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Copyright © 2021 Elsevier Australia. All rights reserved.

Crisp: Potter and Perry’s Fundamentals of Nursing, 6th Edition

Chapter 01: Creating a proactive and dynamic nursing profession

Test Bank

MULTIPLE CHOICE

  • For an individual to become a nurse practitioner, specific preparation is required. The
  • minimum educational requirement for a nurse practitioner is either a specifically identified

alternative pathway for expert clinicians or:

  • a diploma in nursing
  • a baccalaureate in nursing
  • a master’s degree in nursing
  • a doctorate in nursing

ANS: C

A master’s degree in nursing is required for an individual to become a nurse practitioner.

PTS: 1

2. The main aim of continuing education in nursing is:

  • to improve and maintain nursing practice
  • to fulfil professional learning needs
  • to exercise change in the healthcare delivery system
  • All of the above

ANS: D

Continuing education enables nurses to remain current in nursing skills, knowledge and theory.

PTS: 1

  • A nurse is caring for a patient who has chronic renal failure. The patient is very fatigued and
  • has a knowledge deficit related to the dialysis therapy he will perform at home. The nurse states, ‘We will do everything possible to return you to the optimal level of self-care.’ In putting together an approach to best meet the needs of this patient, the nurse is fulfilling the

role of:

  • manager
  • educator
  • counsellor
  • communicator

ANS: A

(Potter and Perry's Fundamentals of Nursing ANZ edition, 6th Edition Jackie Crisp) (Test Bank all Chapters) 1 / 4

Test Bank

Copyright © 2021 Elsevier Australia. All rights reserved.

1-2 The nurse, in caring for this patient, will coordinate the activities of other members of the healthcare team. The help of a nursing assistant may be required to provide personal care until the patient is less fatigued. A nutritionist may be necessary for diet evaluation, planning and teaching. A nurse can provide education on the dialysis therapy and perform the tasks it requires until the patient is able to do so independently.

PTS: 1

  • A registered nurse is seeking certification in a specialty area. To obtain the certification, the

nurse will have to complete:

  • an examination and minimum practice requirements
  • one general examination sat by all nurses seeking certification
  • a graduate degree in nursing
  • a request for state approval

ANS: A

Set minimum practice requirements are based on the certification the nurse is seeking. After passing the initial examination, the nurse maintains certification by ongoing education and clinical or administrative practice.

PTS: 1

  • A registered nurse who has just received their licence is aware of the need to keep up with
  • current knowledge in the field. They recognise that ongoing education is essential for safe practice. In planning to participate in in-service education, the nurse will attend:

  • a workshop given at a nursing convention on malpractice
  • a program on new cardiac medications provided in the hospital where they work
  • credit courses in communication offered at the community college
  • non-credit courses on nursing issues available through the internet

ANS: B

An in-service education program is instruction or training provided by a healthcare agency or institution for its employees.

PTS: 1

  • Development of research and publication, as important nursing roles in the early 20th century,

was fostered by:

  • university-affiliated nursing programs
  • Australian nursing
  • the British tradition of hospital-based nursing
  • New Zealand

ANS: A 2 / 4

Test Bank

Copyright © 2021 Elsevier Australia. All rights reserved.

1-3

University training programs for nurses have fostered research and publication and the development of nursing as a true profession.

PTS: 1

7. A formal treaty recognising Indigenous people’s rights was developed in:

  • New Zealand
  • Australia
  • The Torres Strait Islands
  • Great Britain

ANS: A

New Zealand recognised Indigenous people’s rights in a formal treaty early in the nation’s history. This did not occur in Australia. Poor past relationships in Australia have contributed to the health inequalities existing there today.

PTS: 1

8. In Australia and New Zealand, the highest causes of death are:

  • chronic disease
  • acute illness
  • accidental injuries
  • Mental illnesses

ANS: A

The highest causes of death are chronic disease rather than acute illness. This has completely changed from 100 years ago when acute illness was the predominant cause of death. Chronic diseases, such as cardiovascular disease, diabetes and some cancers, are increasing as a result of changes to our lifestyles. Chronic disease has a profound effect not only on the individual and community, but also on the health system that seeks to resource and manage the illnesses.

PTS: 1

9. A profession’s scope of practice relates to the:

  • growing burden on governments being driven by increasing community expectations
  • full spectrum of roles and responsibilities that individuals within that profession are
  • authorised to perform

  • potential of the profession to respond to increasingly complex needs, particularly those
  • associated with an ageing population

  • demands by consumers, governments and health service providers with evidence-based
  • models for practice across a range of settings

ANS: B 3 / 4

Test Bank

Copyright © 2021 Elsevier Australia. All rights reserved.

1-4

A profession’s scope of practice is the full spectrum of roles, functions, responsibilities, activities and decision-making capacity that individuals within that profession are educated, competent and authorised to perform, and is determined by the profession itself.

PTS: 1

10. Increasing capability of the RN will be aligned to:

  • Baker’s model
  • Bennett’s model
  • Benner’s model
  • Barker’s model

ANS: C

Increasing capability of the RN will be aligned to Benner’s novice to expert model. Benner’s model describes five levels of nursing capability and capacity and states that nursing skills increase and develop over time, depending on experience and education.

PTS: 1

11. A barrier to achieving efficiency and effectiveness in nursing practice is:

  • Standards, codes and guidelines for practice
  • inappropriate supervision and support
  • understanding of the role of the registered nurse
  • all of the above

ANS: B

Certain factors on the practice pathway can enable or restrict the RN in performing to their full scope of practice. Barriers to achieving efficiency and effectiveness in nursing practice include: outdated local policies and guidelines; restricted autonomy and clinical decision-making; outdated models of healthcare delivery; inappropriate supervision and support; reduced capability: obstructions on Benner’s practice pathway; limited support for clinical knowledge, research and evidence-based practice development; and misunderstanding of the role of the RN.

PTS: 1

  • An enabler to achieving efficiency and effectiveness in nursing practice is:
  • Standards, codes and guidelines for practice
  • context of practice
  • supervision and support
  • all of the above

ANS: D

  • / 4

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