Chaptery01:yNursing,yTheory,yandyProfessionalyPractice
Yoosty&yCrawford:yFundamentalsyofyNursing:yActiveyLearningyforyCollaborativeyPractice,y2ndyEditio
n
MULTIPLEyCHOICE
1. Aygroupyofynursingystudentsyareydiscussingytheyimpactyofynonnursingytheoriesyinyclinicalypractice.yT
heystudentsywouldybeycorrectyifytheyychoseywhichytheoryytoyprioritizeypatientycare?
a.
Erikson’syPsychosocialyTheory
b.
Paul’syCritical-ThinkingyTheory
c.
Maslow’syHierarchyyofyNeeds
d.
Rosenstock’syHealthyBeliefyModel
ANS:y C
Maslow’syhierarchyyofyneedsyspecifiesytheypsychologicalyandyphysiologicyfactorsythatyaffectyeachypers
on’syphysicalyandymentalyhealth.yTheynurse’syunderstandingyofytheseyfactorsyhelpsywithyformulatingyN
ursingydiagnosesythatyaddressytheypatient’syneedsyandyvaluesytoyprioritizeycare.yErikson’syPsychosocial
yTheoryyofyDevelopmentyandySocializationyisybasedyonyindividuals’yinteractingyandylearningyaboutythei
ryworld.yNursesyuseyconceptsyofydevelopmentalytheoryytoycriticallyythinkyinyprovidingycareyforytheirypa
tientsyatyvariousystagesyofytheirylives.
Rosenstocky(1974)ydevelopedytheypsychologicalyHealthyBeliefyModel.yTheymodelyaddressesypossibleyreaso
nsyforywhyyaypatientymayynotycomplyywithyrecommendedyhealthypromotionybehaviors.yThisymodelyisyespeci
allyyusefulytoynursesyasytheyyeducateypatients.
DIF: Remembering OBJ:y y 1.5 TOP:y Planning
MSC:y NCLEXyClientyNeedsyCa t e go r y:S a fe ya nd yEff e c t iv e yCareyEnvironment:yManagementyofyCarey
NOT:y Concepts:yCareyCoordination y yy
2. Aynursingystudentyisypreparingystudyynotesyfromyayrecentylectureyinynursingyhistory.yTheystude
ntywouldycredityFlorenceyNightingaleyforywhichydefinitionyofynursing?
a.
Theyimbalanceybetweenytheypatientyandytheyenvironmentydecreasesytheycapacityyforyhealth
.
b.
Theynurseyneedsytoyfocusyonyinterpersonalyprocessesybetweenynurseyandypatient.
c.
Theynurseyassistsytheypatientywithyessentialyfunctionsytowardyindependence.
d.
Humanybeingsyareyinteractingyinycontinuousymotionyasyenergyyfields.
ANS:y A
FlorenceyNightingale’sy(1860)yconceptyofytheyenvironmentyemphasizedypreventionyandycleanyair,ywate
r,yandyhousing.yThisytheoryystatesythatytheyimbalanceybetweenytheypatientyandytheyenvironmentydecreas
esytheycapacityyforyhealthyandydoesynotyallowyforyconservationyofyenergy.yHildegardyPeplauy(1952)yfoc
usedyonytheyrolesyplayedybyytheynurseyandytheyinterpersonalyprocessybetweenyaynurseyandyaypatient.yVir
giniayHendersonydescribedytheynurse’syroleyasysubstitutivey(doingyforytheyperson),ysupplementaryy(help
ingytheyperson),yorycomplementaryy(workingywithytheyperson),ywithytheygoalyofyindependenceyforytheyp
atient.yMarthayRogersy(1970)ydevelopedytheyScienceyofyUnitaryyHumanyBeings.ySheystatedythatyhuma
nybeingsyandytheiryenvironmentsyareyinteractingyinycontinuousymotionyasyinfiniteyenergyyfields.
