DavisbAdvantagebBasic bNursing:b Thinking,bDoing,b andbCaringb3rdbEditionbTreasbWilk
insonbTestbBank
Chapterb 1b Evolutionb of b Nursingb Thoughtb &b Action
Multipleb Choice
Identifyb theb choiceb thatb bestb completesb theb statementb orb answersb theb question.
1. Whatb isb theb mostb influentialb factorb thatbhasbshaped bthebnursingbp
rofession? b 1)
Physiciansb need b forbhandmaidensb
2)
Societalb need b forbhealthcare b outsidebthebhomeb
3)
Military b demand b forb nursesbin b theb field b4)b
Germb theory b influence bon bsanitation b ANS
:b 3
Throughoutb theb centuries,bstability b ofbthebgovernmentb hasb been brelated bto b theb successb of b theb
military b to b protectb orb extend b itsb domain.b Asb theb survivalb and b well-
beingb of b soldiersb isb critical,b nursesb providedb healthcare bto bthebsick band binjuredb atb thebbattleb si
te.b Theb physiciansb handmaidenb was/isb ab nursingb stereotype b ratherb than b an b influence b on b nu
rsing.b Although b thereb hasb been bneedb forb healthcare boutsideb theb homebthroughoutb history,b thisb
hasb moreb influence bonb theb developmentbofbhospitalsb than bonb nursing;b thisb need bprovided boneb
moreb settingb forb nursingb work.bGermb theory bandb sanitation b helped bto bimproveb healthcare bbutb
did b notb shapeb nursing.
PTS:b 1 b DIF:b Moderateb REF:b dmb 910 b KEY:b Nursingb process:b N/AbClientb need:b N/Ab |b Cogniti
veb level:b Recall
2. Which b of b thebfollowingb isb anb example bofban billnessb prevention bactivity?b Selectbal
lb thatb apply.
1)
Encouragingb theb useb ofb abfood bdiary b
2)
Joiningb ab cancerb supportbgroup b
3)
Administeringb immunization b forb HPVb4
)
Teachingb ab diabetic b patientb aboutb hisb dietb AN
S:b 3
Administeringb immunization b forb HPVb isban bexample bofb illnessbprevention.bAlthough b cancerbis
b a b disease, b itb isbassumedb thatb a bperson bjoiningb a bsupportb groupb would balready bhave bthe bdisease;b
therefore,b thisb isb notb disease b prevention b butb treatment.b Illness-
prevention b activitiesb focusb on b avoidingb ab specific b disease.b Ab food b diary b isb ab health-
promotion b activity.b Teachingb ab diabeticb patientb aboutb dietb isb ab treatmentb forb diabetes;b theb pat
ientb already b hasb diabetes,b so b itb cannotb preventb diabetes.
PTS:b 1 b DIF:b Moderateb REF:b p.b 18;b high-
levelb question,b notbdirectly bstated b inb textbKEY:b Nursingb process:b N/Ab|b Clientb need:b HPMb |b C
ognitiveb level:b Application
3. Which b of b thebfollowingb contributionsb ofb Florenceb Nightingale b had b an b i
mmediate b impactb on b improvingb patientsb health?
1)
Providingb ab clean b environmentb
,2)
,Improvingb nursingb educationb
3)
Changingb theb delivery b ofb careb in bhospitalsb
4)
Establishingb nursingb asb ab distinctb professionbA
NS:b 1
Improved b sanitation b (abclean benvironment)b greatly b and bimmediately breduced bthebrateb ofb infec
tion b and b mortality b in b hospitals.bThebotherbresponsesbareballb activitiesb of b Florence b Nightingale
b thatb improved b healthcare b orb nursing, b butb the b impactb isb longb range, b notb immediate.
PTS:b 1 b DIF:b Easy b REF:b V1,b p.b 3;b studentb mustb inferbfromb contentb |bV1,bp.b10;bstudentb must
b inferb from b content
KEY:b Nursingb process:b N/Ab |b Clientb need:b SECEb |b Cognitiveb level:b Application
4. Allb of b theb followingb areb aspectsb of b theb full-
spectrum b nursingb role.b Which boneb isbessentialb forb theb nursebto b do bin borderbto bsuccessfully b
carry b outb allb theb others?
