k k k k k k k k
Chapterk1.kNursingkToday
MULTIPLEkCHOICE
k
1. Contemporaryknursingkpracticekiskbasedkonkknowledgekgeneratedkthroughknursingktheories.k
FlorencekNightingalesktheorykintroducedkthekconceptkthatknursingkcarekfocuseskon:
1 Psychological needs k
2 A maximal level of wellness
k k k k
3 Health maintenance and restoration
k k k
4 Interpersonal interactions with the client
k k k k
ANS:k3
FlorencekNightingalekbelievedkthekrolekofktheknursekwasktokputkthekclientskbodykinkthekbestkstatekinkorderk
tokremainkfreekofkdiseasekorktokrecoverkfromkdisease.
AlthoughkFlorencekNightingalekmaykhavekaddressedkmeetingkthekpsychologicalkneedskofkherkclient
s,kitkisknotkthekfocuskofkherktheory.kThekgoalkofkNightingalesktheorykisktokfacilitatekthekbodyskreparati
vekprocesseskbykmanipulatingkthekclientskenvironment.
FlorencekNightingalekthoughtkthekhumankbodykhadkreparativekpropertieskofkitskownkifkitkwaskcaredkf
orkinkakwayktokrecoverkfromkdisease.kHerktheorykdidknotkfocuskonkachievingkakmaximalklevelkofkwell
ness.
FlorencekNightingalekbelievedktheknursekwaskinkchargekofkthekclientskhealth.kAlthoughkshekinteract
edkwithkherkclientskbykreadingktokthem,kherktheorykofknursingkcarekdidknotkfocuskuponkinterpersonalki
nteractions.
DIF:kAkREF:k2kOBJ:kKnowledgekTOP
:kNursingkProcess:kAssessment
MSC:kNCLEXktestkplankdesignation:kSafe,kEffectivekCarekEnvironment/CoordinatedkCare
2. NursingkeducationkprogramskinkthekUnitedkStateskmaykseekkvoluntarykaccreditationkbyktheka
ppropriatekaccreditingkcommissionkcouncilkofkthe:
1 National League for Nursing
k k k
2 American Nurses Association
k k
3 Congress for Nursing Practice
k k k
4 International Council of Nursesk k k
ANS:k1
ThekNationalkLeaguekforkNursingk(NLN)kiskthekprofessionalknursingkorganizationkconcernedkwithkn
ursingkeducation.kThekNLNkprovideskaccreditationktoknursingkprogramskthatkseekkandkmeetkthekNL
Nkaccreditationkrequirements.
ThekAmericankNurseskAssociationk(ANA)kiskconcernedkwithktheknursingkprofessionkandkissueskaffecting
khealthkcare,kincludingkstandardskofkcare.
MedkC
,ThekCongresskforkNursingkPracticekiskthekpartkofkthekANAkconcernedkwithkdeterminingktheklegalka
spectskofknursingkpractice,kthekpublickrecognitionkofkthekimportancekofknursing,kandkthekimpactkof
ktrendskinkhealthkcarekonknursingkpractice.
ThekInternationalkCouncilkofkNursesk(ICN)kiskconcernedkaboutkissueskofkhealthkcarekandkthekn
ursingkprofession,kincludingkthekprovisionkofkankinternationalkpowerkbasekforknurses.
DIF:kAkREF:k8kOBJ:kKnowledgekTOP
:kNursingkProcess:kAssessment
MSC:kNCLEXktestkplankdesignation:kSafe,kEffectivekCarekEnvironment/CoordinatedkCare
3. Thekminimumkeducationalkrequirementkforkaknursekpractitionerkis:
1 Diploma in nursing
k k
2 Masters in nursing
k k
3 Doctorate in nursing
k k
4 Baccalaureate in nursing k k
ANS:k2
Akmasterskdegreekisknursingkiskrequiredktokbecomekaknursekpractitioner.
Diplomakprogramskinknursingkrequirek3kyearskofkeducationkafterkwhichkthekgraduatekmaykbecomekak
registeredknurse,kbutknotkaknursekpractitioner.
Doctoralkprogramskfocuskonkthekapplicationkofkresearchkfindingsktokclinicalkpractice.kThekdoctoralkdegre
ekiskbeyondkthekmasterskdegree.
