1
,Contents
UNIT 1 Nursing and the Health Care Environment
1 Nursing Today
2 The Health Care Delivery System
3 Population Health
4 Theoretical Foundations of Nursing Practice
5 Evidence-Based Practice
UNIT 2 Caring Throughout the Life Span
6 Health and Wellness
7 Caring in Nursing Practice
8 Caring for Patients With Chronic Illness
9 Cultural Care
10 Family Dynamics
11 Developmental Theories
12 Conception Through Adolescence
13 Young and Middle Adults
14 Older Adults
UNIT 3 Clinical Judgment in Nursing Practice
15 Critical Thinking and Clinical Judgment
16 Nursing Assessment
17 Analysis and Nursing Diagnosis
18 Planning and Outcomes Identification in Nursing Care
19 Implementing Nursing Care
20 Evaluation
21 Managing Patient Care
UNIT 4 Professional Standards in Nursing Practice
22 Ethics and Values
23 Legal Implications in Nursing Practice
24 Communication
25 Patient Education
26 Informatics and Documentation
UNIT 5 Foundations for Nursing Practice
27 Patient Safety and Quality
28 Infection Prevention and Control
29 Vital Signs
30 Health Assessment and Physical Examination
31 Medication Administration
32 Complementary, Alternative, and Integrative Therapies
UNIT 6 Psychosocial Basis for Nursing Practice
33 Self-Concept
34 Sexuality
35 Spiritual Health
36 Loss and Grief
37 Stress and Coping
UNIT 7 Physiological Basis for Nursing Practice
38 Activity and Exercise
39 Immobility
40 Hygiene
41 Oxygenation
42 Fluid, Electrolyte, and Acid-Base Balance
43 Sleep
44 Pain Management
45 Nutrition
46 Urinary Elimination
47 Bowel Elimination
48 Skin Integrity and Wound Care
49 Sensory Alterations
50 Perioperative Nursing Care
,Chapter 01: Nursing Today
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
a. Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
ANS: A
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
came after Nightingale, each contributing to the nursing profession in her own way. Mary
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
DIF: Understand (comprehension)
OBJ: Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Health Promotion and Maintenance
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
nursing practice is the nurse following?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
attain expected outcomes. During assessment, the registered nurse collects comprehensive
data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
analyzes the assessment data to determine the diagnoses or issues. During implementation, the
registered nurse implements (carries out) the identified plan.
DIF: Understand (comprehension)
OBJ: Discuss the development of professional nursing roles. TOP: Planning
MSC: Management of Care
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
proficiency is the nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
ANS: A
2
, A beginning nursing student or any nurse entering a situation in which there is no previous
level of experience (e.g., an experienced operating room nurse chooses to now practice in
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
gained from multiple previous experiences to a situation. A competent nurse understands the
organization and specific care required by the type of patients (e.g., surgical, oncology, or
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
care and establish long-range goals. A nurse who has had some level of experience with the
situation is an advanced beginner. This experience may only be observational in nature, but
the nurse is able to identify meaningful aspects or principles of nursing care.
DIF: Apply (application)
OBJ: Discuss the development of professional nursing roles. TOP: Evaluation
MSC: Management of Care
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
demonstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B
Autonomy is an essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders. To obtain licensure in the United
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
may choose to work toward certification in a specific area of nursing practice. Accountability
means that you are responsible, professionally and legally, for the type and quality of nursing
care provided.
DIF: Apply (application)
OBJ: Discuss the roles and career opportunities for nurses. TOP: Implementation
MSC: Management of Care
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
implementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B
3
,Contents
UNIT 1 Nursing and the Health Care Environment
1 Nursing Today
2 The Health Care Delivery System
3 Population Health
4 Theoretical Foundations of Nursing Practice
5 Evidence-Based Practice
UNIT 2 Caring Throughout the Life Span
6 Health and Wellness
7 Caring in Nursing Practice
8 Caring for Patients With Chronic Illness
9 Cultural Care
10 Family Dynamics
11 Developmental Theories
12 Conception Through Adolescence
13 Young and Middle Adults
14 Older Adults
UNIT 3 Clinical Judgment in Nursing Practice
15 Critical Thinking and Clinical Judgment
16 Nursing Assessment
17 Analysis and Nursing Diagnosis
18 Planning and Outcomes Identification in Nursing Care
19 Implementing Nursing Care
20 Evaluation
21 Managing Patient Care
UNIT 4 Professional Standards in Nursing Practice
22 Ethics and Values
23 Legal Implications in Nursing Practice
24 Communication
25 Patient Education
26 Informatics and Documentation
UNIT 5 Foundations for Nursing Practice
27 Patient Safety and Quality
28 Infection Prevention and Control
29 Vital Signs
30 Health Assessment and Physical Examination
31 Medication Administration
32 Complementary, Alternative, and Integrative Therapies
UNIT 6 Psychosocial Basis for Nursing Practice
33 Self-Concept
34 Sexuality
35 Spiritual Health
36 Loss and Grief
37 Stress and Coping
UNIT 7 Physiological Basis for Nursing Practice
38 Activity and Exercise
39 Immobility
40 Hygiene
41 Oxygenation
42 Fluid, Electrolyte, and Acid-Base Balance
43 Sleep
44 Pain Management
45 Nutrition
46 Urinary Elimination
47 Bowel Elimination
48 Skin Integrity and Wound Care
49 Sensory Alterations
50 Perioperative Nursing Care
,Chapter 01: Nursing Today
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
a. Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
ANS: A
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
came after Nightingale, each contributing to the nursing profession in her own way. Mary
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
DIF: Understand (comprehension)
OBJ: Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Health Promotion and Maintenance
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
nursing practice is the nurse following?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
attain expected outcomes. During assessment, the registered nurse collects comprehensive
data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
analyzes the assessment data to determine the diagnoses or issues. During implementation, the
registered nurse implements (carries out) the identified plan.
DIF: Understand (comprehension)
OBJ: Discuss the development of professional nursing roles. TOP: Planning
MSC: Management of Care
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
proficiency is the nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
ANS: A
2
, A beginning nursing student or any nurse entering a situation in which there is no previous
level of experience (e.g., an experienced operating room nurse chooses to now practice in
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
gained from multiple previous experiences to a situation. A competent nurse understands the
organization and specific care required by the type of patients (e.g., surgical, oncology, or
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
care and establish long-range goals. A nurse who has had some level of experience with the
situation is an advanced beginner. This experience may only be observational in nature, but
the nurse is able to identify meaningful aspects or principles of nursing care.
DIF: Apply (application)
OBJ: Discuss the development of professional nursing roles. TOP: Evaluation
MSC: Management of Care
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
demonstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B
Autonomy is an essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders. To obtain licensure in the United
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
may choose to work toward certification in a specific area of nursing practice. Accountability
means that you are responsible, professionally and legally, for the type and quality of nursing
care provided.
DIF: Apply (application)
OBJ: Discuss the roles and career opportunities for nurses. TOP: Implementation
MSC: Management of Care
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
implementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B
3
