Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank Professional Nursing

Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank Professional Nursing

Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank Professional Nursing

Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank Professional Nursing 1 (Youngstown State University) Chapter 1 Introduction to Nursing Chapter 2 Theory, Research, and Evidence- Based Practice Chapter 3 Health, Illness, and Disparities Chapter 4 Health of the Individual, Family, and Community Chapter 5 Cultural Diversity Chapter 6 Values, Ethics, and Advocacy Chapter 7 Legal Dimensions of Nursing Practice Chapter 8 Communication Chapter 9 Teaching and Counseling Chapter 10 Leading, Managing and Care Delegating Chapter 11 the Health Care Delivery System Chapter 12 Collaborative Practice and Care Coordination Across Settings Chapter 13 Blended Competencies Chapter 14 Assessing Chapter 15 Diagnosing Chapter 16 Outcome Identification and Planning Chapter 17 Implementing Chapter 18 Evaluating Chapter 19 Documenting, Reporting, Conferring Chapter 20 Informatics Chapter 21 Developing Concepts Chapter 22 Conception Through Young Adult Chapter 23 the Aging Adult Chapter 24 Asepsis and Infection Control Chapter 25 Vital Signs Chapter 26 Health Assessment Chapter 27 Safety, Security, and Emergency Preparedness Chapter 28 Complementary and Integrative Health Chapter 29 Medications Chapter 30 Perioperative Nursing Chapter 31 Hygiene Chapter 32 Skin Integrity and Wound Care Chapter 33 Activity Chapter 34 Rest and Sleep Chapter 35 Comfort and Pain Management Chapter 36 Nutrition Chapter 37 Urinary Elimination Chapter 38 Bowel Elimination Chapter 39 Oxygenation and Perfusion Chapter 40 Fluid, Electrolyte, and Acid- Base Balance Chapter 41 Self-Concept Chapter 42 Stress and Adaptation Chapter 43 Loss, Grief, and Dying Chapter 44 Sensory Functioning Chapter 45 Sexuality Chapter 46 Spirituality Chapter 1, Introduction to Nursing An oncology nurse with 15 years of experience, 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 specialist B) Nurse entrepreneur C) Nurse practitioner D) Nurse educator Ans: A 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 establish and carry out a 2. plan of care to meet those needs, and to evaluate the effectiveness of theplan to meet established outcomes? A) Nursing process B) ANA Standards of Professional Performance C) Evidence-based practice guidelines D) Nurse Practice Acts Ans: 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 determine whether an 3. action is within the scope of nursing practice? A) American Nurses Association (ANA) B) American Association of Colleges in Nursing (AACN) C) National League for Nursing (NLN) D) International Council of Nurses (ICN) Ans: A Feedback: The ANA produces the2003 Nursing: Scope and Standards of Practice, which defines the activities specific and unique to nursing. the AACN addresses educational standards, while the NLN promotes and fosters various aspects of nursing. WWW.ANSWERDONE.COM 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 thefounder of professional nursing. She elevated thestatus of nursing to a respected occupation, improved thequality of nursing care, and founded modern nursing education. Although theother choices are women who were important to thedevelopment of nursing, none of them is considered thefounder. 5. Which of the following nursing pioneers established theRed Cross in theUnited States in 1882? A) Florence Nightingale B) Clara Barton C) Dorothea Dix D) Jane Addams Ans: B Feedback: Clara Barton volunteered to care for wounds and feed union soldiers during thecivil war, served as thesupervisor of nurses for the Army of theJames, organized hospitals and nurses, and established theRed Cross in theUnited States in 1882. A nurse practitioner is caring for a couple who are theparents of an infant diagnosed with Down Syndrome. thenurse 6. makes referrals for a parent support group for thefamily. 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. theteacher/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. thecollaborator uses skills in organization, communication, and advocacy to facilitate thefunctions of all members of the health care team as they provide patient care. A nurse is providing nursing care in a neighborhood clinic to single, pregnant teens. Which of thefollowing actions is 7. the best example of using thecounselor role as a nurse? WWW.ANSWERDONE.COM A) Discussing thelegal aspects of adoption for teens wishing to place their infants with a family B) Searching theInternet for information on child care for theteens who wish to return to school C) Conducting a client interview and documenting theinformation on theclient’s chart D) Referring a teen who admits having suicidal thoughts to a mental health care specialist Ans: D Feedback: The role of thecounselor includes making appropriate referrals. Discussing legal issues is therole of theadvocate and searching for information on theInternet is therole of a researcher. Conducting a client interview would fall under therole of thecaregiver. A nurse instructor explains theconcept of health to her students. Which of thefollowing statements accurately describes 8. 