L L L L L L L L
PERRY CHAPTER 1-50
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,Chapter 01: Nursing Today
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Potter: Fundamentals of Nursing, 11th Edition
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MULTIPLE lCHOICE
1. Which lnurse lmost llikely lkept lrecords lon lsanitation ltechniques land lthe leffects lon lhealth? la.
Florence lNightingale
b. Mary lNutting
c. Clara lBarton
d. Lillian lWald
ANS: lA
Nightingale lwas lthe lfirst lpracticing lnurse lepidemiologist. lHer lstatistical lanalyses lconnected
lpoor lsanitation lwith lcholera land ldysentery. lMary lNutting, lClara lBarton, land lLillian lWald
lcame lafter lNightingale, leach lcontributing lto lthe l nursing lprofession lin lher lown lway. l Mary
lNutting lwas linstrumental lin lmoving lnursing leducation linto luniversities. lClara lBarton
lfounded lthe lAmerican lRed lCross. lLillian lWald lhelped lopen lthe lHenry lStreet lSettlement.
DIF:Understand l(comprehension)
OBJ:Discuss lthe linfluence lof lsocial, lhistorical, lpolitical, land leconomic lchanges lon lnursing lpractices.
TOP: Evaluation MSC: lHealth lPromotion land lMaintenance
2. The lnurse lprescribes lstrategies land lalternatives lto lattain lexpected loutcome. lWhich
lstandard lof lnursing lpractice lis lthe lnurse lfollowing? la. lAssessment
b. Diagnosis
c. Planning
d. Implementation
ANS: lC
In lplanning, lthe lregistered lnurse ldevelops la lplan lthat lprescribes lstrategies land lalternatives
lto lattain lexpected loutcomes. lDuring lassessment, l the lregistered lnurse lcollects
lcomprehensive ldata lpertinent lto lthe lpatient’s lhealth land/or lthe lsituation. lIn ldiagnosis, lthe
lregistered lnurse lanalyzes lthe lassessment ldata lto l determine lthe ldiagnoses lor lissues.
lDuring limplementation, lthe lregistered lnurse limplements l(carries lout) lthe lidentified lplan.
DIF:Understand l(comprehension)
OBJ:Discuss lthe ldevelopment lof lprofessional lnursing lroles. TOP: lPlanning lMSC:
lManagement lof lCare
3. An lexperienced lmedical-surgical lnurse lchooses lto lwork lin lobstetrics. lWhich llevel
lof lproficiency lis lthe lnurse lupon linitial ltransition l to lthe lobstetrical lfloor? la.
Novice
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b. Proficient
c. Competent
d. Advanced lbeginner
, ANS: lA
A lbeginning lnursing lstudent lor lany lnurse lentering la lsituation lin lwhich lthere lis lno lprevious
llevel lof lexperience l(e.g., lan lexperienced loperating lroom lnurse lchooses lto lnow lpractice lin
lhome lhealth) lis lan lexample lof la lnovice lnurse. lA lproficient lnurse lperceives la lpatient’s lclinical
lsituation las la lwhole, lis lable lto lassess lan lentire l situation, land lcan lreadily ltransfer
lknowledge lgained lfrom lmultiple lprevious lexperiences lto la lsituation. lA lcompetent lnurse
lunderstands lthe lorganization land lspecific lcare lrequired lby lthe ltype lof lpatients l(e.g.,
lsurgical, loncology, lor lorthopedic lpatients). lThis lnurse lis la lcompetent lpractitioner lwho lis
lable lto lanticipate lnursing lcare land lestablish llong-range lgoals. lA lnurse lwho lhas lhad lsome
llevel lof lexperience lwith lthe lsituation lis lan ladvanced lbeginner. lThis lexperience lmay lonly
lbe lobservational lin lnature, lbut lthe lnurse lis lable lto lidentify lmeaningful laspects lor
lprinciples lof lnursing lcare.
DIF:Apply l(application)
OBJ:Discuss lthe ldevelopment lof lprofessional lnursing lroles. TOP: lEvaluation lMSC:
lManagement lof lCare
4. A lnurse lassesses la lpatient’s lfluid lstatus land ldecides lthat lthe lpatient lneeds lto ldrink
lmore lfluids. lThe lnurse lthen lencourages lthe lpatient lto ldrink lmore lfluids. lWhich
lconcept lis lthe lnurse ldemonstrating? la. lLicensure
b. Autonomy
c. Certification
d. Accountability
ANS: lB
Autonomy lis lan lessential lelement lof lprofessional lnursing lthat linvolves lthe linitiation lof
lindependent lnursing linterventions lwithout lmedical lorders. lTo lobtain llicensure lin lthe lUnited
lStates, lthe lRN lcandidate lmust lpass lthe lNCLEX-RN . lBeyond lthe lNCLEX-RN l , lthe lnurse
lmay lchoose lto lwork ltoward lcertification lin la lspecific larea lof lnursing lpractice. lAccountability
lmeans lthat lyou lare lresponsible, lprofessionally land llegally, lfor lthe ltype land lquality lof lnursing
lcare lprovided.
