Contemporary Nursing 10th Edition: Complete Chapters Test Bank & Exam Questions

Contemporary Nursing 10th Edition:
Complete Chapters Test Bank & Exam
Questions




Question 1

A nursing historian is lecturing on the imagery of nursing during the Crimean War.
Which historical figure significantly transformed the public perception of nursing from a
low-status occupation to a highly respected profession through data collection and
environmental hygiene?

 A. Dorothea Dix
 B. Clara Barton
 C. Florence Nightingale
 D. Mary Seacole
Answer: C. Florence Nightingale
Explanation: Florence Nightingale revolutionized the nursing profession during the
Crimean War by introducing strict sanitary practices, systematically collecting data to
prove that clean environments reduced mortality rates, and establishing the image of
the nurse as a skilled, compassionate professional ("The Lady with the Lamp").

, Dorothea Dix and Clara Barton operated primarily during the American Civil War,
while Mary Seacole, though vital to the Crimean War effort, did not establish the
foundational data-driven professionalization models that Nightingale did.

Question 2

During the mid-20th century, which legislative act provided substantial federal funding
for the construction of new hospitals, leading to an acute shortage of nurses and a
subsequent shift toward team nursing models?

 A. The Nurse Training Act of 1964
 B. The Hill-Burton Act of 1946
 C. The Social Security Act of 1935
 D. The Patient Protection and Affordable Care Act
Answer: B. The Hill-Burton Act of 1946
Explanation: The Hospital Survey and Construction Act of 1946, popularly known as
the Hill-Burton Act, provided federal grants and guaranteed loans to build and
modernize hospitals, especially in rural areas. This rapid expansion created an
unprecedented demand for registered nurses, which ultimately triggered the
development of team nursing and functional nursing modalities to stretch the existing
workforce.

Question 3

Which historical nursing leader is recognized for founding the Henry Street Settlement in
New York City, effectively pioneering the concept of public health and community-based
nursing in the United States?

 A. Lillian Wald
 B. Margaret Sanger
 C. Linda Richards
 D. Isabel Hampton Robb
Answer: A. Lillian Wald
Explanation: Lillian Wald established the Henry Street Settlement in 1893 to address
the healthcare and social needs of impoverished immigrants. Her work laid the
foundation for modern community health nursing, occupational health nursing, and

, school nursing. Margaret Sanger focused on birth control and reproductive rights,
Linda Richards was America's first trained nurse, and Isabel Hampton Robb was
instrumental in early nursing education and organizational leadership.




Chapter 2: Legal and Ethical Issues in Contemporary Nursing

Question 4

A registered nurse administers the wrong dose of a high-alert medication to a client
because they failed to perform the standard "triple check" verification process. The client
experiences severe bradycardia and requires ICU transfer. Under tort law, which specific
element of professional negligence is directly established by the nurse's failure to follow
standard verification protocols?

 A. Duty
 B. Breach of Duty
 C. Injury/Damages
 D. Proximate Cause
Answer: B. Breach of Duty
Explanation: A breach of duty occurs when a healthcare professional fails to meet the
accepted standard of care. Standard protocols dictate verifying the medication dose
multiple times. Failing to do so constitutes a direct deviation from that standard. Duty
is the established nurse-patient relationship; injury is the actual harm suffered;
proximate cause links the breach directly to the harm.

Question 5

An alert, oriented adult client decides to leave the hospital against medical advice
(AMA). The nurse, fearing for the client’s safety at home, physically blocks the doorway
and threatens to apply restraints if the client attempts to exit the room. The nurse can be
held legally liable for which intentional tort?

 A. Assault
 B. Battery

,  C. False Imprisonment
 D. Defamation
Answer: C. False Imprisonment
Explanation: False imprisonment is the intentional, unlawful restriction or
confinement of a person against their will without legal justification. Because the client
is alert, oriented, and competent to make decisions, restricting their movement and
preventing them from leaving constitutes false imprisonment. Assault is the threat of
harm; battery is unauthorized physical contact; defamation involves false statements
that damage a reputation.

Question 6

A nurse is caring for an actively dying client who has a valid "Do Not Resuscitate"
(DNR) order and an advanced directive requesting comfort care only. The client's family
demands that the nurse initiate cardiopulmonary resuscitation (CPR) when the client goes
into cardiac arrest. What is the most appropriate legal and ethical action for the nurse to
take?

 A. Initiate CPR immediately to prevent a lawsuit from the family.
 B. Call the physician to obtain an emergency order to override the DNR.
 C. Honor the client’s DNR order and focus on providing comfort and support to the
family.
 D. Administer a "slow code" to appease both the family and the legal document.
Answer: C. Honor the client’s DNR order and focus on providing comfort and support
to the family.
Explanation: A legally executed advanced directive and DNR order represent the
client's autonomous choices regarding end-of-life care. Legally, the client's rights
supersede the demands of family members. Performing CPR against a DNR order
violates the client's rights and could lead to charges of battery. "Slow codes" are
unethical and violate professional nursing standards.




Chapter 3: Healthcare Delivery Systems and Trends