Test Bank for Fundamentals of Nursing 11th Edition PotterP
2 2 2 2 2 2 2 2 2
erry Stockert & Hall Isbn: 9780323810340 Newest Version
2 2 2 2 2 2 2
Chapter201:2Nursing2Today
MULTIPLE2CHOICE
1. Which2nurse2 most2likelykept2 records2 on2 sanitation2techniques2 and2 the2effects2 on2 health?
a. Florence2Nightingale
b. MaryNutting
c. Clara2Barton
d. Lillian2Wald
ANS:2 A
Nightingale2was2the2first2practicingxnurse2epidemiologist.2Her2statistical2analyses2connected2po2o2
r2sanitation2with2cholera2andxdysentery.2Mary2Nutting,2Clara2Barton,2andxLillian2Wald2came2after2
Nightingale,2each2contributingxto2the2nursingxprofession2in2her2own2way.2Mary2Nutting2was2instru
2mental2in2moving2nursing2educationvinto2universities.2Clara2Barton2foundedthe2American2Red2Cr
2oss.2Lillian2Wald2helped2openxthe2HenryStreet2Settlement.
DIF:Understand2(comprehension)
OBJ:Discuss2the2influence2of2social,2historical,2political,2and2economic2changes2on2nursing2practices.
TOP: Evaluation MSC:2 Health2Promotion2and2Maintenance
2. The2nurse2prescribes2strategies2and2alternatives2to2attain2expected2outcome.2Which2standard2ofnu2
rsingxpractice2is2the2nurse2following?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS:2 C
In2planning,2the2registered2nurse2develops2a2plan2that2prescribes2strategies2and2alternatives2to2attai2
n2expected2outcomes.2During2assessment,2the2registered2nurse2collects2comprehensivexdataxperti2
nent2to2the2patient’s2health2and/or2the2situation.2In2diagnosis,2the2registered2nurse2analyzes2theasse2
ssment2data2to2determine2the2diagnoses2or2issues.2During2implementation,2theregistered2nu2rse2im2p
lements2(carries2out)2the2identified2plan.
DIF:Understand2(comprehension)
OBJ:Discuss2the2development2of2professional2nursing2roles
TOP:2Planning
.2MSC:2 Management2of2Care
3. An2experienced2medical-
surgical2nurse2 chooses2to2 work2in2 obstetrics.2 Which2 level2 ofproficiency2is2the2 nurse2 up2 on2initia
l2transition2to2the2obstetrical2floor?
a. Novice
b. Proficient
c. Competent
d. Advanced2beginner
ANS:2 A
, A2beginning2nursing2student2or2any2nurse2entering2a2situation2in2which2there2is2no2previous2levexl2
of2experience2(e.g.,2an2experienced2operating2room2nursevchooses2to2now2practice2in2home2he2alt2
h)2is2an2example2of2a2novice2nurse.2A2proficient2nurse2perceives2a2patient’s2clinicalsituationas2a2
whole,2is2able2to2assess2an2entire2situation,2and2can2readily2transfer2knowledge2gained2frommulti2
ple2previous2experiences2to2a2situation.2A2competentxnurse2understands2the2organizationxand2sp2
ecific2care2required2bythe2type2of2patients2(e.g.,2surgical,2oncology,2or2orthopedic2patien2ts).2Thi2
s2nurse2is2a2competent2practitioner2who2is2able2to2anticipate2nursing2care2and2establish2long-
2range2goals.2A2nurse2who2has2had2some2level2of2experiencexwith2thexsituation2is2an2advanced2beg
i2nner.2This2experience2may2only2be2observational2in2nature,2but2the2nurse2is2able2to2identifym2ea
ni2ngful2aspects2or2principles2of2nursing2care.
DIF:Apply2(application)
OBJ:Discuss2the2development2of2professional2nursing2roles
TOP:2Evaluation
.2MSC:2 Management2of2Care
4. A2nurse2assesses2a2patient’s2fluid2status2and2decides2that2the2patient2needs2to2drink2more2fluids.T2 h2
e2nurse2then2encourages2the2patient2to2drink2more2fluids.2Which2concept2is2the2nurse2demonstra2tin2
g?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS:2 B
Autonomyis2an2essential2element2of2professional2nursing2that2involves2the2initiation2of2indepen2
dent2nursing2interventions2without2medical2orders.2To2obtain2licensure2in2the2United2States,2t2he2
RN2candidate2must2pass2the2NCLEX-RN.2Beyond2the2NCLEX-
RN,2the2nurse2may2choose2to2work2toward2certification2in2a2specific2area2of2nursing2practice.2A2
ccountabilitymeans2that2you2arexresponsible,2professionally2and2legally,2for2thextype2and2quality2
of2nursingvcare2provided.
DIF:Apply2(application)
OBJ:Discuss2the2roles2and2career2opportunities2for2nurses
TOP:2Implementation
.2MSC:2 Management2of2Care
5. A2nurse2prepares2the2budget2and2policies2for2an2intensive2care2unit.2Which2role2is2the2nurseim2
plementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS:2 B
, A2manager2coordinates2the2activities2of2members2of2the2nursing2staff2in2delivering2nursing2care2a2
nd2has2personnel,2policy,2and2budgetary2responsibility2for2a2specific2nursing2unit2or2facility.2As2a2
n2educator,2you2explain2concepts2and2facts2about2health,2describe2the2reason2for2routine2care2acti2
vities,2demonstrate2procedures2such2as2self-
care2activities,2reinforce2learningxor2patient2behavior,2and2evaluate2the2patient’s2progress2in2learn2
ing.2As2a2patient2advocate,2youprotect2your2patient’s2human2and2legal2rights2and2provide2assistan2
ce2inxasserting2thesexrights2ifthe2need2arises.2As2a2caregiver,2you2help2patients2maintain2and2regai2
n2health,2manage2disease2and2symptoms,2and2attain2a2maximal2level2function2and2independe2nce2t2
hrough2the2healingxprocess.
