ 1,/ Nursing/ Past/ &/ Present
Chapter/ learning/ objective:/ Name/ nine/ expanded/ roles/ for/ nursing./
Chapter/ page/ reference:/ p./ 9
Heading:/ Table/ 1-1/ Roles/ andNFUuRnS ctIioN
nsGoKfIthNeGN.uC
rsOeM/
Integrated/ Processes:/ Caring
Client/ Need:/ Health/ Promotion/ and/ Maintenance/
Cognitive/ level:/ Comprehension/ [Understanding]/
Concept:/ Evidence-Based/ Practice
Difficulty:/ Easy
Feedback
1 Improved/ sanitation/ (a/ clean/ environment)/ greatly/ and/ immediately/ reduced/ the
rate/ of/ infection/ and/ mortality/ in/ hospitals.
2 This/ is/ an/ activity/ of/ Florence/ Nightingale/ that/ improved/ healthcare/ or/ nursing,/
but/ the/ impact/ is/ long/ range,/ not/ immediate.
3 This/ is/ an/ activity/ of/ Florence/ Nightingale/ that/ improved/ healthcare/ or/ nursing,
but/ the/ impact/ is/ long/ range,/ not/ immediate.
4 This/ is/ an/ activity/ of/ Florence/ Nightingale/ that/ improved/ healthcare/ or/ nursing,
but/ the/ impact/ is/ long/ range,/ not/ immediate.
PTS:/ / 1 CON:/ Evidence-Based/ Practice
4. Which/ aspect/ of/ the/ full-spectrum/ nursing/ role/ is/ essential/ for/ the/ nurse/ to/ do/ in/ order/
to/ successfully/ carry/ out/ all/ the/ others?
1) Thinking/ and/ reasoning/ about/ the/ client’s/ care
2) Providing/ hands-on/ client/ care
3) Carrying/ out/ physician/ orders
, 4) Delegating/ to/ assistive/ personnel
ANS:/ 1
Chapter/ number/ and/ title:/ 1,/ Nursing/ Past/ &/ Present
Chapter/ learning/ objective:/ Name/ and/ recognize/ the/ four/ purposes/ of/ nursing/ care./
Chapter/ page/ reference:/ p./ 8
Heading:/Nursing/Today:/ Full-Spectrum/Nursing/
Integrated/ Processes:/ Nursing/ Process
Client/ Need:/ Safe/ and/ Effective/ Care/ Environment:/ Management/ of/ Care/
Cognitive/ level:/ Analysis/ [Analyzing]
Concept:/Patient-Centered/Care/
Difficulty:/ Difficult
Feedback
1 A/ substantial/ portion/ of/ the/ nursing/ role/ involves/ using/ clinical/ judgment,/
critical/ thinking,/ and/ problem/ solving,/ which/ directly/ affect/ the/ care/ the/ client/
will/ actually/ receive.
2 Providing/ hands-on/ care/ is/ important;/ however,/ clinical/ judgment,/ critical/
thinking,/ and/ problem-solving/ are/ essential/ to/ do/ it/ successfully.
3 Carrying/ out/ physician/ orders/ is/ a/ small/ part/ of/ a/ nurse’s/ role;/ it,/ too,/ requires
nursing/ assessment,/ planning,/ intervention,/ and/ evaluation.
4 Many/ simple/ nursing/ tasks/ are/ being/ delegated/ to/ nursing/ assistive/ personnel;/
delegation/ requires/ careful/ analysis/ of/ patient/ status/ and/ the/ appropriateness/ of
support/ personnel/ to/ deliver/ care.
PTS:/ / 1 CON:/ Patient-Centered/ Care
NU
5. Which/ statement/ pertaining/ to BR
enSnIerN ’sGpK
raIctNicGe.mCoO
deMl/ for/ clinical/ competence/ is/ true?
1) Progression/ through/ the/ stages/ is/ constant,/ with/ most/ nurses/ reaching/ the/ proficient/
stage.
2) Progression/ through/ the/ stages/ involves/ continual/ development/ of/ thinking/ and/
technical/ skills.
3) The/ nurse/ must/ have/ experience/ in/ many/ areas/ before/ being/ considered/ an/ expert.
4) The/ nurse’s/ progress/ through/ the/ stages/ is/ determined/ by/ years/ of/ experience/ and/
skills.
ANS:/ 2
Chapter/ number/ and/ title:/ 1,/ Nursing/ Past/ &/ Present
Chapter/ learning/ objective:/ Discuss/ the/ transitions/ nursing/ education/ has/ undergone/ in/ the/ last/
century.
Chapter/ page/ reference:/ p./ 12/
Heading:/ Benner’s/ Model/
Integrated/ Processes:/ Caring
Client/ Need:/ Safe/ and/ Effective/ Care/ Environment:/ Management/ of/ Care/
Cognitive/ level:/ Comprehension/ [Understanding]
Concept:/Evidence-Based/ Practice/
Difficulty:/ Easy
Feedback
1 Movement/ through/ the/ stages/ is/ not/ constant.
2 Benner’s/ model/ is/ based/ on/ integration/ of/ knowledge,/ technical/ skill,/ and
intuition/ in/ the/ development/ of/ clinical/ wisdom.
, 3 The/ model/ does/ not/ mention/ experience/ in/ many/ areas.
