Fundamentals of Nursing 9th Edition
Chapter 01: Nursing Today
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Potter et al.: Fundamentals of Nursing, 9th Edition MULTIPLE CH
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OICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
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a. Florence Nightingale L9 L9
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b. Mary Nutting L9 L9
c. Clara Barton L9 L9
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d. Lillian Wald L9 L9
ANS: A L9 L9
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor
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anitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came after Nighti
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ngale, each contributing to the nursing profession in her own way. Mary Nutting was instrumental i
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n moving nursing education into universities. Clara Barton founded the American Red Cross. Lillian
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Wald helped open the Henry Street Settlement.
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DIF:Understand (comprehension)REF:5 L9 L9
OBJ: Discuss the influence of social, historical, political, and economic changes on nursing
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. TOP: Evaluation MSC: Health Promotion and Maintenance
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2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
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nursing practice is the nurse following?
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a. Assessment L9
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b. Diagnosis L9
c. Planning L9
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,d. Implementation L9
ANS: C L9 L9
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to attain
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expected outcomes. During assessment, the registered nurse collects comprehensive data pertinent t
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o the patient’s health and/or the situation. In diagnosis, the registered nurse analyzes the
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nt data to determine the diagnoses or issues. During implementation, the registered nurse implemen
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ts (carries out) the identified plan.
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DIF:Understand (comprehension)REF:2 L9 L9
OBJ: Discuss the development of professional nursing roles. TOP: Planning
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,MSC:Management of Care L9 L9
3. An experienced medical- L9 L9
surgical nurse chooses to work in obstetrics. Which level of proficiency is
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sition to the obstetrical floor?
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a. Novice L9
b. Proficient L9
c. Competent L9
d. Advanced beginner L9 L9
ANS: A L9 L9
A beginning nursing student or any nurse entering a situation in which there is no previous level of e
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xperience (e.g., an experienced operating room nurse chooses to now practice in home health) is
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n example of a novice nurse. A proficient nurse perceives a patient’s clinical situation as a whole, is
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ble to assess an entire situation, and can readily transfer knowledge gained from multiple previous e
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xperiences to a situation. A competent nurse understands the organization and specific care require
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d by the type of patients (e.g., surgical, oncology, or orthopedic patients). This nurse is a
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competent practitioner who is able to anticipate nursing care and establish long-
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range goals. A nurse who has had some level of experience with the situation is an advanced beginn
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er. This experience may only be observational in nature, but the nurse is able to identify meaningful
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aspects or principles of nursing care.
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DIF:Apply (application)REF:2 L9 L9
OBJ: Discuss the development of professional nursing roles. TOP: Evaluation MSC:Managemen
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t of Care
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4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
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The nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstra
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ting? L9
, a. Licensure L9
b. Autonomy L9
c. Certification L9
d. Accountability L9
ANS: B L9 L9
Autonomy is an essential element of professional nursing that involves the initiation of independent
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nursing interventions without medical orders. To obtain licensure in the United States, the RN
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ate must pass the NCLEX-RN®. Beyond the NCLEX-
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RN®, the nurse may choose to work toward certification in a specific area of nursing practice. Accou
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ntability means that you are responsible, professionally and legally, for the type and quality of nursin
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g care provided.
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