TestBankFor FundamentalsofNursing
v v d
ActiveLearningforCollaborativePractice3rd
Edition
d
By
BarbaraL.Yoost,LynneR.Crawford
d d
,Chapter01:Nursing,Theory,andProfessionalPractice
Yoost&Crawford:FundamentalsofNursing:ActiveLearningforCollaborativePractice,
d
3rdEdition
d
MULTIPLECHOICE
1. Agroupofnursingstudentsarediscussingtheimpactofnonnursingtheoriesinclinical v v v
practice.Thestudentswouldbecorrectiftheychosewhichtheoryto prioritizepatientcare?
d h v d
a. Erikson‗sPsychosocialTheory
b. Paul‗sCritical-ThinkingTheory
c. Maslow‗sHierarchyofNeeds
d. Rosenstock‗sHealth BeliefModel d
ANS:C
Maslow‗shierarchyofneedsspecifiesthepsychologicalandphysiologicfactorsthataffecteach v
person‗sphysicalandmentalhealth.Thenurse‗sunderstandingofthesefactorshelpswith
d v v
formulatingNursingdiagnosesthataddressthepatient‗sneedsandvaluestoprioritizecare.
d v v v
Erikson‗sPsychosocialTheoryofDevelopmentandSocializationisbasedonindividuals‗ v
interactingandlearningabouttheirworld.Nursesuseconcepts ofdevelopmentaltheoryto
d d
criticallythinkinprovidingcarefortheirpatientsatvariousstagesoftheirlives.
d v
Rosenstock(1974)developedthepsychologicalHealthBeliefModel.Themodeladdresses B
possiblereasonsforwhyapatientmaynotcomplywithrecommendedhealthpromotion
d v
behaviors.Thismodelisespeciallyusefultonursesastheyeducatepatients.
d
DIF: Remembering OBJ: 1.5 TOP: Planning d d d
MSC:NCLEXClientNeedsCN a tegR
Bory:ISaf G e a n Bd
B E.ffCe c t iMve d B d d B d d
CareEnvironment:ManagementofCareNOT: Concepts:CareCoordinatiU
h h h
d on B d
2. Anursingstudentispreparingstudynotesfromarecentlectureinnursinghistory.The
d h h h
d studentwouldcreditFlorenceNightingaleforwhichdefinitionofnursing?
v v
a. Theimbalancebetweenthepatientandtheenvironmentdecreasesthecapacityfor
dhealth.
b. Thenurseneedstofocusoninterpersonalprocessesbetweennurseandpatient.
c. Thenurseassiststhepatientwithessentialfunctions towardindependence. d
d. Humanbeingsareinteractingincontinuousmotionasenergyfields.
ANS:A
FlorenceNightingale‗s(1860)conceptoftheenvironmentemphasizedpreventionandcleanair,
v v v v v
water,andhousing.Thistheorystatesthattheimbalancebetweenthepatientandthe
d v v
environmentdecreasesthecapacityforhealthanddoesnotallowforconservationofenergy.
d
HildegardPeplau(1952)focusedontherolesplayedbythenurseandtheinterpersonalprocess v v
betweenanurseandapatient.VirginiaHendersondescribedthenurse‗sroleassubstitutive
d v v v v v
(doingfortheperson),supplementary(helpingtheperson),orcomplementary(workingwiththe
d v
person),withthegoalofindependenceforthepatient.MarthaRogers(1970)developedthe
d v v
ScienceofUnitaryHumanBeings.Shestatedthathumanbeingsandtheirenvironmentsareinteracting
d v v v
d incontinuousmotionasinfiniteenergyfields.
d v
DIF: Understandingd OBJ: 1.4 TOP:Planning d
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance NOT:
d d d d d d d d d d
Concepts:HealthPromotion
d
,3. ThenurseidentifieswhichnurseestablishedtheAmericanRedCrossduringtheCivilWar?
a. DorotheaDix
b. LindaRichards
c. LenaHigbee
d. ClaraBarton
ANS:D
ClaraBartonpracticednursingintheCivilWarandestablishedtheAmericanRedCross.
v v v
DorotheaDixwastheheadoftheU.S.SanitaryCommission,whichwasaforerunneroftheArmy
d B
NurseCorps.LindaRichardswasAmerica‗sfirsttrainednurse,graduatingfromBoston‗s
d v v
Women‗sHospitalin1873,andLenaHigbee,superintendentoftheU.S.NavyNurseCorps,was
d v v v v d
awardedtheNavyCrossin1918.
d
DIF: Remembering OBJ: 1.3 TOP:Assessment d
MSC: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
d d v
NOT:Concepts:Professionalism
d
4. Thenursinginstructorisresearchingthefiveproficienciesregardedasessentialforstudentsand v
professionals.Thenursinginstructoridentifieswhichorganizationwouldbefoundtohaveadded
d v v v
safetyasasixthcompetency?
