pw
pw
Chapter 1 Evolution of nt nt nt nt
Multiple Choice n t
Identify the choice that best completes the statement or answers the question.
n t n t n t n t n t n t n t n t n t n t n t
1. What is the most influential factor that has shaped the nt nt nt nt nt nt nt nt nt
nursingprofession? 1)
nt pw nt
Physicians need for n t n t
handmaidens2)
nt
Societal need for healthcare outside the
nt n t nt n t n t
home 3)
nt pw
Military demand for nurses in the fieldnt nt nt nt nt n t
4) Germ theoryinfluence on sanitation
pw nt nt nt nt
ANS: 3
nt nt
Throughout the centuries, stability of the government has been related to the success
nt n t n t nt nt n t n t nt n t n t nt nt
of themilitary to protect or extend its domain.As the survival and well-being of soldiers is
n t nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
critical, nurses provided healthcare to the sick and injured at the battle site. The
nt nt nt n t n t nt nt n t n t n t nt n t n t nt
physicians handmaiden was/is a nursing stereotype rather than an influence on
nt nt n t n t n t n t n t n t n t n t n t
nursing. Although there has been need for healthcare outside the home throughout
n t nt nt n t nt nt n t n t n t nt n t nt
history, this has more influence on the development of hospitals than on nursing; this
nt nt nt nt nt n t nt nt n t nt n t nt nt n t
need provided one more setting for nursing work. Germ theory and sanitation helped
nt nt n t nt nt nt nt nt n t n t nt n t n t
to improve healthcare but did not shape nursing.
n t nt n t n t n t nt nt nt
PTS: 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/AClient need: N/A
nt n t n t n t n t n t n t nt n t n t nt n t nt
|Cognitive level: Recall nt nt
2. Which of the following is an example of an illness prevention activity? nt nt n t nt nt nt nt nt nt nt nt
Select all that apply.
n t pw nt nt
1)
Encouraging the use of a food nt nt nt nt nt
diary2)
nt
,Joining a cancer support nt nt nt
group3)
nt
Administering immunization for nt n t
HPV4) nt
Teaching a diabetic patient about his nt nt nt nt nt
diet ANS: 3
nt pw nt
Administering immunization for HPV is an example of illness prevention. Although nt n t n t nt n t nt n t n t nt nt
canceris a disease, it is assumed that a person joining a support group would
nt n t n t n t n t n t n t n t n t n t n t n t n t n t
already have the disease; therefore, this is not disease prevention but treatment.
n t nt n t nt n t n t n t n t n t n t n t n t
Illness- prevention activities focus on avoiding a specific disease. A food diary is a
n t nt n t nt n t n t nt n t n t nt nt n t nt n t
health- promotion activity. Teaching a diabetic patient about diet is a treatment for
n t nt n t nt nt nt n t nt n t n t nt n t n t
diabetes; the patient already has diabetes, so it cannot prevent diabetes.
n t nt nt nt nt nt n t nt nt nt nt
PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in text
nt nt n t nt nt nt nt nt nt n t nt nt nt
KEY:Nursing process: N/A| Client need: HPM | Cognitive level:Application
nt nt nt nt nt nt nt nt nt nt
3. Which of the following contributions of Florence Nightingale had nt nt n t nt n t nt nt n t
an i mmediate impact on improving patients health?
nt pw nt nt nt nt nt
1)
Providing a clean n t n t
environment2)
nt w
p
,Improvingnursing nt
education3)
nt
Changing the delivery of care in nt nt nt nt nt
hospitals 4)
nt w
p
Establishing nursing as a distinct nt nt nt n t
professionANS: 1
nt nt
Improved sanitation (a clean environment) greatly and immediately reduced the n t n t n t n t n t nt n t nt n t
rate ofinfection and mortality in hospitals. The other responses are all activities of
n t nt nt nt nt n t nt n t n t nt nt nt n t
Florence Nightingale that improved healthcare or nursing, but the impact is long
nt nt nt nt nt n t nt nt nt nt nt nt
range, not immediate.
n t nt nt
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10;
nt n t n t nt n t nt n t n t nt nt nt n t n t nt n t n t
studentmust infer from content
nt nt nt nt
KEY: Nursing process: N/A| Client need: SECE | Cognitive level:Application
nt nt n t t
n nt n t n t n t nt n t nt
4. All of the following are aspects of the full-spectrum nursing role. Which nt nt nt nt n t nt nt nt n t nt nt
oneis essential for the nurse to do in order to successfully carry out all the
nt n t n t n t n t nt n t n t n t nt n t nt nt n t n t
others? 1)
nt nt
Thinking and reasoning about the clients care 2) nt nt nt nt nt nt pw
Providing hands-on client nt nt
care3)
nt
Carrying out physician nt nt
orders4)
nt
Delegating to assistive nt nt
personnel ANS: 1
nt pw nt
Asubstantial portion of the nursing role involves using clinical judgment, critical thinking,
nt nt nt nt nt nt nt nt nt nt nt nt
and problem solving, which directly affect the care the client will actually receive.
