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Fundamentals of Nursing 9th Edition by Taylor, Lynn,
Bartlett Test Bank
Professional Nursing 1 (Youngstown State University)
,Chapter 1, Introduction to Nursing
An oncology nurse with 15 years of experience, certification in the area of oncology nursing, and a master‘s degree is
considered to be an expert in her area of practice and works on an oncology unit in a large teaching hospital. Based upon this
description, which of the following career roles best describes this nurse‘s role, taking into account her qualifications and
experience?
Clinical nurse specialist
Nurse entrepreneur
Nurse practitioner
Nurse educator
Ans: A
Feedback:
A clinical nurse specialist is a nurse with an advanced degree, education, or experience who is considered to be an expert
in a specialized area of nursing. The clinical nurse specialist carries out direct patient care; consultation; teaching of
patients, families, and staff; and research. A nurse practitioner has an advanced degree and works in a variety of settings
to deliver primary care. A nurse educator usually has an advanced degree and teaches in the educational or clinical
setting. A nurse entrepreneur may manage a clinic or health-related business.
What guidelines do nurses follow to identify the patient‘s health care needs and strengths, to establish and carry out a
plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes?
Nursing process
ANA Standards of Professional Performance
Evidence-based practice guidelines
Nurse Practice Acts
Ans: A
Feedback:
The nursing process is one of the major guidelines for nursing practice. Nurses implement their roles through the
nursing process. The nursing process is used by the nurse to identify the patient‘s health care needs and strengths, to
establish and carry out a plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet
established outcomes.
Which of the following organizations is the best source of information when a nurse wishes to determine whether an
action is within the scope of nursing practice?
American Nurses Association (ANA)
American Association of Colleges in Nursing (AACN)
National League for Nursing (NLN)
International Council of Nurses (ICN)
Ans: A
Feedback:
The ANA produces the 2003 Nursing: Scope and Standards of Practice, which defines the activities specific and unique to
nursing. The AACN addresses educational standards, while the NLN promotes and fosters various aspects of nursing.
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The ICN provides a venue for national nursing organizations to collaborate, but does not define standards and scope
of practice.
Who is considered to be the founder of professional nursing?
Dorothea Dix
Lillian Wald
Florence Nightingale
Clara Barton
Ans: C
Feedback:
Florence Nightingale is considered to be the founder of professional nursing. She elevated the status of nursing to a
respected occupation, improved the quality of nursing care, and founded modern nursing education. Although the
other choices are women who were important to the development of nursing, none of them is considered the founder.
Which of the following nursing pioneers established the Red Cross in the United States in 1882?
Florence Nightingale
Clara Barton
Dorothea Dix
Jane Addams
Ans: B
Feedback:
Clara Barton volunteered to care for wounds and feed union soldiers during the civil war, served as the supervisor of
nurses for the Army of the James, organized hospitals and nurses, and established the Red Cross in the United States in
1882.
A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Down Syndrome. The nurse
makes referrals for a parent support group for the family. This is an example of which nursing role?
Teacher/Educator
Leader
Counselor
Collaborator
Ans: C
Feedback:
Counseling skills involve the use of therapeutic interpersonal communication skills to provide information, make
appropriate referrals, and facilitate the patient‘s problem-solving and decision-making skills. The teacher/educator uses
communication skills to assess, implement, and evaluate individualized teaching plans to meet learning needs of
clients and their families. A leader displays an assertive, self-confident practice of nursing when providing care,
effecting change, and functioning with groups. The collaborator uses skills in organization, communication, and
advocacy to facilitate the functions of all members of the health care team as they provide patient care.
A nurse is providing nursing care in a neighborhood clinic to single, pregnant teens. Which of the following actions is
the best example of using the counselor role as a nurse?
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Discussing the legal aspects of adoption for teens wishing to place their infants with a family
Searching the Internet for information on child care for the teens who wish to return to school
Conducting a client interview and documenting the information on the client‘s chart
Referring a teen who admits having suicidal thoughts to a mental health care specialist
Ans: D
Feedback:
The role of the counselor includes making appropriate referrals. Discussing legal issues is the role of the advocate
and searching for information on the Internet is the role of a researcher. Conducting a client interview would fall
under the role of the caregiver.
A nurse instructor explains the concept of health to her students. Which of the following statements accurately describes
this state of being?
Health is a state of optimal functioning.
Health is an absence of illness.
Health is always an objective state.
Health is not determined by the patient.
Ans: A
Feedback:
Health is a state of optimal functioning or well-being. As defined by the World Health Organization, one‘s health
includes physical, social, and mental components and is not merely the absence of disease or infirmity. Health is often a
subjective state; a person may be medically diagnosed with an illness but still consider himself or herself healthy.
A nurse incorporates the health promotion guidelines established by the U.S. Department of Health document: Healthy
People 2010. Which of the following is a health indicator discussed in this document?
Cancer
Obesity
Diabetes
Hypertension
Ans: B
Feedback:
The 10 leading indicators of health established by Healthy People 2010 are: physical activity, excessive weight and
obesity, tobacco use, substance abuse, responsible sexual behavior, mental health, injury and violence,
environmental quality, immunizations, and access to health care.
Which of the following is a criteria that defines nursing as profession?
an undefined body of knowledge
a dependence on the medical profession
an ability to diagnose medical problems
a strong service orientation
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