4 The/ model/ does/ not/ mention/ years/ of/ experience.
PTS:/ / 1 CON:/ Evidence-Based/ Care
6. Which/ best/ explains/ why/ it/ is/ difficult/ for/ the/ profession/ to/ develop/ a/ definition/ of/ nursing?
1) There/ are/ too/ many/ different/ and/ conflicting/ images/ of/ nurses.
2) There/ are/ constant/ changes/ in/ healthcare/ and/ the/ activities/ of/ nurses.
3) There/ is/ disagreement/ among/ the/ different/ nursing/ organizations.
4) There/ are/ different/ education/ pathways/ and/ levels/ of/ practice.
ANS:/ 2
Chapter number and title: 1, Nursing Past & Present
J J J J J J J J
Chapter learning objective: Discuss the transitions that nursing education has undergone in the
J J J J J J J J J J J J J
last century.
J
Chapter page reference: p. 8 Heading:
J J J J J J
HowIsNursingDefined? Integrated
J J J J J
Processes: Caring J
Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
Cognitive level: Analysis [Analyzing]
J J J
Concept: Professionalism J J
Difficulty: Difficult J
Feedback
1 The conflicting images of nursing make it more important to develop a
J J J J J J J J J J J J
definition; they may also make it more difficult but not to the extent that J J J J J J J J J J J J J
constant change does. J J
2 Healthcareis co nsta ntl y NchUaRn S
giI
n gNaGnKd IwNitGh .it Cc O
J omMe changes in where, how, and
J J J J J J J
what nursing care is delivered. Constant changes make it difficult to develop a
J J J J J J J J J J J J J
definition.
3 Although different nursing organizations have different definitions, they are
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similar in most ways. J J J
4 The different education pathways affect entry into practice, not the definition of
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nursing.
PTS: J J 1 CON: Professionalism J
7. Nurses have the potential to be very influential in shaping healthcare policy. Which factor
J J J J J J J J J J J J J J
contributes most to nurses’ influence? J J J J
1) Nurses are the largest health professional group.
J J J J J J
2) Nurses have a long history of serving the public.
J J J J J J J J
3) Nurses have achieved some independence from physicians in recent years.
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4) Political involvement has helped refute negative images portrayed in the media.
J J J J J J J J J J
ANS: 1 J
Chapter number and title: 1, Nursing Past & Present
J J J J J J J J
Chapter learning objective: Discuss issues related to healthcare reform. Chapter
J J J J J J J J J J
page reference: p. 24
J J J
Heading: Influence of Nurses on Health Policy
J J J J J J J
Integrated Processes: Caring J J
Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J
, Cognitive level: Comprehension[Understanding]
J J J J
Concept: Health Care System J J J
Difficulty: Easy J
Feedback
1 Nurses are trusted professionals and the largest health professional group. As such,
J J J J J J J J J J J J
they have political power to effect changes. If nursing were a small group, there
J J J J J J J J J J J J J J
would be little potential for power in shaping policies, even if all the other answers
J J J J J J J J J J J J J J J
were true. J
2 Serving the public, although positive, does not necessarily help nurses to be
J J J J J J J J J J J
influential in establishing health policy. J J J J
3 Independence from physicians, although positive, does not necessarily make J J J J J J J J
nurses influential in establishing healthcare policy.
J J J J J
4 Refuting negative media, although positive, does not necessarily make nurses
J J J J J J J J J
influential in establishing healthcare policy. J J J J
PTS: J J 1 CON: Health Care System J J J
8. Nursing was described as a distinct occupation in the sacred books of which faith?
J J J J J J J J J J J J J
1) Buddhism
2) Christianity
3) Hinduism
4) Judaism
ANS: 3 J
Chapter number and title: 1, Nursing Past & Present
J J J J J J J J
Chapter learning objective: Discuss the transitions that nursing education has undergone in the
J J J J J J J J J J J J
last century.
J NURSINGKING.COM
Chapter page reference: p. 6
J J J J
Heading: Historical Context ofNursing
J J J J J
Integrated Processes: Caring J J
Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
Cognitive level: Knowledge [Remembering]
J J J
Concept: Professionalism J J
Difficulty: Easy J
Feedback
1 Nursing was not described as a distinct occupation in the sacred books of Buddhism.
J J J J J J J J J J J J J
2 Nursing was not described as a distinct occupation in the sacred books of
J J J J J J J J J J J J
Christianity.
3 The Vedas, the sacred books of the Hindu faith, described Indian healthcare
J J J J J J J J J J J
practices and were the earliest writings of a distinct nursing occupation.
J J J J J J J J J J
4 Nursing was not described as a distinct occupation in the sacred books of
J J J J J J J J J J J J
Judaism.
PTS: J J 1 CON: Professionalism J
9. Which individual established the American Red Cross?
J J J J J J
1) Louisa May Alcott J J
2) Clara Barton J
, 3) Dorothea Dix J
4) Harriet Tubman J
ANS: 2 J
Chapter number and title: 1, Nursing Past & Present
J J J J J J J J
Chapter learning objective: Give four examples of influential nursing organizations. Chapter
J J J J J J J J J J J
page reference: p. 19
J J J
Heading: CharitableOrganizations J J J
Integrated Processes: Caring J J
Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
Cognitive level: Knowledge [Remembering] J J J
Concept: Evidence-Based Practice J J J
Difficulty: Easy J
Feedback
1 Louisa May Alcott was an American novelist who wrote Little Women in 1868.
J J J J J J J J J J J J
2 Clara Barton was an American teacher, nurse, and humanitarian who organized
J J J J J J J J J J
the American Red Cross after the Civil War.
