The history and Social Context Of nursing Test bank (Rated A)

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Chapteri2:iTheiHistoryiandiSocialiContextiofiNursing TestiBank MULTIPLEiCHOICE 1. Whichiearlyinursingileaderifoundeditheifirstitrainingischooliforinursesithatiwouldilateribecome ia imodeliforiearl... yinursingieducation? a. DorotheaiDix b. FlorenceiNightingale c. ClaraiBarton d. MaryiAnn iBickerdyke ANS: B Feedback A DorotheaiDixiisibestiknowniasianiadvocate iforitheimentallyiill, iandishe icreatedia ibriefitrainingiprogramiatitwoiNewiYorkihospitalsiforiwomeniwhoiwishedito iserve iasinursesiinithe iCiviliWar. B FlorenceiNightingale ifoundedithe ifirstitrainingischooliforinursesiatiSt. iThomas's iHospitaliiniLondoniini1806. iThisibecameitheimodeliforinursingieducationiinithe iUnitediStates. C ClaraiBartoniisiknowniforifoundingithe iAmericaniRediCross. D MaryiAnn iBickerdyke iisibestiknowniforinursingiservicesiduringithe iCiviliWar. DIF: Cognitive iLevel:iKnowledge REF: p. i25 2. Whoiwasithe ifirstieducatediAfrican-Americaniprofessionalinurse? a. Linda iRichards b. PhoebeiPember c. SojourneriTruth d. MaryiEliza iMahoney ANS: D Feedback A Linda iRichardsiwasithe ifirstitrainedinurseiinithe iUnitediStates. B PhoebeiPemberiwasione iofitheifirstiwomeniplacediinicharge iofia ihospital. C SojourneriTruthiwasia ifamousiabolitionistiwhoiservediasia inurseiforitheiUnion iforcesiinitheiCiviliWar. D MaryiEliza iMahoneyiwasitheifirstiAfrican-Americaniprofessionalinurse;ishe iwas ieducatediatitheiNewiEnglandiHospitaliforiWomeniandiChildren. DIF: Cognitive iLevel:iKnowledge REF: p. i27 3. ToiwhichiearlyinursingileaderiisiattributeditheifoundingiofitheiAmericaniRediCross? a. ClaraiBarton b. DorotheaiDix c. FlorenceiNightingale d. LaviniaiLloydiDock ANS: A Feedback A Foundingithe iAmericaniRediCrossiisiattributeditoiClaraiBarton. B DorotheaiDixiwasisuperintendentiofiwomeninursesiofitheiUnioniArmy. C FlorenceiNightingale iwasianiEnglishipioneeriininursing. D LaviniaiLloydiDockiwasiinfluentialiiniformingitheiNationaliLeague iforiNursing i(NLN). DIF: Cognitive iLevel:iKnowledge REF: p. i26 4. Whatiwere isome iofitheiapplicationirequirementsiofinursingieducationiprogramsiinithei1900s? a. Male, iintelligent, istrong b. Female, isensitive, isubservient c. Female, idocile, ifromipooribackground d. Male, ihighibreeding, iindependent ANS: B Feedback A Meniwereinotithoughtitoibe isensitive ienoughiforinursing. B Sensitivity, ibreeding, iintelligence, iladylike ibehavior, iandisubmissionitoiauthority iwere ihighlyidesiredipersonalitraitsiforinursingistudents. C Highibreedingiwasidesirableiforinursingieducationiprogramiapplicants. D Meniwereinotidesiredinursingieducationiprogramiapplicants. DIF: Cognitive iLevel:iKnowledge REF: p. i27 5. Whichiofithe ifollowingistatementsibestidescribesihowithe iChicagoiWorld'siFairiofi1893 ibecame iaipivotalipointiinithe ihistoryiofinursingieducationiinithe iUnitediStates? a. FlorenceiNightingale'siworkionisanitationiandiitsirelationshipitoimortalityiratesiwas