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,Chapter01: Nursing Today
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Potter:Fundamentals ofNursing, 11th Edition
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MULTIPLE CHOICE n
1. Which nurse most likely kept records on sanitation techniques and the effects on health? a.
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Florence Nightingale n
b. Mary Nutting n
c. Clara Barton n
d. Lillian Wald n
ANS: A n
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor
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sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came after
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Nightingale, each contributing to the nursing profession in her own way. Mary Nutting was
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instrumental in moving nursing education into universities. Clara Barton founded the American
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Red Cross. Lillian Wald helped open the Henry Street Settlement.
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DIF:Understand (comprehension) n
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 n n n n
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
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nursing practice is the nurse following? a. Assessment
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b. Diagnosis
c. Planning
d. Implementation
ANS: C n
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 data
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pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse analyzes
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the assessment data to determine the diagnoses or issues. During implementation, the registered
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nurse implements (carries out) the identified plan.
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DIF:Understand (comprehension) n
OBJ:Discuss the development of professional nursing roles. n n n n n n TOP:PlanningMSC: n n
Management of Care
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3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
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proficiency is the nurse upon initial transition to the obstetrical floor? a. Novice
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b. Proficient
c. Competent
d. Advanced beginner n
, ANS: A n
A beginning nursing student or any nurse entering a situation in which there is no previous level of
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experience (e.g., an experienced operating room nurse chooses to now practice in home health) is
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an example of a novice nurse. Aproficient nurse perceives a patient’s clinical situation as a whole,
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is able to assess an entire situation, and can readily transfer knowledge gained from multiple
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previous experiences to a situation. A competent nurse understands the organization and specific
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care required by the type of patients (e.g., surgical, oncology, or orthopedic patients). This nurse
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is a competent practitioner who is able to anticipate nursing care and establish long-range goals.
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A nurse who has had some level of experience with the situation is an advanced beginner. This
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experience may only be observational in nature, but the nurse is able to identify meaningful
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aspects or principles of nursing care.
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DIF:Apply (application) n
OBJ:Discuss the development of professional nursing roles. n n n n n n TOP:EvaluationMSC: n n
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? a. Licensure
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b. Autonomy
c. Certification
d. Accountability
ANS: B n
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 may
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choose to work toward certification in a specific area of nursing practice. Accountability means that
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you are responsible, professionally and legally, for the type and quality of nursing care provided.
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DIF:Apply (application) n
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation MSC: n n n n n n n n n n
Management of Care
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5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
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implementing?
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a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B n
Amanager coordinates the activities of members of the nursing staff in delivering nursing care
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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 or
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patient behavior, and evaluate the patient’s progress in learning. As a patient advocate, you protect
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your patient’s human and legal rights and provide assistance in asserting these rights if the need
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arises. As a caregiver, you help patients maintain and regain health, manage disease and
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symptoms, and attain a maximal level function and independence through the healing process.
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DIF:Apply (application) n
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation MSC:
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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. To
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fulfill this desire, which program should the nurse attend? a. Doctor of Nursing Science degree
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(DNSc)
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b. Doctor of Philosophy degree (PhD) n n n n
c. Doctor of Nursing Practice degree (DNP) n n n n n
d. Doctor in the Science of Nursing degree (DSN) n n n n n n n
ANS: B n
Some doctoral programs prepare nurses for more rigorous research and theory development and
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award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral
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programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
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nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
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practitioners.
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DIF:Understand (comprehension) n
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
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education. TOP: Teaching/Learning MSC: Management of Care
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7. A nurse attends a workshop on current nursing issues provided by theAmerican Nurses
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Association. Which type of education did the nurse receive? a. Graduate education
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b. Inservice education n
c. Continuing education n
d. Registered nurse education n n
ANS: C n
Continuing education involves formal, organized educational programs offered by universities,
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hospitals, state nurses associations, professional nursing organizations, and educational and
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health care institutions. After obtaining a baccalaureate degree in nursing, you can pursue
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graduate education leading to a master’s or doctoral degree in any number of graduate fields,
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including nursing. Inservice education programs are instruction or training provided by a health
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care facility or institution. Registered nurse education is the education preparation for an
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individual intending to be an RN.
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