J J J J J J J
3 Dorothea Dix was an American activist who acted on behalf of the indigent
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population with mental illness. She was credited for establishing the first J J J J J J J J J J
psychiatric institution. J
4 Harriet Tubman was an African American abolitionist and Union spy during the
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Civil War. After escaping captivity, she set up a network of antislavery activists
J J J J J J J J J J J J
known as the Underground Railroad. J J J J
PTS: J J 1 CON: Evidence-Based Practice J J
10. Which is the most important N
J r eU
asRoS
J nI
toNdG
evKeI
loNpGa.dC
efO
inMition of nursing?
J J J J J J
1) Recruit more informed people into the nursing profession
J J J J J J J
2) Evaluate the degree of role satisfaction J J J J J
3) Dispel the stereotypical images of nurses and nursing
J J J J J J J
4) Differentiate nursing activities from those of other health professionals J J J J J J J J
ANS: 4 J
Chapter number and title: 1, Nursing Past & Present
J J J J J J J J
Chapter learning objective: Define nursing in your own words. Chapter
J J J J J J J J J J
page reference: p. 8
J J J
Heading: HowIs NursingDefined? J J J J J
Integrated Processes: Caring J J
Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
Cognitive level: Comprehension [Understanding]
J J J
Concept: Professionalism J J
Difficulty: Easy J
Feedback
1 A definition of nursing would not be likely to increase the number of informed
J J J J J J J J J J J J J
people recruited into nursing. J J J
2 A definition of nursing would do little to improve the nurse’s role satisfaction.
J J J J J J J J J J J J
3 Although a definition of nursing might contribute to fighting stereotypes of nursing,
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other, more powerful influences (e.g., media portrayals) exist to counteract it.
J J J J J J J J J J
4 Nursing organization leaders think it is important to develop a definition of
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, nursing to bring value and understanding to the profession, differentiate nursing
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activities from those of other health professionals, and help student nurses
J J J J J J J J J J
understand what is expected of them. J J J J J
PTS: J J 1 CON: Professionalism J
11. Which provides evidence-based support for the contribution that advanced practice nurses
J J J J J J J J J J J
(APNs. make within healthcare?
J J J
1) Reduced usage of diagnostics using advanced technology J J J J J J
2) Decreased number of unnecessary visits to the emergency department J J J J J J J J
3) Improved patient compliance with prescribed treatments J J J J J
4) Increased usage of complementary alternative therapies J J J J J
ANS: 3 J
Chapter number and title: 1, Nursing Past & Present
J J J J J J J J
Chapter learning objective: Name nine expanded roles for nursing.
J J J J J J J J J
Chapter page reference: p. 22
J J J J
Heading: Expanded Career Roles for Nurses
J J J J J J
Integrated Processes: Nursing Process – Planning
J J J J J
Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
Cognitive level: Comprehension [Understanding]
J J J
Concept: Evidence-Based Practice J J J
Difficulty: Easy J
Feedback
1 No well-known scientific studies support APNs’ effect on the use of advanced
J J J J J J J J J J J J
technology.
2 No well-known scientifiN
JcU
stR
udSieIsNsuGpKpI
orNt GA .
PNC sO’ Me f f e c t on the frequency of J J J J J J J
emergency department visits. J J
3 Studies demonstrate that APNs have improved patient outcomes over those of
J J J J J J J J J J J
physicians, including increased patient understanding and cooperation with J J J J J J J J
treatments and decreased need for hospitalizations. J J J J J
4 No well-known scientific studies support APNs’ effect on the use of alternative
J J J J J J J J J J J
therapies.
PTS: J J 1 CON: Evidence-Based Practice J J
12. Which is an example of what traditional medicine and complementary and alternative
J J J J J J J J J J J J
medicine therapies have in common? J J J J
1) Both can produce adverse effects in some patients.
J J J J J J J
2) Both use prescription medications.
J J J
3) Both are usually reimbursed by insurance programs.
J J J J J J
4) Both are regulated by the FDA. J J J J J
ANS: 1 J
Chapter number and title: 1, Nursing Past & Present
J J J J J J J J
Chapter learning objective: Delineate the forces and trends affecting contemporary nursing practice.
J J J J J J J J J J J
Chapter page reference: p. 22
J J J J
Heading: What Are Some Trends in Nursing and Healthcare? Integrated
J J J J J J J J J J
Processes: Caring J
, Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
Cognitive level: Comprehension [Understanding]
J J J
Concept: Evidence-Based Practice
J J J
Difficulty: Easy J
Feedback
1 Both traditional and complementary therapies can produce adverse effects in
J J J J J J J J J J
some patients. J
2 Many medications are derived from herbs, but the alternative treatments usually
J J J J J J J J J J
use the herbs, not prescription medication.
J J J J J
3 Insurance programs do not necessarily reimburse alternative treatments, because
J J J J J J J J
many are not supported by sound scientific research methodology.
J J J J J J J J
4 Alternative medications are not regulated by the FDA. J J J J J J J
PTS: J J 1 CON: Evidence-Based Practice J J
13. Which is the biggest disadvantage of having nursing assistive personnel (NAP) assist nurses in
J J J J J J J J J J J J J J
practice?
1) Nurses must know what aspects of care can legally and safely be delegated to the
J J J J J J J J J J J J J J J
NAP.