d
a. QualityandSafetyEducationforNurses(QSEN)
d d v
b. InstituteofMedicine(IOM)
c. AmericanAssociationofCollegesofNursing (AACN)
v B
d. NationalLeagueforNursing(NLN)
ANS:A
TheInstituteofMedicinerepNort, RHe Ialth GProBfe.ssCio n Ms Education:ABridget
B B v B d v d B d d B
oQuality(2003),outlinesfivecorecompetencies.Theseincludepatient-
d d
centeredcare,interdisciplinary
teamwork,useofevidence-basedmedicine,qualityimprovement,anduseofinformationtechnology. v v v d
QSENaddedsafetyasasixthcompetency.TheEssentialsofBaccalaureate
d v
EducationforProfessionalNursingPracticeareprovidedandupdatedbytheAmerican
d v
AssociationofCollegesofNursing(AACN)(2008).Thedocumentoffersaframework forthe
d d B
educationofprofessionalnurseswithoutcomesforstudentstomeet.TheNationalLeaguefor
d v
Nursing(NLN)outlinesandupdatescompetenciesforpractical,associate,baccalaureate,and
d v v v v v
graduatenursingeducationprograms.
d
DIF: Remembering OBJ: 1.1 TOP: Planning d d
MSC:NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:
d v
Concepts:CareCoordination
d
5. Thenursemanagerisinterviewinggraduatenursestofillexistingstaffingvacancies.When
hiringgraduatenurses,thenursemanagerrealizesthattheywillprobablynotbeconsidere
d
d
―competentǁuntiltheycompletewhich task? B
a. TheygraduateandpassNCLEX.
b. Theyhaveworked2to3years.
c. Theirlastyearofnursingschool.h
d. Theyareactuallyhired.
ANS:B
, DIF: Remembering OBJ: 1.1 TOP: Assessment d
MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:
d d B
Concepts:CareCoordination
d
8. Thenurseiscaringforapatientwhorefusestwounitsofpackedredbloodcells.Whenthenurse h
d notifiesthehealthcareproviderofthepatient‘sdecision,thenurseisactinginwhichrole?
v v
a. Manager
b. Changeagent
c. Advocate
d. Educator
ANS:C
Asthepatient‘sadvocate,thenurseinterpretsinformationandprovidesthenecessary
v v v v
education.Thenursethenacceptsandrespectsthepatient‘sdecisionseveniftheyaredifferent
d v v
fromthenurse‘sownbeliefs.Thenursesupportsthepatient‘swishesandcommunicatesthem
d v v v
tootherhealthcareproviders.Anursemanagesalloftheactivitiesandtreatmentsforpatients.Inthe
d v v v d
droleofchangeagent,thenurseworkswithpatientstoaddresstheirhealthconcernsand v
withstaffmemberstoaddresschangeinanorganizationorwithinacommunity.Thenurse
d
ensuresthatthepatientreceivessufficientinformationonwhichtobaseconsentforcareand
d v v
relatedtreatment.Educationbecomesamajorfocusofdischargeplanningsothatpatientswillbe
d v v v v v
preparedtohandletheirownneedsat home.
d v v
DIF: Applying OBJ: 1.2 TOP: Implementation d d d
MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:
d d B
Concepts:CareCoordination
d
9. The nursing student develops a plan of care based on a recentlypublished article describing the
d d d d d d d d d d d d d d
effectsofbedreston apatient‘s calciumbloodlevels. Whencreatingtheplanofcare, the nursing
d d d d d d
studenthastheobligationtoconsiderwhichaction?
d
a. Criticallyappraisetheevidenceanddeterminevalidity.
b. Ensurethattheplanofcaredoesnotaltercurrentpractice.
c. Changetheprocesseven whenthereisnoproblemidentified. d
d. Maintaintheplan ofcare regardless ofinitial
B outcome. d
ANS:A
Evidence-basedpractice(EBP)isanintegrationofthebest-availableresearchevidencewith v v
clinicaljudgmentaboutaspecificpatientsituation.Thenurseassessescurrentandpastresearch,
d v v v v v
clinicalguidelines,andotherresourcestoidentifyrelevantliterature.TheapplicationofEBP
d d h
includescriticallyappraisingtheevidencetoassessits validity,designingachangeforpractice,
d v h
assessingtheneedforchangeandidentifyingaproblem,andintegratingandmaintainingchange
d v v v d
whilemonitoringprocessandoutcomesbyreevaluatingtheapplicationofevidenceandassessing
d h h
areasforimprovement.
