Chapter1,Introduction to Nursing
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An oncology nurse with 15 years of experience, certification in the area of oncology nursing, and a m
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aster‘s degree is considered to be an expert in her area of practice and works on an oncology unit in a lar
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ge teaching hospital. Based upon this description, which of the following career roles best describes this n
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urse‘s role, taking into account her
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1. qualifications and experience? hd hd
A) Clinical nurse specialist hd hd
B) Nurse entrepreneur hd
,C) Nurse practitioner hd
D) Nurse educator hd
h d Ans A hdhd
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A clinical nurse specialist is a nurse with an advanced degree, education, or experience who is consi
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dered to be an expert in a specialized area of nursing. The clinical nurse specialist carries out direct
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patient care; consultation; teaching of patients, families, and staff; and research. A nurse practitione
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r has an advanced degree and works in a variety of settings to deliver primary care. A nurse educator
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usually has an advanced degree and teaches in the educational or clinical setting. A nurse entreprene
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ur 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
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2. establish and carry out a plan of care to meet those needs, and to evaluate the effectiveness of the pl
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an to meet established outcomes?
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A) Nursing process hd
B) ANA Standards of Professional Performance
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C) Evidence-based practice guidelines hd hd
D) Nurse Practice Acts hd hd
Ans A hdhdhd
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The nursing process is one of the major guidelines for nursing practice. Nurses implement their role
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s through the nursing process. The nursing process is used by the nurse to identify the patient‘s health
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care needs and strengths, to establish and carry out a plan of care to meet those needs, and to evalua
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te 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
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3. determine whether an action is within the scope of nursing practice?hd hd hd hd hd hd hd hd hd hd
A) American Nurses Association (ANA) hd hd hd
B) American Association of Colleges in Nursing (AACN) hd hd hd hd hd hd
C) National League for Nursing (NLN) hd hd hd hd
D) International Council of Nurses (ICN) hd hd hd hd
Ans A hdhdhd
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The ANAproduces the 2003 Nursing: Scope and Standards of Practice, which defines the activities s
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pecific and unique to nursing. The AACN addresses educational standards, while the NLN promotes and
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fosters various aspects of nursing. hd hd hd hd
The ICN provides a venue for national nursing organizations to collaborate, but does not define stand
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ards 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 hd
B) Lillian Wald hd
C) Florence Nightingale hd
D) Clara Barton hd
Ans: C
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Florence Nightingale is considered to be the founder of professional nursing. She elevated the s
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tatus of nursing to a respected occupation, improved the quality of nursing care, and founded m
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odern nursing education. Although the other choices are women who were important to the dev
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elopment of nursing, none of them is considered the founder. hd hd hd hd hd hd hd hd hd
5. Which of the following nursing pioneers established the Red Cross in the United States in 1882?
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A) Florence Nightingale hd
B) Clara Barton hd
C) Dorothea Dix hd
D) Jane Addams hd
h d Ans: B hd
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Clara Barton volunteered to care for wounds and feed union soldiers during the civil war, served as th
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e supervisor of nurses for the Army of the James, organized hospitals and nurses, and established
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, 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
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6. Syndrome. The nurse makes referrals for a parent support group for the family. This is an example
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hd of which nursing role?
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A) Teacher/Educator
B) Leader
C) Counselor
D) Collaborator
h d Ans: C hd
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Counseling skills involve the use of therapeutic interpersonal communication skills to provide info
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rmation, make appropriate referrals, and facilitate the patient‘s problem-solving and decision-
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h making skills. The teacher/educator uses communication skills to assess, implement, and evaluate
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h individualized teaching plans to meet learning needs of clients and their families. A leader displays
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dan assertive, self- hd hd
confident practice of nursing when providing care, effecting change, and functioning with groups.
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The collaborator uses skills in organization, communication, and advocacy to facilitate the function
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s of all members of the health care team as they provide patient care.
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7. A nurse is providing nursing care in a neighborhood clinic to single, pregnant teens. Which of the fol
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lowing actions is 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 hd hd hd hd hd hd hd hd hd hd hd hd hd hd hd
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 hd hd hd hd hd hd hd hd hd hd hd
D) Referring a teen who admits having suicidal thoughts to a mental health care specialist
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Ans D hdhdhd
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Feedback:
The role of the counselor includes making appropriate referrals. Discussing legal issues is the role o
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f the advocate and searching for information on the Internet is the role of a researcher.
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Conducting a client interview would fall under the role of the caregiver. hd hd hd hd hd hd hd hd hd hd hd
8. A nurse instructor explains the concept of health to her students. Which of the following st
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atements accurately describes this state of being? hd hd hd hd hd hd
A) Health is a state of optimal functioning. hd hd hd hd hd hd
B) Health is an absence of illness. hd hd hd hd hd