Test Bank For Fundamentals of Nursing 11th Edition

Test Bank Complete For Fundamentals of Nursing 11th Edition
1
Test Bank Complete For Fundamentals of Nursing
11th Edition

Test Bank Complete For Fundamentals of Nursing 11th Edition
2
Chapter 01: Nursing Today
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE

1. Which nurse most likely kept records on sanitation techniques and the effects on health? a.
   Florence Nightingale
   b. Mary Nutting
   c. Clara Barton
   d. Lillian Wald
   ANS: A
   Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
   poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
   came after Nightingale, each contributing to the nursing profession in her own way. Mary
   Nutting was instrumental in moving nursing education into universities. Clara Barton founded
   the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
   DIF:Understand (comprehension)
   OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
   TOP: Evaluation MSC: Health Promotion and Maintenance
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard
   of nursing practice is the nurse following? a. Assessment
   b. Diagnosis
   c. Planning
   d. Implementation
   ANS: C
   In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
   attain expected outcomes. During assessment, the registered nurse collects comprehensive
   data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
   analyzes the assessment data to determine the diagnoses or issues. During implementation,
   the registered nurse implements (carries out) the identified plan.
   DIF:Understand (comprehension)
   OBJ:Discuss the development of professional nursing roles. TOP: Planning
   MSC: Management of Care
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
   proficiency is the nurse upon initial transition to the obstetrical floor? a. Novice
   b. Proficient
   c. Competent
   d. Advanced beginner

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ANS: A
A beginning nursing student or any nurse entering a situation in which there is no previous
level of experience (e.g., an experienced operating room nurse chooses to now practice in
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
gained from multiple previous experiences to a situation. A competent nurse understands the
organization and specific care required by the type of patients (e.g., surgical, oncology, or
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
care and establish long-range goals. A nurse who has had some level of experience with the
situation is an advanced beginner. This experience may only be observational in nature, but
the nurse is able to identify meaningful aspects or principles of nursing care.
DIF:Apply (application)
OBJ:Discuss the development of professional nursing roles. TOP: Evaluation
MSC: Management of Care

4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more
   fluids. The nurse then encourages the patient to drink more fluids. Which concept is the
   nurse demonstrating? a. Licensure
   b. Autonomy
   c. Certification
   d. Accountability
   ANS: B
   Autonomy is an essential element of professional nursing that involves the initiation of
   independent nursing interventions without medical orders. To obtain licensure in the United
   States, the RN candidate must pass the NCLEX-RN . Beyond the NCLEX-RN , the nurse
   may choose to work toward certification in a specific area of nursing practice. Accountability
   means that you are responsible, professionally and legally, for the type and quality of nursing
   care provided.
   DIF:Apply (application)
   OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation MSC:
   Management of Care
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
   implementing?
   a. Educator
   b. Manager
   c. Advocate
   d. Caregiver
   ANS: B
   A manager coordinates the activities of members of the nursing staff in delivering nursing
   care and has personnel, policy, and budgetary responsibility for a specific nursing unit or

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facility. As an educator, you explain concepts and facts about health, describe the reason for
routine care activities, demonstrate procedures such as self-care activities, reinforce learning
or patient behavior, and evaluate the patient’s progress in learning. As a patient advocate, you
protect your patient’s human and legal rights and provide assistance in asserting these rights if
the need arises. As a caregiver, you help patients maintain and regain health, manage disease
and symptoms, and attain a maximal level function and independence through the healing
process.
DIF:Apply (application)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation MSC:
Management of Care

