of Nursing Care Concepts, Connections & Skills 4th
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,Chapter 1: The Vista of Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. An LPN nursing student is reviewing requirements related to nurse practice acts. Which statement provides
the most accurate description of individual state nurse practice acts?
1. Nurse practice acts are regulated by the federal government.
2. Nurse practice acts have identical role regulations for LPNs and RNs.
3. Differences exist between scope of practice and/or educational requirements.
4. State governments provide the content for each nurse practice act.
____ 2. Which priority information should the nurse review in the state nurse practice act in order to deliver care
within the scope of practice?
1. Verify educational background.
2. Confirm length of licensure.
3. Review principles of delegation.
4. Note members of the board of nursing (BON).
____ 3. A nurse is discussing how evidence-based practice (EBP) can help improve delivery of care to patients.
Which statement best describes EBP?
1. EBP requires that the nurse use government databases to obtain information.
2. EBP focuses on long-term results to improve outcomes.
3. EBP research does not have to be peer reviewed.
4. EBP establishes a methodological approach to improve outcomes.
____ 4. The LPN/LVN nurse is interested in being able to function as an advanced nurse practitioner. Which
educational plan best describes a pathway to advanced nursing practice?
1. Working in a long-term facility while going back to school to get a diploma in BSN pro-
gram
2. Continuing to work in an acute care facility and applying to a PVN to ADN program
3. Applying to a university to a BSN program after one year of clinical practice
4. Continuing to work as an LPN/LVN for a few years and then reassess interest
____ 5. A student nurse is reviewing characteristics associated with the nursing profession. Which option best
represents Watson’s theory of nursing as it relates to nursing characteristics?
1. Individualization of care
2. Coordinating care
3. Integration of information
4. Admit one’s mistakes
____ 6. A student nurse is being evaluated by a nursing instructor. Which situation warrants immediate action?
1. The student nurse has come back from a break a few minutes late.
2. The student nurse is asking the patient when family members will arrive.
3. The student nurse forgot to bring a stethoscope to clinical.
4. The student nurse is using a personal cell phone while in the clinical environment.
____ 7. Which statement best addresses the core concepts of QSEN as they relate to knowledge, skills, and attitude
(KSA)?
1. Awareness of cultural diversity leads to bias.
2. Coordination of care is based on effective communication.
3. Quality care is based on patient preference.
Copyright © 2023 F. A. Davis Company
, 4. Application of generalized nursing care plans leads to improved practice.
____ 8. A student nurse is looking to incorporate cultural diversity in the plan of care for a group of patients. Which
nursing theorist should the student nurse research?
1. Imogene King
2. Madeleine Leininger
3. Jean Watson
4. Betty Neuman
____ 9. A student nurse is preparing to sit for National Council Licensure Examination for Practical Nursing. Which
statement indicates that additional teaching is needed as it relates to NCLEX-PN?
1. The test includes a clinical component.
2. The test is delivered online.
3. Results of the test are shared with each state board of nursing.
4. The test is based on a specific detailed test plan.
____ 10. A high school graduate plans to attend a one-plus-one program. How should this student explain the program
to her friends?
1. “I can have my LPN courses applied to a baccalaureate degree.”
2. “My courses from the LPN program will be placed toward an associate degree.”
3. “I can apply to a master of science in nursing degree program after two years.”
4. “I’ll become an LPN first and then take another year of classes while I work as a nurse.”
____ 11. A licensed practical nurse (LPN) has applied and completed an associate degree program in nursing and
passed RN licensure. Which statement indicates that additional information is needed as it relates to graduate
studies in nursing?
1. The nurse will not have to take additional licensure exams in nursing.
2. The nurse needs to continue completing professional education activities.
3. The nurse can continue to work while pursuing graduate studies.
4. The nurse does not have to submit paperwork related to licensure.
____ 12. While providing medications, a nurse realizes that an incorrect dose was given to a patient. Which
characteristic does the nurse demonstrate when reporting the error to the manager?
1. Being caring
2. Being honest
3. Being organized
4. Being responsible
____ 13. A nurse notes that a patient’s blood pressure has dropped. The patient has nausea, dizziness, and abdominal
pain. Which characteristic does the nurse demonstrate when the health-care provider (HCP) is notified of the
patient’s condition?
1. Being caring
2. Being honest
3. Being organized
4. Being responsible
____ 14. A nurse provides care and meets the needs of a patient until the patient is able to resume self-care. Which
nursing theory is this nurse implementing?
1. Levine
2. Johnson
3. Neuman
4. Henderson
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,____ 15. A nurse is working with a patient who is considered to be a high fall risk. Which priority action should the
nurse implement?
1. Secure a bed alarm.
2. Assist the patient to the bathroom as needed.
3. Place the call bell in reach.
4. Place one side rail while the patient is in bed.
____ 16. A nurse reviews a new medication prescribed for a patient and contacts the pharmacy to ask questions about
the prescribed dose and route. Which behavior does the nurse demonstrate in this situation?
