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ofNursing
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ActiveLearningforCollaborativePractice 3rd
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Edition
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By
Barbara L. Yoost, Lynne R. Crawford
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,Chapter01:Nursing,Theory,andProfessionalPractice
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Yoost&Crawford:FundamentalsofNursing:ActiveLearningforCollaborative Practice,
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3rd Edition
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MULTIPLECHOICE ,i
1. A group of nursing students are discussing the impact of nonnursing theories in clinical practice.
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Thestudentswouldbecorrectiftheychosewhichtheorytoprioritizepatientcare?
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a. Erikson‘s Psychosocial Theory ,i , i
b. Paul‘sCritical-ThinkingTheory ,i ,i
c. Maslow‘sHierarchyofNeeds ,i ,i ,i
d. Rosenstock‘sHealthBeliefModel ,i ,i ,i
ANS: C , i
Maslow‘s hierarchy of needs specifies the psychological and physiologic factors that affect each ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
person‘s physical and mental health. The nurse‘s understanding of these factors helps with
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formulating Nursing diagnoses that address the patient‘s needs and values to prioritize care.
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Erikson‘s Psychosocial Theory of Development and Socialization is based on individuals‘
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interactingandlearningabouttheirworld.Nursesuseconceptsofdevelopmental theory to critically
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think in providing care for their patients at various stages of their lives.
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Rosenstock(1974)developedthepsychologicalHealthBeliefModel.Themodeladdresses possible ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
reasons for why a patient may not comply with recommended health promotion behaviors. This
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model is especially useful to nurses as they educate patients.
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DIF: Remembering OBJ: 1.5 TOP: Planning , i , i , i
MSC:NCLEXClientNeedsC N a te g R
o ry : ISafG
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d Effective CareEnvironment:ManagementofCareNOT: ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i , i ,i ,i , i ,i ,i ,i ,i ,i ,i
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Concepts: Care Coordinati on ,i ,i
2. Anursingstudentispreparingstudynotesfromarecentlectureinnursinghistory.The student
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would credit Florence Nightingale for which definition of nursing?
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a. Theimbalancebetweenthepatientandtheenvironmentdecreasesthecapacityfor ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
health. ,i
b. Thenurseneedstofocuson interpersonalprocessesbetweennurseandpatient. ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
c. Thenurseassiststhepatientwithessentialfunctionstowardindependence. ,i ,i ,i ,i ,i ,i ,i ,i ,i
d. Humanbeingsareinteractingincontinuousmotionasenergyfields. ,i ,i ,i ,i ,i ,i ,i ,i ,i
ANS: A , i
FlorenceNightingale‘s(1860)conceptofthe environmentemphasizedpreventionandclean air, ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
water, and housing. This theory states that the imbalance between the patient and the environment
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decreasesthecapacityforhealthanddoesnotallowforconservationofenergy. Hildegard Peplau
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(1952) focused on the roles played by the nurse and the interpersonal process between a nurse and a
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patient. Virginia Henderson described the nurse‘s role as substitutive (doing for the person),
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supplementary (helping the person), or complementary (working with the person), with the goal of
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independence for the patient. Martha Rogers (1970) developed the Science of Unitary Human
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Beings. She stated that human beings and their environments are interacting in continuous motion
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as infinite energy fields.
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DIF: Understanding OBJ: 1.4 TOP:Planning , i ,i
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance NOT:
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Concepts: Health Promotion
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,3. ThenurseidentifieswhichnurseestablishedtheAmericanRedCrossduringtheCivilWar?
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a. DorotheaDix ,i
b. LindaRichards ,i
c. LenaHigbee ,i
d. ClaraBarton ,i
ANS: D , i
Clara Barton practiced nursing in the Civil War and established the American Red Cross. Dorothea
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DixwastheheadoftheU.S.SanitaryCommission,whichwasaforerunnerofthe Army Nurse Corps.
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Linda Richards was America‘s first trained nurse, graduating from Boston‘s Women‘s Hospital in
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1873, and Lena Higbee, superintendent of the U.S. Navy Nurse Corps, was awarded the Navy Cross
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in 1918.
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DIF: Remembering OBJ: 1.3 TOP:Assessment , i ,i
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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NOT:Concepts:Professionalism ,i ,i
4. Thenursinginstructorisresearchingthefiveproficienciesregardedasessentialforstudents and
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professionals. The nursing instructor identifies which organization would be found to have
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added safety as a sixth competency?