d
DIF: Applying OBJ: 1.2 TOP: Implementation d d d
MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:
d d B
Concepts:CareCoordination
d
v v d
ActiveLearningforCollaborativePractice3rd
Edition
d
By
BarbaraL.Yoost,LynneR.Crawford
d d
,Chapter01:Nursing,Theory,andProfessionalPractice
Yoost&Crawford:FundamentalsofNursing:ActiveLearningforCollaborativePractice,
d
3rdEdition
d
MULTIPLECHOICE
1. Agroupofnursingstudentsarediscussingtheimpactofnonnursingtheoriesinclinical v v v
practice.Thestudentswouldbecorrectiftheychosewhichtheoryto prioritizepatientcare?
d h v d
a. Erikson‗sPsychosocialTheory
b. Paul‗sCritical-ThinkingTheory
c. Maslow‗sHierarchyofNeeds
d. Rosenstock‗sHealth BeliefModel d
ANS:C
Maslow‗shierarchyofneedsspecifiesthepsychologicalandphysiologicfactorsthataffecteach v
person‗sphysicalandmentalhealth.Thenurse‗sunderstandingofthesefactorshelpswith
d v v
formulatingNursingdiagnosesthataddressthepatient‗sneedsandvaluestoprioritizecare.
d v v v
Erikson‗sPsychosocialTheoryofDevelopmentandSocializationisbasedonindividuals‗ v
interactingandlearningabouttheirworld.Nursesuseconcepts ofdevelopmentaltheoryto
d d
criticallythinkinprovidingcarefortheirpatientsatvariousstagesoftheirlives.
d v
Rosenstock(1974)developedthepsychologicalHealthBeliefModel.Themodeladdresses B
possiblereasonsforwhyapatientmaynotcomplywithrecommendedhealthpromotion
d v
behaviors.Thismodelisespeciallyusefultonursesastheyeducatepatients.
d
DIF: Remembering OBJ: 1.5 TOP: Planning d d d
MSC:NCLEXClientNeedsCN a tegR
Bory:ISaf G e a n Bd
B E.ffCe c t iMve d B d d B d d
CareEnvironment:ManagementofCareNOT: Concepts:CareCoordinatiU
h h h
d on B d
2. Anursingstudentispreparingstudynotesfromarecentlectureinnursinghistory.The
d h h h
d studentwouldcreditFlorenceNightingaleforwhichdefinitionofnursing?
v v
a. Theimbalancebetweenthepatientandtheenvironmentdecreasesthecapacityfor
dhealth.
b. Thenurseneedstofocusoninterpersonalprocessesbetweennurseandpatient.
c. Thenurseassiststhepatientwithessentialfunctions towardindependence. d
d. Humanbeingsareinteractingincontinuousmotionasenergyfields.
ANS:A
FlorenceNightingale‗s(1860)conceptoftheenvironmentemphasizedpreventionandcleanair,
v v v v v
water,andhousing.Thistheorystatesthattheimbalancebetweenthepatientandthe
d v v
environmentdecreasesthecapacityforhealthanddoesnotallowforconservationofenergy.
d
HildegardPeplau(1952)focusedontherolesplayedbythenurseandtheinterpersonalprocess v v
betweenanurseandapatient.VirginiaHendersondescribedthenurse‗sroleassubstitutive
d v v v v v
(doingfortheperson),supplementary(helpingtheperson),orcomplementary(workingwiththe
d v
person),withthegoalofindependenceforthepatient.MarthaRogers(1970)developedthe
d v v
ScienceofUnitaryHumanBeings.Shestatedthathumanbeingsandtheirenvironmentsareinteracting
d v v v
d incontinuousmotionasinfiniteenergyfields.
d v
DIF: Understandingd OBJ: 1.4 TOP:Planning d
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance NOT:
d d d d d d d d d d
Concepts:HealthPromotion
d
,3. ThenurseidentifieswhichnurseestablishedtheAmericanRedCrossduringtheCivilWar?
a. DorotheaDix
b. LindaRichards
c. LenaHigbee
d. ClaraBarton
ANS:D
ClaraBartonpracticednursingintheCivilWarandestablishedtheAmericanRedCross.
v v v
DorotheaDixwastheheadoftheU.S.SanitaryCommission,whichwasaforerunneroftheArmy
d B
NurseCorps.LindaRichardswasAmerica‗sfirsttrainednurse,graduatingfromBoston‗s
d v v
Women‗sHospitalin1873,andLenaHigbee,superintendentoftheU.S.NavyNurseCorps,was
d v v v v d
awardedtheNavyCrossin1918.
d
DIF: Remembering OBJ: 1.3 TOP:Assessment d
MSC: NCLEXClientNeedsCategory:HealthPromotionandMaintenance
d d v
NOT:Concepts:Professionalism
d
4. Thenursinginstructorisresearchingthefiveproficienciesregardedasessentialforstudentsand v
professionals.Thenursinginstructoridentifieswhichorganizationwouldbefoundtohaveadded
d v v v
safetyasasixthcompetency?
