FUNDAMENTALS OF NURSING 9TH EDITION n n n n
Chapter 1, Introduction to Nursing
n n n n
Annoncologynnursen with n15 nyearsnofn experience,ncertificationn inn then areanofn oncologynnursing,n andn an
master’sndegreen isn n consideredn ton ben ann expertn innhernareanofnpracticen andnworksnonnannoncologyn unitn inn a
n largenteachingnhospital.n Basednuponn thisndescription,n whichnofn the nfollowingncareern rolesn bestn describesn th
isn nurse’sn role,n takingn into n accountn her
1.n qualificationsn and n experience?
A) Clinicaln nursen specialist
B) Nursen entrepreneur
C) Nursen practitioner
D) Nursen educator
Ans: A
Feedback:
An clinicalnnursen specialistn isn annursen with nannadvanced ndegree,neducation,norn experiencen who nisnconsid
ered n to nbenann expertn innan specializednarean ofnnursing.nThenclinicaln nursenspecialistncarriesn outn directnpat
ientn care;nconsultation;nteachingnofnpatients,nfamilies,n andnstaff;n andnresearch.nAnnursenpractitionernhas
n an n advanced ndegreen and nworks nin na nvariety nofn settingsn tondelivern primaryncare.n An nursen educatornusua
lly n hasnannadvancedndegreenandnteachesn inntheneducationalnornclinicalnsetting.n An nursen entrepreneurnma
y n manage n an clinicn orn health-related n business.
Whatn guidelinesn don nursesnfollownto nidentify nthenpatient’snhealth ncarenneedsn andnstrengths,nto nestabl
2. ish n andncarry noutnanplannofncarento nmeetnthosenneeds,n andnton evaluatenthen effectivenessnofnthenplan n to n
meetn established n outcomes?
A) Nursingn process
B) ANAnStandardsn of n Professionaln Performance
C) Evidence-based npracticenguidelines
D) NursenPracticen Acts
Ans: A
Feedback:
Then nursingn processnisnonenofnthenmajornguidelinesnfornnursingnpractice.n Nursesnimplementntheirn rol
esn throughnthennursingnprocess.nThennursingnprocessnisnusednbynthennursentonidentify nthenpatient’snhea
lth n caren needsnand nstrengths,nton establishnandn carrynoutnanplann ofncarento nmeetn thosenneeds,nand nto n ev
aluaten then effectivenessn of n then plan n to n meetn established n outcomes.
, Which n ofnthenfollowingnorganizationsn isn thenbestnsourcenofninformationn whennannursenwishesnton determ
3. inen whethern an n action n isn within n then scopen of n nursingn practice?
A) American nNursesn Association n(ANA)
B) American nAssociation n of n Collegesn in nNursingn(AACN)
C) Nationaln Leaguenforn Nursingn (NLN)
D) InternationalnCouncilnof n Nursesn (ICN)
Ans: A
Feedback:
Then ANAnproducesnthen2003nNursing:nScopenandnStandardsnofnPractice,nwhichn definesnthenactivitiesn
specific nandnuniquento nnursing.n ThenAACNnaddressesn educationalnstandards,nwhilenthenNLNnpromotesn and
fostersn variousn aspectsn of n nursing.
ThenICNn providesnanvenuenfornnationalnnursingn organizationsntoncollaborate,nbutndoesnnotndefinenstand
ardsn and n scopen of n practice.
4. Who n isn considered n to n benthenfoundern of n professionaln nursing?
A) Dorothea n Dix
B) Lillian nWald
C) Florence nNightingale
D) Claran Barton
Ans:n C
Feedback:
Florence nNightingalenisnconsideredntonbenthenfoundernofnprofessionaln nursing.n Shenelevated nthenstatu
sn of nnursingnto nanrespectednoccupation,n improved nthenqualitynofnnursingncare,nandnfoundedn modern nn
ursingn education.nAlthoughn thenothernchoicesn arenwomennwhon werenimportantn tonthen developmentn o
f n nursing,n nonen of n themn isn considered n then founder.