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 thepatient. Ans: A Feedback: Health is a state of optimal functioning or well-being. As defined by theWorld Health Organization, one’s health includes physical, social, and mental components and is not merely theabsence 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. A nurse incorporates thehealth promotion guidelines established by theU.S. Department of Health document: Healthy 9. People 2010. Which of thefollowing 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 thefollowing is a criteria that defines nursing as profession? A) an undefined body of knowledge B) a dependence on themedical profession C) an ability to diagnose medical problems D) a strong service orientation WWW.ANSWERDONE.COM Ans: D Feedback: Nursing is recognized increasingly as a profession based on thefollowing 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. After graduation from an accredited program in nursing and successfully passing theNCLEX, what gives thenurse a 11. legal right to practice? A) Enrolling in an advanced degree program B) Filing NCLEX results in thecounty of residence C) Being licensed by theState Board of Nursing D) Having a signed letter confirming graduation Ans: C Feedback: The Board of Nursing in each state has thelegal authority to allow graduates of approved schools of nursing to take thelicensing examination. Those who successfully meet therequirements for licensure are given a license to practice nursing in thestate. It is illegal to practice nursing without a license issued by theState Board of Nursing. A nurse does not have thelegal right to practice nursing by enrolling in an advanced degree program, filing NCLEX results, or having a letter confirming graduation. A health care facility determined that a nurse employed on a medical unit was documenting care that was not being given, and subsequently reported theaction to theState Board of Nursing. How might this affect thenurse’s license to 12. practice nursing? A) It will have no effect on theability 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 theright 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 thelegal right to practice nursing, does not allow thenurse to practice at a lower level, and is not attached to thelicense. While providing care to thediabetic patient thenurse determines that thepatient has a knowledge deficit regarding 13. insulin administration. This nursing action is described in which phase of thenursing process? A) evaluation B) implementation C) planning D) nursing diagnosis Ans: D WWW.ANSWERDONE.COM Feedback: Nursing focuses on human responses to actual or potential health problems. Identifying theproblems occur in thenursing diagnosis phase. Mutually establishing expected outcomes with thepatient occurs in theplanning phase. Implementation of theindividualized interventions, and evaluation of outcomes are also phases in thenursing process. A nurse is caring for a client who is a chronic alcoholic. thenurse educates theclient about theharmful effects of alcohol and educates thefamily on how to cope with theclient and his alcohol addiction. Which of thefollowing skills is 14. 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 theharmful effects of alcohol. thenurse can also suggest rehabilitative care for theclient. 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 theactive listening and interaction between theclient and thecounselor. A nurse is caring for a client with quadriplegia who is fully conscious and able to communicate. What skills of thenurse 15. would be themost important for this client? A) Comforting B) Assessment C) Counseling D) Caring Ans: D Feedback: The client needs assistance in performing activities of daily life. This would require implementation of caring skills from thenurse. Comforting, counseling, and assessment skills are also required, but thepriority is thecaring skill. Comforting skills involve providing safety and security to theclient, whereas counseling skills are implemented while providing health education and emotional support. Assessment skills would be required when collecting data from theclient. A nurse is assigned thecare of a client who has been admitted to thehealth care facility with high fever. Which nursing 16. skill should be put into practice at thefirst contact with theclient? A) Assessment B) Caring C) Comforting D) Counseling Ans: A Feedback: On admission of theclient to a health care facility, thenurse would be required to conduct an initial assessment of theclient. Therefore, thenurse would implement his or her nursing skills in this case. This can be done by interviewing, observing, and examining theclient. Caring skills are put into practice once thenursing needs are determined. Comforting and counseling skills may not have a major role in assessing client problems. A nurse is caring for a client with a hernia. Which of thefollowing statements should thenurse use while counseling the 17. client about his condition? A) “Open hernioplasty is thebest surgery for you.” B) “Open and laparoscopic hernioplasty are available.” C) “You are not a suitable candidate for hernioplasty.” D) “I had a bad experience when I underwent hernioplasty.” Ans: B Feedback: A counselor should provide theclient with unbiased information from which to choose. Therefore, thestatement that “Open and laparoscopic hernioplasty are available” should be used by thenurse when counseling a client with hernia. thenurse should, however, refrain from giving a personal opinion, so it should not be mentioned which surgery is best for theclient; likewise, thenurse should not bring up his or her own past experiences. By reserving personal opinions, a nurse promotes theright of every person to make his or her own decisions and choices on matters affecting health and illness care. Telling theclient about his suitability to surgery or thebest surgery for him may be biased from theexperiences of thepast. A registered nurse assigns thetask of tracheostomy suctioning of a client to theLPN. theLPN informs thenurse that she has never done theprocedure practically on a client. What should be themost appropriate response from the 18. registered nurse? A) “You are through with your theory class, so you should know.” B) “Take thehelp of thenurse who knows to perform theprocedure.” C) “Take thehelp of theprocedure manual and act accordingly.” D) “I will help you in performing theprocedure on theclient.” Ans: D Feedback: Although theregistered nurse has assigned thetask to theLPN, theoverall responsibility lies with theregistered nurse. theregistered nurse is answerable for theclient’s care, not theLPN. Telling theLPN that she should know the procedure because it is taught in class is inappropriate; putting theory into application would require supervision. Asking theLPN to refer to themanual and perform theprocedure is incorrect because theLPN may commit mistakes. theLPN is not confident about theprocedure and therefore should not be asked to do thetask alone or with another nurse who knows theprocedure. A nurse at a health care facility provides information, assistance, and encouragement to clients during thevarious phases 19. of nursing care. In which of thefollowing activities does thenurse use counseling skills? A) Educating a group of young girls about AIDS B) Telling a client to localize thepain in his abdomen C) Encouraging a client to walk without support D) Assisting a lactating mother in feeding her child WWW.ANSWERDONE.COM Ans: A Feedback: The activity of educating a group of young girls about AIDS is based on thenurse 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. A student wants to join a nursing program that provides flexibility in working at both staff and managerial positions. 