Chapter1. NursingPast& Present m ,o
Chapterm1.mNursingmPastm& Presen ,o
tmMultiplemChoice
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersmthemquestion.
1.mWhatmismthemmostminfluentialmfactormthatmhasmshapedmthemnursingmprofessio
n?m1)
Physiciansmneedmformhandmaidensm
2)
Societalmneedmformhealthcaremoutsidemthemhome
3)
Military demand for nurses in the field
,o ,o ,o ,o ,o ,o
4)
GermmtheoryminfluencemonmsanitationmA
NS:m3
Throughoutmthemcenturies,mstabilitymofmthemgovernmentmhasmbeenmrelatedmtomthemsuccessmofmth
emmilitarymtomprotectmormextendmitsmdomain.mAsmthemsurvivalmandmwell-
beingmofmsoldiersmismcritical,mnursesmprovidedmhealthcaremtomthemsickmandminjuredmatmthembattlem
site.mThemphysiciansmhandmaidenmwas/ismamnursingmstereotypemrathermthanmanminfluencemonmn
ursing.mAlthoughmtheremhasmbeenmneedmformhealthcaremoutsidemthemhomemthroughoutmhistory,mt
hismhasmmoreminfluencemonmthemdevelopmentmofmhospitalsmthanmonmnursing;mthismneedmprovidedm
onemmoremsettingmformnursingmwork.mGermmtheorymandmsanitationmhelpedmtomimprovemhealthcar
embutmdidmnotmshapemnursing.
PTS:m1mDIF:mModeratemREF:mpp.m910mKEY:mNursingmprocess:mN/AmClientmneed:mN/Am|mCogniti
vemlevel:mRecall
, 2.mWhichmofmthemfollowingmismanmexamplemofmanmillnessmpreventionmactivity?mSelectmallmth
atmapply.
1)
Encouragingmthemusemofmamfoodmdiarym
2)
Joiningmamcancermsupportmgroup
3)
Administering immunization for HPV
,o ,o ,o
4)
Teachingmamdiabeticmpatientmaboutmhismdie
tmANS:m3
AdministeringmimmunizationmformHPVmismanmexamplemofmillnessmprevention.mAlthoughmcancermism
amdisease,mitmismassumedmthatmampersonmjoiningmamsupportmgroupmwouldmalreadymhavemthemdise
ase;mtherefore,mthismismnotmdiseasempreventionmbutmtreatment.mIllness-
preventionmactivitiesmfocusmonmavoidingmamspecificmdisease.mAmfoodmdiarymismamhealth-
promotionmactivity.mTeachingmamdiabeticmpatientmaboutmdietmismamtreatmentmformdiabetes;mthem
patientmalreadymhasmdiabetes,msomitmcannotmpreventmdiabetes.
PTS:m1mDIF:mModeratemREF:mp.m18;mhigh-
levelmquestion,mnotmdirectlymstatedminmtextmKEY:mNursingmprocess:mN/Am|mClientmneed:mHPMm|mCo
gnitivemlevel:mApplication
3.mWhichmofmthemfollowingmcontributionsmofmFlorencemNightingalemhadmanmimmediatemimpa
ctmonmimprovingmpatientsmhealth?
1)
Providing a clean environment
,o ,o ,o
2)
Improvingmnursingmeducation
,3)
Changingmthemdeliverymofmcareminmhospital
sm4)
EstablishingmnursingmasmamdistinctmprofessionmAN
S:m1
Improvedmsanitationm(amcleanmenvironment)mgreatlymandmimmediatelymreducedmthemratemofminfe
ctionmandmmortalityminmhospitals.mThemothermresponsesmaremallmactivitiesmofmFlorencemNightingal
emthatmimprovedmhealthcaremormnursing,mbutmthemimpactmismlongmrange,mnotmimmediate.
PTS:m1mDIF:mEasymREF:mV1,mp.m3;mstudentmmustminfermfrommcontentm|mV1,mp.m10;mstudentmmustminf
ermfrommcontent
KEY:mNursingmprocess:mN/Am|mClientmneed:mSECEm|mCognitivemlevel:mApplication
4.mAllmofmthemfollowingmaremaspectsmofmthemfull-
spectrummnursingmrole.mWhichmonemismessentialmformthemnursemtomdominmordermtomsuccessfullymca
rrymoutmallmthemothers?
1)
Thinking and reasoning about the clients care
,o ,o ,o ,o ,o ,o
2)
Providingmhands-
onmclientmcarem3)
Carryingmoutmphysicianmordersm
4)
Delegatingmtomassistivempersonnelm
ANS:m1
Amsubstantialmportionmofmthemnursingmroleminvolvesmusingmclinicalmjudgment,mcriticalmthinking,man
dmproblemmsolving,mwhichmdirectlymaffectmthemcaremthemclientmwillmactuallymreceive.mProvidingmhan
ds-
onmcaremismimportant;mhowever,mclinicalmjudgment,mcriticalmthinking,mandmproblemmsolvingmare
m
, essentialmtomdomitmsuccessfully.mCarryingmoutmphysicianmordersmismamsmallmpartmofmamnursesmrole;mi
t,mtoo,mrequiresmnursingmassessment,mplanning,mintervention,mandmevaluation.mManymsimplemnur
singmtasksmarembeingmdelegatedmtomnursingmassistivempersonnel;mdelegationmrequiresmcarefulman
alysismofmpatientmstatusmandmthemappropriatenessmofmsupportmpersonnelmtomdelivermcare.mAnothe
rmwaymtomanalyzemthismquestionmismthatmnonemofmthemoptionsmofmprovidingmhands-
onmcare,mcarryingmoutmphysicianmorders,mandmdelegatingmtomassistivempersonnelmismrequiredmformt
hemnursemtomthinkmandmreasonmaboutmamclientsmcare;msomthemanswermmustmbem1.
PTS:1DIFifficultREF:mp.m11
KEY:mNursingmprocess:mN/Am|mClientmneed:mN/Am|mCognitivemlevel:mAnalysis
5.mWhichmstatementmpertainingmtomBennersmpracticemmodelmformclinicalmcompetencemismtru
e?m1)
Progressionmthroughmthemstagesmismconstant,mwithmmostmnursesmreachingmthemproficientmstage.
2)
Progression through the stages involves continual development of thinking and technical skills.
,o ,o ,o ,o ,o ,o ,o ,o ,o ,o ,o
3)
Themnursemmustmhavemexperienceminmmanymareasmbeforembeingmconsideredmanmexpert
.m4)
Themnursesmprogressmthroughmthemstagesmismdeterminedmbymyearsmofmexperiencemandmskill
s.mANS:m2
Movementmthroughmthemstagesmismnotmconstant.mBennersmmodelmismbasedmonmintegrationmofmkno
wledge,mtechnicalmskill,mandmintuitionminmthemdevelopmentmofmclinicalmwisdom.mThemmodelmdoesmn
otmmentionmexperienceminmmanymareas.mThemmodelmdoesmnotmmentionmyearsmofmexperience.
PTS:1DIF:ModerateREF:p.m15
KEY:mNursingmprocess:mN/Am|mClientmneed:mN/Am|mCognitivemlevel:mRecall
6.mWhichmofmthemfollowingmbestmexplainsmwhymitmismdifficultmformthemprofessionmtomdevelop
a definitionmofmnursing?
m m