m m m m m m m m
Chapterm1.mNursingmToda
ymMULTIPLEmCHOICE
1. Contemporarymnursingmpracticemismbasedmonmknowledgemgeneratedmthroughmnursingmtheori
es.mFlorencemNightingalesmtheorymintroducedmthemconceptmthatmnursingmcaremfocusesmon:
1 Psychological needs m
2 A maximal level of wellness
m m m m
3 Health maintenance and restoration
m m m
4 Interpersonal interactions with the client
m m m m
ANS:m3
FlorencemNightingalembelievedmthemrolemofmthemnursemwasmtomputmthemclientsmbodyminmthembestmstat
eminmordermtomremainmfreemofmdiseasemormtomrecovermfrommdisease.
AlthoughmFlorencemNightingalemmaymhavemaddressedmmeetingmthempsychologicalmneedsmofmhermc
lients,mitmismnotmthemfocusmofmhermtheory.mThemgoalmofmNightingalesmtheorymismtomfacilitatemthembod
ysmreparativemprocessesmbymmanipulatingmthemclientsmenvironment.
FlorencemNightingalemthoughtmthemhumanmbodymhadmreparativempropertiesmofmitsmownmifmitmwasmca
redmforminmamwaymtomrecovermfrommdisease.mHermtheorymdidmnotmfocusmonmachievingmammaximalmlev
elmofmwellness.
FlorencemNightingalembelievedmthemnursemwasminmchargemofmthemclientsmhealth.mAlthoughmshe
minteractedmwithmhermclientsmbymreadingmtomthem,mhermtheorymofmnursingmcaremdidmnotmfocusmu
ponminterpersonalminteractions.
DIF:mAmREF:m2mOBJ:mKnowledgemT
OP:mNursingmProcess:mAssessment
MSC:mNCLEXmtestmplanmdesignation:mSafe,mEffectivemCaremEnvironment/CoordinatedmCare
2. NursingmeducationmprogramsminmthemUnitedmStatesmmaymseekmvoluntarymaccreditationmbymt
hemappropriatemaccreditingmcommissionmcouncilmofmthe:
1 National League for Nursing
m m m
2 American Nurses Association
m m
3 Congress for Nursing Practice
m m m
4 International Council of Nurses
m m m
ANS:m1
ThemNationalmLeaguemformNursingm(NLN)mismthemprofessionalmnursingmorganizationmconcernedmwith
nursingmeducation.mThemNLNmprovidesmaccreditationmtomnursingmprogramsmthatmseekmandmmeetmthem
m
NLNmaccreditationmrequirements.
ThemAmericanmNursesmAssociationm(ANA)mismconcernedmwithmthemnursingmprofessionmandmissu
esmaffectingmhealthmcare,mincludingmstandardsmofmcare.
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,ThemCongressmformNursingmPracticemismthempartmofmthemANAmconcernedmwithmdeterminingmthemle
galmaspectsmofmnursingmpractice,mthempublicmrecognitionmofmthemimportancemofmnursing,mandmthemi
mpactmofmtrendsminmhealthmcaremonmnursingmpractice.
ThemInternationalmCouncilmofmNursesm(ICN)mismconcernedmaboutmissuesmofmhealthmcaremandm
themnursingmprofession,mincludingmthemprovisionmofmanminternationalmpowermbasemformnurses.
DIF:mAmREF:m8mOBJ:mKnowledgemT
OP:mNursingmProcess:mAssessment
MSC:mNCLEXmtestmplanmdesignation:mSafe,mEffectivemCaremEnvironment/CoordinatedmCare
3. Themminimummeducationalmrequirementmformamnursempractitionermis:
1 Diploma in nursing
m m
2 Masters in nursing
m m
3 Doctorate in nursing
m m
4 Baccalaureate in nursing m m
ANS:m2
Ammastersmdegreemismnursingmismrequiredmtombecomemamnursempractitioner.
Diplomamprogramsminmnursingmrequirem3myearsmofmeducationmaftermwhichmthemgraduatemmaymbeco
memamregisteredmnurse,mbutmnotmamnursempractitioner.
Doctoralmprogramsmfocusmonmthemapplicationmofmresearchmfindingsmtomclinicalmpractice.mThemdocto
ralmdegreemismbeyondmthemmastersmdegree.
Thembaccalaureatemdegreemprogrammgenerallymrequiresm4myearsmofmstudyminmamcollegemormuniversi
ty,maftermwhichmthemgraduatemmaymbecomemamregisteredmnurse,mnotmamnursempractitioner.
