Chapter 01 question 1 Type: SEQ The nurse is reviewing historic events in nursing for a presentation to be provided to new nursing students. In which
... [Show More] chronological order should the nurse present these events? Begin with the earliest (1) and end 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. Cognitive Level: Application Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.C. 3. Value the perspectives and expertise of all health team members
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AACN Essentials Competencies: I. 9. Value the ideal of lifelong learning to support excellence in nursing practice NLN Competencies: Knowledge and Science; Knowledge; The state of science in nursing Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 1. Discuss historical factors and nursing leaders, female and male, influencing the development of nursing. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 3 Question 2 Type: MCSA The nurse is caring for a nurse who provided care to soldiers during the Vietnam War. What information in this patient’s history should the nurse use to understand the patient’s nursing career? 1. The patient was still a student when serving in the war. 2. The patient’s first patient care experiences were during a time of war. 3. The patient decided to leave the profession after serving in the war. 4. The patient contracted long-term illnesses from being overseas in a war. Correct Answer: 2 Rationale 1: During the Vietnam War, approximately 11,000 American military women stationed in Vietnam were nurses. Most of them volunteered to go to Vietnam right after they graduated from nursing school, making them the youngest group of medical personnel ever to serve in wartime. Rationale 2: During the Vietnam War, approximately 11,000 American military women stationed in Vietnam were nurses. Most of them volunteered to go to Vietnam right after they graduated from nursing school, making them the youngest group of medical personnel ever to serve in wartime. Rationale 3: During the Vietnam War, approximately 11,000 American military women stationed in Vietnam were nurses. Most of them volunteered to go to Vietnam right after they graduated from nursing school, making them the youngest group of medical personnel ever to serve in wartime. There is no evidence that the patient did not continue in the role of a nurse after the war. Rationale 4: During the Vietnam War, approximately 11,000 American military women stationed in Vietnam were nurses. Most of them volunteered to go to Vietnam right after they graduated from nursing school, making them the youngest group of medical personnel ever to serve in wartime. There is no evidence that the patient contracted long-term illnesses from serving in the war.
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. Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.C. 3. Value the perspectives and expertise of all health team members AACN Essentials Competencies: I. 9. Value the ideal of lifelong learning to support excellence in nursing practice NLN Competencies: Knowledge and Science; Knowledge; The state of science in nursing Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 1. Discuss historical factors and nursing leaders, female and male, influencing the development of nursing. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 4 Question 3 Type: MCSA The nurse is reviewing public health and health promotion roles for available for nurses. To which leader should the nurse attribute the development of these roles? 1. Clara Barton 2. Lillian Wald 3. Mary Brewster 4. Florence Nightingale Correct Answer: 4 Rationale 1: Florence Nightingale’s 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
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services to the poor in the New York slums and developed the Visiting Nurse Service, along with the Henry Street Settlement.
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Rationale 2: Florence Nightingale’s 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 Nightingale’s 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 Nightingale’s 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. Cognitive Level: Analyzing Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.C. 3. Value the perspectives and expertise of all health team members AACN Essentials Competencies: I. 9. Value the ideal of lifelong learning to support excellence in nursing practice NLN Competencies: Knowledge and Science; Knowledge; The state of science in nursing Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 1. Discuss historical factors and nursing leaders, female and male, influencing the development of nursing. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 6 Question 4
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Type: MCSA The nurse has been asked to participate on the hospital’s Shared Governance Committee. To which nurse leader should the nurse attribute the ability for nurses to control the 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 women’s 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. Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.C. 3. Value the perspectives and expertise of all health team members AACN Essentials Competencies: I. 9. Value the ideal of lifelong learning to support excellence in nursing practice NLN Competencies: Knowledge and Science; Knowledge; The state of science in nursing Nursing/Integrated Concepts: Nursing Process: Diagnosis Learning Outcome: 1. Discuss historical factors and nursing leaders, female and male, influencing the development of nursing. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 7 Question 5
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Type: MCSA While a nurse is conducting a health assessment, the individual asks why the term “patient” is being used. What should the nurse explain about the implication of the term “patient”? 1. The person is seeking assistance because of illness. 2. The individual is proactive in his or her health care needs. 3. The person is a collaborator in his or her care. 4. The individual is 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 wordpatient implies passive acceptance of the decisions and care of health professionals, which would be opposite of being proactive in one’s 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 wordpatient implies passive acceptance of the decisions and care of health professionals, which would be opposite of being proactive in one’s 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 wordpatient implies passive acceptance of the decisions and care of health professionals, which would be opposite of being proactive in one’s 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 wordpatient implies passive acceptance of the decisions and care of health professionals, which would be opposite of being proactive in one’s 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. Cognitive Level: Applying Client Need: Safe and Effective Care Environment
