=
, Chapterl01:lProfessionallNursing
Potter:lEssentialslforlNursinglPractice,l9thlEditionl
MULTIPLElCHOICE
1.Alnurselusesleffectivelstrategiesltolcommunicatelandlhandlelconflictlwithlnurseslandlotherlhealthlcarelprofessionals.lW
hichlQualitylandlSafetylEducationlforlNursesl(QSEN)lcompetencylislthelnurseldemonstrating?
a.Informaticsl b.Qualityl
improvement
c.Teamworklandlcollaborationl
d.Evidence-basedlpractice
ANS:lC
Teamworklandlcollaborationlusesleffectivelstrategiesltolcommunicatelandlhandlelconflict.lInformaticslincludeslnavigati
nglelectroniclhealthlrecords.lQualitylimprovementlusesltoolslsuchlaslflowlchartslandldiagramsltolimprovelcare.lEvidence
-
basedlpracticelintegrateslbestlcurrentlevidencelwithlclinicallexpertiselandlpatient/familylpreferenceslandlvalueslforldeliv
erylofloptimallhealthl care.
PTS:1DIF:CognitivelLevel:lApplyingl(Application)l
REF:11
OBJescribelthelpurposeloflprofessionallstandardsloflnursingl practice.
TOP:lNursinglProcess:lImplementationlMSC:lNCLEX:lManagementlofl Care
2.Alnurselislemployedlbylalhealthlcarelagencylthatlprovideslanlinformalltraininglsessionlonlhowltolproperlyluselalnewlvi
tallsignlmonitor.lWhichltypelofleducationldidlthelnurselreceive?
a.In-
serviceleducationlb.Advancedl
educationlc.Continuingleducati
onld.Registeredlnurseleducatio
n
ANS:lA
In-
serviceleducationlprogramslarelinstructionlorltraininglprovidedlbylalhealthlcarelagencylorlinstitutionldesignedltolincreasel
thelknowledge,lskills,landlcompetenciesloflnurseslandlotherlhealthlcarelprofessionalslemployedlbylthelinstitution.lSomel
roleslforlRNslinlnursinglrequireladvancedlgraduateldegrees,lsuchlaslalclinicallnurselspecialistlorlnurselpractitioner.lThere
larelvariousleducationallrouteslforlbecominglalregisteredlnursel(RN),lsuchlaslassociate,ldiploma,landlbaccalaureate.lCont
inuingleducationlinvolveslformal,lorganizedleducationallprogramslofferedlbyluniversities,lhospitals,lstatelnurseslassoci
ations,lprofessionallnursinglorganizations,landleducationallandlhealthlcarelinstitutions.
PTS:1DIF:CognitivelLevel:lApplyingl(Application)l
REF:6
OBJ:lDiscusslthelimportancelofleducationlinlprofessionallnursinglpractice.lT
OP:lNursinglProcess:lEvaluationlMSC:lNCLEX:lManagementlofl Care
3.Alnursellistensltolalpatientsllungslandldetermineslthatlthelpatientlneedsltolcoughlandldeeplbreath.lThelnurselhas
=
, thelpatientlcoughlandldeeplbreath.lWhichlconceptldidlthelnurseldemonstrate?la.A
ccountability
b.Autonomylc.
Licensureld.C
ertification
ANS:lB
Autonomylislessentialltolprofessionallnursinglandlinvolveslthelinitiationloflindependentlnursinglinterventionslwithout
lmedicallorders.lAccountabilitylmeanslthatl yoularelprofessionallyl andllegallylresponsiblelforltheltypelandlqualityloflnu
rsinglcarelprovided.lTolobtainllicensurelinlthelUnitedlStates,lRNlcandidateslmustlpasslthelNCLEX-
lRNlexaminationladministeredlbylthelindividuallStatelBoardsloflNursingltolobtainlalnursingllicense.lBeyondlthelNCL
EX-RN,lsomelnurseslchooseltolworkltowardlcertificationlinlalspecificlarealoflnursinglpractice.
