Chapter 01(FREE) My Nursing Test Banks


Kozier & Erbs Fundamentals of Nursing, 9/E
Chapter 01

Question 1

Type: SEQ

Organize these events in chronological order, beginning with the earliest (1) and ending with the most recent (5):

Standard Text: Click and drag the options below to move them up or down.

Choice 1. The Order of Deaconesses opens a small hospital in Kaiserswerth, Germany.

Choice 2. The Knights of St. Lazarus dedicate themselves to the care of people with leprosy, syphilis, and chronic skin conditions.

Choice 3. Harriet Tubman provides care to slaves fleeing on the Underground Railroad.

Choice 4. The Cadet Nurse Corps is established.

Choice 5. Florence Nightingale administers to soldiers during the Crimean War.

Correct Answer: 2,1,5,3,4

Rationale 1: In 1836, Theodore Fliedner reinstituted the Order of Deaconesses and opened a small hospital and training school in Kaiserswerth, Germany, where Florence Nightingale received her training.

Rationale 2: Religion played a significant role in the development of nursing. The crusades saw the formation of several orders of knights who provided care to the sick and injured, including the Knights of St. Lazarus.

Rationale 3: During the American Civil War (1861-1865), Harriet Tubman (among other nurses) administered to the care of slaves and injured soldiers.

Rationale 4: World War II casualties created an acute shortage of care, and the Cadet Nurse Corps was established in response to the shortage of nurses.

Rationale 5: During the Crimean War (1854-1856), Ms. Nightingale administered to the solders following a request by Sir Sidney Herbert of the British War Department.

Global Rationale: Page Reference: 3-4

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome: 01 Discuss historical factors and nursing leaders influencing the development of nursing.

Question 2

Type: MCSA

In alignment with the contributions of Florence Nightingale, the Vietnam Womens Memorial was established to honor which of the following?

1. The memory of Ms. Nightingale

2. Those who brought a human touch to the suffering and dying

3. The image of the angel of mercy

4. Surgical advancements and the use of anesthetic agents

Correct Answer: 2

Rationale 1: The Vietnam Womens Memorial was established to honor the women who served and also for the families who lost loved ones during the warto let them know about the women who provided comfort, care and a human touch for those who were suffering and dying (Vietnam Womens Memorial Foundation, n.d.). Florence Nightingale brought respectability to the nursing profession, and her contributions allowed nurses to be viewed as noble, compassionate, moral, religious, dedicated, and self-sacrificing. The image of the guardian angel or angel of mercy arose in the latter part of the 19th century, largely from Ms. Nightingales work. The monument The Spirit of Nursing stands in Arlington National Cemetery, honoring nurses who served in World War Ia time of progress in health care, particularly in the field of surgery.

Rationale 2: The Vietnam Womens Memorial was established to honor the women who served and also for the families who lost loved ones during the warto let them know about the women who provided comfort, care and a human touch for those who were suffering and dying (Vietnam Womens Memorial Foundation, n.d.). Florence Nightingale brought respectability to the nursing profession, and her contributions allowed nurses to be viewed as noble, compassionate, moral, religious, dedicated, and self-sacrificing. The image of the guardian angel or angel of mercy arose in the latter part of the 19th century, largely from Ms. Nightingales work. The monument The Spirit of Nursing stands in Arlington National Cemetery, honoring nurses who served in World War Ia time of progress in health care, particularly in the field of surgery.

Rationale 3: The Vietnam Womens Memorial was established to honor the women who served and also for the families who lost loved ones during the warto let them know about the women who provided comfort, care and a human touch for those who were suffering and dying (Vietnam Womens Memorial Foundation, n.d.). Florence Nightingale brought respectability to the nursing profession, and her contributions allowed nurses to be viewed as noble, compassionate, moral, religious, dedicated, and self-sacrificing. The image of the guardian angel or angel of mercy arose in the latter part of the 19th century, largely from Ms. Nightingales work. The monument The Spirit of Nursing stands in Arlington National Cemetery, honoring nurses who served in World War Ia time of progress in health care, particularly in the field of surgery.

Rationale 4: The Vietnam Womens Memorial was established to honor the women who served and also for the families who lost loved ones during the warto let them know about the women who provided comfort, care and a human touch for those who were suffering and dying (Vietnam Womens Memorial Foundation, n.d.). Florence Nightingale brought respectability to the nursing profession, and her contributions allowed nurses to be viewed as noble, compassionate, moral, religious, dedicated, and self-sacrificing. The image of the guardian angel or angel of mercy arose in the latter part of the 19th century, largely from Ms. Nightingales work. The monument The Spirit of Nursing stands in Arlington National Cemetery, honoring nurses who served in World War Ia time of progress in health care, particularly in the field of surgery.

Global Rationale: Page Reference: 4

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 01 Discuss historical factors and nursing leaders influencing the development of nursing.

Question 3

Type: MCSA

Public health and health promotion roles for nurses are components of nursing envisioned by which of the following nurse leaders?

1. Clara Barton

2. Lillian Wald

3. Mary Brewster

4. Florence Nightingale

Correct Answer: 4

Rationale 1: Florence Nightingales vision of nursing included public health and health promotion roles for nurses, but it was only partly addressed in the early days of nursing. Her focus tended to be on developing the profession within the hospitals. Clara Barton is noted for establishing the American Red Cross. She persuaded Congress to ratify the Treaty of Geneva in 1882 so that the Red Cross could perform humanitarian efforts in times of peace. Lillian Wald is considered the founder of public health nursing. She and Mary Brewster were the first to offer trained nursing services to the poor in the New York slums and developed the Visiting Nurse Service, along with the Henry Street Settlement.

Rationale 2: Florence Nightingales vision of nursing included public health and health promotion roles for nurses, but it was only partly addressed in the early days of nursing. Her focus tended to be on developing the profession within the hospitals. Clara Barton is noted for establishing the American Red Cross. She persuaded Congress to ratify the Treaty of Geneva in 1882 so that the Red Cross could perform humanitarian efforts in times of peace. Lillian Wald is considered the founder of public health nursing. She and Mary Brewster were the first to offer trained nursing services to the poor in the New York slums and developed the Visiting Nurse Service, along with the Henry Street Settlement.

Rationale 3: Florence Nightingales vision of nursing included public health and health promotion roles for nurses, but it was only partly addressed in the early days of nursing. Her focus tended to be on developing the profession within the hospitals. Clara Barton is noted for establishing the American Red Cross. She persuaded Congress to ratify the Treaty of Geneva in 1882 so that the Red Cross could perform humanitarian efforts in times of peace. Lillian Wald is considered the founder of public health nursing. She and Mary Brewster were the first to offer trained nursing services to the poor in the New York slums and developed the Visiting Nurse Service, along with the Henry Street Settlement.

