Basic Nursing: Thinking, Doing, and Caring
(2nd Edition): Nursing Past and Present and
the Evolution of Professional Nursing
Practice in Modern Healthcare
Chapter 1. Nursing Past &
Present
Chapter 1. Nursing Past & Present
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. What is the most influential factor that has shaped the nursing
profession?
1)
Physicians need for handmaidens
2)
Societal need for healthcare outside the home
3)
Military demand for nurses in the field
4)
Germ theory influence on sanitation
ANS: 3
Throughout the centuries, stability of the government has been related to the
success of the 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 battle site. The physicians handmaiden was/is a nursing stereotype rather
than an influence on nursing. Although there has been need for healthcare
,outside the home throughout history, 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 improve healthcare but
did not shape nursing.
PTS: 1 DIF: Moderate REF: pp. 910 KEY: Nursing process: N/A Client need: N/A |
Cognitive level: Recall
____ 2. Which of the following is an example of an illness prevention activity?
Select all that apply.
1)
Encouraging the use of a food diary
2)
Joining a cancer support group
3)
Administering immunization for HPV
4)
Teaching a diabetic patient about his diet
ANS: 3
Administering immunization for HPV is an example of illness prevention.
Although cancer 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 an
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
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 immediate.
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 successfully carry out all the
others?
1)
Thinking and reasoning about the clients care
2)
Providing hands-on client care
, 3)
Carrying out physician orders
4)
Delegating to assistive personnel
ANS: 1
A substantial portion of the nursing role involves using clinical judgment, critical
thinking, 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 nurses role; it,
too, requires nursing assessment, planning, intervention, and evaluation. Many
simple nursing tasks are being delegated to nursing assistive personnel;
delegation requires careful analysis of patient status and the appropriateness of
support personnel to deliver care. Another way to analyze this question is that
none of the options of providing 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 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 skills.
(2nd Edition): Nursing Past and Present and
the Evolution of Professional Nursing
Practice in Modern Healthcare
Chapter 1. Nursing Past &
Present
Chapter 1. Nursing Past & Present
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. What is the most influential factor that has shaped the nursing
profession?
1)
Physicians need for handmaidens
2)
Societal need for healthcare outside the home
3)
Military demand for nurses in the field
4)
Germ theory influence on sanitation
ANS: 3
Throughout the centuries, stability of the government has been related to the
success of the 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 battle site. The physicians handmaiden was/is a nursing stereotype rather
than an influence on nursing. Although there has been need for healthcare
,outside the home throughout history, 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 improve healthcare but
did not shape nursing.
PTS: 1 DIF: Moderate REF: pp. 910 KEY: Nursing process: N/A Client need: N/A |
Cognitive level: Recall
____ 2. Which of the following is an example of an illness prevention activity?
Select all that apply.
1)
Encouraging the use of a food diary
2)
Joining a cancer support group
3)
Administering immunization for HPV
4)
Teaching a diabetic patient about his diet
ANS: 3
Administering immunization for HPV is an example of illness prevention.
Although cancer 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 an
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
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 immediate.
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 successfully carry out all the
others?
1)
Thinking and reasoning about the clients care
2)
Providing hands-on client care
, 3)
Carrying out physician orders
4)
Delegating to assistive personnel
ANS: 1
A substantial portion of the nursing role involves using clinical judgment, critical
thinking, 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 nurses role; it,
too, requires nursing assessment, planning, intervention, and evaluation. Many
simple nursing tasks are being delegated to nursing assistive personnel;
delegation requires careful analysis of patient status and the appropriateness of
support personnel to deliver care. Another way to analyze this question is that
none of the options of providing 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 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 skills.