PTS:1DIF:CognitivelLevel:lAnalyzingl(Analysis)
REF:l6lOBJ:lDiscusslthelcharacteristicsloflprofessionalismlinlnursing.lTOP:l
NursinglProcess:lEvaluationlMSC:lNCLEX:lManagementloflCare
4.Alregisteredlnurselislrequiredltolparticipatelinlalsimulationltollearnlhowltoltriagelpatientslwholarelarrivingltolthelhospit
allafterlexposureltolanlunknownlgas.lThislislanlexampleloflalresponseltolwhatltypeloflinfluencelonlnursing?
a.Workplacelhazardslb.Nur
singlshortagelc.Professional
ismld.Emergencylpreparedn
ess
ANS:lD
Manylhealthlcarelagencies,lschools,landlcommunitieslhaveleducationallprogramsltolpreparelforlnuclear,lchemical,lorlbi
ologicallattacklandlotherltypeslofldisasters.lNurseslplaylanlactivelrolelinlemergencylpreparedness.lWorkplacelhazardslin
cludelviolence,lharassment,landlergonomics.lAlpersonlwholactslprofessionallylislconscientiouslinlactions,lknowledgea
blelinlthelsubject,landlresponsibleltolselflandlothers.lTherelislanlongoinglgloballnursinglshortage,lwhichlresultslfromlins
ufficientlqualifiedlregisteredlnursesl(RNs)ltolfilllvacantlpositionslandlthellossloflqualifiedlRNsltolotherl professions.
PTS:1DIF:CognitivelLevel:lApplyingl(Application)l
REF:4
OBJ:lDiscusslthelinfluenceloflsocial,lpolitical,landleconomiclchangeslonlnursinglpractices.lTO
P:lNursinglProcess:lEvaluationlMSC:lNCLEX:lSafetylandlInfectionlControl
5.Alnurselislanladvancedlpracticelregisteredlnursel(APRN)lwholcareslforlgeriatrics.lThislnurselislwhichltypelofladvan
cedlpracticelnurse?
a.Clinicallnurselspecialistl
b.Nurselpractitionerlc.Cer
tifiedlnurse-midwife
d.Certifiedlregisteredlnurselanesthetistl
ANS:lA
Thelclinicallnurselspecialistl(CNS)lislanlAPRNlwholislanlexpertlclinicianlinlalspecializedlarealoflpractice,lsuchlaslgeriatr
icslorlpediatrics.lThelnurselpractitionerl(NP)lislanlAPRNlwholprovideslhealthlcareltolalgrouploflpatients,lusuallylinlanlou
tpatient,lambulatorylcare,lorlcommunity-basedlsetting.lAlcertifiedlnurse-
midwifel(CNM)lislanlAPRNlwholisleducatedlinlmidwiferylandlislcertifiedlbylthelAmericanlCollegeloflNurse-
=
, Midwives.lAlcertifiedlregisteredlnurselanesthetistl(CRNA)lislanlAPRNlwithladvancedleducationlinlalnurselanesthesiala
ccreditedlprogram.
PTS:1DIF:CognitivelLevel:lApplyingl(Application)
REF:l8lOBJ:lDescribelthelroleslandlcareerlopportunitieslforlnurses.lTOP:lN
ursinglProcess:lEvaluationlMSC:lNCLEX:lManagementloflCare
6.Alpatientldoeslnotlwantltheltreatmentlthatlwaslprescribed.lThelnurselhelpslthelpatientltalkltolthelprimarylhealthlcarelpr
oviderlandlevenltalksltolthelprimarylhealthlcarelproviderlwhenlneeded.lThelnurselislactinglinlwhichlprofessionall role?
a.Educatorlb.Manag
erlc.Advocateld.Pro
viderlofl care
ANS:lC
Aslanladvocatelyoulactlonlbehalfloflyourlpatient,lsecuringlandlstandingluplforlyourlpatientslhealthlcarelrights.lAslanleduc
atorlyoulexplainlconceptslandlfactslaboutlhealth,ldescribelthelreasonlforlroutinelcarelactivities,ldemonstratelproceduresls
uchlaslself-
carelactivities,lreinforcellearninglorlpatientlbehavior,landlevaluatelthelpatientslprogresslinllearning.lMostlnurseslprovidel
directlpatientlcarelinlanlacutelcarelsetting,landlthisldescribeslthelroleloflproviderloflcare.lAlmanagerlcoordinateslthelactivi
tiesloflmembersloflthelnursinglstafflinldeliveringlnursinglcarelandlhaslpersonnel,lpolicy,landlbudgetarylresponsibilitylforl
alspecificlnursinglunitlorl agency.
