Nursing: Thinking, Doing, q q
and Caring q
3rd Edition Treas Wilkinson
q q q
Test Bank q
Chapterq1qEvolutionqofqNursingqThoughtq&qAction
Multipleq Choice
Identifyq theqchoiceq thatq bestq completesq theq statementq orq answersq theq question.
1. Whatqisqtheqmostqinfluentialqfactorqthatqhasqshapedqtheqnursingqp
rofession?q1)
Physiciansqneedqforqhandmaidensq
2)
Societalqneedqforqhealthcareqoutsideqtheqhomeq
3)
Militaryqdemandqforqnursesqinqtheqfieldq4)q
GermqtheoryqinfluenceqonqsanitationqANS
: q3
Throughoutqtheqcenturies,qstabilityqofqtheqgovernmentqhasqbeenqrelatedqtoqtheqsuccessqofqtheq
militaryqtoqprotectqorqextendqitsqdomain.qAsqtheqsurvivalqandqwell-
beingqofqsoldiersqisq critical,qnursesqprovidedqhealthcareqtoqtheqsickqandqinjuredqatqtheqbattleqsi
te.qTheqphysiciansqhandmaidenq was/isq aq nursingq stereotypeq ratherq thanq anq influenceq onq nu
rsing.qAlthoughqthereqhasqbeenqneedqforqhealthcareqoutsideqtheqhomeqthroughoutqhistory,qthis
qhasqmoreqinfluenceqonqtheqdevelopmentqofqhospitalsqthanqonqnursing;qthisqneedqprovidedqone
qmoreqsettingqforqnursingqwork.qGermqtheoryqandqsanitationqhelpedqtoqimproveqhealthcareqbut
qdidqnotqshapeqnursing.
PTS:q1qDIF:qModerateqREF:qdmq910qKEY:qNursingqprocess:qN/AqClientqneed:qN/Aq|qCogniti
veqlevel:qRecall
2. Whichqofqtheqfollowingqisqanqexampleqofqanqillnessqpreventionqactivity?qSelectqal
lqthatqapply.
1)
Encouragingqthequseqofqaqfoodqdiaryq
2)
,Joiningqaqcancerqsupportqgroupq
3)
AdministeringqimmunizationqforqHPVq4
)
TeachingqaqdiabeticqpatientqaboutqhisqdietqAN
S:q3
AdministeringqimmunizationqforqHPVqisqanqexampleqofqillnessqprevention.qAlthoughqcancerqi
sqaqdisease,qitqisqassumedqthatqaqpersonqjoiningqaqsupportqgroupqwouldqalreadyqhaveqtheqdiseas
e;qtherefore,qthisqisqnotqdiseaseqpreventionqbutqtreatment.qIllness-
preventionqactivitiesqfocusq onq avoidingqaq specificq disease.qAqfoodq diaryqisq aq health-
promotionqactivity.qTeachingqaq diabeticq patientqaboutq dietq isqaq treatmentq forq diabetes;q theq pat
ientqalreadyqhasq diabetes,q soqitqcannotqpreventqdiabetes.
PTS:q1qDIF:qModerateqREF:qp.q18;qhigh-
levelqquestion,qnotqdirectlyqstatedqinqtextqKEY:qNursingqprocess:qN/Aq|qClientqneed:qHPMq|
qCognitiveqlevel:qApplication
3. WhichqofqtheqfollowingqcontributionsqofqFlorenceqNightingaleqhadqanqi
mmediateqimpactqonqimprovingqpatientsqhealth?
1)
Providingqaqcleanqenvironmentq
2)
,Improvingqnursingqeducationq
3)
Changingqtheqdeliveryqofqcareqinqhospitalsq4
)
EstablishingqnursingqasqaqdistinctqprofessionqA
NS:q1
Improvedqsanitationq(aqcleanqenvironment)qgreatlyqandqimmediatelyqreducedqtheqrateqofqinf
ectionqandqmortalityqinqhospitals.qTheqotherqresponsesqareqallqactivitiesqofqFlorenceqNightin
galeqthatqimprovedqhealthcareqorqnursing,qbutqtheqimpactqisqlongqrange,qnotqimmediate.
PTS:q1qDIF:qEasyqREF:qV1,qp.q3;qstudentqmustqinferqfromqcontentq|qV1,qp.q10;qstudentqmustq
inferqfromqcontent
KEY:qNursingqprocess:q N/Aq|qClientq need:q SECEq |qCognitiveq level:qApplication
4. Allqofqtheqfollowingqareqaspectsqofqtheqfull-
spectrumqnursingqrole.qWhichqoneqisqessentialqforqtheqnurseqtoqdoqinqorderqtoqsuccessfullyq
carryqoutqallqtheqothers?
1)
Thinkingqandqreasoningqaboutqtheqclientsqcareq
2)
Providingqhands-
onqclientqcareq3)
Carryingqoutqphysicianqordersq4
)
Delegatingqtoqassistiveqpersonnelq
ANS:q1
Aqsubstantialqportionqofqtheqnursingqroleqinvolvesqusingqclinicalqjudgment,qcriticalqthinking
,qandqproblemqsolving,qwhichqdirectlyqaffectqtheqcareqtheqclientqwillqactuallyqreceive.qProvi
dingqhands-
onqcareqisqimportant;qhowever,qclinicalqjudgment,qcriticalqthinking,qandqproblemqsolvingqar
eqessentialqtoqdoqitqsuccessfully.qCarryingqoutqphysicianqordersqisqaqsmallqpartqofqaqnursesqro
le;qit,qtoo,qrequiresqnursingqassessment,qplanning,qintervention,qandqevaluation.qManyqsimp
leqnursingqtasksqareqbeingqdelegatedqtoqnursingqassistiveqpersonnel;qdelegationqrequiresqcar
efulqanalysisqofqpatientqstatusqandqtheqappropriatenessqofqsupportqpersonnelqtoqdeliverqcare.q
Anotherqwayqtoqanalyzeqthisq questionqisqthatqnoneqofqtheqoptionsqofqprovidingqhands-
onqcare,qcarryingqoutqphysicianqorders,qandqdelegatingqtoqassistiveqpersonnelqisqrequiredqfor
qtheqnurseqtoqthinkqandqreasonqaboutqaqclientsqcare;qsoqtheqanswerqmustqbeq1.
