Test Bank for Fundamentals of Nursing 11th Edition Potter P
2 2 2 2 2 2 2 2 2
erry Stockert & Hall Isbn: 9780323810340 Newest Version
2 2 2 2 2 2 2
Chapter9 01:9 Nursing9 Today
MULTIPLE9CHOICE
1. Which9nurse9most9likelykept9 records9on9sanitation9techniques9and9the9effects9on9health?
a. Florence9Nightingale
b. MaryNutting
c. Clara9Barton
d. Lillian9Wald
ANS:9 A
Nightingale9was9the9first9practicing9nurse9epidemiologist.9Her9statistical9analyses9connected9po9o
9r9sanitation9with9cholera9and9dysentery.9Mary9Nutting,9Clara9Barton,9and9Lillian9Wald9came9after
29 Nightingale,9each9contributingxto9the9nursing9profession9in9her9own9way.9Mary9Nutting2was9instr
u9mental9in9moving9nursing9education9into9universities.9Clara9Barton9foundedthe9American9Red9
Cr9oss.9Lillian9Wald9helped9open9the9Henry9Street9Settlement.
DIF:Understand9(comprehension)
OBJ:Discuss9the9influence9of9social,9historical,9political,9and9economic9changes9on9nursing2practices.
TOP: Evaluation MSC:9 Health9Promotion9and9Maintenance
2. The9nurse9prescribes9strategies9and9alternatives9to9attain9expected9outcome.9Which9standard9ofnu
rsingxpractice9is9the9nurse9following?
9
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS:9 C
In9planning,9the9registered2nurse9develops9a9plan9that9prescribes9strategies9and9alternatives9to9attai
9n9expected9outcomes.9During9assessment,9the9registered9nurse9collects9comprehensive9data9pert
i9nent9to9the9patient’s9health9and/or9the9situation.9In9diagnosis,9the9registered9nurse9analyzes9theass
e9ssment9data9to9determine9the9diagnoses9or9issues.9During9implementation,9theregistered9nu9rse9im9
p9lements9(carries9out)9the9identified9plan.
DIF:Understand9(comprehension)
OBJ:Discuss9the9development9of9professional9nursing9roles
TOP:9Planning
.MSC:9 Management9of9Care
3. An9experienced9medical-
surgical9nurse9chooses9to9work9in9obstetrics.9Which9level9ofproficiency9is9the9nurse9up9 oninitia
9l9transition9to9the9obstetrical9floor?
a. Novice
b. Proficient
c. Competent
d. Advanced9beginner
ANS:9 A
, A9beginning9nursing9student9or9anynurse9entering9a9situation9in9which9there9is9no9previous9level
9of9experience9(e.g.,9an9experienced9operating9room9nurse9chooses9to9now9practice9in9home9he9al
t9h)9is9an9example9of9a9novice9nurse.9A9proficient9nurse9perceives9a9patient’s9clinicalsituationas9
a9whole,9is9able9to9assess9an9entire9situation,9and9can9readilytransfer9knowledge9gained2frommul
ti9ple9previous9experiences9to9a9situation.9A9competent9nurse9understands9the9organization9and9
sp9ecific9care9required9bythe9type9of9patients9(e.g.,9surgical,9oncology,9or9orthopedic9patien9ts).9
Thi9s9nurse9is9a9competent9practitioner9who9is9able9to9anticipate9nursing2care9and9establish9lo
ng-
9range9goals.9A9nurse9who9has9had9some9level9of9experience9with9the9situation9is9an9advanced9be
g9i9nner.9This9experience9may9onlybe9observational9in9nature,9but9the9nurse9is9able9to9identifym9
ea9ningful9aspects9or9principles9of9nursing2care.
DIF:Apply9(application)
OBJ:Discuss9the9development9of9professional9nursing9roles
TOP:9Evaluation
.MSC:9 Management9of9Care
4. A9nurse9assesses9a9patient’s9fluid9status9and9decides9that9the9patient2needs9to9drink9more9fluids.T9 h
e nurse9then2encourages9the9patient9to9drink9more9fluids.9Which9concept9is9the9nurse9demonstra9ti
9 9
n9g?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS:9 B
Autonomyis9an9essential9element9of9professional9nursing9that9involves9the9initiation9of9indepen
9dent9nursing9interventions9without9medical9orders.9To9obtain9licensure9in9the9United9States,9t9h
e9RN9candidate9must9pass9the9NCLEX-RN.9Beyond9the9NCLEX-
RN,9the9nurse9maychoose9to9work9toward9certification9in9a9specific9area9of9nursing9practice.9A9c
countabilitymeans9that9you9are9responsible,9professionally9and9legally,9for9the9type9and9quality9of
9nursingvcare9provided.
DIF:Apply9(application)
OBJ:Discuss9the9roles9and9career9opportunities9for9nurses
TOP:9Implementation
.MSC:9 Management9of9Care
5. A9nurse9prepares9the9budget9and9policies9for2an9intensive9care9unit.9Which9role9is9the9nurseim
9plementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS:9 B
, A9manager9coordinates9the9activities9of9members9of9the9nursing9staff9in9delivering9nursing9care9a
9nd9has9personnel,9policy,9and9budgetaryresponsibilityfor9a9specific9nursing9unit9or9facility.9As9
a9n9educator,9you9explain9concepts9and9facts9about9health,9describe9the9reason9for2routine9care9ac
ti9vities,9demonstrate9procedures9such9as9self-
care9activities,9reinforce9learning9or9patient9behavior,9and9evaluate9the9patient’s9progress9in9learn
9ing.9As9a9patient9advocate,9youprotect9your2patient’s9human9and9legal9rights9and9provide9assistan
9ce9in9asserting9these9rights9ifthe9need9arises.9As9a9caregiver,9you9help9patients9maintain9and9regai
9n9health,9manage9disease9and9symptoms,9and9attain9a9maximal9level9function9and9independe9nce9t
9hrough9the9healing9process.