PTS:1DIF:CognitivelLevel:lApplyingl(Application)
REF:l7lOBJ:lDescribelthelroleslandlcareerlopportunitieslforlnurses.lTOP:lN
ursinglProcess:lEvaluationlMSC:lNCLEX:lManagementloflCare
7.Alnurselmustlfollowllegalllawslthatlprotectlpubliclhealth,lsafety,landlwelfare.lWhichllawlislthelnurselfollowing?
a.CodeloflEthicslb.Nurs
elPracticelActlc.Standar
dsloflpractice
d.QualitylandlsafetyleducationlforlnurseslA
NS:lB
InlthelUnitedlStatesleachlStatelBoardloflNursingloverseeslitslNurselPracticelActl(NPA),lwhichlregulateslthelscopeloflnur
singlpracticelforlthelstatelandlprotectslpubliclhealth,lsafety,landlwelfare.lThelANAslCodeloflEthicslforlNurses:lInterpret
ationlandlApplicationl(2010)lprovideslalguidel(notlallaw)lforlcarryingloutlnursinglresponsibilitiesltolensurelhigh-
qualitylnursinglcarelandlprovidelforlthelethicallobligationsloflthelprofession.lThelpurposeloflalstandardloflcarelisltoldescr
ibelthelcommonllevelloflprofessionallnursinglcareltoljudgelthelqualityloflnursinglpractice.lThelRobertlWoodlJohnsonlFo
undationlsponsoredlthelQualitylandlSafetylEducationlforlNursesl(QSEN)linitiativeltol respondltol reportslaboutlsafetyl an
dl qualityl patientl carelbylthel Institutel ofl Medicine.
PTS:1DIF:CognitivelLevel:lApplyingl(Application)l
REF:7
OBJescribelthelpurposeloflprofessionallstandardsloflnursinglpractice.lTOP:l
NursinglProcess:lEvaluationlMSC:lNCLEX:lManagementloflCare
8.Alnurselisldirectinglthelcarelandlstaffingloflthreelcardiaclunits.lThelnurselislpracticinglinlwhichlnursinglrole?
a.Advancedlpracticelregisteredlnursel
b.Nurselresearcher
=
, Chapterl01:lProfessionallNursing
Potter:lEssentialslforlNursinglPractice,l9thlEditionl
MULTIPLElCHOICE
1.Alnurselusesleffectivelstrategiesltolcommunicatelandlhandlelconflictlwithlnurseslandlotherlhealthlcarelprofessionals.lW
hichlQualitylandlSafetylEducationlforlNursesl(QSEN)lcompetencylislthelnurseldemonstrating?
a.Informaticsl b.Qualityl
improvement
c.Teamworklandlcollaborationl
d.Evidence-basedlpractice
ANS:lC
Teamworklandlcollaborationlusesleffectivelstrategiesltolcommunicatelandlhandlelconflict.lInformaticslincludeslnavigati
nglelectroniclhealthlrecords.lQualitylimprovementlusesltoolslsuchlaslflowlchartslandldiagramsltolimprovelcare.lEvidence
-
basedlpracticelintegrateslbestlcurrentlevidencelwithlclinicallexpertiselandlpatient/familylpreferenceslandlvalueslforldeliv
erylofloptimallhealthl care.
PTS:1DIF:CognitivelLevel:lApplyingl(Application)l
REF:11
OBJescribelthelpurposeloflprofessionallstandardsloflnursingl practice.
TOP:lNursinglProcess:lImplementationlMSC:lNCLEX:lManagementlofl Care
2.Alnurselislemployedlbylalhealthlcarelagencylthatlprovideslanlinformalltraininglsessionlonlhowltolproperlyluselalnewlvi
tallsignlmonitor.lWhichltypelofleducationldidlthelnurselreceive?
a.In-
serviceleducationlb.Advancedl
educationlc.Continuingleducati
onld.Registeredlnurseleducatio
n
ANS:lA
In-
serviceleducationlprogramslarelinstructionlorltraininglprovidedlbylalhealthlcarelagencylorlinstitutionldesignedltolincreasel
thelknowledge,lskills,landlcompetenciesloflnurseslandlotherlhealthlcarelprofessionalslemployedlbylthelinstitution.lSomel
roleslforlRNslinlnursinglrequireladvancedlgraduateldegrees,lsuchlaslalclinicallnurselspecialistlorlnurselpractitioner.lThere
larelvariousleducationallrouteslforlbecominglalregisteredlnursel(RN),lsuchlaslassociate,ldiploma,landlbaccalaureate.lCont
inuingleducationlinvolveslformal,lorganizedleducationallprogramslofferedlbyluniversities,lhospitals,lstatelnurseslassoci
ations,lprofessionallnursinglorganizations,landleducationallandlhealthlcarelinstitutions.