20. Which nursing program should thenurse 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 thegreatest 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 theassociate degree program would not be expected to work in a management position. Continuing nursing programs are on-the-job educational programs. Training schools for nurses were established in theUnited States after theCivil War. thestandards of U.S. schools 21. deviated from those of theNightingale paradigm. Which of thefollowing 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 thehospital. C) Training was formal, based on nursing care. D) Training schools eliminated theneed to pay employees. Ans: D Feedback: Training schools in theU.S. profited by eliminating theneed 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 theneed to pay employees. Nightingale training schools were affiliated with a few select hospitals, training of nurses provided no financial advantages to thehospital, and thetraining was formal, based on nursing care. A student has completed a nursing program accredited by theCommission on Collegiate Nursing Education. Which of 22. the following is true about theorganization? A) It fosters continued improvement in nursing education programs. B) Accreditation is by governmental peer review process. C) It ensures thequality and integrity of diploma nursing programs. D) It uses state-recognized standards to evaluate theprograms. Ans: A WWW.ANSWERDONE.COM Feedback: The Commission on Collegiate Nursing Education fosters continued improvement in nursing education programs. Accreditation is by nongovernmental, peer review process. It ensures thequality and integrity of baccalaureate and graduate nursing programs, not diploma nursing programs. It uses nationally-recognized, not state-recognized, standards to evaluate theprograms. A registered nurse adheres to theAmerican Nurses Association’s standard of professional performance by engaging in 23. which of thefollowing? A) Assessment B) Diagnosis C) Evaluation D) Collaboration Ans: D Feedback: Collaboration 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. During theclinical rotation, a nurse documents thevital signs of a client on thebedside chart. What role is thenurse 24. playing in such a situation? A) Decision maker B) Communicator C) Coordinator D) Client advocate Ans: B Feedback: The nurse is providing, in written form, theclient’s vital signs to thehealth care provider checking thebedside chart during his or her clinical rounds, so thenurse acts as a communicator. thenurse is not making any decisions here, so therole is not that of a decision maker. thenurse is not playing therole of a coordinator or a client advocate. When the nurse coordinates services offered by a variety of health care professionals, thenurse acts as a coordinator. As a client advocate, thenurse should protect theclient, understanding theclient’s needs and concerns. 25. A licensed practice nurse (LPN) is working as a staff nurse. What role do theLPNs working as staff nurses play? A) Work only in long-term care facilities and at client’s homes B) Provide direct nursing care to theclients in thehealth care facility C) Work only as care providers, team members, and communicators D) Supervise thework of charge nurses working in different units Ans: B Feedback: LPNs working as staff nurses provide direct nursing care to theclients in thehealth care facility. Staff nurses may work in hospitals, thecommunity, 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 thework of charge nurses working in different units. Their work is coordinated by thecharge nurse or theteam leader. 26. The Nurse Corps of theUnited States Army was established by whom? A) Dorothea Dix B) Lillian Wald C) Florence Nightingale D) Isabel Hampton Robb Ans: A Feedback: Dorothea Dix established theNurse Corps of theUnited States Army. The director of nursing (DON) of a major hospital is seeking to hire a nurse with a strong technical background to care 27. for patients on a busy surgical unit. theDON 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 the1985 ANA statement adopting thetitles of associate nurse (a nurse prepared in an associate degree program with an emphasis on technical practice) and professional nurse (a nurse possessing thebaccalaureate degree in nursing) for these two levels. Master’s and doctoral prepared nurses possess higher degrees and expertise. A student is choosing her educational path and desires a nursing degree with a track that contains community nursing 28. and leadership, as well as liberal arts. thestudent would best be suited in which type of program? A) Licensed practical nursing program B) Certification in a nursing specialty C) Diploma nursing program D) Baccalaureate program Ans: D Feedback: The baccalaureate degree in nursing offers students a full college or university education with a background in theliberal arts. A nurse is caring for a young victim of a terrorist attack. During therehabilitative process, thenurse assists theclient in 29. bathing and dressing. What role thenurse is engaged in? A) Advocate B) Caregiver C) Counselor D) Educator Ans: B Feedback: As providers of care, nurses