DavisnAdvantagenBasic nNursing:n Thinking,nDoing,n andnCaringn3rdnEditionnTreasnWilk
insonnTestnBank
Chaptern 1n Evolutionn of n Nursingn Thoughtn &n Action
Multiplen Choice
Identifyn then choicen thatn bestn completesn then statementn orn answersn then question.
1. Whatn isn then mostn influentialn factorn thatnhasnshaped nthennursingnp
rofession? n 1)
Physiciansn need n fornhandmaidensn
2)
Societaln need n fornhealthcare n outsidenthenhomen
3)
Military n demand n forn nursesnin n then field n4)n
Germn theory n influence non nsanitation n ANS
:n 3
Throughoutn then centuries,nstability n ofnthengovernmentn hasn been nrelated nto n then successn of n then
military n to n protectn orn extend n itsn domain.n Asn then survivaln and n well-
beingn of n soldiersn isn critical,n nursesn providedn healthcare nto nthensick nand ninjuredn atn thenbattlen si
te.n Then physiciansn handmaidenn was/isn an nursingn stereotype n rathern than n an n influence n on n nu
rsing.n Although n theren hasn been nneedn forn healthcare noutsiden then homenthroughoutn history,n thisn
hasn moren influence nonn then developmentnofnhospitalsn than nonn nursing;n thisn need nprovided nonen
moren settingn forn nursingn work.nGermn theory nandn sanitation n helped nto nimproven healthcare nbutn
did n notn shapen nursing.
PTS:n 1 n DIF:n Moderaten REF:n dmn 910 n KEY:n Nursingn process:n N/AnClientn need:n N/An |n Cogniti
ven level:n Recall
2. Which n of n thenfollowingn isn ann example nofnan nillnessn prevention nactivity?n Selectnal
ln thatn apply.
1)
Encouragingn then usen ofn anfood ndiary n
2)
Joiningn an cancern supportngroup n
3)
Administeringn immunization n forn HPVn4
)
Teachingn an diabetic n patientn aboutn hisn dietn AN
S:n 3
Administeringn immunization n forn HPVn isnan nexample nofn illnessnprevention.nAlthough n cancernis
n a n disease, n itn isnassumedn thatn a nperson njoiningn a nsupportn groupn would nalready nhave nthe ndisease;n
therefore,n thisn isn notn disease n prevention n butn treatment.n Illness-
prevention n activitiesn focusn on n avoidingn an specific n disease.n An food n diary n isn an health-
promotion n activity.n Teachingn an diabeticn patientn aboutn dietn isn an treatmentn forn diabetes;n then pat
ientn already n hasn diabetes,n so n itn cannotn preventn diabetes.
PTS:n 1 n DIF:n Moderaten REF:n p.n 18;n high-
leveln question,n notndirectly nstated n inn textnKEY:n Nursingn process:n N/An|n Clientn need:n HPMn |n C
ognitiven level:n Application
3. Which n of n thenfollowingn contributionsn ofn Florencen Nightingale n had n an n i
mmediate n impactn on n improvingn patientsn health?
1)
Providingn an clean n environmentn
,2)
,Improvingn nursingn educationn
3)
Changingn then delivery n ofn caren in nhospitalsn
4)
Establishingn nursingn asn an distinctn professionnA
NS:n 1
Improved n sanitation n (anclean nenvironment)n greatly n and nimmediately nreduced nthenraten ofn infec
tion n and n mortality n in n hospitals.nThenothernresponsesnarenalln activitiesn of n Florence n Nightingale
n thatn improved n healthcare n orn nursing, n butn the n impactn isn longn range, n notn immediate.
PTS:n 1 n DIF:n Easy n REF:n V1,n p.n 3;n studentn mustn infernfromn contentn |nV1,np.n10;nstudentn must
n infern from n content
KEY:n Nursingn process:n N/An |n Clientn need:n SECEn |n Cognitiven level:n Application
4. Alln of n then followingn aren aspectsn of n then full-
spectrum n nursingn role.n Which nonen isnessentialn forn then nursento n do nin nordernto nsuccessfully n
carry n outn alln then others?
1)
Thinkingn and n reasoningn aboutnthen clientsn caren
2)
Providingn hands-
on n clientn caren 3)
Carryingn outn physician n ordersn4
)
Delegatingn to n assistiven personneln
ANS:n 1
An substantialn portion n ofnthennursingn rolen involvesn usingn clinicaln judgment,n criticaln thinkin
g,n and n problem n solving,n which ndirectly naffectnthencarenthenclientn willn actually n receive.nProv
idingn hands-
on n caren isn important;n however,nclinicaln judgment,n criticaln thinking,n andn problemnsolvingn ar
en essentialn to n do nitn successfully.nCarryingn outn physician nordersn isnan smalln partn of n an nursesn r
ole;n it,n too,n requiresn nursingn assessment,nplanning,n intervention,nand nevaluation.nMany nsim
plen nursingn tasksn aren beingn delegated n to nnursingn assistive n personnel;n delegation n requiresn c
arefuln analysisn ofnpatientn statusnandn thenappropriatenessnofn supportn personneln to ndeliverncar
e.n Anothern way n to n analyzen thisn question n isn thatn nonen of n then optionsn of n providingn hands-
on n care,n carryingn outn physician norders,nand ndelegatingn to n assistive n personneln isnrequiredn fo
rn then nursen to n think n and n reason n aboutn an clientsn care;n so n then answern mustn ben 1.
