Test Bank for Fundamentals of Nursing 11th Edition PotterP
1 1 1 1 1 1 1 1 1
erry Stockert & Hall Isbn: 9780323810340 Newest Version
1 1 1 1 1 1 1
Chapter101:1Nursing1Today
MULTIPLE1CHOICE
1. Which1nurse1 most1likelykept1 records1 on1 sanitation1techniques1 and1 the1effects1 on1 health?
a. Florence1Nightingale
b. MaryNutting
c. Clara1Barton
d. Lillian1Wald
ANS:1 A
Nightingale1was1the1first1practicingxnurse1epidemiologist.1Her1statistical1analyses1connected1po1o1
r1sanitation1with1cholera1andxdysentery.1Mary1Nutting,1Clara1Barton,1andxLillian1Wald1came1after1
Nightingale,1each1contributingxto1the1nursingxprofession1in1her1own1way.1Mary1Nutting1was1instru
1mental1in1moving1nursing1educationvinto1universities.1Clara1Barton1foundedthe1American1Red1Cr
1oss.1Lillian1Wald1helped1openxthe1HenryStreet1Settlement.
DIF:Understand1(comprehension)
OBJ:Discuss1the1influence1of1social,1historical,1political,1and1economic1changes1on1nursing1practices.
TOP: Evaluation MSC:1 Health1Promotion1and1Maintenance
2. The1nurse1prescribes1strategies1and1alternatives1to1attain1expected1outcome.1Which1standard1ofnu1
rsingxpractice1is1the1nurse1following?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS:1 C
In1planning,1the1registered1nurse1develops1a1plan1that1prescribes1strategies1and1alternatives1to1attai1
n1expected1outcomes.1During1assessment,1the1registered1nurse1collects1comprehensivexdataxperti1
nent1to1the1patient’s1health1and/or1the1situation.1In1diagnosis,1the1registered1nurse1analyzes1theasse1
ssment1data1to1determine1the1diagnoses1or1issues.1During1implementation,1theregistered1nu1rse1im1p
lements1(carries1out)1the1identified1plan.
DIF:Understand1(comprehension)
OBJ:Discuss1the1development1of1professional1nursing1roles
TOP:1Planning
.1MSC:1 Management1of1Care
3. An1experienced1medical-
surgical1nurse1 chooses1to1 work1in1 obstetrics.1 Which1 level1 ofproficiency1is1the1 nurse1 up1 on1initia
l1transition1to1the1obstetrical1floor?
a. Novice
b. Proficient
c. Competent
d. Advanced1beginner
ANS:1 A
, A1beginning1nursing1student1or1any1nurse1entering1a1situation1in1which1there1is1no1previous1levexl1
of1experience1(e.g.,1an1experienced1operating1room1nursevchooses1to1now1practice1in1home1he1alt1
h)1is1an1example1of1a1novice1nurse.1A1proficient1nurse1perceives1a1patient’s1clinicalsituationas1a1
whole,1is1able1to1assess1an1entire1situation,1and1can1readily1transfer1knowledge1gained1frommulti1
ple1previous1experiences1to1a1situation.1A1competentxnurse1understands1the1organizationxand1sp1
ecific1care1required1bythe1type1of1patients1(e.g.,1surgical,1oncology,1or1orthopedic1patien1ts).1Thi1
s1nurse1is1a1competent1practitioner1who1is1able1to1anticipate1nursing1care1and1establish1long-
1range1goals.1A1nurse1who1has1had1some1level1of1experiencexwith1thexsituation1is1an1advanced1beg
i1nner.1This1experience1may1only1be1observational1in1nature,1but1the1nurse1is1able1to1identifym1ea
ni1ngful1aspects1or1principles1of1nursing1care.
DIF:Apply1(application)
OBJ:Discuss1the1development1of1professional1nursing1roles
TOP:1Evaluation
.1MSC:1 Management1of1Care
4. A1nurse1assesses1a1patient’s1fluid1status1and1decides1that1the1patient1needs1to1drink1more1fluids.T1 h1
e1nurse1then1encourages1the1patient1to1drink1more1fluids.1Which1concept1is1the1nurse1demonstra1tin1
g?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS:1 B
Autonomyis1an1essential1element1of1professional1nursing1that1involves1the1initiation1of1indepen1
dent1nursing1interventions1without1medical1orders.1To1obtain1licensure1in1the1United1States,1t1he1
RN1candidate1must1pass1the1NCLEX-RN.1Beyond1the1NCLEX-
RN,1the1nurse1may1choose1to1work1toward1certification1in1a1specific1area1of1nursing1practice.1A1
ccountabilitymeans1that1you1arexresponsible,1professionally1and1legally,1for1thextype1and1quality1
of1nursingvcare1provided.
DIF:Apply1(application)
OBJ:Discuss1the1roles1and1career1opportunities1for1nurses
TOP:1Implementation
.1MSC:1 Management1of1Care
5. A1nurse1prepares1the1budget1and1policies1for1an1intensive1care1unit.1Which1role1is1the1nurseim1
plementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS:1 B
, A1manager1coordinates1the1activities1of1members1of1the1nursing1staff1in1delivering1nursing1care1a1
nd1has1personnel,1policy,1and1budgetary1responsibility1for1a1specific1nursing1unit1or1facility.1As1a1
n1educator,1you1explain1concepts1and1facts1about1health,1describe1the1reason1for1routine1care1acti1
vities,1demonstrate1procedures1such1as1self-
care1activities,1reinforce1learningxor1patient1behavior,1and1evaluate1the1patient’s1progress1in1learn1
ing.1As1a1patient1advocate,1youprotect1your1patient’s1human1and1legal1rights1and1provide1assistan1
ce1inxasserting1thesexrights1ifthe1need1arises.1As1a1caregiver,1you1help1patients1maintain1and1regai1
n1health,1manage1disease1and1symptoms,1and1attain1a1maximal1level1function1and1independe1nce1t1
hrough1the1healingxprocess.
