Fundamentals of Nursing (3rd Edition) by Barbara L Yoost Complete guide Rated A+

Test Bank For Fundamentals
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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 ki




1. A group of nursing students are discussing the impact of nonnursing theories in clinical practice.
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Thestudents wouldbecorrectiftheychosewhichtheorytoprioritizepatientcare?
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a. Erikson‘s Psychosocial Theory ki k i




b. Paul‘sCritical-ThinkingTheory ki ki




c. Maslow‘sHierarchyofNeeds ki ki ki




d. Rosenstock‘sHealthBeliefModel ki ki ki




ANS: C k i




Maslow‘s hierarchy of needs specifies the psychological and physiologic factors that affect each ki ki ki ki ki ki ki ki ki ki ki ki




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 ki ki ki ki ki ki ki ki ki ki ki




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 k i k i k i




MSC: NCLEXClientNeedsC Na te g R
kio ry : ISafG
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d Effective CareEnvironment:ManagementofCareNOT: ki ki ki ki ki ki ki ki ki ki k i ki ki k i ki ki ki ki ki ki




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Concepts: Care Coordinati on ki ki




2. Anursingstudentis preparingstudynotesfroma recentlectureinnursinghistory.The student
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would credit Florence Nightingale for which definition of nursing?
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a. Theimbalancebetweenthepatientandtheenvironmentdecreasesthecapacityfor
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health. ki




b. Thenurseneeds to focuson interpersonalprocesses betweennurseand patient.
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c. Thenurseassiststhepatientwithessentialfunctions towardindependence.
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d. Humanbeingsareinteractingincontinuousmotionas energyfields. ki ki ki ki ki ki ki ki ki




ANS: A k i




FlorenceNightingale‘s(1860) concept of theenvironment emphasized preventionand clean air,
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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 k i ki




MSC: NCLEX Client Needs Category: Health Promotion and Maintenance NOT:
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Concepts: Health Promotion
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,3. ThenurseidentifieswhichnurseestablishedtheAmericanRedCross duringtheCivilWar?
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a. DorotheaDix ki




b. LindaRichards ki




c. LenaHigbee ki




d. ClaraBarton ki




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Clara Barton practiced nursing in the Civil War and established the American Red Cross. Dorothea
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Dix wastheheadoftheU.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
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Cross in 1918.
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DIF: Remembering OBJ: 1.3 TOP:Assessment k i ki




MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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NOT: Concepts: Professionalism
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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) ki ki ki ki ki ki




b. InstituteofMedicine (IOM) ki ki ki




c. AmericanAssociationofCollegesofNursing(AACN) ki ki ki ki ki ki




d. NationalLeagueforNursing(NLN) ki ki ki ki




ANS: A k i




TheInstituteofMediciner e pNo rt,RHe I t hGProBfe.ssCio n M
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core competencies. These include
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Ua lpatient-centered s Education:ABridgetoQuality(2003),outlines five
care, interdisciplinary
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teamwork, use of evidence-based medicine, quality improvement, and use of information ki ki ki ki ki ki ki ki ki ki




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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professionalnurses withoutcomesfor students to meet. The NationalLeaguefor Nursing (NLN)
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outlines and updates competencies for practical, associate, baccalaureate, and graduate nursing
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education programs.
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DIF: Remembering OBJ: 1.1 TOP: Planning k i k i k i




MSC:NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCare NOT:
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Concepts: Care Coordination
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5. Thenurse managerisinterviewinggraduatenurses to fillexistingstaffingvacancies.When hiring
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graduatenurses, thenursemanager realizes thattheywillprobablynotbeconsidered
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―competentǁuntiltheycompletewhichtask? ki ki ki ki ki




a. Theygraduateandpass NCLEX. ki ki ki ki




b. Theyhaveworked 2 to 3 years. ki ki ki ki ki ki




c. Theirlast yearofnursing school. ki ki ki ki ki




d. Theyareactuallyhired. ki ki ki




ANS: B k i

, DIF: Remembering OBJ: 1.1 TOP: Assessment k i k i k 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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notifiesthe healthcare providerof the patient’s decision, the nurse is acting in which role?
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a. Manager
b. Changeagent ki




c. Advocate
d. Educator
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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
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of change agent, the nurse works with patients to address theirhealthconcernsand withstaff
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membersto addresschangeinanorganizationorwithina community. The nurse ensures that the
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patient receives sufficient information on which to base consent for care and related treatment.
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Education becomes a major focus of discharge planning so that patients will be prepared to handle
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their own needs at home.
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DIF: Applying OBJ: 1.2 TOP: Implementation k i k i k i




MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCare NOT:
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Concepts: Care Coordination
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9. The nursing student develops a plan of care based on a recentlypublished article describing the
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effectsofbed reston apatient’scalciumbloodlevels.Whencreatingtheplanofcare,the nursing
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student has the obligation to consider which action?
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a. Criticallyappraisetheevidenceanddeterminevalidity. ki ki ki ki ki ki




b. Ensurethatthe planof caredoes not altercurrent practice. ki ki ki ki ki ki ki ki ki ki




c. Changetheprocess even when thereis no problemidentified. ki ki ki ki ki ki ki ki ki




d. Maintaintheplanofcareregardless ofinitialoutcome. ki ki ki ki ki ki ki ki




ANS: A k i




Evidence-based practice (EBP) is an integration of the best-available research evidence with ki ki ki ki ki ki ki ki ki ki ki




clinical judgment about a specific patient situation. The nurse assesses current and past research,
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clinicalguidelines,andotherresourcestoidentifyrelevantliterature.Theapplication ofEBP
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includescriticallyappraisingtheevidencetoassessitsvalidity,designingachangefor practice,
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assessing the need for change and identifying a problem, and integrating and maintainingchange
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whilemonitoringprocessandoutcomesbyreevaluatingtheapplicationof evidence and assessing
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areas for improvement.
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DIF: Applying OBJ: 1.2 TOP: Implementation k i k i k i




MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCare NOT:
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Concepts: Care Coordination
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