Rationale 4: Florence Nightingales vision of nursing included public health and health promotion roles for nurses, but it was only partly addressed in the early days of nursing. Her focus tended to be on developing the profession within the hospitals. Clara Barton is noted for establishing the American Red Cross. She persuaded Congress to ratify the Treaty of Geneva in 1882 so that the Red Cross could perform humanitarian efforts in times of peace. Lillian Wald is considered the founder of public health nursing. She and Mary Brewster were the first to offer trained nursing services to the poor in the New York slums and developed the Visiting Nurse Service, along with the Henry Street Settlement.

Global Rationale: Page Reference: 6-7

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 01 Discuss historical factors and nursing leaders influencing the development of nursing.

Question 4

Type: MCSA

Which of the following nurse leaders campaigned for the legislation that allows nurses, rather than physicians, to control the nursing profession?

1. Mary Breckinridge

2. Lavinia Dock

3. Margaret Higgins Sanger

4. Virginia Henderson

Correct Answer: 2

Rationale 1: Mary Breckinridge established the Frontier Nursing Service.

Rationale 2: Lavinia Dock was a feminist, writer, and activist. She participated in protest movements for womens rights that resulted in passage of the 19th Amendment, which allowed women the right to vote. In addition, Dock campaigned for legislation to allow nurses, rather than physicians, to control their profession.

Rationale 3: Margaret Higgins Sanger is considered the founder of Planned Parenthood.

Rationale 4: Virginia Henderson was one of the first modern nurses to define nursing (1966).

Global Rationale: Page Reference: 8

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 01 Discuss historical factors and nursing leaders influencing the development of nursing.

Question 5

Type: MCSA

The term patient usually implies that the person is:

1. Seeking assistance because of illness.

2. Proactive in his or her health care needs.

3. A collaborator in his or her care.

4. Using a service or commodity.

Correct Answer: 1

Rationale 1: The word patient comes from a Latin word meaning to suffer or to bear. Usually, people become patients when they seek assistance because of illness or for surgery. Some nurses believe that the word patient implies passive acceptance of the decisions and care of health professionals, which would be opposite of being proactive in ones health care needs. The term client presents the recipient of health care as a collaborator in that care, along with the people who are providing service. A consumer is an individual, a group of people, or a community that uses a service or commodity.

Rationale 2: The word patient comes from a Latin word meaning to suffer or to bear. Usually, people become patients when they seek assistance because of illness or for surgery. Some nurses believe that the word patient implies passive acceptance of the decisions and care of health professionals, which would be opposite of being proactive in ones health care needs. The term client presents the recipient of health care as a collaborator in that care, along with the people who are providing service. A consumer is an individual, a group of people, or a community that uses a service or commodity.

Rationale 3: The word patient comes from a Latin word meaning to suffer or to bear. Usually, people become patients when they seek assistance because of illness or for surgery. Some nurses believe that the word patient implies passive acceptance of the decisions and care of health professionals, which would be opposite of being proactive in ones health care needs. The term client presents the recipient of health care as a collaborator in that care, along with the people who are providing service. A consumer is an individual, a group of people, or a community that uses a service or commodity.

Rationale 4: The word patient comes from a Latin word meaning to suffer or to bear. Usually, people become patients when they seek assistance because of illness or for surgery. Some nurses believe that the word patient implies passive acceptance of the decisions and care of health professionals, which would be opposite of being proactive in ones health care needs. The term client presents the recipient of health care as a collaborator in that care, along with the people who are providing service. A consumer is an individual, a group of people, or a community that uses a service or commodity.

Global Rationale: Page Reference: 13-14

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 05 Describe how the definition of nursing evolved since Florence Nightingale.

Question 6

Type: MCSA

A nurse has decided to focus on educating the community about health promotion and wellness. Which of the following would be an example of this?

1. Initiating prenatal and infant care

2. Holding classes on prevention of sexually transmitted disease

3. Implementing an exercise class for clients who have had a stroke

4. Teaching a class about home accident prevention

Correct Answer: 4

Rationale 1: Wellness is a process that engages in activities and behaviors that enhance quality of life and maximize personal potential. This involves individual and community activities to enhance healthy lifestyles such as improving nutrition and physical fitness, preventing drug and alcohol misuse, restricting smoking, and preventing accidents in the home and workplace. The goal of illness prevention is to maintain optimal health by preventing disease-which would include immunization, prenatal and infant care, and prevention of sexually transmitted disease. Teaching clients about recovery activities, such as exercises that accelerate recovery after a stroke, would focus on health restoration.

Rationale 2: Wellness is a process that engages in activities and behaviors that enhance quality of life and maximize personal potential. This involves individual and community activities to enhance healthy lifestyles such as improving nutrition and physical fitness, preventing drug and alcohol misuse, restricting smoking, and preventing accidents in the home and workplace. The goal of illness prevention is to maintain optimal health by preventing disease-which would include immunization, prenatal and infant care, and prevention of sexually transmitted disease. Teaching clients about recovery activities, such as exercises that accelerate recovery after a stroke, would focus on health restoration.

Rationale 3: Wellness is a process that engages in activities and behaviors that enhance quality of life and maximize personal potential. This involves individual and community activities to enhance healthy lifestyles such as improving nutrition and physical fitness, preventing drug and alcohol misuse, restricting smoking, and preventing accidents in the home and workplace. The goal of illness prevention is to maintain optimal health by preventing disease-which would include immunization, prenatal and infant care, and prevention of sexually transmitted disease. Teaching clients about recovery activities, such as exercises that accelerate recovery after a stroke, would focus on health restoration.

Rationale 4: Wellness is a process that engages in activities and behaviors that enhance quality of life and maximize personal potential. This involves individual and community activities to enhance healthy lifestyles such as improving nutrition and physical fitness, preventing drug and alcohol misuse, restricting smoking, and preventing accidents in the home and workplace. The goal of illness prevention is to maintain optimal health by preventing disease-which would include immunization, prenatal and infant care, and prevention of sexually transmitted disease. Teaching clients about recovery activities, such as exercises that accelerate recovery after a stroke, would focus on health restoration.

Global Rationale: Page Reference: 14

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 09 Describe the expanded career roles and their functions.

Question 7

Type: MCSA

Nursing students offer free occult blood screening at a community health fair. This activity would be an example of which area of nursing practice?

1. Promoting health and wellness

2. Illness prevention

3. Restoring health

4. Rehabilitation

Correct Answer: 3

Rationale 1: Restoring health focuses on the ill client, and it extends from early detection (such as checking for occult blood in feces) through helping the client during the recovery period. Health promotion and wellness activities enhance the quality of life and maximize personal potential. Rehabilitation is an activity of health restoration.

Rationale 2: Restoring health focuses on the ill client, and it extends from early detection (such as checking for occult blood in feces) through helping the client during the recovery period. Health promotion and wellness activities enhance the quality of life and maximize personal potential. Rehabilitation is an activity of health restoration.

