DavisAdvantageBasicNURSIng:Thinking,Doing,
andCaring3rdEditionTreasWilkinsonTestBank
,Chapter 1 Evolution of NURSIng Thought & Action
Multiple Choice
Identify the choice that best completes the statement or ACCYULATE ANSwers the question.
1. What is the most influential factor that has shaped the
nursin g profession? 1)
PhysiciACCYULATE ANS need
for handmaidens 2)
Societal need for healthcare outside the
hom e 3)
Military demand for NURSEs in the field 4
) Germ theory influence on sanitation A
NS: 3
Throughout the centuries, stability of the government has been related to the success
of t he military to protect or extend its domain. As the survival and well-
being of soldiers is critical, NURSEs provided healthcare to the sick and injured at
the battl e site. The physiciACCYULATE ANS handmaiden was/is a NURSIng
stereotype rather than an influence on NURSIng. Although there has been need for
healthcare outside the home throughout hi story, this has more influence on the
development of hospitals than on NURSIng; this need provided one more setting for
NURSIng work. Germ theory and sanitation helped to impro ve healthcare but did not
shape NURSIng.
PTS: 1 DIF: Moderate REF: dm 910 KEY: NURSIng process: N/A Client need: N/A |
Cog nitive level: Recall
2. Which of the following is an example of an illness prevention activity?
Selec t all that apply.
1)
Encouraging the use of a food
diar y 2)
Joining a cancer support
grou p 3)
Administering immunization for
HPV 4)
Teaching a diabetic patient about his diet
A NS: 3
Administering immunization for HPV is an example of illness prevention. Although
cance r is a disease, it is assumed that a person joining a support group would already
have the disease; therefore, this is not disease prevention but treatment. Illness-
prevention activities focus on avoiding a specific disease. A food diary is a health-
promotion activity. Teaching a diabetic patient about diet is a treatment for diabetes;
the patient already has diabetes, so it cannot prevent diabetes.
PTS: 1 DIF: Moderate REF: p. 18; high-
level question, not directly stated in text KEY: NURSIng process: N/A | Client need:
HPM | Cognitive level: Application
3. Which of the following contributions of Florence Nightingale had
a n immediate impact on improving patients health?
1)
Providing a clean environment
,2)
, Improving NURSIng
education 3)
Changing the delivery of care in
hospitals 4)
Establishing NURSIng as a distinct
profession ACCYULATE ANS: 1
Improved sanitation (a clean environment) greatly and immediately reduced the rate of
infection and mortality in hospitals. The other responses are all activities of Florence
Nightingale that improved healthcare or NURSIng, but the impact is long range, not
imm ediate.
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10;
student must infer from content
KEY: NURSIng process: N/A | Client need: SECE | Cognitive level: Application
4. All of the following are aspects of the full-
spectrum NURSIng role. Which one is essential for the nurse to do in order to
successfu lly carry out all the others?
1)
Thinking and reasoning about the clients
car e 2)
Providing hands-
on client care 3)
Carrying out physician
orders 4)
Delegating to assistive personnel
ACCYULATE ANS: 1
A substantial portion of the NURSIng role involves using clinical judgment, critical
think ing, and problem solving, which directly affect the care the client will actually
receive. Providing hands-
on care is important; however, clinical judgment, critical thinking, and problem
solving are essential to do it successfully. Carrying out physician orders is a small
part of a nu rses role; it, too, requires NURSIng assessment, planning, intervention,
and evaluation. M any simple NURSIng tasks are being delegated to NURSIng
assistive personnel; delegation requires careful analysis of patient status and the
appropriateness of support personnel t o deliver care. Another way to analyze this
question is that none of the options of prov iding hands-
on care, carrying out physician orders, and delegating to assistive personnel is
required for the nurse to think and reason about a clients care; so the
ACCYULATE ANSwer must be 1.
PTS:1DIFifficultREF: p. 11
KEY: NURSIng process: N/A | Client need: N/A | Cognitive level: Analysis
5. Which statement pertaining to Benners practice model for clinical competence
is
true?
1)
Progression through the stages is constant, with most NURSEs reaching the proficient stage.