1)
Thinkingb and b reasoningb aboutbtheb clientsb careb
2)
Providingb hands-
on b clientb careb 3)
Carryingb outb physician b ordersb4
)
Delegatingb to b assistiveb personnelb
ANS:b 1
Ab substantialb portion b ofbthebnursingb roleb involvesb usingb clinicalb judgment,b criticalb thinkin
g,b and b problem b solving,b which bdirectly baffectbthebcarebthebclientb willb actually b receive.bProv
idingb hands-
on b careb isb important;b however,bclinicalb judgment,b criticalb thinking,b andb problembsolvingb ar
eb essentialb to b do bitb successfully.bCarryingb outb physician bordersb isbab smallb partb of b ab nursesb r
ole;b it,b too,b requiresb nursingb assessment,bplanning,b intervention,band bevaluation.bMany bsim
pleb nursingb tasksb areb beingb delegated b to bnursingb assistive b personnel;b delegation b requiresb c
arefulb analysisb ofbpatientb statusbandb thebappropriatenessbofb supportb personnelb to bdeliverbcar
e.b Anotherb way b to b analyzeb thisb question b isb thatb noneb of b theb optionsb of b providingb hands-
on b care,b carryingb outb physician borders,band bdelegatingb to b assistive b personnelb isbrequiredb fo
rb theb nurseb to b think b and b reason b aboutb ab clientsb care;b so b theb answerb mustb beb 1.
PTS:1DIFifficultREF:b p.b 11
KEY:b Nursingb process:b N/Ab |b Clientb need:b N/Ab |b Cognitiveb level:b Analysis
5. Which b statementb pertainingb to b Bennersb practice b modelb forb clinicalb competence
isb true?
1)
Progression b through b theb stagesb isb constant,b with b mostb nursesb reachingb theb proficientb stage.
2)
Progression b through b theb stagesb involvesbcontinualbdevelopmentb ofbthinkingb and btechnicalb ski
lls.
3)
Theb nurse b mustb havebexperience bin bmanyb areasbbeforebbeingb considered ban b expert.b
4)
Theb nursesb progressb through b thebstagesb isb determined bbyb yearsbofbexperience bandb skills.b ANS
:b 2
Movementb through b theb stagesb isb notb constant.b Bennersb modelb isb based b on b integration b of
, knowledge, b technicalb skill,b and bintuition b in bthebdevelopmentb ofb clinicalb wisdom.b Theb mod
elb doesb notb mention bexperience bin bmany bareas.b Theb modelbdoesbnotb mention byearsbofbexper
ience.
PTS:1DIF:ModerateREF:p. b 15
KEY:b Nursingb process:b N/Ab |b Clientb need:b N/Ab |b Cognitiveb level:b Recall
6. Which b of b thebfollowingb bestbexplainsbwhyb itb isbdifficultb forbtheb profession b t
o b develop b ab definition b of b nursing?
1)
Thereb areb too b manyb differentb and bconflictingb imagesb of b nurses.b
2)
Thereb areb constantb changesbin b healthcare band btheb activitiesb ofbnurses.b 3
)
Thereb isb disagreementb amongb thebdifferentb nursingborganizations. b
4)
Thereb areb differentbeducation bpathwaysb and b levelsb of b practice.b
ANS:b 2
Theb conflictingb imagesb of bnursingb makeb itb moreb importantbto b developb ab definition;b they b m
ay b also b makeb itb moreb difficult,b butb notb to b theb extentb thatb constantb change b does.
Healthcare b isb constantly b changingb andb with bitb comeb changesb inb where,b how,b and b whatb nursi
ngb careb isb delivered.bConstantbchangesb makeb itbdifficultb to bdevelop babdefinition.bAlthough b di
fferentb nursingb organizationsb havebdifferentb definitions,b theyb areb similarb inb mostb ways.b Theb
differentb education b pathwaysb affectb entry b into b practice,b notb theb definition b of b nursing.
