Davisv Advantagev Basic v Nursing:v Thinking,v Doing,v andv Caringv 3rdv Editionv Treasv Wilki
nsonv Testv Bank
Chapterv 1v Evolutionv of v Nursingv Thoughtv &v Action
Multiplev Choice
Identifyv thev choice v thatv bestv completesv thev statementv orv answersv thev question.
1. Whatv isv thev mostv influentialv factorv thatvhasvshaped vthevnursingvp
rofession? v 1)
Physiciansv need v forvhandmaidensv
2)
Societalv need v forvhealthcare v outsidevthevhomev
3)
Military v demand v forv nursesvin v thev field v4)v
Germv theory v influence von vsanitation v ANS
:v 3
Throughoutv thev centuries,vstability v ofvthevgovernmentv hasv been vrelated vto v thev successv of v thev
military v to v protectv orv extend v itsv domain.v Asv thev survivalv and v well-
beingv of v soldiersv isv critical,v nursesv providedv healthcare vto vthevsick vand vinjuredv atv thevbattlev si
te.v Thev physiciansv handmaidenv was/isv av nursingv stereotype v ratherv than v an v influence v on v nu
rsing.v Although v therev hasv been vneedv forv healthcare voutsidev thev homevthroughoutv history,v thisv
hasv morev influence vonv thev developmentvofvhospitalsv than vonv nursing;v thisv need vprovided vonev
morev settingv forv nursingv work.vGermv theory vandv sanitation v helped vto vimprovev healthcare vbutv
did v notv shapev nursing.
PTS:v 1 v DIF:v Moderatev REF:v dmv 910 v KEY:v Nursingv process:v N/AvClientv need:v N/Av |v Cogniti
vev level:v Recall
2. Which v of v thevfollowingv isv anv example vofvan villnessv prevention vactivity?v Selectval
lv thatv apply.
1)
Encouragingv thev usev ofv avfood vdiary v
2)
Joiningv av cancerv supportvgroup v
3)
Administeringv immunization v forv HPVv4
)
Teachingv av diabetic v patientv aboutv hisv dietv AN
S:v 3
Administeringv immunization v forv HPVv isvan vexample vofv illnessvprevention.vAlthough v cancervis
v a v disease, v itv isvassumedv thatv a vperson vjoiningv a vsupportv groupv would valready vhave vthe vdisease;v
therefore,v thisv isv notv disease v prevention v butv treatment.v Illness-
prevention v activitiesv focusv on v avoidingv av specific v disease.v Av food v diary v isv av health-
promotion v activity.v Teachingv av diabeticv patientv aboutv dietv isv av treatmentv forv diabetes;v thev pat
ientv already v hasv diabetes,v so v itv cannotv preventv diabetes.
PTS:v 1 v DIF:v Moderatev REF:v p.v 18;v high-
levelv question,v notvdirectly vstated v inv textvKEY:v Nursingv process:v N/Av|v Clientv need:v HPMv |v C
ognitivev level:v Application
3. Which v of v thevfollowingv contributionsv ofv Florencev Nightingale v had v an v i
mmediate v impactv on v improvingv patientsv health?
1)
Providingv av clean v environmentv
,2)
,Improvingv nursingv educationv
3)
Changingv thev delivery v ofv carev in vhospitalsv
4)
Establishingv nursingv asv av distinctv professionvA
NS:v 1
Improved v sanitation v (avclean venvironment)v greatly v and vimmediately vreduced vthevratev ofv infec
tion v and v mortality v in v hospitals.vThevothervresponsesvarevallv activitiesv of v Florence v Nightingale
v thatv improved v healthcare v orv nursing, v butv the v impactv isv longv range, v notv immediate.
PTS:v 1 v DIF:v Easy v REF:v V1,v p.v 3;v studentv mustv infervfromv contentv |vV1,vp.v10;vstudentv must
v inferv from v content
KEY:v Nursingv process:v N/Av |v Clientv need:v SECEv |v Cognitivev level:v Application
4. Allv of v thev followingv arev aspectsv of v thev full-
spectrum v nursingv role.v Which vonev isvessentialv forv thev nursevto v do vin vordervto vsuccessfully v
carry v outv allv thev others?