Rationale 3: Restoring health focuses on the ill client, and it extends from early detection (such as checking for occult blood in feces) through helping the client during the recovery period. Health promotion and wellness activities enhance the quality of life and maximize personal potential. Rehabilitation is an activity of health restoration.

Rationale 4: Restoring health focuses on the ill client, and it extends from early detection (such as checking for occult blood in feces) through helping the client during the recovery period. Health promotion and wellness activities enhance the quality of life and maximize personal potential. Rehabilitation is an activity of health restoration.

Global Rationale: Page Reference: 14

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 08 Describe the role of nurses.

Question 8

Type: MCSA

A new graduate has starting working in a state other than the one in which the nursing education program was located. Which of the following should this nurse consult in order to understand the implications of this change of venue?

1. American Nurses Association (ANA)

2. National League for Nursing (NLN)

3. National Council of State Boards of Nursing (NCSBN)

4. Nurse State Practice Act

Correct Answer: 4

Rationale 1: Nurse practice acts regulate the practice of nursing in the United States and Canada. Each state and each province has its own act. Nurses are responsible for knowing their states nurse practice act as it governs their practice. The ANA is the professional organization of nursing, the NLN is responsible for accrediting schools of nursing, and the NCSBN handles licensure of professional nurses.

Rationale 2: Nurse practice acts regulate the practice of nursing in the United States and Canada. Each state and each province has its own act. Nurses are responsible for knowing their states nurse practice act as it governs their practice. The ANA is the professional organization of nursing, the NLN is responsible for accrediting schools of nursing, and the NCSBN handles licensure of professional nurses.

Rationale 3: Nurse practice acts regulate the practice of nursing in the United States and Canada. Each state and each province has its own act. Nurses are responsible for knowing their states nurse practice act as it governs their practice. The ANA is the professional organization of nursing, the NLN is responsible for accrediting schools of nursing, and the NCSBN handles licensure of professional nurses.

Rationale 4: Nurse practice acts regulate the practice of nursing in the United States and Canada. Each state and each province has its own act. Nurses are responsible for knowing their states nurse practice act as it governs their practice. The ANA is the professional organization of nursing, the NLN is responsible for accrediting schools of nursing, and the NCSBN handles licensure of professional nurses.

Global Rationale: Page Reference: 15-16

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 07 Identify the purposes of nurse practice acts and standards of professional nursing practice.

Question 9

Type: MCSA

A seasoned nurse who acts as a mentor for a new graduate is practicing which of the standards of professional performance?

1. Collaboration

2. Leadership

3. Collegiality

4. Evaluation

Correct Answer: 3

Rationale 1: Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Leadership provides direction in a professional practice setting, and evaluation involves a comparison between ones own nursing practice and professional practice standards.

Rationale 2: Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Leadership provides direction in a professional practice setting, and evaluation involves a comparison between ones own nursing practice and professional practice standards.

Rationale 3: Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Leadership provides direction in a professional practice setting, and evaluation involves a comparison between ones own nursing practice and professional practice standards.

Rationale 4: Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Leadership provides direction in a professional practice setting, and evaluation involves a comparison between ones own nursing practice and professional practice standards.

Global Rationale: Page Reference: 16-17

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10 Discuss the criteria of a profession and the professionalization of nursing.

Question 10

Type: MCSA

A nurse is careful to cover the client during a bath. This action describes which of the following nursing roles?

1. Caregiver

2. Communicator

3. Teacher

4. Client advocate

Correct Answer: 1

Rationale 1: The caregiver role includes those activities that assist the client physically and psychologically while preserving the clients dignity. As a communicator, the nurse identifies client problems, then communicates these verbally or in writing to other members of the health team. As a teacher, the nurse helps clients learn about their health and the health care procedures they need to perform to maintain or restore their health. A client advocate acts to protect clients and represents their needs and wishes to other health professionals.

Rationale 2: The caregiver role includes those activities that assist the client physically and psychologically while preserving the clients dignity. As a communicator, the nurse identifies client problems, then communicates these verbally or in writing to other members of the health team. As a teacher, the nurse helps clients learn about their health and the health care procedures they need to perform to maintain or restore their health. A client advocate acts to protect clients and represents their needs and wishes to other health professionals.

Rationale 3: The caregiver role includes those activities that assist the client physically and psychologically while preserving the clients dignity. As a communicator, the nurse identifies client problems, then communicates these verbally or in writing to other members of the health team. As a teacher, the nurse helps clients learn about their health and the health care procedures they need to perform to maintain or restore their health. A client advocate acts to protect clients and represents their needs and wishes to other health professionals.

Rationale 4: The caregiver role includes those activities that assist the client physically and psychologically while preserving the clients dignity. As a communicator, the nurse identifies client problems, then communicates these verbally or in writing to other members of the health team. As a teacher, the nurse helps clients learn about their health and the health care procedures they need to perform to maintain or restore their health. A client advocate acts to protect clients and represents their needs and wishes to other health professionals.

Global Rationale: Page Reference: 16-17

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 08 Describe the role of nurses.

Question 11

Type: MCSA

A client wishes to discontinue treatment for his cancer. Acting as the client advocate, the nurse makes this statement to the clients physician:

1. The client is making his own decision.

2. The client would benefit from additional information about treatment options.

3. The family must be involved in this decision.

4. Lets educate the family about the consequences of this decision.

Correct Answer: 1

Rationale 1: A client advocate acts to protect the client and may represent the clients needs and wishes to other health professionals, such as relaying the clients wishes for information to the physician. Providing additional information to the client about treatment options and bringing the family into the decision-making process would be examples of the nurse acting as teacher or counselor.

Rationale 2: A client advocate acts to protect the client and may represent the clients needs and wishes to other health professionals, such as relaying the clients wishes for information to the physician. Providing additional information to the client about treatment options and bringing the family into the decision-making process would be examples of the nurse acting as teacher or counselor.

Rationale 3: A client advocate acts to protect the client and may represent the clients needs and wishes to other health professionals, such as relaying the clients wishes for information to the physician. Providing additional information to the client about treatment options and bringing the family into the decision-making process would be examples of the nurse acting as teacher or counselor.

Rationale 4: A client advocate acts to protect the client and may represent the clients needs and wishes to other health professionals, such as relaying the clients wishes for information to the physician. Providing additional information to the client about treatment options and bringing the family into the decision-making process would be examples of the nurse acting as teacher or counselor.

Global Rationale: Page Reference: 17

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 08 Describe the role of nurses.

Question 12

Type: MCSA

When assuming the role of case manager, the nurse is responsible for:

1. Managing a clients hospital stay

2. Delegating activities to other nurses

3. Evaluating the performance of ancillary workers

4. Identifying areas of client concern or problems

Correct Answer: 1

Rationale 1: The case manager oversees the care of a specific caseload or may act as the primary nurse to provide some level of direct care to the client and family. Responsibilities may vary from managing acute hospitalizations to managing high-cost clients or case types. Delegating activities to other nurses and evaluating performance of ancillary workers are responsibilities of the nurse manager. Identifying areas of researchable problems would fall to the research consumer.

