Chapter 1. Nursing Past & Presen
m m m m m
t
Chapterm1.mNursingmPastm&mPresent
MultiplemChoice
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersmthemquestion.
____m1.mWhatmismthemmostminfluentialmfactormthatmhasmshapedmthemnursingmprofession?
1)
Physiciansmneedmformhandmaidens
2)
Societalmneedmformhealthcaremoutsidemthemhome
3)
Militarymdemandmformnursesminmthemfield
4)
Germmtheoryminfluencemonmsanitation
ANS:m3
Throughoutmthemcenturies,mstabilitymofmthemgovernmentmhasmbeenmrelatedmtomthemsuccessmofmt
hemmilitarymtomprotectmormextendmitsmdomain.mAsmthemsurvivalmandmwell-
beingmofmsoldiersmismcritical,mnursesmprovidedmhealthcaremtomthemsickmandminjuredmatmthembattle
site.mThemphysiciansmhandmaidenmwas/ismamnursingmstereotypemrathermthanmanminfluencemonm
m
nursing.mAlthoughmtheremhasmbeenmneedmformhealthcaremoutsidemthemhomemthroughoutmhistor
y,mthismhasmmoreminfluencemonmthemdevelopmentmofmhospitalsmthanmonmnursing;mthismneedmpro
videdmonemmoremsettingmformnursingmwork.mGermmtheorymandmsanitationmhelpedmtomimprovemh
ealthcarembutmdidmnotmshapemnursing.
,PTS:m1mDIF:mModeratemREF:mpp.m910mKEY:mNursingmprocess:mN/AmClientmneed:mN/Am|mCognitiv
emlevel:mRecall
____m2.mWhichmofmthemfollowingmismanmexamplemofmanmillnessmpreventionmactivity?mSelectmallmth
atmapply.
1)
Encouragingmthemusemofmamfoodmdiary
2)
Joiningmamcancermsupportmgroup
3)
AdministeringmimmunizationmformHPV
4)
Teachingmamdiabeticmpatientmaboutmhismdiet
ANS:m3
AdministeringmimmunizationmformHPVmismanmexamplemofmillnessmprevention.mAlthoughmcancermi
smamdisease,mitmismassumedmthatmampersonmjoiningmamsupportmgroupmwouldmalreadymhavemthemdi
sease;mtherefore,mthismismnotmdiseasempreventionmbutmtreatment.mIllness-
preventionmactivitiesmfocusmonmavoidingmamspecificmdisease.mAmfoodmdiarymismamhealth-
promotionmactivity.mTeachingmamdiabeticmpatientmaboutmdietmismamtreatmentmformdiabetes;mthem
patientmalreadymhasmdiabetes,msomitmcannotmpreventmdiabetes.
PTS:m1mDIF:mModeratemREF:mp.m18;mhigh-
levelmquestion,mnotmdirectlymstatedminmtextmKEY:mNursingmprocess:mN/Am|mClientmneed:mHPMm|m
Cognitivemlevel:mApplication
____m3.mWhichmofmthemfollowingmcontributionsmofmFlorencemNightingalemhadmanmimmediatemim
pactmonmimprovingmpatientsmhealth?
1)
Providingmamcleanmenvironment
,2)
Improvingmnursingmeducation
3)
Changingmthemdeliverymofmcareminmhospitals
4)
Establishingmnursingmasmamdistinctmprofession
ANS:m1
Improvedmsanitationm(amcleanmenvironment)mgreatlymandmimmediatelymreducedmthemratemofminf
ectionmandmmortalityminmhospitals.mThemothermresponsesmaremallmactivitiesmofmFlorencemNightin
galemthatmimprovedmhealthcaremormnursing,mbutmthemimpactmismlongmrange,mnotmimmediate.
PTS:m1mDIF:mEasymREF:mV1,mp.m3;mstudentmmustminfermfrommcontentm|mV1,mp.m10;mstudentmmus
tminfermfrommcontent
KEY:mNursingmprocess:mN/Am|mClientmneed:mSECEm|mCognitivemlevel:mApplication
____m4.mAllmofmthemfollowingmaremaspectsmofmthemfull-
spectrummnursingmrole.mWhichmonemismessentialmformthemnursemtomdominmordermtomsuccessfullymc
arrymoutmallmthemothers?
1)
Thinkingmandmreasoningmaboutmthemclientsmcare
2)
Providingmhands-onmclientmcare
3)
Carryingmoutmphysicianmorders
4)
Delegatingmtomassistivempersonnel
, ANS:m1
Amsubstantialmportionmofmthemnursingmroleminvolvesmusingmclinicalmjudgment,mcriticalmthinking,m
andmproblemmsolving,mwhichmdirectlymaffectmthemcaremthemclientmwillmactuallymreceive.mProvidin
gmhands-
onmcaremismimportant;mhowever,mclinicalmjudgment,mcriticalmthinking,mandmproblemmsolvingmare
m essentialmtomdomitmsuccessfully.mCarryingmoutmphysicianmordersmismamsmallmpartmofmamnursesmrol
e;mit,mtoo,mrequiresmnursingmassessment,mplanning,mintervention,mandmevaluation.mManymsimpl
emnursingmtasksmarembeingmdelegatedmtomnursingmassistivempersonnel;mdelegationmrequiresmcar
efulmanalysismofmpatientmstatusmandmthemappropriatenessmofmsupportmpersonnelmtomdelivermcare
.mAnothermwaymtomanalyzemthismquestionmismthatmnonemofmthemoptionsmofmprovidingmhands-
onmcare,mcarryingmoutmphysicianmorders,mandmdelegatingmtomassistivempersonnelmismrequiredmfo
rmthemnursemtomthinkmandmreasonmaboutmamclientsmcare;msomthemanswermmustmbem1.
PTS:1DIFifficultREF:mp.m11
KEY:mNursingmprocess:mN/Am|mClientmneed:mN/Am|mCognitivemlevel:mAnalysis
____m5.mWhichmstatementmpertainingmtomBennersmpracticemmodelmformclinicalmcompetencemismt
rue?
1)
Progressionmthroughmthemstagesmismconstant,mwithmmostmnursesmreachingmthemproficientmstage
.
2)
Progressionmthroughmthemstagesminvolvesmcontinualmdevelopmentmofmthinkingmandmtechnicalms
kills.
3)
Themnursemmustmhavemexperienceminmmanymareasmbeforembeingmconsideredmanmexpert.
4)
Themnursesmprogressmthroughmthemstagesmismdeterminedmbymyearsmofmexperiencemandmskills.
ANS:m2