Chapter 01: Nursing Today
Fundamentals of Nursing, 9th Edition
MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
a. Florence Nightingale
b. Mary Nutting c. Clara Barton
d. Lillian Wald
ANS: A
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor
sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came after
Nightingale, each contributing to the nursing profession in her own way. Mary Nutting was instrumental
in moving nursing education into universities. Clara Barton founded the American Red Cross. Lillian Wald
helped open the Henry Street Settlement. NURSINGTB.COM
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
nursing practice is the nurse following?
a. Assessment
b. Diagnosis c. Planning
,d. Implementation
ANS: C
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to attain
expected outcomes. During assessment, the registered nurse collects comprehensive data pertinent to
the patient’s health and/or the situation. In diagnosis, the registered nurse analyzes the assessment
data to determine the diagnoses or issues. During implementation, the registered nurse implements
(carries out) the identified plan.
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is the
nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient c. Competent
d. Advanced beginner
ANS: A
A beginning nursing student or any nurse entering a situation in which there is no previous level of
experience (e.g., an experienced operating room nurse chooses to now practice in home health) is an
example of a novice nurse. A proficient nurse perceives a patient’s clinical situation as a whole, is able to
assess an entire situation, and can readily transfer knowledge gained from multiple previous
experiences to a situation. A competent nurse understands the organization and specific care required
by the type of patients (e.g., surgical, oncology, or orthopedic patients). This nurse is a competent
practitioner who is able to anticipate nursing care and establish long- range goals. A nurse who has had
some level of experience with the situation is an advanced beginner. This experience may only be
observational in nature, but the nurse is able to identify meaningful aspects or principles of nursing care.
,4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids. The
nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?
a. Licensure
b. Autonomy c. Certification
d. Accountability
ANS: B
Autonomy is an essential element of professional nursing that involves the initiation of independent
nursing interventions without medical orders. To obtain licensure in the United States, the RN candidate
must pass the NCLEX-RN®. Beyond the NCLEX-RN®, the nurse may choose to work toward certification in
a specific area of nursing practice. Accountability means that you are responsible, professionally and
legally, for the type and quality of nursing care provided.
FUNDAMENTALS OF NURSING 9TH EDITION POTTER TEST BANK
Prime yourself for your Tests – Study Questions
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5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
implementing?
a. Educator
b. Manager c. Advocate
, d. Caregiver
ANS: B
A manager coordinates the activities of members of the nursing staff in delivering nursing care and has
personnel, policy, and budgetary responsibility for a specific nursing unit or facility. As an educator, you
explain concepts and facts about health, describe the reason for routine care activities, demonstrate
procedures such as self-care activities, reinforce learning or patient behavior, and evaluate the patient’s
progress in learning. As a patient advocate, you protect your patient’s human and legal rights and
provide assistance in asserting these rights if the need arises. As a caregiver, you help patients maintain
and regain health, manage disease and symptoms, and attain a maximal level function and
independence through the healing process.
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6. The nurse has been working in the clinical setting for several years as an advanced practice nurse.
However, the nurse has a strong desire to pursue research and theory development. To fulfill this desire,
which program should the nurse attend?
a. Doctor of Nursing Science degree (DNSc)
b. Doctor of Philosophy degree (PhD) c. Doctor of Nursing Practice degree (DNP)
d. Doctor in the Science of Nursing degree (DSN)
ANS: B