l l l
FundamentalsloflNursinglActivelLearninglforlCollaborativelPracticel3r
dlEditionlbyllBarbaralL.lYoost,lLynnelR.lCrawford
,lllllllllllllllllllllllllll Chapterl01:lNursing,lTheory,landlProfessionallPractice
Yoostl&lCrawford:lFundamentalsloflNursing:lActivelLearninglforlCollaborativelPractice,l3rdlE
dition
MULTIPLElCHOICE
1. Algrouploflnursingllearnerslareldiscussinglthelimpactloflnonnursingltheorieslinlclinicallpractice.lTh
ellearnerslwouldlbelcorrectlifltheylchoselwhichltheoryltolprioritizelclientlcare?
a. Erikson‘slPsychosociallTheory
b. Paul‘slCritical-ThinkinglTheory
c. Maslow‘slHierarchyloflNeeds
d. Rosenstock‘slHealthlBelieflModel
CORRECTlANS:l C
FEEDBACK:lMaslow‘slhierarchyloflneedslspecifieslthelpsychologicallandlphysiologiclfactorslthatl
affectleachlperson‘slphysicallandlmentallhealth.lThelRN‘slunderstandinglofltheselfactorslhelpslwithl
formulatinglNursingldiagnoseslthatladdresslthelclient‘slneedslandlvaluesltolprioritizelcare.lErikson‘
slPsychosociallTheoryloflDevelopmentlandlSocializationlislbasedlonlindividuals‘linteractinglandllea
rninglaboutltheirlworld.lRNsluselconceptslofldevelopmentalltheoryltolcriticallylthinklinlprovidinglcare
lforltheirlclientslatlvariouslstagesl ofltheirllives.
Rosenstockl(1974)ldevelopedlthelpsychologicallHealthlBelieflModel.lThelmodelladdresseslpossible
lreasonslforlwhylalclientlmaylnotlcomplylwithlrecommendedlhealthlpromotionlbehaviors.lThislmode
llislespeciallylusefulltolRNslasltheyleducatelclients.
DIF: Remembering OBJ:lll 1.5 TOP:l Planning
MSC:llNCLEXlClientlNeedslCN
ategR
ory:ISafG
elanB
dlE.fC
fectiM
velCarelEnvironment:lManagementloflCarelNOT:llConce
pts:lCarelCoordinatiU
on
2. Alnursingllearnerlislpreparinglstudylnoteslfromlalrecentllecturelinlnursinglhistory.lThellearnerl
wouldlcreditlFlorencelNightingalelforlwhichldefinitionloflnursing?
a. Thelimbalancelbetweenlthelclientlandlthelenvironmentldecreaseslthelcapacitylforlhealt
h.
b. ThelRNlneedsltolfocuslonlinterpersonallprocesseslbetweenlRNlandlclient.
c. ThelRNlassistslthelclientlwithlessentiallfunctionsltowardlindependence.
d. Humanlbeingslarelinteractinglinlcontinuouslmotionlaslenergylfields.
CORRECTlANS:l A
FEEDBACK:lFlorencelNightingale‘sl(1860)lconceptloflthelenvironmentlemphasizedlpreventionla
ndlcleanlair,lwater,landlhousing.lThisltheorylstateslthatlthelimbalancelbetweenlthelclientlandlthele
nvironmentldecreaseslthelcapacitylforlhealthlandldoeslnotlallowlforlconservationloflenergy.lHilde
gardlPeplaul(1952)lfocusedlonlthelroleslplayedlbylthelRNlandlthelinterpersonallprocesslbetwee
nlalRNlandlalclient.lVirginialHendersonldescribedlthelRN‘slrolelaslsubstitutivel(doinglforlthelperso
n),lsupplementaryl(helpinglthelperson),lorlcomplementaryl(workinglwithlthelperson),lwithlthelgoal
loflindependencelforlthelclient.lMarthalRogersl(1970)ldevelopedlthelScienceloflUnitarylHumanlB
eings.lShelstatedlthatlhumanlbeingslandltheirlenvironmentslarelinteractinglinlcontinuouslmotionlasl
infinitelenergylfields.
