WilkinsongTestgBank
Chapterg 1g Evolutiong ofg Nursingg Thoughtg &g Action
Multipleg Choice
Identifyg theg choiceg thatg bestg completesg theg statementg org answersg theg question.
1. Whatgisgthegmostginfluentialgfactorgthatghasgshapedgthegnursin
ggprofession?g1)
Physiciansgneedgforghandmaidens
g2)
Societalgneedgforghealthcaregoutsidegtheghom
eg3)
Militarygdemandgforgnursesgingthegfieldg4
)gGermgtheoryginfluencegongsanitationgA
NS:g3
Throughoutgthegcenturies,gstabilitygofgtheggovernmentghasgbeengrelatedgtogthegsuccessgofgt
hegmilitarygtogprotectgorgextendgitsgdomain.gAsgthegsurvivalgandgwell-
beinggofgsoldiersgisg critical,gnursesgprovidedghealthcaregtogthegsickgandginjuredgatgthegbattl
egsite.gThegphysiciansghandmaideng was/isg ag nursingg stereotypeg ratherg thang ang influenceg
ong nursing.gAlthoughgthereghasgbeengneedgforghealthcaregoutsidegtheghomegthroughoutghist
ory,gthisghasgmoreginfluencegongthegdevelopmentgofghospitalsgthangongnursing;gthisgneedgpr
ovidedgonegmoregsettinggforgnursinggwork.gGermgtheorygandgsanitationghelpedgtogimproveg
healthcaregbutgdidgnotgshapegnursing.
PTS:g1gDIF:gModerategREF:gdmg910gKEY:gNursinggprocess:gN/AgClientgneed:gN/Ag|gCog
nitiveglevel:gRecall
2. Whichgofgthegfollowinggisgangexamplegofgangillnessgpreventiongactivity?gSelect
gallgthatgapply.
1)
Encouraginggthegusegofgagfoodgdiar
yg2)
Joininggagcancergsupportggroup
g3)
AdministeringgimmunizationgforgHPVg
4)
TeachinggagdiabeticgpatientgaboutghisgdietgA
NS:g3
AdministeringgimmunizationgforgHPVgisgangexamplegofgillnessgprevention.gAlthoughgcancer
gisgagdisease,gitgisgassumedgthatgagpersongjoininggagsupportggroupgwouldgalreadyghavegthegdi
sease;gtherefore,gthisgisgnotgdiseasegpreventiongbutgtreatment.gIllness-
preventiongactivitiesgfocusg ong avoidingg ag specificg disease.gAgfoodg diaryg isg ag health-
promotiong activity.gTeachinggag diabeticg patientg aboutg dietg isg ag treatmentg forg diabetes;g theg
patientg alreadyg hasg diabetes,g sogitgcannotgpreventgdiabetes.
PTS:g1gDIF:gModerategREF:gp.g18;ghigh-
levelgquestion,gnotgdirectlygstatedgingtextgKEY:gNursinggprocess:gN/Ag|gClientgneed:gHPMg
|gCognitiveglevel:gApplication
3. WhichgofgthegfollowinggcontributionsgofgFlorencegNightingaleghadgan
gimmediategimpactgongimprovinggpatientsghealth?
1)
Providinggagcleangenvironment
,g2)
,Improvinggnursinggeducation
g3)
Changinggthegdeliverygofgcareginghospital
sg4)
Establishinggnursinggasgagdistinctgprofessiong
ANS:g1
Improvedgsanitationg(agcleangenvironment)ggreatlygandgimmediatelygreducedgthegrategofgin
fectiongandgmortalityginghospitals.gThegothergresponsesgaregallgactivitiesgofgFlorencegNighti
ngalegthatgimprovedghealthcaregorgnursing,gbutgthegimpactgisglonggrange,gnotgimmediate.
PTS:g1gDIF:gEasygREF:gV1,gp.g3;gstudentgmustginfergfromgcontentg|gV1,gp.g10;gstudentg
mustginfergfromgcontent
KEY:g Nursingg process:g N/Ag|g Clientg need:g SECEg |g Cognitiveg level:gApplication
4. Allgofgthegfollowinggaregaspectsgofgthegfull-
spectrumgnursinggrole.gWhichgonegisgessentialgforgthegnursegtogdogingordergtogsuccessfu
llygcarrygoutgallgthegothers?
1)
Thinkinggandgreasoninggaboutgthegclientsgcar
eg2)
Providingghands-
ongclientgcareg3)
Carryinggoutgphysiciangordersg
4)
Delegatinggtogassistivegpersonnel
gANS:g1
Agsubstantialgportiongofgthegnursinggroleginvolvesgusinggclinicalgjudgment,gcriticalgthink
ing,gandgproblemgsolving,gwhichgdirectlygaffectgthegcaregthegclientgwillgactuallygreceive.
gProvidingghands-
ongcaregisgimportant;ghowever,gclinicalgjudgment,gcriticalgthinking,gandgproblemgsolving
garegessentialgtogdogitgsuccessfully. gCarryinggoutgphysiciangordersgisgagsmallgpartgofgagnu
rsesgrole;git,gtoo,grequiresgnursinggassessment,gplanning,gintervention,gandgevaluation.gM
anygsimplegnursinggtasksgaregbeinggdelegatedgtognursinggassistivegpersonnel;gdelegationg
requiresgcarefulganalysisgofgpatientgstatusgandgthegappropriatenessgofgsupportgpersonnelgt
ogdelivergcare.gAnothergwaygtoganalyzegthisg questiongisgthatgnonegofgthegoptionsgofgpro
vidingghands-
ongcare,gcarryinggoutgphysiciangorders,gandgdelegatinggtogassistivegpersonnelgisgrequired
gforgthegnursegtogthinkgandgreasongaboutgagclientsgcare;gsogtheganswergmustgbeg1.
