DAVIS ADVANTAGE FOR BASIC NURSING:
THINKING, DOING, AND CARING 3RD EDITION
TREAS WILKINSON TEST BANK
,Chapter 1: Nursing Past & Present
Multiple Choice
.
1. What is the most influential factor that has shaped the
nursing profession?
1)Physicicorrect answer: need for handmaidens
2)Societal need for healthcare outside the home
3)Military demand for
caregivers in the field
4) Germ theory influence on sanitation
CORRECT CHOICE:-3
Elaboration:->>>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 is critical, caregivers provided healthcare to the sick and
injured at the battle site. The physicicorrect answer: handmaiden was/is a nursing
stereotype rather than an influence on nursing. Although there has been need for
healthcare outside the home throughout history, this has more influence on the
development of health centers than on nursing; this need provided one more setting for
nursing work. Germ theory and sanitation helped to improve healthcare but did not
shape nursing.
POINTS:- 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Patient need:
N/A | Cognitive level: Recall
2. Which of the following is an example of an illness prevention activity?
Select all that apply.
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
CORRECT CHOICE:-3
Elaboration:->>>Administering immunization for HPV is an example of illness
prevention. 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. Illness-prevention activities focus on avoiding a specific disease. A food
diary is a health-promotion activity. Teaching a diabetic patient about diet is a
treatment for diabetes; the patient already has diabetes, so it cannot prevent diabetes.
POINTS:- 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in text
KEY: Nursing process: N/A | Patient need: HPM | Cognitive level: Application
3. Which of the following contributions of Florence Nightingale had
an immediate impact on improving patient s health?
1)
,Providing a clean
environment 2)
Improving nursing
education 3)
Changing the delivery of care in health
centers 4)
Establishing nursing as a distinct profession
CORRECT CHOICE:-1
Elaboration:->>>Improved sanitation (a clean environment) greatly and immediately
reduced the rate of infection and mortality in health centers. The other responses are all
activities of Florence Nightingale that improved healthcare or nursing, but the impact is
long range, not immediate.
POINTS:- 1 DIF: Easy REF: V1, p. 3; learner must infer from content | V1, p. 10;
learner must infer from content
KEY: Nursing process: N/A | Patient need: SECE | Cognitive level: Application
4. All of the following are aspects of the full-spectrum nursing role. Which
one is essential for the medical caretaker to do in order to successfully carry out all
the others?
1)Thinking and reasoning about the patient s care
2)Providing hands-on patient care
3)Carrying out physician orders
4)Delegating to assistive personnel
Elaboration:->>>A substantial portion of the nursing role involves using clinical
judgment, critical thinking, and problem solving, which directly affect the care the
patient will actually receive. Providing hands-on care is important; however, clinical
judgment, critical thinking, and problem solving are essential to do it successfully.
Carrying out physician orders is a small part of a caregivers role; it, too, requires
nursing assessment, planning, intervention, and evaluation. 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. Another way to analyze this question is that none of the options of providing
hands-on care, carrying out physician orders, and delegating to assistive personnel is
required for the medical caretaker to think and reason about a patient s care; so the
correct answer must be 1.
POINTS:-1DIFifficultREF: p. 11
KEY: Nursing process: N/A | Patient need: N/A | Cognitive level: Analysis
5. Which statement pertaining to Benners practice model for clinical competence
is
true?
1)
Progression through the stages is constant, with most caregivers reaching the proficient
stage.
2)
Progression through the stages involves continual development of thinking and
, technical skills.
3)
The medical caretaker must have experience in many areas before being
considered an expert. 4)
The caregivers progress through the stages is determined by years of experience and
skills.
CORRECT CHOICE:-2
Elaboration:->>>Movement through the stages is not constant. Benners model is based
on integration of
knowledge, technical skill, and intuition in the development of clinical wisdom. The
model does not mention experience in many areas. The model does not mention
years of experience.
POINTS:-1DIF:ModerateREF:p. 15
KEY: Nursing process: N/A | Patient need: N/A | Cognitive level: Recall
6. Which of the following best explains why it is difficult for the
profession to develop a definition of nursing?
1)
There are too many different and conflicting images of
caregivers. 2)
There are constant changes in healthcare and the activities of
caregivers. 3)
There is disagreement among the different nursing
organizations. 4)
There are different education pathways and levels of
practice.
CORRECT CHOICE:-2
Elaboration:->>>The conflicting images of nursing make it more important to
develop a definition; they may also make it more difficult, but not to the extent that
constant change does.
Healthcare is constantly changing and with it come changes in where, how, and what
nursing care is delivered. Constant changes make it difficult to develop a definition.
Although different nursing organizations have different definitions, they are similar in
most ways. The different education pathways affect entry into practice, not the
definition of nursing.
POINTS:- 1 DIF: Moderate REF: p. 11; How Is Nursing Defined?
KEY: Nursing process: N/A | Patient need: N/A | Cognitive level: Analysis
7. Caregivers have the potential to be very influential in shaping
healthcare policy. Which of the following factors contributes most to
caregivers influence?
