,Chapter 01: Nursing Today
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
a. Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
ANS: A
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
came after Nightingale, each contributing to the nursing profession in her own way. Mary
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Health Promotion and Maintenance
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
nursing practice is the nurse following?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
attain expected outcomes. During assessment, the registered nurse collects comprehensive
data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
analyzes the assessment data to determine the diagnoses or issues. During implementation, the
registered nurse implements (carries out) the identified plan.
DIF:Understand (comprehension)
OBJ:Discuss the development of professional nursing roles. TOP: Planning
MSC: Management of Care
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
proficiency is the nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
ANS: A
, A beginning nursing student or any nurse entering a situation in which there is no previous
level of experience (e.g., an experienced operating room nurse chooses to now practice in
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
gained from multiple previous experiences to a situation. A competent nurse understands the
organization and specific care required by the type of patients (e.g., surgical, oncology, or
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
care and establish long-range goals. A nurse who has had some level of experience with the
situation is an advanced beginner. This experience may only be observational in nature, but
the nurse is able to identify meaningful aspects or principles of nursing care.
DIF:Apply (application)
OBJ:Discuss the development of professional nursing roles. TOP: Evaluation
MSC: Management of Care
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
demonstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B
Autonomy is an essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders. To obtain licensure in the United
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
may choose to work toward certification in a specific area of nursing practice. Accountability
means that you are responsible, professionally and legally, for the type and quality of nursing
care provided.
DIF:Apply (application)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation
MSC: Management of Care
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
implementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B
, A mmanager mcoordinates mthe mactivities mof mmembers mof mthe mnursing mstaff min mdelivering
mnursing mcare mand mhas mpersonnel, mpolicy, mand mbudgetary mresponsibility mfor ma mspecific
mnursing munit mor mfacility. mAs man meducator, m you mexplain mconcepts mand mfacts mabout mhealth,
mdescribe mthe mreason mfor mroutine mcare mactivities, mdemonstrate mprocedures msuch mas mself-care
mactivities, mreinforce mlearning mor mpatient mbehavior, mand mevaluate mthe mpatient’s mprogress min
mlearning. mAs ma mpatient madvocate, myou mprotect myour mpatient’s mhuman mand mlegal mrights mand
mprovide massistance min masserting mthese mrights mif mthe mneed marises. mAs ma mcaregiver, m you mhelp
mpatients mmaintain mand mregain mhealth, mmanage mdisease mand msymptoms, mand mattain ma
mmaximal mlevel mfunction mand mindependence mthrough mthe mhealing mprocess.
DIF:Apply m(application)
OBJ:Discuss mthe mroles mand mcareer mopportunities mfor mnurses. TOP:
mImplementation mMSC: m Management mof mCare
6. The mnurse mhas mbeen mworking min mthe mclinical msetting mfor mseveral myears mas man madvanced
mpractice mnurse. mHowever, mthe mnurse mhas ma mstrong mdesire mto mpursue mresearch mand mtheory
mdevelopment. mTo mfulfill mthis mdesire, mwhich mprogram mshould mthe mnurse mattend?
a. Doctor mof mNursing mScience mdegree m(DNSc)
b. Doctor mof mPhilosophy mdegree m(PhD)
c. Doctor mof mNursing mPractice mdegree m(DNP)
d. Doctor min mthe mScience mof mNursing mdegree m(DSN)
ANS: m B
Some mdoctoral mprograms mprepare mnurses mfor mmore mrigorous mresearch mand mtheory
mdevelopment mand maward mthe mresearch-oriented mDoctor mof mPhilosophy m(PhD) min mnursing.
mProfessional mdoctoral mprograms min mnursing m(DSN mor mDNSc) mprepare mgraduates mto mapply
mresearch mfindings mto mclinical mnursing. mThe mDNP mis ma mpractice mdoctorate mthat mprepares
madvanced mpractice mnurses msuch mas mnurse mpractitioners.
DIF:Understand m (comprehension)
OBJ:Compare mand mcontrast mthe meducational mprograms mavailable mfor mprofessional mregistered mnurse
m(RN) meducation. TOP: m Teaching/Learning MSC: m Management mof mCare
7. A mnurse mattends ma mworkshop mon mcurrent mnursing missues mprovided mby mthe mAmerican
mNurses mAssociation. mWhich mtype mof meducation mdid mthe mnurse mreceive?
a. Graduate meducation
b. Inservice meducation
c. Continuing meducation
d. Registered mnurse meducation
ANS: m C
Continuing meducation minvolves mformal, morganized meducational mprograms moffered mby
muniversities, mhospitals, mstate mnurses massociations, mprofessional mnursing morganizations, mand
meducational mand mhealth mcare minstitutions. mAfter mobtaining ma mbaccalaureate mdegree min
mnursing, m you mcan mpursue mgraduate meducation mleading mto ma mmaster’s mor mdoctoral mdegree min
many mnumber mof mgraduate mfields, mincluding mnursing. m Inservice meducation mprograms mare
minstruction mor mtraining mprovided mby ma mhealth mcare mfacility mor minstitution. mRegistered mnurse
meducation mis mthe meducation mpreparation mfor man mindividual mintending mto mbe man mRN.