assume responsibility for helping clients promote, restore, and maintain health and wellness. Communicating theclient’s needs and concerns, and protecting theclient’s rights are components of theadvocacy role of nursing. thenurse is simply assisting in hygiene measures; no education or counseling is being provided. A nurse receives an x-ray report on a newly admitted patient suspected of having a fractured tibia. thenurse contacts 30. the physician to report thefindings. What role is thenurse engaged in? A) Communicator B) Advocate C) Caregiver D) Researcher Ans: A Feedback: Nurses are communicators when they report findings to thehealth care team. Advocacy involves actions such as protecting thepatient’s safety or rights. Administering care measures directly to thepatient demonstrates thecaregiver role. Research involves collecting and analyzing data. 31. The client’s plan of care is created by thenurse using which guideline for nursing practice? A) Nursing process B) Nursing’s Social Policy Statement C) Nurse practice act D) ANA Standards of Nursing Practice Ans: A Feedback: Nursing process is used by nurses to identify theclient’s strengths, limitations, and health care needs; to formulate a plan of care to address thehealth care needs; to plan and implement a plan of care to meet those health care needs; and to evaluate theeffectiveness of theplan to achieve established outcomes. theANA Standards of Nursing Practice defines theactivities of nurses that are specific and unique to nursing. Nurse practice acts are laws established by each state to regulate thepractice of nursing. Nursing’s Social Policy Statement describes thevalues and social responsibility of nursing, provides a definition and scope of practice for nursing and nursing’s knowledge base, including themethods by which nursing is regulated. The nurse is administering immunizations to a group of teens in a county health clinic. thenurse correctly identifies this 32. action as: A) Illness prevention B) Restorative care C) Treatment of disease D) Supportive nursing care WWW.ANSWERDONE.COM Ans: A Feedback: The aim of illness prevention activities is to reduce therisk for illness, to promote good health habits, and to maintain optimal functioning. Immunization administration is an example of illness prevention. Assisting with crutch walking, and teaching medication administration would be examples of health restoration activities. Administering antibiotics to a patient to treat an infection would be an example of treatment of disease. Hospice care is an example of supportive care. Which nursing role is thenurse exhibiting when collecting data about thenumber of urinary tract infections on the 33. nursing unit? A) Advocate B) Leader C) Counselor D) Researcher Ans: D Feedback: Data collection is part of theresearch process. As an advocate, thenurse would implement actions to protect therights of theclient. Counseling involves theuse of therapeutic, interpersonal communication skills to provide information, make appropriate referrals, and facilitate client problem-solving and decision-making skills. A nurse leader is assertive and self-confident when providing care, effecting change, and functioning within groups. A client reports to theemergency department with ankle pain from a minor road accident. thenurse asks theclient to fully describe thecircumstances of theaccident. Which ANA standard of nursing practice is best demonstrated by the 34. nurse’s action? A) Assessment B) Diagnosis C) Ethics D) Caring Ans: A Feedback: According to theANA Standard I, theregistered nurse collects comprehensive data pertinent to theclient’s health or thesituation. Standard 2 – Diagnosis is Standard 2, which occurs when theregistered nurse analyzes theassessment data to determine thediagnoses or issues pertaining to theclient. Standard 7 – Ethics pertains to theethical guidelines of nursing practice. Caring, although an essential part of nursing practice, is not considered an ANA Standard. Organize these events in chronological order, beginning with theearliest (1) and ending with themost recent (5). 1) During theCrusades, religious orders provided nursing care to thesick. 2) Florence Nightingale administered care to British soldiers during theCrimean War. 3) Clara Barton organized theAmerican Red Cross. 4) Mary Elizabeth Mahoney graduated from theNew England Hospital for Women and Children in 1879 as America’s first African American nurse. 35. WWW.ANSWERDONE.COM 5) Margaret Sanger advocated for contraception and family planning in theUnited States. A) 1, 2, 3, 4, 5 B) 1, 2, 4, 3, 5 C) 1, 2, 4, 5, 3 D) 1, 2, 3, 5, 4 E) 2, 1, 4, 3, 5 Ans: A Feedback: The correct order of these events is (1) during theCrusades, religious orders provided nursing care to thesick; (2) Florence Nightingale administered care to British soldiers during theCrimean War; (3) Clara Barton organized theAmerican Red Cross; (4) Mary Elizabeth Mahoney graduated from theNew England Hospital for Women and Children in 1879 as America’s first African American nurse; and (5) Margaret Sanger advocated for contraception and family planning in theUnited States. Chapter 2, Theory, Research, and Evidence- Based Practice After reviewing several research articles, theclinical nurse specialist on a medical surgical unit rewrites theprocedure 1. on assessing placement of a nasogastric tube. What source of nursing knowledge did thenurse use in this situation? A) Scientific knowledge B) Traditional knowledge C) Authoritative knowledge D) Philosophical knowledge Ans: A Feedback: The clinical nurse specialist utilized scientific knowledge, which is gained through theresearch-based scientific method. Philosophical knowledge is not a source of nursing knowledge, but is a type of general knowledge. Authoritative knowledge comes from an expert and is accepted as truth based upon theperson’s perceived expertise. Traditional knowledge is that part of nursing practice passed down from generation to generation and is not based upon scientific inquiry. Which of thefollowing theories emphasizes