Chapter 1 Nursing Today-Fundamentals of Nursing

Chapter 01: Nursing Today
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MULTIPLE CHOICE ra




1. Which nursing attendant most likely kept records on sanitation techniques and the effects
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on health?
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a. Florence Nightingale ra




b. Mary Nutting ra




c. Clara Barton ra




d. Lillian Wald ra




ACCURATE ra



ANSWER:-A
Reasoning : - ra




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Nightingale was the first practicing nursing attendant epidemiologist. Her statistical ana ra ra ra ra ra ra ra ra ra ra



lyses connected poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and
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Lillian Wald came after Nightingale, each contributing to the nursing profession in her own
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way. Mary Nutting was instrumental in moving nursing education into universities. Clara Ba
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rton founded the American Red Cross. Lillian Wald helped open the Henry Street Settlement
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.

DIF:Understand (comprehension) ra



OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
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TOP: Evaluation MSC: Health Promotion and Maintenance ra ra ra ra




2. The nursing attendant prescribes strategies and alternatives to attain expected outcome. Whic
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h standard of nursing practice is the nursing attendant following? a. Assessment
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b. Diagnosis
c. Planning
d. Implementation
ACCURATE ar



ANSWER:-C
REASONING:-
>>In planning, the nursing attendant develops a plan that prescribes strategies and alternatives
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to attain expected outcomes. During assessment, the nursing attendant collects comprehensi
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ve data pertinent to the hospital client ’s health and/or the situation. In diagnosis, the nursing
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attendant analyzes the assessment data to determine the diagnoses or issues. During implem
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entation, the nursing attendant implements (carries out) the identified plan.
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DIF:Understand (comprehension) ra



OBJ:Discuss the development of professional nursing roles. ra ra ra ra ra ra TOPIC: Planning MSC: ar ra ra



Management of Care ra ra




3. An experienced medical-
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,surgical nursing attendant chooses to work in obstetrics. Which level of proficien
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cy is the nursing attendant upon initial transition to the obstetrical floor?
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Novice
b. Proficient
c. Competent
d. Advanced beginner ra




ACCURATE ra



ANSWER:-A
REASONING:-
>>A beginning nursing student or any nursing attendant entering a situation in which there i
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s no previous level of experience (e.g., an experienced operating room nursing attendant choos
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es to now practice in home health) is an example of a novice nursing attendant
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. A proficient nursing attendant perceives a hospital client ’s clinical situation as a whole, is a
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ble to assess an entire situation, and can readily transfer knowledge gained from multiple pre
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vious experiences to a situation. A competent nursing attendant understands the organizatio
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n and specific care required by the type of hospital client s (e.g., surgical, oncology, or orthope
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dic hospital client s). This nursing attendant is a competent practitioner who is able to antici
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pate nursing care and establish longrange goals. A nursing attendant who has had some level of e
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xperience with the situation is an ra ra ra ra ra r



aadvanced beginner. This experience may only be observational in nature, but the nursing atte
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ndant is able to identify meaningful aspects or principles of nursing care.
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DIF:Apply (application) ra



OBJ:Discuss the development of professional nursing roles. ra ra ra ra ra ra TOPIC: Evaluation MSC: ar ra ra



Management of Care ra ra




4. A nursing attendant assesses a hospital client ’s fluid status and decides that the hospital clien
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t needs to drink more fluids. The nursing attendant then encourages the hospital client to dri
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nk more fluids. Which concept is the nursing attendant demonstrating? a. Licensure
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b. Autonomy
c. Certification
d. Accountability
ACCURATE ANSWER:-B ra



Autonomy is an essential element of professional nursing that involves the initiation of indepen
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dent nursing interventions without medical orders. To obtain licensure in the United States, th
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e RN candidate must pass the NCLEX-
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the nursing attendant REASONING:-
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>>may choose to work toward certification in a specific area of nursing practice. Accountability
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means that you are responsible, professionally and legally, for the type and quality of nursing car
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e provided.
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DIF:Apply (application) ra



OBJ:Discuss the roles and career opportunities for nursing attendant s. ra ra ra ra ra ra ra ra ra



TOPIC: Implementation MSC: Management of Care ar ra ra ra ra




5. A nursing attendant prepares the budget and policies for an intensive care unit. Which rol
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e is the nursing attendant implementing? a. Educator
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b. Manager
c. Advocate

, d. Nursing attendant ra




ACCURATE ANSWER:-B ra




REASONING:-
>>A manager coordinates the activities of members of the nursing staff in delivering nursing ca
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re and has personnel, policy, and budgetary responsibility for a specific nursing unit or facilit
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y. As an educator, you explain concepts and facts about health, describe the reason for routin
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e care activities, demonstrate procedures such as selfcare activities, reinforce learning or hospital
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aclient behavior, and evaluate the hospital client ’
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s progress in learning. As a hospital client advocate, you protect your hospital client ’s human
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aand legal rights and provide assistance in asserting these rights if the need arises. As a nursing
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attendant
, you help hospital client s maintain and regain health, manage disease and symptoms, and atta
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in a maximal level function and independence through the healing process.
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DIF:Apply (application) ra



OBJ:Discuss the roles and career opportunities for nursing attendant s. ra ra ra ra ra ra ra ra ra



TOPIC: Implementation MSC: Management of Care ar ra ra ra ra




6. The nursing attendant has been working in the clinical setting for several years as an adva
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nced practice nursing attendant. However, the nursing attendant has a strong desire to pur
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sue research and theory development. To fulfill this desire, which program should the nur
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sing attendant attend? ra ra




a. Doctor of Nursing Science degree (DNSc) ra ra ra ra ra




b. Doctor of Philosophy degree (PhD) ra ra ra ra




c. Doctor of Nursing Practice degree (DNP) ra ra ra ra ra




d. Doctor in the Science of Nursing degree (DSN) ra ra ra ra ra ra ra




ACCURATE ANSWER:-B ra




REASONING:-
>>Some doctoral programs prepare nursing attendant s for more rigorous research and theor
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y development and award the researchoriented Doctor of Philosophy (PhD) in nursing. Professio
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nal doctoral programs in nursing (
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DSN or DNSc) prepare graduates to apply research findings to clinical nursing. The DNP is a
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practice doctorate that prepares advanced practice nursing attendant s such as nursing atten
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dant practitioners. ra




DIF:Understand (comprehension) ra



OBJ:Compare and contrast the educational programs available for professional nursing attendant
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(RN) education. TOPIC:-Teaching/Learning
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7. A nursing attendant attends a workshop on current nursing issues provided by the
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American Nursing attendant s Association. Which type of education did the nursin
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g attendant receive?
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a. Graduate education ra




b. Inservice education ra




c. Continuing education ra




d. Nursing attendant education ra ra




ACCURATE ANSWER:-C ra




REASONING:-