PTS:1DIFifficultREF:qp.q11
KEY:qNursingqprocess:q N/Aq|qClientq need:q N/Aq|qCognitiveq level:qAnalysis
5. Whichq statementq pertainingq toq Bennersq practiceq modelq forq clinicalq competence
isqtrue?
q1)
Progressionqthroughq theq stagesq isqconstant,q withqmostq nursesq reachingqtheq proficientq stage.
2)
Progressionqthroughqtheqstagesqinvolvesqcontinualqdevelopmentqofqthinkingqandqtechnicalq
skills.
3)
Theqnurseqmustqhaveqexperienceqinqmanyqareasqbeforeqbeingqconsideredqanqexpert.q
4)
Theqnursesqprogressqthroughqtheqstagesqisqdeterminedqbyqyearsqofqexperienceqandqskills.qANS
: q2
Movementq throughq theq stagesq isqnotq constant.q Bennersq modelq isq basedq onqintegrationq of
, knowledge,qtechnicalqskill,qandqintuitionqinqtheqdevelopmentqofqclinicalqwisdom.qTheqmode
lqdoesqnotqmentionqexperienceqinqmanyqareas.qTheqmodelqdoesqnotqmentionqyearsqofqexperi
ence.
PTS:1DIF:ModerateREF:p.q15
KEY:qNursingqprocess:q N/Aq|qClientq need:q N/Aq|qCognitiveq level:q Recall
6. Whichqofqtheqfollowingqbestqexplainsqwhyqitqisqdifficultqforqtheqprofessionqt
oqdevelopqaqdefinitionqofqnursing?
1)
Thereqareqtooqmanyqdifferentqandqconflictingqimagesqofqnurses.q
2)
Thereqareqconstantqchangesqinqhealthcareqandqtheqactivitiesqofqnurses.q3)
Thereqisqdisagreementqamongqtheqdifferentqnursingqorganizations.q
4)
Thereqareqdifferentqeducationqpathwaysqandqlevelsqofqpractice.q
ANS:q2
Theqconflictingqimagesqofqnursingqmakeqitqmoreqimportantqtoqdevelopqaqdefinition;qtheyqma
yqalsoqmakeqitqmoreqdifficult,qbutqnotqtoqtheqextentqthatqconstantqchangeqdoes.
Healthcareqisqconstantlyqchangingqandqwithqitqcomeqchangesqinqwhere,qhow,qandqwhatqnurs
ingqcareqisqdelivered.qConstantqchangesqmakeqitqdifficultqtoqdevelopqaqdefinition.qAlthoughq
differentqnursingqorganizationsqhaveqdifferentqdefinitions,qtheyqareqsimilarqinqmostqways.qT
heqdifferentqeducationqpathwaysqaffectqentryqintoqpractice,qnotqtheqdefinitionqofqnursing.
PTS:q1qDIF:qModerateqREF:q p.q11;qHowqIsqNursingq Defined?
KEY:qNursingqprocess:q N/Aq|qClientq need:q N/Aq|qCognitiveq level:qAnalysis
7. Nursesqhaveqtheqpotentialqtoqbeqveryqinfluentialqinqshapingqhealthcareqp
olicy.qWhichqofqtheqfollowingqfactorsqcontributesqmostqtoqnursesqinfluence?
1)
Nursesqareqtheqlargestqhealthqprofessionalqgroup.q2
)
Nursesqhaveqaqlongqhistoryqofqservingqtheqpublic.q
3)
Nursesqhaveqachievedqsomeqindependenceqfromqphysiciansqinqrecentqyears.q4
)
Politicalqinvolvementqhasqhelpedqrefuteqnegativeqimagesqportrayedqinqtheqmedia.qA
NS:q1
Nursesqareqtrustedqprofessionalsqandqtheqlargestqhealthqprofessionalqgroup.qAsqsuch,qtheyq
haveqpoliticalqpowerqtoqeffectqchanges.qIfqnursingqwereqaqsmallqgroup,qthereqwouldqbeqlittl
eqpotentialqforqpowerqinqshapingqpolicies,qevenqifqallqtheqotherqanswersqwereqtrue.
Servingqtheqpublic,qwhileqpositive,qdoesqnotqnecessarilyqhelpqnursesqtoqbeqinfluentialqinqestabl
ishingqhealthqpolicy.qIndependenceqfromqphysicians,qalthoughqpositive,qdoesqnotqnecessarilyq
makeqnursesqinfluentialqinqestablishingqhealthcareqpolicy.qRefutingqnegativeqmedia,qalthough
qpositive,qdoesqnotqnecessarilyqmakeqnursesqinfluentialqinqestablishingqhealthcareqpolicy.
PTS:q1qDIF:qModerateqREF:qp.q21
KEY:q Nursingqprocess:q N/Aq|qClientq need:q N/Aq|qCognitiveq level:qAnalysis
8. Nursingqwasqdescribedqasqaqdistinctqoccupationqinqtheqsacredqbooksqofq
whichqfaith?
1)