BESTLEC
Test Bank for
Davis Advantage for Basic Nursing: Thinking, Doing, and Caring: Thinking, Doing, and
Caring Third Edition
by Leslie S. Treas, Karen L. Barnett, Mable H. Smith
All Chapters Covered|| Latest Edition|| 100% Verified Answers|| ISBN-978-1719642071
C
LE
ST
BE
1
,BESTLEC
Chapter 1 Evolution of Nursing Thought & Action
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. What 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
ANSWER 3
Throughout the centuries, stability of the government has been related to the success of the military to
C
protect or extend its domain. As the survival and well-being of soldiers is critical, nurses provided
healthcare to the sick and injured at the battle site. The physicians handmaiden was/is a nursing stereotype
rather than an influence on nursing. Although there has been need for healthcare outside the home
LE
throughout history, this has more influence on the development of hospitals than on nursing; this need
provided one more setting for nursing work. Germ theory and sanitation helped to improve healthcare but
did not shape nursing.
PTS: 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Client need: N/A | Cognitive level:
ST
Recall
2. Which of the following is an example of an illness prevention activity? Select all that apply.
1) Encouraging the use of a food diary
BE
2) Joining a cancer support group
3) Administering immunization for HPV
4) Teaching a diabetic patient about his diet
ANSWER 3
Administering immunization for HPV is an example of illness prevention. 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. Illness-prevention activities focus on avoiding a specific disease. A food
diary is a health-promotion activity. Teaching a diabetic patient about diet is a treatment for diabetes; the
patient already has diabetes, so it cannot prevent diabetes.
PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in text KEY: Nursing process:
N/A | Client need: HPM | Cognitive level: Application
3. Which of the following contributions of Florence Nightingale had an immediate impact on
improving patients health?
2
,BESTLEC
1) Providing a clean environment
2) Improving nursing education
3) Changing the delivery of care in hospitals
4) Establishing nursing as a distinct profession
ANSWER 1
Improved sanitation (a clean environment) greatly and immediately reduced the rate of infection and
mortality in hospitals. The other responses are all activities of Florence Nightingale that improved
healthcare or nursing, but the impact is long range, not immediate.
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10; student must infer from
content
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
4. All of the following are aspects of the full-spectrum nursing role. Which one is essential for the
nurse to do in order to successfully carry out all the others?
C
1) Thinking and reasoning about the client’s care
2) Providing hands-on client care
3) Carrying out physician orders
LE
4) Delegating to assistive personnel
ST
ANSWER 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. Providing hands-on care is
important; however, clinical judgment, critical thinking, and problem solving are essential to do it
BE
successfully. Carrying out physician orders is a small part of a nurses role; it, too, requires nursing
assessment, planning, intervention, and evaluation. 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. Another way to analyze this question is that none of the options of
providing hands-on care, carrying out physician orders, and delegating to assistive personnel is required
for the nurse to think and reason about a clients care; so the answer must be 1.
PTS:1DIFifficultREF: p. 11
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
5. Which statement pertaining to Benners practice model 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
, BESTLEC
3) The nurse must have experience in many areas before being considered an expert.
4) The nurses progress through the stages is determined by years of experience and skills.
ANSWER 2
Movement through the stages is not constant. Benners model is based on integration of
knowledge, technical skill, and intuition in the development of clinical wisdom. The model does not
mention experience in many areas. The model does not mention years of experience.
PTS:1DIF:ModerateREF:p. 15
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall
6. Which of the following best explains why it is difficult for the profession to develop a definition
of nursing?
1)
C
There are too many different and conflicting images of nurses. 2)
LE
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.
ST
ANSWER 2
The conflicting images of nursing make it more important to develop a definition; they may also make it
more difficult, but not to the extent that constant change does.
Healthcare is constantly changing and with it come changes in where, how, and what nursing care is
BE
delivered. Constant changes make it difficult to develop a definition. Although different nursing
organizations have different definitions, they are similar in most ways. The different education pathways
affect entry into practice, not the definition of nursing.
PTS: 1 DIF: Moderate REF: p. 11; How Is Nursing Defined?
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
7. Nurses have the potential to be very influential in shaping healthcare policy. Which of the
following factors contributes most to nurses influence?
1)
Nurses are the largest health professional group. 2)
Nurses have a long history of serving the public. 3)
Nurses have achieved some independence from physicians in recent years. 4)
Political involvement has helped refute negative images portrayed in the media.
