Chapter 01: Nursing Today
ll ll ll
Potter: Fundamentals of Nursing, 11th Edition
ll ll ll ll l
MULTIPLE CHOICE ll
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
ll ll ll ll ll ll ll ll ll ll ll ll ll
a. Florence Nightingale ll
b. Mary Nutting ll
c. Clara Barton ll
d. Lillian Wald ll
ANS: A ll
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
ll ll ll ll ll ll ll ll ll ll
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
ll ll ll ll ll ll ll ll ll ll ll ll ll
came after Nightingale, each contributing to the nursing profession in her own way. Mary
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
ll ll ll ll ll ll ll ll ll ll ll ll
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
ll ll ll ll ll ll ll ll ll ll ll ll
DIF:Understand (comprehension) ll
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
ll ll l ll ll ll ll ll ll ll ll ll
TOP: Evaluation MSC: Health Promotion and Maintenance l l ll ll ll
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
ll ll ll ll ll ll ll ll ll ll ll ll
nursing practice is the nurse following?
ll ll ll ll ll ll
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C ll
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
ll ll ll ll ll ll ll ll ll ll ll ll ll
attain expected outcomes. During assessment, the registered nurse collects comprehensive
ll ll ll ll ll ll ll ll ll ll
data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
analyzes the assessment data to determine the diagnoses or issues. During implementation, the
ll ll ll ll ll ll ll ll ll ll ll ll ll
registered nurse implements (carries out) the identified plan.
ll ll ll ll ll ll ll ll
DIF:Understand (comprehension) ll
OBJ:Discuss the development of professional nursing roles. ll ll ll ll ll ll TOP: Planning l
MSC: Management of Care
ll l l ll ll
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
ll ll ll ll ll ll ll ll ll ll ll
proficiency is the nurse upon initial transition to the obstetrical floor?
ll ll ll ll ll ll ll ll ll ll ll
a. Novice
b. Proficient
c. Competent
d. Advanced beginner ll
ANS: A ll
, A beginning nursing student or any nurse entering a situation in which there is no previous
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
level of experience (e.g., an experienced operating room nurse chooses to now practice in
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
gained from multiple previous experiences to a situation. A competent nurse understands the
ll ll ll ll ll ll ll ll ll ll ll ll ll
organization and specific care required by the type of patients (e.g., surgical, oncology, or
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
care and establish long-range goals. A nurse who has had some level of experience with the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
situation is an advanced beginner. This experience may only be observational in nature, but
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the nurse is able to identify meaningful aspects or principles of nursing care.
ll ll ll ll ll ll ll ll ll ll ll ll ll
DIF:Apply (application) ll
OBJ:Discuss the development of professional nursing roles. ll ll ll ll ll ll TOP: Evaluation l
MSC: Management of Care
ll l l ll ll
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
demonstrating?
ll
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B ll
Autonomy is an essential element of professional nursing that involves the initiation of
ll ll ll ll ll ll ll ll ll ll ll ll
independent nursing interventions without medical orders. To obtain licensure in the United
ll ll ll ll ll ll ll ll ll ll ll ll
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
ll ll ll ll ll ll ll ll ll ll ll ll ll
may choose to work toward certification in a specific area of nursing practice. Accountability
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
means that you are responsible, professionally and legally, for the type and quality of nursing
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
care provided.
ll ll
DIF:Apply (application) ll
OBJ:Discuss the roles and career opportunities for nurses. ll ll ll ll ll ll ll TOP: Implementation l
MSC: Management of Care
ll l l ll ll
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
implementing?
ll
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B ll
, A manager coordinates the activities of members of the nursing staff in delivering nursing
ll ll ll ll ll ll ll ll ll ll ll ll ll
care and has personnel, policy, and budgetary responsibility for a specific nursing unit or
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
facility. As an educator, you explain concepts and facts about health, describe the reason for
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
routine care activities, demonstrate procedures such as self-care activities, reinforce learning
ll ll ll ll ll ll ll ll ll ll ll
or patient behavior, and evaluate the patient’s progress in learning. As a patient advocate, you
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
protect your patient’s human and legal rights and provide assistance in asserting these rights if
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the need arises. As a caregiver, you help patients maintain and regain health, manage disease
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
and symptoms, and attain a maximal level function and independence through the healing
ll ll ll ll ll ll ll ll ll ll ll ll ll
process.
ll
DIF:Apply (application) ll
OBJ:Discuss the roles and career opportunities for nurses. ll ll ll ll ll ll ll TOP: Implementation l
MSC: Management of Care
ll l l ll ll
6. The nurse has been working in the clinical setting for several years as an advanced practice
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
nurse. However, the nurse has a strong desire to pursue research and theory development. To
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
fulfill this desire, which program should the nurse attend?
