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Fundamentals of Nursing 9e Potter - Perry 2

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1. Which nurse most likely kept records on sanitation techniques and the effects on health? a. Florence Nightingale b. Mary Nutting c. Clara Barton d. Lillian Wald ANS: A 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)REF:5 OBJ: Discuss the influence of social, historical, political, and economic changes on nursing practices. TOP: Evaluation MSC: Health Promotion and Maintenance The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of nursing practice is the nurse following? a. Assessment b. Diagnosis c. Planning 17 34 d. Implementation ANS: C 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)REF:2 OBJ: Discuss the development of professional nursing roles. TOP: Planning MSC:Management of Care 23 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. Novice b. Proficient c. Competent d. Advanced beginner ANS: A 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 long17 34 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)REF:2 OBJ: Discuss the development of professional nursing roles. TOP: Evaluation MSC:Management of Care 23A 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? a. Licensure b. Autonomy c. Certification d. Accountability ANS: B 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)REF:3 OBJ: Discuss the roles and career opportunities for nurses. TOP: Implementation MSC:Management of Care

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01: Nursing Today
Chapter 01: Nursing Today
Potter et al.: Fundamentals of Nursing, 9th Edition
MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health?

a. Florence Nightingale
test bank

b. Mary Nutting


c. Clara Barton


d. Lillian Wald


ANS: A

Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor
17 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)REF:5

OBJ: Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Health Promotion and Maintenance

The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
nursing practice is the nurse following?

a. Assessment
34


b. Diagnosis


c. Planning

, d. Implementation


ANS: C

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)REF:2

OBJ: Discuss the development of professional nursing roles. TOP: Planning

17MSC:Management of Care

23 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. Novice


b. Proficient


c. Competent
34
d. Advanced beginner


ANS: A

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)REF:2

OBJ: Discuss the development of professional nursing roles. TOP: Evaluation

MSC:Management of Care

23A 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?

17
a. Licensure


b. Autonomy


c. Certification


d. Accountability


ANS: B

Autonomy is an essential element of professional nursing that involves the initiation of
34independent 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)REF:3

OBJ: Discuss the roles and career opportunities for nurses. TOP: Implementation

MSC:Management of Care

23 A nurse prepares the budget and policies for an intensive care unit. Which
role is the nurse implementing?

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