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,Chapter 1,Introduction toNursing b b b b
An oncology nurse with 15 years of experience, certification in the area of oncology nursing, and a master‘s degree is considered to be
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an expert in her area of practice and works on an oncology unit in a large teaching hospital. Based upon this description, which
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of the following career roles best describes this nurse‘s role, taking into account her
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1. qualifications and experience? b b
A) Clinical nurse specialist b b
B) Nurse entrepreneur b
C) Nurse practitioner b
D) Nurseeducator b
bAns: A
b
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 the patient‘s health care needs and strengths, to establish and carry out a
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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 b
B) ANA Standards of Professional Performance
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C) Evidence-based practice guidelines b b
D) NursePracticeActs b b
bAns: A
b
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 of the following organizations is the best source of 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) b b b
B) American Association of Colleges in Nursing (AACN) b b b b b b
C) National League for Nursing (NLN) b b b b
D) International Council of Nurses (ICN) b b b b
bAns: A
b
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 organizationsto collaborate, but does not define standards and scope of practice.
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4. Who is considered to be the founder of professional nursing?
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A) Dorothea Dix b
B) Lillian Wald b
C) Florence Nightingale b
D) ClaraBarton b
bAns: C
b
Feedback:
Florence Nightingale is considered to be the founder of professional nursing. She elevated the status of nursing to a respected
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occupation, improved the qualityof nursing care, and founded modern nursing education. Although the other choices are
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women who were important to the development of nursing, none of them is considered the founder.
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5. Which of the following nursing pioneers established the Red Cross in the United States in 1882?
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A) Florence Nightingale b
B) Clara Barton b
C) Dorothea Dix b
D) JaneAddams b
bAns: B
b
Feedback:
Clara Barton volunteered to care for wounds and feed union soldiers during the civil war, served as the supervisor of
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nurses 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 nurse practitioner 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: C
b b
Feedback:
Counseling skills involve the use of therapeutic interpersonal communication skills to provide information, make appropriate
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referrals, and facilitate the patient‘s problem-solving and decision-making skills. The teacher/educator uses communication
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skillsto assess, implement, and evaluate individualized teaching plans to meet learning needs of clients and their families. A
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leader displays an assertive, self-confident practice of nursing when providing care, effecting change, and functioning with
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groups. The collaborator uses skills in organization, communication, and advocacy to facilitate the functions of all members of
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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 the following 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 b b b b b b b b b b b
D) Referring a teen who admits having suicidalthoughts to a mental healthcarespecialist Ans:
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bD
Feedback:
The role of the counselor includes making appropriate referrals. Discussing legal issues is the role of the advocate and searching for
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information on the Internet is the role of a researcher. Conducting a client interview would fall under the role of the
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caregiver.
b
A nurse instructor explains the concept of health to her students. Which of the following statements accurately describes
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8. this state of being?b b b
A) Health is a state of optimal functioning.
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B) Health is an absence of illness.b b b b b
C) Health is always an objective state.
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D) Health is not determined by the patient.
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bAns: A
b
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 indicator discussed in this document?
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A) Cancer
B) Obesity
C) Diabetes
D) Hypertension
Ans: B
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Feedback:
The 10 leading indicators of health established by Healthy People 2010 are: physical activity, excessive weight and obesity,
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tobaccouse,substanceabuse, responsiblesexual behavior, mental health,injuryand 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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