Chapter 1
1. A nurse is caring for a patient in the ICU who is being monitored for a possible
cerebral aneurysm following a loss of consciousness in the emergency
department (ED). The nurse anticipates preparing the patient for ordered
diagnostic tests. What aspect of nursing does this nurse’s knowledge of the
diagnostic procedures reflect?
a. The art of nursing
b. The science of nursing
c. The caring aspect of nursing
d. The holistic approach to nursing
rationale: The science of nursing is the knowledge base for care that is
provided. In contrast, the skilled application of that knowledge is the art of
nursing. Providing holistic care to patients based on the science of nursing is
considered the art of nursing.
2. Nurses today complete a nursing education program, and practice nursing that
identifies the personal needs of the patient and the role of the nurse in meeting
those needs. Which nursing pioneer is MOST instrumental in this birth of
modern nursing?
a. Clara Barton
b. Lilian Wald
c. Lavinia Dock
d. Florence Nightingale
Rationale: Florence Nightingale elevated the status of nursing to a respected
occupation, improved the quality of nursing care, and founded modern nursing
education. Clara Barton established the Red Cross in the United States in
1882. Lillian Wald was the founder of public health nursing. Lavinia Dock was a
nursing leader and women’s rights activist instrumental in establishing
women’s right to vote.
3. The role of nurses in today’s society was influenced by the nurse’s role in early
civilization. Which statement best portrays this earlier role?
a. Women who committed crimes were recruited into nursing the sick in
lieu of serving jail sentences.
b. Nurses identified the personal needs of the patient and their role in
meeting those needs.
c. Women called deaconesses made the first visits to the sick, and male
religious orders cared for the sick and buried the dead.
d. The nurse was the mother who cared for her family during sickness by
using herbal remedies.
Rationale: In early civilizations, the nurse usually was the mother who cared
for her family during sickness by providing physical care and herbal remedies.
This nurturing and caring role of the nurse has continued to the present. At the
beginning of the 16th century, the shortage of nurses led to the recruitment of
, women who had committed crimes to provide nursing care instead of going to
jail. In the early Christian period, women called deaconesses made the first
organized visits to sick people, and members of male religious orders gave
nursing care and buried the dead. The influences of Florence Nightingale were
apparent from the middle of the 19th century to the 20th century; one of her
accomplishments was identifying the personal needs of the patient and the
nurse’s role in meeting those needs.
4. Nurses today work in a wide variety of health care settings. What trend
occurred during World War II that had a tremendous effect on this development
in the nursing profession?
a. There was a shortage of nurses and an increased emphasis on education.
b. Emphasis on the war slowed development of knowledge in medicine and
technology
c. The role of the nurse focused on acute technical skills used in hospital
settings.
d. Nursing was dependent on the medical profession to define its priorities.
Rationale: During World War II, large numbers of women worked outside the
home. They became more independent and assertive, which led to an increased
emphasis on education. The war itself created a need for more nurses and
resulted in a knowledge explosion in medicine and technology. This trend
broadened the role of nurses to include practicing in a wide variety of health
care settings.
5. A nurse practicing in a primary care center uses the ANA’s Nursing’s Social
Policy Statement as a guideline for practice. Which purposes of nursing are
outlined in this document? Select all that apply.
a. A description of the nurse as a dependent caregiver
b. The provision of standards for nursing educational programs
c. A definition of the scope of nursing practice
d. The establishment of a knowledge base for nursing practice
e. A description of nursing’s social responsibility
f. The regulation of nursing research
Rationale: The ANA Social Policy Statement (2010) describes the social
context of nursing, a definition of nursing, the knowledge base for nursing
practice, the scope of nursing practice, standards of professional nursing
practice, and the regulation of professional nursing.
6. A nurse working in a rehabilitation facility focuses on the goal of restoring
health for patients. Which examples of nursing interventions reflect this goal?
Select all that apply.
a. A nurse counsels adolescents in a drug rehabilitation program
b. A nurse performs range-of-motion exercises for a patient on bedrest
c. A nurse shows a diabetic patient how to inject insulin
d. A nurse recommends a yoga class for a busy executive
e. A nurse provides hospice care for a patient with end-stage cancer
f. A nurse teaches a nutrition class at a local high school
Rationale: Activities to restore health focus on the person with an illness and
, range from early detection of a disease to rehabilitation and teaching during