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Client Need Sub: Management of Care QSEN Competencies: II.C. 3. Value the perspectives and expertise of all health team members AACN Essentials Competencies: I. 9. Value the ideal of lifelong learning to support excellence in nursing practice NLN Competencies: Knowledge and Science; Knowledge; The state of science in nursing Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 5. Describe how the definition of nursing has evolved since Florence Nightingale. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 13 Question 6 Type: MCSA The nurse is creating a community education program on health promotion and wellness. Which topic should the nurse use for this program? 1. Prenatal and infant care 2. Prevention of sexually transmitted disease 3. Exercise class for clients who have had a stroke 4. 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
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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. Cognitive Level: Applying Client Need: Health Promotion and Maintenance Client Need Sub: QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care AACN Essentials Competencies: VII. 5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral and follow-up throughout the lifespan NLN Competencies: Context and Environment; Practice; apply health promotion/disease prevention strategies; apply health policy Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 9. Describe the expanded career roles of nurses and their functions.. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 14
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Question 7 Type: MCSA The nurse is offering free occult blood screening at a community health fair. Which level of practice is the nurse providing? 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. Cognitive Level: Analyzing Client Need: Health Promotion and Maintenance Client Need Sub: QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care AACN Essentials Competencies: VII. 5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral and follow-up throughout the lifespan
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NLN Competencies: Context and Environment; Practice; apply health promotion/disease prevention strategies; apply health policy Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 8. Describe the roles of nurses. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 14 Question 8 Type: MCSA The nurse has starting working in a state other than the one in which the nursing education program was located. Which of the following should the 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 state’s 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 state’s 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 state’s 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 state’s nurse practice act, as it governs their practice. The ANA is the professional organization of nursing, the
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NLN is responsible for accrediting schools of nursing, and the NCSBN handles licensure of professional nurses. Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.A. 2. Describe scopes of practice and roles of health care team members AACN Essentials Competencies: V. 5. Describe state and national statues, rules and regulations that authorize and define professional nursing practice NLN Competencies: Context and Environment; Knowledge; scope of practice considerations Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 7. Identify the purposes of nurse practice acts and standards of professional nursing practice. MNL Learning Outcome: 1.1.2. Examine the impact the legal aspects of nursing have on practice. Page Number: 15 Question 9 Type: MCSA A seasoned nurse is a mentor for a new graduate. Which of the standards of professional performance is the seasoned nurse practicing? 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 one’s 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.
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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 one’s 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 one’s 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 one’s own nursing practice and professional practice standards. Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.A. 2. Describe scopes of practice and roles of health care team members AACN Essentials Competencies: V. 5. Describe state and national statues, rules and regulations that authorize and define professional nursing practice NLN Competencies: Context and Environment; Knowledge; Code of Ethics; regulatory and professional standards Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 10. Discuss the criteria of a profession and the professionalization of nursing. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 18 Question 10 Type: MCSA The nurse ensures that a patient is covered during a bath. In which nursing role is the nurse functioning? 1. Caregiver 2. Communicator 3. Teacher
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4. Client advocate Correct Answer: 1 Rationale 1: The caregiver role includes those activities that assist the client physically and psychologically while preserving the client’s 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 client’s 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 client’s 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 client’s 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. Cognitive Level: Analyzing Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.A. 2. Describe scopes of practice and roles of health care team members AACN Essentials Competencies: V. 5. Describe state and national statues, rules and regulations that authorize and define professional nursing practice NLN Competencies: Context and Environment; Knowledge; Code of Ethics; regulatory and professional standards Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 8. Describe the roles of nurses. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. [Show Less]