2) Nurses may rely too heavily on information gathered by the NAP when making
J J J J J J J J J J J J J
patient care decisions. J J
3) Nurses are removed from many components of direct patient care that have been
J J J J J J J J J J J J J
delegated to the NAP. J J J
4) Nurses still maintain responsibility for the patient care given by the NAP.
J J J J J J J J J J J
ANS: 2 J
NuUrR
Chapter number and title: 1, N
J s inSgIPNaG
stK&IN
P rGes.eC
ntOM J J J J
Chapter learning objective: Delineate the forces and trends affecting contemporary nursing practice.
J J J J J J J J J J J
Chapter page reference: p. 24
J J J J
Heading: Increased Use of Nursing Assistive Personnel
J J J J J J J
Integrated Processes: Nursing Process – Implementation
J J J J J
Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
Cognitive level: Comprehension [Understanding]
J J J
Concept: Collaboration J J
Difficulty: Easy J
Feedback
1 All of the options may be disadvantages to using NAPs, but making decisions based
J J J J J J J J J J J J J J
on another’s information is the greatest drawback because of the potential for
J J J J J J J J J J J J
negatively affecting patient care. Treatment decisions based on incorrect J J J J J J J J
information may cause harm to the patient. J J J J J J
2 All of the options may be disadvantages to using NAPs, but making decisions based
J J J J J J J J J J J J J J
on another’s information is the greatest drawback because of the potential for
J J J J J J J J J J J J
negatively affecting patient care. Treatment decisions based on incorrect J J J J J J J J
information may cause harm to the patient. J J J J J J
3 All of the options may be disadvantages to using NAPs, but making decisions based
J J J J J J J J J J J J J J
on another’s information is the greatest drawback because of the potential for
J J J J J J J J J J J J
negatively affecting patient care. Treatment decisions based on incorrect J J J J J J J J
information may cause harm to the patient. J J J J J J
BASIC NURSING:
Thinking, Doing, and Caring
2ND EDITION BY TREAS
COMPLETE TES BANK
J
Q&A
,TES BANK FOR: BASIC NURSING: Thinking, Doing, and Caring, 2nd Edition By Treas
J
Contents:
I. How Nurses Think
Chapter 1. Nursing Pas & Present
J
Chapter 2. Critical Thinking and Nursing Process
Chapter 3. Assessment
Chapter 4. Nursing Process: Diagnosis
Chapter 5. Planning Outcomes
Chapter 6. Planning Interventions
Chapter 7. Implementation & Evaluation
Chapter 8. Theory, Research, & Evidence Based Practice
II. Factors Affecting Health
Chapter 9. Development: Infancy through Middle Adulthood
Chapter 10. Development: Older Adulthood
Chapter 11. Experiencing Health and Illness
Chapter 12. Stress & Adaptation
Chapter 13. Psychosocial Health & Illness
Chapter 14. Family
Chapter 15. Culture and Ethnicity
Chapter 16. Spirituality
Chapter 17. Loss, Grief, & Dying
III. Essential Nursing Interventions
Chapter 18. Documenting & Reporting
Chapter 19. Vital Signs
Chapter 20. Communicating & Therapeutic Relationships
Chapter 21. Physical Assessment
Chapter 22. Infection Prevention & Control
Chapter 23. Safety
Chapter 24. Hygiene
Chapter 25. Administering Medications
Chapter 26. Teaching & Learning
Chapter 27. Health Promotion
IV. Supporting Physiological Functioning
Chapter 28. Nutrition
Chapter 29. Bowel Elimination
Chapter 30. Urinary Elimination
Chapter 31. Sensory Perception
Chapter 32. Pain
Chapter 33. Activity & Exercise
Chapter 34. Sexual Health
Chapter 35. Sleep & Rest
Chapter 36. Skin Integrity & Wound Healing
Chapter 37. Oxygenation
Chapter 38. Circulation & Perfusion
Chapter 39. Fluids, Electrolytes, & Acid-Base Balance
V. The Contex for Nurses' Work
J
Chapter 40. Perioperative Nursing
Chapter 41. Leading and Managing
Chapter 42. Community & Home Health Nursing
Chapter 43. Nursing Ethics
Chapter 44. Legal Accountability
Bonus Chapters
Chapter 45. Nursing Informatics
Chapter 46. Holistic Healing
,Chapter 1. Nursing Pas & Present
J
MULTIPLE CHOICE
1. Which is the most/ influential/ factor/ that/ has/ shaped/ the/ nursing/ profession?
1) Physicians’/ need/ for/ handmaidens
2) Societal/ need/ for/ healthcare/ outside/ the/ home
3) Military/ demand/ for/ nurses/ in/ the/ field
4) Germ/ theory/ influence/ on/ sanitation
ANS:/ 3
Chapter/ number/ and/ title:/ 1,/ Nursing/ Past/ &/ Present
Chapter/ learning/ objective:/ Define/ nursing/ in/ your/ own/ words./
Chapter/ page/ reference:/ p./ 7
Heading:/ Historical/ Context/ of/ Nursing/
Integrated/Processes:/Teaching/and/ Learning
Client/ Need:/ Safe/ and/ Effective/ Care/ Environment:/ Management/ of/ Care/
Cognitive/ level:/ Comprehension/ [Understanding]
Concept:/ Professionalism/
Difficulty:/ Easy
Feedback
1 The/ physician's/ handmaiden/ was/is/ a/ nursing/ stereotype/ rather/ than/ an/ influence
on/ nursing.
