. . . . . . . .
Chapter.1..Nursing.Today.
MULTIPLE.CHOICE
1. Contemporary.nursing.practice.is.based.on.knowledge.generated.through.nursing.theories..Flo
rence.Nightingales.theory.introduced.the.concept.that.nursing.care.focuses.on:
1 Psychological needs .
2 Amaximal level of wellness
. . . .
3 Health maintenance and restoration
. . .
4 Interpersonal interactions with the client
. . . .
ANS:.3
Florence.Nightingale.believed.the.role.of.the.nurse.was.to.put.the.clients.body.in.the.best.state.in.order.to.re
main.free.of.disease.or.to.recover.from.disease.
Although.Florence.Nightingale.may.have.addressed.meeting.the.psychological.needs.of.her.clients,.it.
is.not.the.focus.of.her.theory..The.goal.of.Nightingales.theory.is.to.facilitate.the.bodys.reparative.proces
ses.by.manipulating.the.clients.environment.
Florence.Nightingale.thought.the.human.body.had.reparative.properties.of.its.own.if.it.was.cared.for.in.
a.way.to.recover.from.disease..Her.theory.did.not.focus.on.achieving.a.maximal.level.of.wellness.
Florence.Nightingale.believed.the.nurse.was.in.charge.of.the.clients.health..Although.she.interacted.w
ith.her.clients.by.reading.to.them,.her.theory.of.nursing.care.did.not.focus.upon.interpersonal.interactio
ns.
DIF:.A.REF:.2.OBJ:.Knowledge.TOP:.
Nursing.Process:.Assessment
MSC:.NCLEX.test.plan.designation:.Safe,.Effective.Care.Environment/Coordinated.Care
2. Nursing.education.programs.in.the.United.States.may.seek.voluntary.accreditation.by.the.appr
opriate.accrediting.commission.council.of.the:
1 National League for Nursing
. . .
2 American Nurses Association
. .
3 Congress for Nursing Practice
. . .
4 International Council of Nurses . . .
ANS:.1
The.National.League.for.Nursing.(NLN).is.the.professional.nursing.organization.concerned.with.nurs
ing.education..The.NLN.provides.accreditation.to.nursing.programs.that.seek.and.meet.the.NLN.accr
editation.requirements.
The.American.Nurses.Association.(ANA).is.concerned.with.the.nursing.profession.and.issues.affecting.he
alth.care,.including.standards.of.care.
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,The.Congress.for.Nursing.Practice.is.the.part.of.the.ANA.concerned.with.determining.the.legal.aspec
ts.of.nursing.practice,.the.public.recognition.of.the.importance.of.nursing,.and.the.impact.of.trends.in
.health.care.on.nursing.practice.
The.International.Council.of.Nurses.(ICN).is.concerned.about.issues.of.health.care.and.the.nursi
ng.profession,.including.the.provision.of.an.international.power.base.for.nurses.
DIF:.A.REF:.8.OBJ:.Knowledge.TOP:.
Nursing.Process:.Assessment
MSC:.NCLEX.test.plan.designation:.Safe,.Effective.Care.Environment/Coordinated.Care
3. The.minimum.educational.requirement.for.a.nurse.practitioner.is:
1 Diploma in nursing . .
2 Masters in nursing
. .
3 Doctoratein nursing . .
4 Baccalaureate in nursing . .
ANS:.2
A.masters.degree.is.nursing.is.required.to.become.a.nurse.practitioner.
Diploma.programs.in.nursing.require.3.years.of.education.after.which.the.graduate.may.become.a.regi
stered.nurse,.but.not.a.nurse.practitioner.
Doctoral.programs.focus.on.the.application.of.research.findings.to.clinical.practice..The.doctoral.degree.is.
beyond.the.masters.degree.
The.baccalaureate.degree.program.generally.requires.4.years.of.study.in.a.college.or.university,.after.w
hich.the.graduate.may.become.a.registered.nurse,.not.a.nurse.practitioner.