5. Which n ofnthenfollowingn nursingn pioneersn established n thenRed n Crossn in n then United n Statesn in n 1882?
A) Florence nNightingale
B) Claran Barton
, C) Dorothea n Dix
D) Janen Addams
Ans:n B
Feedback:
Claran Bartonnvolunteeredn toncarenforn woundsn andnfeednunionn soldiersn duringn thencivilnwar,nservednasn t
hensupervisornofn nursesnforn thenArmynofn thenJames,norganized nhospitalsn andnnurses,nandn established n t
hen Red n Crossn in n then United n Statesn in n 1882.
An nurse npractitionernisncaringn forn ancouplenwhonaren thenparentsn ofnanninfantndiagnosed nwith nDownnSyn
6. drome.nThennursen makesn referralsn forn an parentn supportn group n forn thenfamily.n Thisn isn an n example
of n which n nursingn role?
A) Teacher/Educator
B) Leader
C) Counselor
D) Collaborator
Ans:n C
Feedback:
Counselingnskillsn involventhenusenofn therapeuticninterpersonalncommunicationn skillsnton provideninfor
mation,n maken appropriate n referrals,n and n facilitaten then patient’sn problem-solvingn and n decision-
n makingn skills.n Then teacher/educatornusesn communicationnskillsn tonassess, nimplement, nandn evaluateni
ndividualizednteachingnplansnto nmeetn learningn needsnofnclientsnandntheirnfamilies.n Anleaderndisplaysna
n n assertive,n self-
confidentn practicen ofnnursingnwhenn providingn care,neffectingn change,nand nfunctioningn withn groups.n
Then collaboratornusesnskillsnin norganization,ncommunication,n andnadvocacy nton facilitatenthenfunction
sn of n alln membersn of n then health n caren teamn asn they n provide n patientn care.
7.n An nursenisn providingn nursingncareninnanneighborhood nclinicnto nsingle,n pregnantnteens.n Which nofnthenfo
llowingn actionsn isn then bestn example n of n usingn then counselorn rolen asn an nurse?
A) Discussingnthen legaln aspectsn of n adoption n forn teensn wishingn to n placentheirn infantsn with n an family
B) Searchingn thenInternetn forn information n on n child n caren forn thenteensn who n wish n to n return n to n school
C) Conductingn an clientn interviewn and n documentingn theninformation n on n thenclient’sn chart
D) Referringnan teen n who n admitsn havingn suicidaln thoughtsn to n an mentaln health n carenspecialist
Ans: D
Feedback:
, Then rolenofnthencounselornincludesnmakingnappropriatenreferrals.n Discussingnlegalnissuesnisnthenroleno
f n then advocate n and n searchingn forn information n on n then Internetn isn then rolen of n an researcher.
Conductingnan clientn interviewn would n falln undern thenrolenof n thencaregiver.
8. An nurseninstructorn explainsnthenconceptnofnhealthnto nhernstudents.nWhichnofnthenfollowingn statement
sn accurately n describesn thisn staten of n being?
A) Health n isn an statenof n optimaln functioning.
B) Health n isn an n absence n of n illness.
C) Health n isn alwaysn an n objective nstate.
D) Health nisn notn determined nby n thenpatient.
Ans: A
Feedback:
Health n isn an staten of n optimaln functioningn orn well-
being.n Asndefinedn byn thenWorldn Health nOrganization,n one’snhealthnincludesnphysical,nsocial,nandnme
ntaln componentsnandnisnnotn merely nthen absencenofndiseasen orninfirmity.nHealthn isnoftennansubjectivens
tate;n an person nmaynben medically ndiagnosedn with nannillnessnbutnstilln considern himselfnorn herself n healt
hy.
9. An nursenincorporatesnthenhealth npromotion nguidelinesnestablished nbynthenU.S.nDepartmentnofnHealth n d
ocument:n Healthy n People n 2010.n Which n of n then followingn isn an health n indicatorn discussed n in n this
document?
A) Cancer
B) Obesity
C) Diabetes
D) Hypertension
Ans: B
Feedback:
Then 10 nleadingn indicatorsnofnhealthn established nbynHealthynPeoplen2010n are:nphysicalnactivity,nexcess
iven weightnandnobesity,n tobacconuse,n substance nabuse,n responsiblensexualnbehavior,n mentaln health,n inju
ry n and n violence,n environmentaln quality,n immunizations, n and n accessn to n health n care.