1)
Thinkingv and v reasoningv aboutvthev clientsv carev
2)
Providingv hands-
on v clientv carev 3)
Carryingv outv physician v ordersv4
)
Delegatingv to v assistivev personnelv
ANS:v 1
Av substantialv portion v ofvthevnursingv rolev involvesv usingv clinicalv judgment,v criticalv thinkin
g,v and v problem v solving,v which vdirectly vaffectvthevcarevthevclientv willv actually v receive.vProv
idingv hands-
on v carev isv important;v however,vclinicalv judgment,v criticalv thinking,v andv problemvsolvingv ar
ev essentialv to v do vitv successfully.vCarryingv outv physician vordersv isvav smallv partv of v av nursesv r
ole;v it,v too,v requiresv nursingv assessment,vplanning,v intervention,vand vevaluation.vMany vsim
plev nursingv tasksv arev beingv delegated v to vnursingv assistive v personnel;v delegation v requiresv c
arefulv analysisv ofvpatientv statusvandv thevappropriatenessvofv supportv personnelv to vdelivervcar
e.v Anotherv way v to v analyzev thisv question v isv thatv nonev of v thev optionsv of v providingv hands-
on v care,v carryingv outv physician vorders,vand vdelegatingv to v assistive v personnelv isvrequiredv fo
rv thev nursev to v think v and v reason v aboutv av clientsv care;v so v thev answerv mustv bev 1.
PTS:1DIFifficultREF:v p.v 11
KEY:v Nursingv process:v N/Av |v Clientv need:v N/Av |v Cognitivev level:v Analysis
5. Which v statementv pertainingv to v Bennersv practice v modelv forv clinicalv competence
isv true?
1)
Progression v through v thev stagesv isv constant,v with v mostv nursesv reachingv thev proficientv stage.
2)
Progression v through v thev stagesv involvesvcontinualvdevelopmentv ofvthinkingv and vtechnicalv ski
lls.
3)
Thev nurse v mustv havevexperience vin vmanyv areasvbeforevbeingv considered van v expert.v
4)
Thev nursesv progressv through v thevstagesv isv determined vbyv yearsvofvexperience vandv skills.v ANS
:v 2
Movementv through v thev stagesv isv notv constant.v Bennersv modelv isv based v on v integration v of
, knowledge, v technicalv skill,v and vintuition v in vthevdevelopmentv ofv clinicalv wisdom.v Thev mod
elv doesv notv mention vexperience vin vmany vareas.v Thev modelvdoesvnotv mention vyearsvofvexper
ience.
PTS:1DIF:ModerateREF:p. v 15
KEY:v Nursingv process:v N/Av |v Clientv need:v N/Av |v Cognitivev level:v Recall
6. Which v of v thevfollowingv bestvexplainsvwhyv itv isvdifficultv forvthev profession v t
o v develop v av definition v of v nursing?
1)
Therev arev too v manyv differentv and vconflictingv imagesv of v nurses.v
2)
Therev arev constantv changesvin v healthcare vand vthev activitiesv ofvnurses.v 3
)
Therev isv disagreementv amongv thevdifferentv nursingvorganizations. v
4)
Therev arev differentveducation vpathwaysv and v levelsv of v practice.v
ANS:v 2
Thev conflictingv imagesv of vnursingv makev itv morev importantvto v developv av definition;v they v m
ay v also v makev itv morev difficult,v butv notv to v thev extentv thatv constantv change v does.
Healthcare v isv constantly v changingv andv with vitv comev changesv inv where,v how,v and v whatv nursi
ngv carev isv delivered.vConstantvchangesv makev itvdifficultv to vdevelop vavdefinition.vAlthough v di
fferentv nursingv organizationsv havevdifferentv definitions,v theyv arev similarv inv mostv ways.v Thev
differentv education v pathwaysv affectv entry v into v practice,v notv thev definition v of v nursing.