2 Although/ there/ has/ been/ a/ need/ for/ healthcare/ outside/ the/ home/ throughout/
history,/ this/ has/ more/ inN fluUeR
ncSeIoN
nGthKeIdN
evGe.
loC
pmOMent/ of/ hospitals/ than/ on/
nursing;/ this/ need/ provided/ one/ more/ setting/ for/ nursing/ work.
3 Throughout/ the/ centuries,/ stability/ of/ the/ government/ has/ been/ related/ to/ the/
success/ of/ the/ military/ to/ protect/ or/ extend/ its/ domain./ As/ the/ survival/ and/
well-being/ of/ soldiers/ are/ both/ critical,/ nurses/ provided/ healthcare/ to/ the/ sick
and/ injured/ at/ the/ battle/ site.
4 Germ/ theory/ and/ sanitation/ helped/ to/ improve/ healthcare/ but/ did/ not/ shape
nursing.
PTS:/ / 1 CON:/ Professionalism
2. Which/ is/ an/ example/ of/ an/ illness-prevention/ activity?
1) Encouraging/ the/ use/ of/ a/ food/ diary
2) Joining/ a/ cancer/ support/ group
3) Administering/ immunization/ for/ HPV
4) Teaching/ a/ diabetic/ patient/ about/ his/ diet
ANS:/ 3
Chapter/ number/ and/ title:/ 1,/ Nursing/ Past/ &/ Present
Chapter/ learning/ objective:/ Name/ and/ recognize/ the/ four/ purposes/ of/ nursing/ care./
Chapter/ page/ reference:/ p./ 15
Heading:/ Nursing/ Practice:/ Caring/ for/ Clients/
Integrated/ Processes:/ Nursing/ Process/ –/ Implementation/
Client/ Need:/ Health/ Promotion/ and/ Maintenance
, Cognitive/ level:/ Application/ [Applying]/
Concept:/ Health/ Promotion
Difficulty:/ Moderate
Feedback
1 Illness-prevention/ activities/ focus/ on/ avoiding/ a/ specific/ disease./ A/ food/ diary/ is/
a/ health-promotion/ activity.
2 Although/ cancer/ is/ a/ disease,/ it/ is/ assumed/ that/ a/ person/ joining/ a/ support/ group/
would/ already/ have/ the/ disease;/ therefore,/ this/ is/ not/ disease/ prevention/ but
treatment.
3 Administering/ immunization/ for/ HPV/ is/ an/ example/ of/ illness/ prevention.
4 Teaching/ a/ diabetic/ patient/ about/ diet/ is/ a/ treatment/ for/ diabetes;/ the/ patient
already/ has/ diabetes,/ so/ it/ cannot/ prevent/ diabetes.
PTS:/ / 1 CON:/ Health/ Promotion
3. Which/ contribution/ of/ Florence/ Nightingale/ had/ an/ immediate/ impact/ on/ improving/ patients’/
health?
1) Providing/ a/ clean/ environment
2) Improving/ nursing/ education
3) Changing/ the/ delivery/ of/ care/ in/ hospitals
4) Establishing/ nursing/ as/ a/ distinct/ profession
ANS:/ 1
Chapter/ number/ and/ title:/ 1,/ Nursing/ Past/ &/ Present
Chapter/ learning/ objective:/ Name/ nine/ expanded/ roles/ for/ nursing./
Chapter/ page/ reference:/ p./ 9
Heading:/ Table/ 1-1/ Roles/ andNFUuRnS ctIioN
nsGoKfIthNeGN.uC
rsOeM/
Integrated/ Processes:/ Caring
Client/ Need:/ Health/ Promotion/ and/ Maintenance/
Cognitive/ level:/ Comprehension/ [Understanding]/
Concept:/ Evidence-Based/ Practice
Difficulty:/ Easy
Feedback
1 Improved/ sanitation/ (a/ clean/ environment)/ greatly/ and/ immediately/ reduced/ the
rate/ of/ infection/ and/ mortality/ in/ hospitals.
2 This/ is/ an/ activity/ of/ Florence/ Nightingale/ that/ improved/ healthcare/ or/ nursing,/
but/ the/ impact/ is/ long/ range,/ not/ immediate.
3 This/ is/ an/ activity/ of/ Florence/ Nightingale/ that/ improved/ healthcare/ or/ nursing,
but/ the/ impact/ is/ long/ range,/ not/ immediate.
4 This/ is/ an/ activity/ of/ Florence/ Nightingale/ that/ improved/ healthcare/ or/ nursing,
but/ the/ impact/ is/ long/ range,/ not/ immediate.
PTS:/ / 1 CON:/ Evidence-Based/ Practice
4. Which/ aspect/ of/ the/ full-spectrum/ nursing/ role/ is/ essential/ for/ the/ nurse/ to/ do/ in/ order/
to/ successfully/ carry/ out/ all/ the/ others?