DIF: Understanding OBJ:y 1.4
TOP:yPlanningyMSC:y NCLEXyClientyNeedsyCategory:yHealthyPromotionyandyM
aintenancey NOT:yConcepts:yHealthyPromotion
, FundamentalsyofyNursingy2ndyEditionyYoostyTestyBank
3. TheynurseyidentifiesywhichynurseyestablishedytheyAmericanyRedyCrossyduringytheyCivilyWar?
a.
DorotheayDix
b.
LindayRichards
c.
LenayHigbee
d.
ClarayBarton
ANS:y D
ClarayBartonypracticedynursingyinytheyCivilyWaryandyestablishedytheyAmericanyRedyCross.yDor
otheayDixywasytheyheadyofytheyU.S.ySanitaryyCommission,ywhichywasyayforerunneryofytheyArm
yyNurseyCorps.yLindayRichardsywasyAmerica’syfirstytrainedynurse,ygraduatingyfromyBoston’sy
Women’syHospitalyiny1873,yandyLenayHigbee,ysuperintendentyofytheyU.S.yNavyyNurseyCorps,y
wasyawardedytheyNavyyCrossyiny1918.
DIF: Remembering OBJ:y 1.3
TOP:yAssessmentyMSC:y NCLEXyClientyNeedsyCategory:yHealthyPromotionyandyM
aintenance
NOT:yConcepts:yProfessionalism
4. Theynursingyinstructoryisyresearchingytheyfiveyproficienciesyregardedyasyessentialyforystudent
syandyprofessionals.yTheynursingyinstructoryidentifiesywhichyorganizationywouldybeyfoundytoy
haveyaddedysafetyyasyaysixthycompetency?
a.
QualityyandySafetyyEducationyforyNursesy(QSEN)
b.
InstituteyofyMediciney(IOM)
c.
AmericanyAssociationyofyCollegesyofyNursingy(AACN)
d.
NationalyLeagueyforyNursingy(NLN)
ANS:y A
TheyInstituteyofy Medicineyr epNo r t ,RH e Ia l t hGP r oBf e.s sCi o nMs yEducation:yAyBridgeytoy Qualityy(2
UySyNyTheseyincludeypatient-centeredycare,yinterdisciplinary
003),youtlinesyfiveycoreycompetencies.
teamwork,yuseyofyevidence-
basedymedicine,yqualityyimprovement,yandyuseyofyinformationytechnology.yQSENyaddedysafety
yasyaysixthycompetency.yTheyEssentialsyofyBaccalaureateyEducationyforyProfessionalyNursingyP
racticeyareyprovidedyandyupdatedybyytheyAmericanyAssociationyofyCollegesyofyNursingy(AAC
N)y(2008).yTheydocumentyoffersyayframeworkyforytheyeducationyofyprofessionalynursesywithyout
comesyforystudentsytoymeet.yTheyNationalyLeagueyforyNursingy(NLN)youtlinesyandyupdatesyco
mpetenciesyforypractical,yassociate,ybaccalaureate,yandygraduateynursingyeducationyprograms.
DIF: Remembering OBJ:y y 1.1 TOP:y Planning
MSC:y NCLEXyClientyNeedsyCategory:ySafeyandyEffectiveyCareyEnvironment:yManagementyofyCarey
NOT:yConcepts:yCareyCoordination
5. Theynurseymanageryisyinterviewingygraduateynursesytoyfillyexistingystaffingyvacancies.yWhen
yhiringygraduateynurses,ytheynurseymanageryrealizesythatytheyywillyprobablyynotybeyconsidere
dy“competent”yuntilytheyycompleteywhichytask?
a.
TheyygraduateyandypassyNCLEX.
b.
Theyyhaveyworkedy2ytoy3yyears.
c.
Theirylastyyearyofynursingyschool.
d.
Theyyareyactuallyyhired.