PTS:1DIFifficultREF:n p.n 11
KEY:n Nursingn process:n N/An |n Clientn need:n N/An |n Cognitiven level:n Analysis
5. Which n statementn pertainingn to n Bennersn practice n modeln forn clinicaln competence
isn true?
1)
Progression n through n then stagesn isn constant,n with n mostn nursesn reachingn then proficientn stage.
2)
Progression n through n then stagesn involvesncontinualndevelopmentn ofnthinkingn and ntechnicaln ski
lls.
3)
Then nurse n mustn havenexperience nin nmanyn areasnbeforenbeingn considered nan n expert.n
4)
Then nursesn progressn through n thenstagesn isn determined nbyn yearsnofnexperience nandn skills.n ANS
:n 2
Movementn through n then stagesn isn notn constant.n Bennersn modeln isn based n on n integration n of
, knowledge, n technicaln skill,n and nintuition n in nthendevelopmentn ofn clinicaln wisdom.n Then mod
eln doesn notn mention nexperience nin nmany nareas.n Then modelndoesnnotn mention nyearsnofnexper
ience.
PTS:1DIF:ModerateREF:p. n 15
KEY:n Nursingn process:n N/An |n Clientn need:n N/An |n Cognitiven level:n Recall
6. Which n of n thenfollowingn bestnexplainsnwhyn itn isndifficultn fornthen profession n t
o n develop n an definition n of n nursing?
1)
Theren aren too n manyn differentn and nconflictingn imagesn of n nurses.n
2)
Theren aren constantn changesnin n healthcare nand nthen activitiesn ofnnurses.n 3
)
Theren isn disagreementn amongn thendifferentn nursingnorganizations. n
4)
Theren aren differentneducation npathwaysn and n levelsn of n practice.n
ANS:n 2
Then conflictingn imagesn of nnursingn maken itn moren importantnto n developn an definition;n they n m
ay n also n maken itn moren difficult,n butn notn to n then extentn thatn constantn change n does.
Healthcare n isn constantly n changingn andn with nitn comen changesn inn where,n how,n and n whatn nursi
ngn caren isn delivered.nConstantnchangesn maken itndifficultn to ndevelop nandefinition.nAlthough n di
fferentn nursingn organizationsn havendifferentn definitions,n theyn aren similarn inn mostn ways.n Then
differentn education n pathwaysn affectn entry n into n practice,n notn then definition n of n nursing.
PTS:n 1 n DIF:n Moderaten REF:n p.n 11;n Hown Isn Nursingn Defined?
KEY:n Nursingn process:n N/An |n Clientn need:n N/An |n Cognitiven level:n Analysis
7. Nursesn have n thenpotentialn to n benvery ninfluentialn in n shapingn healthcare np
olicy.n Which n of n then followingn factorsn contributesn mostn to n nursesn influence?
1)
Nursesn aren then largestn health nprofessionalngroup.n2
)
Nursesn haven anlongn history nof n servingn then public.n
3)
Nursesn haven achieved nsomen independence nfromn physiciansn in nrecentn years.n 4
)
Politicaln involvementn hasn helped n refuten negativen imagesn portrayedn in n then media.n A
NS:n 1
Nursesn aren trusted n professionalsnand nthenlargestn health n professionalngroup.nAsnsuch,n they n h
aven politicaln powern to neffectnchanges.n Ifn nursingn werenansmalln group,n theren would n ben littlen
potentialn forn powern in n shapingn policies,n even n if n alln then othern answersn weren true.
Servingn then public,n whilen positive,n doesnnotnnecessarily n help nnursesnto nbeninfluentialnin n establ
ishingn health n policy.n Independencen fromnphysicians,n although n positive,n doesnnotn necessarily n
make n nursesn influentialnin n establishingn healthcare n policy.nRefutingn negative n media,nalthough
n positive, n does n notn necessarily n make n nurses n influentialn in n establishingn healthcare n policy.
PTS:n 1 n DIF:n Moderaten REF:n p.n 21
KEY:n Nursingn process:n N/An |n Clientn need:n N/An |n Cognitiven level:n Analysis
8. Nursingn wasn described n asnandistinctn occupation nin n then sacred nbooksnofnw
hich n faith?
