health?
~ Nightingale was the first practicing nurse epidemiologist. Her statistical analyses
connected poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and
Lillian Wald came after Nightingale, each contributing to the nursing profession in her
own way. Mary Nutting was instrumental in moving nursing education into universities.
Clara Barton founded the American Red Cross. Lillian Wald helped open the Henry
Street Settlement.
DIF: Understand (comprehension)
OBJ: Discuss the influence of social, historical, political, and economic changes on
nursing practices.
TOP: Evaluation
MSC: Health Promotion and Maintenance
*a. Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which
standard of nursing practice is the nurse following?
~ In planning, the registered nurse develops a plan that prescribes strategies and
alternatives to attain expected outcomes. During assessment, the registered nurse collects
comprehensive data pertinent to the patient’s health and/or the situation. In diagnosis, the
registered nurse analyzes the assessment data to determine the diagnoses or issues.
During implementation, the registered nurse implements (carries out) the identified plan.
DIF: Understand (comprehension)
OBJ: Discuss the development of professional nursing roles.
TOP: Planning
MSC: Management of Care
a. Assessment
b. Diagnosis
*c. Planning
d. Implementation
,3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
proficiency is the nurse upon initial transition to the obstetrical floor?
~ A beginning nursing student or any nurse entering a situation in which there is no
previous level of experience (e.g., an experienced operating room nurse chooses to now
practice in home health) is an example of a novice nurse. A proficient nurse perceives a
patient’s clinical situation as a whole, is able to assess an entire situation, and can readily
transfer knowledge gained from multiple previous experiences to a situation. A
competent nurse understands the organization and specific care required by the type of
patients (e.g., surgical, oncology, or orthopedic patients). This nurse is a competent
practitioner who is able to anticipate nursing care and establish long-range goals. A nurse
who has had some level of experience with the situation is an advanced beginner. This
experience may only be observational in nature, but the nurse is able to identify
meaningful aspects or principles of nursing care.
DIF: Apply (application)
OBJ: Discuss the development of professional nursing roles.
TOP: Evaluation
MSC: Management of Care
*a. Novice
b. Proficient
c. Competent
d. Advanced beginner
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink
more fluids. The nurse then encourages the patient to drink more fluids. Which concept is
the nurse demonstrating?
~ Autonomy is an essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders. To obtain licensure in the
United States, the RN candidate must pass the NCLEX-RN®. Beyond the NCLEX-RN®,
the nurse may choose to work toward certification in a specific area of nursing practice.
Accountability means that you are responsible, professionally and legally, for the type
and quality of nursing care provided.
DIF: Apply (application)
,OBJ: Discuss the roles and career opportunities for nurses.
TOP: Implementation
MSC: Management of Care
a. Licensure
*b Autonomy
.
c. Certification
d. Accountability
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the
nurse implementing?
~ A manager coordinates the activities of members of the nursing staff in delivering
nursing care and has personnel, policy, and budgetary responsibility for a specific nursing
unit or facility. As an educator, you explain concepts and facts about health, describe the
reason for routine care activities, demonstrate procedures such as self-care activities,
reinforce learning or patient behavior, and evaluate the patient’s progress in learning. As
a patient advocate, you protect your patient’s human and legal rights and provide
assistance in asserting these rights if the need arises. As a caregiver, you help patients
maintain and regain health, manage disease and symptoms, and attain a maximal level
function and independence through the healing process.
DIF: Apply (application)
OBJ: Describe the roles and career opportunities for nurses.
TOP: Implementation
MSC: Management of Care
a. Educator
*b Manager
.
c. Advocate
d. Caregiver
6. The nurse has been working in the clinical setting for several years as an advanced
practice nurse. However, the nurse has a strong desire to pursue research and theory
development. To fulfill this desire, which program should the nurse attend?
, ~ Some doctoral programs prepare nurses for more rigorous research and theory
development and award the research-oriented Doctor of Philosophy (PhD) in nursing.
Professional doctoral programs in nursing (DSN or DNSc) prepare graduates to apply
research findings to clinical nursing. The DNP is a practice doctorate that prepares
advanced practice nurses such as nurse practitioners.
DIF: Understand (comprehension)
OBJ: Describe educational programs available for professional registered nurse (RN)
education.
TOP: Teaching/Learning
MSC: Management of Care
a. Doctor of Nursing Science degree (DNSc)
*b Doctor of Philosophy degree (PhD)
.
c. Doctor of Nursing Practice degree (DNP)
d. Doctor in the Science of Nursing degree (DSN)
7. A nurse attends a workshop on current nursing issues provided by the American
Nurses Association. Which type of education did the nurse receive?
~ Continuing education involves formal, organized educational programs offered by
universities, hospitals, state nurses associations, professional nursing organizations, and
educational and health care institutions. After obtaining a baccalaureate degree in
nursing, you can pursue graduate education leading to a master’s or doctoral degree in
any number of graduate fields, including nursing. Inservice education programs are
instruction or training provided by a health care facility or institution. Registered nurse
education is the education preparation for an individual intending to be an RN.
DIF: Apply (application)
OBJ: Describe educational programs available for professional registered nurse (RN)
education.
TOP: Teaching/Learning
MSC: Management of Care
a. Graduate education
b. Inservice education
*c. Continuing education
d. Registered nurse education