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Test Bank - Fundamentals of Nursing, 9th Edition (Potter, Perry, 2017), Chapter 1-50 | All Chapters
Test Bank - Fundamentals of Nursing, 9th Edition (Potter, Perry, 2017), Chapter 1-50 | All Chapters
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TEST BANKFundamentals of Nursing
Patricia A. Potter, Anne Griffin Perry, Patricia A. Stockert, and Amy M. Hall
9th Edition
,Table of Contents
Chapter 01 Nursing Today 1
Chapter 02 The Health Care Delivery System 11
Chapter 03 Community Based Nursing Practice 21
Chapter 04 Theoretical Foundations of Nursing Practice 30
Chapter 05 Evidence-Based Practice 39
Chapter 06 Health and Wellness 48
Chapter 07 Caring in Nursing Practice 58
Chapter 08 Caring for the Cancer Survivor 65
Chapter 09 Cultural Awareness 72
Chapter 10 Caring for Families 81
Chapter 11 Developmental Theories 89
Chapter 12 Conception Through Adolescence 99
Chapter 13 Young and Middle Adults 111
Chapter 14 Older Adult 120
Chapter 15 Critical Thinking in Nursing 131
Chapter 16 Nursing Assessment 140
Chapter 17 Nursing Diagnosis 149
Chapter 18 Planning Nursing Care 158
Chapter 19 Implementing Nursing Care 168
Chapter 20 Evaluation 179
Chapter 21 Managing Patient Care 188
Chapter 22 Ethics and Values 197
Chapter 23 Legal Implications in Nursing Practice 205
Chapter 24 Communication 216
Chapter 25 Patient Education 229
Chapter 26 Documentation and Informatics 243
Chapter 27 Patient Safety and Quality 258
Chapter 28 Immobility 276
Chapter 29 Infection Prevention and Control 296
Chapter 30 Vital Signs 317
Chapter 31 Health Assessment and Physical Examination 336
Chapter 32 Medication Administration 354
Chapter 33 Complementary and Alternative Therapies 374
Chapter 34 Self-Concept 384
Chapter 35 Sexuality 393
Chapter 36 Spiritual Health 403
Chapter 37 The Experience of Loss, Death, and Grief 412
Chapter 38 Stress and Coping 422
Chapter 39 Activity and Exercise 431
Chapter 40 Hygiene 445
Chapter 41 Oxygenation 465
,Chapter 42 Fluid, Electrolyte, and Acid-Base Balance 487
Chapter 43 Sleep 506
Chapter 44 Pain Management 520
Chapter 45 Nutrition 536
Chapter 46 Urinary Elimination 554
Chapter 47 Bowel Elimination 572
Chapter 48 Skin Integrity and Wound Care 588
Chapter 49 Sensory Alterations 610
Chapter 50 Care of Surgical Patients 623
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Test Bank - Fundamentals of Nursing, 9th Edition (Potter, Perry, 2017)
Chapter 01: Nursing Today
Potter et al.: 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.
DIF: Understand (comprehension) REF: Page 5
W W W . T B S M . W S
OBJ: Discuss the influence of social, historical, political, and economic changes on
nursing practices. TOP: Evaluation MSC: Health Promotion and Maintenance
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.
DIF: Understand (comprehension) REF: Page 2
OBJ: Discuss the development of professional nursing roles. TOP: Planning
MSC: Management of Care
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
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Test Bank - Fundamentals of Nursing, 9th Edition (Potter, Perry, 2017)
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.
DIF: Apply (application) REF: Page 2
OBJ: Discuss the development of professional nursing roles. TOP: Evaluation
MSC: Management of 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
W W W . T B S M . W S
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.
DIF: Apply (application) REF: Page 3
OBJ: Discuss the roles and career opportunities for nurses. TOP: Implementation
MSC: Management of Care
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
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Test Bank - Fundamentals of Nursing, 9th Edition (Potter, Perry, 2017)
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.
DIF: Apply (application) REF: Page 4
OBJ: Describe the roles and career opportunities for nurses. TOP: Implementation
MSC: Management of Care
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)
W W W . T B S M . W S
d. Doctor in the Science of Nursing degree (DSN)
ANS: B
Some doctoral programs prepare nurses for more rigorous research and theory development
and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional
doctoral programs in nursing (DSN or DNSc) prepare graduates to apply research findings
to clinical nursing. The DNP is a practice doctorate that prepares advanced practice nurses
such as nurse practitioners.
DIF: Understand (comprehension) REF: Page 10
OBJ: Describe educational programs available for professional registered nurse (RN)
education. TOP: Teaching/LearningMSC: Management of Care
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
Association. Which type of education did the nurse receive?
a. Graduate education
b. Inservice education
c. Continuing education
d. Registered nurse education
ANS: C
Continuing education involves formal, organized educational programs offered by
universities, hospitals, state nurses associations, professional nursing organizations, and
educational and health care institutions. After obtaining a baccalaureate degree in nursing,
you can pursue graduate education leading to a master’s or doctoral degree in any number of
graduate fields, including nursing. Inservice education programs are instruction or training
provided by a health care facility or institution. Registered nurse education is the education
preparation for an individual intending to be an RN.