ifinallyirecognized. b. Theiorganization itodayiknown iasitheiNLNiwasiformeditoiaddressiissuesiininursing ieducation. c. TheiAmericaniNursesiAssociationi(ANA)iwasiformeditoioverseeinursingieducation iinitheiUnitediStates. d. TheiInternationaliCounciliofiNursesi(ICN)iwasiformeditoienhanceicollaboration ibetweenipracticinginursesiandieducators. ANS: B Feedback A FlorenceiNightingale'sipaperiwasioniscientific itrainingiofinurses. B SeveraliinfluentialinursingileadersimetiatitheiChicagoiWorld'siFairiandistartedithe iNationaliLeagueiforiNursingiEducation—theiprecursoritoithe iNLN. C TheiNLN, inotitheiANA, iwasiformeditoioverseeinursingieducationiinitheiUnited iStates. D TheiICNiwasinotifoundediuntili1899 iandiisinotiinvolvediiniU.S. ieducationiof inurses. DIF: Cognitive iLevel:iComprehension REF: p. i28 6. Whichiearlyinursingiorganization iisicreditediwithifirstirecommendingistateiregistrationifor inurses? a. ICN b. NLN c. ANA d. NationaliAssociationiofiColorediGraduateiNurses ANS: A Feedback A TheiICNiwasiformeditoiuniteiallinursingiorganizations. iThe itopic iofithe ifirst imeetingiwasiregistrationiforinursesibyieachicountryiandistate. B TheiNLNiwasiformeditoioverseeinursingieducationiinitheiUnitediStates. C TheiANAiwasiformeditoienhanceicollaborationibetweenipracticinginursesiand ieducators. D TheiNationaliAssociationiofiColorediGraduateiNursesiwasiformeditoidevelop ileadershipiamongiAfrican-Americaninurses. DIF: Cognitive iLevel:iKnowledge REF: p. i28 7. Whichiofithe ifollowinginursingileaders, ibecauseiofiheriworkiinitheiHenryiStreetiSettlement, iis iconsideredithe ifounderiofipublic ihealthinursing? a. MargaretiSanger b. ClaraiBarton c. LillianiWald d. LaviniaiLloydiDock ANS: C Feedback A MargaretiSangeriisiknown iforiheriworkionibirthicontroliwithiimmigrantiwomen ifromitheiLoweriEastiSideiofiNewiYork iCity. B ClaraiBartonifoundedithe iAmericaniRediCross. C LillianiWaldifoundedithe iHenryiStreetiSettlement, itheifirstiformalizedipublic ihealthinursingiproject. D LaviniaiLloydiDockiwasiinstrumentaliinitheiformationiofitheiNLN. DIF: Cognitive iLevel:iKnowledge REF: p. i28 8. Despite itheicaringieffortsiofiearlyipublicihealthinursesiinithe iHenryiStreetiSettlement, iracial idisparityileftimanyipeopleiunderserved. iWhichiofitheifollowingiAfrican-Americanipublic ihealthinursesiwasiinstrumentaliiniprovidingiexcellentinursingicareitoiunderservedifamilies idespite ithese isocialichallenges? a. JessieiSleetiScales b. MargaretiSanger c. LaviniaiLloydiDock d. AnitaiM. iMcGee ANS: A Feedback A JessieiSleetiScalesiestablisheditheiStillmaniHouse, ia ipartiofithe iHenryiStreet iSettlementithatiprovidedicareitoiAfricaniAmericans. B MargaretiSangeriworkeditoiprovideiimmigrantiwomenionithe iLoweriEastiSideiof iNewiYorkiCityiwithibirthicontroliinformation. C LaviniaiLloydiDockifoundeditheiNLN. D AnitaiM. iMcGee iwasia iphysicianiappointediasiheadiofithe iHospitaliCorps, iwho irecruitedinursesiforitheiSpanish-AmericaniWariofi1898. DIF: Cognitive iLevel:iComprehension REF: p. i29 9. Whichione iofithe