Thekbaccalaureatekdegreekprogramkgenerallykrequiresk4kyearskofkstudykinkakcollegekorkuniversity,kaft
erkwhichkthekgraduatekmaykbecomekakregisteredknurse,knotkaknursekpractitioner.
DIF:kAkREF:k8kOBJ:kKnowledgekTOP
:kNursingkProcess:kAssessment
MSC:kNCLEXktestkplankdesignation:kSafe,kEffectivekCarekEnvironment/CoordinatedkCare
4. Akgroupkthatklobbieskatkthekstatekandkfederalklevelkforkadvancementkofknursingskrole,keconomicki
nterest,kandkhealthkcarekiskthe:
1 State Board of Nursing
k k k
2 American Nurses Association
k k
3 American Hospital Association
k k
4 National Student Nurses Association
k k k
ANS:k2
ThekAmericankNurseskAssociationk(ANA)khiresklobbyistskatkthekstatekandkfederalklevelktokpromotekt
hekadvancementkofkhealthkcarekandkthekeconomickandkgeneralkwelfarekofknurses.
StatekBoardskofkNursingkprimarilykfocuskonklicensurekofknurseskwithinktheirkownkstate.k
ThekAmericankHospitalkAssociationkdoesknotkfocuskonknurseskeconomickissueskandktheka
dvancementkofkthekrolekofknurses.
ThekNationalkStudentkNurseskAssociationkfocuseskonkissueskofkimportancekforknursingkstudents.
MedkC
, DIF:kAkREF:k8kOBJ:kComprehensionkT
OP:kNursingkProcess:kAssessment
MSC:kNCLEXktestkplankdesignation:kSafe,kEffectivekCarekEnvironment/CoordinatedkCare
5. AknursekmoveskfromkSeattlektokBostonkandkbeginskworkingkinkakhospital.kThekmostkimportantkf
actorkforktheknursektokconsiderkwhenkmovingktokanotherkstatekiskthe:
1 Massachusetts Nurse Practice Act
k k k
2 Standard for nursing practice in Boston
k k k k k
3 Clinical ladder of mobility in the new hospital
k k k k k k k
4 Requirement for continuing education units (CEU) in
k k k k k k
Massachusetts
ANS:k1
Althoughkmostkstateskhaveksimilarkpracticekacts,keachkindividualkstatekhaskitskownkNursekPracticekA
ctkthatkregulatesktheklicensurekandkpracticekofknursingkwithinkthatkstate.kKnowledgekofkthekNursekPra
cticekActkisknecessaryktokprovideksafekandklegalknursingkcare.
Standardskofknursingkpracticekareknotkspecificktokakcity,kbutkratherktokthekprofessionkitself.kAlthough
kthekclinicalkladderkofkmobilitykmaykbekofkinterestkinkregardktokprofessionalkadvancement,kitkisknotkt
hekmostkimportantkfactorkwhenkpracticingknursingkinkanotherkstate.kKnowledgekofkthekNursekPractic
ekActkinkorderktokprovideksafekandklegalknursingkcarekiskofkhigherkimportance.
Regardlesskofkwherekaknursekpractices,ktheknursekshouldkstrivektokremainkcurrent.kD
IF:kCkREF:k8kOBJ:kAnalysis
TOP:kNursingkProcess:kAssessment
MSC:kNCLEXktestkplankdesignation:kSafe,kEffectivekCarekEnvironment/CoordinatedkCare
6. Aknursekiskcaringkforkakclientkwhokhaskchronickrenalkfailure.kTheknursekstates,kWekwillkdokevery
thingkpossiblektokreturnkyouktokthekoptimumklevelkofkself-
carekpossible.kInkcoordinatingkankapproachktokbestkmeetkthekneedskofkthiskclient,ktheknursekiskfulfil
lingkthekrolekof:
1 Manager
2 Educator
3 Counselor
4 Communicator
ANS:k1
Theknurse,kinkcaringkforkthiskclient,kwillkcoordinatekthekactivitieskofkotherkmemberskofkthekhealthkcar
ekteam.kThiskclientkmaykrequirekthekassistancekofkaknursingkassistantktokprovidekpersonalkcarekuntilkt
hekclientkisklesskfatigued.kAknutritionistkmaykbeknecessarykforkdietkevaluation,kplanning,kandkteachin
g.kAknursekmaykprovidekeducationkonkthekdialysisktherapykandkperformkthekskillknecessarykuntilkthek
clientkiskablektokdoksokindependently.
MedkC