ll ll ll ll ll ll ll ll ll
a. Doctor of Nursing Science degree (DNSc) ll ll ll ll ll
b. Doctor of Philosophy degree (PhD) ll ll ll ll
c. Doctor of Nursing Practice degree (DNP) ll ll ll ll ll
d. Doctor in the Science of Nursing degree (DSN) ll ll ll ll ll ll ll
ANS: B ll
Some doctoral programs prepare nurses for more rigorous research and theory development
ll ll ll ll ll ll ll ll ll ll ll
and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral
ll ll ll ll ll ll ll ll ll ll ll ll
programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
practitioners.
ll
DIF:Understand (comprehension) ll
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
ll ll ll ll ll ll ll ll ll ll ll
education.
ll TOP: Teaching/Learning MSC: Management of Care l l l l ll ll
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
ll ll ll ll ll ll ll ll ll ll ll ll ll
Association. Which type of education did the nurse receive?
ll ll ll ll ll ll ll ll ll
a. Graduate education ll
b. Inservice education ll
c. Continuing education ll
d. Registered nurse education ll ll
ANS: C ll
Continuing education involves formal, organized educational programs offered by
ll ll ll ll ll ll ll ll
universities, hospitals, state nurses associations, professional nursing organizations, and
ll ll ll ll ll ll ll ll ll
educational and health care institutions. After obtaining a baccalaureate degree in nursing, you
ll ll ll ll ll ll ll ll ll ll ll ll ll
can pursue graduate education leading to a master’s or doctoral degree in any number of
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
graduate fields, including nursing. Inservice education programs are instruction or training
ll ll ll ll ll ll ll ll ll ll ll
provided by a health care facility or institution. Registered nurse education is the education
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
preparation for an individual intending to be an RN.
ll ll ll ll ll ll ll ll ll
DIF:Apply (application) ll
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
l l ll ll ll ll ll ll ll ll ll
, education. TOP: l l Teaching/Learning MSC: Management of Care l l ll ll
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education
ll ll ll ll ll ll ll ll ll ll ll ll ll
for Nurses (QSEN) competency is the nurse demonstrating?
ll ll ll ll ll ll ll ll
a. Safety
b. Patient-centered care ll
c. Quality improvement l
d. Teamwork and collaboration ll ll
ANS: C ll
Quality improvement identifies gaps between local and best practices. Safety minimizes risk
ll ll ll ll ll ll ll ll ll ll ll
of harm to patients and providers through both system effectiveness and individual
ll ll ll ll ll ll ll ll ll ll ll ll
performance. Patient-centered care recognizes the patient or designee as the source of control
ll ll ll ll ll ll ll ll ll ll ll ll ll
and full partner in providing compassionate and coordinated care based on respect for
ll ll ll ll ll ll ll ll ll ll ll ll ll
patient’s preferences, values, and needs. Teamwork and collaboration allows effective
ll ll ll ll ll ll ll ll ll ll
functioning within nursing and interprofessional teams, fostering open communication,
ll ll ll ll ll ll ll ll ll
mutual respect, and shared decision making.
ll ll ll ll ll ll
DIF:Understand (comprehension) ll
OBJ:Discuss the roles and career opportunities for nurses. ll ll ll ll ll ll ll TOP: Evaluation l
MSC: Management of Care
ll l l ll ll
9. A nurse has compassion fatigue. What is the nurse experiencing?
ll ll ll ll ll ll ll ll ll
a. Lateral violence and intrapersonal conflict l ll ll ll
b. Burnout and secondary traumatic stress ll ll ll ll
c. Short-term grief and single stressor ll ll ll ll
d. Physical and mental exhaustion ll ll ll
ANS: B ll
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
stress. Compassion fatigue may contribute to what is described as lateral violence
ll ll ll ll ll ll ll ll ll ll ll ll
(nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to grief
ll ll ll ll ll ll ll ll ll ll
and loss places nurses at risk for developing compassion fatigue. Stressors, not a single
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
stressor, contribute to compassion fatigue. Physical and mental exhaustion describes burnout
ll ll ll ll ll ll ll ll ll ll ll
only.
ll
DIF:Understand (comprehension) ll
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
l ll l ll ll ll ll ll ll ll ll ll
TOP: Assessment MSC: Health Promotion and Maintenance l l ll ll ll
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
patient tells the nurse, ―I have no idea what is going to happen. I couldn’t ask any questions.‖
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll l
The nurse does not allow the patient to sign the permit and notifies the health care provider of
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the situation. Which role is the nurse displaying?