1. Safety
2. Quality
3. Teamwork
4. Collaboration
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 17. A manager reviews the organizational policy about unprofessional conduct. Which actions should the
manager describe that would lead to revoking or suspending a nursing license? Select all that apply.
1. Accidentally causing a skin tear on a frail elderly patient
2. Conduct that violates the nurse practice act
3. Documenting patient care at the end of the shift
4. The use of drugs or alcohol while on duty
5. Failure to supervise nursing assistants and unlicensed assistive personnel
____ 18. The Quality and Safety Education for Nurses (QSEN) project was established to equip the next generation of
nurses to help make needed changes in health care. Which are included in the six prelicensure knowledge,
skills, and attitudes (KSAs) for nursing and graduate students? Select all that apply.
1. Patient-centered care
2. Appearance
3. Leadership
4. Teamwork and collaboration
5. Evidence-based practice
____ 19. A group of nursing students are discussing methods to improve clinical judgment. Which activities may help
support the development of clinical judgment? Select all that apply.
1. Performing clinical skill in a rote manner
2. Incorporating experience into future practice
3. Maintaining time management schedule
4. Answering call bells promptly
5. Trending results of patient lab data
____ 20. A manager is preparing an annual performance review for a new nurse. Which behaviors indicate that the
nurse is demonstrating professional behaviors? Select all that apply.
1. Arrives to work on time
2. Identifies the mistakes of others
3. Asks for help when appropriate
4. Covers patient care assignments for other nurses
5. Adheres to the required length of time for breaks
Copyright © 2023 F. A. Davis Company
,____ 21. A nurse is receiving an evaluation from the nurse manager related to professional behaviors. Which
observations warrant immediate action? Select all that apply.
1. Wears the same uniform to work several days in a row
2. Leaves late when staffing demands are increased
3. Forgets to bring stethoscope to work frequently
4. Participates in team activities
5. Takes extended breaks during the shift
____ 22. A nurse wants to use evidence-based practice (EBP) to improve nursing care. What actions should the nurse
include to improve health outcomes based on EBP? Select all that apply.
1. Review appropriate clinical research
2. Rely on personal experience
3. Keep current with protocols
4. Rely on health-care provider (HCP) for direction
5. Use a scientific approach to problem solving
Copyright © 2023 F. A. Davis Company
,Chapter 1: The Vista of Nursing
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Chapter: Chapter 1, The Vista of Nursing
Objective: 8. Define the scope of practice.
Page: 4
Heading: Nurse Practice Acts and Scope of Practice
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Coordinated Care
Cognitive Level: Application [Applying]
Concept: Professionalism
Difficulty: Moderate
Feedback
1 This is incorrect. Nurse practice acts are regulated by individual state governments, not at
the federal level.
2 This is incorrect. Nurse practice acts can vary from state to state; therefore, they are not
identical in scope of practice.
3 This is correct. Nurse practice acts specify requirements for scope of practice and educa-
tional background, which can differ among individual states.
4 This is incorrect. The board of nursing in each state determines and enforces the nurse
practice act in each state.
PTS: 1 CON: Professionalism
2. ANS: 3
Chapter: Chapter 1, The Vista of Nursing
Objective: 15. Discuss information found in the Connection features in this chapter.
Page: 8
Heading: Supervision/Delegation Connection
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Coordinated Care
Cognitive Level: Application [Applying]
Concept: Professionalism
Difficulty: Moderate
Feedback
1 This is incorrect. Although the nurse practice act provides information about the educa-
tional requirements for defined nursing roles, this is not the priority information to be re-
viewed at this time.
2 This is incorrect. Confirming the length of a nursing license is not the priority information
to be reviewed at this time.
3 This is correct. Principles of delegation should be reviewed by the nurse because they will
directly affect level of practice and delivery of care.
4 This is incorrect. Knowing the composition of the BON is not the priority at this time.
PTS: 1 CON: Professionalism
Copyright © 2023 F. A. Davis Company
,3. ANS: 4
Chapter: Chapter 1, The Vista of Nursing
Objective: 1. Define various terms associated with nursing practice.
Page: 9
Heading: Trends in Nursing Practice > Evidence-Based Practice
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Coordinated Care
Cognitive Level: Analysis [Analyzing]
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
1 This is incorrect. EBP is based on databases and Web sites that are professionally re-
viewed and organized. It is not limited to government databases.
2 This is incorrect. EBP methodology is not based on long-term results but rather looks at
the analysis of both short-term and long-term data.
3 This is incorrect. EBP focuses on research data that has been peer reviewed and analyzed
based on organized hierarchy of evidence.
4 This is correct. EBP uses research as a problem-solving approach to help deliver health
care and improve patient outcomes.
PTS: 1 CON: Evidence-Based Practice
4. ANS: 2
Chapter: Chapter 1, The Vista of Nursing
Objective: 5. Describe the four pathways for nursing education.