10. Which n of n thenfollowingn isn an criterian thatn definesn nursingn asn profession?
A) an n undefined n body n of n knowledge
B) an dependence non n then medicaln profession
Chapter 1, Introduction to Nursing
n n n n
Annoncologynnursen with n15 nyearsnofn experience,ncertificationn inn then areanofn oncologynnursing,n andn an
master’sndegreen isn n consideredn ton ben ann expertn innhernareanofnpracticen andnworksnonnannoncologyn unitn inn a
n largenteachingnhospital.n Basednuponn thisndescription,n whichnofn the nfollowingncareern rolesn bestn describesn th
isn nurse’sn role,n takingn into n accountn her
1.n qualificationsn and n experience?
A) Clinicaln nursen specialist
B) Nursen entrepreneur
C) Nursen practitioner
D) Nursen educator
Ans: A
Feedback:
An clinicalnnursen specialistn isn annursen with nannadvanced ndegree,neducation,norn experiencen who nisnconsid
ered n to nbenann expertn innan specializednarean ofnnursing.nThenclinicaln nursenspecialistncarriesn outn directnpat
ientn care;nconsultation;nteachingnofnpatients,nfamilies,n andnstaff;n andnresearch.nAnnursenpractitionernhas
n an n advanced ndegreen and nworks nin na nvariety nofn settingsn tondelivern primaryncare.n An nursen educatornusua
lly n hasnannadvancedndegreenandnteachesn inntheneducationalnornclinicalnsetting.n An nursen entrepreneurnma
y n manage n an clinicn orn health-related n business.
Whatn guidelinesn don nursesnfollownto nidentify nthenpatient’snhealth ncarenneedsn andnstrengths,nto nestabl
2. ish n andncarry noutnanplannofncarento nmeetnthosenneeds,n andnton evaluatenthen effectivenessnofnthenplan n to n
meetn established n outcomes?
A) Nursingn process
B) ANAnStandardsn of n Professionaln Performance
C) Evidence-based npracticenguidelines
D) NursenPracticen Acts
Ans: A
Feedback:
Then nursingn processnisnonenofnthenmajornguidelinesnfornnursingnpractice.n Nursesnimplementntheirn rol
esn throughnthennursingnprocess.nThennursingnprocessnisnusednbynthennursentonidentify nthenpatient’snhea
lth n caren needsnand nstrengths,nton establishnandn carrynoutnanplann ofncarento nmeetn thosenneeds,nand nto n ev
aluaten then effectivenessn of n then plan n to n meetn established n outcomes.
, Which n ofnthenfollowingnorganizationsn isn thenbestnsourcenofninformationn whennannursenwishesnton determ
3. inen whethern an n action n isn within n then scopen of n nursingn practice?
A) American nNursesn Association n(ANA)
B) American nAssociation n of n Collegesn in nNursingn(AACN)
C) Nationaln Leaguenforn Nursingn (NLN)
D) InternationalnCouncilnof n Nursesn (ICN)
Ans: A
Feedback:
Then ANAnproducesnthen2003nNursing:nScopenandnStandardsnofnPractice,nwhichn definesnthenactivitiesn
specific nandnuniquento nnursing.n ThenAACNnaddressesn educationalnstandards,nwhilenthenNLNnpromotesn and
fostersn variousn aspectsn of n nursing.
ThenICNn providesnanvenuenfornnationalnnursingn organizationsntoncollaborate,nbutndoesnnotndefinenstand
ardsn and n scopen of n practice.
4. Who n isn considered n to n benthenfoundern of n professionaln nursing?
A) Dorothea n Dix
B) Lillian nWald
C) Florence nNightingale
D) Claran Barton
Ans:n C
Feedback:
Florence nNightingalenisnconsideredntonbenthenfoundernofnprofessionaln nursing.n Shenelevated nthenstatu
sn of nnursingnto nanrespectednoccupation,n improved nthenqualitynofnnursingncare,nandnfoundedn modern nn
ursingn education.nAlthoughn thenothernchoicesn arenwomennwhon werenimportantn tonthen developmentn o
f n nursing,n nonen of n themn isn considered n then founder.
5. Which n ofnthenfollowingn nursingn pioneersn established n thenRed n Crossn in n then United n Statesn in n 1882?
A) Florence nNightingale
B) Claran Barton
, C) Dorothea n Dix
D) Janen Addams
Ans:n B
Feedback:
Claran Bartonnvolunteeredn toncarenforn woundsn andnfeednunionn soldiersn duringn thencivilnwar,nservednasn t
hensupervisornofn nursesnforn thenArmynofn thenJames,norganized nhospitalsn andnnurses,nandn established n t
hen Red n Crossn in n then United n Statesn in n 1882.