1)
insonnTestnBank
Chaptern 1n Evolutionn of n Nursingn Thoughtn &n Action
Multiplen Choice
Identifyn then choicen thatn bestn completesn then statementn orn answersn then question.
1. Whatn isn then mostn influentialn factorn thatnhasnshaped nthennursingnp
rofession? n 1)
Physiciansn need n fornhandmaidensn
2)
Societaln need n fornhealthcare n outsidenthenhomen
3)
Military n demand n forn nursesnin n then field n4)n
Germn theory n influence non nsanitation n ANS
:n 3
Throughoutn then centuries,nstability n ofnthengovernmentn hasn been nrelated nto n then successn of n then
military n to n protectn orn extend n itsn domain.n Asn then survivaln and n well-
beingn of n soldiersn isn critical,n nursesn providedn healthcare nto nthensick nand ninjuredn atn thenbattlen si
te.n Then physiciansn handmaidenn was/isn an nursingn stereotype n rathern than n an n influence n on n nu
rsing.n Although n theren hasn been nneedn forn healthcare noutsiden then homenthroughoutn history,n thisn
hasn moren influence nonn then developmentnofnhospitalsn than nonn nursing;n thisn need nprovided nonen
moren settingn forn nursingn work.nGermn theory nandn sanitation n helped nto nimproven healthcare nbutn
did n notn shapen nursing.
PTS:n 1 n DIF:n Moderaten REF:n dmn 910 n KEY:n Nursingn process:n N/AnClientn need:n N/An |n Cogniti
ven level:n Recall
2. Which n of n thenfollowingn isn ann example nofnan nillnessn prevention nactivity?n Selectnal
ln thatn apply.
1)
Encouragingn then usen ofn anfood ndiary n
2)
Joiningn an cancern supportngroup n
3)
Administeringn immunization n forn HPVn4
)
Teachingn an diabetic n patientn aboutn hisn dietn AN
S:n 3
Administeringn immunization n forn HPVn isnan nexample nofn illnessnprevention.nAlthough n cancernis
n a n disease, n itn isnassumedn thatn a nperson njoiningn a nsupportn groupn would nalready nhave nthe ndisease;n
therefore,n thisn isn notn disease n prevention n butn treatment.n Illness-
prevention n activitiesn focusn on n avoidingn an specific n disease.n An food n diary n isn an health-
promotion n activity.n Teachingn an diabeticn patientn aboutn dietn isn an treatmentn forn diabetes;n then pat
ientn already n hasn diabetes,n so n itn cannotn preventn diabetes.
PTS:n 1 n DIF:n Moderaten REF:n p.n 18;n high-
leveln question,n notndirectly nstated n inn textnKEY:n Nursingn process:n N/An|n Clientn need:n HPMn |n C
ognitiven level:n Application
3. Which n of n thenfollowingn contributionsn ofn Florencen Nightingale n had n an n i
mmediate n impactn on n improvingn patientsn health?
1)
Providingn an clean n environmentn
,2)
,Improvingn nursingn educationn
3)
Changingn then delivery n ofn caren in nhospitalsn
4)
Establishingn nursingn asn an distinctn professionnA
NS:n 1
Improved n sanitation n (anclean nenvironment)n greatly n and nimmediately nreduced nthenraten ofn infec
tion n and n mortality n in n hospitals.nThenothernresponsesnarenalln activitiesn of n Florence n Nightingale
n thatn improved n healthcare n orn nursing, n butn the n impactn isn longn range, n notn immediate.
PTS:n 1 n DIF:n Easy n REF:n V1,n p.n 3;n studentn mustn infernfromn contentn |nV1,np.n10;nstudentn must
n infern from n content
KEY:n Nursingn process:n N/An |n Clientn need:n SECEn |n Cognitiven level:n Application
4. Alln of n then followingn aren aspectsn of n then full-
spectrum n nursingn role.n Which nonen isnessentialn forn then nursento n do nin nordernto nsuccessfully n
carry n outn alln then others?
1)
Thinkingn and n reasoningn aboutnthen clientsn caren
2)
Providingn hands-
on n clientn caren 3)
Carryingn outn physician n ordersn4
)
Delegatingn to n assistiven personneln
ANS:n 1
An substantialn portion n ofnthennursingn rolen involvesn usingn clinicaln judgment,n criticaln thinkin
g,n and n problem n solving,n which ndirectly naffectnthencarenthenclientn willn actually n receive.nProv
idingn hands-
on n caren isn important;n however,nclinicaln judgment,n criticaln thinking,n andn problemnsolvingn ar
en essentialn to n do nitn successfully.nCarryingn outn physician nordersn isnan smalln partn of n an nursesn r
ole;n it,n too,n requiresn nursingn assessment,nplanning,n intervention,nand nevaluation.nMany nsim
plen nursingn tasksn aren beingn delegated n to nnursingn assistive n personnel;n delegation n requiresn c
arefuln analysisn ofnpatientn statusnandn thenappropriatenessnofn supportn personneln to ndeliverncar
e.n Anothern way n to n analyzen thisn question n isn thatn nonen of n then optionsn of n providingn hands-
on n care,n carryingn outn physician norders,nand ndelegatingn to n assistive n personneln isnrequiredn fo
rn then nursen to n think n and n reason n aboutn an clientsn care;n so n then answern mustn ben 1.
