,
, Fundamentals of Nursing: Concepts and Competencies for
Practice 9th EditionCraven Test Bank
Chapter 1 Professional Concepts
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. What is the most influential factor that has shaped the nursing
profession? 1)
Physicians need for
handmaidens 2)
Societal need for healthcare outside the
home 3)
Military demand for nurses in the field
4)
Germ theory influence on
sanitation ANS: 3
Throughout the centuries, stability of the government has been related to the success of the
military to protect or extend its domain. As the survival and well-being of soldiers iscritical,
nurses provided healthcare to the sick and injured at the battle site. The physicians
handmaiden was/is a nursing stereotype rather than an influence on nursing. Although there
has been need for healthcare outside the home throughout history, this has more influence
on the development of hospitals than on nursing; this need provided one more setting for
nursing work. Germ theory and sanitation helped to improve healthcare but did not shape
nursing.
PTS: 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Client need: N/A
| Cognitive level: Recall
2. Which of the following is an example of an illness prevention activity? Selectall
that apply.
1)
Encouraging the use of a food
diary 2)
Joining a cancer support
group 3)
Administering immunization for
HPV 4)
Teaching a diabetic patient about hisdiet
ANS: 3
Administering immunization for HPV is an example of illness prevention. Although cancer
is a disease, it is assumed that a person joining a support group would already have the
disease; therefore, this is not disease prevention but treatment. Illness- prevention activities
focus on avoiding a specific disease. A food diary is a health- promotion activity. Teaching a
diabetic patient about diet is a treatment for diabetes; thepatient already has diabetes, so it
cannot prevent diabetes.
PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in textKEY:
Nursing process: N/A | Client need: HPM | Cognitive level: Application
, 3. Which of the following contributions of Florence Nightingale had an
immediate impact on improving patients health?
1)
Providing a clean
environment 2)
Improving nursing
education 3)
Changing the delivery of care in
hospitals 4)
Establishing nursing as a distinct
profession ANS: 1
Improved sanitation (a clean environment) greatly and immediately reduced the rateof
infection and mortality in hospitals. The other responses are all activities of Florence
Nightingale that improved healthcare or nursing, but the impact is long range, not
immediate.
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10; studentmust
infer from content
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
4. All of the following are aspects of the full-spectrum nursing role. Which one
is essential for the nurse to do in order to successfully carry out all the others? 1)
Thinking and reasoning about the clients
care 2)
Providing hands-on client
care 3)
Carrying out physician orders
4)
Delegating to assistive
personnel ANS: 1
A substantial portion of the nursing role involves using clinical judgment, critical thinking,
and problem solving, which directly affect the care the client will actually receive.
Providing hands-on care is important; however, clinical judgment, critical thinking, and
problem solving are essential to do it successfully. Carrying out physician orders is a small
part of a nurses role; it, too, requires nursing assessment, planning, intervention, and
evaluation. Many simple nursing tasks are being delegated to nursing assistive personnel;
delegation requires careful analysis of patient status andthe appropriateness of support
personnel to deliver care. Another way to analyze this question is that none of the options
of providing hands-on care, carrying out physician orders, and delegating to assistive
personnel is required for the nurse to think and reason about a clients care; so the answer
must be 1.
PTS:1DIFifficultREF: p. 11
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
5. Which statement pertaining to Benners practice model for clinical
competence is true?
1)
Progression through the stages is constant, with most nurses reaching the proficient stage.
, Fundamentals of Nursing: Concepts and Competencies for
Practice 9th EditionCraven Test Bank
Chapter 1 Professional Concepts
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. What is the most influential factor that has shaped the nursing
profession? 1)
Physicians need for
handmaidens 2)
Societal need for healthcare outside the
home 3)
Military demand for nurses in the field
4)
Germ theory influence on
sanitation ANS: 3
Throughout the centuries, stability of the government has been related to the success of the
military to protect or extend its domain. As the survival and well-being of soldiers iscritical,
nurses provided healthcare to the sick and injured at the battle site. The physicians
handmaiden was/is a nursing stereotype rather than an influence on nursing. Although there
has been need for healthcare outside the home throughout history, this has more influence
on the development of hospitals than on nursing; this need provided one more setting for
nursing work. Germ theory and sanitation helped to improve healthcare but did not shape
nursing.
PTS: 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Client need: N/A
| Cognitive level: Recall
2. Which of the following is an example of an illness prevention activity? Selectall
that apply.
1)
Encouraging the use of a food
diary 2)
Joining a cancer support
group 3)
Administering immunization for
HPV 4)
Teaching a diabetic patient about hisdiet
ANS: 3
Administering immunization for HPV is an example of illness prevention. Although cancer
is a disease, it is assumed that a person joining a support group would already have the
disease; therefore, this is not disease prevention but treatment. Illness- prevention activities
focus on avoiding a specific disease. A food diary is a health- promotion activity. Teaching a
diabetic patient about diet is a treatment for diabetes; thepatient already has diabetes, so it
cannot prevent diabetes.
PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in textKEY:
Nursing process: N/A | Client need: HPM | Cognitive level: Application
, 3. Which of the following contributions of Florence Nightingale had an
immediate impact on improving patients health?
1)
Providing a clean
environment 2)
Improving nursing
education 3)
Changing the delivery of care in
hospitals 4)
Establishing nursing as a distinct
profession ANS: 1
Improved sanitation (a clean environment) greatly and immediately reduced the rateof
infection and mortality in hospitals. The other responses are all activities of Florence
Nightingale that improved healthcare or nursing, but the impact is long range, not
immediate.
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10; studentmust
infer from content
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
4. All of the following are aspects of the full-spectrum nursing role. Which one
is essential for the nurse to do in order to successfully carry out all the others? 1)
Thinking and reasoning about the clients
care 2)
Providing hands-on client
care 3)
Carrying out physician orders
4)
Delegating to assistive
personnel ANS: 1
A substantial portion of the nursing role involves using clinical judgment, critical thinking,
and problem solving, which directly affect the care the client will actually receive.
Providing hands-on care is important; however, clinical judgment, critical thinking, and
problem solving are essential to do it successfully. Carrying out physician orders is a small
part of a nurses role; it, too, requires nursing assessment, planning, intervention, and
evaluation. Many simple nursing tasks are being delegated to nursing assistive personnel;
delegation requires careful analysis of patient status andthe appropriateness of support
personnel to deliver care. Another way to analyze this question is that none of the options
of providing hands-on care, carrying out physician orders, and delegating to assistive
personnel is required for the nurse to think and reason about a clients care; so the answer
must be 1.
PTS:1DIFifficultREF: p. 11
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
5. Which statement pertaining to Benners practice model for clinical
competence is true?
1)
Progression through the stages is constant, with most nurses reaching the proficient stage.