PTS:b 1 b DIF:b Moderateb REF:b p.b 11;b Howb Isb Nursingb Defined?
KEY:b Nursingb process:b N/Ab |b Clientb need:b N/Ab |b Cognitiveb level:b Analysis
7. Nursesb have b thebpotentialb to b bebvery binfluentialb in b shapingb healthcare bp
olicy.b Which b of b theb followingb factorsb contributesb mostb to b nursesb influence?
1)
Nursesb areb theb largestb health bprofessionalbgroup.b2
)
Nursesb haveb ablongb history bof b servingb theb public.b
3)
Nursesb haveb achieved bsomeb independence bfromb physiciansb in brecentb years.b 4
)
Politicalb involvementb hasb helped b refuteb negativeb imagesb portrayedb in b theb media.b A
NS:b 1
Nursesb areb trusted b professionalsband btheblargestb health b professionalbgroup.bAsbsuch,b they b h
aveb politicalb powerb to beffectbchanges.b Ifb nursingb werebabsmallb group,b thereb would b beb littleb
potentialb forb powerb in b shapingb policies,b even b if b allb theb otherb answersb wereb true.
Servingb theb public,b whileb positive,b doesbnotbnecessarily b help bnursesbto bbebinfluentialbin b establ
ishingb health b policy.b Independenceb frombphysicians,b although b positive,b doesbnotb necessarily b
make b nursesb influentialbin b establishingb healthcare b policy.bRefutingb negative b media,balthough
b positive, b does b notb necessarily b make b nurses b influentialb in b establishingb healthcare b policy.
PTS:b 1 b DIF:b Moderateb REF:b p.b 21
KEY:b Nursingb process:b N/Ab |b Clientb need:b N/Ab |b Cognitiveb level:b Analysis
8. Nursingb wasb described b asbabdistinctb occupation bin b theb sacred bbooksbofbw
hich b faith?
1)
insonbTestbBank
Chapterb 1b Evolutionb of b Nursingb Thoughtb &b Action
Multipleb Choice
Identifyb theb choiceb thatb bestb completesb theb statementb orb answersb theb question.
1. Whatb isb theb mostb influentialb factorb thatbhasbshaped bthebnursingbp
rofession? b 1)
Physiciansb need b forbhandmaidensb
2)
Societalb need b forbhealthcare b outsidebthebhomeb
3)
Military b demand b forb nursesbin b theb field b4)b
Germb theory b influence bon bsanitation b ANS
:b 3
Throughoutb theb centuries,bstability b ofbthebgovernmentb hasb been brelated bto b theb successb of b theb
military b to b protectb orb extend b itsb domain.b Asb theb survivalb and b well-
beingb of b soldiersb isb critical,b nursesb providedb healthcare bto bthebsick band binjuredb atb thebbattleb si
te.b Theb physiciansb handmaidenb was/isb ab nursingb stereotype b ratherb than b an b influence b on b nu
rsing.b Although b thereb hasb been bneedb forb healthcare boutsideb theb homebthroughoutb history,b thisb
hasb moreb influence bonb theb developmentbofbhospitalsb than bonb nursing;b thisb need bprovided boneb
moreb settingb forb nursingb work.bGermb theory bandb sanitation b helped bto bimproveb healthcare bbutb
did b notb shapeb nursing.
PTS:b 1 b DIF:b Moderateb REF:b dmb 910 b KEY:b Nursingb process:b N/AbClientb need:b N/Ab |b Cogniti
veb level:b Recall
2. Which b of b thebfollowingb isb anb example bofban billnessb prevention bactivity?b Selectbal
lb thatb apply.