1)
Caregivers are the largest health professional
group. 2)
Caregivers have a long history of serving the
THINKING, DOING, AND CARING 3RD EDITION
TREAS WILKINSON TEST BANK
,Chapter 1: Nursing Past & Present
Multiple Choice
.
1. What is the most influential factor that has shaped the
nursing profession?
1)Physicicorrect answer: need for handmaidens
2)Societal need for healthcare outside the home
3)Military demand for
caregivers in the field
4) Germ theory influence on sanitation
CORRECT CHOICE:-3
Elaboration:->>>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 is critical, caregivers provided healthcare to the sick and
injured at the battle site. The physicicorrect answer: handmaiden was/is a nursing
stereotype rather than an influence on nursing. Although there has been need for
healthcare outside the home throughout history, this has more influence on the
development of health centers than on nursing; this need provided one more setting for
nursing work. Germ theory and sanitation helped to improve healthcare but did not
shape nursing.
POINTS:- 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Patient need:
N/A | Cognitive level: Recall
2. Which of the following is an example of an illness prevention activity?
Select all that apply.
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
CORRECT CHOICE:-3
Elaboration:->>>Administering immunization for HPV is an example of illness
prevention. 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. Illness-prevention activities focus on avoiding a specific disease. A food
diary is a health-promotion activity. Teaching a diabetic patient about diet is a
treatment for diabetes; the patient already has diabetes, so it cannot prevent diabetes.
POINTS:- 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in text
KEY: Nursing process: N/A | Patient need: HPM | Cognitive level: Application
3. Which of the following contributions of Florence Nightingale had
an immediate impact on improving patient s health?
1)
,Providing a clean
environment 2)
Improving nursing
education 3)
Changing the delivery of care in health
centers 4)
Establishing nursing as a distinct profession
CORRECT CHOICE:-1
Elaboration:->>>Improved sanitation (a clean environment) greatly and immediately
reduced the rate of infection and mortality in health centers. The other responses are all
activities of Florence Nightingale that improved healthcare or nursing, but the impact is
long range, not immediate.
POINTS:- 1 DIF: Easy REF: V1, p. 3; learner must infer from content | V1, p. 10;
learner must infer from content
KEY: Nursing process: N/A | Patient need: SECE | Cognitive level: Application
4. All of the following are aspects of the full-spectrum nursing role. Which
one is essential for the medical caretaker to do in order to successfully carry out all
the others?
1)Thinking and reasoning about the patient s care
2)Providing hands-on patient care
3)Carrying out physician orders
4)Delegating to assistive personnel
Elaboration:->>>A substantial portion of the nursing role involves using clinical
judgment, critical thinking, and problem solving, which directly affect the care the
patient will actually receive. Providing hands-on care is important; however, clinical
judgment, critical thinking, and problem solving are essential to do it successfully.
Carrying out physician orders is a small part of a caregivers role; it, too, requires
nursing assessment, planning, intervention, and evaluation. 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. Another way to analyze this question is that none of the options of providing
hands-on care, carrying out physician orders, and delegating to assistive personnel is
required for the medical caretaker to think and reason about a patient s care; so the
correct answer must be 1.
POINTS:-1DIFifficultREF: p. 11
KEY: Nursing process: N/A | Patient need: N/A | Cognitive level: Analysis
5. Which statement pertaining to Benners practice model for clinical competence
is
true?
1)
Progression through the stages is constant, with most caregivers reaching the proficient
stage.
2)
Progression through the stages involves continual development of thinking and
, technical skills.
3)
The medical caretaker must have experience in many areas before being
considered an expert. 4)
The caregivers progress through the stages is determined by years of experience and
skills.
CORRECT CHOICE:-2
Elaboration:->>>Movement through the stages is not constant. Benners model is based
on integration of
knowledge, technical skill, and intuition in the development of clinical wisdom. The
model does not mention experience in many areas. The model does not mention
years of experience.
POINTS:-1DIF:ModerateREF:p. 15
KEY: Nursing process: N/A | Patient need: N/A | Cognitive level: Recall
6. Which of the following best explains why it is difficult for the
profession to develop a definition of nursing?
1)
There are too many different and conflicting images of
caregivers. 2)
There are constant changes in healthcare and the activities of
caregivers. 3)
There is disagreement among the different nursing
organizations. 4)
There are different education pathways and levels of
practice.
CORRECT CHOICE:-2
Elaboration:->>>The conflicting images of nursing make it more important to
develop a definition; they may also make it more difficult, but not to the extent that
constant change does.
Healthcare is constantly changing and with it come changes in where, how, and what
nursing care is delivered. Constant changes make it difficult to develop a definition.
Although different nursing organizations have different definitions, they are similar in
most ways. The different education pathways affect entry into practice, not the
definition of nursing.
POINTS:- 1 DIF: Moderate REF: p. 11; How Is Nursing Defined?
KEY: Nursing process: N/A | Patient need: N/A | Cognitive level: Analysis
7. Caregivers have the potential to be very influential in shaping
healthcare policy. Which of the following factors contributes most to
caregivers influence?
1)
Caregivers are the largest health professional
group. 2)
Caregivers have a long history of serving the