DIF:Apply9(application)
OBJ:Discuss9the9roles9and9career9opportunities9for9nurses
TOP:9Implementation
.MSC:9 Management9of9Care
6. The9nurse9has9been9working9in9the9clinical9setting9for9several9years9as9an9advanced9practice9nurs
e.9However,9the9nurse9has9a9strong9desire9to9pursue9research9and9theorydevelopment.9Tofulfill9t9hi
s9desire,9which9program9should9the9nurse9attend?
a. Doctor9of9Nursing9Science9degree9(DNSc)
b. Doctor9of9Philosophydegree9(PhD)
c. Doctor9of9Nursing9Practice9degree9(DNP)
d. Doctorin2the9Science9of9Nursingdegree9(DSN)
ANS:9 B
Some9doctoral9programs9prepare9nurses9for9more9rigorous9research9and9theory9development9and
9award9the9research-
oriented9Doctor9of9Philosophy(PhD)9in9nursing.9Professional9doctoralprograms9in9nursing9(DS
9N9or9DNSc)9prepare9graduates9to9applyresearch9findings9to9clinical9nursing.9The9DNP9is9a9pract
i9ce9doctorate9that9prepares9advanced9practice9nurses9such9as9nursepractitioners.
DIF:Understand9(comprehension)
OBJ:Compare9and9contrast9the9educational9programs9available9for2professional9registered9nurse9(RN
)education. TOP:9 Teaching/Learning MSC:9 Management9of9Care
7. A9nurse9attends9a9workshop9on9current9nursingxissues9provided9bythe9American9Nurses
Association.9Which9type9of9education9did9the9nurse9receive?
9
a. Graduate9education
b. Inservice9education
c. Continuingeducation
d. Registered9nursexeducation
ANS:9 C
Continuingeducation9involves9formal,9organized9educational9programs9offered9byuniversities,h
9ospitals,9state9nurses9associations,9professional9nursing9organizations,9and9educational9and9heal
t9h9care9institutions.9After9obtaining9a9baccalaureate9degree9in9nursing,9youcan9pursue9graduate9e
d9ucation9leading9to9a9master’s9or9doctoral9degree9in9any9number2of9graduate9fields,9includingxn
ur9sing.9Inservice9education9programs9are9instruction9or9training9provided9by9a9health9care9facil9ity9
o9r9institution.9Registered9nurse9education9is9the9education9preparation9for9an9individual9inten9di
ng9t9o9be9an9RN.
DIF:Apply9(application)
OBJ:Compare9and9contrast9the9educational9programs9available9for2professional9registered9nurse9(RN)
, education. TOP:9 Teaching/Learning MSC:9 Management9of9Care
8. A9nurse9identifies9gaps9between9local9and9best9practices.9Which9Qualityand2Safety9Educationfo
r Nurses9(QSEN)9competencyis9the9nurse9demonstrating?
9 9
a. Safety
b. Patient-centered9care
c. Qualityimprovement
d. Teamwork9and9collaboration
ANS:9 C
Qualityimprovement9identifies9gaps9between9local9and9best9practices.9Safety9minimizes9risk9of
9harm9to9patients9and9providers9through9both9system9effectiveness9and9individual9performan
c
e. Patient-
centered9care9recognizes9the9patient9or2designee9as9the9source9of9controland9full9partner2in9provi
9ding9compassionate9and9coordinated9care9based9on9respect9for9patient’s9preferences,9values,9a9
n9d9needs.9Teamwork9and9collaboration9allows9effective9functioning9within9nursing9and9interpr
of9essional9teams,9fostering9open9communication,9mutual9respect,9and9shared9decision9makin
g.
DIF:Understand9(comprehension)
OBJ:Discuss9the9roles9and9career9opportunities9for9nurses
TOP:9Evaluation
.MSC:9 Management9of9Care
9. A9nurse9has9compassion9fatigue.9What9is9the9nurse9experiencing?
a. Lateral9violence9and9intrapersonal9conflict
b. Burnout9and9secondarytraumatic9stress
c. Short-term9grief9and9single9stressor
d. Physical9and9mental9exhaustion
ANS:9 B
Compassion9fatigue9is9a9term9used2to9describe9a9state9of9burnout9and9secondary9traumaticstress.
Compassion9fatigue9maycontribute9to9what9is9described9as9lateral9violence
9(nurse-
nurseinteractions,9not9intrapersonal).9Frequent,9intense,9or9prolonged9exposure9to9griefand9lossp
9laces9nurses9at9risk9for9developing9compassion9fatigue.9Stressors,9not9a9single9stressor,9contrib
u9te9to9compassion9fatigue.9Physical9and9mental9exhaustion9describes9burnout9only.
DIF:Understand9(comprehension)
OBJ:Discuss9the9influence9of9social,9historical,9political,9and9economic9changes9on9nursingpractices.
TOP: Assessment MSC:9 Health9Promotion9and9Maintenance
10. A9patient9is9scheduled9for9surgery.9When9getting9readyto9obtain9the9informed9consent,9the9pati9 e
9nt9tells9the9nurse,9―I9have9no9idea9what9is9goingto9happen.9Icouldn’t9ask9anyquestions.‖9The9n9ur
s9e9does9not9allow9the9patient9to9sign9the9permit9and9notifies9the9health9care9provider9ofthe9situatio
n
.9Which9role9is9the9nursedisplaying?
a. Manager
b. Patient9educator
c. Patient9advocate
d. Clinical9nurse9specialist
ANS:9 C