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Fundamentals of Nursing Active Learning for Collaborative
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Practice 3rd Edition by Barbara L. Yoost, Lynne R. Crawford
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,vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt Chapter01: Nursing, Theory, and Professional Practice
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Yoost& Crawford: Fundamentals of Nursing: Active Learning for CollaborativePractice,
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3rd Edition
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MULTIPLE CHOICE vt
1. A group of nursing learners are discussing the impact of nonnursing theories in clinical
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vt practice. The learners would be correct if they chose which theoryto prioritize client care?
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a. Erikson‘sPsychosocial Theory vt vt
b. Paul‘s Critical-Thinking Theory vt vt
c. Maslow‘s Hierarchyof Needs vt vt vt
d. Rosenstock‘sHealth Belief Model vt vt vt
CORRECT ANS: C vt v t
FEEDBACK: Maslow‘s hierarchy of needs specifies the psychological and physiologic vt vt vt vt vt vt vt vt vt
factors that affect each person‘s physical and mental health. The RN‘s understanding of these
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factors helps with formulating Nursing diagnoses that address the client‘s needs and values to
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prioritize care. Erikson‘s Psychosocial Theory of Development and Socialization is based on
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individuals‘ interacting and learning about their world. RNs use concepts of developmentaltheory
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to criticallythink in providing care for their clients at various stages of their lives.
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Rosenstock (1974) developed the psychological Health Belief Model. The model addresses vt vt vt vt vt vt vt vt vt vt
possible reasons for why a client may not comply with recommended health promotion
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behaviors. This model is especiallyuseful to RNs as they educate clients.
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DIF: Remembering OBJ: 1.5 TOP: Planning vt vt v t v t
MSC: NCLEX Client Needs CN ategR
ory:I
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e anB.fC
dE fectiM
ve Care Environment: Management of Care NOT: vt vt vt vt vt vt vt vt vt vt vt vt
Concepts: Care CoordinatiU
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2. A nursing learner is preparing studynotes from a recent lecture in nursing history. The
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learner would credit Florence Nightingale for which definition of nursing?
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a. The imbalance between the client and the environment decreases the capacity for
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health. t
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b. The RN needs to focus on interpersonal processes between RN and client.
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c. TheRN assists the client with essential functions toward independence.
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d. Human beings are interacting in continuous motion as energyfields. vt vt vt vt vt vt vt vt vt
CORRECT ANS: A vt v t
FEEDBACK: Florence Nightingale‘s (1860) concept of the environment emphasized vt vt vt vt vt vt vt vt
prevention and cleanair, water, and housing. This theory states that the imbalance between the
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client and the environment decreases the capacity for health and does not allow for conservation
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of energy.Hildegard Peplau (1952) focused on the roles played by the RN and the
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interpersonal process between a RN and a client. Virginia Henderson described the RN‘s role
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as substitutive (doing for the person), supplementary (helping the person), or complementary
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(working with the person), with the goal of independence for the client. Martha Rogers (1970)
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developed the Science of Unitary Human Beings. She stated that human beings and their
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environments are interacting in continuous motion as infinite energy fields.
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DIF: Understanding OBJ: 1.4 TOP: Planning vt vt v t vt
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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NOT: Concepts: Health Promotion
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,3. The RN identifies which RN established the American Red Cross during the Civil War?
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a. DorotheaDix vt
b. Linda Richards vt
c. Lena Higbee vt
d. Clara Barton v t
CORRECT ANS: D vt v t
FEEDBACK: Clara Barton practiced nursing in the Civil War and established the American vt vt vt vt vt vt vt vt vt vt vt vt
Red Cross. Dorothea Dix was the head of the U.S. SanitaryCommission, which was a forerunner
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of theArmy RN Corps. Linda Richards was America‘s first trained RN, graduating from
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Boston‘s Women‘s Hospital in 1873, and Lena Higbee, superintendent of the U.S. Navy RN
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Corps, was awarded the Navy Cross in 1918.
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DIF: Remembering OBJ: 1.3 TOP: Assessment vt vt v t vt
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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NOT: Concepts: Professionalism
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4. The nursing instructor is researching the five proficiencies regarded as essential for learnersand
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professionals. The nursing instructor identifies which organization would be found to have
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added safety as a sixth competency?