DIF:Apply l(application)
OBJ:Discuss l the l roles l and l career l opportunities l for l nurses. l TOP: l Implementation l MSC:
lManagement lof lCare
5. A lnurse lprepares lthe lbudget land lpolicies lfor lan lintensive lcare lunit. lWhich lrole lis lthe
nurse limplementing?
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a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: lB
A lmanager lcoordinates lthe lactivities lof lmembers lof lthe lnursing lstaff lin ldelivering lnursing
lcare land lhas lpersonnel, lpolicy, land lbudgetary lresponsibility lfor la lspecific lnursing lunit lor
, facility. lAs lan leducator, lyou lexplain lconcepts land lfacts labout lhealth, ldescribe lthe lreason
lfor lroutine lcare lactivities, ldemonstrate lprocedures lsuch las lself-care lactivities, lreinforce
llearning lor lpatient lbehavior, land levaluate lthe lpatient’s lprogress lin llearning. lAs la lpatient
ladvocate, lyou lprotect lyour lpatient’s lhuman land llegal lrights land lprovide lassistance lin
lasserting lthese lrights lif lthe lneed larises. lAs la lcaregiver, lyou lhelp lpatients lmaintain land
lregain lhealth, lmanage ldisease land lsymptoms, land lattain la lmaximal llevel lfunction land
lindependence lthrough lthe lhealing lprocess.
DIF:Apply l(application)
OBJ:Discuss l the l roles l and l career l opportunities l for l nurses. l TOP: l Implementation l MSC:
lManagement lof lCare
6. The lnurse lhas lbeen lworking lin lthe lclinical lsetting lfor lseveral lyears las lan ladvanced
lpractice lnurse. lHowever, lthe lnurse lhas la lstrong ldesire lto lpursue lresearch land ltheory
ldevelopment. lTo lfulfill lthis ldesire, lwhich lprogram lshould lthe lnurse lattend? la. lDoctor lof
lNursing lScience ldegree l(DNSc)
b. Doctor lof lPhilosophy ldegree l(PhD)
c. Doctor lof lNursing lPractice ldegree l(DNP)
d. Doctor lin lthe lScience lof lNursing ldegree l(DSN)
ANS: lB
Some ldoctoral lprograms lprepare lnurses lfor lmore lrigorous lresearch land ltheory ldevelopment
land laward lthe lresearch-oriented lDoctor lof lPhilosophy l(PhD) lin lnursing. lProfessional
ldoctoral lprograms lin lnursing l(DSN lor lDNSc) lprepare lgraduates lto lapply lresearch lfindings
lto lclinical lnursing. lThe lDNP lis la lpractice ldoctorate lthat lprepares ladvanced lpractice lnurses
lsuch las lnurse lpractitioners.
DIF:Understand l(comprehension)
OBJ:Compare land lcontrast lthe leducational lprograms lavailable lfor lprofessional lregistered lnurse l(RN)
leducation. lTOP: lTeaching/Learning lMSC: lManagement lof lCare
7. A lnurse lattends la lworkshop lon lcurrent lnursing lissues lprovided lby lthe lAmerican
lNurses lAssociation. lWhich ltype lof leducation ldid lthe lnurse lreceive? l a. lGraduate
l education
b. Inservice leducation
c. Continuing leducation
d. Registered lnurse leducation
ANS: lC
Continuing leducation linvolves lformal, lorganized leducational lprograms loffered lby
luniversities, lhospitals, lstate lnurses lassociations, lprofessional lnursing lorganizations, land
leducational land lhealth lcare linstitutions. lAfter lobtaining la lbaccalaureate ldegree lin
lnursing, lyou lcan lpursue lgraduate leducation lleading lto la lmaster’s lor ldoctoral ldegree lin lany
lnumber lof lgraduate lfields, lincluding lnursing. lInservice leducation lprograms lare linstruction
lor ltraining lprovided lby la lhealth lcare lfacility lor linstitution. lRegistered lnurse leducation lis
lthe leducation lpreparation lfor lan lindividual lintending lto lbe lan lRN.