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chapters - Verified Answers
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,MULTIPLE CHOICE b-g
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
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a. Florence Nightingale b-g
b. Mary Nutting b-g
c. Clara Barton b-g
d. Lillian Wald b-g
ANS: A b-g
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
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poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
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came after Nightingale, each contributing to the nursing profession in her own way. Mary
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Nutting was instrumental in moving nursing education into universities. Clara Barton
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founded the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
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DIF:Understand (comprehension) b-g
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
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TOP: Evaluation MSC: Health Promotion and Maintenance b - g b-g b-g b-g
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
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nursing practice is the nurse following?
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a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C b-g
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
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attain expected outcomes. During assessment, the registered nurse collects comprehensive
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gdata pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
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analyzes the assessment data to determine the diagnoses or issues. During implementation,
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the registered nurse implements (carries out) the identified plan.
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DIF:Understand (comprehension) b-g
OBJ:Discuss the development of professional nursing roles. b-g b-g b-g b-g b-g b-g TOP: Planning b-g b-
MSC: Management of Care
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3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level
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of proficiency is the nurse upon initial transition to the obstetrical floor?
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a. Novice
b. Proficient
c. Competent
d. Advanced beginner b-g
ANS: A b-g
, A beginning nursing student or any nurse entering a situation in which there is no previous
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level of experience (e.g., an experienced operating room nurse chooses to now practice in
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home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
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situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
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gained from multiple previous experiences to a situation. A competent nurse understands the
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organization and specific care required by the type of patients (e.g., surgical, oncology, or
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orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
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care and establish long-range goals. A nurse who has had some level of experience with the
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situation is an advanced beginner. This experience may only be observational in nature, but
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the nurse is able to identify meaningful aspects or principles of nursing care.
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DIF:Apply (application) b-g
OBJ:Discuss the development of professional nursing roles. b-g b-g b-g b-g b-g b-g TOP: Evaluation b-g b-
MSC: Management of Care
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4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more
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fluids. The nurse then encourages the patient to drink more fluids. Which concept is the
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nurse demonstrating?
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a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B b-g
Autonomy is an essential element of professional nursing that involves the initiation of
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independent nursing interventions without medical orders. To obtain licensure in the United
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States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
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may choose to work toward certification in a specific area of nursing practice. Accountability
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means that you are responsible, professionally and legally, for the type and quality of nursing
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care provided.
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DIF:Apply (application) b-g
OBJ:Discuss the roles and career opportunities for nurses. b-g b-g b-g b-g b-g b-g b-g TOP: Implementation b-g b-
MSC: Management of Care
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5. A nurse prepares the budget and policies for an intensive care unit. Which role is the
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nurse implementing?
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a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B b-g
, A manager coordinates the activities of members of the nursing staff in delivering nursing
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care and has personnel, policy, and budgetary responsibility for a specific nursing unit or
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facility. As an educator, you explain concepts and facts about health, describe the reason for
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routine care activities, demonstrate procedures such as self-care activities, reinforce learning
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or patient behavior, and evaluate the patient’s progress in learning. As a patient advocate,
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you protect your patient’s human and legal rights and provide assistance in asserting these
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rights if the need arises. As a caregiver, you help patients maintain and regain health,
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manage disease and symptoms, and attain a maximal level function and independence
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through the healing process.
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DIF:Apply (application) b-g
OBJ:Discuss the roles and career opportunities for nurses. b-g b-g b-g b-g b-g b-g b-g TOP: Implementation b-g b-
MSC: Management of Care
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6. The nurse has been working in the clinical setting for several years as an advanced practice
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nurse. However, the nurse has a strong desire to pursue research and theory development.
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To fulfill this desire, which program should the nurse attend?
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a. Doctor of Nursing Science degree (DNSc) b-g b-g b-g b-g b-g
b. Doctor of Philosophy degree (PhD) b-g b-g b-g b-g
c. Doctor of Nursing Practice degree (DNP) b-g b-g b-g b-g b-g
d. Doctor in the Science of Nursing degree (DSN) b-g b-g b-g b-g b-g b-g b-g
ANS: B b-g
Some doctoral programs prepare nurses for more rigorous research and theory development
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and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional
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doctoral programs in nursing (DSN or DNSc) prepare graduates to apply research findings
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to clinical nursing. The DNP is a practice doctorate that prepares advanced practice nurses
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such as nurse practitioners.
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DIF:Understand (comprehension) b-g
OBJ:Compare and contrast the educational programs available for professional registered nurse
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(RN) education.
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7. A nurse attends a workshop on current nursing issues provided by the American
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Nurses Association. Which type of education did the nurse receive?
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a. Graduate education b-g
b. Inservice education b-g
c. Continuing education b-g
d. Registered nurse education b-g b-g
ANS: C b-g
Continuing education involves formal, organized educational programs offered by
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universities, hospitals, state nurses associations, professional nursing organizations, and
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educational and health care institutions. After obtaining a baccalaureate degree in nursing,
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you can pursue graduate education leading to a master’s or doctoral degree in any number of
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graduate fields, including nursing. Inservice education programs are instruction or training
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provided by a health care facility or institution. Registered nurse education is the education
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preparation for an individual intending to be an RN.
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DIF:Apply (application) b-g
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
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