Test Bank for Canadian Fundamentals of Nursing, 6th Edition Potter
Chapter 1, Introduction to Nursing An oncology nurse with 15 years of experience,
... [Show More] 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 specialis t B) Nurse entrepreneur C) D) Nurse educator Ans A :
Nurse practitioner 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
2.
establish and carry out a 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 Performance C) Evidence-based practice guidelines D) Nurse Practice Acts
1 | P a g eAns
:
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
3.
determine whether an action is within the scope of nursing practice?
American Nurses Association ( ANA )
American Association of Colleges in Nursing (AACN)
National League for Nursing ( NLN )
D) International Council of Nurses ( ICN )
Ans A
A)
B)
C)
:
Feedback:
The ANA produces the 2003 Nursing: Scope and Standards ofPractice, 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.
A) Florence Nightingale
B) Clara Barto n
C) Dorothea Dix
D) Jane Addams
Ans: B
Which of the following nursing pioneers established the Red Cross in the United States in
1882?
3 | P a g eFeedback:
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
6. Syndrome. The nurse 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 tofacilitate the functions of all members of the health care team as they provide patient
care.
7. A nurse is providing nursing care in a neighborhood clinic to single, pregnant teens. Which
of the following actions is 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.
8. A nurse instructor explains the concept of health to her students. Which of the following
statements accurately describes 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
:
5 | P a g e
AFeedback:
Health is a state of optimal functioning or well-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.
9. A nurse incorporates the health promotion guidelines established by the U.S. Department of
Health document: Healthy 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
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.
strong
service11. After graduation from an accredited program in nursing and successfully passing the NCLEX,
what gives the nurse a 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.
12. 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 practice nursing?
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.
7 | P a g e13. While providing care to the diabetic patient the nurse determines that the patient has a
knowledge deficit regarding 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.
14. 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 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.
15. A nurse is caring for a client with quadriplegia who is fully conscious and able to
communicate.
What skills of the nurse would be the most important for this client?
A) Comforting
B) Assessment
C) Counseling
Ans: D
Caring
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.
D)
9 | P a g e16. A nurse is assigned the care of a client who has been admitted to the health care facility
with high fever. Which nursing skill should be put into practice at the first contact with the
A)
B)
C)
D) Counseling
Ans: A
client? Assessment
Caring
Comforting
Feedback:
On admission of the client to a health care facility, the nurse would be required to conduct
an initial assessment of the client. Therefore, the nurse would implement his or her nursing
skills in this case. This can be done by interviewing, observing, and examining the client.
Caring skills are put into practice once the nursing needs are determined.
Comforting and counseling skills may not have a major role in assessing client problems.
17. A nurse is caring for a client with a hernia. Which of the following statements should the
nurse use while counseling the client about his condition?
A) ―Open hernioplasty is the best surgery for you.‖
B)
C)
D)
―Open and laparoscopic hernioplasty are available.‖
―You are not a suitable candidate for hernioplasty.‖
―I had a bad experience when I underwent hernioplasty.‖
Ans: B
Feedback:
A counselor should provide the client with unbiased information from which to choose.
Therefore, the statement that ―Open and laparoscopic hernioplasty are available‖ should
be used by the nurse when counseling a client with hernia. The nurse should, however,
refrain from giving a personal opinion, so it should not be mentioned which surgery is bestfor the client; likewise, the nurse should not bring up his or her own past experiences. By
reserving personal opinions, a nurse promotes the right of every person to make his or her
own decisions and choices on matters affecting health and illness care. Telling the client
about his suitability to surgery or the best surgery for him may be biased from the
experiences of the past.
18. A registered nurse assigns the task of tracheostomy suctioning of a client to the LPN. The
LPN informs the nurse that she has never done the procedure practically on a client. What
should be the most appropriate response from the registered nurse?
A) ―You are through with your theory class, so you should know.‖
B) ―Take the help of the nurse who knows to perform the procedure.‖
C) ―Take the help of the procedure manual and act accordingly.‖
D) ―I will help you in performing the procedure on the
client.‖
Ans
:
D
Feedback:
Although the registered nurse has assigned the task to
the the registered nurse. The registered nurse is
answerable for
LPN, the overall responsibility lies with
the client‘s care, not the LPN. Telling
the LPN that she should know the procedure because
it is t theory into application would require
supervision. Asking perform the procedure is
incorrect because the LPN may c
confident about the procedure and therefore should
not be another nurse who knows the procedure.
aught in class is inappropriate;
putting
the LPN to refer to the manual and
ommit mistakes. The LPN is not
asked to do the task alone or with
19. A nurse at a health care facility provides information,
assis
tance, and encouragement to clients
during the various phases of nursing care. In which of
the f counseling skills?
A) Educating a group of young girls about AIDS
B) Telling a client to localize the pain in his abdomen
C) Encouraging a client to walk without support
D) Assisting a lactating mother in feeding her child
ollowing activities does the nurse use
11 | P a g eAns: A
Feedback:
The activity of educating a group of young girls about AIDS is based on the nurse using
counseling skills. Telling a client to localize his pain is an assessment skill. Encouraging a
client to walk without support can be both a comforting skill and a caring skill. Assisting a
lactating mother in feeding her baby is an example of a caring skill.