ifollowingieventsioccurringiduringithe ifirstidecadeiofithe itwentiethicentury ibroughtisweepingichangesitoinursing? a. Itiwasirequiredithatiallipracticinginursesibe ilicensed. b. Permissive ilicensingilawsiallowediregisteredinursesi(RNs)itoipractice iwithoutia ilicense iifitheyiregisterediwithitheistate. c. Allistatesirequiredia istandardizedilicensingiexamination. d. Nursesihaditoipassia ilicensingiexaminationitoiuse ithe ititleiRN. ANS: D Feedback A Practicinginursesididinotihave itoibe ilicensedibuticouldinotiuse ithe ititle. B Permissive ilicensingilawsirequirediallinursesiusingithe ititleiRNitoibe ilicensed. C Licensingiexaminationsiwere inotistandardizediuntili1950. D Licensure ilawsiwere ipassedithatirequirediallipeopleiusingitheititleiofiRNitoibe ilicensed. DIF: Cognitive iLevel:iComprehension REF: p. i30 10. WhatiwasitheimostisignificantiimpactionitheiprofessioniofinursingimadeibyiMaryiBreckenridge iiniheriroleiasia ifrontierinurse? a. Sheidemonstratedithatinursesicouldiprovideiprimaryicareiiniruralisettings. b. Sheidemonstratedithatifemale inursesicouldiprotectithemselvesiiniunsettledirural ienvironments. c. Sheidemonstratedithatinursesiwereicapableiofiteachinginewimothersitoicareifor ibabies. d. Sheidemonstratedithatinursesicouldiprovideicareitoimanyiclientsidespite igeographic iboundaries. ANS: A Feedback A MaryiBreckenridge iestablishedifrontierinursingiservices. iShe iprovidediprimary icareitoiwomeniandibabiesiandidemonstratedithatinursesicouldiprovide iprimary icare. B Safetyiwasinotitheiprimaryiimpactiofithe isuccessiofifrontierinursing. C Althoughishe iwasiainurse-midwife, ithisiwasinotithe imostisignificantiimpact. D Demonstratingithatinursesicouldiprovideicareitoimanyiclientsidespite igeographic iboundariesiwasinotitheimostisignificantiimpactimadeibyiMaryiBreckenridge. DIF: Cognitive iLevel:iComprehension REF: p. i32 11. Whichiofithe ifollowingitrendsiinihealthicareideliveryithatibeganiinithe isecondihalfiofithe itwentiethicenturyicontinuesitoday? a. Widespreadiuse iofiteaminursingitoiaddressithe inursingishortage b. Massive imovementiofinursesioutiofiacuteicareiandiintoihome icare c. Adventiofiprimaryicareitoireplace ispecializedicare d. Provisionioficareitoithe ipoor, ielderly, iandidisabledithroughiMedicare iandiMedicaid ANS: D Feedback A Teaminursingiisirarelyiuseditoday. B Moreinursesiworkiiniacuteicareitodayithaniinihomeicare. C AfteriWorldiWariII, ispecializationibecameipopular. D Twoiamendmentsitoithe iSocialiSecurityiActiini1965 idesigneditoiensure iaccessito ihealthicareiforielderly, ipoor, iandidisablediAmericansiwere itheiestablishmentiof iMedicareiandiMedicaid. DIF: Cognitive iLevel:iComprehension REF: p. i34 12. Airecentitrendiininursingihasibeenianiincreaseiinitheinumberiofimeniandiwomeniwithidegrees iiniotherifieldsioriothericareersiapplyingitoinursingiprograms. iWhatiisithe isingleimostiimportant ireasoniforithisitrend? a. Nursingiasia icareerihasigainediincreasedistatusiandiprestige. b. Nursingisalariesihave