ll ll ll ll ll ll ll ll
a. Manager
b. Patient educator ll
c. Patient advocate ll
d. Clinical nurse specialist ll ll
ANS: C ll
ll ll ll
Potter: Fundamentals of Nursing, 11th Edition
ll ll ll ll l
MULTIPLE CHOICE ll
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
ll ll ll ll ll ll ll ll ll ll ll ll ll
a. Florence Nightingale ll
b. Mary Nutting ll
c. Clara Barton ll
d. Lillian Wald ll
ANS: A ll
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
ll ll ll ll ll ll ll ll ll ll
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
ll ll ll ll ll ll ll ll ll ll ll ll ll
came after Nightingale, each contributing to the nursing profession in her own way. Mary
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
ll ll ll ll ll ll ll ll ll ll ll ll
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
ll ll ll ll ll ll ll ll ll ll ll ll
DIF:Understand (comprehension) ll
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
ll ll l ll ll ll ll ll ll ll ll ll
TOP: Evaluation MSC: Health Promotion and Maintenance l l ll ll ll
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
ll ll ll ll ll ll ll ll ll ll ll ll
nursing practice is the nurse following?
ll ll ll ll ll ll
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C ll
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
ll ll ll ll ll ll ll ll ll ll ll ll ll
attain expected outcomes. During assessment, the registered nurse collects comprehensive
ll ll ll ll ll ll ll ll ll ll
data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
analyzes the assessment data to determine the diagnoses or issues. During implementation, the
ll ll ll ll ll ll ll ll ll ll ll ll ll
registered nurse implements (carries out) the identified plan.
ll ll ll ll ll ll ll ll
DIF:Understand (comprehension) ll
OBJ:Discuss the development of professional nursing roles. ll ll ll ll ll ll TOP: Planning l
MSC: Management of Care
ll l l ll ll
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
ll ll ll ll ll ll ll ll ll ll ll
proficiency is the nurse upon initial transition to the obstetrical floor?
ll ll ll ll ll ll ll ll ll ll ll
a. Novice
b. Proficient
c. Competent
d. Advanced beginner ll
ANS: A ll
, A beginning nursing student or any nurse entering a situation in which there is no previous
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
level of experience (e.g., an experienced operating room nurse chooses to now practice in
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
gained from multiple previous experiences to a situation. A competent nurse understands the
ll ll ll ll ll ll ll ll ll ll ll ll ll
organization and specific care required by the type of patients (e.g., surgical, oncology, or
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
care and establish long-range goals. A nurse who has had some level of experience with the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
situation is an advanced beginner. This experience may only be observational in nature, but
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the nurse is able to identify meaningful aspects or principles of nursing care.
ll ll ll ll ll ll ll ll ll ll ll ll ll
DIF:Apply (application) ll
OBJ:Discuss the development of professional nursing roles. ll ll ll ll ll ll TOP: Evaluation l
MSC: Management of Care
ll l l ll ll
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
demonstrating?
ll
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B ll
Autonomy is an essential element of professional nursing that involves the initiation of
ll ll ll ll ll ll ll ll ll ll ll ll
independent nursing interventions without medical orders. To obtain licensure in the United
ll ll ll ll ll ll ll ll ll ll ll ll
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
ll ll ll ll ll ll ll ll ll ll ll ll ll
may choose to work toward certification in a specific area of nursing practice. Accountability
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
means that you are responsible, professionally and legally, for the type and quality of nursing
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
care provided.
ll ll
DIF:Apply (application) ll
OBJ:Discuss the roles and career opportunities for nurses. ll ll ll ll ll ll ll TOP: Implementation l
MSC: Management of Care
ll l l ll ll
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
implementing?
ll
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B ll
, A manager coordinates the activities of members of the nursing staff in delivering nursing
ll ll ll ll ll ll ll ll ll ll ll ll ll
care and has personnel, policy, and budgetary responsibility for a specific nursing unit or
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
facility. As an educator, you explain concepts and facts about health, describe the reason for
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
routine care activities, demonstrate procedures such as self-care activities, reinforce learning
ll ll ll ll ll ll ll ll ll ll ll
or patient behavior, and evaluate the patient’s progress in learning. As a patient advocate, you
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
protect your patient’s human and legal rights and provide assistance in asserting these rights if
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the need arises. As a caregiver, you help patients maintain and regain health, manage disease
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
and symptoms, and attain a maximal level function and independence through the healing
ll ll ll ll ll ll ll ll ll ll ll ll ll
process.
ll
DIF:Apply (application) ll
OBJ:Discuss the roles and career opportunities for nurses. ll ll ll ll ll ll ll TOP: Implementation l
MSC: Management of Care
ll l l ll ll
6. The nurse has been working in the clinical setting for several years as an advanced practice
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
nurse. However, the nurse has a strong desire to pursue research and theory development. To
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
fulfill this desire, which program should the nurse attend?
