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by Patricia A. Potter z z z z
All Chapters Covered 1-50| Verified Q&As with Rationales for
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Exam Preparations| A+ PASS ASSURED
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Page | 1
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, Chapter 1: Nursing Today z z z
z MULTIPLE CHOICE z
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
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a. Florence Nightingale z
b. Mary Nutting z
c. Clara Barton z
d. Lillian Wald z
z ACCURATE ANSWER: A z z
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor
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sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came after
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Nightingale, each contributing to the nursing profession in her own way. Mary Nutting was instrumental
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in moving nursing education into universities. Clara Barton founded the American Red Cross. Lillian
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Wald helped open the Henry Street Settlement.
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DIF: Understand (comprehension)
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OBJ: Discuss the influence of social, historical, political, and economic changes on nursing practices.
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z TOP: Evaluation MSC: Health Promotion and Maintenance
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2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of nursing
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practice is the nurse following?
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a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ACCURATE ANSWER: C
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In planning, the registered nurse develops a plan that prescribes strategies and alternatives to attain
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expected outcomes. During assessment, the registered nurse collects comprehensive data pertinent to the
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patient’s health and/or the situation. In diagnosis, the registered nurse analyzes the assessment data to
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determine the diagnoses or issues. During implementation, the registered nurse implements (carries out)
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the identified plan.
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DIF: Understand (comprehension)
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,OBJ: Discuss the development of professional nursing roles.
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Care
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3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is the
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nurse upon initial transition to the obstetrical floor?
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a. Novice
b. Proficient
c. Competent
d. Advanced beginner z
z ACCURATE ANSWER: A z z
A beginning nursing student or any nurse entering a situation in which there is no previous level of
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experience (e.g., an experienced operating room nurse chooses to now practice in home health) is an
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example of a novice nurse. A proficient nurse perceives a patient’s clinical situation as a whole, is able to
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assess an entire situation, and can readily transfer knowledge gained from multiple previous experiences
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to a situation. A competent nurse understands the organization and specific care required by the type of
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patients (e.g., surgical, oncology, or orthopedic patients). This nurse is a competent practitioner who is
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able to anticipate nursing care and establish long-range goals. A nurse who has had some level of
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experience with the situation is an advanced beginner. This experience may only be observational in
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nature, but the nurse is able to identify meaningful aspects or principles of nursing care.
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DIF: Apply (application)
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OBJ: Discuss the development of professional nursing roles.
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Care
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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 demonstrating?
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a. Licensure
b. Autonomy
c. Certification
d. Accountability
ACCURATE ANSWER: B
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Autonomy is an essential element of professional nursing that involves the initiation of independent
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nursing interventions without medical orders. To obtain licensure in the United States, the RN candidate
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, must pass the NCLEX-
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certification in a specific area of nursing practice. Accountability means that you are responsible,
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professionally and legally, for the type and quality of nursing care provided.
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DIF: Apply (application)
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OBJ: Discuss the roles and career opportunities for nurses.
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Management of Care
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5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
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implementing?
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a. Educator
b. Manager
c. Advocate
d. Caregiver
ACCURATE ANSWER: B
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A manager coordinates the activities of members of the nursing staff in delivering nursing care and has
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personnel, policy, and budgetary responsibility for a specific nursing unit or facility. As an educator, you
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explain concepts and facts about health, describe the reason for routine care activities, demonstrate
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procedures such as self-care activities, reinforce learning or patient behavior, and evaluate the patient’s
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progress in learning. As a patient advocate, you protect your patient’s human and legal rights and provide
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assistance in asserting these rights if the need arises. As a caregiver, you help patients maintain and regain
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health, manage disease and symptoms, and attain a maximal level function and independence through the
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healing process.
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DIF: Apply (application)
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OBJ: Discuss the roles and career opportunities for nurses.
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Management of Care
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6. The nurse has been working in the clinical setting for several years as an advanced practice nurse.
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However, the nurse has a strong desire to pursue research and theory development. To fulfill this desire,
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which program should the nurse attend?
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a. Doctor of Nursing Science degree (DNSc) z z z z z
b. Doctor of Philosophy degree (PhD) z z z z
c. Doctor of Nursing Practice degree (DNP) z z z z z
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