Chapterj1.jNursingjTodayj
MULTIPLEjCHOICE
1. Contemporaryjnursingjpracticejisjbasedjonjknowledgejgeneratedjthroughjnursingjtheories.jFl
orencejNightingalesjtheoryjintroducedjthejconceptjthatjnursingjcarejfocusesjon:
1 Psychologicaljneeds
2 Ajmaximaljleveljofjwellness
3 Healthjmaintenancejandjrestoration
4 Interpersonaljinteractionsjwithjthejclient
ANS:j3
FlorencejNightingalejbelievedjthejrolejofjthejnursejwasjtojputjthejclientsjbodyjinjthejbestjstatejinjorderjtoj
remainjfreejofjdiseasejorjtojrecoverjfromjdisease.
AlthoughjFlorencejNightingalejmayjhavejaddressedjmeetingjthejpsychologicaljneedsjofjherjclients,
jitjisjnotjthejfocusjofjherjtheory.jThejgoaljofjNightingalesjtheoryjisjtojfacilitatejthejbodysjreparativejp
rocessesjbyjmanipulatingjthejclientsjenvironment.
FlorencejNightingalejthoughtjthejhumanjbodyjhadjreparativejpropertiesjofjitsjownjifjitjwasjcaredjforj
injajwayjtojrecoverjfromjdisease.jHerjtheoryjdidjnotjfocusjonjachievingjajmaximaljleveljofjwellness.
FlorencejNightingalejbelievedjthejnursejwasjinjchargejofjthejclientsjhealth.jAlthoughjshejinteracted
jwithjherjclientsjbyjreadingjtojthem,jherjtheoryjofjnursingjcarejdidjnotjfocusjuponjinterpersonaljinter
actions.
DIF:jAjREF:j2jOBJ:jKnowledgejTOP:j
NursingjProcess:jAssessment
MSC:jNCLEXjtestjplanjdesignation:jSafe,jEffectivejCarejEnvironment/CoordinatedjCare
2. NursingjeducationjprogramsjinjthejUnitedjStatesjmayjseekjvoluntaryjaccreditationjbyjthejap
propriatejaccreditingjcommissionjcounciljofjthe:
1 NationaljLeaguejforjNursing
2 Americanj NursesjAssociation
3 CongressjforjNursingjPractice
4 InternationaljCounciljofjNurses
ANS:j1
ThejNationaljLeaguejforjNursingj(NLN)jisjthejprofessionaljnursingjorganizationjconcernedjwithjnu
rsingjeducation.jThejNLNjprovidesjaccreditationjtojnursingjprogramsjthatjseekjandjmeetjthejNLNj
accreditationjrequirements.
ThejAmericanjNursesjAssociationj(ANA)jisjconcernedjwithjthejnursingjprofessionjandjissuesjaffectingj
healthjcare,jincludingjstandardsjofjcare.
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,ThejCongressjforjNursingjPracticejisjthejpartjofjthejANAjconcernedjwithjdeterminingjthejlegaljasp
ectsjofjnursingjpractice,jthejpublicjrecognitionjofjthejimportancejofjnursing,jandjthejimpactjofjtren
dsjinjhealthjcarejonjnursingjpractice.
ThejInternationaljCounciljofjNursesj(ICN)jisjconcernedjaboutjissuesjofjhealthjcarejandjthejnu
rsingjprofession,jincludingjthejprovisionjofjanjinternationaljpowerjbasejforjnurses.
DIF:jAjREF:j8jOBJ:jKnowledgejTOP:j
NursingjProcess:jAssessment
MSC:jNCLEXjtestjplanjdesignation:jSafe,jEffectivejCarejEnvironment/CoordinatedjCare
3. Thejminimumjeducationaljrequirementjforjajnursejpractitionerjis:
1 Diplomajinjnursing
2 Mastersjinjnursing
3 Doctoratejinjnursing
4 Baccalaureatejinjnursing
ANS:j2
Ajmastersjdegreejisjnursingjisjrequiredjtojbecomejajnursejpractitioner.
Diplomajprogramsjinjnursingjrequirej3jyearsjofjeducationjafterjwhichjthejgraduatejmayjbecomejajre
gisteredjnurse,jbutjnotjajnursejpractitioner.
Doctoraljprogramsjfocusjonjthejapplicationjofjresearchjfindingsjtojclinicaljpractice.jThejdoctoraljdegreej
isjbeyondjthejmastersjdegree.
Thejbaccalaureatejdegreejprogramjgenerallyjrequiresj4jyearsjofjstudyjinjajcollegejorjuniversity,jafter
jwhichjthejgraduatejmayjbecomejajregisteredjnurse,jnotjajnursejpractitioner.