1)
Encouragingb theb useb ofb abfood bdiary b
2)
Joiningb ab cancerb supportbgroup b
3)
Administeringb immunization b forb HPVb4
)
Teachingb ab diabetic b patientb aboutb hisb dietb AN
S:b 3
Administeringb immunization b forb HPVb isban bexample bofb illnessbprevention.bAlthough b cancerbis
b a b disease, b itb isbassumedb thatb a bperson bjoiningb a bsupportb groupb would balready bhave bthe bdisease;b
therefore,b thisb isb notb disease b prevention b butb treatment.b Illness-
prevention b activitiesb focusb on b avoidingb ab specific b disease.b Ab food b diary b isb ab health-
promotion b activity.b Teachingb ab diabeticb patientb aboutb dietb isb ab treatmentb forb diabetes;b theb pat
ientb already b hasb diabetes,b so b itb cannotb preventb diabetes.
PTS:b 1 b DIF:b Moderateb REF:b p.b 18;b high-
levelb question,b notbdirectly bstated b inb textbKEY:b Nursingb process:b N/Ab|b Clientb need:b HPMb |b C
ognitiveb level:b Application
3. Which b of b thebfollowingb contributionsb ofb Florenceb Nightingale b had b an b i
mmediate b impactb on b improvingb patientsb health?
1)
Providingb ab clean b environmentb
,2)
,Improvingb nursingb educationb
3)
Changingb theb delivery b ofb careb in bhospitalsb
4)
Establishingb nursingb asb ab distinctb professionbA
NS:b 1
Improved b sanitation b (abclean benvironment)b greatly b and bimmediately breduced bthebrateb ofb infec
tion b and b mortality b in b hospitals.bThebotherbresponsesbareballb activitiesb of b Florence b Nightingale
b thatb improved b healthcare b orb nursing, b butb the b impactb isb longb range, b notb immediate.
PTS:b 1 b DIF:b Easy b REF:b V1,b p.b 3;b studentb mustb inferbfromb contentb |bV1,bp.b10;bstudentb must
b inferb from b content
KEY:b Nursingb process:b N/Ab |b Clientb need:b SECEb |b Cognitiveb level:b Application
4. Allb of b theb followingb areb aspectsb of b theb full-
spectrum b nursingb role.b Which boneb isbessentialb forb theb nursebto b do bin borderbto bsuccessfully b
carry b outb allb theb others?
1)
Thinkingb and b reasoningb aboutbtheb clientsb careb
2)
Providingb hands-
on b clientb careb 3)
Carryingb outb physician b ordersb4
)
Delegatingb to b assistiveb personnelb
ANS:b 1
Ab substantialb portion b ofbthebnursingb roleb involvesb usingb clinicalb judgment,b criticalb thinkin
g,b and b problem b solving,b which bdirectly baffectbthebcarebthebclientb willb actually b receive.bProv
idingb hands-
on b careb isb important;b however,bclinicalb judgment,b criticalb thinking,b andb problembsolvingb ar
eb essentialb to b do bitb successfully.bCarryingb outb physician bordersb isbab smallb partb of b ab nursesb r
ole;b it,b too,b requiresb nursingb assessment,bplanning,b intervention,band bevaluation.bMany bsim
pleb nursingb tasksb areb beingb delegated b to bnursingb assistive b personnel;b delegation b requiresb c
arefulb analysisb ofbpatientb statusbandb thebappropriatenessbofb supportb personnelb to bdeliverbcar
e.b Anotherb way b to b analyzeb thisb question b isb thatb noneb of b theb optionsb of b providingb hands-
on b care,b carryingb outb physician borders,band bdelegatingb to b assistive b personnelb isbrequiredb fo
rb theb nurseb to b think b and b reason b aboutb ab clientsb care;b so b theb answerb mustb beb 1.
PTS:1DIFifficultREF:b p.b 11
KEY:b Nursingb process:b N/Ab |b Clientb need:b N/Ab |b Cognitiveb level:b Analysis
5. Which b statementb pertainingb to b Bennersb practice b modelb forb clinicalb competence
isb true?
1)
Progression b through b theb stagesb isb constant,b with b mostb nursesb reachingb theb proficientb stage.
