Fundamentals of Nursing 9th Edition by Taylor,
Lynn, Bartlett Test Bank > complete A+ guide;
all chapters questions/answers(deeply elaborated)
,Chapter 1, Introduction to Nursing
An oncology nurse with 15 years of experience, certification in the area of oncology
nursing, and a master’s degree is considered to be an expert in her area of practice
and works on an oncology unit in a large teaching hospital. Based upon this
description, which of the following career roles best describes this nurse’s role, taking
into account her
1. qualifications and experience?
A) Clinical nurse specialist
B) Nurse entrepreneur
C) Nurse practitioner
D) Nurse
educator Ans:
A
Feedback:
A clinical nurse specialist is a nurse with an advanced degree, education, or
experience who is considered to be an expert in a specialized area of nursing. The
clinical nurse specialist carries out direct patient care; consultation; teaching of
patients, families, and staff; and research. A nurse practitioner has an advanced
degree and works in a variety of settings to deliver primary care. A nurse educator
usually has an advanced degree and teaches in the educational or clinical setting. A
nurse entrepreneur may manage a clinic or health-related business.
What guidelines do nurses follow to identify the patient’s health care needs and strengths, to
establish and carry out a
2. plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet
established outcomes?
A) Nursing process
B) ANA Standards of Professional PerformancNe
C) Evidence-based practice guidelines
D) Nurse
Practice Acts Ans:
A
Feedback:
The nursing process is one of the major guidelines for nursing practice. Nurses
implement their roles through the nursing process. The nursing process is used by the
nurse to identify the patient’s health care needs and strengths, to establish and carry
out a plan of care to meet those needs, and to evaluate the effectiveness of the plan to
meet established outcomes.
, Which of the following organizations is the best source of information when a nurse wishes to
determine whether an
3. action is within the scope of nursing practice?
A) American Nurses Association (ANA)
B) American Association of Colleges in Nursing (AACN)
C) National League for Nursing (NLN)
D) International Council of
Nurses (ICN) Ans: A
Feedback:
The ANA produces the 2003 Nursing: Scope and Standards of Practice, which
defines the activities specific and unique to nursing. The AACN addresses
educational standards, while the NLN promotes and fosters various aspects of
nursing.
, The ICN provides a venue for national nursing organizations to collaborate, but does
not define standards and scope of practice.
4. Who is considered to be the founder of professional nursing?
A) Dorothea Dix
B) Lillian Wald
C) Florence Nightingale
D) Clara Barton
Ans: C
Feedback:
Florence Nightingale is considered to be the founder of professional nursing. She
elevated the status of nursing to a respected occupation, improved the quality of
nursing care, and founded modern nursing education. Although the other choices are
women who were important to the development of nursing, none of them is
considered the founder.
5. Which of the following nursing pioneers established the Red Cross in the United States in
1882?
A) Florence Nightingale
B) Clara Barton
C) Dorothea Dix
D) Jane Addams
Ans: B N
Feedback:
Clara Barton volunteered to care for wounds and feed union soldiers during the civil
war, served as the supervisor of nurses for the Army of the James, organized hospitals
and nurses, and established the Red Cross in the United States in 1882.
A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with
Down Syndrome. The nurse
6. makes referrals for a parent support group for the family. This is an example of which nursing
role?
A) Teacher/Educator
B) Leader
C) Counselor
,D) Collaborator
Ans: C
Feedback:
Counseling skills involve the use of therapeutic interpersonal communication skills to
provide information, make appropriate referrals, and facilitate the patient’s problem-
solving and decision-making skills. The teacher/educator uses communication skills
to assess, implement, and evaluate individualized teaching plans to meet learning
needs of clients and their families. A leader displays an assertive, self-confident
practice of nursing when providing care, effecting change, and functioning with
groups. The collaborator uses skills in organization, communication, and advocacy to
facilitate the functions of all members of the health care team as they provide patient
care.
A nurse is providing nursing care in a neighborhood clinic to single, pregnant teens. Which of
the following actions is
7. the best example of using the counselor role as a nurse?
,A) Discussing the legal aspects of adoption for teens wishing to place their infants with a family
B) Searching the Internet for information on child care for the teens who wish to return to school
C) Conducting a client interview and documenting the information on the client’s chart
D) Referring a teen who admits having suicidal thoughts to a
mental health care specialist Ans: D
Feedback:
The role of the counselor includes making appropriate referrals. Discussing legal
issues is the role of the advocate and searching for information on the Internet is the
role of a researcher. Conducting a client interview would fall under the role of the
caregiver.
A nurse instructor explains the concept of health to her students. Which of the following
statements accurately describes
8. this state of being?