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a. QualityandSafetyEducationforNurses (QSEN) ,i ,i ,i ,i ,i ,i
b. InstituteofMedicine(IOM) ,i ,i ,i
c. AmericanAssociationofCollegesofNursing(AACN) ,i ,i ,i ,i ,i ,i
d. NationalLeagueforNursing(NLN) ,i ,i ,i ,i
ANS: A , i
TheInstituteofMediciner e pNo rt,RHe I
a lt hGProBfe.ssCio n M
s Education:ABridgetoQuality(2003),outlines five
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core competencies. These include
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U patient-centered care, interdisciplinary
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teamwork, use of evidence-based medicine, quality improvement, and use of information ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
technology. QSEN added safety as a sixth competency. The Essentials of Baccalaureate Education
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for Professional Nursing Practice are provided and updated by the American Associationof
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CollegesofNursing(AACN)(2008).Thedocumentoffersaframeworkforthe educationof
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professionalnurseswithoutcomesforstudentsto meet.TheNationalLeaguefor Nursing (NLN)
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outlinesand updates competenciesfor practical,associate,baccalaureate,and graduate nursing
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education programs.
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DIF: Remembering OBJ: 1.1 TOP: Planning , i , i , i
MSC:NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCare NOT:
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Concepts: Care Coordination
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5. Thenursemanagerisinterviewinggraduatenursestofillexistingstaffingvacancies.When hiring
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graduatenurses,thenursemanagerrealizesthattheywillprobablynotbeconsidered
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―competentǁuntiltheycompletewhichtask? ,i ,i ,i ,i ,i
a. Theygraduateandpass NCLEX. ,i ,i ,i ,i
b. Theyhaveworked2 to 3 years. ,i ,i ,i ,i ,i ,i
c. Theirlast yearofnursingschool. ,i ,i ,i ,i ,i
d. Theyareactuallyhired. ,i ,i ,i
ANS: B , i
, DIF: Remembering OBJ: 1.1 TOP: Assessment , i , i , i
MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCare NOT:
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Concepts: Care Coordination
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8. The nurse is caring for a patient who refuses two units of packed red blood cells. When the nurse
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notifiesthehealthcareproviderof thepatient’sdecision,thenurseis actinginwhich role?
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a. Manager
b. Changeagent ,i
c. Advocate
d. Educator
ANS: C , i
As the patient’s advocate, the nurse interprets information and provides the necessary education.
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The nurse then accepts and respects the patient’s decisions even if they are different from the
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nurse’s own beliefs. The nurse supports the patient’s wishes and communicates them to other
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health care providers. A nurse manages all of the activities and treatments for patients. In the role of
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change agent, the nurse works with patients to address theirhealthconcernsandwithstaffmembers
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toaddresschangeinanorganizationorwithina community. The nurse ensures that the patient
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receives sufficient information on which to base consent for care and related treatment. Education
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becomes a major focus of discharge planning so that patients will be prepared to handle their own
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needs at home.
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DIF: Applying OBJ: 1.2 TOP: Implementation , i , i , i
MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCare NOT:
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Concepts: Care Coordination
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9. Thenursing student develops a plan of care based on a recentlypublished article describing the
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effectsofbedrestonapatient’scalciumbloodlevels.Whencreatingtheplanofcare,the nursing
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student has the obligation to consider which action?
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a. Criticallyappraisetheevidenceanddeterminevalidity. ,i ,i ,i ,i ,i ,i
b. Ensurethattheplanofcaredoes notaltercurrent practice. ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
c. Changetheprocesseven whenthereisnoproblemidentified. ,i ,i ,i ,i ,i ,i ,i ,i ,i
d. Maintaintheplanofcareregardlessofinitialoutcome. ,i ,i ,i ,i ,i ,i ,i ,i
ANS: A , i
Evidence-based practice (EBP) is an integration of the best-available research evidence with ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
clinical judgment about a specific patient situation. The nurse assesses current and past research,
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clinicalguidelines,andotherresourcestoidentifyrelevantliterature.Theapplication ofEBPincludes
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criticallyappraisingtheevidencetoassessitsvalidity,designingachangefor practice, assessing the
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need for change and identifying a problem, and integrating and maintainingchangewhile
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monitoringprocessandoutcomesbyreevaluatingtheapplicationof evidence and assessing areas for
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improvement.
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DIF: Applying OBJ: 1.2 TOP: Implementation , i , i , i
MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCare NOT:
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Concepts: Care Coordination
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