1) Thinking/ and/ reasoning/ about/ the/ client’s/ care
2) Providing/ hands-on/ client/ care
3) Carrying/ out/ physician/ orders
, 4) Delegating/ to/ assistive/ personnel
ANS:/ 1
Chapter/ number/ and/ title:/ 1,/ Nursing/ Past/ &/ Present
Chapter/ learning/ objective:/ Name/ and/ recognize/ the/ four/ purposes/ of/ nursing/ care./
Chapter/ page/ reference:/ p./ 8
Heading:/Nursing/Today:/ Full-Spectrum/Nursing/
Integrated/ Processes:/ Nursing/ Process
Client/ Need:/ Safe/ and/ Effective/ Care/ Environment:/ Management/ of/ Care/
Cognitive/ level:/ Analysis/ [Analyzing]
Concept:/Patient-Centered/Care/
Difficulty:/ Difficult
Feedback
1 A/ substantial/ portion/ of/ the/ nursing/ role/ involves/ using/ clinical/ judgment,/
critical/ thinking,/ and/ problem/ solving,/ which/ directly/ affect/ the/ care/ the/ client/
will/ actually/ receive.
2 Providing/ hands-on/ care/ is/ important;/ however,/ clinical/ judgment,/ critical/
thinking,/ and/ problem-solving/ are/ essential/ to/ do/ it/ successfully.
3 Carrying/ out/ physician/ orders/ is/ a/ small/ part/ of/ a/ nurse’s/ role;/ it,/ too,/ requires
nursing/ assessment,/ planning,/ intervention,/ and/ evaluation.
4 Many/ simple/ nursing/ tasks/ are/ being/ delegated/ to/ nursing/ assistive/ personnel;/
delegation/ requires/ careful/ analysis/ of/ patient/ status/ and/ the/ appropriateness/ of
support/ personnel/ to/ deliver/ care.
PTS:/ / 1 CON:/ Patient-Centered/ Care
NU
5. Which/ statement/ pertaining/ to BR
enSnIerN ’sGpK
raIctNicGe.mCoO
deMl/ for/ clinical/ competence/ is/ true?
1) Progression/ through/ the/ stages/ is/ constant,/ with/ most/ nurses/ reaching/ the/ proficient/
stage.
2) Progression/ through/ the/ stages/ involves/ continual/ development/ of/ thinking/ and/
technical/ skills.
3) The/ nurse/ must/ have/ experience/ in/ many/ areas/ before/ being/ considered/ an/ expert.
4) The/ nurse’s/ progress/ through/ the/ stages/ is/ determined/ by/ years/ of/ experience/ and/
skills.
ANS:/ 2
Chapter/ number/ and/ title:/ 1,/ Nursing/ Past/ &/ Present
Chapter/ learning/ objective:/ Discuss/ the/ transitions/ nursing/ education/ has/ undergone/ in/ the/ last/
century.
Chapter/ page/ reference:/ p./ 12/
Heading:/ Benner’s/ Model/
Integrated/ Processes:/ Caring
Client/ Need:/ Safe/ and/ Effective/ Care/ Environment:/ Management/ of/ Care/
Cognitive/ level:/ Comprehension/ [Understanding]
Concept:/Evidence-Based/ Practice/
Difficulty:/ Easy
Feedback
1 Movement/ through/ the/ stages/ is/ not/ constant.
2 Benner’s/ model/ is/ based/ on/ integration/ of/ knowledge,/ technical/ skill,/ and
intuition/ in/ the/ development/ of/ clinical/ wisdom.
, 3 The/ model/ does/ not/ mention/ experience/ in/ many/ areas.
4 The/ model/ does/ not/ mention/ years/ of/ experience.
PTS:/ / 1 CON:/ Evidence-Based/ Care
6. Which/ best/ explains/ why/ it/ is/ difficult/ for/ the/ profession/ to/ develop/ a/ definition/ of/ nursing?
1) There/ are/ too/ many/ different/ and/ conflicting/ images/ of/ nurses.
2) There/ are/ constant/ changes/ in/ healthcare/ and/ the/ activities/ of/ nurses.
3) There/ is/ disagreement/ among/ the/ different/ nursing/ organizations.
4) There/ are/ different/ education/ pathways/ and/ levels/ of/ practice.
ANS:/ 2
Chapter number and title: 1, Nursing Past & Present
J J J J J J J J
Chapter learning objective: Discuss the transitions that nursing education has undergone in the
J J J J J J J J J J J J J
last century.
J
Chapter page reference: p. 8 Heading:
J J J J J J
HowIsNursingDefined? Integrated
J J J J J
Processes: Caring J
Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
Cognitive level: Analysis [Analyzing]
J J J
Concept: Professionalism J J
Difficulty: Difficult J
Feedback
1 The conflicting images of nursing make it more important to develop a
J J J J J J J J J J J J
definition; they may also make it more difficult but not to the extent that J J J J J J J J J J J J J
constant change does. J J
2 Healthcareis co nsta ntl y NchUaRn S
giI
n gNaGnKd IwNitGh .it Cc O
J omMe changes in where, how, and
J J J J J J J
what nursing care is delivered. Constant changes make it difficult to develop a
J J J J J J J J J J J J J
definition.
3 Although different nursing organizations have different definitions, they are
J J J J J J J J
similar in most ways. J J J
4 The different education pathways affect entry into practice, not the definition of
J J J J J J J J J J J
nursing.
PTS: J J 1 CON: Professionalism J
7. Nurses have the potential to be very influential in shaping healthcare policy. Which factor
J J J J J J J J J J J J J J
contributes most to nurses’ influence? J J J J
1) Nurses are the largest health professional group.
J J J J J J
2) Nurses have a long history of serving the public.
J J J J J J J J
3) Nurses have achieved some independence from physicians in recent years.