Rationale 2: The case manager oversees the care of a specific caseload or may act as the primary nurse to provide some level of direct care to the client and family. Responsibilities may vary from managing acute hospitalizations to managing high-cost clients or case types. Delegating activities to other nurses and evaluating performance of ancillary workers are responsibilities of the nurse manager. Identifying areas of researchable problems would fall to the research consumer.

Rationale 3: The case manager oversees the care of a specific caseload or may act as the primary nurse to provide some level of direct care to the client and family. Responsibilities may vary from managing acute hospitalizations to managing high-cost clients or case types. Delegating activities to other nurses and evaluating performance of ancillary workers are responsibilities of the nurse manager. Identifying areas of researchable problems would fall to the research consumer.

Rationale 4: The case manager oversees the care of a specific caseload or may act as the primary nurse to provide some level of direct care to the client and family. Responsibilities may vary from managing acute hospitalizations to managing high-cost clients or case types. Delegating activities to other nurses and evaluating performance of ancillary workers are responsibilities of the nurse manager. Identifying areas of researchable problems would fall to the research consumer.

Global Rationale: Page Reference: 17

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 08 Describe the role of nurses.

Question 13

Type: MCSA

A nursing student best shows professionalism when:

1. Recognizing characteristics considered to be professional

2. Maintaining specific character and spirit

3. Learning about the influences of Florence Nightingale

4. Promising to uphold the standards of the profession

Correct Answer: 2

Rationale 1: Professionalism refers to professional character, spirit, or methods. It is a set of attributes and a way of life that implies responsibility and commitment. Florence Nightingale influenced nursing professionalism a great deal, but simply learning about her influence does not constitute professionalism because it refers to a way of life. Professionalization is the process of becoming professional, which is acquiring characteristics considered to be professional and upholding the standards of a profession.

Rationale 2: Professionalism refers to professional character, spirit, or methods. It is a set of attributes and a way of life that implies responsibility and commitment. Florence Nightingale influenced nursing professionalism a great deal, but simply learning about her influence does not constitute professionalism because it refers to a way of life. Professionalization is the process of becoming professional, which is acquiring characteristics considered to be professional and upholding the standards of a profession.

Rationale 3: Professionalism refers to professional character, spirit, or methods. It is a set of attributes and a way of life that implies responsibility and commitment. Florence Nightingale influenced nursing professionalism a great deal, but simply learning about her influence does not constitute professionalism because it refers to a way of life. Professionalization is the process of becoming professional, which is acquiring characteristics considered to be professional and upholding the standards of a profession.

Rationale 4: Professionalism refers to professional character, spirit, or methods. It is a set of attributes and a way of life that implies responsibility and commitment. Florence Nightingale influenced nursing professionalism a great deal, but simply learning about her influence does not constitute professionalism because it refers to a way of life. Professionalization is the process of becoming professional, which is acquiring characteristics considered to be professional and upholding the standards of a profession.

Global Rationale: Page Reference: 17

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10 Discuss the criteria of a profession and the professionalization of nursing.

Question 14

Type: MCSA

When caring for several acutely ill clients, the nurse exhibits professional autonomy when:

1. Delivering medications and prescribed treatments in a timely manner

2. Prioritizing client according to client needs

3. Communicating with peers when help is needed

4. Informing the supervisor about high acuity level and staff-to-client ratio

Correct Answer: 2

Rationale 1: Autonomy in nursing means independence at work, responsibility, and accountability for ones actions. Making decisions about which client requires care according to needs is an example of autonomy. Carrying out physician orders would be an example of nursing care, but not independence. Communication is important in any profession as well as making concerns known to supervisors, but these are not examples of controlling activitya hallmark of autonomy.

Rationale 2: Autonomy in nursing means independence at work, responsibility, and accountability for ones actions. Making decisions about which client requires care according to needs is an example of autonomy. Carrying out physician orders would be an example of nursing care, but not independence. Communication is important in any profession as well as making concerns known to supervisors, but these are not examples of controlling activitya hallmark of autonomy.

Rationale 3: Autonomy in nursing means independence at work, responsibility, and accountability for ones actions. Making decisions about which client requires care according to needs is an example of autonomy. Carrying out physician orders would be an example of nursing care, but not independence. Communication is important in any profession as well as making concerns known to supervisors, but these are not examples of controlling activitya hallmark of autonomy.

Rationale 4: Autonomy in nursing means independence at work, responsibility, and accountability for ones actions. Making decisions about which client requires care according to needs is an example of autonomy. Carrying out physician orders would be an example of nursing care, but not independence. Communication is important in any profession as well as making concerns known to supervisors, but these are not examples of controlling activitya hallmark of autonomy.

Global Rationale: Page Reference: 19

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 08 Describe the role of nurses.

Question 15

Type: MCSA

When a student nurse sets up a study group, he/she is practicing:

1. Governance

2. Socialization

3. Service orientation

4. Specialized education

Correct Answer: 2

Rationale 1: Governance is the establishment and maintenance of social, political, and economic arrangements by which practitioners control their practice, working conditions, and professional affairs.

Rationale 2: Socialization involves learning to behave, feel, and see the world in a manner similar to other persons occupying the same role. The goal is to instill in others the norms, values, attitudes, and behaviors deemed essential. One of the most powerful mechanisms of professional socialization is interacting with fellow students and becoming bound together by feelings of mutual cooperation, support, and solidarity.

Rationale 3: Service orientation differentiates nursing from an occupation pursued primarily for profit.

Rationale 4: Specialized education is an important aspect of professional status and is focused on the course of study and curriculum particular to the profession.

Global Rationale: Page Reference: 19

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 08 Describe the role of nurses.

Question 16

Type: MCSA

When explaining the present economic challenges to students in the community health course, the nurse educator emphasizes the importance of nurses being familiar with:

1. the current shift from inpatient to outpatient care

2. consumer presence on the boards of nursing associations and regulatory agencies

3. diagnostic-related groups (DRGs)

4. advances in science and technology

Correct Answer: 1

Rationale 1: Economics is one of the social forces currently influencing the profession of nursing. As a result of the shift from inpatient to outpatient care, more nurses are being employed in community-based health settings. Other forces include consumer demands, family structure, and science and technology. DRGs are a classification system that categorically establishes pretreatment billing based on diagnosis. Though this is an aspect of economic factors affecting nursing, it is not the underlying cause of more personnel being employed in community-based settings.

Rationale 2: Economics is one of the social forces currently influencing the profession of nursing. As a result of the shift from inpatient to outpatient care, more nurses are being employed in community-based health settings. Other forces include consumer demands, family structure, and science and technology. DRGs are a classification system that categorically establishes pretreatment billing based on diagnosis. Though this is an aspect of economic factors affecting nursing, it is not the underlying cause of more personnel being employed in community-based settings.