6. The nurse has been working in the clinical setting for several years as an advanced practice
   nurse. However, the nurse has a strong desire to pursue research and theory development.
   To fulfill this desire, which program should the nurse attend? a. Doctor of Nursing Science
   degree (DNSc)
   b. Doctor of Philosophy degree (PhD)
   c. Doctor of Nursing Practice degree (DNP)
   d. Doctor in the Science of Nursing degree (DSN)
   ANS: B
   Some doctoral programs prepare nurses for more rigorous research and theory development
   and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral
   programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
   nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
   practitioners.
   DIF:Understand (comprehension)
   OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
   education. TOP: Teaching/Learning MSC: Management of Care
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
   Association. Which type of education did the nurse receive? a. Graduate education
   b. Inservice education
   c. Continuing education
   d. Registered nurse education
   ANS: C
   Continuing education involves formal, organized educational programs offered by
   universities, hospitals, state nurses associations, professional nursing organizations, and
   educational and health care institutions. After obtaining a baccalaureate degree in nursing,
   you can pursue graduate education leading to a master’s or doctoral degree in any number of
   graduate fields, including nursing. Inservice education programs are instruction or training
   provided by a health care facility or institution. Registered nurse education is the education
   preparation for an individual intending to be an RN.

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DIF:Apply (application)
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
education. TOP: Teaching/Learning MSC: Management of Care

8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education
   for Nurses (QSEN) competency is the nurse demonstrating? a. Safety
   b. Patient-centered care
   c. Quality improvement
   d. Teamwork and collaboration
   ANS: C
   Quality improvement identifies gaps between local and best practices. Safety minimizes risk
   of harm to patients and providers through both system effectiveness and individual
   performance. Patient-centered care recognizes the patient or designee as the source of control
   and full partner in providing compassionate and coordinated care based on respect for
   patient’s preferences, values, and needs. Teamwork and collaboration allows effective
   functioning within nursing and interprofessional teams, fostering open communication,
   mutual respect, and shared decision making.
   DIF:Understand (comprehension)
   OBJ:Discuss the roles and career opportunities for nurses. TOP: Evaluation MSC:
   Management of Care
9. A nurse has compassion fatigue. What is the nurse experiencing?
   a. Lateral violence and intrapersonal conflict
   b. Burnout and secondary traumatic stress
   c. Short-term grief and single stressor
   d. Physical and mental exhaustion
   ANS: B
   Compassion fatigue is a term used to describe a state of burnout and secondary traumatic
   stress. Compassion fatigue may contribute to what is described as lateral violence
   (nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to grief
   and loss places nurses at risk for developing compassion fatigue. Stressors, not a single
   stressor, contribute to compassion fatigue. Physical and mental exhaustion describes burnout
   only.
   DIF:Understand (comprehension)
   OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
   TOP: Assessment MSC: Health Promotion and Maintenance
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the
    patient tells the nurse, ―I have no idea what is going to happen. I couldn’t ask any
    questions.‖ The nurse does not allow the patient to sign the permit and notifies the health care
    provider of the situation. Which role is the nurse displaying? a. Manager

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b. Patient educator
c. Patient advocate
d. Clinical nurse specialist
ANS: C
As a patient advocate, the nurse protects the patient’s human and legal rights, including the
right of the patient to understand procedures before signing permits. Although nurses can be
educators, it is the responsibility of the surgeon to provide education for the patient in
preparation for surgery, and it is the nurse’s responsibility to notify the health care provider if
the patient is not properly educated. Managers coordinate the activities of members of the
nursing staff in delivering nursing care, and clinical nurse specialists are experts in a
specialized area of nursing practice in a variety of settings.
DIF:Apply (application)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Evaluation MSC:
Management of Care

11. The patient requires routine gynecological services after giving birth to her son, and while
    seeing the nurse-midwife, the patient asks for a referral to a pediatrician for the newborn.
    Which action should the nurse-midwife take initially?
    a. Provide the referral as requested.
    b. Offer to provide the newborn care.
    c. Refer the patient to the supervising provider.
    d. Tell the patient that is not allowed to make referrals.
    ANS: B
    The practice of nurse-midwifery involves providing independent care for women during
    normal pregnancy, labor, and delivery, as well as care for the newborn. After being apprised
    of the midwifery role, if the patient insists on seeing a pediatrician, the nurse-midwife should
    provide the referral. The supervising provider is an obstetric provider, not a pediatrician. A
    nurse-midwife can make referrals.
    DIF:Analyze (analysis)
    OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation MSC:
    Management of Care
12. The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which
    activity is appropriate for a CRNA?
    a. Manages gynecological services such as PAP smears.
    b. Works under the guidance of an anesthesiologist.
    c. Obtains a PhD degree in anesthesiology.
    d. Coordinates acute medical conditions.
    ANS: B
    Nurse anesthetists provide surgical anesthesia under the guidance and supervision of an
    anesthesiologist, who is a physician (health care provider) with advanced knowledge of