ll ll ll ll ll ll ll ll ll
a. Doctor of Nursing Science degree (DNSc) ll ll ll ll ll
b. Doctor of Philosophy degree (PhD) ll ll ll ll
c. Doctor of Nursing Practice degree (DNP) ll ll ll ll ll
d. Doctor in the Science of Nursing degree (DSN) ll ll ll ll ll ll ll
ANS: B ll
Some doctoral programs prepare nurses for more rigorous research and theory development
ll ll ll ll ll ll ll ll ll ll ll
and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral
ll ll ll ll ll ll ll ll ll ll ll ll
programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
practitioners.
ll
DIF:Understand (comprehension) ll
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
ll ll ll ll ll ll ll ll ll ll ll
education.
ll TOP: Teaching/Learning MSC: Management of Care l l l l ll ll
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
ll ll ll ll ll ll ll ll ll ll ll ll ll
Association. Which type of education did the nurse receive?
ll ll ll ll ll ll ll ll ll
a. Graduate education ll
b. Inservice education ll
c. Continuing education ll
d. Registered nurse education ll ll
ANS: C ll
Continuing education involves formal, organized educational programs offered by
ll ll ll ll ll ll ll ll
universities, hospitals, state nurses associations, professional nursing organizations, and
ll ll ll ll ll ll ll ll ll
educational and health care institutions. After obtaining a baccalaureate degree in nursing, you
ll ll ll ll ll ll ll ll ll ll ll ll ll
can pursue graduate education leading to a master’s or doctoral degree in any number of
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
graduate fields, including nursing. Inservice education programs are instruction or training
ll ll ll ll ll ll ll ll ll ll ll
provided by a health care facility or institution. Registered nurse education is the education
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
preparation for an individual intending to be an RN.
ll ll ll ll ll ll ll ll ll
DIF:Apply (application) ll
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
l l ll ll ll ll ll ll ll ll ll
, education. TOP: l l Teaching/Learning MSC: Management of Care l l ll ll
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education
ll ll ll ll ll ll ll ll ll ll ll ll ll
for Nurses (QSEN) competency is the nurse demonstrating?
ll ll ll ll ll ll ll ll
a. Safety
b. Patient-centered care ll
c. Quality improvement l
d. Teamwork and collaboration ll ll
ANS: C ll
Quality improvement identifies gaps between local and best practices. Safety minimizes risk
ll ll ll ll ll ll ll ll ll ll ll
of harm to patients and providers through both system effectiveness and individual
ll ll ll ll ll ll ll ll ll ll ll ll
performance. Patient-centered care recognizes the patient or designee as the source of control
ll ll ll ll ll ll ll ll ll ll ll ll ll
and full partner in providing compassionate and coordinated care based on respect for
ll ll ll ll ll ll ll ll ll ll ll ll ll
patient’s preferences, values, and needs. Teamwork and collaboration allows effective
ll ll ll ll ll ll ll ll ll ll
functioning within nursing and interprofessional teams, fostering open communication,
ll ll ll ll ll ll ll ll ll
mutual respect, and shared decision making.
ll ll ll ll ll ll
DIF:Understand (comprehension) ll
OBJ:Discuss the roles and career opportunities for nurses. ll ll ll ll ll ll ll TOP: Evaluation l
MSC: Management of Care
ll l l ll ll
9. A nurse has compassion fatigue. What is the nurse experiencing?
ll ll ll ll ll ll ll ll ll
a. Lateral violence and intrapersonal conflict l ll ll ll
b. Burnout and secondary traumatic stress ll ll ll ll
c. Short-term grief and single stressor ll ll ll ll
d. Physical and mental exhaustion ll ll ll
ANS: B ll
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
stress. Compassion fatigue may contribute to what is described as lateral violence
ll ll ll ll ll ll ll ll ll ll ll ll
(nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to grief
ll ll ll ll ll ll ll ll ll ll
and loss places nurses at risk for developing compassion fatigue. Stressors, not a single
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
stressor, contribute to compassion fatigue. Physical and mental exhaustion describes burnout
ll ll ll ll ll ll ll ll ll ll ll
only.
ll
DIF:Understand (comprehension) ll
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
l ll l ll ll ll ll ll ll ll ll ll
TOP: Assessment MSC: Health Promotion and Maintenance l l ll ll ll
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
patient tells the nurse, ―I have no idea what is going to happen. I couldn’t ask any questions.‖
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll l
The nurse does not allow the patient to sign the permit and notifies the health care provider of
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the situation. Which role is the nurse displaying?
ll ll ll ll ll ll ll ll
a. Manager
b. Patient educator ll
c. Patient advocate ll
d. Clinical nurse specialist ll ll
ANS: C ll