therelationships between thewhole and theparts, and describes how parts 2. function and behave? A) General systems theory B) Nursing theory C) Adaptation theory D) Developmental theory Ans: A Feedback: WWW.ANSWERDONE.COM General systems theory describes how to break whole things into parts and then learn how theparts work together in “systems.” Nursing theory attempts to describe, explain, predict, and control desired outcomes of nursing care practices. Adaptation theory defines adaptation as theadjustment of living matter to other living things and to environmental conditions. Developmental theory outlines theprocess of growth and development of humans as orderly and predictable. A nurse researcher is studying perceptions of vocational rehabilitation for clients after a spinal cord injury. What type of 3. research method will be used to study theperceptions of this group of individuals? A) Qualitative research B) Quantitative research C) Basic research D) Applied research Ans: A Feedback: The nurse researcher will use qualitative research methods to investigate perceptions, and theresearcher will analyze words instead of numbers, which are analyzed in quantitative research. Basic and applied research are quantitative research methods. A staff development nurse is asking a group of new staff nurses to read and be prepared to discuss a qualitative study that focuses on nursing events of thepast. This is done in an attempt to increase understanding of thenursing profession 4. today. What method of qualitative research is used in this article? A) Historical B) Phenomenology C) Grounded theory D) Ethnography Ans: A Feedback: This article uses historical methodology, which examines events of thepast to increase understanding of thenursing profession today. Phenomenology is used to describe experiences as they are lived by thesubjects being studied. Grounded theory is thediscovery of how people describe their own reality and how their beliefs are related to their actions in a social scene. Ethnography is used to examine issues of a culture that are of interest to nursing. In understanding thehistorical influences on nursing knowledge, nursing as a profession struggled for years to establish 5. its own identify and to receive recognition for its contributions to health care. Why? A) The conceptual and theoretical basis for nursing practice came from outside theprofession. B) Nurses were too busy working in practice to increase thepublic awareness associated with therole of thenurse. C) Nurses spent most of their time in laboratory settings conducting research. D) Women were independent and refused to work collectively. Ans: A Feedback: Despite Florence Nightingale’s belief in theuniqueness of nursing, thetraining of nurses was initially carried out under thedirection and control of themedical profession. Because theconceptual and theoretical basis for nursing practice WWW.ANSWERDONE.COM came from outside theprofession, nursing struggled for years to establish its own identify and to receive recognition for its significant contributions to health care. An obstetrical nurse wishes to identify whether clients’ perceptions of a high level of support from their partner is associated with a decreased length of thesecond stage of labor. Which type of quantitative research is most appropriate 6. for this research question? A) Correlational research B) Descriptive research C) Quasi-experimental research D) Experimental research Ans: A Feedback: Correlational quantitative research is used to examine relationships between two or more variables. In this case, thevariables are perceptions of partner support and length of Stage 2 labor. There is no manipulation of thevariables as there would be in an experimental or quasi-experimental study. thefocus on therelationship between thetwo variables goes beyond simple description of events. Nurse researchers have predicted that a newly created mentorship program will result in decreased absenteeism, increased retention, and decreased attrition among a hospital’s nursing staff. Which of thefollowing does this predicted 7. relationship represent? A) Hypothesis B) Dependent variable C) Abstract D) Methodology Ans: A Feedback: A hypothesis is an expected statement of therelationship between variables in a study. In this study, thedependent variables are absenteeism, retention, and attrition while theindependent variable is thementorship program. themethodology of a study is thelogistical framework that guides theplanning and execution of thestudy. An abstract is a summary of a research study published in a journal. 8. The practice of changing patients’ bedclothes each day in acute care settings is an example of what type of knowledge? A) Authoritative B) Traditional C) Scientific D) Applied Ans: B Feedback: Changing bedclothes daily in acute care settings is an example of traditional knowledge. thepractice is not based on research findings, but is rather a part of nursing practice passed down from generation to generation. WWW.ANSWERDONE.COM A student nurse learns how to give injections from thenurse manager. This is an example of theacquisition of what type 9. of knowledge? A) Authoritative B) Traditional C) Scientific D) Applied Ans: A Feedback: Authoritative knowledge comes from an expert and is accepted as truth, based on theperson’s perceived expertise. Authoritative knowledge generally remains unchallenged as long as thepresumed authority maintains his or her perceived expertise. A client undergoing chemotherapy for a brain tumor believes that having a good attitude will help in thehealing process. 10. This is an example of what type of knowledge? A) Science B) Philosophy C) Process D) Virtue Ans: B Feedback: Philosophy is thestudy of wisdom, fundamental knowledge, and theprocesses used to develop and construct one’s perceptions of life. Philosophy provides a viewpoint and implies a system of values and beliefs. Each individual develops a personal philosophy to give meaning to experiences and to guide behavior and attitudes. Personal philosophies are developed by learning from interpersonal relationships, through formal and informal educational experiences, through religion and culture, and from theenvironment. 