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Chapter 1, Introduction to Nursing
An oncology nurse with 15 years of experience, certification in the area of
oncology nursing, and a master’s degree is considered to be an expert in her
area of practice and works on an oncology unit in a large teaching hospital.
Based upon this description, which of the following career roles best describes
this nurse’s role, taking into account her
1. qualifications and experience?
A) Clinical nurse specialist
B) Nurse entrepreneur
C) Nurse practitioner
D) Nurse educator
Ans: A
Feedback:
A clinical nurse specialist is a nurse with an advanced degree, education,
or experience who is considered to be an expert in a specialized area of
nursing. The clinical nurse specialist carries out direct patient care;
consultation; teaching of patients, families, and staff; and research. A
nurse practitioner has an advanced degree and works in a variety of
settings to deliver primary care. A nurse educator usually has an advanced
degree and teaches in the educational or clinical setting. A nurse
entrepreneur may manage a clinic or health-related business.
What guidelines do nurses follow to identify the patient’s health care needs
2. and strengths, to establish and carry out a plan of care to meet those
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needs, and to evaluate the effectiveness of the plan to meet established
outcomes?
A) Nursing process
B) ANA Standards of Professional Performance
C) Evidence-based practice guidelines
D) Nurse Practice Acts
Ans: A
Feedback:
The nursing process is one of the major guidelines for nursing practice.
Nurses implement their roles through the nursing process. The nursing
process is used by the nurse to identify the patient’s health care needs
and strengths, to establish and carry out a plan of care to meet those
needs, and to evaluate the effectiveness of the plan to meet established
outcomes.
Which of the following organizations is the best source of information when
3. a nurse wishes to determine whether an action is within the scope of
nursing practice?
A) American Nurses Association (ANA)
B) American Association of Colleges in Nursing (AACN)
C) National League for Nursing (NLN)
D) International Council of Nurses (ICN)
Ans: A
Feedback:
The ANA produces the 2003 Nursing: Scope and Standards of Practice, which
defines the activities specific and unique to nursing. The AACN addresses
educational standards, while the NLN promotes and fosters various aspects of
nursing.
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The ICN provides a venue for national nursing organizations to collaborate,
but does not define standards and scope of practice.
4. Who is considered to be the founder of professional nursing?
A) Dorothea Dix
B) Lillian Wald
C) Florence Nightingale
D) Clara Barton
Ans: C
Feedback:
Florence Nightingale is considered to be the founder of professional
nursing. She elevated the status of nursing to a respected occupation,
improved the quality of nursing care, and founded modern nursing
education. Although the other choices are women who were important to
the development of nursing, none of them is considered the founder.
5. Which of the following nursing pioneers established the Red Cross in the
United States in 1882?
A) Florence Nightingale
B) Clara Barton
C) Dorothea Dix
D) Jane Addams
Ans: B
Feedback:
Clara Barton volunteered to care for wounds and feed union soldiers during
the civil war, served as the supervisor of nurses for the Army of the James,
organized hospitals and nurses, and established the Red Cross in the
United States in 1882.