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,Chapter901:9Nursing9Today
Potter:9Fundamentals9of9Nursing,911th9Edition


MULTIPLE9CHOICE

1. Which9nurse9most9likely9kept9records9on9sanitation9techniques9and9the9effects9on9health?
a. Florence9Nightingale
b. Mary9Nutting
c. Clara9Barton
d. Lillian9Wald
ANS:9 A
Nightingale9was9the9first9practicing9nurse9epidemiologist.9Her9statistical9analyses9connected9p9
oor9sanitation9with9cholera9and9dysentery.9Mary9Nutting,9Clara9Barton,9and9Lillian9Wald9cam9
e9after9Nightingale,9each9contributing9to9the9nursing9profession9in9her9own9way.9Mary9Nutting9
was9instrumental9in9moving9nursing9education9into9universities.9Clara9Barton9foundedthe9Am9
erican9Red9Cross.9 Lillian9Wald9helped9open9the9Henry9Street9Settlement.

DIF:Understand9(comprehension)
OBJ:Discuss9the9influence9of9social,9historical,9political,9and9economic9changes9on9nursing9practices.
TOP: Evaluation MSC:9 Health9Promotion9and9Maintenance

2. The9nurse9prescribes9strategies9and9alternatives9to9attain9expected9outcome.9Which9standard9of9
nursing9practice9is9the9nurse9following?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS:9 C
In9planning,9the9registered9nurse9develops9a9plan9that9prescribes9strategies9and9alternatives9to9a9
ttain9expected9outcomes.9During9assessment,9the9registered9nurse1collects9comprehensive9data9
pertinent9to9the9patient’s9health9and/or9the9situation.9In9diagnosis,9the9registered9nurse9analyze9
s9the9assessment9data9to9determine9the9diagnoses9or9issues.9During9implementation,9theregister9
ed9nurse9implements9(carries9out)9the9identified9plan.

DIF:Understand9(comprehension)
OBJ:Discuss9the9development9of9professional9nursing9roles
TOP:9 Planning
.9MSC:9 Management9 of9Care

3. An9experienced9medical-
surgical9nurse9chooses9to9work9in9obstetrics.9Which9level9ofproficiency9is9the9nurse9
upon9initial9transition9to9the9obstetrical9floor?
a. Novice
b. Proficient
c. Competent
d. Advanced9beginner
ANS:9 A

, A9beginning9nursing9student9or9any9nurse9entering9a9situation9in9which9there9is9no9previous9le9
vel9of9experience9(e.g.,9an9experienced9operating9room9nurse9chooses9to9now9practice9in9hom9
e9health)9is9an9example9of9a9novice9nurse.9A9proficient9nurse9perceives9a9patient’s9clinicalsitu9
ation9as9a9whole,9is9able9to9assess9an9entire9situation,9and9can9readily9transfer9knowledge9gain9
ed9from9multiple9previous9experiences9to9a9situation.9A9competent9nurse9understands9the9orga9
nization9and9specific9care9required9by9the9type9of9patients9(e.g.,9surgical,9oncology,9or9orthope9
dic9patients).9This9nurse9is9a9competent9practitioner9who9is9able9to9anticipate9nursing9care9and9
establish9long-
range9goals.9A9nurse9who9has9had9some9level9of9experience9with9the9situation9is9an9advanced9
beginner.9This9experience9may9only9be9observational9in9nature,9but9the9nurse9is9able9to9identif9
y9meaningful9aspects9or9principles9of9nursing9care.

DIF:Apply9(application)
OBJ:Discuss9the9development9of9professional9nursing9roles
TOP:9 Evaluation
.9MSC:9 Management9 of9Care

4. A9nurse9assesses9a9patient’s9fluid9status9and9decides9that9the9patient9needs9to9drink9more9fluids.9
The9nurse9then9encourages9the9patient9to9drink9more9fluids.9Which9concept9is9the9nurse9demon9
strating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS:9 B
Autonomy9is9an9essential9element9of9professional9nursing9that9involves9the9initiation9of9indep9
endent9nursing9interventions9without9medical9orders.9To9obtain9licensure9in9the9United9States,9
the9RN9candidate9must9pass9the9NCLEX-RN.9Beyond9the9NCLEX-
RN,9the9nurse9may9choose9to9work9toward9certification9in9a1specific9area9of9nursing9practic
e. Accountabilitymeans9that9you9are9responsible,9professionally9and9legally,9for1the9type9and9
quality9of9nursingcare9provided.