PTS:1DIFifficultREF:n p.n 11
KEY:n Nursingn process:n N/An |n Clientn need:n N/An |n Cognitiven level:n Analysis
5. Which n statementn pertainingn to n Bennersn practice n modeln forn clinicaln competence
isn true?
1)
Progression n through n then stagesn isn constant,n with n mostn nursesn reachingn then proficientn stage.
2)
Progression n through n then stagesn involvesncontinualndevelopmentn ofnthinkingn and ntechnicaln ski
lls.
3)
Then nurse n mustn havenexperience nin nmanyn areasnbeforenbeingn considered nan n expert.n
4)
Then nursesn progressn through n thenstagesn isn determined nbyn yearsnofnexperience nandn skills.n ANS
:n 2
Movementn through n then stagesn isn notn constant.n Bennersn modeln isn based n on n integration n of
, knowledge, n technicaln skill,n and nintuition n in nthendevelopmentn ofn clinicaln wisdom.n Then mod
eln doesn notn mention nexperience nin nmany nareas.n Then modelndoesnnotn mention nyearsnofnexper
ience.
PTS:1DIF:ModerateREF:p. n 15
KEY:n Nursingn process:n N/An |n Clientn need:n N/An |n Cognitiven level:n Recall
6. Which n of n thenfollowingn bestnexplainsnwhyn itn isndifficultn fornthen profession n t
o n develop n an definition n of n nursing?
1)
Theren aren too n manyn differentn and nconflictingn imagesn of n nurses.n
2)
Theren aren constantn changesnin n healthcare nand nthen activitiesn ofnnurses.n 3
)
Theren isn disagreementn amongn thendifferentn nursingnorganizations. n
4)
Theren aren differentneducation npathwaysn and n levelsn of n practice.n
ANS:n 2
Then conflictingn imagesn of nnursingn maken itn moren importantnto n developn an definition;n they n m
ay n also n maken itn moren difficult,n butn notn to n then extentn thatn constantn change n does.
Healthcare n isn constantly n changingn andn with nitn comen changesn inn where,n how,n and n whatn nursi
ngn caren isn delivered.nConstantnchangesn maken itndifficultn to ndevelop nandefinition.nAlthough n di
fferentn nursingn organizationsn havendifferentn definitions,n theyn aren similarn inn mostn ways.n Then
differentn education n pathwaysn affectn entry n into n practice,n notn then definition n of n nursing.
PTS:n 1 n DIF:n Moderaten REF:n p.n 11;n Hown Isn Nursingn Defined?
KEY:n Nursingn process:n N/An |n Clientn need:n N/An |n Cognitiven level:n Analysis
7. Nursesn have n thenpotentialn to n benvery ninfluentialn in n shapingn healthcare np
olicy.n Which n of n then followingn factorsn contributesn mostn to n nursesn influence?
1)
Nursesn aren then largestn health nprofessionalngroup.n2
)
Nursesn haven anlongn history nof n servingn then public.n
3)
Nursesn haven achieved nsomen independence nfromn physiciansn in nrecentn years.n 4
)
Politicaln involvementn hasn helped n refuten negativen imagesn portrayedn in n then media.n A
NS:n 1
Nursesn aren trusted n professionalsnand nthenlargestn health n professionalngroup.nAsnsuch,n they n h
aven politicaln powern to neffectnchanges.n Ifn nursingn werenansmalln group,n theren would n ben littlen
potentialn forn powern in n shapingn policies,n even n if n alln then othern answersn weren true.
Servingn then public,n whilen positive,n doesnnotnnecessarily n help nnursesnto nbeninfluentialnin n establ
ishingn health n policy.n Independencen fromnphysicians,n although n positive,n doesnnotn necessarily n
make n nursesn influentialnin n establishingn healthcare n policy.nRefutingn negative n media,nalthough
n positive, n does n notn necessarily n make n nurses n influentialn in n establishingn healthcare n policy.
PTS:n 1 n DIF:n Moderaten REF:n p.n 21
KEY:n Nursingn process:n N/An |n Clientn need:n N/An |n Cognitiven level:n Analysis
8. Nursingn wasn described n asnandistinctn occupation nin n then sacred nbooksnofnw
hich n faith?
1)