DIF:Apply m(application)
OBJ:Compare mand mcontrast mthe meducational mprograms mavailable mfor mprofessional mregistered mnurse
m(RN)
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
a. Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
ANS: A
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
came after Nightingale, each contributing to the nursing profession in her own way. Mary
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Health Promotion and Maintenance
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
nursing practice is the nurse following?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
attain expected outcomes. During assessment, the registered nurse collects comprehensive
data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
analyzes the assessment data to determine the diagnoses or issues. During implementation, the
registered nurse implements (carries out) the identified plan.
DIF:Understand (comprehension)
OBJ:Discuss the development of professional nursing roles. TOP: Planning
MSC: Management of Care
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
proficiency is the nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
ANS: A
, A beginning nursing student or any nurse entering a situation in which there is no previous
level of experience (e.g., an experienced operating room nurse chooses to now practice in
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
gained from multiple previous experiences to a situation. A competent nurse understands the
organization and specific care required by the type of patients (e.g., surgical, oncology, or
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
care and establish long-range goals. A nurse who has had some level of experience with the
situation is an advanced beginner. This experience may only be observational in nature, but
the nurse is able to identify meaningful aspects or principles of nursing care.
DIF:Apply (application)
OBJ:Discuss the development of professional nursing roles. TOP: Evaluation
MSC: Management of Care
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
demonstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B
Autonomy is an essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders. To obtain licensure in the United
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
may choose to work toward certification in a specific area of nursing practice. Accountability
means that you are responsible, professionally and legally, for the type and quality of nursing
care provided.
DIF:Apply (application)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation
MSC: Management of Care
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
implementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B
, A mmanager mcoordinates mthe mactivities mof mmembers mof mthe mnursing mstaff min mdelivering
mnursing mcare mand mhas mpersonnel, mpolicy, mand mbudgetary mresponsibility mfor ma mspecific
mnursing munit mor mfacility. mAs man meducator, m you mexplain mconcepts mand mfacts mabout mhealth,
mdescribe mthe mreason mfor mroutine mcare mactivities, mdemonstrate mprocedures msuch mas mself-care
mactivities, mreinforce mlearning mor mpatient mbehavior, mand mevaluate mthe mpatient’s mprogress min
mlearning. mAs ma mpatient madvocate, myou mprotect myour mpatient’s mhuman mand mlegal mrights mand
mprovide massistance min masserting mthese mrights mif mthe mneed marises. mAs ma mcaregiver, m you mhelp
mpatients mmaintain mand mregain mhealth, mmanage mdisease mand msymptoms, mand mattain ma
mmaximal mlevel mfunction mand mindependence mthrough mthe mhealing mprocess.
DIF:Apply m(application)
OBJ:Discuss mthe mroles mand mcareer mopportunities mfor mnurses. TOP:
mImplementation mMSC: m Management mof mCare
6. The mnurse mhas mbeen mworking min mthe mclinical msetting mfor mseveral myears mas man madvanced
mpractice mnurse. mHowever, mthe mnurse mhas ma mstrong mdesire mto mpursue mresearch mand mtheory
mdevelopment. mTo mfulfill mthis mdesire, mwhich mprogram mshould mthe mnurse mattend?
a. Doctor mof mNursing mScience mdegree m(DNSc)
b. Doctor mof mPhilosophy mdegree m(PhD)
c. Doctor mof mNursing mPractice mdegree m(DNP)
d. Doctor min mthe mScience mof mNursing mdegree m(DSN)
ANS: m B
Some mdoctoral mprograms mprepare mnurses mfor mmore mrigorous mresearch mand mtheory
mdevelopment mand maward mthe mresearch-oriented mDoctor mof mPhilosophy m(PhD) min mnursing.
mProfessional mdoctoral mprograms min mnursing m(DSN mor mDNSc) mprepare mgraduates mto mapply
mresearch mfindings mto mclinical mnursing. mThe mDNP mis ma mpractice mdoctorate mthat mprepares
madvanced mpractice mnurses msuch mas mnurse mpractitioners.
DIF:Understand m (comprehension)
OBJ:Compare mand mcontrast mthe meducational mprograms mavailable mfor mprofessional mregistered mnurse
m(RN) meducation. TOP: m Teaching/Learning MSC: m Management mof mCare
7. A mnurse mattends ma mworkshop mon mcurrent mnursing missues mprovided mby mthe mAmerican
mNurses mAssociation. mWhich mtype mof meducation mdid mthe mnurse mreceive?
a. Graduate meducation
b. Inservice meducation
c. Continuing meducation
d. Registered mnurse meducation
ANS: m C
Continuing meducation minvolves mformal, morganized meducational mprograms moffered mby
muniversities, mhospitals, mstate mnurses massociations, mprofessional mnursing morganizations, mand
meducational mand mhealth mcare minstitutions. mAfter mobtaining ma mbaccalaureate mdegree min
mnursing, m you mcan mpursue mgraduate meducation mleading mto ma mmaster’s mor mdoctoral mdegree min
many mnumber mof mgraduate mfields, mincluding mnursing. m Inservice meducation mprograms mare
minstruction mor mtraining mprovided mby ma mhealth mcare mfacility mor minstitution. mRegistered mnurse
meducation mis mthe meducation mpreparation mfor man mindividual mintending mto mbe man mRN.
DIF:Apply m(application)
OBJ:Compare mand mcontrast mthe meducational mprograms mavailable mfor mprofessional mregistered mnurse
m(RN)
