Fundamentals of Nursing Active Learning for Collaborative
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Practice 3rd Edition by Barbara L. Yoost, Lynne R. Crawford
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,hhhhhhhhhhhhhhhhhhhhhhhhhhh Chapter01: Nursing, Theory, and Professional Practice
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Yoost& Crawford: Fundamentals of Nursing: Active Learning for CollaborativePractice,
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3rd Edition
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MULTIPLE CHOICE h
1. A group of nursing learners are discussing the impact of nonnursing theories in clinical
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h practice. The learners would be correct if they chose which theoryto prioritize client care?
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a. Erikson‘s Psychosocial Theory h h
b. Paul‘s Critical-Thinking Theory h h
c. Maslow‘s Hierarchyof Needs h h h
d. Rosenstock‘sHealth BeliefModel h h h
CORRECT ANS: C h h
FEEDBACK: Maslow‘s hierarchy of needs specifies the psychological and physiologic factors h h h h h h h h h h
that affect each person‘s physical and mental health. The RN‘s understanding of these factors
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helps with formulating Nursing diagnoses that address the client‘s needs and values to prioritize
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care. Erikson‘s Psychosocial Theory of Development and Socialization is based on individuals‘
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interacting and learning about their world. RNs use concepts of developmentaltheory to critically
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think in providing care for their clients at various stages of their lives.
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Rosenstock (1974) developed the psychological Health Belief Model. The model addresses h h h h h h h h h h
possible reasons for why a client may not comply with recommended health promotion
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behaviors. This model is especially useful to RNs as they educate clients.
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DIF: Remembering OBJ: 1.5 TOP: Planning hh h h
MSC: NCLEX Client Needs CN ategR
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dE fectiM
ve Care Environment: Management of Care NOT: h h h h h h h h h h h h
Concepts: Care CoordinatiU
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2. A nursing learner is preparing study notes from a recent lecture in nursing history. The
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learner would credit Florence Nightingale for which definition of nursing?
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a. The imbalance between the client and the environment decreases the capacity for
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health. h
b. The RN needs to focus on interpersonal processes between RN and client.
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c. The RN assists the client with essential functions toward independence.
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d. Human beings are interacting in continuous motion as energyfields. h h h h h h h h h
CORRECT ANS: A h h
FEEDBACK: Florence Nightingale‘s (1860) concept of the environment emphasized h h h h h h h h
prevention and cleanair, water, and housing. This theory states that the imbalance between the
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client and the environment decreases the capacity for health and does not allow for conservation
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of energy.Hildegard Peplau (1952) focused on the roles played by the RN and the interpersonal
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process between a RN and a client. Virginia Henderson described the RN‘s role as substitutive
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(doing for the person), supplementary (helping the person), or complementary (working with
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the person), with the goal of independence for the client. Martha Rogers (1970) developed the
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Science of Unitary Human Beings. She stated that human beings and their environments are
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interacting in continuous motion as infinite energy fields.
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DIF: Understanding OBJ: 1.4 TOP: Planning hh h h
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance NOT:
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Concepts: Health Promotion
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,3. The RN identifies which RN established the American Red Cross during the Civil War?
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a. Dorothea Dix h
b. Linda Richards h
c. Lena Higbee h
d. Clara Barton h
CORRECT ANS: D h h
FEEDBACK: Clara Barton practiced nursing in the Civil War and established the American h h h h h h h h h h h h
Red Cross. Dorothea Dix was the head of the U.S. Sanitary Commission, which was a forerunner of
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theArmy RN Corps. Linda Richards was America‘s first trained RN, graduating from Boston‘s
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Women‘s Hospital in 1873, and Lena Higbee, superintendent of the U.S. Navy RN Corps, was
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awarded the Navy Cross in 1918.
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DIF: Remembering OBJ: 1.3 TOP: Assessment hh h h
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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NOT: Concepts: Professionalism
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4. The nursing instructor is researching the five proficiencies regarded as essential for learnersand
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professionals. The nursing instructor identifies which organization would be found to have
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added safety as a sixth competency?
