(Test Bank) Fundamentals Of Nursing Theory Concepts And Applications

Wilkinson, 4

Nursing

Test Bank

4th Edition

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Author(s): Wilkinson

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Test Bank For Fundamentals of Nursing Theory Concepts and Applications 4th Edition Wilkinson Chapter 1 -46 Table of Contents Table of Contents 1 Chapter 01: Introduction to Nursing Chapter 02: Theory, Research, and Evidence -Based Practice Chapter 03: Health, Wellness, and Health Disparities Chapter 04: Health of the Individual, Family, and Community Chapter 05: Cultural Diversity Chapter 06: Values, Ethics, and Advocacy Chapter 07: Legal Dimensions of Nursing Practice Chapter 08: Communication Chapter 09: Teaching and Counseling Chapter 10: Leading, Managing, and Delegating Chapter 11: The Health Care Delivery System Chapter 12: Collaborative Practice and Care Coordination Across Settings Chapter 13: Blended Competencies, Clinical Reasoning, and Processes of Person - Centered Care Chapter 14: Assessing Chapter 15: Diagnosing Chapter 16: Outcome Identification and Planning Chapter 17: Implementing Chapter 18: Evaluating Chapter 19: Documenting and Reporting Chapter 20: Nursing Informatics Chapter 21: Developmental 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 2 11 20 29 37 45 54 62 69 77 86 93 100 109 117 125 135 142 150 158 164 173 182 190 200 211 220 230 239 250 260 269 279 289 298 307 316 326 336 346 356 365 375 384 393 403 Chapter 01: Introduction to Nursing 1. Which of the following statements accurately describe an element of nursing? Select all that apply. A) The skills involved in nursing are primarily technical in nature. B) The primary focus of nursing is to assist individuals to recover from illness. C) The science of nursing is the knowledge base for the care that is given. D) The art of nursing is the collection of knowledge through research. E) Nursing is considered to be both an art and a science. F) Nursing is a profession that used specialized knowledge and skills. 2. Which of the following set of terms best describes nursing at the end of the Middle Ages? A) continuity, caring, critical thinking B) purpose, direction, leadership C) assessment, interventions, outcomes D) advocacy, research, education 3. Which of the following is a characteristic of nursing practiced from early civilization to the 16th century? A) Most early civilizations believed that illness had supernatural causes. B) The physician was the priest who treated disease with prayer. C) The nurse was a nun committed to caring for the needy and homeless. D) Nursing changed from a spiritual focus to an emphasis on knowledge expansion. 4. In what time period did nursing care as we now know it begin? A) pre-civilization B) early civilization to 16th century D) 18th to 19th century C) Florence Nightingale B) Clara Barton A) lack of educational standards B) Lillian Wald C) 16th to 17th century 5. Who is considered to be the founder of professional nursing? A) Dorothea Dix B) Lillian Wald D) Clara Barton 6. Which of the following nursing pioneers established the Red Cross in the United States in 1882? A) Florence Nightingale C) Dorothea Dix D) Jane Addams 7. What was one barrier to the development of the nursing profession in the United States after the Civil War? B) hospital -based schools of nursing C) lack of influence from nursing leaders D) independence of nursing orders 8. Which of the following individuals provided community -based care and founded public health nursing? A) Adelaide Nutting C) Sojourner Truth B) AAN B) preventing illness C) referring to a community diabetic support group E) admitting a patient to a hospice program D) Clara Barton 9. Which of the following nursing groups provides a definition and scope of practice for nursing? A) ICN C) ANA D) The Joint Commission 10. Teaching a woman about breast self-examination is an example of what broad aim of nursing? A) promoting health C) restoring health D) facilitating coping with disability and death 11. What nursing activity would meet the broad nursing aim of facilitating coping with disability and death? Select all that apply. A) conducting a blood pressure screening program B) teaching testicular self-examination D) administering intravenous fluids F) performing a physical assessment on a patient 12. A nurse caring for a patient with diabetes chooses an appropriate plan of care and devises interventions to accomplish the desired outcomes. This is an example of using which of the following type of nursing skills? A) Technical B) Cognitive C) Interpersonal D) Ethical/Legal 13. Which one of the following examples of nursing actions would be considered an ethical/legal skill? A) A nurse helps a patient prepare a living will. B) A nurse obtains a urine sample for a urinalysis. C) A nurse explains the rationale for a patients plan of care. D) A nurse holds the hand of a woman whose baby died in childbirth. 14. A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Downs 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 15. 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 collaborator 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 patient interview and documenting the information on the patients chart D) Referring a teen who admits having suicidal thoughts to a mental healthcare specialist 16. 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) obesity B) preventing illness D) a strong service orientation B) Health is an absence of illness. C) Health is always an objective state. D) Health is not determined by the patient. 17. 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 C) diabetes D) hypertension 18. A nurse conducts a smoking -cessation program for patients of a neighborhood clinic. This is an example of which of the following aims of nursing? A) promoting health C) restoring health D) facilitating coping with disability or death 19. 