ioutpacedimanyiotherifields. c. Ainursingicareeriprovidesibothijobisecurityiandimeaningfuliemployment. d. Workingiconditionsiininursingihave iimproved. ANS: C Feedback A Whileitrue, inursing'siincreasedistatusiandiprestige iisinotia isignificantifactoriinithe itrendiofipeopleichoosingiitiasia isecondicareer. B Salaryiisinotiaimajorifactor. C Theicurrentiappealitoimeniandiwomeniwithidegreesiiniotherifieldsiisithatinursing icaniprovide ijobiopportunities, ieconomicisecurity, ianditheiopportunityitoihelp iothers. D Workingiconditionsiareinotiidentifiediasia ireasoniforichoosingia isecondicareeriin inursing. DIF: Cognitive iLevel:iKnowledge REF: p. i39 13. Whatispecialtyiofinursingiwasiconsiderediwellisuitediforimeniatia itimeiwheniotheriareasiwere iexcludingimenifromipracticing? a. Obstetricinursing b. Pediatricinursing c. Psychiatric inursing d. Nurseieducator ANS: C Feedback A Obstetricinursingiwasinoticonsideredianiappropriate iareaiforimeniininursing. B Pediatricinursingiwasinoticonsideredianiappropriate iareaiforimeniininursing. C Psychiatricinursingiwasiconsiderediwellisuitediforimenibecauseiitirequired iphysicalistamina iandistrength. D Educationiwasinotia ispecialtyiconsiderediwellisuitediforimeniininursing. DIF: Cognitive iLevel:iKnowledge REF: p. i37 14. Whenisurveyed, iwhatiisithe iprimaryireasonigivenibyimeniforienteringinursing? a. Toimakeia idifference b. Highisalaries c. Flexible ischedules d. Opportunityiforitravel ANS: A Feedback A Meniwhoiwantitoimake iaidifference iinipeoples' ilivesifindinursingianiappealing icareerichoice B Economiciandijobisecurityiare iimportantifactorsiforimenienteringinursing, ibut imoreisignificantiisithe iopportunityitoimakeia idifference iinipeoples' ilives. C Flexible ischedules, iwhereiprovided, iareianiattractive iincentive iforiemployment, ibutithatiisinotiasisignificantiasibeingiable itoimakeia idifferenceiinipeoples' ilives. D Opportunityiforitraveliisiavailable iforitraveliandimilitaryinurses, iotherwiseiitiis inotianiimportantiaspectiofinursingiasia icareer. DIF: Cognitive iLevel:iKnowledge REF: p. i38 15. Whatiwasitheipurpose iofithe iHill-BurtoniAct? a. Itiestablishedifundingiforitheiconstructioniofihospitals. b. Itiprovidediwomeniinithe iservice iwithimilitaryirank. c. Itiestablishediandifundedithe iFrontieriNursingiService. d. IticreateditheiCadetiNurseiCorps. ANS: A Feedback A Thei1946iHill-BurtoniActiprovidedifundingiforithe iconstructioniofihospitals. B Congressipassedia ibilliini1920ithatiallowediwomenitoiholdimilitaryirank. C TheiFrontieriNursingiService, ioriginallyiknowniasitheiKentuckyiCommittee ifor iMothersiandiBabies, iwasiestablishedibyiMaryiBreckinridge. D TheiCadetiNurse iCorpsiwasianialliance ibetweenimilitaryiandicollegiate inursing iprogramsitoitraininursesiandiwasifundedibyiCongress. DIF: Cognitive iLevel:iKnowledge REF: p. i33 16. Whenisurveyed, iwhichiprofessioniwasichosenibyithe igeneralipubliciasihighestiinihonestyiand iethics? a. Physician b. Pharmacist c. Nurse d. Attorney ANS: C Feedback A Physiciansiwere inotirankedioverinurses. B Pharmacistsiwereinotirankedioverinurses. C