4
Test Bank for
Davis Advantage for Basic Nursing: Thinking, Doing, and Caring: Thinking, Doing, and
Caring Third Edition
by Leslie S. Treas, Karen L. Barnett, Mable H. Smith
All Chapters Covered|| Latest Edition|| 100% Verified Answers|| ISBN-978-1719642071
C
LE
ST
BE
1
,BESTLEC
Chapter 1 Evolution of Nursing Thought & Action
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. What 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
ANSWER 3
Throughout the centuries, stability of the government has been related to the success of the military to
C
protect or extend its domain. As the survival and well-being of soldiers is critical, nurses provided
healthcare to the sick and injured at the battle site. The physicians handmaiden was/is a nursing stereotype
rather than an influence on nursing. Although there has been need for healthcare outside the home
LE
throughout history, this has more influence on the development of hospitals than on nursing; this need
provided one more setting for nursing work. Germ theory and sanitation helped to improve healthcare but
did not shape nursing.
PTS: 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Client need: N/A | Cognitive level:
ST
Recall
2. Which of the following is an example of an illness prevention activity? Select all that apply.
1) Encouraging the use of a food diary
BE
2) Joining a cancer support group
3) Administering immunization for HPV
4) Teaching a diabetic patient about his diet
ANSWER 3
Administering immunization for HPV is an example of illness prevention. 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. Illness-prevention activities focus on avoiding a specific disease. A food
diary is a health-promotion activity. Teaching a diabetic patient about diet is a treatment for diabetes; the
patient already has diabetes, so it cannot prevent diabetes.
PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in text KEY: Nursing process:
N/A | Client need: HPM | Cognitive level: Application
3. Which of the following contributions of Florence Nightingale had an immediate impact on
improving patients health?
2
,BESTLEC
1) Providing a clean environment
2) Improving nursing education
3) Changing the delivery of care in hospitals
4) Establishing nursing as a distinct profession
ANSWER 1
Improved sanitation (a clean environment) greatly and immediately reduced the rate of infection and
mortality in hospitals. The other responses are all activities of Florence Nightingale that improved
healthcare or nursing, but the impact is long range, not immediate.
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10; student must infer from
content
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
4. All of the following are aspects of the full-spectrum nursing role. Which one is essential for the
nurse to do in order to successfully carry out all the others?
C
1) Thinking and reasoning about the client’s care
2) Providing hands-on client care
3) Carrying out physician orders
LE
4) Delegating to assistive personnel
ST
ANSWER 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. Providing hands-on care is
important; however, clinical judgment, critical thinking, and problem solving are essential to do it
BE
successfully. Carrying out physician orders is a small part of a nurses role; it, too, requires nursing
assessment, planning, intervention, and evaluation. 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. Another way to analyze this question is that none of the options of
providing hands-on care, carrying out physician orders, and delegating to assistive personnel is required
for the nurse to think and reason about a clients care; so the answer must be 1.
PTS:1DIFifficultREF: p. 11
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
5. Which statement pertaining to Benners practice model 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
, BESTLEC
3) The nurse must have experience in many areas before being considered an expert.
4) The nurses progress through the stages is determined by years of experience and skills.
ANSWER 2
Movement through the stages is not constant. Benners model is based on integration of
knowledge, technical skill, and intuition in the development of clinical wisdom. The model does not
mention experience in many areas. The model does not mention years of experience.
PTS:1DIF:ModerateREF:p. 15
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall
6. Which of the following best explains why it is difficult for the profession to develop a definition
of nursing?
1)
C
There are too many different and conflicting images of nurses. 2)
LE
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.
ST
ANSWER 2
The conflicting images of nursing make it more important to develop a definition; they may also make it
more difficult, but not to the extent that constant change does.
Healthcare is constantly changing and with it come changes in where, how, and what nursing care is
BE
delivered. Constant changes make it difficult to develop a definition. Although different nursing
organizations have different definitions, they are similar in most ways. The different education pathways
affect entry into practice, not the definition of nursing.
PTS: 1 DIF: Moderate REF: p. 11; How Is Nursing Defined?
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
7. Nurses have the potential to be very influential in shaping healthcare policy. Which of the
following factors contributes most to nurses influence?
1)
Nurses are the largest health professional group. 2)
Nurses have a long history of serving the public. 3)
Nurses have achieved some independence from physicians in recent years. 4)
Political involvement has helped refute negative images portrayed in the media.
4