11. Which of thefollowing accurately describes Florence Nightingale’s influence on nursing knowledge? A) She defined nursing practice as thecontinuation of medical practice. B) She differentiated between health nursing and illness nursing. C) She established training for nurses under thedirection of themedical profession. D) She established a theoretical base for nursing that originated outside theprofession. Ans: B Feedback: Nightingale influenced nursing knowledge and practice by demonstrating efficient and knowledgeable nursing care, defining nursing practice as separate and distinct from medical practice, and differentiating between health nursing and illness nursing. During thefirst half of the20th century, a change in thestructure of society resulted in changed roles for women and, in 12. turn, for nursing. What was one of these changes? A) More women retired from theworkforce to raise families. WWW.ANSWERDONE.COM B) Women became more dependent and sought higher education. C) The focus of nursing changed to “hands-on training.” D) Nursing research was conducted and published. Ans: D Feedback: As a result of World Wars I and II, women increasingly entered theworkforce, became more independent, and sought higher education. At thesame time, nursing began to focus more on education than hands-on training, and nursing research was conducted and published. 13. A staff nurse asks a student, “Why in theworld are you studying nursing theory?” How would thestudent best respond? A) “Our school requires we take it before we can graduate.” B) “We do it so we know more than your generation did.” C) “I think it explains how we should collaborate with others.” D) “It helps explain how nursing is different from medicine.” Ans: D Feedback: Nursing theory differentiates nursing from other disciplines and activities in that it serves thepurpose of describing, explaining, predicting, and controlling desired outcomes of nursing care practices. 14. Why are thedevelopmental theories important to nursing practice? A) They describe how parts work together as a system. B) They outline theprocess of human growth and development. C) They define human adaptation to others and to theenvironment. D) They explain theimportance of legal and ethical care. Ans: B Feedback: Developmental theories outline theprocess of growth and development of humans as orderly and predictable, beginning with conception and ending with death. Nurses apply this knowledge to develop interventions for people across thelife span. Systems theory, adaptation theories, and legal/ethical care are also important to nursing, but these do not explain theimportance of human growth and development in nursing care. 15. There are four concepts common in all nursing theories. Which one of thefour concepts is thefocus of nursing? A) Person B) Environment C) Health D) Nursing Ans: A Feedback: WWW.ANSWERDONE.COM The four concepts listed are all common in nursing theory, but themost important—and thefocus of nursing—is theperson (client). 16. What is theultimate goal of expanding nursing knowledge through nursing research? A) Learn improved ways to promote and maintain health. B) Develop technology to provide hands-on nursing care. C) Apply knowledge to become independent practitioners. D) Become full-fledged partners with other care providers. Ans: A Feedback: The ultimate goal of expanding nursing’s body of knowledge through nursing research is to learn improved ways to promote and maintain health. Ongoing practice-based research reflects thenursing profession’s commitment to meet theever-changing demands of health care consumers. While doing research also facilitates thedevelopment of technology, helps produce independent practitioners, and provides partnerships with other providers of care, those are not theultimate goals of nursing research. What was significant about thepromotion of theNational Center for Nursing Research to thecurrent National Institute 17. of Nursing Research (NINR)? A) Increased numbers of articles are published in research journals. B) NINR gained equal status with all other National Institutes of Health. C) NINR became themajor research body of theInternational Council of Nurses. D) It decreased emphasis on clinical research as an important area for nursing. Ans: B Feedback: The National Center for Nursing Research was promoted to theNational Institute of Nursing Research (NINR) in 1993, gaining equal status with all other National Institutes of Health. 18. Which of thefollowing is a responsibility of an institutional review board (IRB)? A) Secure informed consent for researchers B) Review written accuracy of research proposals C) Determine risk status of all studies D) Secure funding for institutional research Ans: C Feedback: Federal regulations require that institutions receiving federal funding, or conducting studies of drugs or medical devices regulated by theFood and Drug Administration establish IRBs. theIRB reviews all studies conducted in theinstitution to determine risk status and to ensure that ethical principles are followed. theIRB does not secure informed consent, review theaccuracy of proposals, or secure funding. Before developing a procedure, a nurse reviews all current research-based literature on insertion of a nasogastric tube. 19. What type of nursing will be practiced based on this review? WWW.ANSWERDONE.COM A) Institutional practice B) Authoritative nursing C) Evidence-based nursing D) Factual-based nursing Ans: C Feedback: Evidence-based nursing practice (EBNP) is theconscientious, explicit, and judicious use of research-based information in making decisions about thedelivery of care. EBNP does not include institutional practice, authoritative nursing, or factual-based nursing. One step in implementing evidence-based practice is to ask a question about a clinical area of interest or an intervention. themost common method is thePICO