Rationale 3: Economics is one of the social forces currently influencing the profession of nursing. As a result of the shift from inpatient to outpatient care, more nurses are being employed in community-based health settings. Other forces include consumer demands, family structure, and science and technology. DRGs are a classification system that categorically establishes pretreatment billing based on diagnosis. Though this is an aspect of economic factors affecting nursing, it is not the underlying cause of more personnel being employed in community-based settings.

Rationale 4: Economics is one of the social forces currently influencing the profession of nursing. As a result of the shift from inpatient to outpatient care, more nurses are being employed in community-based health settings. Other forces include consumer demands, family structure, and science and technology. DRGs are a classification system that categorically establishes pretreatment billing based on diagnosis. Though this is an aspect of economic factors affecting nursing, it is not the underlying cause of more personnel being employed in community-based settings.

Global Rationale: Page Reference:20

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 12 Describe factors influencing contemporary nursing practice.

Question 17

Type: MCSA

The community health nurse working with teenage mothers and their children and recognizes that these clients have increased vulnerability and should be assessed for:

1. Distance separation from their nuclear families

2. Increased levels of poverty

3. Raising children without the support of family

4. The normal difficulties of adolescence

Correct Answer: 4

Rationale 1: Teenage mothers have the normal needs of teenagers as well as those of new mothers, with motherhood compounding the difficulties of adolescence. Though many teenage mothers are raising children alone, without the support of the babys father or perhaps their own family, and many live in poverty, all are vulnerable because of their age.

Rationale 2: Teenage mothers have the normal needs of teenagers as well as those of new mothers, with motherhood compounding the difficulties of adolescence. Though many teenage mothers are raising children alone, without the support of the babys father or perhaps their own family, and many live in poverty, all are vulnerable because of their age.

Rationale 3: Teenage mothers have the normal needs of teenagers as well as those of new mothers, with motherhood compounding the difficulties of adolescence. Though many teenage mothers are raising children alone, without the support of the babys father or perhaps their own family, and many live in poverty, all are vulnerable because of their age.

Rationale 4: Teenage mothers have the normal needs of teenagers as well as those of new mothers, with motherhood compounding the difficulties of adolescence. Though many teenage mothers are raising children alone, without the support of the babys father or perhaps their own family, and many live in poverty, all are vulnerable because of their age.

Global Rationale: Page Reference: 21

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 09 Describe the expanded career roles and their functions.

Question 18

Type: MCSA

When a client shares with the nurse that she/he has be researching her/his condition on various web sites, the nurse responds most responsively when stating:

1. Information from the Internet isnt always accurate.

2. Its best to check this information with your physician.

3. Bring your information to the clinic so we can go through it together.

4. Id prefer you rely on information you havent received from our office.

Correct Answer: 3

Rationale 1: Nurses may need to interpret Internet sources of information to clients and their families. Though not all Internet-based information is accurate, some may be high quality and valid. Nurses need to become information brokers so they, not just the physician, can help clients access and evaluate information to determine its usefulness.

Rationale 2: Nurses may need to interpret Internet sources of information to clients and their families. Though not all Internet-based information is accurate, some may be high quality and valid. Nurses need to become information brokers so they, not just the physician, can help clients access and evaluate information to determine its usefulness.

Rationale 3: Nurses may need to interpret Internet sources of information to clients and their families. Though not all Internet-based information is accurate, some may be high quality and valid. Nurses need to become information brokers so they, not just the physician, can help clients access and evaluate information to determine its usefulness.

Rationale 4: Nurses may need to interpret Internet sources of information to clients and their families. Though not all Internet-based information is accurate, some may be high quality and valid. Nurses need to become information brokers so they, not just the physician, can help clients access and evaluate information to determine its usefulness.

Global Rationale: Page Reference: 21

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 09 Describe the expanded career roles and their functions.

Question 19

Type: MCSA

The nurse practitioner is working with the staff nurse to change the plan of care for a client. This is an example of which of the ANA standards of practice?

1. Assessment

2. Outcomes identification

3. Planning

4. Implementation

Correct Answer: 4

Rationale 1: Consultation-as in advanced practice nurses and staff nurses working together-is a way for those involved with the clients care to influence the plan, enhance the abilities of others, and effect change. Consultation is part of Standard 5: Implementation. Assessment deals with data collection. Outcomes identification sets identified goals for a plan specific to the client or situation. Planning prescribes strategies and alternatives to attain expected outcomes.

Rationale 2: Consultation-as in advanced practice nurses and staff nurses working together-is a way for those involved with the clients care to influence the plan, enhance the abilities of others, and effect change. Consultation is part of Standard 5: Implementation. Assessment deals with data collection. Outcomes identification sets identified goals for a plan specific to the client or situation. Planning prescribes strategies and alternatives to attain expected outcomes.

Rationale 3: Consultation-as in advanced practice nurses and staff nurses working together-is a way for those involved with the clients care to influence the plan, enhance the abilities of others, and effect change. Consultation is part of Standard 5: Implementation. Assessment deals with data collection. Outcomes identification sets identified goals for a plan specific to the client or situation. Planning prescribes strategies and alternatives to attain expected outcomes.

Rationale 4: Consultation-as in advanced practice nurses and staff nurses working together-is a way for those involved with the clients care to influence the plan, enhance the abilities of others, and effect change. Consultation is part of Standard 5: Implementation. Assessment deals with data collection. Outcomes identification sets identified goals for a plan specific to the client or situation. Planning prescribes strategies and alternatives to attain expected outcomes.

Global Rationale: Page Reference:16

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 06 Identify the four major areas of nursing practice.08 Describe the role of nurses.

Question 20

Type: MCSA

The advanced practice nurse refers the client to physical therapy for further rehabilitation. This is an example of which of the ANA standards of practice?

1. Assessment

2. Diagnosis

3. Planning

4. Implementation

Correct Answer: 4

Rationale 1: Standard 5: Implementation includes prescriptive authority and treatment, which would include a referral for further treatment and therapy in accordance with state and federal laws and regulations. Assessment is data collection. Diagnosis analyzes the assessment data. Planning prescribes strategies and alternatives to reach the expected goals.

Rationale 2: Standard 5: Implementation includes prescriptive authority and treatment, which would include a referral for further treatment and therapy in accordance with state and federal laws and regulations. Assessment is data collection. Diagnosis analyzes the assessment data. Planning prescribes strategies and alternatives to reach the expected goals.

Rationale 3: Standard 5: Implementation includes prescriptive authority and treatment, which would include a referral for further treatment and therapy in accordance with state and federal laws and regulations. Assessment is data collection. Diagnosis analyzes the assessment data. Planning prescribes strategies and alternatives to reach the expected goals.