PTS:v 1 v DIF:v Moderatev REF:v p.v 11;v Howv Isv Nursingv Defined?
KEY:v Nursingv process:v N/Av |v Clientv need:v N/Av |v Cognitivev level:v Analysis
7. Nursesv have v thevpotentialv to v bevvery vinfluentialv in v shapingv healthcare vp
olicy.v Which v of v thev followingv factorsv contributesv mostv to v nursesv influence?
1)
Nursesv arev thev largestv health vprofessionalvgroup.v2
)
Nursesv havev avlongv history vof v servingv thev public.v
3)
Nursesv havev achieved vsomev independence vfromv physiciansv in vrecentv years.v 4
)
Politicalv involvementv hasv helped v refutev negativev imagesv portrayedv in v thev media.v A
NS:v 1
Nursesv arev trusted v professionalsvand vthevlargestv health v professionalvgroup.vAsvsuch,v they v h
avev politicalv powerv to veffectvchanges.v Ifv nursingv werevavsmallv group,v therev would v bev littlev
potentialv forv powerv in v shapingv policies,v even v if v allv thev otherv answersv werev true.
Servingv thev public,v whilev positive,v doesvnotvnecessarily v help vnursesvto vbevinfluentialvin v establ
ishingv health v policy.v Independencev fromvphysicians,v although v positive,v doesvnotv necessarily v
make v nursesv influentialvin v establishingv healthcare v policy.vRefutingv negative v media,valthough
v positive, v does v notv necessarily v make v nurses v influentialv in v establishingv healthcare v policy.
PTS:v 1 v DIF:v Moderatev REF:v p.v 21
KEY:v Nursingv process:v N/Av |v Clientv need:v N/Av |v Cognitivev level:v Analysis
8. Nursingv wasv described v asvavdistinctv occupation vin v thev sacred vbooksvofvw
hich v faith?
1)
nsonv Testv Bank
Chapterv 1v Evolutionv of v Nursingv Thoughtv &v Action
Multiplev Choice
Identifyv thev choice v thatv bestv completesv thev statementv orv answersv thev question.
1. Whatv isv thev mostv influentialv factorv thatvhasvshaped vthevnursingvp
rofession? v 1)
Physiciansv need v forvhandmaidensv
2)
Societalv need v forvhealthcare v outsidevthevhomev
3)
Military v demand v forv nursesvin v thev field v4)v
Germv theory v influence von vsanitation v ANS
:v 3
Throughoutv thev centuries,vstability v ofvthevgovernmentv hasv been vrelated vto v thev successv of v thev
military v to v protectv orv extend v itsv domain.v Asv thev survivalv and v well-
beingv of v soldiersv isv critical,v nursesv providedv healthcare vto vthevsick vand vinjuredv atv thevbattlev si
te.v Thev physiciansv handmaidenv was/isv av nursingv stereotype v ratherv than v an v influence v on v nu
rsing.v Although v therev hasv been vneedv forv healthcare voutsidev thev homevthroughoutv history,v thisv
hasv morev influence vonv thev developmentvofvhospitalsv than vonv nursing;v thisv need vprovided vonev
morev settingv forv nursingv work.vGermv theory vandv sanitation v helped vto vimprovev healthcare vbutv
did v notv shapev nursing.
PTS:v 1 v DIF:v Moderatev REF:v dmv 910 v KEY:v Nursingv process:v N/AvClientv need:v N/Av |v Cogniti
vev level:v Recall
2. Which v of v thevfollowingv isv anv example vofvan villnessv prevention vactivity?v Selectval
lv thatv apply.