format. Which of thefollowing accurately defines theletters in thePICO 20. acronym? A) P = population B) I = institution C) C = compromise D) O = output Ans: A Feedback: P = patient, population, or problem of interest, I = intervention of interest, C = comparison of interest, and O = outcome of interest The nurse understands that general systems theory has important implications in nursing. Which of thefollowing is an 21. assumption of thegeneral systems theory? A) Human systems are open and dynamic. B) All humans are born with instinctive needs. C) Human needs are motivational forces. D) People grow and change throughout their lives. Ans: A Feedback: General systems theory assumes that human systems are open and dynamic with implicit boundaries. Human needs theory assumes that all humans are born with instinctive needs and human needs are motivational forces. Change theory assumes that people grow and change throughout their lives. A nursing student is conducting a literature review via theInternet to identify a problem area that may be applicable in scope for nursing. When conducting thesearch, which of thefollowing would be most important for thestudent to keep 22. in mind? A) The Internet should be thelast resort for scientific literature review. B) Very few nursing sites are available through theInternet. C) Most websites that provide nursing information are reliable. WWW.ANSWERDONE.COM D) MedLine is a reputable online database of nursing information. Ans: D Feedback: MedLine is a highly reputable online database of nursing information. theInternet is continuously growing as a resource for nursing research and has developed into a sophisticated tool for information retrieval, as well as research for thegeneral public and for nursing and health professionals. Hundreds of sites are available through theWorld Wide Web. However, not all websites that provide nursing information are reliable. A group of students is reviewing information about evidence-based practice in preparation for an exam. thestudents demonstrate understanding of theinformation when they identify which of thefollowing as associated with evidence- 23. based practice? A) It emphasizes personal experience over science. B) Clinical expertise is integrated with external evidence. C) It involves gaining solutions to problems. D) The purpose is to learn about a specific problem. Ans: B Feedback: Evidence-based practice (EBP) is an approach to health care that realizes that pathophysiologic reasoning and personal experience are necessary, but not sufficient for making decisions. Advocates argue that medical decisions should be based, as much as possible, on a firm foundation of high-grade scientific evidence, rather than on experience or opinion. Its practice involves integrating individual clinical expertise with thebest available external evidence from systematic research. Nursing research aims to gain solutions to problems, learn about a specific problem, or to understand a situation. A nurse researcher decides to conduct a qualitative research study. With which of thefollowing would theresearcher be 24. involved? A) Collection of numerical data B) Determination of cause and effect C) Controlling personal biases D) Real world data collection Ans: D Feedback: Qualitative research strives for an understanding of thewhole and requires theresearcher to become theinstrument as data is collected in thereal-world, naturalistic setting. Numerical data, cause and effect and control of personal bias are key aspects of quantitative research. 25. In what way can a nurse differentiate strong research from poor research? A) By conducting theresearch B) Through author dialogue C) By critiquing thestudy D) Through thenurse’s own informal investigation WWW.ANSWERDONE.COM Ans: C Feedback: Nurses must have a working knowledge of research methods, and a beginning ability to read for application and to critique research. 26. Nursing research is linked most closely to what? A) Propositions B) Outcome measures C) Treatments D) Nursing process Ans: D Feedback: Many similarities are found between theformalized research process and thenursing process format that is an integral part of nursing education. 27. Which of thefollowing research studies would be of most interest to a nurse manager? A) Sister Callista Roy’s theory on adaptation B) Patricia Benner’s From Novice to Expert C) Kleinpell and Ferrans’ older intensive-care clients D) Madeleine Leininger’s transcultural nursing theory Ans: B Feedback: Research affects theclinical practice of nurses in all areas, particularly in relation to thegoals of nursing. Benner’s research will assist a nurse manager to support all levels of his or her staff. 28. How are thefirst stages of thenursing process and nursing research linked? A) They will answer a posed question. B) Each begins with goal development. C) The nurse assesses problems initially. D) There is a period of evaluation. Ans: C Feedback: The first step for thepracticing nurse is to assess a problem; for theresearcher, thefirst step is to recognize thegeneral problem area. A nursing instructor would like to study theeffect peer tutoring has on student success. What is theindependent 29. variable? A) Nursing student WWW.ANSWERDONE.COM B) Nursing education C) Peer tutoring D) Student success Ans: C Feedback: The independent variable is thepresumed cause or influence on thedependent variable. A nursing student has been asked to correlate her clinical experiences with two different theories of nursing. thestudent 30. will recognize that which of thefollowing concepts are common to all theories of nursing? Select all that apply. A) The client B) The environment C) Illness D) Needs E) Nursing Ans: A, B, E Feedback: While nursing theories vary significantly in their conceptualizations, theelements that are common to all include theclient (person), theenvironment, health, and nursing. theconcepts of needs and illness are addressed by some theories but these are not explicitly defined by other theories. 