PTS:1DIF:CognitivelLevel:lApplyingl(Application)l
REF:6
OBJ:lDiscusslthelimportancelofleducationlinlprofessionallnursinglpractice.lT
OP:lNursinglProcess:lEvaluationlMSC:lNCLEX:lManagementlofl Care
3.Alnursellistensltolalpatientsllungslandldetermineslthatlthelpatientlneedsltolcoughlandldeeplbreath.lThelnurselhas
=
, thelpatientlcoughlandldeeplbreath.lWhichlconceptldidlthelnurseldemonstrate?la.A
ccountability
b.Autonomylc.
Licensureld.C
ertification
ANS:lB
Autonomylislessentialltolprofessionallnursinglandlinvolveslthelinitiationloflindependentlnursinglinterventionslwithout
lmedicallorders.lAccountabilitylmeanslthatl yoularelprofessionallyl andllegallylresponsiblelforltheltypelandlqualityloflnu
rsinglcarelprovided.lTolobtainllicensurelinlthelUnitedlStates,lRNlcandidateslmustlpasslthelNCLEX-
lRNlexaminationladministeredlbylthelindividuallStatelBoardsloflNursingltolobtainlalnursingllicense.lBeyondlthelNCL
EX-RN,lsomelnurseslchooseltolworkltowardlcertificationlinlalspecificlarealoflnursinglpractice.
PTS:1DIF:CognitivelLevel:lAnalyzingl(Analysis)
REF:l6lOBJ:lDiscusslthelcharacteristicsloflprofessionalismlinlnursing.lTOP:l
NursinglProcess:lEvaluationlMSC:lNCLEX:lManagementloflCare
4.Alregisteredlnurselislrequiredltolparticipatelinlalsimulationltollearnlhowltoltriagelpatientslwholarelarrivingltolthelhospit
allafterlexposureltolanlunknownlgas.lThislislanlexampleloflalresponseltolwhatltypeloflinfluencelonlnursing?
a.Workplacelhazardslb.Nur
singlshortagelc.Professional
ismld.Emergencylpreparedn
ess
ANS:lD
Manylhealthlcarelagencies,lschools,landlcommunitieslhaveleducationallprogramsltolpreparelforlnuclear,lchemical,lorlbi
ologicallattacklandlotherltypeslofldisasters.lNurseslplaylanlactivelrolelinlemergencylpreparedness.lWorkplacelhazardslin
cludelviolence,lharassment,landlergonomics.lAlpersonlwholactslprofessionallylislconscientiouslinlactions,lknowledgea
blelinlthelsubject,landlresponsibleltolselflandlothers.lTherelislanlongoinglgloballnursinglshortage,lwhichlresultslfromlins
ufficientlqualifiedlregisteredlnursesl(RNs)ltolfilllvacantlpositionslandlthellossloflqualifiedlRNsltolotherl professions.
PTS:1DIF:CognitivelLevel:lApplyingl(Application)l
REF:4
OBJ:lDiscusslthelinfluenceloflsocial,lpolitical,landleconomiclchangeslonlnursinglpractices.lTO
P:lNursinglProcess:lEvaluationlMSC:lNCLEX:lSafetylandlInfectionlControl
5.Alnurselislanladvancedlpracticelregisteredlnursel(APRN)lwholcareslforlgeriatrics.lThislnurselislwhichltypelofladvan
cedlpracticelnurse?
a.Clinicallnurselspecialistl
b.Nurselpractitionerlc.Cer
tifiedlnurse-midwife
d.Certifiedlregisteredlnurselanesthetistl
ANS:lA
Thelclinicallnurselspecialistl(CNS)lislanlAPRNlwholislanlexpertlclinicianlinlalspecializedlarealoflpractice,lsuchlaslgeriatr
icslorlpediatrics.lThelnurselpractitionerl(NP)lislanlAPRNlwholprovideslhealthlcareltolalgrouploflpatients,lusuallylinlanlou
tpatient,lambulatorylcare,lorlcommunity-basedlsetting.lAlcertifiedlnurse-
midwifel(CNM)lislanlAPRNlwholisleducatedlinlmidwiferylandlislcertifiedlbylthelAmericanlCollegeloflNurse-
=
, Midwives.lAlcertifiedlregisteredlnurselanesthetistl(CRNA)lislanlAPRNlwithladvancedleducationlinlalnurselanesthesiala
ccreditedlprogram.
