Fundamentals of Nursing 2nd Edition by Yoost Test Bank
Chapter 01: Nursing, Theory, and Professional Practice
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 2nd Edition
MULTIPLE CHOICE
1. A group of nursing students are discussing the impact of no nursing theories in clinical
practice. The students would be correct if they chose which theory to prioritize patient care?
a. Erikson’s Psychosocial Theory
b. Paul’s Critical-Thinking Theory
c. Maslow’s Hierarchy of Needs
d. Rosenstock’s Health Belief Model
ANS: C
Maslow’s hierarchy of needs specifies the psychological and physiologic factors that affect
each person’s physical and mental health. The nurse’s understanding of these factors helps
with formulating Nursing diagnoses that address the patient’s needs and values to prioritize
care. Erikson’s Psychosocial Theory of Development and Socialization is based on
individuals’ interacting and learning about their world. Nurses use concepts of developmental
theory to critically think in providing care for their patients at various stages of their lives.
Rosenstock (1974) developed the psychological Health Belief Model. The model addresses
possible reasons for why a patient may not comply with recommended health promotion
behaviors. This model is especially useful to nurses as they educate patients.
DIF: Remembering OBJ: 1.5 TOP: Planning
MSC: NCLEX Client Needs CN
a t e gR
o r y:IS a f G
e a nB
d E.f C
f e c t iM
ve Care Environment: Management of Care
NOT: Concepts: Care CoordinatiU on S N T o
2. A nursing student is preparing study notes from a recent lecture in nursing history. The
student would credit Florence Nightingale for which definition of nursing?
a. The imbalance between the patient and the environment decreases the capacity for
health.
b. The nurse needs to focus on interpersonal processes between nurse and patient.
c. The nurse assists the patient with essential functions toward independence.
d. Human beings are interacting in continuous motion as energy fields.
ANS: A
Florence Nightingale’s (1860) concept of the environment emphasized prevention and clean
air, water, and housing. This theory states that the imbalance between the patient and the
environment decreases the capacity for health and does not allow for conservation of energy.
Hildegard Peplau (1952) focused on the roles played by the nurse and the interpersonal
process between a nurse and a patient. Virginia Henderson described the nurse’s role as
substitutive (doing for the person), supplementary (helping the person), or complementary
(working with the person), with the goal of independence for the patient. Martha Rogers
(1970) developed the Science of Unitary Human Beings. She stated that human beings and
their environments are interacting in continuous motion as infinite energy fields.
DIF: Understanding OBJ: 1.4 TOP: Planning
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Health Promotion
, Fundamentals of Nursing 2nd Edition Yoost Test Bank
3. The nurse identifies which nurse established the American Red Cross during the Civil War?
a. Dorothea Dix
b. Linda Richards
c. Lena Higbee
d. Clara Barton
ANS: D
Clara Barton practiced nursing in the Civil War and established the American Red Cross.
Dorothea Dix was the head of the U.S. Sanitary Commission, which was a forerunner of the
Army Nurse Corps. Linda Richards was America’s first trained nurse, graduating from
Boston’s Women’s Hospital in 1873, and Lena Higbee, superintendent of the U.S. Navy
Nurse Corps, was awarded the Navy Cross in 1918.
DIF: Remembering OBJ: 1.3 TOP: Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Professionalism
4. The nursing instructor is researching the five proficiencies regarded as essential for students
and professionals. The nursing instructor identifies which organization would be found to
have added safety as a sixth competency?
a. Quality and Safety Education for Nurses (QSEN)
b. Institute of Medicine (IOM)
c. American Association of Colleges of Nursing (AACN)
d. National League for Nursing (NLN)
ANS: A
The Institute of Medicine r epNo rt ,RH e I t hGP r oBf e.s sCi o nM
outlines five core competencies. Sa l N
U These s Education: A Bridge to Quality (2003),
include patient-centered care, interdisciplinary
teamwork, use of evidence-based medicine, quality improvement, and use of information
technology. QSEN added safety as a sixth competency. The Essentials of Baccalaureate
Education for Professional Nursing Practice are provided and updated by the American
Association of Colleges of Nursing (AACN) (2008). The document offers a framework for the
education of professional nurses with outcomes for students to meet. The National League for
Nursing (NLN) outlines and updates competencies for practical, associate, baccalaureate, and
graduate nursing education programs.