DIF:jAjREF:j8jOBJ:jKnowledgejTOP:j
NursingjProcess:jAssessment
MSC:jNCLEXjtestjplanjdesignation:jSafe,jEffectivejCarejEnvironment/CoordinatedjCare
4. Ajgroupjthatjlobbiesjatjthejstatejandjfederaljleveljforjadvancementjofjnursingsjrole,jeconomicjint
erest,jandjhealthjcarejisjthe:
1 StatejBoardjofjNursing
2 Americanj NursesjAssociation
3 Americanj HospitaljAssociation
4 NationaljStudentjNursesjAssociation
ANS:j2
ThejAmericanjNursesjAssociationj(ANA)jhiresjlobbyistsjatjthejstatejandjfederaljleveljtojpromotejthe
jadvancementjofjhealthjcarejandjthejeconomicjandjgeneraljwelfarejofjnurses.
StatejBoardsjofjNursingjprimarilyjfocusjonjlicensurejofjnursesjwithinjtheirjownjstate.jTh
ejAmericanjHospitaljAssociationjdoesjnotjfocusjonjnursesjeconomicjissuesjandjthejadva
ncementjofjthejrolejofjnurses.
ThejNationaljStudentjNursesjAssociationjfocusesjonjissuesjofjimportancejforjnursingjstudents.
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, DIF:jAjREF:j8jOBJ:jComprehensionjT
OP:jNursingjProcess:jAssessment
MSC:jNCLEXjtestjplanjdesignation:jSafe,jEffectivejCarejEnvironment/CoordinatedjCare
5. AjnursejmovesjfromjSeattlejtojBostonjandjbeginsjworkingjinjajhospital.jThejmostjimportantjfac
torjforjthejnursejtojconsiderjwhenjmovingjtojanotherjstatejisjthe:
1 MassachusettsjNursejPracticejAct
2 StandardjforjnursingjpracticejinjBoston
3 Clinicaljladderjofjmobilityjinjthejnewjhospital
4 Requirementjforjcontinuingjeducationjunitsj(CEU)jin
Massachusetts
ANS:j1
Althoughjmostjstatesjhavejsimilarjpracticejacts,jeachjindividualjstatejhasjitsjownjNursejPracticejActj
thatjregulatesjthejlicensurejandjpracticejofjnursingjwithinjthatjstate.jKnowledgejofjthejNursejPractic
ejActjisjnecessaryjtojprovidejsafejandjlegaljnursingjcare.
Standardsjofjnursingjpracticejarejnotjspecificjtojajcity,jbutjratherjtojthejprofessionjitself.jAlthoughjt
hejclinicaljladderjofjmobilityjmayjbejofjinterestjinjregardjtojprofessionaljadvancement,jitjisjnotjthej
mostjimportantjfactorjwhenjpracticingjnursingjinjanotherjstate.jKnowledgejofjthejNursejPracticejAc
tjinjorderjtojprovidejsafejandjlegaljnursingjcarejisjofjhigherjimportance.
Regardlessjofjwherejajnursejpractices,jthejnursejshouldjstrivejtojremainjcurrent.jDI
F:jCjREF:j8jOBJ:jAnalysis
TOP:jNursingjProcess:jAssessment
MSC:jNCLEXjtestjplanjdesignation:jSafe,jEffectivejCarejEnvironment/CoordinatedjCare
6. Ajnursejisjcaringjforjajclientjwhojhasjchronicjrenaljfailure.jThejnursejstates,jWejwilljdojeveryth
ingjpossiblejtojreturnjyoujtojthejoptimumjleveljofjself-
carejpossible.jInjcoordinatingjanjapproachjtojbestjmeetjthejneedsjofjthisjclient,jthejnursejisjfulfilli
ngjthejrolejof:
1 Manager
2 Educator
3 Counselor
4 Communicator
ANS:j1
Thejnurse,jinjcaringjforjthisjclient,jwilljcoordinatejthejactivitiesjofjotherjmembersjofjthejhealthjcarej
team.jThisjclientjmayjrequirejthejassistancejofjajnursingjassistantjtojprovidejpersonaljcarejuntiljthejc
lientjisjlessjfatigued.jAjnutritionistjmayjbejnecessaryjforjdietjevaluation,jplanning,jandjteaching.jAjn
ursejmayjprovidejeducationjonjthejdialysisjtherapyjandjperformjthejskilljnecessaryjuntiljthejclientjisj
ablejtojdojsojindependently.
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