Rationale 4: Standard 5: Implementation includes prescriptive authority and treatment, which would include a referral for further treatment and therapy in accordance with state and federal laws and regulations. Assessment is data collection. Diagnosis analyzes the assessment data. Planning prescribes strategies and alternatives to reach the expected goals.

Global Rationale: Page Reference: 16

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 06 Identify the four major areas of nursing practice.

07 Identify the purposes of nurse practice acts and standards of professional nursing practice.

Question 21

Type: MCSA

The client recovered to a greater level that what was previously expected. The staff nurse responsible for the clients care is following which of the ANA standards of practice?

1. Diagnosis

2. Planning

3. Implementation

4. Evaluation

Correct Answer: 4

Rationale 1: Evaluation, Standard 6, evaluates the progress toward attainment of outcomes. Since the progress was recovery in this case, and at a greater level than expectations, the nurse would be evaluating the plan of care. Diagnosis analyzes the assessment data to determine problems. Planning involves prescribing strategies and alternatives to attain expected outcomes. Implementation consists of coordinating care, teaching, consultation, prescriptive authority, and treatment/evaluation.

Rationale 2: Evaluation, Standard 6, evaluates the progress toward attainment of outcomes. Since the progress was recovery in this case, and at a greater level than expectations, the nurse would be evaluating the plan of care. Diagnosis analyzes the assessment data to determine problems. Planning involves prescribing strategies and alternatives to attain expected outcomes. Implementation consists of coordinating care, teaching, consultation, prescriptive authority, and treatment/evaluation.

Rationale 3: Evaluation, Standard 6, evaluates the progress toward attainment of outcomes. Since the progress was recovery in this case, and at a greater level than expectations, the nurse would be evaluating the plan of care. Diagnosis analyzes the assessment data to determine problems. Planning involves prescribing strategies and alternatives to attain expected outcomes. Implementation consists of coordinating care, teaching, consultation, prescriptive authority, and treatment/evaluation.

Rationale 4: Evaluation, Standard 6, evaluates the progress toward attainment of outcomes. Since the progress was recovery in this case, and at a greater level than expectations, the nurse would be evaluating the plan of care. Diagnosis analyzes the assessment data to determine problems. Planning involves prescribing strategies and alternatives to attain expected outcomes. Implementation consists of coordinating care, teaching, consultation, prescriptive authority, and treatment/evaluation.

Global Rationale: Page Reference: 16

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 06 Identify the four major areas of nursing practice.

08 Describe the role of nurses.

Question 22

Type: MCSA

A practicing RN decides that attending an upcoming workshop about new pharmacological treatments would benefit his or her practice. This RN is modeling which of the standards of professional performance?

1. Quality of practice

2. Education

3. Professional practice evaluation

4. Research

Correct Answer: 3

Rationale 1: Standards of professional performance describe a competent level of behavior in the professional role. Professional practice evaluation, Standard 9, is behavior that evaluates ones own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations. Deciding to enhance ones current knowledge base, in relationship to ones own practice, would describe this standard. Quality of practice is a systematic approach to enhance the quality and effectiveness of nursing practice. Education is knowledge attainment and competency that reflects current nursing practice. Research integrates research findings into practice.

Rationale 2: Standards of professional performance describe a competent level of behavior in the professional role. Professional practice evaluation, Standard 9, is behavior that evaluates ones own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations. Deciding to enhance ones current knowledge base, in relationship to ones own practice, would describe this standard. Quality of practice is a systematic approach to enhance the quality and effectiveness of nursing practice. Education is knowledge attainment and competency that reflects current nursing practice. Research integrates research findings into practice.

Rationale 3: Standards of professional performance describe a competent level of behavior in the professional role. Professional practice evaluation, Standard 9, is behavior that evaluates ones own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations. Deciding to enhance ones current knowledge base, in relationship to ones own practice, would describe this standard. Quality of practice is a systematic approach to enhance the quality and effectiveness of nursing practice. Education is knowledge attainment and competency that reflects current nursing practice. Research integrates research findings into practice.

Rationale 4: Standards of professional performance describe a competent level of behavior in the professional role. Professional practice evaluation, Standard 9, is behavior that evaluates ones own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations. Deciding to enhance ones current knowledge base, in relationship to ones own practice, would describe this standard. Quality of practice is a systematic approach to enhance the quality and effectiveness of nursing practice. Education is knowledge attainment and competency that reflects current nursing practice. Research integrates research findings into practice.

Global Rationale: Page Reference: 16-17

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 04 Explain the importance of continuing nursing education.

07 Identify the purposes of nurse practice acts and standards of professional nursing practice.

Question 23

Type: MCSA

In order to provide consultation, education, support as well managing the clients chemotherapy regimen, the nurse must be a:

1. Nurse practitioner

2. Clinical nurse specialist

3. Nurse educator

4. Nurse entrepreneur

Correct Answer: 2

Rationale 1: A clinical nurse specialist has an advanced degree or expertise and is considered to be an expert in a specialized area of practice (oncology in this case). The nurse provides direct client care, educates others, consults, conducts research, and manages care. A nurse practitioner has an advanced education, is a graduate of a nurse practitioner program, and usually deals with nonemergency acute or chronic illness and provides primary ambulatory care. The nurse educator is responsible for classroom and often clinical teaching. A nurse entrepreneur usually has an advanced degree, manages a health-related business, and may be involved in education, consultation, or research.

Rationale 2: A clinical nurse specialist has an advanced degree or expertise and is considered to be an expert in a specialized area of practice (oncology in this case). The nurse provides direct client care, educates others, consults, conducts research, and manages care. A nurse practitioner has an advanced education, is a graduate of a nurse practitioner program, and usually deals with nonemergency acute or chronic illness and provides primary ambulatory care. The nurse educator is responsible for classroom and often clinical teaching. A nurse entrepreneur usually has an advanced degree, manages a health-related business, and may be involved in education, consultation, or research.

Rationale 3: A clinical nurse specialist has an advanced degree or expertise and is considered to be an expert in a specialized area of practice (oncology in this case). The nurse provides direct client care, educates others, consults, conducts research, and manages care. A nurse practitioner has an advanced education, is a graduate of a nurse practitioner program, and usually deals with nonemergency acute or chronic illness and provides primary ambulatory care. The nurse educator is responsible for classroom and often clinical teaching. A nurse entrepreneur usually has an advanced degree, manages a health-related business, and may be involved in education, consultation, or research.

Rationale 4: A clinical nurse specialist has an advanced degree or expertise and is considered to be an expert in a specialized area of practice (oncology in this case). The nurse provides direct client care, educates others, consults, conducts research, and manages care. A nurse practitioner has an advanced education, is a graduate of a nurse practitioner program, and usually deals with nonemergency acute or chronic illness and provides primary ambulatory care. The nurse educator is responsible for classroom and often clinical teaching. A nurse entrepreneur usually has an advanced degree, manages a health-related business, and may be involved in education, consultation, or research.

