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OF NURSING 9TH EDITION,
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BY TAYLOR
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,Chapter 1, Introduction to Nursing e e e e e
An oncology nurse with 15 years of experience, certification in the area of oncology nursing, and a master’s degree is
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considered to be an expert in her area of practice and works on an oncology unit in a large teaching hospital. Based upon this
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description, which of the following career roles best describes this nurse’s role, taking into account her
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1. qualifications and experience? e e
A) Clinical nurse specialist e e
B) Nurse entrepreneur e
C) Nurse practitioner e
D) Nurse educator e
Ans:
e e A
Feedback:
A clinical nurse specialist is a nurse with an advanced degree, education, or experience who is considered to be an expert in a
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specialized area of nursing. The clinical nurse specialist carries out direct patient care; consultation; teaching of patients,
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families, and staff; and research. A nurse practitioner has an advanced degree and works in a variety of settings to deliver
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primary care. A nurse educator usually has an advanced degree and teaches in the educational or clinical setting. A nurse
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entrepreneur may manage a clinic or health-related business.
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What guidelines do nurses follow to identify thepatient’s health care needs and strengths, to establish and carry outa
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2. plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes?
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A) Nursing process e
B) ANA Standards of Professional Performance
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C) Evidence-based practice guidelines e e
D) Nurse Practice Acts e e
e Ans: e A
Feedback:
The nursing process is one of the major guidelines for nursing practice. Nurses implement their roles through the nursing
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process. The nursing process is used by the nurse to identify the patient’s health care needs and strengths, to establish and
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carry out a plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes.
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Which ofthefollowing organizations isthe best sourceof information when a nurse wishes to determine whether an
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3. action is within the scope of nursing practice?
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A) American Nurses Association (ANA) e e e
B) American Association of Colleges in Nursing (AACN) e e e e e e
C) National League for Nursing (NLN) e e e e
D) International Council ofNurses (ICN) e e e e
e Ans: e A
Feedback:
The ANA produces the 2003 Nursing: Scope and Standards of Practice, which defines the activities specific and unique to
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nursing. The AACN addresses educational standards, while the NLN promotes and fosters various aspects of nursing.
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, The ICN provides a venue for national nursing organizations to collaborate, but does not define standards and scope of practice.
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4. Who isconsidered to be the founder of professional nursing?
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A) Dorothea Dix e
B) Lillian Wald e
C) Florence Nightingale e
D) Clara Barton e
Ans: e C
Feedback:
Florence Nightingale is considered to be the founder of professional nursing. She elevated the status of nursing to a
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respected occupation, improved the quality of nursing care, and founded modern nursing education. Although the other
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choices are women who were important to the development of nursing, none of them is considered the founder.
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5. Which of thefollowing nursing pioneers established the Red Cross in theUnited States in 1882?
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A) Florence Nightingale e
B) Clara Barton e
C) Dorothea Dix e
D) Jane Addams e
Ans: e B
Feedback:
Clara Barton volunteered to care for wounds and feed union soldiers during the civil war, served as the supervisor of nurses
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for the Army of the James, organized hospitals and nurses, and established the Red Cross in the United States in 1882.
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A nursepractitioner is caring for a couple who are the parents of an infant diagnosed with Down Syndrome. The nurse
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6. makes referrals for a parent support group for the family. This is an example of which nursing role?
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A) Teacher/Educator
B) Leader
C) Counselor
D) Collaborator
Ans: e C
Feedback:
Counseling skills involve the use of therapeutic interpersonal communication skills to provide information, make
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appropriate referrals, and facilitate the patient’s problem-solving and decision-making skills. The teacher/educator uses
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communication skills to assess, implement, and evaluate individualized teaching plans to meet learning needs of clients and
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their families. A leader displays an assertive, self-confident practice of nursing when providing care, effecting change, and
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functioning with groups. The collaborator uses skills in organization, communication, and advocacy to facilitate the
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functions of all members of the health care team as they provide patient care.
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A nurse is providing nursing care in a neighborhood clinic to single, pregnant teens. Which of thefollowing actions is
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7. the best example of using the counselor role as a nurse?
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, A) Discussing the legal aspects of adoption for teens wishing to place their infants with a family
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B) Searching the Internet for information on child care for the teens who wish to return to school
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C) Conducting a client interview and documenting the information on the client’s chart
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D) Referring a teen who admits having suicidal thoughts to a mental health care specialist
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e Ans: e D
Feedback:
The role of the counselor includes making appropriate referrals. Discussing legal issues is the role of the advocate and
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searching for information on the Internet is the role of a researcher. Conducting a client interview would fall under the role
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of the caregiver.
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A nurseinstructorexplainsthe concept ofhealth to her students. Which of thefollowing statements accurately describes
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8. this state of being?e e e
A) Health is a state of optimal functioning.
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B) Health is an absence of illness. e e e e e
C) Health is always an objectivestate. e e e e e
D) Health is not determined by the patient.
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Ans: e A
Feedback:
Health is a state of optimal functioning or well-being. As defined by the World Health Organization, one’s health includes
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physical, social, and mental components and is not merely the absence of disease or infirmity. Health is often a subjective state;
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a person may be medically diagnosed with an illness but still consider himself or herself healthy.
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A nurse incorporates the health promotion guidelines established by the U.S. Department of Health document: Healthy
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9. People 2010. Which of the following is a health indicatordiscussed in this document?
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A) Cancer
B) Obesity
C) Diabetes
D) Hypertension
Ans: e B
Feedback:
The 10 leading indicators of health established by Healthy People 2010 are: physical activity, excessive weight and obesity,
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tobacco use, substance abuse, responsible sexual behavior, mental health, injury and violence, environmental quality,
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immunizations, and access to health care.
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10. Which of the following is a criteria that defines nursing as profession?
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A) an undefined body of knowledge
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B) a dependence on the medical profession
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C) an ability to diagnose medical problems
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D) a strong service orientation
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