DIF:.A.REF:.8.OBJ:.Knowledge.TOP:.
Nursing.Process:.Assessment
MSC:.NCLEX.test.plan.designation:.Safe,.Effective.Care.Environment/Coordinated.Care
4. A.group.that.lobbies.at.the.state.and.federal.level.for.advancement.of.nursings.role,.economic.intere
st,.and.health.care.is.the:
1 State Board of Nursing
. . .
2 American Nurses Association
. .
3 American Hospital Association
. .
4 National Student NursesAssociation
. . .
ANS:.2
The.American.Nurses.Association.(ANA).hires.lobbyists.at.the.state.and.federal.level.to.promote.the.a
dvancement.of.health.care.and.the.economic.and.general.welfare.of.nurses.
State.Boards.of.Nursing.primarily.focus.on.licensure.of.nurses.within.their.own.state..The.
American.Hospital.Association.does.not.focus.on.nurses.economic.issues.and.the.advance
ment.of.the.role.of.nurses.
The.National.Student.Nurses.Association.focuses.on.issues.of.importance.for.nursing.students.
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, DIF:.A.REF:.8.OBJ:.Comprehension.T
OP:.Nursing.Process:.Assessment
MSC:.NCLEX.test.plan.designation:.Safe,.Effective.Care.Environment/Coordinated.Care
5. A.nurse.moves.from.Seattle.to.Boston.and.begins.working.in.a.hospital..The.most.important.facto
r.for.the.nurse.to.consider.when.moving.to.another.state.is.the:
1 Massachusetts Nurse PracticeAct
. . .
2 Standard for nursing practice in Boston
. . . . .
3 Clinical ladder of mobility in the new hospital
. . . . . . .
4 Requirement for continuing education units (CEU)in
. . . . . .
Massachusetts
ANS:.1
Although.most.states.have.similar.practice.acts,.each.individual.state.has.its.own.Nurse.Practice.Act.th
at.regulates.the.licensure.and.practice.of.nursing.within.that.state..Knowledge.of.the.Nurse.Practice.Act
.is.necessary.to.provide.safe.and.legal.nursing.care.
Standards.of.nursing.practice.are.not.specific.to.a.city,.but.rather.to.the.profession.itself..Although.the.
clinical.ladder.of.mobility.may.be.of.interest.in.regard.to.professional.advancement,.it.is.not.the.most.i
mportant.factor.when.practicing.nursing.in.another.state..Knowledge.of.the.Nurse.Practice.Act.in.orde
r.to.provide.safe.and.legal.nursing.care.is.of.higher.importance.
Regardless.of.where.a.nurse.practices,.the.nurse.should.strive.to.remain.current..DIF:.
C.REF:.8.OBJ:.Analysis
TOP:.Nursing.Process:.Assessment
MSC:.NCLEX.test.plan.designation:.Safe,.Effective.Care.Environment/Coordinated.Care
6. A.nurse.is.caring.for.a.client.who.has.chronic.renal.failure..The.nurse.states,.We.will.do.everythin
g.possible.to.return.you.to.the.optimum.level.of.self-
care.possible..In.coordinating.an.approach.to.best.meet.the.needs.of.this.client,.the.nurse.is.fulfilling.
the.role.of:
1 Manager
2 Educator
3 Counselor
4 Communicator
ANS:.1
The.nurse,.in.caring.for.this.client,.will.coordinate.the.activities.of.other.members.of.the.health.care.tea
m..This.client.may.require.the.assistance.of.a.nursing.assistant.to.provide.personal.care.until.the.client.i
s.less.fatigued..A.nutritionist.may.be.necessary.for.diet.evaluation,.planning,.and.teaching..A.nurse.ma
y.provide.education.on.the.dialysis.therapy.and.perform.the.skill.necessary.until.the.client.is.able.to.do.
so.independently.
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