Global Rationale: Page Reference: 12

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 03 Discuss the evolution of nursing education and entry into professional nursing practice.

Question 24

Type: MCSA

According to Benners, a nurse acting as a preceptor for nursing students in a clinical setting is showing nursing expertise belonging to:

1. Stage II

2. Stage III

3. Stage IV

4. Stage V

Correct Answer: 3

Rationale 1: Stage IV is a proficiency stage. The person has 3 to 5 years of experience and has a holistic understanding of the client, which improves decision making and focuses on long-term goals. Stage II is advanced beginner. The person demonstrates marginally acceptable performance. Stage III is competent. The nurse has 2 or 3 years of experience and demonstrates organizational/planning abilities. Stage V is considered expert. Performance is fluid, flexible, and highly proficient. The expert nurse no longer requires rules, guidelines, or maxims to connect an understanding of the situation to appropriate action. This person has highly intuitive and analytic abilities in new situations.

Rationale 2: Stage IV is a proficiency stage. The person has 3 to 5 years of experience and has a holistic understanding of the client, which improves decision making and focuses on long-term goals. Stage II is advanced beginner. The person demonstrates marginally acceptable performance. Stage III is competent. The nurse has 2 or 3 years of experience and demonstrates organizational/planning abilities. Stage V is considered expert. Performance is fluid, flexible, and highly proficient. The expert nurse no longer requires rules, guidelines, or maxims to connect an understanding of the situation to appropriate action. This person has highly intuitive and analytic abilities in new situations.

Rationale 3: Stage IV is a proficiency stage. The person has 3 to 5 years of experience and has a holistic understanding of the client, which improves decision making and focuses on long-term goals. Stage II is advanced beginner. The person demonstrates marginally acceptable performance. Stage III is competent. The nurse has 2 or 3 years of experience and demonstrates organizational/planning abilities. Stage V is considered expert. Performance is fluid, flexible, and highly proficient. The expert nurse no longer requires rules, guidelines, or maxims to connect an understanding of the situation to appropriate action. This person has highly intuitive and analytic abilities in new situations.

Rationale 4: Stage IV is a proficiency stage. The person has 3 to 5 years of experience and has a holistic understanding of the client, which improves decision making and focuses on long-term goals. Stage II is advanced beginner. The person demonstrates marginally acceptable performance. Stage III is competent. The nurse has 2 or 3 years of experience and demonstrates organizational/planning abilities. Stage V is considered expert. Performance is fluid, flexible, and highly proficient. The expert nurse no longer requires rules, guidelines, or maxims to connect an understanding of the situation to appropriate action. This person has highly intuitive and analytic abilities in new situations.

Global Rationale: Page Reference: 19

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 11 Discuss Benners levels of nursing proficiency.

Question 25

Type: MCMA

Which of the following themes are common in the definitions of nursing?

Standard Text: Select all that apply.

1. Adaptive.

2. Client-centered.

3. Goal-directed according to the needs of the client.

4. Diagnosis and treatment of disease.

5. An art.

6. A science

Correct Answer: 1,2,5,6

Rationale 1: Adaptive; client-centered; art; science; holistic; caring; concerned with health promotion, health maintenance, and health restoration; and a helping profession are themes that are common to many definitions formulated about nursing. In 1973, the American Nurses Association (ANA) described nursing practice as goal-oriented and adaptable to the needs of the individual, the family, and the community (not just the client). In 1980, the ANAs definition was changed to Nursing is the diagnosis and treatment of the human responses to actual or potential health problems. Diagnosis and treatment of disease is a definition of the medical model.

Rationale 2: Adaptive; client-centered; art; science; holistic; caring; concerned with health promotion, health maintenance, and health restoration; and a helping profession are themes that are common to many definitions formulated about nursing. In 1973, the American Nurses Association (ANA) described nursing practice as goal-oriented and adaptable to the needs of the individual, the family, and the community (not just the client). In 1980, the ANAs definition was changed to Nursing is the diagnosis and treatment of the human responses to actual or potential health problems. Diagnosis and treatment of disease is a definition of the medical model.

Rationale 3: Adaptive; client-centered; art; science; holistic; caring; concerned with health promotion, health maintenance, and health restoration; and a helping profession are themes that are common to many definitions formulated about nursing. In 1973, the American Nurses Association (ANA) described nursing practice as goal-oriented and adaptable to the needs of the individual, the family, and the community (not just the client). In 1980, the ANAs definition was changed to Nursing is the diagnosis and treatment of the human responses to actual or potential health problems. Diagnosis and treatment of disease is a definition of the medical model.

Rationale 4: Adaptive; client-centered; art; science; holistic; caring; concerned with health promotion, health maintenance, and health restoration; and a helping profession are themes that are common to many definitions formulated about nursing. In 1973, the American Nurses Association (ANA) described nursing practice as goal-oriented and adaptable to the needs of the individual, the family, and the community (not just the client). In 1980, the ANAs definition was changed to Nursing is the diagnosis and treatment of the human responses to actual or potential health problems. Diagnosis and treatment of disease is a definition of the medical model.

Rationale 5: Adaptive; client-centered; art; science; holistic; caring; concerned with health promotion, health maintenance, and health restoration; and a helping profession are themes that are common to many definitions formulated about nursing. In 1973, the American Nurses Association (ANA) described nursing practice as goal-oriented and adaptable to the needs of the individual, the family, and the community (not just the client). In 1980, the ANAs definition was changed to Nursing is the diagnosis and treatment of the human responses to actual or potential health problems. Diagnosis and treatment of disease is a definition of the medical model.

Rationale 6: Adaptive; client-centered; art; science; holistic; caring; concerned with health promotion, health maintenance, and health restoration; and a helping profession are themes that are common to many definitions formulated about nursing. In 1973, the American Nurses Association (ANA) described nursing practice as goal-oriented and adaptable to the needs of the individual, the family, and the community (not just the client). In 1980, the ANAs definition was changed to Nursing is the diagnosis and treatment of the human responses to actual or potential health problems. Diagnosis and treatment of disease is a definition of the medical model.

Global Rationale: Page Reference: 13

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 05 Describe how the definition of nursing evolved since Florence Nightingale.

Question 26

Type: MCSA

If the RN has several LPNs on the shift to supervise, which of the following responsibilities will fall to the RN?

1. Evaluating the care provided to the client.

2. Administering intramuscular (IM) medications.

3. Performing dressing changes.

4. Delegating appropriate tasks to unlicensed client care providers (such as a nurses aide).

Correct Answer: 1

Rationale 1: The RN has the knowledge and skill to make more sophisticated nursing judgments, and is responsible for assessing the clients condition, planning care, and evaluating the effect of the care provided.

Rationale 2: LPNs practice under the supervision of an RN in a hospital, nursing home, rehabilitation center, or home health agency, and usually provide basic, direct technical care to clients that can include the administration of scheduled IM medications if the institution includes that in the LPNs job description.