PTS:1DIFifficultREF:g p.g 11
KEY:gNursingg process:g N/Ag|gClientg need:g N/Ag|g Cognitiveglevel:gAnalysis
5. Whichg statementg pertainingg tog Bennersg practiceg modelg forg clinicalg competence
isgtrue?
1)
Progressiong throughg theg stagesg isg constant,g withg mostg nursesg reachingg theg proficientg stage.
2)
Progressiongthroughgthegstagesginvolvesgcontinualgdevelopmentgofgthinkinggandgtechnicalg
skills.
3)
Thegnursegmustghavegexperiencegingmanygareasgbeforegbeinggconsideredgangexper
t.g4)
Thegnursesgprogressgthroughgthegstagesgisgdeterminedgbygyearsgofgexperiencegandgskills.gA
NS:g2
Movementg throughg theg stagesg isg notg constant.g Bennersg modelg isg basedg ong integrationg of
, knowledge,gtechnicalgskill,gandgintuitiongingthegdevelopmentgofgclinicalgwisdom.gThegm
odelgdoesgnotgmentiongexperiencegingmanygareas.gThegmodelgdoesgnotgmentiongyearsgofg
experience.
PTS:1DIF:ModerateREF:p.g 15
KEY:gNursingg process:g N/Ag|g Clientgneed:g N/Ag|gCognitiveg level:gRecall
6. Whichgofgthegfollowinggbestgexplainsgwhygitgisgdifficultgforgthegprofessio
ngtogdevelopgagdefinitiongofgnursing?
1)
Theregaregtoogmanygdifferentgandgconflictinggimagesgofgnurses
.g2)
Theregaregconstantgchangesginghealthcaregandgthegactivitiesgofgnurses.
g3)
Theregisgdisagreementgamonggthegdifferentgnursinggorganizations
.g4)
Theregaregdifferentgeducationgpathwaysgandglevelsgofgpractice.
gANS:g2
Thegconflictinggimagesgofgnursinggmakegitgmoregimportantgtogdevelopgagdefinition;gthey
gmaygalsogmakegitgmoregdifficult,gbutgnotgtogthegextentgthatgconstantgchangegdoes.
Healthcaregisgconstantlygchanginggandgwithgitgcomegchangesgingwhere,ghow,gandgwhatgnu
rsinggcaregisgdelivered.gConstantgchangesgmakegitgdifficultgtogdevelopgagdefinition.gAlthou
ghgdifferentgnursinggorganizationsghavegdifferentgdefinitions,gtheygaregsimilargingmostgwa
ys.gThegdifferentgeducationgpathwaysgaffectgentrygintogpractice,gnotgthegdefinitiongofgnursi
ng.
PTS:g1g DIF:gModerategREF:gp.g 11;gHowg Isg Nursingg Defined?
KEY:gNursingg process:g N/Ag|gClientg need:g N/Ag|g Cognitiveglevel:gAnalysis
7. Nursesghavegthegpotentialgtogbegveryginfluentialgingshapingghealthcar
egpolicy.gWhichgofgthegfollowinggfactorsgcontributesgmostgtognursesginfluence?
1)
Nursesgaregtheglargestghealthgprofessionalggroup.
g2)
Nursesghavegaglongghistorygofgservinggthegpublic
.g3)
Nursesghavegachievedgsomegindependencegfromgphysiciansgingrecentgyears.
g4)
Politicalginvolvementghasghelpedgrefutegnegativegimagesgportrayedgingthegmedia.g
ANS:g1
Nursesgaregtrustedgprofessionalsgandgtheglargestghealthgprofessionalggroup.gAsgsuch,gthe
yghavegpoliticalgpowergtogeffectgchanges.gIfgnursinggweregagsmallggroup,gtheregwouldgbe
glittlegpotentialgforgpowergingshapinggpolicies,gevengifgallgthegotherganswersgweregtrue.
Servinggthegpublic,gwhilegpositive,gdoesgnotgnecessarilyghelpgnursesgtogbeginfluentialgingest
ablishingghealthgpolicy.gIndependencegfromgphysicians,galthoughgpositive,gdoesgnotgnecess
arilygmakegnursesginfluentialgingestablishingghealthcaregpolicy.gRefutinggnegativegmedia,ga
lthoughgpositive,gdoesgnotgnecessarilygmakegnursesginfluentialgingestablishingghealthcaregp
olicy.
PTS:g 1g DIF:g Moderateg REF:g p.g 21
KEY:gNursingg process:g N/Ag|gClientg need:g N/Ag|g Cognitiveglevel:gAnalysis
8. Nursinggwasgdescribedgasgagdistinctgoccupationgingthegsacredgbooksgo
fgwhichgfaith?
1)