DIF:Apply9(application)
OBJ:Discuss9the9roles9and9career9opportunities9for1nurses
TOP:9 Implementation
.9MSC:9 Management9 of9Care

5. A9nurse9prepares9the9budget9and9policies9for9an9intensive9care9unit.9Which9role9is9the9nurse9
implementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS:9 B

, A9manager9coordinates9the9activities9of9members9of9the9nursing1staff9in9delivering9nursing9car9
e9and9has9personnel,9policy,9and9budgetary9responsibility9for9a9specific9nursing9unit9or9facility.
9As9an9educator,9 you9explain9concepts9and9facts9about9health,9describe9the9reason9for9routine9c9

are9activities,9demonstrate9procedures9such9as9self-
care1activities,9reinforce9learning9or9patient9behavior,9and9evaluate9the9patient’s9progress9in9le9
arning.9As9a9patient9advocate,9youprotect9 your9patient’s9human9and9legal9rights9and9provide9as9
sistance9in9asserting1these9rights9ifthe9need9arises.9As9a9caregiver,9you9help9patients9maintain9a9
nd9regain9health,9manage9disease9and9symptoms,9and9attain9a9maximal9level9function9and9inde9
pendence9through9the9healing9process.

DIF:Apply9(application)
OBJ:Discuss9the9roles9and9career9opportunities9for9nurses
TOP:9 Implementation
.9MSC:9 Management9 of9Care

6. The9nurse9has9been9working9in9the9clinical9setting9for9several9years9as9an9advanced9practice9
nurse.9However,9the9nurse9has9a9strong1desire9to9pursue9research9and9theory9development.9To9
fulfill9this9desire,9which9program9should9the9nurse9attend?
a. Doctor9of9Nursing1Science9degree9(DNSc)
b. Doctor9of9Philosophy9degree9(PhD)
c. Doctor9of9Nursing9Practice9degree9(DNP)
d. Doctor9in9the9Science9of9Nursing9degree9(DSN)
ANS:9 B
Some9doctoral9programs9prepare9nurses9for1more9rigorous9research9and9theory9development9a9
nd9award9the9research-
oriented9Doctor9of9Philosophy9(PhD)9in9nursing.9Professional9doctoralprograms9in9nursing9(D9
SN9or9DNSc)9prepare9graduates9to9apply9research9findings9to9clinical9nursing.9The9DNP9is9a9p9
ractice1doctorate9that9prepares9advanced9practice9nurses9such9as9nursepractitioners.

DIF:Understand9(comprehension)
OBJ:Compare9and9contrast9the9educational9programs9available9for9professional9registered9nurse9(RN
)education. TOP:9 Teaching/Learning MSC:9 Management9 of9Care

7. A9nurse9attends9a9workshop9on9current9nursing9issues9provided9by9the9American9Nurses9
Association.9Which9type9of9education9did9the9nurse1receive?
a. Graduate9education
b. Inservice9education
c. Continuing9education
d. Registered9nurse9education

ANS:9 C
Continuing9education9involves9formal,9organized9educational9programs9offered9by9universitie9
s,9hospitals,9state9nurses9associations,9professional9nursing9organizations,9and9educational9and9
health9care9institutions.9After9obtaining9a9baccalaureate9degree9in9nursing,9youcan9pursue9grad9
uate9education9leading9to9a9master’s9or9doctoral9degree9in9any9number9of9graduate9fields,9inclu9
ding9nursing.9Inservice9education9programs9are9instruction9or9training9provided9by9a9health9car9
e9facility9or9institution.9Registered9nurse9education9is9the9education9preparation9for9an9individu9
al9intending9to9be9an9RN.

DIF:Apply9(application)
OBJ:Compare9and9contrast9the9educational9programs9available9for9professional9registered9nurse9(RN)

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