er 01: Nursing Today
d d d
Potter: Fundamentals of Nursing, 11th Edition
d d d d d
,MULTIPLE CHOICE d
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
d d d d d d d d d d d d d
a. Florence Nightingale d
b. Mary Nutting d
c. Clara Barton d
d. Lillian Wald d
ANS: A d
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
d d d d d d d d d d
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
d d d d d d d d d d d d d
came after Nightingale, each contributing to the nursing profession in her own way. Mary
d d d d d d d d d d d d d d
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
d d d d d d d d d d d d
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
d d d d d d d d d d d d
DIF:Understand (comprehension) d
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
d d d d d d d d d d d d
TOP: Evaluation MSC: Health Promotion and Maintenance d d d d
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
d d d d d d d d d d d d
nursing practice is the nurse following?
d d d d d d
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C d
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
d d d d d d d d d d d d d
dattain expected outcomes. During assessment, the registered nurse collects comprehensive
d d d d d d d d d
ddata pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
d d d d d d d d d d d d d
danalyzes the assessment data to determine the diagnoses or issues. During implementation, the
d d d d d d d d d d d d
dregistered nurse implements (carries out) the identified plan.
d d d d d d d
DIF:Understand (comprehension) d
OBJ:Discuss the development of professional nursing roles.
d d d d d d TOP: Planning d
MSC: Management of Care
d d d d
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
d d d d d d d d d d d
proficiency is the nurse upon initial transition to the obstetrical floor?
d d d d d d d d d d d
a. Novice
b. Proficient
c. Competent
d. Advanced beginner d
ANS: A d
, A beginning nursing student or any nurse entering a situation in which there is no previous
d d d d d d d d d d d d d d d
level of experience (e.g., an experienced operating room nurse chooses to now practice in
d d d d d d d d d d d d d d
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
d d d d d d d d d d d d d d d d
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
d d d d d d d d d d d d d d d d
gained from multiple previous experiences to a situation. A competent nurse understands the
d d d d d d d d d d d d d
organization and specific care required by the type of patients (e.g., surgical, oncology, or
d d d d d d d d d d d d d d
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
d d d d d d d d d d d d d d
care and establish long-range goals. A nurse who has had some level of experience with the
d d d d d d d d d d d d d d d d
situation is an advanced beginner. This experience may only be observational in nature, but
d d d d d d d d d d d d d d
the nurse is able to identify meaningful aspects or principles of nursing care.
d d d d d d d d d d d d d
DIF:Apply (application) d
OBJ:Discuss the development of professional nursing roles.
d d d d d d TOP: Evaluation d
MSC: Management of Care
d d d d
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
d d d d d d d d d d d d d d d d
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
d d d d d d d d d d d d d d d
demonstrating?
d
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B d
Autonomy is an essential element of professional nursing that involves the initiation of
d d d d d d d d d d d d
independent nursing interventions without medical orders. To obtain licensure in the United
d d d d d d d d d d d d
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
d d d d d d d d d d d d d
may choose to work toward certification in a specific area of nursing practice. Accountability
d d d d d d d d d d d d d d
means that you are responsible, professionally and legally, for the type and quality of nursing
d d d d d d d d d d d d d d d
care provided.
d d
DIF:Apply (application) d
OBJ:Discuss the roles and career opportunities for nurses.
d d d d d d d TOP: Implementation d
MSC: Management of Care
d d d d
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
d d d d d d d d d d d d d d d d
d implementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B d
, A manager coordinates the activities of members of the nursing staff in delivering nursing
d d d d d d d d d d d d d
care and has personnel, policy, and budgetary responsibility for a specific nursing unit or
d d d d d d d d d d d d d d
facility. As an educator, you explain concepts and facts about health, describe the reason for
d d d d d d d d d d d d d d d
routine care activities, demonstrate procedures such as self-care activities, reinforce learning
d d d d d d d d d d d
or patient behavior, and evaluate the patient’s progress in learning. As a patient advocate, you
d d d d d d d d d d d d d d d
protect your patient’s human and legal rights and provide assistance in asserting these rights if
d d d d d d d d d d d d d d d
the need arises. As a caregiver, you help patients maintain and regain health, manage disease
d d d d d d d d d d d d d d d
and symptoms, and attain a maximal level function and independence through the healing
d d d d d d d d d d d d d
process.
d
DIF:Apply (application) d
OBJ:Discuss the roles and career opportunities for nurses. d d d d d d d TOP: Implementation d
MSC: Management of Care
d d d d
6. The nurse has been working in the clinical setting for several years as an advanced practice
d d d d d d d d d d d d d d d
nurse. However, the nurse has a strong desire to pursue research and theory development. To
d d d d d d d d d d d d d d d
fulfill this desire, which program should the nurse attend?
d d d d d d d d d
a. Doctor of Nursing Science degree (DNSc) d d d d d
b. Doctor of Philosophy degree (PhD) d d d d
c. Doctor of Nursing Practice degree (DNP) d d d d d
d. Doctor in the Science of Nursing degree (DSN) d d d d d d d
ANS: B d
Some doctoral programs prepare nurses for more rigorous research and theory development
d d d d d d d d d d d
and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral
d d d d d d d d d d d d
programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
d d d d d d d d d d d d d d
nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
d d d d d d d d d d d d d d d
practitioners.
d
DIF:Understand (comprehension) d
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
d d d d d d d d d d d
education.
d TOP: Teaching/Learning MSC: Management of Care d d d d
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
d d d d d d d d d d d d d
d Association. Which type of education did the nurse receive? d d d d d d d d
a. Graduate education d
b. Inservice education d
c. Continuing education d
d. Registered nurse education d d
ANS: C d
Continuing education involves formal, organized educational programs offered by
d d d d d d d d
universities, hospitals, state nurses associations, professional nursing organizations, and
d d d d d d d d d
educational and health care institutions. After obtaining a baccalaureate degree in nursing, you
d d d d d d d d d d d d d
can pursue graduate education leading to a master’s or doctoral degree in any number of
d d d d d d d d d d d d d d d
graduate fields, including nursing. Inservice education programs are instruction or training
d d d d d d d d d d d
provided by a health care facility or institution. Registered nurse education is the education
d d d d d d d d d d d d d d
preparation for an individual intending to be an RN.
d d d d d d d d d
DIF:Apply (application) d
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
d d d d d d d d d d d