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 20. Although all of the following are nursing responsibilities, which one would be expected of a nurse with a baccalaureate degree? A) providing direct physical care D) masters degree C) to set standards for nursing education and practice A) American Nurses Association C) administering medications as prescribed D) collaborating with other healthcare providers 21. Amy Jones, a high school senior, wants to become a geriatric nurse practitioner. What nursing degree will she need to attain this goal? A) licensed practical nurse B) associate degree C) baccalaureate degree 22. Why are nursing organizations important for the continued development and improvement of nursing as a whole? A) to provide socialization and networking for members B) to regulate work activities for members D) to provide information to nurses about legal requirements 23. Which of the following organizations has established standards for clinical nursing practice? B) National League for Nursing C) International Council of Nurses D) State Board of Nursing 24. What is the primary purpose of standards of nursing practice? A) to provide a method by which nurses perform skills safely B) to ensure knowledgeable, safe, comprehensive nursing care B) using research findings to improve practice C) to establish nursing as a profession and a discipline D) to enable nurses to have a voice in healthcare policy 25. 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 26. A nurse has been tried and found guilty of the felony crime of forgery. How might this affect the nurses 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 license may be revoked or suspended. D) The license will permanently carry the felony conviction. 27. Nurses use the nursing process to focus care on human responses to what? A) interactions with the environment B) physical effects of disease C) outcomes of medical or surgical treatment D) actual or potential health problems 28. Which age group in the population is expanding most rapidly, resulting in changes in the delivery of healthcare? A) older adults B) young adults C) school -aged children D) increase in chronic health conditions D) newborns 29. Which of the following is a current trend affecting nursing education and practice? A) over abundance of graduating nurses B) office -based care delivery systems C) increase in length of hospital stay Answer Key 1. C, E, F 2. B 3. A 4. D 5. C 6. B 7. A 8. B 9. B 10. B 11. C, E 12. B 13. A 14. C 15. D 16. A 17. B 18. B 19. D 20. B 21. D 22. C 23. A 24. B 25. C 26. C 27. D 28. A 29. D Chapter 02: Theory, Research, and Evidence -Based Practice 1. What phrase best describes the science of nursing? A) application of clinical skills B) body of nursing knowledge C) holistic patient care D) art of individualized nursing 2. 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 3. A student nurse learns how to give injections from the nurse manager. This is an example of the acquisition of what type of knowledge? A) authoritative B) traditional C) scientific D) applied 4. Which of the following sources of knowledge is based on objective data? A) authoritative B) traditional C) scientific D) applied 5. A patient undergoing chemotherapy for a brain tumor believes that having a good attitude will help in the healing process. This is an example of what type of knowledge? A) science B) philosophy C) process D) virtue 6. Which of the following examples represents the type of knowledge known as process? Select all that apply. A) A nurse dispenses medications to patients. B) A nurse changes the linens on a patients 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. F) A nurse monitors the vital signs of a postoperative patient. 7. Which of the following accurately describes Florence Nightingales influence on nursing knowledge? A) She defined nursing practice as the continuation of medical practice. B) She differentiated between health nursing and illness nursing. C) She established training for nurses under the direction of the medical profession. D) She established a theoretical base for nursing that originated outsid e the profession. 8. During the first half of the 20th century, a change in the structure of society resulted in changed roles for women and, in turn, for nursing. What was one of these changes? A) More women retired from the workforce to raise families. 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. 9. Who was the first nurse to develop a nursing theory? A) Clara Barton B) Dorothea Dix C) Florence Nightingale D) Virginia Henderson 10. A nurse observes that certain patients have less pain after procedures than do others, and forms a theory of why this happens. What is a theory? A) a concept used to directly prove a fact or a group of facts B) an understanding borrowed from other disciplines C) a best guess based on intangible ideas D) a statement of an occurrence based on observed facts 11. A staff nurse asks a student, Why in the world are you studying nursing theory? How would the student 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. 12. Why are the developmental theories important to nursing practice? A) They describe how parts work together as a system. B) They outline the process of human growth and development. C) They define human adaptation to others and to the environment. D) They explain the importance of legal and ethical care. 13. Breaking the healthcare community into separate entities (such as the medical community, the nursing staff, management, support staff) and analyzing how they work as a whole together is an example of which nursing theory? A) general systems theory B) adaptation theory C) developmental theory D) compartment theory 14. There are four concepts common in all nursing theories. Which one of the four concepts is the focus of nursing? A) person B) environment C) health D) nursing 15. Which of the following 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. D) They provide a base for discussion of nursing issues. E) They help resolve current nursing issues and establish trends. F) They use complex terminology to resolve specific nursing issues. 16. What is the ultimate goal of expanding nursing knowledge through nursing research? A) learn improved ways to promote and maintain health