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