2)
Progression b through b theb stagesb involvesbcontinualbdevelopmentb ofbthinkingb and btechnicalb ski
lls.
3)
Theb nurse b mustb havebexperience bin bmanyb areasbbeforebbeingb considered ban b expert.b
4)
Theb nursesb progressb through b thebstagesb isb determined bbyb yearsbofbexperience bandb skills.b ANS
:b 2
Movementb through b theb stagesb isb notb constant.b Bennersb modelb isb based b on b integration b of
, knowledge, b technicalb skill,b and bintuition b in bthebdevelopmentb ofb clinicalb wisdom.b Theb mod
elb doesb notb mention bexperience bin bmany bareas.b Theb modelbdoesbnotb mention byearsbofbexper
ience.
PTS:1DIF:ModerateREF:p. b 15
KEY:b Nursingb process:b N/Ab |b Clientb need:b N/Ab |b Cognitiveb level:b Recall
6. Which b of b thebfollowingb bestbexplainsbwhyb itb isbdifficultb forbtheb profession b t
o b develop b ab definition b of b nursing?
1)
Thereb areb too b manyb differentb and bconflictingb imagesb of b nurses.b
2)
Thereb areb constantb changesbin b healthcare band btheb activitiesb ofbnurses.b 3
)
Thereb isb disagreementb amongb thebdifferentb nursingborganizations. b
4)
Thereb areb differentbeducation bpathwaysb and b levelsb of b practice.b
ANS:b 2
Theb conflictingb imagesb of bnursingb makeb itb moreb importantbto b developb ab definition;b they b m
ay b also b makeb itb moreb difficult,b butb notb to b theb extentb thatb constantb change b does.
Healthcare b isb constantly b changingb andb with bitb comeb changesb inb where,b how,b and b whatb nursi
ngb careb isb delivered.bConstantbchangesb makeb itbdifficultb to bdevelop babdefinition.bAlthough b di
fferentb nursingb organizationsb havebdifferentb definitions,b theyb areb similarb inb mostb ways.b Theb
differentb education b pathwaysb affectb entry b into b practice,b notb theb definition b of b nursing.
PTS:b 1 b DIF:b Moderateb REF:b p.b 11;b Howb Isb Nursingb Defined?
KEY:b Nursingb process:b N/Ab |b Clientb need:b N/Ab |b Cognitiveb level:b Analysis
7. Nursesb have b thebpotentialb to b bebvery binfluentialb in b shapingb healthcare bp
olicy.b Which b of b theb followingb factorsb contributesb mostb to b nursesb influence?
1)
Nursesb areb theb largestb health bprofessionalbgroup.b2
)
Nursesb haveb ablongb history bof b servingb theb public.b
3)
Nursesb haveb achieved bsomeb independence bfromb physiciansb in brecentb years.b 4
)
Politicalb involvementb hasb helped b refuteb negativeb imagesb portrayedb in b theb media.b A
NS:b 1
Nursesb areb trusted b professionalsband btheblargestb health b professionalbgroup.bAsbsuch,b they b h
aveb politicalb powerb to beffectbchanges.b Ifb nursingb werebabsmallb group,b thereb would b beb littleb
potentialb forb powerb in b shapingb policies,b even b if b allb theb otherb answersb wereb true.
Servingb theb public,b whileb positive,b doesbnotbnecessarily b help bnursesbto bbebinfluentialbin b establ
ishingb health b policy.b Independenceb frombphysicians,b although b positive,b doesbnotb necessarily b
make b nursesb influentialbin b establishingb healthcare b policy.bRefutingb negative b media,balthough
b positive, b does b notb necessarily b make b nurses b influentialb in b establishingb healthcare b policy.
PTS:b 1 b DIF:b Moderateb REF:b p.b 21
KEY:b Nursingb process:b N/Ab |b Clientb need:b N/Ab |b Cognitiveb level:b Analysis
8. Nursingb wasb described b asbabdistinctb occupation bin b theb sacred bbooksbofbw
hich b faith?
1)