PTS:1DIF:CognitivelLevel:lApplyingl(Application)
REF:l8lOBJ:lDescribelthelroleslandlcareerlopportunitieslforlnurses.lTOP:lN
ursinglProcess:lEvaluationlMSC:lNCLEX:lManagementloflCare
6.Alpatientldoeslnotlwantltheltreatmentlthatlwaslprescribed.lThelnurselhelpslthelpatientltalkltolthelprimarylhealthlcarelpr
oviderlandlevenltalksltolthelprimarylhealthlcarelproviderlwhenlneeded.lThelnurselislactinglinlwhichlprofessionall role?
a.Educatorlb.Manag
erlc.Advocateld.Pro
viderlofl care
ANS:lC
Aslanladvocatelyoulactlonlbehalfloflyourlpatient,lsecuringlandlstandingluplforlyourlpatientslhealthlcarelrights.lAslanleduc
atorlyoulexplainlconceptslandlfactslaboutlhealth,ldescribelthelreasonlforlroutinelcarelactivities,ldemonstratelproceduresls
uchlaslself-
carelactivities,lreinforcellearninglorlpatientlbehavior,landlevaluatelthelpatientslprogresslinllearning.lMostlnurseslprovidel
directlpatientlcarelinlanlacutelcarelsetting,landlthisldescribeslthelroleloflproviderloflcare.lAlmanagerlcoordinateslthelactivi
tiesloflmembersloflthelnursinglstafflinldeliveringlnursinglcarelandlhaslpersonnel,lpolicy,landlbudgetarylresponsibilitylforl
alspecificlnursinglunitlorl agency.
PTS:1DIF:CognitivelLevel:lApplyingl(Application)
REF:l7lOBJ:lDescribelthelroleslandlcareerlopportunitieslforlnurses.lTOP:lN
ursinglProcess:lEvaluationlMSC:lNCLEX:lManagementloflCare
7.Alnurselmustlfollowllegalllawslthatlprotectlpubliclhealth,lsafety,landlwelfare.lWhichllawlislthelnurselfollowing?
a.CodeloflEthicslb.Nurs
elPracticelActlc.Standar
dsloflpractice
d.QualitylandlsafetyleducationlforlnurseslA
NS:lB
InlthelUnitedlStatesleachlStatelBoardloflNursingloverseeslitslNurselPracticelActl(NPA),lwhichlregulateslthelscopeloflnur
singlpracticelforlthelstatelandlprotectslpubliclhealth,lsafety,landlwelfare.lThelANAslCodeloflEthicslforlNurses:lInterpret
ationlandlApplicationl(2010)lprovideslalguidel(notlallaw)lforlcarryingloutlnursinglresponsibilitiesltolensurelhigh-
qualitylnursinglcarelandlprovidelforlthelethicallobligationsloflthelprofession.lThelpurposeloflalstandardloflcarelisltoldescr
ibelthelcommonllevelloflprofessionallnursinglcareltoljudgelthelqualityloflnursinglpractice.lThelRobertlWoodlJohnsonlFo
undationlsponsoredlthelQualitylandlSafetylEducationlforlNursesl(QSEN)linitiativeltol respondltol reportslaboutlsafetyl an
dl qualityl patientl carelbylthel Institutel ofl Medicine.
PTS:1DIF:CognitivelLevel:lApplyingl(Application)l
REF:7
OBJescribelthelpurposeloflprofessionallstandardsloflnursinglpractice.lTOP:l
NursinglProcess:lEvaluationlMSC:lNCLEX:lManagementloflCare
8.Alnurselisldirectinglthelcarelandlstaffingloflthreelcardiaclunits.lThelnurselislpracticinglinlwhichlnursinglrole?
a.Advancedlpracticelregisteredlnursel
b.Nurselresearcher
=