Gallupipollsifromi1999itoi2010iratedinursingiasithe itopiprofessioniinihonestyiand iethics. D Attorneysiwere inotirankedioverinursesiinihonestyiandiethics. DIF: Cognitive iLevel:iKnowledge REF: p. i40 17. Ini2002iwhichimajoriAmericanicorporationipartnerediwithinursingitoidesign ia imediaicampaign itoipromoteitheiimage iofinursing? a. Johnsoni&iJohnson b. Baxter c. Microsoft d. Wal-Mart ANS: A Feedback A Ini2003iJohnsoni&iJohnsonibegania i$20 imillionicampaign—Campaignifor iNursing'siFuture—toienhanceitheiimage iofinursing, itoirecruitinewinursesiand ieducators, ianditoiretaininurses. B Baxterididinotilaunchia imediaicampaignitoipromoteithe iimage iofinursing. C Microsoftididinotilaunchia imedia icampaignitoipromoteithe iimage iofinursing. D Wal-Martididinotilaunchiaimedia icampaignitoipromoteithe iimage iofinursing. DIF: Cognitive iLevel:iKnowledge REF: p. i40 18. Aishiftiinipopulationigrowthiisiexpecteditoiplaceistressioninursingiresources. iWhichiage-group iisiexpecteditoiexperience itheigreatestipopulationigrowthiinitheinextidecade? a. Olderithani85iyearsiofiage b. 75itoi85iyearsiofiage c. 35itoi65iyearsiofiage d. 18itoi35iyearsiofiage ANS: A Feedback A Peopleiolderithani85 iyears, iknowniasithe i"veryiold,"irepresentithe ifastestgrowingisegmentiofithe itotalipopulation. B Althoughithei75 itoi85 iage-groupiisigrowing, iitiisinotitheifastest-growingisegment iofithe ipopulation. C Theigroup iofiindividualsi35itoi65iyearsiofiageiisinotiexpecteditoigrowias idramaticallyiasiisithe igroupitermedi"veryiold." D Thei18itoi35iage-groupiisinotiexpecteditoibeitheifastest-growingisegmentiofithe ipopulationiinitheinextidecade. DIF: Cognitive iLevel:iKnowledge REF: p. i42 19. Iniwhichipractice iareaiwasitheifirsticlinicalinurseispecialisti(CNS)iroleideveloped? a. Mother-baby b. Psychiatricinursing c. Intensive icareinursing d. Emergencyinursing ANS: B Feedback A TheifirstiCNSirole iwasidevelopediinipsychiatric inursingiinithei1960s. B TheifirstiCNSirole iwasidevelopediinipsychiatric inursingiinithei1960s. C TheifirstiCNSirole iwasidevelopediinipsychiatric inursingiinithei1960s. D TheifirstiCNSirole iwasidevelopediinipsychiatric inursingiinithei1960s. DIF: Cognitive iLevel:iKnowledge REF: p. i34 20. Whichiofithe ifollowingiwasianiunsuccessfuliattemptibyithe iAmericaniMedicaliAssociation i(AMA)itoialleviate itheinursingishortage iofithe itime? a. Creationiofitheinurse imanageriposition b. Creationiofitheiregisteredicareitechnician c. RecruitmentiofiRNsifromiEnglish-speakingicountries d. Redistributioniofiqualifiedinursesitoicertainigeographic ilocations ANS: B Feedback A Theinurse imanageripositioniwasinoticreatedibyithe iAMA. B Iniresponse itoithe inursingishortageiinithe ilatei1980s, itheiAMAiproposediainurse iextendericalleditheiregisteredicareitechnician. C TheirecruitmentiofiforeigninursesiwasinotiaiproposaliofitheiAMA. D Travelinursingiwasinotia iproposaliofithe iAMA. DIF: Cognitive iLevel:iKnowledge REF: p. i47 21. Theifirstitrainedinurse iinithe iUnitediStatesigraduatediini1873iandilateribecameitheisupervisor