TEST BANK FOR
Leddy and Pepper's Professional Nursing 10th EDITION
by LUCY J HOOD
,Chapter 1
1. The nursing director attends a workshop and is presenting information on the ANA's
Nursing's Social Policy Statement (2015b). Which statement regarding the profession of
nursing is included in the publication?
A. Nurses are expected to have the necessary knowledge, skill, and competence to
execute their professional duties.
B. Use public policy of current legislature to shape the future of the nursing profession.
C. Use scientific knowledge to ration care to those individuals with noncomplex
diagnoses and simple treatment options.
D. Use assessment as the guide in order to treat the full range of human responses
within the physical environment.
Answer: A
Rationale: According to the ANA (2015b) Nursing's Social Policy Statement, nurses are
expected to have the necessary knowledge, skill, and competence to execute their
professional duties. In return, nurses expect society to authorize practice autonomy,
extend self-governance, protect the title of RN and scope of practice, receive respect and
fair remuneration for services, be free to practice nursing to the full extent of
educational preparation, receive support to sustain the nursing profession, and be
protected from hazardous service activities. Shaping the future of nursing is a primary
goal of the ANA and all its efforts. Use of scientific knowledge and assessment are
characteristics of the nursing profession and are included in the nursing process.
Question Format: Multiple Choice
Chapter: 1
Learning Objective: 5
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Nursing Process
Reference: p. 25, Service to Society
,2. A nurse who has worked for 15 years in the hospital has an opportunity to attend an
RN-to-BSN program, and the hospital will pay for the cost of tuition if the nurse agrees
to work there for 2 years following graduation. The nurse has accepted and is in the first
term at the local college. If the nurse wants to work on critical and reflective thinking
skills, which activity should the nurse focus on developing?
A. Reading a chapter on “Care of the Cardiac Patient”
B. Speaking to the nurses on the clinical unit
C. Listening to family as they share the client's story
D. Writing a paper on nursing for the palliative client
Answer: D
Rationale: Writing requires nurses to use critical and reflective thinking. Speaking
enables the nurse to develop skills to communicate effectively verbally with clients as
well as colleagues. Listening enables thought organization. Reading stimulates the
release of neurotrophins, strengthening neural pathways.
Question Format: Multiple Choice
Chapter: 1
Learning Objective: 4
Client Needs: Psychosocial Integrity: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Communication
Reference: p. 11, Writing
3. A nurse in the long-term care facility has decided to return to nursing school to earn a
higher degree. The nurse is full of positive thoughts and energy when contemplates all
the new things to learn. According to Shane's returning-to-school syndrome, which
phase is this nurse experiencing?
A. Conflict phase
B. Reintegration phase
C. Integration phase
D. Honeymoon phase
, Answer: D
Rationale: Shane describes a “returning-to-school syndrome” encountered by registered
nurses returning to earn higher nursing degrees. The first phase, the honeymoon, is
positive and the nurse recognizes similarities between previous educational experiences
and the present experiences that reinforce their original role identity as a nurse. As a
result, the nurse feels energetic about learning new things. The conflict phase is
characterized by turbulent negative emotions when faculty members challenge the nurse
to change ways of thinking and/or practicing. Phase 3, or reintegration, identifies the
successful resolution of conflict. In this stage, nurses struggle to hold on to cherished
beliefs about practice and frequently wonder why they decided to pursue a higher
degree. The final stage, integration, is characterized by the ability to blend the original
culture of work with the new culture of school. Integration of the old with the new results
in a positive resolution of the returning-to-school syndrome but occurs later in the
process.
Question Format: Multiple Choice
Chapter: 1
Learning Objective: 4
Client Needs: Psychosocial Integrity: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Teaching/Learning
Reference: p. 15, Shane’s Returning-to-School Syndrome
4. A student nurse, who is in the second semester of nursing school, is experiencing an
unsettled feeling. The nurse notes a lack of confidence in knowing how to act or what
questions to ask. According to Bridges' Managing Transitions theory, what phase of
transition is this student experiencing?
A. New beginning
B. Neutral zone
C. Transition one