A) Health is a state of optimal functioning.
B) Health is an absence of illness.
C) Health is always an objective state.
D) Health is not determined by the patient.
Ans: A
Feedback:
Health is a state of optimal functioning or wNell-being. As defined by the World
Health Organization, one’s health includes physical, social, and mental components
and is not merely the absence of disease or infirmity. Health is often a
subjective state; a person may be medically diagnosed with an illness but still consider himself
or herself healthy.
A nurse incorporates the health promotion guidelines established by the U.S. Department of
Health document: Healthy
9. People 2010. Which of the following is a health indicator discussed in this document?
A) Cancer
B) Obesity
C) Diabetes
D) Hypertension
Ans: B
Feedback:
The 10 leading indicators of health established by Healthy People 2010 are: physical
activity, excessive weight and obesity, tobacco use, substance abuse, responsible
sexual behavior, mental health, injury and violence, environmental quality,
immunizations, and access to health care.
,10. Which of the following is a criteria that defines nursing as profession?
A) an undefined body of knowledge
B) a dependence on the medical profession
C) an ability to diagnose medical problems
D) a strong service orientation
,Ans: D
Feedback:
Nursing is recognized increasingly as a profession based on the following defining
criteria: well-defined body of specific and unique knowledge; strong service
orientation; recognized authority by a professional group; code of ethics; professional
organization that sets standards; ongoing research; and autonomy.
After graduation from an accredited program in nursing and successfully passing the NCLEX,
what gives the nurse a
11. legal right to practice?
A) Enrolling in an advanced degree program
B) Filing NCLEX results in the county of residence
C) Being licensed by the State Board of Nursing
D) Having a signed letter
confirming graduation Ans: C
Feedback:
The Board of Nursing in each state has the legal authority to allow graduates of
approved schools of nursing to take the licensing examination. Those who
successfully meet the requirements for licensure are given a license to practice
nursing in the state. It is illegal to practice nursing without a license issued by the
State Board of Nursing. A nurse does not have the legal right to practice nursing by
enrolling in an advanced degree program, filing NCLEX results, or having a letter
confirming graduation.
A health care facility determined that a nurse employed on a medical unit was
documenting care that was not being given, and subsequently reported the action to
the State Board of Nursing. How might this affect the nurse’s license to
12. practice nursing? N
A) It will have no effect on the ability to practice nursing.
B) The nurse can practice nursing at a less-skilled level.
C) The nurse’s license may be revoked or suspended.
D) The nurse’s license will permanently carry a felony conviction.
Ans: C
Feedback:
The license and the right to practice nursing can be denied, revoked, or suspended for
professional misconduct, such as a crime. Other areas of professional misconduct
include incompetence, negligence, and chemical impairment. Committing a felony
does affect the legal right to practice nursing, does not allow the nurse to practice at a
lower level, and is not attached to the license.
, While providing care to the diabetic patient the nurse determines that the patient has a
knowledge deficit regarding
13. insulin administration. This nursing action is described in which phase of the nursing process?
A) evaluation
B) implementation
C) planning
D) nursing
diagnosis Ans: D
, Feedback:
Nursing focuses on human responses to actual or potential health problems.
Identifying the problems occur in the nursing diagnosis phase. Mutually establishing
expected outcomes with the patient occurs in the planning phase. Implementation of
the individualized interventions, and evaluation of outcomes are also phases in the
nursing process.
A nurse is caring for a client who is a chronic alcoholic. The nurse educates the client
about the harmful effects of alcohol and educates the family on how to cope with the
client and his alcohol addiction. Which of the following skills is
14. the nurse using?
A) Caring
B) Comforting
C) Counseling
D) Assessment
Ans: C
Feedback:
The nurse is using counseling skills to educate the client about the harmful effects of
alcohol. The nurse can also suggest rehabilitative care for the client. The nurse uses
therapeutic communication techniques to encourage verbal expression and to
understand the client’s perspective. Caring, comforting, and assessment may require
active listening, but counseling is based upon the active listening and interaction
between the client and the counselor.
A nurse is caring for a client with quadriplegia who is fully conscious and able to
communicate. What skills of the nurse
15. would be the most important for this client?
A) Comforting
N
B) Assessment
C) Counseling
D) Caring
Ans: D
Feedback:
The client needs assistance in performing activities of daily life. This would require
implementation of caring skills from the nurse. Comforting, counseling, and
assessment skills are also required, but the priority is the caring skill. Comforting
skills involve providing safety and security to the client, whereas counseling skills are
implemented while providing health education and emotional support. Assessment
skills would be required when collecting data from the client.
A nurse is assigned the care of a client who has been admitted to the health care facility with