ANS:y B
, FundamentalsyofyNursingy2ndyEditionyYoostyTestyBank
Benner’symodelyidentifiesyfiveylevelsyofyproficiency:ynovice,yadvancedybeginner,ycompetent,yp
roficient,yandyexpert.yTheystudentynurseyprogressesyfromynoviceytoyadvancedybeginneryduringy
nursingyschoolyandyattainsytheycompetentylevelyafteryapproximatelyy2ytoy3yyearsyofyworkyexper
ienceyafterygraduation.yToyobtainytheyRNycredential,yaypersonymustygraduateyfromyanyapproved
yschoolyofynursingyandypassyaystateylicensingyexaminationycalledytheyNationalyCouncilyLicensu
reyExaminationyforyRegisteredyNursesy(NCLEX-
RN)yusuallyytakenysoonyafterycompletionyofyanyapprovedynursingyprogram.
DIF: Remembering OBJ:y y 1.7 TOP:y Planning
MSC:y NCLEXyClientyNeedsyCategory:ySafeyandyEffectiveyCareyEnvironment:yManagementyofyCarey
NOT:yConcepts:yCareyCoordination
6. Theyprospectiveystudentyisyconsideringyoptionsyforybeginningyaycareeryinynursing.yWhich
ydegreeywouldybestymatchytheystudent’sydesireytoyconductyresearchyatytheyuniversityylevel
?
a.
AssociateyDegreeyinyNursingy(ADN)
b.
BacheloryofyScienceyinyNursingy(BSN)
c.
DoctoryofyNursingyPracticey(DNP)
d.
DoctoryofyPhilosophyyinyNursingy(PhD)
ANS:y D
DoctoralynursingyeducationycanyresultyinyayDoctoryofyPhilosophyy(PhD)ydegree.yThisydegreeyp
reparesynursesyforyleadershipyrolesyinyresearch,yteaching,yandyadministrationythatyareyessentialy
toyadvancingynursingyasyayprofession.yAssociateyDegreeyinyNursingy(ADN)yprogramsyusuallyy
areyconductedyinyaycommunityycollegeysetting.yTheynursingycurriculumyfocusesyonyadultyacutey
andychronicydisease;ymaternal/childyhealth;ypediatrics;yandypsychiatric/
mentalyhealthynursing.yADNyRNsymayyreturnytoyschoolytoyearnyaybachelor’sydegreeyoryhigheryi
nyanyRN-to-BSNyoryRN-to-
MSNyprogram.yBachelor’sydegreeyprogramsyincludeycommunityyhealthyandymanagementycours
esybeyondyt ho s ep r ov i de d yinyanassociateydegreeyprogram.yAynewer
practice-
focusedydoctoralydegreeyisytheyDoctoryofyNursingypracticey(DNP),ywhichyconcentratesyonytheyc
linicalyaspectsyofynursing.yDNPyspecialtiesyincludeytheyfouryadvancedypracticeyrolesyof
NP,yCNS,yCNM,yandyCRNA.
DIF: Remembering OBJ:y y 1.9 TOP:y Assessment
MSC:y NCLEXyClientyNeedsyCategory:ySafeyandyEffectiveyCareyEnvironment:yManagementyofyCarey
NOT:yConcepts:yCareyCoordination
7. Duringyaystaffymeeting,ytheynurseymanageryannouncesythatytheyhospitalywillybeyseekingyMagne
tystatus.yToyexplainytheyrequirementsyforythisyaward,ytheynurseymanagerywillycontactywhichyorg
anization?
a.
AmericanyNursesyAssociationy(ANA)
b.
AmericanyNursesyCredentialingyCentery(ANCC)
c.
NationalyLeagueyforyNursingy(NLN)
d.
JointyCommission
ANS:y B
TheyAmericanyNursesyCredentialingyCentery(ANCC)yawardsyMagnetyRecognitionytoyhospitals
ythatyhaveyshownyexcellenceyandyinnovationyinynursing.yTheyANAyisyayprofessionalyorganizati
onythatyprovidesystandardsyofynursingypractice.yTheyNationalyLeagueyforyNursingy(NLN)youtlin
esyandyupdatesycompetenciesyforypractical,yassociate,ybaccalaureate,yandygraduateynursingyedu
cationyprograms.yTheyJointyCommissionyisytheyaccreditingyorganizationyforyhealthycareyfaciliti
esyinytheyUnitedyStates.