Full Test Bank
Fundamentals of Nursing Active Learning for Collaborative
Practice 3rd Edition by Barbara L. Yoost, Lynne R. Crawford
,Chapter 01: Nursing, Theory, and Professional Practice
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 3rd Edition
MULTIPLE CHOICE
1. A group of nursing learners are discussing the impact of nonnursing theories in clinical
practice. The learners would be correct if they chose which theory to prioritize client care?
a. Erikson‘s Psychosocial Theory
b. Paul‘s Critical-Thinking Theory
c. Maslow‘s Hierarchy of Needs
d. Rosenstock‘s Health Belief Model
CORRECT ANS: C
FEEDBACK: Maslow‘s hierarchy of needs specifies the psychological and physiologic
factors that affect each person‘s physical and mental health. The RN‘s understanding of these
factors helps with formulating Nursing diagnoses that address the client‘s needs and values to
prioritize care. Erikson‘s Psychosocial Theory of Development and Socialization is based on
individuals‘ interacting and learning about their world. RNs use concepts of developmental
theory to critically think in providing care for their clients at various stages of their lives.
Rosenstock (1974) developed the psychological Health Belief Model. The model addresses
possible reasons for why a client may not comply with recommended health promotion
behaviors. This model is especially useful to RNs as they educate clients.
DIF: Remembering OBJ: 1.5 TOP: Planning
MSC: NCLEX Client Needs CN ategR
ory:I
SafeGanB.C M
dEffective Care Environment: Management of Care
NOT: Concepts: Care CoordinatiU
on
2. A nursing learner is preparing study notes from a recent lecture in nursing history. The
learner would credit Florence Nightingale for which definition of nursing?
a. The imbalance between the client and the environment decreases the capacity for
health.
b. The RN needs to focus on interpersonal processes between RN and client.
c. The RN assists the client with essential functions toward independence.
d. Human beings are interacting in continuous motion as energy fields.
CORRECT ANS: A
FEEDBACK: Florence Nightingale‘s (1860) concept of the environment emphasized
prevention and cleanair, water, and housing. This theory states that the imbalance between
the client and the environment decreases the capacity for health and does not allow for
conservation of energy.Hildegard Peplau (1952) focused on the roles played by the RN and
the interpersonal process between a RN and a client. Virginia Henderson described the
RN‘s role as substitutive (doing for the person), supplementary (helping the person), or
complementary (working with the person), with the goal of independence for the client.
Martha Rogers (1970) developed the Science of Unitary Human Beings. She stated that
human beings and their environments are interacting in continuous motion as infinite energy
fields.
DIF: Understanding OBJ: 1.4 TOP: Planning
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Health Promotion
,3. The RN identifies which RN established the American Red Cross during the Civil War?
a. Dorothea Dix
b. Linda Richards
c. Lena Higbee
d. Clara Barton
CORRECT ANS: D
FEEDBACK: Clara Barton practiced nursing in the Civil War and established the American
Red Cross. Dorothea Dix was the head of the U.S. Sanitary Commission, which was a
forerunner of theArmy RN Corps. Linda Richards was America‘s first trained RN, graduating
from Boston‘s Women‘s Hospital in 1873, and Lena Higbee, superintendent of the U.S.
Navy RN Corps, was awarded the Navy Cross in 1918.
DIF: Remembering OBJ: 1.3 TOP: Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Professionalism
4. The nursing instructor is researching the five proficiencies regarded as essential for learners
and professionals. The nursing instructor identifies which organization would be found to
have added safety as a sixth competency?
a. Quality and Safety Education for RNs (QSEN)
b. Institute of Medicine (IOM)
c. American Association of Colleges of Nursing (AACN)
d. National League for Nursing (NLN)
CORRECT ANS: A
FEEDBACK: The Institute of Medicine repN ort,RHeaIlthGProBfe.ssCionM
s Education: A Bridge to
U competencies.
Quality (2003), outlines five core S These include client-centered care,
interdisciplinary
teamwork, use of evidence-based medicine, quality improvement, and use of information
technology. QSEN added safety as a sixth competency. The Essentials of Baccalaureate
Education for Professional Nursing Practice are provided and updated by the American
Association of Colleges of Nursing (AACN) (2008). The document offers a framework for the
education of professional RNs with outcomes for learners to meet. The National League for
Nursing (NLN) outlines and updates competencies for practical, associate, baccalaureate, and
graduate nursing education programs.
DIF: Remembering OBJ: 1.1 TOP: Planning
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
NOT: Concepts: Care Coordination
5. The RN manager is interviewing graduate RNs to fill existing staffing vacancies. When
hiring graduate RNs, the RN manager realizes that they will probably not be considered
―competent‖ until they complete which task?
a. They graduate and pass NCLEX.
b. They have worked 2 to 3 years.
c. Their last year of nursing school.
d. They are actually hired.
CORRECT ANS: B
, FEEDBACK: Benner‘s model identifies five levels of proficiency: novice, advanced
beginner, competent, proficient, and expert. The learner RN progresses from novice to
advanced beginner duringnursing school and attains the competent level after approximately
2 to 3 years of work experience after graduation. To obtain the RN credential, a person must
graduate from an approved school of nursing and pass a state licensing examination called the
National CouncilLicensure Examination for Registered RNs (NCLEX-RN) usually taken
soon after completion of an approved nursing program.
DIF: Remembering OBJ: 1.7 TOP: Planning
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
NOT: Concepts: Care Coordination
6. The prospective learner is considering options for beginning a career in nursing. Which
degree would best match the learner‘s desire to conduct research at the university level?
a. Associate Degree in Nursing (ADN)
b. Bachelor of Science in Nursing (BSN)
c. Doctor of Nursing Practice (DNP)
d. Doctor of Philosophy in Nursing (PhD)
CORRECT ANS: D
FEEDBACK: Doctoral nursing education can result in a Doctor of Philosophy (PhD)
degree. This degree prepares RNs for leadership roles in research, teaching, and
administration that are essentialto advancing nursing as a profession. Associate Degree in
Nursing (ADN) programs usually are conducted in a community college setting. The nursing
curriculum focuses on adult acuteand chronic disease; maternal/child health; pediatrics; and
psychiatric/mental health nursing.ADN RNs may return to school to earn a bachelor‘s
degree or higher in an RN-to-BSN or RN-to-MSN program. Bachelor‘s degree programs
include community health and
management courses beyondN thUoR
seSpI viG
roN edBi.
dT nCanOassociate degree program. A newer
practice-focused doctoral degree is the Doctor of Nursing practice (DNP), which concentrates
on the clinical aspects of nursing. DNP specialties include the four advanced practice roles of
NP, CNS, CNM, and CRNA.
DIF: Remembering OBJ: 1.9 TOP: Assessment
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
NOT: Concepts: Care Coordination
7. During a staff meeting, the RN manager announces that the hospital will be seeking Magnet
status. To explain the requirements for this award, the RN manager will contact which
organization?
a. American RNs Association (ANA)
b. American RNs Credentialing Center (ANCC)
c. National League for Nursing (NLN)
d. Joint Commission
CORRECT ANS: B
FEEDBACK: The American RNs Credentialing Center (ANCC) awards Magnet
Recognition to hospitalsthat have shown excellence and innovation in nursing. The ANA is a
professional organization that provides standards of nursing practice. The National League
for Nursing (NLN) outlines and updates competencies for practical, associate, baccalaureate,
and graduatenursing education programs. The Joint Commission is the accrediting
organization for healthcare facilities in the United States.