20. A student wants to join a nursing program that provides flexibility in working at both staff
and managerial positions. Which nursing program should the nurse suggest for this student?
A) Hospital-based diplomas
B) Baccalaureate
nursing
programs
C) Associate degree programs
D) Continuing nursing programs
Ans
:
B
Feedback:
The student could opt for a baccalaureate nursing program. Baccalaureate-prepared nurses
have the greatest flexibility in qualifying for nursing positions at both staff and managerial
levels.
Hospital-based diploma programs are three-year courses and provide maximum exposure
to clinical nursing. Students becoming nurses through the associate degree program would
not be expected to work in a management position. Continuing nursing programs are on-
the-job educational programs.
21. Training schools for nurses were established in the United States after the Civil War. The
standards of U.S. schools deviated from those of the Nightingale paradigm. Which of the
following statements is true about U.S. training schools?
A) Training schools were affiliated with a few select hospitals.
B) Training of nurses provided no financial advantages to the hospital.
C) Training was formal, based on nursing care.
D) Training schools eliminated the need to pay
employees.Ans
:
D
Feedback:
Training schools in the U.S. profited by eliminating the need to pay employees because
students worked without pay in return for training, which usually consisted of chores. U.S.
training schools were established by any hospital; there was no formal training. Training
was an outcome of work, which eliminated the need to pay employees. Nightingale training
schools were affiliated with a few select hospitals, training of nurses provided no financial
advantages to the hospital, and the training was formal, based on nursing care.
22. A student has completed a nursing program accredited by the Commission on Collegiate
Nursing Education. Which of the following is true about the organization?
A) It fosters continued improvement in nursing education
programs.
B) Accreditation is by governmental peer review process.
C) It ensures the quality and integrity of diploma nursing programs.
D) It uses state-recognized standards to evaluate the programs.
Ans: A
Feedback:
The Commission on Collegiate Nursing Education fosters continued improvement in nursing
education programs. Accreditation is by nongovernmental, peer review process. It ensures
the quality and integrity of baccalaureate and graduate nursing programs, not diploma
nursing programs. It uses nationally-recognized, not state-recognized, standards to evaluate
the programs.
23. A registered nurse adheres to the American Nurses Association‘s standard of professional
performance by engaging in which of the following?
A) Assessment
B) Diagnosis
C) Evaluation
D) Collaboration Ans: D
Feedback:
13 | P a g eCollaboration is designated in ANA‘s standard of professional performance. Assessment,
diagnosis, and evaluation are not designated in ANA‘s standard of professional
performance. They are professional nursing responsibilities designated in ANA‘s standard
of care list.
24. During the clinical rotation, a nurse documents the vital signs of a client on the bedside
chart. What role is the nurse playing in such a situation?
A) Decision maker
B) Communicator
C) Coordinator
D) Client advocate
Ans: BFeedback:
The nurse is providing, in written form, the client‘s vital signs to the health care provider
checking the bedside chart during his or her clinical rounds, so the nurse acts as a
communicator. The nurse is not making any decisions here, so the role is not that of a
decision maker. The nurse is not playing the role of a coordinator or a client advocate. When
the nurse coordinates services offered by a variety of health care professionals, the nurse
acts as a coordinator. As a client advocate, the nurse should protect the client, understanding
the client‘s needs and concerns.
25. A licensed practice nurse (LPN) is working as a staff nurse. What role do the LPNs working
as staff nurses play?
A) Work only in long-term care facilities and at client‘s homes
B) Provide direct nursing care to the clients in the health care
facility
C) Work only as care providers, team members, and communicators
D) Supervise the work of charge nurses working in different units
Ans
:
B
Feedback:
LPNs working as staff nurses provide direct nursing care to the clients in the health care
facility.
Staff nurses may work in hospitals, the community, clinics, long-term care facilities, or
homes.
They work not only as care providers, team
members, and communicators but also as decision makers, client advocates, and educators.
They do not supervise the work of charge nurses working in different units. Their work is
coordinated by the charge nurse or the team leader.
15 | P a g e26. A)
B) C) D)
The Nurse Corps of the United States Army was established by whom?
Dorothea Dix
Lillian Wald
Florence Nightingale Isabel Hampton Robb
Ans: A Feedback: Dorothea Dix established the Nurse Corps of the United States Army.
27. The director of nursing (DON) of a major hospital is seeking to hire a nurse with a strong technical background to care for patients on a busy surgical unit. The DON is most likely going to hire a nurse prepared at which level of nursing?
A) Doctoral level B) Master‘s level C) Baccalaureate level
D) Associate level
Ans: D Feedback:
The ANA‘s 1965 resolution prompted the 1985 ANA statement adopting the titles of associate nurse (a nurse prepared in an associate degree program with an emphasis on technical practice) and professional nurse (a nurse possessing the baccalaureate degree in nursing) for these two levels. Master‘s and doctoral prepared nurses possess higher degrees and expertise.
28. A student is choosing her educational path and desires a nursing degree with a track that contains community nursing and leadership, as well as liberal arts. The student would best be suited in which type of program?
A) Licensed practical nursing program [Show Less]