31. Which of thefollowing are examples of characteristics of evidence-based practice? Select all that apply. A) It is a problem-solving approach. B) It uses thebest evidence available. C) It is generally accepted in clinical practice. D) It is based on current institutional protocols. E) It blends thescience and art of nursing. Ans: A, B, E Feedback: Evidence-based nursing is a problem-solving approach to making clinical decisions, using thebest evidence available. EBP may meet resistance in clinical practice as a result of thenursing shortage, theacuity level of clients, nurse’s skill in reading and evaluating published research, and an organizational culture that does not support change. EBP blends both thescience and theart of nursing so that thebest client outcomes are achieved. EBP takes into consideration client preferences and values as well as theclinical experiences of thenurse. 32. Which of thefollowing are characteristics of nursing theories? Select all that apply. A) They provide rational reasons for nursing interventions. B) They are based on descriptions of what nursing should be. C) They provide a knowledge base for appropriate nursing responses. WWW.ANSWERDONE.COM D) They provide a base for discussion of nursing issues. E) They help resolve current nursing issues and establish trends. Ans: A, C, D, E Feedback: Nursing theory provides rational and knowledgeable reasons for nursing interventions, based on descriptions of what nursing is and what nurses do. Additionally, nursing theory gives nurses theknowledge base necessary for acting and responding appropriately in various situations. It also provides a base for discussion, and, ideally, helps resolve current nursing issues. Nursing theories should be simple and general; simple terminology and broadly applicable concepts ensure their usefulness in a wide variety of nursing practice situations. 33. Which of thefollowing examples represents thetype of knowledge known as process? Select all that apply. A) A nurse dispenses medications to clients. B) A nurse changes thelinens on a client’s bed. C) A nurse studies a nursing journal article on infection control. D) A nurse consults an ethics committee regarding an ethical dilemma. E) A nurse believes in providing culturally competent nursing care. Ans: A, B Feedback: A process is a series of actions, changes, or functions intended to bring about a desired result. During a process, one takes systematic and continuous steps to meet a goal and uses both assessments and feedback to direct actions that meet thegoal. Reading a nursing journal is considered science. Consulting an ethics committee and providing culturally competent nursing care is considered philosophy. Which qualitative research method is described as follows: to describe experiences as they are lived by thesubjects 34. being studied? A) Historical B) Ethnography C) Grounded theory D) Phenomenology Ans: D Feedback: The purpose of phenomenology, which is both a philosophy and a research method, is to describe experiences as they are lived by thesubjects being studied. Historical research examines events of thepast to increase understanding of thenursing profession today. Ethnography is used to examine issues of a culture that are of interest to nursing. thebasis of grounded theory methodology is thediscovery of how people describe their own reality, and how their beliefs are related to their actions in a social scene. The nurse working in research correctly identifies which of thefollowing to be mandatory for theethical conduction of 35. research in a hospital setting? A) Clients must grant informed consent if they are to participate. B) All interventions must benefit all clients. WWW.ANSWERDONE.COM C) The client must directly and personally benefit from theresearch. D) Descriptive studies are more ethical than experimental studies. Ans: A Feedback: Informed consent is an absolute prerequisite for clients who are asked to participate as subjects in a research study. Not all interventions will benefit all (or even any) clients. therisks and benefits of research are considered carefully in light of ethical principles, but this does not necessarily mean that every participant in a study stands to benefit from it. Ethical standards are applicable and achievable in every type of research, and descriptive studies are not necessarily more ethical than experiments. Chapter 3, Health, Illness, and Disparities The nurse is preparing a care plan for an African American man age 68 years who was recently diagnosed with 1. hypertension. Age, race, gender, and genetic inheritance are examples of what human dimension? A) Physical B) Emotional C) Environmental D) Sociocultural Ans: A Feedback: The physical dimension includes genetic inheritance, age, developmental level, race, and gender. These components strongly influence a person’s health status and health practices. theemotional dimension focuses on how themind affects body function and responds to body conditions. theenvironmental dimension includes influences such as housing, sanitation, climate, and pollution of food, air, and water. Sociocultural dimensions are health practices and beliefs strongly influenced by economic status, lifestyle, family, and culture. The mother of a toddler with asthma seeks support from theparents of other children with asthma. thenurse recognizes 2. that seeking and utilizing support systems is an example of …. Continue Chapter 1 to chapter 46

Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank Professional Nursing Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank Professional Nursing Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank Professional Nursing Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank Professional Nursing Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank Professional Nursing Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank Professional Nursing

Student Success Center

Get a 10 % discount on an order above $ 50
Use the following coupon code :
NursesHomework
Open chat
1
Hello, how may I be of help?
Hello, how may I be of help?