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surgical anesthesia. Nurse practitioners, not CRNAs, manage self-limiting acute and chronic
stable medical conditions; certified nurse-midwives provide gynecological services such as
routine Papanicolaou (Pap) smears. The CRNA is an RN with an advanced education in a
nurse anesthesia accredited program. A PhD is not a requirement.
DIF:Understand (comprehension)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation MSC:
Management of Care

13. A nurse teaches a group of nursing students about nurse practice acts. Which information is
    most important to include in the teaching session about nurse practice acts? a. Protects the
    nurse.
    b. Protects the public.
    c. Protects the provider.
    d. Protects the hospital.
    ANS: B
    The nurse practice acts regulate the scope of nursing practice and protect public health, safety,
    and welfare. They do not protect the nurse, provider, or hospital.
    DIF:Understand (comprehension)
    OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
    TOP: Teaching/Learning MSC: Management of Care
14. A bill has been submitted to the State House of Representatives that is designed to reduce
    the cost of health care by increasing the patient-to-nurse ratio from a maximum of 2:1 in
    intensive care units to 3:1. What should the nurse realize?
    a. Legislation is politics beyond the nurse’s control.
    b. National programs have no bearing on state politics.
    c. The individual nurse can influence legislative decisions.
    d. Focusing on nursing care provides the best patient benefit.
    ANS: C
    Nurses can influence policy decisions at all governmental levels. One way is to get involved
    by participating in local and national efforts. This effort is critical in exerting nurses’
    influence early in the political process. Legislation is not beyond the nurse’s control. National
    program can have bearing on state politics. The question is focusing on legislation and health
    care costs, not nursing care.
    DIF:Analyze (analysis)
    OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
    TOP: Evaluation MSC: Management of Care
15. A nurse is using a guide that provides principles of right and wrong to provide care to
    patients. Which guide is the nurse using? a. Code of ethics
    b. Standards of practice

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c. Standards of professional performance
d. Quality and safety education for nurses
ANS: A
The code of ethics is the philosophical ideals of right and wrong that define the principles you
will use to provide care to your patients. The standards of practice describe a competent level
of nursing care. The ANA Standards of Professional Performance describe a competent level
of behavior in the professional role. Quality and safety education for nurses addresses the
challenge to prepare nurses with the competencies needed to continuously improve the quality
of care in their work environments.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Implementation MSC: Management of Care

16. A graduate of a baccalaureate degree program plans to start working as a registered nurse
    (RN) in the emergency department. Which action must the nurse take first? a. Obtain
    certification for an emergency nurse.
    b. Pass the National Council Licensure Examination.
    c. Take a course on genomics to provide competent emergency care.
    d. Complete the Hospital Consumer Assessment of Healthcare Providers Systems.
    ANS: B
    Currently, in the United States, the most common way to become a registered nurse (RN) is
    through completion of an associate degree or baccalaureate degree program. Graduates of
    both programs are eligible to take the National Council Licensure Examination for Registered
    Nurses (NCLEX-RN) to become registered nurses in the state in which they will practice.
    Certification can be obtained after passing the NCLEX and working for the specified amount
    of time. Genomics is a newer term that describes the study of all the genes in a person and
    interactions of these genes with one another and with that person’s environment. Consumers
    can also access Hospital Consumer Assessment of Healthcare Providers Systems (HCAHPS)
    to obtain information about patients’ perspectives on hospital care.
    DIF:Remember (knowledge)
    OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
    education. TOP: Implementation MSC: Management of Care
17. While providing care to a patient, the nurse is responsible, both professionally and legally, for
    the appropriateness and proper execution of the care. Which concept does this describe? a.
    Autonomy
    b. Accountability
    c. Patient advocacy
    d. Patient education
    ANS: B