1)
Encouragingv thev usev ofv avfood vdiary v
2)
Joiningv av cancerv supportvgroup v
3)
Administeringv immunization v forv HPVv4
)
Teachingv av diabetic v patientv aboutv hisv dietv AN
S:v 3
Administeringv immunization v forv HPVv isvan vexample vofv illnessvprevention.vAlthough v cancervis
v a v disease, v itv isvassumedv thatv a vperson vjoiningv a vsupportv groupv would valready vhave vthe vdisease;v
therefore,v thisv isv notv disease v prevention v butv treatment.v Illness-
prevention v activitiesv focusv on v avoidingv av specific v disease.v Av food v diary v isv av health-
promotion v activity.v Teachingv av diabeticv patientv aboutv dietv isv av treatmentv forv diabetes;v thev pat
ientv already v hasv diabetes,v so v itv cannotv preventv diabetes.
PTS:v 1 v DIF:v Moderatev REF:v p.v 18;v high-
levelv question,v notvdirectly vstated v inv textvKEY:v Nursingv process:v N/Av|v Clientv need:v HPMv |v C
ognitivev level:v Application
3. Which v of v thevfollowingv contributionsv ofv Florencev Nightingale v had v an v i
mmediate v impactv on v improvingv patientsv health?
1)
Providingv av clean v environmentv
,2)
,Improvingv nursingv educationv
3)
Changingv thev delivery v ofv carev in vhospitalsv
4)
Establishingv nursingv asv av distinctv professionvA
NS:v 1
Improved v sanitation v (avclean venvironment)v greatly v and vimmediately vreduced vthevratev ofv infec
tion v and v mortality v in v hospitals.vThevothervresponsesvarevallv activitiesv of v Florence v Nightingale
v thatv improved v healthcare v orv nursing, v butv the v impactv isv longv range, v notv immediate.
PTS:v 1 v DIF:v Easy v REF:v V1,v p.v 3;v studentv mustv infervfromv contentv |vV1,vp.v10;vstudentv must
v inferv from v content
KEY:v Nursingv process:v N/Av |v Clientv need:v SECEv |v Cognitivev level:v Application
4. Allv of v thev followingv arev aspectsv of v thev full-
spectrum v nursingv role.v Which vonev isvessentialv forv thev nursevto v do vin vordervto vsuccessfully v
carry v outv allv thev others?
1)
Thinkingv and v reasoningv aboutvthev clientsv carev
2)
Providingv hands-
on v clientv carev 3)
Carryingv outv physician v ordersv4
)
Delegatingv to v assistivev personnelv
ANS:v 1
Av substantialv portion v ofvthevnursingv rolev involvesv usingv clinicalv judgment,v criticalv thinkin
g,v and v problem v solving,v which vdirectly vaffectvthevcarevthevclientv willv actually v receive.vProv
idingv hands-
on v carev isv important;v however,vclinicalv judgment,v criticalv thinking,v andv problemvsolvingv ar
ev essentialv to v do vitv successfully.vCarryingv outv physician vordersv isvav smallv partv of v av nursesv r
ole;v it,v too,v requiresv nursingv assessment,vplanning,v intervention,vand vevaluation.vMany vsim
plev nursingv tasksv arev beingv delegated v to vnursingv assistive v personnel;v delegation v requiresv c
arefulv analysisv ofvpatientv statusvandv thevappropriatenessvofv supportv personnelv to vdelivervcar
e.v Anotherv way v to v analyzev thisv question v isv thatv nonev of v thev optionsv of v providingv hands-
on v care,v carryingv outv physician vorders,vand vdelegatingv to v assistive v personnelv isvrequiredv fo
rv thev nursev to v think v and v reason v aboutv av clientsv care;v so v thev answerv mustv bev 1.
PTS:1DIFifficultREF:v p.v 11
KEY:v Nursingv process:v N/Av |v Clientv need:v N/Av |v Cognitivev level:v Analysis
5. Which v statementv pertainingv to v Bennersv practice v modelv forv clinicalv competence
isv true?
1)
Progression v through v thev stagesv isv constant,v with v mostv nursesv reachingv thev proficientv stage.