J J J J J J J J J
4) Political involvement has helped refute negative images portrayed in the media.
J J J J J J J J J J
ANS: 1 J
Chapter number and title: 1, Nursing Past & Present
J J J J J J J J
Chapter learning objective: Discuss issues related to healthcare reform. Chapter
J J J J J J J J J J
page reference: p. 24
J J J
Heading: Influence of Nurses on Health Policy
J J J J J J J
Integrated Processes: Caring J J
Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J
, Cognitive level: Comprehension[Understanding]
J J J J
Concept: Health Care System J J J
Difficulty: Easy J
Feedback
1 Nurses are trusted professionals and the largest health professional group. As such,
J J J J J J J J J J J J
they have political power to effect changes. If nursing were a small group, there
J J J J J J J J J J J J J J
would be little potential for power in shaping policies, even if all the other answers
J J J J J J J J J J J J J J J
were true. J
2 Serving the public, although positive, does not necessarily help nurses to be
J J J J J J J J J J J
influential in establishing health policy. J J J J
3 Independence from physicians, although positive, does not necessarily make J J J J J J J J
nurses influential in establishing healthcare policy.
J J J J J
4 Refuting negative media, although positive, does not necessarily make nurses
J J J J J J J J J
influential in establishing healthcare policy. J J J J
PTS: J J 1 CON: Health Care System J J J
8. Nursing was described as a distinct occupation in the sacred books of which faith?
J J J J J J J J J J J J J
1) Buddhism
2) Christianity
3) Hinduism
4) Judaism
ANS: 3 J
Chapter number and title: 1, Nursing Past & Present
J J J J J J J J
Chapter learning objective: Discuss the transitions that nursing education has undergone in the
J J J J J J J J J J J J
last century.
J NURSINGKING.COM
Chapter page reference: p. 6
J J J J
Heading: Historical Context ofNursing
J J J J J
Integrated Processes: Caring J J
Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
Cognitive level: Knowledge [Remembering]
J J J
Concept: Professionalism J J
Difficulty: Easy J
Feedback
1 Nursing was not described as a distinct occupation in the sacred books of Buddhism.
J J J J J J J J J J J J J
2 Nursing was not described as a distinct occupation in the sacred books of
J J J J J J J J J J J J
Christianity.
3 The Vedas, the sacred books of the Hindu faith, described Indian healthcare
J J J J J J J J J J J
practices and were the earliest writings of a distinct nursing occupation.
J J J J J J J J J J
4 Nursing was not described as a distinct occupation in the sacred books of
J J J J J J J J J J J J
Judaism.
PTS: J J 1 CON: Professionalism J
9. Which individual established the American Red Cross?
J J J J J J
1) Louisa May Alcott J J
2) Clara Barton J
, 3) Dorothea Dix J
4) Harriet Tubman J
ANS: 2 J
Chapter number and title: 1, Nursing Past & Present
J J J J J J J J
Chapter learning objective: Give four examples of influential nursing organizations. Chapter
J J J J J J J J J J J
page reference: p. 19
J J J
Heading: CharitableOrganizations J J J
Integrated Processes: Caring J J
Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
Cognitive level: Knowledge [Remembering] J J J
Concept: Evidence-Based Practice J J J
Difficulty: Easy J
Feedback
1 Louisa May Alcott was an American novelist who wrote Little Women in 1868.
J J J J J J J J J J J J
2 Clara Barton was an American teacher, nurse, and humanitarian who organized
J J J J J J J J J J
the American Red Cross after the Civil War.
J J J J J J J
3 Dorothea Dix was an American activist who acted on behalf of the indigent
J J J J J J J J J J J J J
population with mental illness. She was credited for establishing the first J J J J J J J J J J
psychiatric institution. J
4 Harriet Tubman was an African American abolitionist and Union spy during the
J J J J J J J J J J J J
Civil War. After escaping captivity, she set up a network of antislavery activists
J J J J J J J J J J J J
known as the Underground Railroad. J J J J
PTS: J J 1 CON: Evidence-Based Practice J J
10. Which is the most important N
J r eU
asRoS
J nI
toNdG
evKeI
loNpGa.dC
efO
inMition of nursing?
J J J J J J
1) Recruit more informed people into the nursing profession
J J J J J J J
2) Evaluate the degree of role satisfaction J J J J J
3) Dispel the stereotypical images of nurses and nursing
J J J J J J J
4) Differentiate nursing activities from those of other health professionals J J J J J J J J
ANS: 4 J
Chapter number and title: 1, Nursing Past & Present
J J J J J J J J
Chapter learning objective: Define nursing in your own words. Chapter
J J J J J J J J J J
page reference: p. 8
J J J
Heading: HowIs NursingDefined? J J J J J
Integrated Processes: Caring J J
Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
Cognitive level: Comprehension [Understanding]
J J J
Concept: Professionalism J J
Difficulty: Easy J
Feedback
1 A definition of nursing would not be likely to increase the number of informed
J J J J J J J J J J J J J
people recruited into nursing. J J J
2 A definition of nursing would do little to improve the nurse’s role satisfaction.
J J J J J J J J J J J J
3 Although a definition of nursing might contribute to fighting stereotypes of nursing,
J J J J J J J J J J J J
other, more powerful influences (e.g., media portrayals) exist to counteract it.
