Caring 3rd Edition by Leslie S. Treas; Karen L. Barnett; Mable H.
Smith Chapter 1-41 Complete Guide
Chapter 1. Nursing Past & Present
,MULTIPLE CHOICE
1. Which is the most influential factor that has shaped the nursing profession?
1) Physicians’ need for handmaidens
2) Societal need for healthcare outside the home
3) Military demand for nurses in the field
4) Germ theory influence on sanitation
ANS: 3
Chapter number and title: 1, Nursing Past & Present
Chapter learning objective: Define nursing in your own words.
Chapter page reference: p. 7
Heading: Historical Context of Nursing
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive level: Comprehension [Understanding]
Concept: Professionalism
Difficulty: Easy
Feedback
1 The physician's handmaiden was/is a nursing stereotype rather than an
influence
on nursing.
2 Although there has been a need for healthcare outside the home
throughout history, this has more inN fluUeR
ncSeIoNnGthKeIdN
evGe.loC
pmOM
ent of
hospitals than on nursing; this need provided one more setting for
nursing work.
3 Throughout the centuries, stability of the government has been related
to the success of the military to protect or extend its domain. As the
survival and well-being of soldiers are both critical, nurses provided
healthcare to the sick
and injured at the battle site.
4 Germ theory and sanitation helped to improve healthcare but did not shape
nursing.
PTS: 1 CON: Professionalism
2. Which is an example of an illness-prevention activity?
1) Encouraging the use of a food diary
2) Joining a cancer support group
3) Administering immunization for HPV
4) Teaching a diabetic patient about his diet
ANS: 3
Chapter number and title: 1, Nursing Past & Present
Chapter learning objective: Name and recognize the four purposes of nursing care.
Chapter page reference: p. 15
Heading: Nursing Practice: Caring for Clients
Integrated Processes: Nursing Process –
Implementation Client Need: Health Promotion and
Maintenance
Cognitive level: Application
[Applying] Concept: Health
Promotion
, Difficulty: Moderate
Feedback
1 Illness-prevention activities focus on avoiding a specific disease. A food
diary is a health-promotion activity.
2 Although cancer is a disease, it is assumed that a person joining a support
group would already have the disease; therefore, this is not disease
prevention but
treatment.
3 Administering immunization for HPV is an example of illness prevention.
4 Teaching a diabetic patient about diet is a treatment for diabetes; the patient
already has diabetes, so it cannot prevent diabetes.
PTS: 1 CON: Health Promotion
3. Which contribution of Florence Nightingale had an immediate impact on improving
patients’ health?
1) Providing a clean environment
2) Improving nursing education
3) Changing the delivery of care in hospitals
4) Establishing nursing as a distinct profession
ANS: 1
Chapter number and title: 1, Nursing Past & Present
Chapter learning objective: Name nine expanded roles for
nursing. Chapter page reference: p. 9
Heading: Table 1-1 Roles
N U R S I N G KI N G . C O M
and Functio ns ofth e Nurs e Integrated Processes:
Caring
Client Need: Health Promotion and
Maintenance Cognitive level: Comprehension
[Understanding] Concept: Evidence-Based
Practice
Difficulty: Easy
Feedback
1 Improved sanitation (a clean environment) greatly and immediately reduced
the
rate of infection and mortality in hospitals.
2 This is an activity of Florence Nightingale that improved healthcare or
nursing, but the impact is long range, not immediate.
3 This is an activity of Florence Nightingale that improved healthcare or
nursing,
but the impact is long range, not immediate.
4 This is an activity of Florence Nightingale that improved healthcare or
nursing,
but the impact is long range, not immediate.
PTS: 1 CON: Evidence-Based Practice
4. Which aspect of the full-spectrum nursing role is essential for the nurse to do in
order to successfully carry out all the others?
1) Thinking and reasoning about the client’s care
2) Providing hands-on client care
3) Carrying out physician orders
, 4) Delegating to assistive personnel
ANS: 1
Chapter number and title: 1, Nursing Past & Present
Chapter learning objective: Name and recognize the four purposes of nursing care.
Chapter page reference: p. 8
Heading: Nursing Today: Full-Spectrum
Nursing Integrated Processes: Nursing
Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive level: Analysis [Analyzing]
Concept: Patient-Centered
Care Difficulty: Difficult
Feedback
1 A substantial portion of the nursing role involves using clinical judgment,
critical thinking, and problem solving, which directly affect the care the
client will actually receive.
2 Providing hands-on care is important; however, clinical judgment, critical
thinking, and problem-solving are essential to do it successfully.
3 Carrying out physician orders is a small part of a nurse’s role; it, too, requires
nursing assessment, planning, intervention, and evaluation.
4 Many simple nursing tasks are being delegated to nursing assistive
personnel; delegation requires careful analysis of patient status and the
appropriateness of
support personnel to deliver care.
PTS: 1 CON: Patient-Centered Care
NU
5. Which statement pertaining to BeRnSnIerN
’sGpK
raIctNicGe.mCoO
deMl for clinical competence is true?
1) Progression through the stages is constant, with most nurses reaching the
proficient stage.
2) Progression through the stages involves continual development of
thinking and technical skills.
3) The nurse must have experience in many areas before being considered an expert.
4) The nurse’s progress through the stages is determined by years of
experience and skills.
ANS: 2
Chapter number and title: 1, Nursing Past & Present
Chapter learning objective: Discuss the transitions nursing education has undergone in the
last century.
Chapter page reference: p. 12
Heading: Benner’s Model
Integrated Processes: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive level: Comprehension [Understanding]
Concept: Evidence-Based
Practice Difficulty: Easy
Feedback
1 Movement through the stages is not constant.
2 Benner’s model is based on integration of knowledge, technical skill, and
intuition in the development of clinical wisdom.
3 The model does not mention experience in many areas.