2)
Progression v through v thev stagesv involvesvcontinualvdevelopmentv ofvthinkingv and vtechnicalv ski
lls.
3)
Thev nurse v mustv havevexperience vin vmanyv areasvbeforevbeingv considered van v expert.v
4)
Thev nursesv progressv through v thevstagesv isv determined vbyv yearsvofvexperience vandv skills.v ANS
:v 2
Movementv through v thev stagesv isv notv constant.v Bennersv modelv isv based v on v integration v of
, knowledge, v technicalv skill,v and vintuition v in vthevdevelopmentv ofv clinicalv wisdom.v Thev mod
elv doesv notv mention vexperience vin vmany vareas.v Thev modelvdoesvnotv mention vyearsvofvexper
ience.
PTS:1DIF:ModerateREF:p. v 15
KEY:v Nursingv process:v N/Av |v Clientv need:v N/Av |v Cognitivev level:v Recall
6. Which v of v thevfollowingv bestvexplainsvwhyv itv isvdifficultv forvthev profession v t
o v develop v av definition v of v nursing?
1)
Therev arev too v manyv differentv and vconflictingv imagesv of v nurses.v
2)
Therev arev constantv changesvin v healthcare vand vthev activitiesv ofvnurses.v 3
)
Therev isv disagreementv amongv thevdifferentv nursingvorganizations. v
4)
Therev arev differentveducation vpathwaysv and v levelsv of v practice.v
ANS:v 2
Thev conflictingv imagesv of vnursingv makev itv morev importantvto v developv av definition;v they v m
ay v also v makev itv morev difficult,v butv notv to v thev extentv thatv constantv change v does.
Healthcare v isv constantly v changingv andv with vitv comev changesv inv where,v how,v and v whatv nursi
ngv carev isv delivered.vConstantvchangesv makev itvdifficultv to vdevelop vavdefinition.vAlthough v di
fferentv nursingv organizationsv havevdifferentv definitions,v theyv arev similarv inv mostv ways.v Thev
differentv education v pathwaysv affectv entry v into v practice,v notv thev definition v of v nursing.
PTS:v 1 v DIF:v Moderatev REF:v p.v 11;v Howv Isv Nursingv Defined?
KEY:v Nursingv process:v N/Av |v Clientv need:v N/Av |v Cognitivev level:v Analysis
7. Nursesv have v thevpotentialv to v bevvery vinfluentialv in v shapingv healthcare vp
olicy.v Which v of v thev followingv factorsv contributesv mostv to v nursesv influence?
1)
Nursesv arev thev largestv health vprofessionalvgroup.v2
)
Nursesv havev avlongv history vof v servingv thev public.v
3)
Nursesv havev achieved vsomev independence vfromv physiciansv in vrecentv years.v 4
)
Politicalv involvementv hasv helped v refutev negativev imagesv portrayedv in v thev media.v A
NS:v 1
Nursesv arev trusted v professionalsvand vthevlargestv health v professionalvgroup.vAsvsuch,v they v h
avev politicalv powerv to veffectvchanges.v Ifv nursingv werevavsmallv group,v therev would v bev littlev
potentialv forv powerv in v shapingv policies,v even v if v allv thev otherv answersv werev true.
Servingv thev public,v whilev positive,v doesvnotvnecessarily v help vnursesvto vbevinfluentialvin v establ
ishingv health v policy.v Independencev fromvphysicians,v although v positive,v doesvnotv necessarily v
make v nursesv influentialvin v establishingv healthcare v policy.vRefutingv negative v media,valthough
v positive, v does v notv necessarily v make v nurses v influentialv in v establishingv healthcare v policy.
PTS:v 1 v DIF:v Moderatev REF:v p.v 21
KEY:v Nursingv process:v N/Av |v Clientv need:v N/Av |v Cognitivev level:v Analysis
8. Nursingv wasv described v asvavdistinctv occupation vin v thev sacred vbooksvofvw
hich v faith?
1)