J J J J J J J J J J
4 Nursing organization leaders think it is important to develop a definition of
J J J J J J J J J J J
, nursing to bring value and understanding to the profession, differentiate nursing
J J J J J J J J J J J
activities from those of other health professionals, and help student nurses
J J J J J J J J J J
understand what is expected of them. J J J J J
PTS: J J 1 CON: Professionalism J
11. Which provides evidence-based support for the contribution that advanced practice nurses
J J J J J J J J J J J
(APNs. make within healthcare?
J J J
1) Reduced usage of diagnostics using advanced technology J J J J J J
2) Decreased number of unnecessary visits to the emergency department J J J J J J J J
3) Improved patient compliance with prescribed treatments J J J J J
4) Increased usage of complementary alternative therapies J J J J J
ANS: 3 J
Chapter number and title: 1, Nursing Past & Present
J J J J J J J J
Chapter learning objective: Name nine expanded roles for nursing.
J J J J J J J J J
Chapter page reference: p. 22
J J J J
Heading: Expanded Career Roles for Nurses
J J J J J J
Integrated Processes: Nursing Process – Planning
J J J J J
Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
Cognitive level: Comprehension [Understanding]
J J J
Concept: Evidence-Based Practice J J J
Difficulty: Easy J
Feedback
1 No well-known scientific studies support APNs’ effect on the use of advanced
J J J J J J J J J J J J
technology.
2 No well-known scientifiN
JcU
stR
udSieIsNsuGpKpI
orNt GA .
PNC sO’ Me f f e c t on the frequency of J J J J J J J
emergency department visits. J J
3 Studies demonstrate that APNs have improved patient outcomes over those of
J J J J J J J J J J J
physicians, including increased patient understanding and cooperation with J J J J J J J J
treatments and decreased need for hospitalizations. J J J J J
4 No well-known scientific studies support APNs’ effect on the use of alternative
J J J J J J J J J J J
therapies.
PTS: J J 1 CON: Evidence-Based Practice J J
12. Which is an example of what traditional medicine and complementary and alternative
J J J J J J J J J J J J
medicine therapies have in common? J J J J
1) Both can produce adverse effects in some patients.
J J J J J J J
2) Both use prescription medications.
J J J
3) Both are usually reimbursed by insurance programs.
J J J J J J
4) Both are regulated by the FDA. J J J J J
ANS: 1 J
Chapter number and title: 1, Nursing Past & Present
J J J J J J J J
Chapter learning objective: Delineate the forces and trends affecting contemporary nursing practice.
J J J J J J J J J J J
Chapter page reference: p. 22
J J J J
Heading: What Are Some Trends in Nursing and Healthcare? Integrated
J J J J J J J J J J
Processes: Caring J
, Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
Cognitive level: Comprehension [Understanding]
J J J
Concept: Evidence-Based Practice
J J J
Difficulty: Easy J
Feedback
1 Both traditional and complementary therapies can produce adverse effects in
J J J J J J J J J J
some patients. J
2 Many medications are derived from herbs, but the alternative treatments usually
J J J J J J J J J J
use the herbs, not prescription medication.
J J J J J
3 Insurance programs do not necessarily reimburse alternative treatments, because
J J J J J J J J
many are not supported by sound scientific research methodology.
J J J J J J J J
4 Alternative medications are not regulated by the FDA. J J J J J J J
PTS: J J 1 CON: Evidence-Based Practice J J
13. Which is the biggest disadvantage of having nursing assistive personnel (NAP) assist nurses in
J J J J J J J J J J J J J J
practice?
1) Nurses must know what aspects of care can legally and safely be delegated to the
J J J J J J J J J J J J J J J
NAP.
2) Nurses may rely too heavily on information gathered by the NAP when making
J J J J J J J J J J J J J
patient care decisions. J J
3) Nurses are removed from many components of direct patient care that have been
J J J J J J J J J J J J J
delegated to the NAP. J J J
4) Nurses still maintain responsibility for the patient care given by the NAP.
J J J J J J J J J J J
ANS: 2 J
NuUrR
Chapter number and title: 1, N
J s inSgIPNaG
stK&IN
P rGes.eC
ntOM J J J J
Chapter learning objective: Delineate the forces and trends affecting contemporary nursing practice.
J J J J J J J J J J J
Chapter page reference: p. 24
J J J J
Heading: Increased Use of Nursing Assistive Personnel
J J J J J J J
Integrated Processes: Nursing Process – Implementation
J J J J J
Client Need: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
Cognitive level: Comprehension [Understanding]
J J J
Concept: Collaboration J J
Difficulty: Easy J
Feedback
1 All of the options may be disadvantages to using NAPs, but making decisions based
J J J J J J J J J J J J J J
on another’s information is the greatest drawback because of the potential for
J J J J J J J J J J J J
negatively affecting patient care. Treatment decisions based on incorrect J J J J J J J J
information may cause harm to the patient. J J J J J J
2 All of the options may be disadvantages to using NAPs, but making decisions based
J J J J J J J J J J J J J J
on another’s information is the greatest drawback because of the potential for
J J J J J J J J J J J J
negatively affecting patient care. Treatment decisions based on incorrect J J J J J J J J
information may cause harm to the patient. J J J J J J
3 All of the options may be disadvantages to using NAPs, but making decisions based
J J J J J J J J J J J J J J
on another’s information is the greatest drawback because of the potential for
J J J J J J J J J J J J
negatively affecting patient care. Treatment decisions based on incorrect J J J J J J J J
information may cause harm to the patient. J J J J J J