2)
Progression through the stages involves continual development of thinking and technical
ski lls.
andCaring3rdEditionTreasWilkinsonTestBank
,Chapter 1 Evolution of NURSIng Thought & Action
Multiple Choice
Identify the choice that best completes the statement or ACCYULATE ANSwers the question.
1. What is the most influential factor that has shaped the
nursin g profession? 1)
PhysiciACCYULATE ANS need
for handmaidens 2)
Societal need for healthcare outside the
hom e 3)
Military demand for NURSEs in the field 4
) Germ theory influence on sanitation A
NS: 3
Throughout the centuries, stability of the government has been related to the success
of t he military to protect or extend its domain. As the survival and well-
being of soldiers is critical, NURSEs provided healthcare to the sick and injured at
the battl e site. The physiciACCYULATE ANS handmaiden was/is a NURSIng
stereotype rather than an influence on NURSIng. Although there has been need for
healthcare outside the home throughout hi story, this has more influence on the
development of hospitals than on NURSIng; this need provided one more setting for
NURSIng work. Germ theory and sanitation helped to impro ve healthcare but did not
shape NURSIng.
PTS: 1 DIF: Moderate REF: dm 910 KEY: NURSIng process: N/A Client need: N/A |
Cog nitive level: Recall
2. Which of the following is an example of an illness prevention activity?
Selec t all that apply.
1)
Encouraging the use of a food
diar y 2)
Joining a cancer support
grou p 3)
Administering immunization for
HPV 4)
Teaching a diabetic patient about his diet
A NS: 3
Administering immunization for HPV is an example of illness prevention. Although
cance r is a disease, it is assumed that a person joining a support group would already
have the disease; therefore, this is not disease prevention but treatment. Illness-
prevention activities focus on avoiding a specific disease. A food diary is a health-
promotion activity. Teaching a diabetic patient about diet is a treatment for diabetes;
the patient already has diabetes, so it cannot prevent diabetes.
PTS: 1 DIF: Moderate REF: p. 18; high-
level question, not directly stated in text KEY: NURSIng process: N/A | Client need:
HPM | Cognitive level: Application
3. Which of the following contributions of Florence Nightingale had
a n immediate impact on improving patients health?
1)
Providing a clean environment
,2)
, Improving NURSIng
education 3)
Changing the delivery of care in
hospitals 4)
Establishing NURSIng as a distinct
profession ACCYULATE ANS: 1
Improved sanitation (a clean environment) greatly and immediately reduced the rate of
infection and mortality in hospitals. The other responses are all activities of Florence
Nightingale that improved healthcare or NURSIng, but the impact is long range, not
imm ediate.
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10;
student must infer from content
KEY: NURSIng process: N/A | Client need: SECE | Cognitive level: Application
4. All of the following are aspects of the full-
spectrum NURSIng role. Which one is essential for the nurse to do in order to
successfu lly carry out all the others?
1)
Thinking and reasoning about the clients
car e 2)
Providing hands-
on client care 3)
Carrying out physician
orders 4)
Delegating to assistive personnel
ACCYULATE ANS: 1
A substantial portion of the NURSIng role involves using clinical judgment, critical
think ing, and problem solving, which directly affect the care the client will actually
receive. Providing hands-
on care is important; however, clinical judgment, critical thinking, and problem
solving are essential to do it successfully. Carrying out physician orders is a small
part of a nu rses role; it, too, requires NURSIng assessment, planning, intervention,
and evaluation. M any simple NURSIng tasks are being delegated to NURSIng
assistive personnel; delegation requires careful analysis of patient status and the
appropriateness of support personnel t o deliver care. Another way to analyze this
question is that none of the options of prov iding hands-
on care, carrying out physician orders, and delegating to assistive personnel is
required for the nurse to think and reason about a clients care; so the
ACCYULATE ANSwer must be 1.
PTS:1DIFifficultREF: p. 11
KEY: NURSIng process: N/A | Client need: N/A | Cognitive level: Analysis
5. Which statement pertaining to Benners practice model for clinical competence
is
true?
1)
Progression through the stages is constant, with most NURSEs reaching the proficient stage.
2)
Progression through the stages involves continual development of thinking and technical
ski lls.