nt nt nt nt nt nt nt nt nt nt nt nt nt
Providing hands-on care is important; however, clinical judgment, critical thinking, and
nt nt nt nt nt nt nt nt nt nt n t
problem solving are essential to do it successfully. Carrying out physician
n t n t n t n t n t n t n t n t n t n t nt
orders is a small part of a nurses role; it, too, requires nursing assessment, planning,
nt nt nt n t nt nt nt n t nt nt nt nt nt nt nt
intervention, and evaluation. Many simple nursing tasks are being delegated to
nt n t nt n t nt n t nt n t n t n t nt
nursing assistive personnel; delegation requires careful analysis of patient status and the
n t nt nt nt nt nt nt nt nt nt nt nt
appropriateness of support personnel to deliver care.Another way to analyze this question
nt nt nt nt nt nt nt nt nt nt nt nt nt
is that none of the options of providing hands-on care, carrying out
n t n t n t n t n t n t n t n t n t n t n t n t
physician orders, and delegating to assistive personnel is required for the
nt nt n t n t n t n t n t n t n t n t n t
nurse to think and reason about a clients care; so the answer must be 1.
n t n t nt n t n t pw nt nt nt nt nt nt nt nt nt
PTS:1DIFifficultREF: p. 11 nt nt
KEY: Nursing process: N/A| Client need: N/A| Cognitive level:Analysis
n t nt n t t
n nt n t n t nt n t nt
5. Which statement pertaining to Benners practice model for clinical competence n t n t n t n t n t n t n t n t n t
is
true?1
nt
)
Progression through the stages is constant, with most nurses reaching the proficient stage. n t n t n t n t nt n t n t n t n t nt n t n t
2)
Progression through the stages involves continual development of thinking and n t n t n t n t n t n t n t nt n t
technicalskills.
nt
3)
The nurse must have experience in many areas before being considered
nt nt n t n t n t nt nt nt n t nt
an expert.4)
nt nt w
p
The nurses progress through the stages is determined by years of experience and
nt nt n t n t n t n t n t n t nt n t nt n t
skills.ANS: 2
nt nt
, Movement through the stages is not constant. Benners model is based on integration of
n t n t n t n t n t n t n t n t n t n t n t nt n t
pw
Chapter 1 Evolution of nt nt nt nt
Multiple Choice n t
Identify the choice that best completes the statement or answers the question.
n t n t n t n t n t n t n t n t n t n t n t
1. What is the most influential factor that has shaped the nt nt nt nt nt nt nt nt nt
nursingprofession? 1)
nt pw nt
Physicians need for n t n t
handmaidens2)
nt
Societal need for healthcare outside the
nt n t nt n t n t
home 3)
nt pw
Military demand for nurses in the fieldnt nt nt nt nt n t
4) Germ theoryinfluence on sanitation
pw nt nt nt nt
ANS: 3
nt nt
Throughout the centuries, stability of the government has been related to the success
nt n t n t nt nt n t n t nt n t n t nt nt
of themilitary to protect or extend its domain.As the survival and well-being of soldiers is
n t nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
critical, nurses provided healthcare to the sick and injured at the battle site. The
nt nt nt n t n t nt nt n t n t n t nt n t n t nt
physicians handmaiden was/is a nursing stereotype rather than an influence on
nt nt n t n t n t n t n t n t n t n t n t
nursing. Although there has been need for healthcare outside the home throughout
n t nt nt n t nt nt n t n t n t nt n t nt
history, this has more influence on the development of hospitals than on nursing; this
nt nt nt nt nt n t nt nt n t nt n t nt nt n t
need provided one more setting for nursing work. Germ theory and sanitation helped
nt nt n t nt nt nt nt nt n t n t nt n t n t
to improve healthcare but did not shape nursing.
n t nt n t n t n t nt nt nt
PTS: 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/AClient need: N/A
nt n t n t n t n t n t n t nt n t n t nt n t nt
|Cognitive level: Recall nt nt
2. Which of the following is an example of an illness prevention activity? nt nt n t nt nt nt nt nt nt nt nt
Select all that apply.
n t pw nt nt
1)
Encouraging the use of a food nt nt nt nt nt
diary2)
nt
,Joining a cancer support nt nt nt
group3)
nt
Administering immunization for nt n t
HPV4) nt
Teaching a diabetic patient about his nt nt nt nt nt
diet ANS: 3
nt pw nt
Administering immunization for HPV is an example of illness prevention. Although nt n t n t nt n t nt n t n t nt nt
canceris a disease, it is assumed that a person joining a support group would
nt n t n t n t n t n t n t n t n t n t n t n t n t n t
already have the disease; therefore, this is not disease prevention but treatment.