d
a. QualityandSafetyEducationforNurses(QSEN)
d d v
b. InstituteofMedicine(IOM)
c. AmericanAssociationofCollegesofNursing (AACN)
v B
d. NationalLeagueforNursing(NLN)
ANS:A
TheInstituteofMedicinerepNort, RHe Ialth GProBfe.ssCio n Ms Education:ABridget
B B v B d v d B d d B
oQuality(2003),outlinesfivecorecompetencies.Theseincludepatient-
d d
centeredcare,interdisciplinary
teamwork,useofevidence-basedmedicine,qualityimprovement,anduseofinformationtechnology. v v v d
QSENaddedsafetyasasixthcompetency.TheEssentialsofBaccalaureate
d v
EducationforProfessionalNursingPracticeareprovidedandupdatedbytheAmerican
d v
AssociationofCollegesofNursing(AACN)(2008).Thedocumentoffersaframework forthe
d d B
educationofprofessionalnurseswithoutcomesforstudentstomeet.TheNationalLeaguefor
d v
Nursing(NLN)outlinesandupdatescompetenciesforpractical,associate,baccalaureate,and
d v v v v v
graduatenursingeducationprograms.
d
DIF: Remembering OBJ: 1.1 TOP: Planning d d
MSC:NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:
d v
Concepts:CareCoordination
d
5. Thenursemanagerisinterviewinggraduatenursestofillexistingstaffingvacancies.When
hiringgraduatenurses,thenursemanagerrealizesthattheywillprobablynotbeconsidere
d
d
―competentǁuntiltheycompletewhich task? B
a. TheygraduateandpassNCLEX.
b. Theyhaveworked2to3years.
c. Theirlastyearofnursingschool.h
d. Theyareactuallyhired.
ANS:B
, DIF: Remembering OBJ: 1.1 TOP: Assessment d
MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:
d d B
Concepts:CareCoordination
d
8. Thenurseiscaringforapatientwhorefusestwounitsofpackedredbloodcells.Whenthenurse h
d notifiesthehealthcareproviderofthepatient‘sdecision,thenurseisactinginwhichrole?
v v
a. Manager
b. Changeagent
c. Advocate
d. Educator
ANS:C
Asthepatient‘sadvocate,thenurseinterpretsinformationandprovidesthenecessary
v v v v
education.Thenursethenacceptsandrespectsthepatient‘sdecisionseveniftheyaredifferent
d v v
fromthenurse‘sownbeliefs.Thenursesupportsthepatient‘swishesandcommunicatesthem
d v v v
tootherhealthcareproviders.Anursemanagesalloftheactivitiesandtreatmentsforpatients.Inthe
d v v v d
droleofchangeagent,thenurseworkswithpatientstoaddresstheirhealthconcernsand v
withstaffmemberstoaddresschangeinanorganizationorwithinacommunity.Thenurse
d
ensuresthatthepatientreceivessufficientinformationonwhichtobaseconsentforcareand
d v v
relatedtreatment.Educationbecomesamajorfocusofdischargeplanningsothatpatientswillbe
d v v v v v
preparedtohandletheirownneedsat home.
d v v
DIF: Applying OBJ: 1.2 TOP: Implementation d d d
MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:
d d B
Concepts:CareCoordination
d
9. The nursing student develops a plan of care based on a recentlypublished article describing the
d d d d d d d d d d d d d d
effectsofbedreston apatient‘s calciumbloodlevels. Whencreatingtheplanofcare, the nursing
d d d d d d
studenthastheobligationtoconsiderwhichaction?
d
a. Criticallyappraisetheevidenceanddeterminevalidity.
b. Ensurethattheplanofcaredoesnotaltercurrentpractice.
c. Changetheprocesseven whenthereisnoproblemidentified. d
d. Maintaintheplan ofcare regardless ofinitial
B outcome. d
ANS:A
Evidence-basedpractice(EBP)isanintegrationofthebest-availableresearchevidencewith v v
clinicaljudgmentaboutaspecificpatientsituation.Thenurseassessescurrentandpastresearch,
d v v v v v
clinicalguidelines,andotherresourcestoidentifyrelevantliterature.TheapplicationofEBP
d d h
includescriticallyappraisingtheevidencetoassessits validity,designingachangeforpractice,
d v h
assessingtheneedforchangeandidentifyingaproblem,andintegratingandmaintainingchange
d v v v d
whilemonitoringprocessandoutcomesbyreevaluatingtheapplicationofevidenceandassessing
d h h
areasforimprovement.
d
DIF: Applying OBJ: 1.2 TOP: Implementation d d d
MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:
d d B
Concepts:CareCoordination
d