DIF: Understanding OBJ:lll 1.4
TOP:lPlanninglMSC:l NCLEXl ClientlNeedslCategory:lHealthlPromotionlandlM
aintenancelNOT:lConcepts:lHealthlPromotion
,3. ThelRNlidentifieslwhichlRNlestablishedlthelAmericanlRedlCrosslduringlthelCivillWar?
a. DorothealDix
b. LindalRichards
c. LenalHigbee
d. Claral Barton
CORRECTlANS:l D
FEEDBACK:lClaralBartonlpracticedlnursinglinlthelCivillWarlandlestablishedlthelAmericanlRedlCro
ss.lDorothealDixlwaslthelheadloflthelU.S.lSanitarylCommission,lwhichlwaslalforerunnerloflthelArmylR
NlCorps.lLindalRichardslwaslAmerica‘slfirstltrainedlRN,lgraduatinglfromlBoston‘slWomen‘slHospit
allinl1873,landlLenalHigbee,lsuperintendentloflthelU.S.lNavylRNlCorps,lwaslawardedlthelNavylCr
osslinl1918.
DIF: Remembering OBJ:lll 1.3
TOP:lAssessmentlMSC:l NCLEXlClientlNeedslCategory:lHealthlPromotionlandlMai
ntenance
NOT:lConcepts:lProfessionalism
4. Thelnursinglinstructorlislresearchinglthelfivelproficiencieslregardedlaslessentiallforllearnerslandlp
rofessionals.lThelnursinglinstructorlidentifieslwhichlorganizationlwouldlbelfoundltolhaveladdedls
afetylaslalsixthlcompetency?
a. QualitylandlSafetylEducationlforlRNsl(QSEN)
b. InstituteloflMedicinel(IOM)
c. AmericanlAssociationloflCollegesloflNursingl(AACN)
d. NationallLeaguelforlNursingl(NLN)
CORRECTlANS:l A
FEEDBACK:lThelInstituteloflMedicinelrepN ort,RHeIalthGProBfe.ssCionM
slEducation:lAlBridgeltolQualityl(2003)
,loutlineslfivelcorelcompetencies.U lS
lTheselincludelclient-centeredlcare,linterdisciplinary
teamwork,luseloflevidence-
basedlmedicine,lqualitylimprovement,landluseloflinformationltechnology.lQSENladdedlsafetylasla
lsixthlcompetency.lThelEssentialsloflBaccalaureatelEducationlforlProfessionallNursinglPracticelarelpr
ovidedlandlupdatedlbylthelAmericanlAssociationloflCollegesloflNursingl(AACN)l(2008).lTheldocu
mentlofferslalframeworklforltheleducationloflprofessionallRNslwithloutcomeslforllearnersltolmeet.lT
helNationallLeaguelforlNursingl(NLN)loutlineslandlupdateslcompetencieslforlpractical,lassociate,lb
accalaureate,landlgraduatelnursingleducationlprograms.
DIF: Remembering OBJ:lll 1.1 TOP:l Planning
MSC:lNCLEXlClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment:lManagementloflCarelNOT:l
Concepts:lCarelCoordination
5. ThelRNlmanagerlislinterviewinglgraduatelRNsltolfilllexistinglstaffinglvacancies.lWhenlhiringlgra
duatelRNs,lthelRNlmanagerlrealizeslthatltheylwilllprobablylnotlbelconsidered
―competent‖l untill theyl completel whichl task?
a. TheylgraduatelandlpasslNCLEX.
b. Theylhavelworkedl2ltol3lyears.
c. Theirllastlyearloflnursinglschool.
d. Theylarelactuallylhired.