Page: 4
Heading: Advancing Your Career
Integrated Processes: Clinical Problem-Solving Process (Nursing Process)
Client Need: Safe and Effective Care Environment: Coordinated Care
Cognitive Level: Application [Applying]
Concept: Professionalism
Difficulty: Moderate
Feedback
1 This is incorrect. To become an advanced practice nurse, one must complete a graduate
degree. Pursuing a diploma to BSN degree would not be the best approach because there
are few diploma programs available at this time.
2 This is correct. Continuing to work in an acute care facility will add to clinical back-
ground, and applying to a bridge/transition program will build on prior LPN/LVN knowl-
edge and skill.
3 This is incorrect. The LPN/LVN can both attend school and continue to work in order to
build on clinical experience. Additional coursework may be needed to apply to a BSN in a
university setting, which may further extend the timeline.
4 This is incorrect. This option extends the timeline and suggests that the nurse’s interest
may change over time.
PTS: 1 CON: Professionalism
5. ANS: 1
Chapter: Chapter 1, The Vista of Nursing
Copyright © 2023 F. A. Davis Company
, Objective: 9. Describe four characteristics of nurses.
Page: 6
Heading: Characteristics of Nurses >Being Caring
Integrated Processes: Caring
Client Need: Safe and Effective Care Environment: Coordinated Care
Cognitive Level: Application [Applying]
Concept: Caring
Difficulty: Moderate
Feedback
1 This is correct. Watson’s theory of nursing is based on caring, which is one of the four
characteristics associated with nursing. Individualization of care demonstrates a caring
approach.
2 This is incorrect. Coordinating care is related to being responsible, which is one of the
four characteristics associated with nursing.
3 This is incorrect. Integration of information relates to being organized, which is another of
the four characteristics associated with nursing.
4 This is incorrect. Admitting one’s mistakes relates to being honest, which is another of the
four characteristics associated with nursing.
PTS: 1 CON: Professionalism
6. ANS: 4
Chapter: Chapter 1, The Vista of Nursing
Objective: 15. Discuss information found in the Connection features in this chapter.
Page: 7
Heading: Professional Appearance and Behavior
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Coordinated Care
Cognitive Level: Analysis [Analyzing]
Concept: Professionalism
Difficulty: Easy
Feedback
1 This is incorrect. Although the student nurse should come back on time from a break, be-
ing a few minutes late does not warrant immediate action.
2 This is incorrect. This communication does not warrant immediate action because it rep-
resents a therapeutic exchange between the student nurse and patient.
3 This is incorrect. Bringing equipment is a responsibility of the student nurse but it does
not require immediate action at this time and can be discussed later.
4 This is correct. The student nurse should not use a personal cell phone while in the clin-
ical setting. This finding requires immediate action.
PTS: 1 CON: Professionalism
7. ANS: 2
Chapter: Chapter 1, The Vista of Nursing
Objective: 17. Describe trends in nursing practice, including evidence-based practice & QSEN.
Page: 10
Copyright © 2023 F. A. Davis Company
, Heading: Quality and Safety Education for Nurses
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Coordinated Care
Cognitive Level: Analysis [Analyzing]
Concept: Professionalism
Difficulty: Moderate
Feedback
1 This is incorrect. Awareness of cultural diversity does not lead to bias but can help to re-
solve underlying issues and improve delivery of patient-centered care.
2 This is correct. Coordination of care based on effective communication is an example of
teamwork and collaboration, which leads to improved health outcomes.
3 This is incorrect. Although patient preference is recognized as a factor in the delivery of
patient-centered care, quality care improvement focuses on continued review and evalu-
ation of data collection.
4 This is incorrect. Patient-centered care focuses on the use of individualized care plans to
help improve patient outcomes.
PTS: 1 CON: Professionalism
8. ANS: 2
Chapter: Chapter 1, The Vista of Nursing
Objective: 13. Discuss selected nursing theories and theorists.
Page: 9 -10
Heading: Nursing Theories and Theorists
Integrated Processes: Teaching and Learning
Client Need: Culture and Spirituality
Cognitive Level: Comprehension [Understanding]
Concept: Self
Difficulty: Easy
Feedback
1 This is incorrect. Imogene King’s theory is based on goal attainment.
2 This is correct. Madeleine Leininger’s theory includes cultural diversity and universality.
3 This is incorrect. Jean Watson’s theory is based on caring.
4 This is incorrect. Betty Neuman’s theory is based on general systems theory.
PTS: 1 CON: Self
9. ANS: 1
Chapter: Chapter 1, The Vista of Nursing
Objective: 5. Differentiate four pathways for entering nursing education.
Page: 3
Heading: Licensed Practical/Vocational Nurse
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Coordinated Care
Cognitive Level: Application [Applying]
Concept: Professionalism
Difficulty: Moderate
Feedback
Copyright © 2023 F. A. Davis Company