n t nt n t nt n t n t n t n t n t n t n t n t
Illness- prevention activities focus on avoiding a specific disease. A food diary is a
n t nt n t nt n t n t nt n t n t nt nt n t nt n t
health- promotion activity. Teaching a diabetic patient about diet is a treatment for
n t nt n t nt nt nt n t nt n t n t nt n t n t
diabetes; the patient already has diabetes, so it cannot prevent diabetes.
n t nt nt nt nt nt n t nt nt nt nt
PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in text
nt nt n t nt nt nt nt nt nt n t nt nt nt
KEY:Nursing process: N/A| Client need: HPM | Cognitive level:Application
nt nt nt nt nt nt nt nt nt nt
3. Which of the following contributions of Florence Nightingale had nt nt n t nt n t nt nt n t
an i mmediate impact on improving patients health?
nt pw nt nt nt nt nt
1)
Providing a clean n t n t
environment2)
nt w
p
,Improvingnursing nt
education3)
nt
Changing the delivery of care in nt nt nt nt nt
hospitals 4)
nt w
p
Establishing nursing as a distinct nt nt nt n t
professionANS: 1
nt nt
Improved sanitation (a clean environment) greatly and immediately reduced the n t n t n t n t n t nt n t nt n t
rate ofinfection and mortality in hospitals. The other responses are all activities of
n t nt nt nt nt n t nt n t n t nt nt nt n t
Florence Nightingale that improved healthcare or nursing, but the impact is long
nt nt nt nt nt n t nt nt nt nt nt nt
range, not immediate.
n t nt nt
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10;
nt n t n t nt n t nt n t n t nt nt nt n t n t nt n t n t
studentmust infer from content
nt nt nt nt
KEY: Nursing process: N/A| Client need: SECE | Cognitive level:Application
nt nt n t t
n nt n t n t n t nt n t nt
4. All of the following are aspects of the full-spectrum nursing role. Which nt nt nt nt n t nt nt nt n t nt nt
oneis essential for the nurse to do in order to successfully carry out all the
nt n t n t n t n t nt n t n t n t nt n t nt nt n t n t
others? 1)
nt nt
Thinking and reasoning about the clients care 2) nt nt nt nt nt nt pw
Providing hands-on client nt nt
care3)
nt
Carrying out physician nt nt
orders4)
nt
Delegating to assistive nt nt
personnel ANS: 1
nt pw nt
Asubstantial portion of the nursing role involves using clinical judgment, critical thinking,
nt nt nt nt nt nt nt nt nt nt nt nt
and problem solving, which directly affect the care the client will actually receive.
nt nt nt nt nt nt nt nt nt nt nt nt nt
Providing hands-on care is important; however, clinical judgment, critical thinking, and
nt nt nt nt nt nt nt nt nt nt n t
problem solving are essential to do it successfully. Carrying out physician
n t n t n t n t n t n t n t n t n t n t nt
orders is a small part of a nurses role; it, too, requires nursing assessment, planning,
nt nt nt n t nt nt nt n t nt nt nt nt nt nt nt
intervention, and evaluation. Many simple nursing tasks are being delegated to
nt n t nt n t nt n t nt n t n t n t nt
nursing assistive personnel; delegation requires careful analysis of patient status and the
n t nt nt nt nt nt nt nt nt nt nt nt
appropriateness of support personnel to deliver care.Another way to analyze this question
nt nt nt nt nt nt nt nt nt nt nt nt nt
is that none of the options of providing hands-on care, carrying out
n t n t n t n t n t n t n t n t n t n t n t n t
physician orders, and delegating to assistive personnel is required for the
nt nt n t n t n t n t n t n t n t n t n t
nurse to think and reason about a clients care; so the answer must be 1.
n t n t nt n t n t pw nt nt nt nt nt nt nt nt nt
PTS:1DIFifficultREF: p. 11 nt nt
KEY: Nursing process: N/A| Client need: N/A| Cognitive level:Analysis
n t nt n t t
n nt n t n t nt n t nt
5. Which statement pertaining to Benners practice model for clinical competence n t n t n t n t n t n t n t n t n t
is
true?1
nt
)
Progression through the stages is constant, with most nurses reaching the proficient stage. n t n t n t n t nt n t n t n t n t nt n t n t
2)
Progression through the stages involves continual development of thinking and n t n t n t n t n t n t n t nt n t
technicalskills.
nt
3)
The nurse must have experience in many areas before being considered
nt nt n t n t n t nt nt nt n t nt
an expert.4)
nt nt w
p
The nurses progress through the stages is determined by years of experience and
nt nt n t n t n t n t n t n t nt n t nt n t
skills.ANS: 2
nt nt
, Movement through the stages is not constant. Benners model is based on integration of
n t n t n t n t n t n t n t n t n t n t n t nt n t