DIF: Remembering OBJ: 1.1 TOP: Planning
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
NOT: Concepts: Care Coordination
5. The nurse manager is interviewing graduate nurses to fill existing staffing vacancies. When
hiring graduate nurses, the nurse manager realizes that they will probably not be considered
“competent” until they complete which task?
a. They graduate and pass NCLEX.
b. They have worked 2 to 3 years.
c. Their last year of nursing school.
d. They are actually hired.
ANS: B
, Fundamentals of Nursing 2nd Edition Yoost Test Bank
Benner’s emodel eidentifies efive elevels eof eproficiency: enovice, eadvanced ebeginner, ecompetent,
eproficient, eand eexpert. eThe estudent enurse eprogresses efrom enovice eto eadvanced ebeginner
eduring enursing eschool eand eattains ethe ecompetent elevel eafter eapproximately e2 eto e3 eyears eof
ework eexperience eafter egraduation. eTo eobtain ethe eRN ecredential, ea eperson emust egraduate efrom
ean eapproved eschool eof enursing eand epass ea estate elicensing eexamination ecalled ethe eNational
eCouncil eLicensure eExamination efor eRegistered eNurses e(NCLEX-RN) eusually etaken esoon
eafter ecompletion eof ean eapproved enursing eprogram.
DIF: Remembering OBJ: e e 1.7 TOP: e Planning
MSC: e NCLEX eClient eNeeds eCategory: eSafe eand eEffective eCare eEnvironment: eManagement eof eCare
eNOT: eConcepts: eCare eCoordination
6. The eprospective estudent eis econsidering eoptions efor ebeginning ea ecareer ein enursing.
eWhich edegree ewould ebest ematch ethe estudent’s edesire eto econduct eresearch eat ethe
euniversity elevel?
a. Associate eDegree ein eNursing e(ADN)
b. Bachelor eof eScience ein eNursing e(BSN)
c. Doctor eof eNursing ePractice e(DNP)
d. Doctor eof ePhilosophy ein eNursing e(PhD)
ANS: e D
Doctoral enursing eeducation ecan eresult ein ea eDoctor eof ePhilosophy e(PhD) edegree. eThis edegree
eprepares enurses efor eleadership eroles ein eresearch, eteaching, eand eadministration ethat eare
eessential eto eadvancing enursing eas ea eprofession. eAssociate eDegree ein eNursing e(ADN)
eprograms eusually eare econducted ein ea ecommunity ecollege esetting. eThe enursing ecurriculum
efocuses eon eadult eacute eand echronic edisease; ematernal/child ehealth; epediatrics; eand
epsychiatric/mental ehealth enursing. eADN eRNs emay ereturn eto eschool eto eearn ea ebachelor’s
edegree eor ehigher ein ean eRN-to-BSN eor eRN-to-MSN eprogram. eBachelor’s edegree eprograms
N R I G B.C
einclude ecommunity ehealth eand emanagement ecourses ebeyond et h Uo s eSp r oNv i d Te d ein
eanoassociate edegree eprogram. eA enewer
practice-focused edoctoral edegree eis ethe eDoctor eof eNursing epractice e(DNP), ewhich econcentrates
eon ethe eclinical easpects eof enursing. eDNP especialties einclude ethe efour eadvanced epractice eroles
eof
NP, eCNS, eCNM, eand eCRNA.
DIF: Remembering OBJ: e e 1.9 TOP: e Assessment
MSC: e NCLEX eClient eNeeds eCategory: eSafe eand eEffective eCare eEnvironment: eManagement eof eCare
eNOT: eConcepts: eCare eCoordination
7. During ea estaff emeeting, ethe enurse emanager eannounces ethat ethe ehospital ewill ebe eseeking
Magnet estatus. eTo eexplain ethe erequirements efor ethis eaward, ethe enurse emanager ewill econtact
e
which eorganization?
e
a. American eNurses eAssociation e(ANA)
b. American eNurses eCredentialing eCenter e(ANCC)
c. National eLeague efor eNursing e(NLN)
d. Joint eCommission
ANS: e B
The eAmerican eNurses eCredentialing eCenter e(ANCC) eawards eMagnet eRecognition eto
ehospitals ethat ehave eshown eexcellence eand einnovation ein enursing. eThe eANA eis ea eprofessional
eorganization ethat eprovides estandards eof enursing epractice. eThe eNational eLeague efor eNursing
e(NLN) eoutlines eand eupdates ecompetencies efor epractical, eassociate, ebaccalaureate, eand egraduate
enursing eeducation eprograms. eThe eJoint eCommission eis ethe eaccrediting eorganization efor
ehealth ecare efacilities ein ethe eUnited eStates.