DIF:Apply2(application)
OBJ:Discuss2the2roles2and2career2opportunities2for2nurses
TOP:2Implementation
.2MSC:2 Management2of2Care
6. The2nurse2has2been2workingxin2the2clinical2settingxfor2several2years2as2an2advanced2practice2nurs
e.2However,2thexnursexhas2a2strongxdesire2to2pursue2research2and2theory2development.2Tofulfill2t
2his2desire,2which2program2should2the2nurse2attend?
a. Doctor2of2Nursing2Sciencexdegree2(DNSc)
b. Doctor2of2Philosophydegree2(PhD)
c. Doctor2of2Nursing2Practice2degree2(DNP)
d. Doctor2in2the2Science2of2Nursing2degree2(DSN)
ANS:2 B
Some2doctoral2programs2prepare2nurses2for2morexrigorous2research2and2theory2development2and
2award2the2research-
oriented2Doctor2of2Philosophy2(PhD)2in2nursing.2Professional2doctoralprograms2in2nursing2(DS2
N2or2DNSc)2prepare2graduates2to2apply2research2findings2to2clinical2nursing.2The2DNP2is2a2practi2
ce2doctorate2that2prepares2advanced2practice2nurses2such2as2nursepractitioners.
DIF:Understand2(comprehension)
OBJ:Compare2and2contrast2the2educational2programs2available2for2professional2registered2nurse2(RN
)2education. TOP:2 Teaching/Learning MSC:2 Management2of2Care
7. A2nurse2attends2a2workshop2on2current2nursingxissues2provided2by2the2American2Nurses
2 Association.2Which2type2of2education2did2the2nurse2receive?
a. Graduate2education
b. Inservice2education
c. Continuingeducation
d. Registered2nursexeducation
ANS:2 C
Continuing2education2involves2formal,2organized2educational2programs2offered2by2universities,h2
ospitals,2state2nurses2associations,2professional2nursing2organizations,2and2educational2and2healt2
h2care2institutions.2After2obtaining2a2baccalaureatevdegree2in2nursing,2youcan2pursue2graduate2ed2
ucation2leading2to2a2master’s2or2doctoral2degree2in2any2number2of2graduate2fields,2includingxnur2
sing.2Inservicexeducation2programs2are2instructionxor2training2provided2by2a2health2carexfacil2ity2o2r
2institution.2Registered2nurse2education2is2the2education2preparation2for2an2individual2inten2ding2t2
o2be2an2RN.
DIF:Apply2(application)
OBJ:Compare2and2contrast2the2educational2programs2available2for2professional2registered2nurse2(RN)
, education. TOP:2 Teaching/Learning MSC:2 Management2of2Care
8. A2nurse2identifies2gaps2between2local2and2best2practices.2Which2Quality2and2Safety2Educationfo2
r2Nurses2(QSEN)2competencyis2the2nurse2demonstrating?
a. Safety
b. Patient-centered2care
c. Qualityimprovement
d. Teamworkxand2collaboration
ANS:2 C
Quality2improvement2identifies2gaps2between2local2andxbest2practices.2Safety2minimizes2risk2of
2harm2toxpatients2and2providers2through2both2system2effectiveness2and2individual2performanc
e. Patient-
centered2care2recognizes2the2patient2or2designee2as2the2source2of2controland2full2partner2in2provi2
ding2compassionate2and2coordinated2care2based2on2respect2for2patient’s2preferences,2values,2a2n2
d2needs.2Teamwork2and2collaboration2allows2effective2functioning2withinxnursing2andxinterprof
2essional2teams,2fostering2open2communication,2mutual2respect,2and2shared2decision2making.
DIF:Understand2(comprehension)
OBJ:Discuss2the2roles2and2career2opportunities2for2nurses
TOP:2Evaluation
.2MSC:2 Management2of2Care
9. A2nurse2has2compassion2 fatigue.2 What2 is2 the2nurse2experiencing?
a. Lateral2violence2and2intrapersonal2conflict
b. Burnout2and2secondarytraumatic2stress
c. Short-term2grief2and2singlexstressor
d. Physical2and2mental2exhaustion
ANS:2 B
Compassion2fatigue2is2a2term2used2to2describe2a2state2of2burnout2and2secondary2traumaticstress.
Compassion2fatigue2maycontribute2to2what2is2described2as2lateral2violence2
(nurse-
nurse2interactions,2not2intrapersonal).2Frequent,2intense,2or2prolonged2exposure2to2griefand2lossp2
laces2nurses2at2risk2for2developing2compassion2fatigue.2Stressors,2not2a2singlexstressor,2contribu
2te2to2compassion2fatigue.2Physical2and2mental2exhaustion2describes2burnout2only.
DIF:Understand2(comprehension)
OBJ:Discuss2the2influence2of2social,2historical,2political,2and2economic2changes2on2nursingpractices.
TOP: Assessment MSC:2 Health2Promotion2and2Maintenance
10. A2patient2is2scheduled2for2surgery.2When2getting2ready2to2obtain2the2informed2consent,2the2pati2e2
nt2tells2the2nurse,2―I2have2no2idea2what2is2going to2happen.2Icouldn’txask2anyquestions.‖2The2nxurs2
e2does2not2allow2the2patient2to2sign2the2permit2and2notifies2the2health2care2provider2ofthe2situation
.2Which2role2is2the2nursexdisplaying?
a. Manager
b. Patient2educator
c. Patient2advocate
d. Clinical2nurse2specialist
ANS:2 C