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,Chapter 1, Introduction toNursing n n n n
An oncology nurse with 15 years of experience, certification in the area of oncology nursing, and a master‘s degree is considered
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to be an expert in her area of practice and works on an oncology unit in a large teaching hospital. Based upon this
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description, which of the following career roles best describes this nurse‘s role, taking into account her
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1. qualifications and experience? n n
A) Clinical nurse specialist n n
B) Nurse entrepreneur n
C) Nurse practitioner n
D) Nurse educator n
n Ans: A
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A clinical nurse specialist is a nurse with an advanced degree, education, or experience
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expert in a specialized area of nursing. The clinical nurse specialist carries out direct patient
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patients, families, and staff; and research. A nurse practitioner has an advanced degree
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settings to deliver primary care. A nurse educator usually has an advanced degree and
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nclinical setting. A nurse entrepreneur may manage a clinic or health-related business.
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What guidelines do nurses follow to identify the patient‘s health care needs and strengths, to establish and carry out a
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2. plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes?
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A) Nursing process n
B) ANA Standards of Professional Performance
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C) Evidence-based practice guidelines n n
D) Nurse Practice Acts n n
n Ans: A
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The nursing process is one of the major guidelines for nursing practice. Nurses implement their roles through the nursing
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process. The nursing process is used by the nurse to identify the patient‘s health care needs and strengths, to establish
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and carry out a plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established
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outcomes.
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Which of the following organizations is the best source of information when a nurse wishes to determine whether an
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3. action is within the scope of nursing practice?
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A) American Nurses Association (ANA) n n n
B) American Association of Colleges in Nursing (AACN) n n n n n n
C) National League for Nursing (NLN) n n n n
D) International Council of Nurses (ICN) n n n n
n Ans: A
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The ANA produces the 2003 Nursing: Scope and Standards of Practice, which defines the activities specific and
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unique to nursing. The AACN addresses educational standards, while the NLN promotes and fosters various aspects of
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nursing.
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, The ICN provides a venue for national nursing organizations to collaborate, but does not define standards and scope of practice.
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4. Who is considered to be the founder of professional nursing?
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A) Dorothea Dix n
B) Lillian Wald n
C) Florence Nightingale n
D) Clara Barton n
n Ans: C
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Florence Nightingale is considered to be the founder of professional nursing. She elevated the status of nursing to a
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respected occupation, improved the quality of nursing care, and founded modern nursing education. Although the other
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choices are women who were important to the development of nursing, none of them is considered the founder.
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5. Which of the following nursing pioneers established the Red Cross in the United States in 1882?
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A) Florence Nightingale n
B) Clara Barton n
C) Dorothea Dix n
D) Jane Addams n
n Ans: B
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Clara Barton volunteered to care for wounds and feed union soldiers during the civil war, served as the supervisor of
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nurses for the Army of the James, organized hospitals and nurses, and established the Red Cross in the United States in
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1882.
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A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Down Syndrome. The nurse
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6. makes referrals for a parent support group for the family. This is an example of which nursing role?
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A) Teacher/Educator
B) Leader
C) Counselor
D) Collaborator
Ans: C
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Counseling skills involve the use of therapeutic interpersonal communication skills to provide information, make
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appropriate referrals, and facilitate the patient‘s problem-solving and decision-making skills. The teacher/educator uses
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communication skills to assess, implement, and evaluate individualized teaching plans to meet learning needs of clients
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and their families. A leader displays an assertive, self-confident practice of nursing when providing care, effecting
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change, and functioning with groups. The collaborator uses skills in organization, communication, and advocacy to
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facilitate the functions of all members of the health care team as they provide patient care.
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A nurse is providing nursing care in a neighborhood clinic to single, pregnant teens. Which of the following actions is
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7. the best example of using the counselor role as a nurse?
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, A) Discussing the legal aspects of adoption for teens wishing to place their infants with a family
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B) Searching the Internet for information on child care for the teens who wish to return to school
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C) Conducting a client interview and documenting the information on the client‘s chart
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D) Referring a teen who admits having suicidal thoughts to a mental health care specialist
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n Ans: D
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The role of the counselor includes making appropriate referrals. Discussing legal issues is the role of the advocate and searching
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for information on the Internet is the role of a researcher. Conducting a client interview would fall under the role of
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the caregiver.
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A nurse instructor explains the concept of health to her students. Which of the following statements accurately describes
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8. this state of being?n n n
A) Health is a state of optimal functioning.
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B) Health is an absence of illness.
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C) Health is always an objective state.
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D) Health is not determined by the patient.
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n Ans: A
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Health is a state of optimal functioning or well-being. As defined by the World Health Organization, one‘s health
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includes physical, social, and mental components and is not merely the absence of disease or infirmity. Health is often a
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subjective state; a person may be medically diagnosed with an illness but still consider himself or herself healthy.
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A nurse incorporates the health promotion guidelines established by the U.S. Department of Health document: Healthy
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9. People 2010. Which of the following is a health indicator discussed in this document?
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A) Cancer
B) Obesity
C) Diabetes
D) Hypertension
Ans: B
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The 10 leading indicators of health established by Healthy People 2010 are: physical activity, excessive weight and
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obesity, tobacco use, substance abuse, responsible sexual behavior, mental health, injury and violence, environmental
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quality, immunizations, and access to health care.
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10. Which of the following is a criteria that defines nursing as profession?
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A) an undefined body of knowledge
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B) a dependence on the medical profession
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C) an ability to diagnose medical problems
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D) a strong service orientation
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