Potter: Fundamentals of Nursing, 11th Edition Q, Q,
MULTIPLECHOIC
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1. Whichnursemostlikelykeptrecordsonsanitationtechniquesandtheeffectsonhealth?
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a. FlorenceNightingale Q
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b. MaryNutting
c. ClaraBarton
d. LillianWald ,Q
ANS: A
Nightingalewas thefirstpracticing nurseepidemiologist.Herstatisticalanalysesconnected poor
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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
Nuttingwas instrumental in movingnursingeducation into universities. Clara Barton
foundedthe American Red Cross. Lillian Wald helped open the HenryStreet Settlement.
DIF:Understand (comprehension)
OBJ:Discusstheinfluenceofsocial,historical,political,andeconomicchangeson
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nursingpractices.
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TOP: Evaluation MSC: HealthPromotionand Maintenance Q,
2. Thenurseprescribes strategies and alternatives toattainexpected outcome.Whichstandard
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ofnursingpractice is the nurse following?
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a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C
In planning,theregistered nursedevelops a planthat prescribesstrategiesandalternativesto attain
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expected outcomes. Duringassessment, 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. Duringimplementation, theregistered
nurseimplements (carries out) the identified plan.
DIF:Understand (comprehension)
OBJ:Discuss thedevelopment ofprofessionalnursingroles.
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TOP:PlanningMSC: Management of Care
3. Anexperienced medical-surgicalnursechooses toworkinobstetrics.Whichlevel
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ofproficiencyis the nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced
beginnerANS:
A
, A beginning nursing student or anynurse 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 ofa novice nurse. A proficient nurseperceives a patient’s clinicalsituation
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as a whole, is able to assess an entire situation, and can readilytransfer knowledge gained from
multiple previous experiences to a situation. A competent nurse understandsthe organization Q,
andspecific care required bythetype ofpatients(e.g.,surgical, oncology, or orthopedic patients).
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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 onlybe observational in nature, but thenurseis able to
identifymeaningful aspects or principles of nursingcare. Q
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DIF:Apply(application)
OBJ:Discuss thedevelopment ofprofessionalnursingroles.
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TOP:EvaluationMSC: Management of Care
4. Anurseassessesa patient’s fluid statusand decides that thepatient needs to drink more
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fluids.Thenursethen encouragesthepatienttodrinkmore fluids.Which concept isthe nurse
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demonstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B
Autonomyis an essential element of professional nursing that involves the initiation of
independent nursing interventionswithout medicalorders.To obtain licensurein theUnited
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States,theRNcandidatemustpass theNCLEX-RN.Beyond theNCLEX-RN,thenurse mayQ, Q,
choose to work toward certification in a specific area of nursing practice.
Accountabilitymeansthat youare responsible,professionallyand legally,forthetype and quality
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of nursingcare provided.
DIF:Apply(application)
OBJ:Discusstheroles andcareeropportunities fornurses.
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TOP:
ImplementationMSC: Management of Care
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5. Anursepreparesthe budgetandpoliciesforan intensivecareunit.Whichroleisthe
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nurseimplementing?
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a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B
, Amanagercoordinatesthe activitiesofmembers ofthenursingstaffindelivering nursing care and
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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,demonstrateprocedures such asself-careactivities,reinforcelearningorpatient Q, Q,
behavior, and evaluate the patient’s progress in learning. As a patient advocate, you protect ij
yourpatient’s humanand legalrightsand provideassistanceinassertingtheserightsifthe need
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arises. As a caregiver, you help patients maintain and regain health, manage disease and
symptoms, andattain a maximallevelfunction and independence throughthehealing process.
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DIF:Apply(application)
OBJ:Discusstheroles andcareeropportunities fornurses.
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TOP:
ImplementationMSC: Management of Care
6. Thenurse hasbeen working in theclinicalsetting forseveral yearsasanadvancedpractice
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nurse. However, thenursehas a strongdesireto pursueresearch and theorydevelopment. Q
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Tofulfill this desire, which program should the nurse attend?
a. Doctorof NursingSciencedegree (DNSc) ,Q
b. DoctorofPhilosophydegree(PhD)
c. DoctorofNursingPractice degree(DNP)
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d. Doctorin theScience of Nursingdegree(DSN)
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ANS: B
Somedoctoral programs prepare nurses for more rigorous research and theory development
and award theresearch-oriented Doctor of Philosophy(PhD)in nursing. Professional
doctoralprograms innursing (DSNorDNSc) preparegraduates toapplyresearch findings to
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clinicalnursing.TheDNPisapractice doctoratethat preparesadvancedpracticenursessuch as Q, Q,
nursepractitioners.
DIF:Understand (comprehension)
OBJ:Compareandcontrast the educational programs available for professional
registered nurse(RN)education.
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Teaching/Learning
MSC: Managementof Care Q,
7. Anurseattendsaworkshoponcurrent nursingissuesprovided bythe American Q, Q,
NursesAssociation. Which type of education did the nursereceive?
a. Graduateeducation
b. Inserviceeducation
c. Continuingeducation
d. Registerednurse education
ANS: C
Continuingeducation involvesformal, organized educationalprograms offeredbyuniversities,
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hospitals, state nurses associations, professional nursing organizations, and educationaland
health careinstitutions. Afterobtainingabaccalaureate degreein nursing, youcan pursue
graduate education leading to a master’s or doctoral degree in anynumber of graduate fields,
including nursing. Inservice education programs are instruction or training provided by a
healthcarefacilityorinstitution.Registerednurseeducationistheeducationpreparation foran Q,
individual intending to be an RN.
DIF:Apply(application)
OBJ:Compareandcontrasttheeducationalprogramsavailableforprofessionalregistered
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nurse(RN)
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