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Accountability means that the nurse is responsible, professionally and legally, for the type and
quality of nursing care provided. Autonomy is an essential element of professional nursing
that involves the initiation of independent nursing interventions without medical orders. As a
patient advocate, the nurse protects the patient’s human and legal rights and provides
assistance in asserting these rights if the need arises. As an educator, the nurse explains
concepts and facts about health, describes the reasons for routine care activities, demonstrates
procedures such as self-care activities, reinforces learning or patient behavior, and evaluates
the patient’s progress in learning.
DIF:Remember (knowledge)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Management of Care

18. A nurse is teaching the staff about Benner’s levels of proficiency. In which order should the
    nurse place the levels from beginning level to ending level?
19. Expert
20. Novice
21. Proficient
22. Competent
23. Advanced beginner
    a. 2, 4, 5, 1, 3
    b. 2, 5, 4, 3, 1
    c. 4, 2, 5, 3, 1
    d. 4, 5, 2, 1, 3
    ANS: B
    Benner’s levels of proficiency are as follows: novice, advanced beginner, competent,
    proficient, and expert.
    DIF:Understand (comprehension)
    OBJ:Discuss the development of professional nursing roles. TOP: Teaching/Learning
    MSC: Management of Care
    MULTIPLE RESPONSE
24. A nurse is preparing a teaching session about contemporary influences on nursing. Which
    examples should the nurse include? (Select all that apply.) a. Human rights
    b. Affordable Care Act
    c. Demographic changes
    d. Medically underserved
    e. Decreasing health care costs
    ANS: A, B, C, D

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Multiple external forces affect nursing, including the need for nurses’ self-care, Affordable
Care Act (ACA) and rising (not decreasing) health care costs, demographic changes of the
population, human rights, and increasing numbers of medically underserved.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Teaching/Learning MSC: Management of Care

2. After licensure, the nurse wants to stay current in knowledge and skills. Which programs
   are the most common ways nurses can do this? (Select all that apply.) a. Master’s degree
   b. Inservice education
   c. Doctoral preparation
   d. Continuing education
   e. National Council Licensure Examination retakes
   ANS: B, D
   Continuing education programs help nurses maintain current nursing skills, gain new
   knowledge and theory, and obtain new skills reflecting the changes in the health care delivery
   system. Inservice education programs are provided by a health care facility to increase the
   knowledge, skills, and competencies of nurses employed by the institution. Both can help the
   nurse stay current. Master’s degree programs are valuable for those in the role of nurse
   educator, nurse administrator, or advanced practice nurse. Professional doctoral programs in
   nursing (DSN or DNSc) prepare graduates to apply research findings to clinical nursing.
   National Council Licensure Examination retakes are not to keep current; this test is taken to
   enter RN practice.
   DIF:Understand (comprehension)
   OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
   education. TOP: Teaching/Learning MSC: Management of Care
3. A nurse wants to become an advanced practice registered nurse. Which options should the
   nurse consider? (Select all that apply.) a. Patient advocate
   b. Nurse administrator
   c. Certified nurse-midwife
   d. Clinical nurse specialist
   e. Certified nurse practitioner
   ANS: C, D, E
   Although all nurses should function as patient advocates, ―advanced practice nurse‖ is an
   umbrella term for an advanced clinical nurse such as a certified nurse practitioner, clinical
   nurse specialist, certified registered nurse anesthetist, or certified nurse-midwife. A nurse
   administrator is not an example of advanced practice.
   DIF:Understand (comprehension)
   OBJ:Discuss the roles and career opportunities for nurses. TOP: Teaching/Learning MSC:
   Management of Care