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chapters - Verified Answers H \ H H H
MULTIPLECHOICE H
1. Which nurse most likelykept recordsonsanitation techniques and the effectson health?
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a. Florence Nightingale H
b. MaryNutting H
c. ClaraBarton H
d. Lillian Wald \ H
ANS: A H
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected p oor
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sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald cam e after
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Nightingale, each contributing to the nursing profession in her own way. Mary Nutting was
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instrumental in moving nursing education into universities. Clara Barton founded the Am erican
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Red Cross. Lillian Wald helped open the Henry Street Settlement.
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DIF:Understand (comprehension) H
OBJ:Discuss theinfluenceofsocial, historical, political,and economic changes onnursing practices.\ H H H H \ H \ H H \ H H H H \ H
TOP: Evaluation MSC: HealthPromotionandMaintenance H H H H
2. Thenurseprescribesstrategies and alternatives toattain expected outcome. Which standard of
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H nursing practice is the nurse following? \ H H H H H
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C H
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
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attain expected outcomes. During assessment, the registered nurse collects comprehensive dat a
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pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse analy zesthe
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assessment datato determinethe diagnosesor issues. During implementation, the regis tered
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nurse implements (carries out) the identified plan.
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DIF:Understand (comprehension) H
OBJ:Discuss the development of professional nursing roles. \ H H H H H H
TOP:Planning H \
H MSC: Management of Care H \ H H
3. Anexperienced medical- H \ H
surgicalnurse chooses toworkinobstetrics. Which levelof proficiency is the nurse upon
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Hinitial transition to the obstetrical floor?
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a. Novice
b. Proficient
c. Competent
d. Advanced beginner H
ANS: A H
, A beginning nursing student or anynurse entering a situation in which there is no previous le
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vel of experience (e.g., an experienced operating room nurse chooses to now practice in hom e
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health) isanexampleofa novice nurse. Aproficient nurseperceivesapatient’sclinical situa tion as
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a whole, is able to assess an entire situation, and can readilytransfer knowledge gaine d from
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multiple previous experiences to a situation. A competent nurse understands the orga nization
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and specific care required by the type of patients (e.g., surgical, oncology, or orthop edic
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patients). This nurse is a competent practitioner who is able to anticipate nursing care an d
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Hestablish long- H
range goals. A nurse who has had some level of experience with the situation is an advanced
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Hbeginner. This experience may only be observational in nature, but the nurse is able to identi fy
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meaningful aspects or principles of nursing care.
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DIF:Apply (application) H
OBJ:Discuss the development of professional nursing roles. \ H H H H H H
TOP:Evaluation H
H MSC: Management of Care H H H
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids. The
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nurse then encourages the patient to drink more fluids. Which concept is the nurse demon strating?
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a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B H
Autonomy is an essential element of professional nursing that involves the initiation of indep
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endent nursing interventions without medical orders. To obtain licensure in the United States,
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the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-
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RN, the nurse may choose to work toward certification in a specific area of nursing practice.
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Accountability means that you are responsible, professionally and legally, for the type and qua
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lity of nursing care provided.
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DIF:Apply (application) H
OBJ:Discuss the roles and career opportunities for nurses. \ H H \ H H H H H
TOP:Implementation H
H MSC: Management of Care H \ H H
5. Anurseprepares the budget and policies for anintensive careunit. Whichrole is thenurse
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implementing?
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a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B H
, Amanager coordinates the activities of members ofthe nursing staff in delivering nursing ca re
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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 e
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care activities, demonstrate procedures such as self-
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care activities, reinforce learning or patient behavior, and evaluatethe patient’s progress in le
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arning. As a patient advocate, you protect your patient’shumanand legalrights and provide as
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sistance inasserting these rights if the need arises. As a caregiver, you help patients maintain and
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regain health, manage disease and symptoms, and attain a maximal level function and ind
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ependence through the healing process.
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DIF:Apply (application) H
OBJ:Discuss the roles and career opportunities for nurses. \ H H \ H H H H H
TOP:Implementation H
H MSC: Management of Care H \ H H
6. The nurse has been working in the clinical setting for several years as an advanced practice
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nurse. However, the nurse has a strong desire to pursue research and theory development. To
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fulfill this desire, which program should the nurse attend?
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a. DoctorofNursingScience degree (DNSc) H H H H \ H
b. DoctorofPhilosophydegree (PhD) H H H H
c. DoctorofNursing Practice degree (DNP) H H H H H
d. Doctor in theScience ofNursingdegree (DSN) H H H H H H H
ANS: B H
Some doctoral programs prepare nurses for more rigorous research and theory development a nd
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award the research-
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oriented Doctor ofPhilosophy(PhD) in nursing. Professional doctoral programs in nursing (D SN
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or DNSc) prepare graduates to apply research findings to clinical nursing. The DNP is a p ractice
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doctoratethat prepares advanced practice nurses such as nurse practitioners.
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DIF:Understand (comprehension) H
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN) \ H H H \ H H H H H \ H \ H H
education.
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7. Anurse attends a workshoponcurrent nursing issues provided bythe AmericanNurses
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H Association. Which type of education did the nurse receive? H H H H H H H H
a. Graduate education \ H
b. Inserviceeducation H
c. Continuingeducation H
d. Registered nurse education H H
ANS: C H
Continuing education involves formal, organized educational programs offered by universitie s, \ H H H H H H H H H H
hospitals, state nurses associations, professional nursing organizations, and educationaland
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healthcare institutions.Afterobtainingabaccalaureatedegreeinnursing, you can pursue grad uate
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education leading to a master’s or doctoral degree in any number of graduate fields, incl uding
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nursing. Inservice education programs are instruction or training provided by a health c are facility
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or institution. Registered nurse education is the education preparation for an indivi dual intending
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to be an RN.
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DIF:Apply (application) H
OBJ:Compare andcontrast theeducationalprogramsavailableforprofessionalregisterednurse(RN) \ H \
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