CORRECTlANS:l B
, FEEDBACK:lBenner‘slmodellidentifieslfivellevelsloflproficiency:lnovice,ladvancedlbeginner,lcomp
etent,lproficient,landlexpert.lThellearnerlRNlprogresseslfromlnoviceltoladvancedlbeginnerlduringl
nursinglschoollandlattainslthelcompetentllevellafterlapproximatelyl2ltol3lyearsloflworklexperienc
elafterlgraduation.lTolobtainlthelRNlcredential,lalpersonlmustlgraduatelfromlanlapprovedlschooll
oflnursinglandlpasslalstatellicensinglexaminationlcalledlthelNationallCouncillLicensurelExaminationl
forlRegisteredlRNsl(NCLEX-
RN)lusuallyltakenlsoonlafterlcompletionloflanlapprovedlnursinglprogram.
DIF: Remembering OBJ:lll 1.7 TOP:l Planning
MSC:lNCLEXlClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment:lManagementloflCarelNOT:l
Concepts:lCarelCoordination
6. Thelprospectivellearnerlislconsideringloptionslforlbeginninglalcareerlinlnursing.lWhichldegre
elwouldlbestlmatchlthellearner‘sldesireltolconductlresearchlatltheluniversityllevel?
a. AssociatelDegreelinlNursingl(ADN)
b. BachelorloflSciencelinlNursingl(BSN)
c. DoctorloflNursinglPracticel(DNP)
d. DoctorloflPhilosophylinlNursingl(PhD)
CORRECTlANS:l D
FEEDBACK:lDoctorallnursingleducationlcanlresultlinlalDoctorloflPhilosophyl(PhD)ldegree.lThisldeg
reelprepareslRNslforlleadershiplroleslinlresearch,lteaching,landladministrationlthatlarelessentialltol
advancinglnursinglaslalprofession.lAssociatelDegreelinlNursingl(ADN)lprogramslusuallylarelcondu
ctedlinlalcommunitylcollegelsetting.lThelnursinglcurriculumlfocuseslonladultlacutelandlchronicldiseas
e;lmaternal/childlhealth;lpediatrics;landlpsychiatric/mentallhealthlnursing.lADNlRNslmaylreturnlt
olschoolltolearnlalbachelor‘sldegreelorlhigherlinlanlRN-to-BSNlorlRN-to-
MSNlprogram.lBachelor‘sldegreelprogramslincludelcommunitylhealthland
managementlcourseslbeyondN thUoR
seSpIroN
viGedBi.nCanOassociateldegreelprogram.lAlnewer
dT
practice-
focusedldoctoralldegreelislthelDoctorloflNursinglpracticel(DNP),lwhichlconcentrateslonlthelclinicalla
spectsloflnursing.lDNPlspecialtieslincludelthelfourladvancedlpracticelrolesloflNP,lCNS,lCNM,landlC
RNA.
DIF:lll Remembering OBJ:lll 1.9 TOP:l Assessment
MSC:lNCLEXlClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment:lManagementloflCarelNOT:l
Concepts:lCarelCoordination
7. Duringlalstafflmeeting,lthelRNlmanagerlannounceslthatlthelhospitallwilllbelseekinglMagnetlstatus.lT
olexplainlthelrequirementslforlthislaward,lthelRNlmanagerlwilllcontactlwhichlorganization?
a. AmericanlRNslAssociationl(ANA)
b. AmericanlRNslCredentialinglCenterl(ANCC)
c. NationallLeaguelforlNursingl(NLN)
d. JointlCommission
CORRECTlANS:l B
FEEDBACK:lThelAmericanlRNslCredentialinglCenterl(ANCC)lawardslMagnetlRecognitionltolhospi
talslthatlhavelshownlexcellencelandlinnovationlinlnursing.lThelANAlislalprofessionallorganizationlth
atlprovideslstandardsloflnursinglpractice.lThelNationallLeaguelforlNursingl(NLN)loutlineslandlupd
ateslcompetencieslforlpractical,lassociate,lbaccalaureate,landlgraduatelnursingleducationlprogra
ms.lThelJointlCommissionlislthelaccreditinglorganizationlforlhealthlcarelfacilitieslinlthelUnitedlStates
.