DIF:mAmREF:m8mOBJ:mKnowledgemT
OP:mNursingmProcess:mAssessment
MSC:mNCLEXmtestmplanmdesignation:mSafe,mEffectivemCaremEnvironment/CoordinatedmCare
4. Amgroupmthatmlobbiesmatmthemstatemandmfederalmlevelmformadvancementmofmnursingsmrole,mecono
micminterest,mandmhealthmcaremismthe:
1 State Board of Nursing
m m m
2 American Nurses Association
m m
3 American Hospital Association
m m
4 National Student Nurses Association
m m m
ANS:m2
ThemAmericanmNursesmAssociationm(ANA)mhiresmlobbyistsmatmthemstatemandmfederalmlevelmtomprom
otemthemadvancementmofmhealthmcaremandmthemeconomicmandmgeneralmwelfaremofmnurses.
StatemBoardsmofmNursingmprimarilymfocusmonmlicensuremofmnursesmwithinmtheirmownmsta
te.mThemAmericanmHospitalmAssociationmdoesmnotmfocusmonmnursesmeconomicmissuesman
dmthemadvancementmofmthemrolemofmnurses.
ThemNationalmStudentmNursesmAssociationmfocusesmonmissuesmofmimportancemformnursingmstudents.
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, DIF:mAmREF:m8mOBJ:mComprehensio
nmTOP:mNursingmProcess:mAssessmen
t
MSC:mNCLEXmtestmplanmdesignation:mSafe,mEffectivemCaremEnvironment/CoordinatedmCare
5. AmnursemmovesmfrommSeattlemtomBostonmandmbeginsmworkingminmamhospital.mThemmostmimport
antmfactormformthemnursemtomconsidermwhenmmovingmtomanothermstatemismthe:
1 Massachusetts Nurse Practice Act
m m m
2 Standard for nursing practice in Boston
m m m m m
3 Clinical ladder of mobility in the new hospital
m m m m m m m
4 Requirement for continuing education units (CEU) in Massachus
m m m m m m m
etts
ANS:m1
Althoughmmostmstatesmhavemsimilarmpracticemacts,meachmindividualmstatemhasmitsmownmNursemPracti
cemActmthatmregulatesmthemlicensuremandmpracticemofmnursingmwithinmthatmstate.mKnowledgemofmthem
NursemPracticemActmismnecessarymtomprovidemsafemandmlegalmnursingmcare.
Standardsmofmnursingmpracticemaremnotmspecificmtomamcity,mbutmrathermtomthemprofessionmitself.mAlt
houghmthemclinicalmladdermofmmobilitymmaymbemofminterestminmregardmtomprofessionalmadvancemen
t,mitmismnotmthemmostmimportantmfactormwhenmpracticingmnursingminmanothermstate.mKnowledgemofmt
hemNursemPracticemActminmordermtomprovidemsafemandmlegalmnursingmcaremismofmhighermimportance.
Regardlessmofmwheremamnursempractices,mthemnursemshouldmstrivemtomremainmcurre
nt.mDIF:mCmREF:m8mOBJ:mAnalysis
TOP:mNursingmProcess:mAssessment
MSC:mNCLEXmtestmplanmdesignation:mSafe,mEffectivemCaremEnvironment/CoordinatedmCare
6. Amnursemismcaringmformamclientmwhomhasmchronicmrenalmfailure.mThemnursemstates,mWemwillmdom
everythingmpossiblemtomreturnmyoumtomthemoptimummlevelmofmself-
carempossible.mInmcoordinatingmanmapproachmtombestmmeetmthemneedsmofmthismclient,mthemnursemism
fulfillingmthemrolemof:
1 Manager
2 Educator
3 Counselor
4 Communicator
ANS:m1
Themnurse,minmcaringmformthismclient,mwillmcoordinatemthemactivitiesmofmothermmembersmofmthemhealt
hmcaremteam.mThismclientmmaymrequiremthemassistancemofmamnursingmassistantmtomprovidempersonalmc
aremuntilmthemclientmismlessmfatigued.mAmnutritionistmmaymbemnecessarymformdietmevaluation,mplannin
g,mandmteaching.mAmnursemmaymprovidemeducationmonmthemdialysismtherapymandmperformmthemskillmn
ecessarymuntilmthemclientmismablemtomdomsomindependently.
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