An nurse npractitionernisncaringn forn ancouplenwhonaren thenparentsn ofnanninfantndiagnosed nwith nDownnSyn
6. drome.nThennursen makesn referralsn forn an parentn supportn group n forn thenfamily.n Thisn isn an n example
of n which n nursingn role?
A) Teacher/Educator
B) Leader
C) Counselor
D) Collaborator
Ans:n C
Feedback:
Counselingnskillsn involventhenusenofn therapeuticninterpersonalncommunicationn skillsnton provideninfor
mation,n maken appropriate n referrals,n and n facilitaten then patient’sn problem-solvingn and n decision-
n makingn skills.n Then teacher/educatornusesn communicationnskillsn tonassess, nimplement, nandn evaluateni
ndividualizednteachingnplansnto nmeetn learningn needsnofnclientsnandntheirnfamilies.n Anleaderndisplaysna
n n assertive,n self-
confidentn practicen ofnnursingnwhenn providingn care,neffectingn change,nand nfunctioningn withn groups.n
Then collaboratornusesnskillsnin norganization,ncommunication,n andnadvocacy nton facilitatenthenfunction
sn of n alln membersn of n then health n caren teamn asn they n provide n patientn care.
7.n An nursenisn providingn nursingncareninnanneighborhood nclinicnto nsingle,n pregnantnteens.n Which nofnthenfo
llowingn actionsn isn then bestn example n of n usingn then counselorn rolen asn an nurse?
A) Discussingnthen legaln aspectsn of n adoption n forn teensn wishingn to n placentheirn infantsn with n an family
B) Searchingn thenInternetn forn information n on n child n caren forn thenteensn who n wish n to n return n to n school
C) Conductingn an clientn interviewn and n documentingn theninformation n on n thenclient’sn chart
D) Referringnan teen n who n admitsn havingn suicidaln thoughtsn to n an mentaln health n carenspecialist
Ans: D
Feedback:
, Then rolenofnthencounselornincludesnmakingnappropriatenreferrals.n Discussingnlegalnissuesnisnthenroleno
f n then advocate n and n searchingn forn information n on n then Internetn isn then rolen of n an researcher.
Conductingnan clientn interviewn would n falln undern thenrolenof n thencaregiver.
8. An nurseninstructorn explainsnthenconceptnofnhealthnto nhernstudents.nWhichnofnthenfollowingn statement
sn accurately n describesn thisn staten of n being?
A) Health n isn an statenof n optimaln functioning.
B) Health n isn an n absence n of n illness.
C) Health n isn alwaysn an n objective nstate.
D) Health nisn notn determined nby n thenpatient.
Ans: A
Feedback:
Health n isn an staten of n optimaln functioningn orn well-
being.n Asndefinedn byn thenWorldn Health nOrganization,n one’snhealthnincludesnphysical,nsocial,nandnme
ntaln componentsnandnisnnotn merely nthen absencenofndiseasen orninfirmity.nHealthn isnoftennansubjectivens
tate;n an person nmaynben medically ndiagnosedn with nannillnessnbutnstilln considern himselfnorn herself n healt
hy.
9. An nursenincorporatesnthenhealth npromotion nguidelinesnestablished nbynthenU.S.nDepartmentnofnHealth n d
ocument:n Healthy n People n 2010.n Which n of n then followingn isn an health n indicatorn discussed n in n this
document?
A) Cancer
B) Obesity
C) Diabetes
D) Hypertension
Ans: B
Feedback:
Then 10 nleadingn indicatorsnofnhealthn established nbynHealthynPeoplen2010n are:nphysicalnactivity,nexcess
iven weightnandnobesity,n tobacconuse,n substance nabuse,n responsiblensexualnbehavior,n mentaln health,n inju
ry n and n violence,n environmentaln quality,n immunizations, n and n accessn to n health n care.
10. Which n of n thenfollowingn isn an criterian thatn definesn nursingn asn profession?
A) an n undefined n body n of n knowledge
B) an dependence non n then medicaln profession