,Fundamentals eof eNursing e2nd eEdition eYoost eTest eBank
DIF: Remembering OBJ: e e 1.1 TOP: e Assessment
MSC: e NCLEX eClient eNeeds eCategory: eSafe eand eEffective eCare eEnvironment: eManagement eof eCare
eNOT: eConcepts: eCare eCoordination
8. The enurse eis ecaring efor ea epatient ewho erefuses etwo eunits eof epacked ered eblood ecells. eWhen
ethe enurse enotifies ethe ehealth ecare eprovider eof ethe epatient’s edecision, ethe enurse eis eacting ein
ewhich erole?
a. Manager
b. Change eagent
c. Advocate
d. Educator
ANS: e C
As ethe epatient’s eadvocate, ethe enurse einterprets einformation eand eprovides ethe enecessary
eeducation. eThe enurse ethen eaccepts eand erespects ethe epatient’s edecisions eeven eif ethey eare
edifferent efrom ethe enurse’s eown ebeliefs. eThe enurse esupports ethe epatient’s ewishes eand
ecommunicates ethem eto eother ehealth ecare eproviders. eA enurse emanages eall eof ethe eactivities eand
etreatments efor epatients. eIn ethe erole eof echange eagent, ethe enurse eworks ewith epatients eto eaddress
etheir ehealth econcerns eand ewith estaff emembers eto eaddress echange ein ean eorganization eor ewithin
ea ecommunity. eThe enurse eensures ethat ethe epatient ereceives esufficient einformation eon ewhich eto
ebase econsent efor ecare eand erelated etreatment. eEducation ebecomes ea emajor efocus eof edischarge
eplanning eso ethat epatients ewill ebe eprepared eto ehandle etheir eown eneeds eat ehome.
DIF: Applying OBJ: e e 1.2 TOP: e Implementation
MSC: e NCLEX eClient eNeeds eCategory: eSafe eand eEffective eCare eEnvironment: eManagement eof eCare
eNOT: eConcepts: eCare eCoordination
NURSINGTB.CoM
9. The enursing estudent edevelops ea eplan eof ecare ebased e on ea erecently epublished earticle edescribing
the eeffects eof ebed erest eon ea epatient’s ecalcium eblood elevels. eWhen ecreating ethe eplan eof ecare, ethe
enursing estudent ehas ethe eobligation eto econsider ewhich eaction?
a. Critically eappraise ethe eevidence eand edetermine evalidity.
b. Ensure ethat ethe eplan eof ecare edoes enot ealter ecurrent epractice.
c. Change ethe eprocess eeven ewhen ethere eis eno eproblem eidentified.
d. Maintain ethe eplan eof ecare eregardless eof einitial eoutcome.
ANS: e A
Evidence-based epractice e(EBP) eis ean eintegration eof ethe ebest-available eresearch eevidence ewith
eclinical ejudgment eabout ea especific epatient esituation. eThe enurse eassesses ecurrent eand epast
eresearch, eclinical eguidelines, eand eother eresources eto eidentify erelevant eliterature. eThe
eapplication eof eEBP eincludes ecritically eappraising ethe eevidence eto eassess eits evalidity, edesigning
ea echange efor epractice, eassessing ethe eneed efor echange eand eidentifying ea eproblem, eand
eintegrating eand emaintaining echange ewhile emonitoring eprocess eand eoutcomes eby ereevaluating
ethe eapplication eof eevidence eand eassessing eareas efor eimprovement.
DIF: Applying OBJ: e e 1.2 TOP: e Implementation
MSC: e NCLEX eClient eNeeds eCategory: eSafe eand eEffective eCare eEnvironment: eManagement eof eCare
eNOT: eConcepts: eCare eCoordination