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a. Qualityand SafetyEducation for RNs (QSEN) h h h h h h
b. Institute of Medicine (IOM) h h h
c. American Association of Colleges of Nursing (AACN) h h h h h h
d. National League for Nursing (NLN) h h h h
CORRECT ANS: A h h
FEEDBACK: The Institute of Medicine repN
ort,RHeaIlthGProBfe.ssCionM
s Education: A Bridge to
Ucompetencies.
Quality (2003), outlines five core
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S These include client-centered care,
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interdisciplinary
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teamwork, use of evidence-based medicine, quality improvement, and use of information
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technology. QSEN added safety as a sixth competency. The Essentials of Baccalaureate
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Education for Professional Nursing Practice are provided and updated by the American
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Association of Colleges of Nursing (AACN) (2008). The document offers a framework for the
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education of professional RNs with outcomes for learners to meet. The National League for
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Nursing (NLN) outlines and updates competencies for practical, associate, baccalaureate, and
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graduate nursing education programs.
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DIF: Remembering OBJ: 1.1 TOP: Planning hh h h
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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5. The RN manager is interviewing graduate RNs to fill existing staffing vacancies. Whenhiring
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graduate RNs, the RN manager realizes that they will probably not be considered
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―competent‖ until they complete which task? h h h h h
a. They graduate and pass NCLEX. h h h h
b. They have worked 2 to 3 years. h h h h h h
c. Their last year of nursing school. h h h h h
d. They are actually hired. h h h
CORRECT ANS: B h h
, FEEDBACK: Benner‘s model identifies five levels of proficiency: novice, advanced beginner, h h h h h h h h h h
competent, proficient, and expert. The learner RN progresses from novice to advanced beginner
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duringnursing school and attains the competent level after approximately 2 to 3 years of work
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experience after graduation. To obtain the RN credential, a person must graduate from an
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approved school of nursing and pass a state licensing examination called the National Council
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Licensure Examination for Registered RNs (NCLEX-RN) usually taken soon after completion
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of an approved nursing program.
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DIF: Remembering OBJ: 1.7 TOP: Planning hh h h
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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6. The prospective learner is considering options for beginning a career in nursing. Which
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degree would best match the learner‘s desire to conduct research at the universitylevel?
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a. Associate Degree in Nursing (ADN) h h h h
b. Bachelor of Science in Nursing (BSN) h h h h h
c. Doctor of Nursing Practice (DNP) h h h h
d. Doctor of Philosophyin Nursing (PhD) h h h h h
CORRECT ANS: D h h
FEEDBACK: Doctoral nursing education can result in a Doctor of Philosophy (PhD) degree. h h h h h h h h h h h h
This degree prepares RNs for leadership roles in research, teaching, and administration that are
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essentialto advancing nursing as a profession. Associate Degree in Nursing (ADN) programs
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usually are conducted in a community college setting. The nursing curriculum focuses on adult
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acuteand chronic disease; maternal/child health; pediatrics; and psychiatric/mental health
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nursing.ADN RNs may return to school to earn a bachelor‘s degree or higher in an RN-to-BSN
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or RN-to-MSN program. Bachelor‘s degree programs include community health and
management courses beyondN thUoR
seSpI viGedBi.
nCanOassociate degree program. A newer
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roN dT h h h h h h
practice-focused doctoral degree is the Doctor of Nursing practice (DNP), which concentrates on h h h h h h h h h h h h
the clinical aspects of nursing. DNP specialties include the four advanced practice roles of NP,
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CNS, CNM, and CRNA.
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DIF: Remembering hh h OBJ: 1.9 TOP: Assessment hh h h
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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7. During a staff meeting, the RN manager announces that the hospital will be seeking Magnetstatus.
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To explain the requirements for this award, the RN manager will contact which organization?
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a. American RNs Association (ANA) h h h
b. American RNs Credentialing Center(ANCC) h h h h
c. National League for Nursing (NLN) h h h h
d. Joint Commission h
CORRECT ANS: B h h
FEEDBACK: The American RNs Credentialing Center (ANCC) awards Magnet Recognition to h h h h h h h h h h
hospitalsthat have shown excellence and innovation in nursing. The ANA is a professional
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organization that provides standards of nursing practice. The National League for Nursing
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(NLN) outlines and updates competencies for practical, associate, baccalaureate, and graduate
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nursing education programs. The Joint Commission is the accrediting organization for health
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care facilities in the United States.
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