Test Bank for Leddy & Pepper’s Professional Nursing 10th Edition by Lucy Hood – Complete Chapters 1-22

TEST BANK
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Leddy & Pepper's Professional Nursing
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Lucy J. Hood
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10th Edition
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,Table of Contents
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Chapter 01 The Professional Nurse
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Chapter 02 The History Behind the Development of Professional Nursing
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Chapter 03 Contextual, Philosophical, and Ethical Elements of Professional Nursing
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Chapter 04 Establishing Helping and Healing Relationships
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Chapter 05 The Health Process and Self-Care of the Nurse
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Chapter 06 Patterns of Knowing and Nursing Science
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Chapter 07 Nursing Models and Theories
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Chapter 08 Professional Nursing Processes
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Chapter 09 Health Care Delivery Systems
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Chapter 10 Developing and Using Nursing Knowledge Through Research
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Chapter 11 Multicultural Issues in Professional Practice
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Chapter 12 Professional Nurse Accountability
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Chapter 13 Environmental and Global Health
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Chapter 14 Informatics and Technology in Nursing Practice
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Chapter 15 Nursing Approaches to Client Systems
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Chapter 16 The Professional Nurse's Role in Teaching and Learning
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Chapter 17 Leadership and Management in Professional Nursing
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Chapter 18 Quality Improvement Enhancing Patient Safety and Health Care Quality
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Chapter 19 The Professional Nurse's Role in Public Policy
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Chapter 20 Career Options for Professional Nurses
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Chapter 21 Development of a Professional Nursing Career
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Chapter 22 Shaping the Future of Nursing
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,Chapter 1, The Professional Nurse
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1. The nursing director attends a workshop and is presenting information on the ANA's
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Nursing's Social Policy Statement (2015b). Which statement regarding the profession
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of nursing is included in the publication?
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a. Nurses are expected to have the necessary knowledge, skill, and competence to
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execute their professional duties.
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b. Use public policy of current legislature to shape the future of the nursing
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profession. g




c. Use scientific knowledge to ration care to those individuals with noncomplex
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diagnoses and simple treatment options.
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d. Use assessment as the guide in order to treat the full range of human
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responses within the physical environment.
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ANS: A b - g b - g




Feedback: According to the ANA (2015b) Nursing's Social Policy Statement, nurses are
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expected to have the necessary knowledge, skill, and competence to execute their
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professional duties. In return, nurses expect society to authorize practice autonomy,
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extend self-governance, protect the title of RN and scope of practice, receive respect and
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fair remuneration for services, be free to practice nursing to the full extent of educational
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preparation, receive support to sustain the nursing profession, and be protected from
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hazardous service activities. Shaping the future of nursing is a primary goal of the ANA
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and all its efforts. Use of scientific knowledge and assessment are characteristics of the
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nursing profession and are included in the nursing process.
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PTS: 1 REF: Page and Header: p. 25, Service to Society b-g b-g b-g b-g b-g b-g b-g b-




OBJ: 5
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NAT: Client Needs: Safe and Effective Care Environment: Management of
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Care TOP:
g Chapter: 1 KEY: Integrated Process: Nursing
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Process
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BLM: Cognitive Level: Apply b NOT: Multiple Choice
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2. A nurse who has worked for 15 years in the hospital has an opportunity to attend an
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RN-to-BSN program, and the hospital will pay for the cost of tuition if the nurse agrees to
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work there for 2 years following graduation. The nurse has accepted and is in the first term
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at the local college. If the nurse wants to work on critical and reflective thinking skills,
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which activity should the nurse focus on developing?
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a. Reading a chapter on ―Care of the Cardiac Patient‖ b-g b-g b-g b-g b-g b-g b-g b-g




b. Speaking to the nurses on the clinical unit b-g b-g b-g b-g b-g b-g b-g




c. Listening to family as they share the client's story b-g b-g b-g b-g b-g b-g b-g b-g




d. Writing a paper on nursing for the palliative client b-g b-g b-g b-g b-g b-g b-g b-g




ANS: D b - g b - g




Feedback: Writing requires nurses to use critical and reflective thinking. Speaking enables
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the nurse to develop skills to communicate effectively verbally with clients as well as
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colleagues. Listening enables thought organization. Reading stimulates the release of
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neurotrophins, strengthening neural pathways.
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PTS: 1 REF: Page and Header: p. 11, Writing OBJ: b-g b-g b-g b-g b-g




4 NAT: b-g b - g Client Needs: Psychosocial Integrity: Psychosocial b-g b-g b-g b-g b-




g Integrity


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, TOP: Chapter: 1 KEY: Integrated Process: Communication b-g b - g b-g b-g b-




BLM: Cognitive Level: Apply
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Choice
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3. A nurse in the long-term care facility has decided to return to nursing school to earn a
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higher degree. The nurse is full of positive thoughts and energy when contemplates all the
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new things to learn. According to Shane's returning-to-school syndrome, which phase is
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this nurse experiencing?
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a. Conflict phase b-g




b. Reintegration phase b-g




c. Integration phase b-g




d. Honeymoon phase b-g




ANS: D b - g b - g




Feedback: Shane describes a ―returning-to-school syndrome‖ encountered by registered
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nurses returning to earn higher nursing degrees. The first phase, the honeymoon, is
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positive and the nurse recognizes similarities between previous educational experiences
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and the present experiences that reinforce their original role identity as a nurse. As a result,
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the nurse feels energetic about learning new things. The conflict phase is characterized by
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turbulent negative emotions when faculty members challenge the nurse to change ways of
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thinking and/or practicing. Phase 3, or reintegration, identifies the successful resolution of
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conflict. In this stage, nurses struggle to hold on to cherished beliefs about practice and
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frequently wonder why they decided to pursue a higher degree. The final stage,
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integration, is characterized by the ability to blend the original culture of work with the
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new culture of school. Integration of the old with the new results in a positive resolution of
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the
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returning-to-school syndrome but occurs later in the process. b-g b-g b-g b-g b-g b-g b-g




PTS: 1
REF: Page and Header: p. 15, Shane’s Returning-to-School Syndrome b-g b-g b-g b-g b-g b-g b-g




OBJ: 4 NAT: Client Needs: Psychosocial Integrity: Psychosocial b - g b-g b-g b-g b-g b-




Integrity TOP:
g Chapter: 1 KEY: Integrated Process: Teaching/Learning
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BLM: Cognitive Level: Apply
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4. A student nurse, who is in the second semester of nursing school, is experiencing an
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unsettled feeling. The nurse notes a lack of confidence in knowing how to act or
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what questions to ask. According to Bridges' Managing Transitions theory, what
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phase of transition is this student experiencing?
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a. New beginning b-g




b. Neutral zone b-g




c. Transition one b-g




d. Letting go b-g




ANS: B b - g b - g




Feedback: The second phase that Bridges calls ―the neutral zone‖ is when the old identity
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has vanished but the new one is not fully developed. In this phase, people experience a
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very unsettled feeling because they may not know how to act or what questions to ask. A
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new beginning is the third phase and is characterized by a new mental image or
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experience hallmarked by ―a release of new energy in a new direction.‖ A transition is the
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psychological adaptation that occurs and is not part of the phases. Letting go is the first
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phase of the process and requires letting go of the old identity.
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