Test Bank - Basic Nursing-Thinking, Doing, and Caring, 3rd Edition (Treas, 2022), Chapter 1-41 | All Chapters

Davis Advantage Basic Nursing: Thinking, Doing, and
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Caring 3rd Edition TreasWilkinson Test Bank
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,Chapter 1 Evolution of Nursing Thought & Action
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Multiple Choice N




Identify the choice that best completes the statement or answers the question.
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1. What is the most influential factor that has shaped the nursing N N N N N N N N N N




profession? 1)
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Physicians need for handmaidens N N N




2)
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Societal need for healthcare outside the home
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3)
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Military demand for nurses in the field 4)
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Germ theory influence on sanitation ANS:
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3
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Throughout the centuries, stability of the government has been related to the success of the
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military to protect or extend its domain. As the survival and well-being of soldiers is critical,
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nurses provided healthcare to the sick and injured at the battle site. The physicians
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handmaiden was/is a nursing stereotype rather than an influence on nursing. Although
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there has been need for healthcare outside the home throughout history, this has more
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influence on the development of hospitals than on nursing; this need provided one more
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setting for nursing work. Germ theory and sanitation helped to improve healthcare but did not
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shape nursing.
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PTS: 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Client need: N/A | Cognitive
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level: Recall
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2. Which of the following is an example of an illness prevention activity? Select all N N N N N N N N N N N N N




that apply.
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1)
Encouraging the use of a food diary N N N N N N




2)
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Joining a cancer support group
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3)
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Administering immunization for HPV N N N




4)
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Teaching a diabetic patient about his diet ANS:
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3
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Administering immunization for HPV is an example of illness prevention. Although cancer is
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a disease, it is assumed that a person joining a support group would already have the disease;
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therefore, this is not disease prevention but treatment. Illness-prevention activities focus on
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avoiding a specific disease. A food diary is a health-promotion activity. Teaching a diabetic
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patient about diet is a treatment for diabetes; the patient already has diabetes, so it cannot
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prevent diabetes.
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PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in text KEY:
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Nursing process: N/A | Client need: HPM | Cognitive level: Application
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3. Which of the following contributions of Florence Nightingale had an N N N N N N N N N




immediate impact on improving patients health?
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1)
Providing a clean environment N N N




2)
N

,Improving nursing education N N




3)
N




Changing the delivery of care in hospitals 4)
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Establishing nursing as a distinct profession N N N N N




ANS: 1
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Improved sanitation (a clean environment) greatly and immediately reduced the rate of
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infection and mortality in hospitals. The other responses are all activities of Florence
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Nightingale that improved healthcare or nursing, but the impact is long range, not immediate.
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PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10; student must
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infer from content
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KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
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4. All of the following are aspects of the full-spectrum nursing role. Which one is
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essential for the nurse to do in order to successfully carry out all the others?
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1)
Thinking and reasoning about the clients care
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2)
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Providing hands-on client care N N N




3)
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Carrying out physician orders 4)N N N N




Delegating to assistive personnel N N N




ANS: 1
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A substantial portion of the nursing role involves using clinical judgment, critical thinking,
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and problem solving, which directly affect the care the client will actually receive.
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Providing hands-on care is important; however, clinical judgment, critical thinking, and
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problem solving are essential to do it successfully. Carrying out physician orders is a small
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part of a nurses role; it, too, requires nursing assessment, planning, intervention, and
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evaluation. Many simple nursing tasks are being delegated to nursing assistive personnel;
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delegation requires careful analysis of patient status and the appropriateness of support
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personnel to deliver care. Another way to analyze this question is that none of the options
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of providing hands-on care, carrying out physician orders, and delegating to assistive
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personnel is required for the nurse to think and reason about a clients care; so the answer
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must be 1.
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PTS:1DIFifficultREF: p. 11 N N




KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
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5. Which statement pertaining to Benners practice model for clinical competence N N N N N N N N N




is true?
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1)
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Progression through the stages is constant, with most nurses reaching the proficient stage.
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2)
Progression through the stages involves continual development of thinking and technical
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skills.
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3)
The nurse must have experience in many areas before being considered an expert. 4)
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The nurses progress through the stages is determined by years of experience and skills.
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ANS: 2
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Movement through the stages is not constant. Benners model is based on integration of
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, knowledge, technical skill, and intuition in the development of clinical wisdom. The model
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does not mention experience in many areas. The model does not mention years of
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experience.
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PTS:1DIF:ModerateREF:p. 15 N




KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall
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6. Which of the following best explains why it is difficult for the profession to N N N N N N N N N N N N N




develop a definition of nursing?
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1)
There are too many different and conflicting images of nurses. 2)
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There are constant changes in healthcare and the activities of nurses. 3)
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There is disagreement among the different nursing organizations.
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4)
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There are different education pathways and levels of practice.
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ANS: 2
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The conflicting images of nursing make it more important to develop a definition; they may
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also make it more difficult, but not to the extent that constant change does.
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Healthcare is constantly changing and with it come changes in where, how, and what nursing
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care is delivered. Constant changes make it difficult to develop a definition. Although
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different nursing organizations have different definitions, they are similar in most ways. The
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different education pathways affect entry into practice, not the definition of nursing.
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PTS: 1 DIF: Moderate REF: p. 11; How Is Nursing Defined?
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KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
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7. Nurses have the potential to be very influential in shaping healthcare N N N N N N N N N N




policy. Which of the following factors contributes most to nurses influence?
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1)
Nurses are the largest health professional group. 2)
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Nurses have a long history of serving the public. 3)
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Nurses have achieved some independence from physicians in recent years. 4)
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Political involvement has helped refute negative images portrayed in the media. ANS:
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1
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Nurses are trusted professionals and the largest health professional group. As such, they
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have political power to effect changes. If nursing were a small group, there would be little
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potential for power in shaping policies, even if all the other answers were true.
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Serving the public, while positive, does not necessarily help nurses to be influential in
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establishing health policy. Independence from physicians, although positive, does not
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necessarily make nurses influential in establishing healthcare policy. Refuting negative
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media, although positive, does not necessarily make nurses influential in establishing
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healthcare policy.
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PTS: 1 DIF: Moderate REF: p. 21
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KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
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8. Nursing was described as a distinct occupation in the sacred books of N N N N N N N N N N N




which faith?
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1)