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Potter:Fundamentals of Nursing,11thEdition
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MULTIPLECHOIC
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1. Whichnursemostlikelykeptrecordsonsanitationtechniquesandtheeffects on health?
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a. FlorenceNightingale D
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b. MaryNutting
c. Clara Barton ij
d. LillianWald D
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ANS: A D P
Nightingalewasthefirstpracticingnurseepidemiologist.Herstatisticalanalysesconnected poor
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sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came after
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Nightingale, each contributing to the nursing profession in her own way. Mary Nuttingwas
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instrumental in movingnursing education into universities. Clara Barton founded the American
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Red Cross. Lillian Wald helped open the HenryStreet Settlement.
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DIF:Understand (comprehension) DP
OBJ:Discusstheinfluenceofsocial,historical,political,andeconomicchangeson nursingpractices.
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TOP: Evaluation MSC: HealthPromotionandMaintenance D P D P D
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2. Thenurseprescribesstrategiesandalternatives toattainexpectedoutcome.Whichstandard
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ofnursingpractice is the nurse following?
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a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C D P
Inplanning,theregisterednursedevelopsaplanthatprescribesstrategiesandalternativesto attain
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expected outcomes. Duringassessment, the registered nurse collects comprehensive data
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pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse analyzes the
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assessment data to determine the diagnoses or issues. During implementation, theregistered nurse
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implements (carries out) the identified plan.
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DIF:Understand (comprehension) DP
OBJ:Discussthedevelopmentofprofessionalnursingroles. D
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TOP:PlanningMSC: Management of Care
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3. Anexperiencedmedical-surgicalnursechoosestoworkinobstetrics.Whichlevel
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a. Novice
b. Proficient
c. Competent
d. Advanced
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, A beginning nursing student or any nurse entering a situation in which there is no previous level of
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experience (e.g., an experienced operating room nurse chooses to now practice in home health)is
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an example ofa novicenurse. A proficient nurseperceives a patient’s clinicalsituation as a whole,
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is able to assess an entire situation, and can readily transfer knowledge gained from multiple
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previous experiences to a situation. A competent nurse understandstheorganizationandspecific
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carerequiredbythetypeofpatients(e.g.,surgical, oncology, or orthopedic patients). This nurse is a
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competent practitioner who is able to anticipate nursing care and establish long-range goals. A
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nurse who has had some level of experience with the situation is an advanced beginner. This
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experience may only be observational in nature, but the nurseis able to identifymeaningful
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aspects or principles of nursingcare.
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DIF:Apply(application)
OBJ:Discussthedevelopmentofprofessionalnursingroles. D
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TOP:EvaluationMSC: Management of Care
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4. Anurseassessesapatient’s fluid statusand decides that thepatient needs to drink more
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fluids.Thenursethenencouragesthepatienttodrinkmorefluids.Whichconceptisthenurse
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demonstrating?
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a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B D P
Autonomy is an essential element of professional nursing that involves the initiation of DP DP DP DP DP DP DP DP DP DP DP DP
independentnursinginterventionswithoutmedicalorders.ToobtainlicensureintheUnited
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States,theRNcandidatemustpasstheNCLEX-RN.BeyondtheNCLEX-RN,thenurse may
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choose to work toward certification in a specific area of nursing practice.
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Accountabilitymeansthatyouareresponsible,professionallyandlegally,forthetypeand quality of D
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nursingcare provided.
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DIF:Apply(application)
OBJ:Discusstherolesandcareeropportunitiesfornurses. D
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TOP:
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5. Anursepreparesthebudgetandpoliciesforanintensivecareunit.Whichroleisthe
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nurseimplementing?
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a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B D P
, Amanagercoordinates theactivities ofmembersofthe nursingstaff indeliveringnursing care and
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has personnel, policy, and budgetary responsibility for a specific nursing unit or facility. As an
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educator, you explain concepts and facts about health, describe the reason for routine
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careactivities,demonstrateproceduressuchasself-careactivities,reinforcelearningorpatient
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behavior, and evaluate the patient’s progress in learning. As a patient advocate, you protect
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yourpatient’s humanandlegalrightsand provideassistanceinassertingtheserights ifthe need
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arises. As a caregiver, you help patients maintain and regain health, manage disease and
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symptoms, and attain a maximallevel function and independencethrough thehealingprocess.
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DIF:Apply(application)
OBJ:Discusstherolesandcareeropportunitiesfornurses. D
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TOP:
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6. Thenursehasbeenworkingintheclinicalsettingforseveral yearsasanadvancedpractice nurse.
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However, thenursehas a strongdesireto pursue research and theorydevelopment. Tofulfill
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this desire, which program should the nurse attend?
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a. Doctorof NursingSciencedegree (DNSc) D
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b. DoctorofPhilosophydegree(PhD) D
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c. DoctorofNursing Practicedegree(DNP) D
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d. Doctorin theScienceof Nursingdegree(DSN) D
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ANS: B D P
Some doctoral programs prepare nurses for more rigorous research and theory development and
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award theresearch-oriented Doctor of Philosophy(PhD)in nursing. Professional
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doctoralprogramsinnursing(DSN orDNSc)preparegraduates toapplyresearch findingsto
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clinicalnursing.TheDNPisapracticedoctoratethatpreparesadvancedpracticenursessuch as
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nursepractitioners.
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OBJ:Compareandcontrast the educational programs available for professional DP DP DP DP DP DP
registerednurse(RN)education.
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Teaching/Learning
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MSC: ManagementofCare D P D P D
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7. Anurseattendsaworkshoponcurrentnursingissuesprovidedbythe American
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NursesAssociation. Which type of education did the nursereceive?
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a. Graduateeducation
b. Inserviceeducation
c. Continuingeducation
d. Registered nurse education DP DP
ANS: C D P
Continuingeducationinvolvesformal,organized educational programs offeredbyuniversities,D
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hospitals, state nurses associations, professional nursing organizations, and educational and
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health careinstitutions. Afterobtainingabaccalaureate degreein nursing, you can pursue
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graduate education leading to a master’s or doctoral degree in any number of graduate fields,
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including nursing. Inservice education programs are instruction or training provided by a health
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carefacilityorinstitution.Registerednurseeducationistheeducation preparationforan individual
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intending to be an RN.
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DIF:Apply(application)
OBJ:Compareandcontrasttheeducationalprogramsavailableforprofessionalregistered D
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nurse(RN)
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