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a. Qualityand SafetyEducation for RNs (QSEN) vt vt vt vt vt vt
b. Institute of Medicine (IOM) vt vt vt
c. American Association of Colleges of Nursing (AACN) vt vt vt vt vt vt
d. National League forNursing (NLN) vt vt vt vt
CORRECT ANS: A vt v t
FEEDBACK: The Institute of Medicine repN
ort,RHeI
althGProBfe.ssCionM
s Education: A Bridge to
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Quality (2003), outlines five core S vt These include client-centered care,
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interdisciplinary
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teamwork, use of evidence-based medicine, quality improvement, and use of information
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technology. QSEN added safety as a sixth competency. The Essentials of Baccalaureate
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Education for Professional Nursing Practice are provided and updated by the American
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Association of Colleges of Nursing (AACN) (2008). The document offers a framework for the
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education of professional RNs with outcomes for learners to meet. The National League for
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Nursing (NLN) outlines and updates competencies for practical, associate, baccalaureate, and
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graduate nursing education programs.
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DIF: Remembering OBJ: 1.1 TOP: Planning vt vt v t v t
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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5. The RN manager is interviewing graduate RNs to fill existing staffing vacancies. Whenhiring
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graduate RNs, the RN manager realizes that they will probably not be considered
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―competent‖ until they complete which task? vt v t vt v t v t
a. Theygraduate and pass NCLEX. vt vt vt vt
b. Theyhave worked 2 to 3 years. vt vt vt vt vt vt
c. Their last year of nursing school. vt vt vt vt vt
d. They are actually hired. vt vt vt
CORRECT ANS: B vt v t
, FEEDBACK: Benner‘s model identifies five levels of proficiency: novice, advanced beginner, vt vt vt vt vt vt vt vt vt vt
competent, proficient, and expert. The learner RN progresses from novice to advanced
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beginner duringnursing school and attains the competent level after approximately 2 to 3 years
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of work experience after graduation. To obtain the RN credential, a person must graduate from
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an approved school of nursing and pass a state licensing examination called the National Council
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Licensure Examination for Registered RNs (NCLEX-RN) usually taken soon after completion
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of an approved nursing program.
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DIF: Remembering OBJ: 1.7 TOP: Planning vt vt v t v t
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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6. The prospective learner is considering options for beginning a career in nursing. Which
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degree would best match the learner‘s desire to conduct research at the universitylevel?
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a. Associate Degree in Nursing (ADN) vt vt vt vt
b. Bachelor of Science in Nursing (BSN) vt vt vt vt vt
c. Doctor of Nursing Practice (DNP) vt vt vt vt
d. Doctor of Philosophyin Nursing (PhD) vt vt vt vt vt
CORRECT ANS: D vt v t
FEEDBACK: Doctoral nursing education can result in a Doctor of Philosophy (PhD) degree. vt vt vt vt vt vt vt vt vt vt vt vt
This degree prepares RNs for leadership roles in research, teaching, and administration that are
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essentialto advancing nursing as a profession. Associate Degree in Nursing (ADN) programs
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usually are conducted in a community college setting. The nursing curriculum focuses on adult
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acuteand chronic disease; maternal/child health; pediatrics; and psychiatric/mental health
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nursing.ADN RNs may return to school to earn a bachelor‘s degree or higher in an RN-to-BSN
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or RN-to-MSN program. Bachelor‘s degree programs include community health and
management courses beyondN thUoR
seSpI viGedBi.
nCanOassociate degree program. A newer
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roN dT vt vt vt vt vt vt
practice-focused doctoral degree is the Doctor of Nursing practice (DNP), which concentrates on vt vt vt vt vt vt vt vt vt vt vt vt
the clinical aspects of nursing. DNP specialties include the four advanced practice roles of NP,
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CNS, CNM, and CRNA.
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DIF: Remembering vt vt OBJ: 1.9
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MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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7. During a staff meeting, the RN manager announces that thehospital will be seeking Magnetstatus.
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To explain the requirements for this award, the RN manager will contact which organization?
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a. American RNs Association(ANA) vt vt vt
b. American RNs Credentialing Center(ANCC) vt vt vt vt
c. National League forNursing (NLN) vt vt vt vt
d. Joint Commission vt
CORRECT ANS: B vt v t
FEEDBACK: The American RNs Credentialing Center (ANCC) awards Magnet Recognition vt vt vt vt vt vt vt vt vt
to hospitalsthat have shown excellence and innovation in nursing. The ANA is a professional
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organization that provides standards of nursing practice. The National League for Nursing
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(NLN)outlines and updates competencies for practical, associate, baccalaureate, and graduate
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nursing education programs. The Joint Commission is the accrediting organization for health
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care facilities in the United States.
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