DIF:Apply1(application)
OBJ:Discuss1the1roles1and1career1opportunities1for1nurses
TOP:1Implementation
.1MSC:1 Management1of1Care
6. The1nurse1has1been1workingxin1the1clinical1settingxfor1several1years1as1an1advanced1practice1nurs
e.1However,1thexnursexhas1a1strongxdesire1to1pursue1research1and1theory1development.1Tofulfill1t
1his1desire,1which1program1should1the1nurse1attend?
a. Doctor1of1Nursing1Sciencexdegree1(DNSc)
b. Doctor1of1Philosophydegree1(PhD)
c. Doctor1of1Nursing1Practice1degree1(DNP)
d. Doctor1in1the1Science1of1Nursing1degree1(DSN)
ANS:1 B
Some1doctoral1programs1prepare1nurses1for1morexrigorous1research1and1theory1development1and
1award1the1research-
oriented1Doctor1of1Philosophy1(PhD)1in1nursing.1Professional1doctoralprograms1in1nursing1(DS1
N1or1DNSc)1prepare1graduates1to1apply1research1findings1to1clinical1nursing.1The1DNP1is1a1practi1
ce1doctorate1that1prepares1advanced1practice1nurses1such1as1nursepractitioners.
DIF:Understand1(comprehension)
OBJ:Compare1and1contrast1the1educational1programs1available1for1professional1registered1nurse1(RN
)1education. TOP:1 Teaching/Learning MSC:1 Management1of1Care
7. A1nurse1attends1a1workshop1on1current1nursingxissues1provided1by1the1American1Nurses
1 Association.1Which1type1of1education1did1the1nurse1receive?
a. Graduate1education
b. Inservice1education
c. Continuingeducation
d. Registered1nursexeducation
ANS:1 C
Continuing1education1involves1formal,1organized1educational1programs1offered1by1universities,h1
ospitals,1state1nurses1associations,1professional1nursing1organizations,1and1educational1and1healt1
h1care1institutions.1After1obtaining1a1baccalaureatevdegree1in1nursing,1youcan1pursue1graduate1ed1
ucation1leading1to1a1master’s1or1doctoral1degree1in1any1number1of1graduate1fields,1includingxnur1
sing.1Inservicexeducation1programs1are1instructionxor1training1provided1by1a1health1carexfacil1ity1o1r
1institution.1Registered1nurse1education1is1the1education1preparation1for1an1individual1inten1ding1t1
o1be1an1RN.
DIF:Apply1(application)
OBJ:Compare1and1contrast1the1educational1programs1available1for1professional1registered1nurse1(RN)
, education. TOP:1 Teaching/Learning MSC:1 Management1of1Care
8. A1nurse1identifies1gaps1between1local1and1best1practices.1Which1Quality1and1Safety1Educationfo1
r1Nurses1(QSEN)1competencyis1the1nurse1demonstrating?
a. Safety
b. Patient-centered1care
c. Qualityimprovement
d. Teamworkxand1collaboration
ANS:1 C
Quality1improvement1identifies1gaps1between1local1andxbest1practices.1Safety1minimizes1risk1of
1harm1toxpatients1and1providers1through1both1system1effectiveness1and1individual1performanc
e. Patient-
centered1care1recognizes1the1patient1or1designee1as1the1source1of1controland1full1partner1in1provi1
ding1compassionate1and1coordinated1care1based1on1respect1for1patient’s1preferences,1values,1a1n1
d1needs.1Teamwork1and1collaboration1allows1effective1functioning1withinxnursing1andxinterprof
1essional1teams,1fostering1open1communication,1mutual1respect,1and1shared1decision1making.
DIF:Understand1(comprehension)
OBJ:Discuss1the1roles1and1career1opportunities1for1nurses
TOP:1Evaluation
.1MSC:1 Management1of1Care
9. A1nurse1has1compassion1 fatigue.1 What1 is1 the1nurse1experiencing?
a. Lateral1violence1and1intrapersonal1conflict
b. Burnout1and1secondarytraumatic1stress
c. Short-term1grief1and1singlexstressor
d. Physical1and1mental1exhaustion
ANS:1 B
Compassion1fatigue1is1a1term1used1to1describe1a1state1of1burnout1and1secondary1traumaticstress.
Compassion1fatigue1maycontribute1to1what1is1described1as1lateral1violence1
(nurse-
nurse1interactions,1not1intrapersonal).1Frequent,1intense,1or1prolonged1exposure1to1griefand1lossp1
laces1nurses1at1risk1for1developing1compassion1fatigue.1Stressors,1not1a1singlexstressor,1contribu
1te1to1compassion1fatigue.1Physical1and1mental1exhaustion1describes1burnout1only.
DIF:Understand1(comprehension)
OBJ:Discuss1the1influence1of1social,1historical,1political,1and1economic1changes1on1nursingpractices.
TOP: Assessment MSC:1 Health1Promotion1and1Maintenance
10. A1patient1is1scheduled1for1surgery.1When1getting1ready1to1obtain1the1informed1consent,1the1pati1e1
nt1tells1the1nurse,1―I1have1no1idea1what1is1going to1happen.1Icouldn’txask1anyquestions.‖1The1nxurs1
e1does1not1allow1the1patient1to1sign1the1permit1and1notifies1the1health1care1provider1ofthe1situation
.1Which1role1is1the1nursexdisplaying?
a. Manager
b. Patient1educator
c. Patient1advocate
d. Clinical1nurse1specialist
ANS:1 C