DIF: Apply (application) REF: Page 10
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Test Bank - Fundamentals of Nursing, 9th Edition (Potter, Perry, 2017)
OBJ: Describe educational programs available for professional registered nurse (RN)
education. TOP: Teaching/Learning
MSC: Management of Care
8. A nurse identifies gaps between local and best practices. Which Quality and Safety
Education for Nurses (QSEN) competency is the nurse demonstrating?
a. Safety
b. Patient-centered care
c. Quality improvement
d. Teamwork and collaboration
ANS: C
Quality improvement identifies gaps between local and best practices. Safety minimizes risk
of harm to patients and providers through both system effectiveness and individual
performance. Patient centered care recognizes the patient or designee as the source of
control and full partner in providing compassionate and coordinated care based on respect
for patient’s preferences, values, and needs. Teamwork and collaboration allows effective
functioning within nursing and interprofessional teams, fostering open communication,
mutual respect, and shared decision making.
W W W . T B S M . W S
DIF: Understand (comprehension) REF: Page 7 | 8
OBJ: Describe the roles and career opportunities for nurses. TOP: Evaluation
MSC: Management of Care
9. A nurse has compassion fatigue. What is the nurse experiencing?
a. Lateral violence and intrapersonal conflict
b. Burnout and secondary traumatic stress
c. Short-term grief and single stressor
d. Physical and mental exhaustion
ANS: B
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic
stress. Compassion fatigue may contribute to what is described as lateral violence
(nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to
grief and loss places nurses at risk for developing compassion fatigue. Stressors, not a single
stressor, contribute to compassion fatigue. Physical and mental exhaustion describes burnout
only.
DIF: Understand (comprehension) REF: Page 6
OBJ: Discuss the influence of social, historical, political, and economic changes on
nursing practices. TOP: Assessment MSC: Health Promotion and Maintenance
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the
patient tells the nurse, “I have no idea what is going to happen. I couldn’t ask any
questions.” The nurse does not allow the patient to sign the permit and notifies the health
care provider of the situation. Which role is the nurse displaying?
a. Manager
b. Patient educator
c. Patient advocate
d. Clinical nurse specialist
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Test Bank - Fundamentals of Nursing, 9th Edition (Potter, Perry, 2017)
ANS: C
As a patient advocate, the nurse protects the patient’s human and legal rights, including the
right of the patient to understand procedures before signing permits. Although nurses can be
educators, it is the responsibility of the surgeon to provide education for the patient in
preparation for surgery, and it is the nurse’s responsibility to notify the health care provider
if the patient is not properly educated. Managers coordinate the activities of members of the
nursing staff in delivering nursing care, and clinical nurse specialists are experts in a
specialized area of nursing practice in a variety of settings.
DIF: Apply (application) REF: Page 3
OBJ: Describe the roles and career opportunities for nurses. TOP: Evaluation
MSC: Management of Care
11. The patient requires routine gynecological services after giving birth to her son, and while
seeing the nurse-midwife, the patient asks for a referral to a pediatrician for the newborn.
Which action should the nurse-midwife take initially?
a. Provide the referral as requested.
b. Offer to provide the newborn care.
c. Refer the patient to the supervising provider.
W W W . T B S M . W S
d. Tell the patient that is not allowed to make referrals.
ANS: B
The practice of nurse-midwifery involves providing independent care for women during
normal pregnancy, labor, and delivery, as well as care for the newborn. After being apprised
of the midwifery role, if the patient insists on seeing a pediatrician, the nurse-midwife
should provide the referral. The supervising provider is an obstetric provider, not a
pediatrician. A nurse-midwife can make referrals.
DIF: Analyze (analysis) REF: Page 4
OBJ: Describe the roles and career opportunities for nurses. TOP: Implementation
MSC: Management of Care
12. The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which
activity is appropriate for a CRNA?
a. Manages gynecological services such as PAP smears
b. Works under the guidance of an anesthesiologist
c. Obtains a PhD degree in anesthesiology
d. Coordinates acute medical conditions
ANS: B
Nurse anesthetists provide surgical anesthesia under the guidance and supervision of an
anesthesiologist, who is a physician (health care provider) with advanced knowledge of
surgical anesthesia. Nurse practitioners, not CRNAs, manage self-limiting acute and chronic
stable medical conditions; certified nurse-midwives provide gynecological services such as
routine Papanicolaou (Pap) smears. The CRNA is an RN with an advanced education in a
nurse anesthesia accredited program. A PhD is not a requirement.
DIF: Understand (comprehension) REF: Page 4
OBJ: Describe the roles and career opportunities for nurses. TOP: Implementation
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