Rationale 3: LPNs practice under the supervision of an RN in a hospital, nursing home, rehabilitation center, or home health agency, and usually provide basic, direct technical care to clients that can include dressing changes.

Rationale 4: LPNs practice under the supervision of an RN in a hospital, nursing home, rehabilitation center, or home health agency, and usually provide basic, direct technical care to clients that can include appropriate delegation of tasks to unlicensed client care providers.

Global Rationale: Page Reference: 9-10

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 08 Describe the role of nurses.

Question 27

Type: MCSA

A nurse faculty member is speaking to prospective students for the BSN program at their educational institution. Which of the following is a major incentive for students to select a BSN program over an ADN program?

1. Ability to work in critical care areas.

2. Easier transition to graduate school.

3. Better opportunity for career advancement.

4. Liberal arts education.

Correct Answer: 3

Rationale 1: RNs, regardless of their education level, can work in critical care areas.

Rationale 2: There are some programs offering RN-to-MSN completion studies at this point in time.

Rationale 3: The nurse who holds a baccalaureate degree enjoys greater autonomy, responsibility, participation in institutional decision making, and career advancement.

Rationale 4: A liberal arts education is also a positive point, though not as major an incentive.

Global Rationale: Page Reference:10

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 03 Discuss the evolution of nursing education and entry into professional nursing practice.

Question 28

Type: MCSA

The ANAs proposal for entry level for professional practice initiated debate among nurses. Which of the following would be at greatest risk if the ANA proposal were implemented?

1. An RN with an associate degree who has a head nurse position.

2. An RN with a BSN who is a staff nurse.

3. An RN with a diploma who works overtime.

4. An RN with an associate degree who is currently in school.

Correct Answer: 1

Rationale 1: According to the ANAs proposal, only the baccalaureate graduate would be licensed under the legal title registered nurse. The graduate with an associate degree or diploma would be considered a technical nurse. If the ANA proposal were implemented, nurses who are currently licensed and educated in associate degree or diploma programs would have to be considered under a grandfather clause, provided that their performance met established standards. If an institution required a minimum of a baccalaureate degree for the position of head nurse, an RN who was currently employed as a head nurse but who did not hold a baccalaureate degree would have no guarantee of retaining that position.

Rationale 2: According to the ANAs proposal, only the baccalaureate graduate would be licensed under the legal title registered nurse. The graduate with an associate degree or diploma would be considered a technical nurse. If the ANA proposal were implemented, nurses who are currently licensed and educated in associate degree or diploma programs would have to be considered under a grandfather clause, provided that their performance met established standards. If an institution required a minimum of a baccalaureate degree for the position of head nurse, an RN who was currently employed as a head nurse but who did not hold a baccalaureate degree would have no guarantee of retaining that position.

Rationale 3: According to the ANAs proposal, only the baccalaureate graduate would be licensed under the legal title registered nurse. The graduate with an associate degree or diploma would be considered a technical nurse. If the ANA proposal were implemented, nurses who are currently licensed and educated in associate degree or diploma programs would have to be considered under a grandfather clause, provided that their performance met established standards. If an institution required a minimum of a baccalaureate degree for the position of head nurse, an RN who was currently employed as a head nurse but who did not hold a baccalaureate degree would have no guarantee of retaining that position.

Rationale 4: According to the ANAs proposal, only the baccalaureate graduate would be licensed under the legal title registered nurse. The graduate with an associate degree or diploma would be considered a technical nurse. If the ANA proposal were implemented, nurses who are currently licensed and educated in associate degree or diploma programs would have to be considered under a grandfather clause, provided that their performance met established standards. If an institution required a minimum of a baccalaureate degree for the position of head nurse, an RN who was currently employed as a head nurse but who did not hold a baccalaureate degree would have no guarantee of retaining that position.

Global Rationale: Page Reference: 15-16

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 07 Identify the purposes of nurse practice acts and standards of professional nursing practice.

Question 29

Type: SEQ

Although Florence Nightingale demonstrated the importance of research in nursing care as early as 1854, the research approach did not take hold in nursing until the beginning of the 20th century. Put these events in chronological order, starting with the earliest (1) and proceeding to the most recent (4):

Standard Text: Click and drag the options below to move them up or down.

Choice 1. The National Center for Nursing Research was created.

Choice 2. The National Institute for Nursing Research was created.

Choice 3. The journal Nursing Research was established.

Choice 4. End-of-life/palliative care research was conducted.

Correct Answer: 3,1,2,4

Rationale 1: In 1985, after intense lobbying by the ANA, the U.S. Congress passed a bill creating the National Center for Nursing Research as a part of the National Institutes of Health.

Rationale 2: The Center was elevated to institute status in 1993 and became the National Institute of Nursing Research (NINR).

Rationale 3: The journal Nursing Research was first published in 1952.

Rationale 4: Current priority areas for research funded by the NINR are health promotion and disease prevention, eliminating health disparities, caregiving, symptom management, self-management, and end of life (NINR, 2009).

Global Rationale: Page Reference:18

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 09 Describe the expanded career roles and their functions.

Question 30

Type: MCSA

A high school graduate is considering entering a nursing program that offers a baccalaureate degree. Which of the following is the entity that accredits baccalaureate programs (or higher)?

1. NLN (National League for Nursing)

2. CCNE (Commission on Collegiate Nursing Education)

3. NCLEX (National Council Licensure Examination)

4. NCSBN (National Council of State Boards of Nursing)

Correct Answer: 2

Rationale 1: The CCNE accredits baccalaureate and graduate degree nursing programs. The NLN accredits nursing programs at all levels, including LVN and LPN. Both of these offer voluntary accreditation. The NCLEX is the licensure examination administered by each state, and the NCSBN is the council to which all state boards of nursing belong.

Rationale 2: The CCNE accredits baccalaureate and graduate degree nursing programs. The NLN accredits nursing programs at all levels, including LVN and LPN. Both of these offer voluntary accreditation. The NCLEX is the licensure examination administered by each state, and the NCSBN is the council to which all state boards of nursing belong.

Rationale 3: The CCNE accredits baccalaureate and graduate degree nursing programs. The NLN accredits nursing programs at all levels, including LVN and LPN. Both of these offer voluntary accreditation. The NCLEX is the licensure examination administered by each state, and the NCSBN is the council to which all state boards of nursing belong.

Rationale 4: The CCNE accredits baccalaureate and graduate degree nursing programs. The NLN accredits nursing programs at all levels, including LVN and LPN. Both of these offer voluntary accreditation. The NCLEX is the licensure examination administered by each state, and the NCSBN is the council to which all state boards of nursing belong.

Global Rationale: Page Reference: 9

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 03 Discuss the evolution of nursing education and entry into professional nursing practice.

Kozier & Erbs Fundamentals of Nursing, 9/E Test Bank

Copyright 2012 by Pearson Education, Inc.

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