iofithe iBostoniTrainingiSchool. iWhoiwasithisinurse? a. MaryiAnn iBickerdyke b. DorotheaiDix c. Linda iRichards d. Sallie iThompkins ANS: C Feedback A MaryiAnn iBickerdyke iwasianiuneducatediwidowiwhoiorganizeditheicamp ihospitaliiniCairo, iIllinois, iduringitheiCiviliWar. B DorotheaiDix, iaiwell-knowniadvocate iforitheimentallyiill, iwasiinstrumentaliin icreatingia imonth-longitrainingiprogramiinitwoiNewiYorkihospitalsitoitrain iwomeniwishingitoiserve iinitheiCiviliWar. C Ini1872iLinda iRichardsibecame itheifirstistudentitoienrolliinithe iinauguraliclassiof ifiveistudentsiinithe ifirstiAmericaninurses' itrainingischoolirunibyiDr. iSusan iDimock. iShe igraduatedi1iyearilater. D Sallie iThompkinsiestablishediaihospitaliiniRichmond, iVirginia, iandiwas icommissionedia i"captainiofiCavalry, iunassigned"ibyiConfederate iPresident iJeffersoniDavis. DIF: Cognitive iLevel:iKnowledge REF: p. i26 22. Duringithe iGreatiDepression, istaffingiofihospitalsichangediwithianiimpactilastingitoitheicurrent iday. iWhatiwasithisichange? a. Theiemploymentiofigraduateinursesiinihospitals b. Theineediforiincreasediprivate idutyinursesiandiruralihealthinursesidecreasedithe inumberiofinursesiseekingiemploymentiinihospitals c. Theiopeningiofimore ischoolsiofinursingiinihospitals d. Theiincreasedinumberioficollegiate ischoolsiofinursing, iwhichiallowedihospitalsito iincreaseitheieducationalirequirementsiforitheistaff ANS: A Feedback A Hospitalsiwere iforceditoicloseitheirischoolsiofinursing;ifamiliesiwereinoilonger iableitoiaffordiprivateidutyinursesiinitheirihomes;iandihospitalsihiredithe iunemployedigraduate inursesitoicareiforitheiincreasedinumbersiofipatients iseekingicareiinihospitals. B Althoughithereiwasia ineediforinursesiiniruraliareasisupportedibyitheiCiviliWorks iAdministration, itheinumberiofiprivateidutyinursesidecreasedidueitoithe iinability iofifamiliesitoiaffordithem. C Forieconomicalireasons, ihospitalsicouldinotiafforditoifund ischoolsiofinursing. D Althoughitheinumberioficollegiate ischoolsiincreased, imostinursesiinihospitals iwere ipreparediinidiplomaiprograms. DIF: Cognitive iLevel:iComprehension REF: p. i32 23. Whatiwasitheimostiimportantiinfluence iofiwarioninursing? a. Itiallowediforithe idevelopmentiofihospitals. b. Nursesiwere iableitoiperformimedicaliproceduresiduringiwar. c. Improvedimedicalicareiincreasedisoldiers' isurvivalirates. d. Itiprovidediforithe icreationiofinewitechnologyitoimakeiworkieasier. ANS: B Feedback A Warsiallowedinursesitoistretchitheiboundariesiofitheiriprofession. iNursesihave iled itheiwayiinifurtheringitheiridiscipline ibyirespondingitoineedsiduringiwartime. B Warsiallowedinursesitoistretchitheiboundariesiofitheiriprofession. iNursesihave iled itheiwayiinifurtheringitheiridiscipline ibyirespondingitoineedsiduringiwartime. C Warsiallowedinursesitoistretchitheiboundariesiofitheiriprofession. iNursesihave iled itheiwayiinifurtheringitheiridiscipline ibyirespondingitoineedsiduringiwartime. D Warsiallowedinursesitoistretchitheiboundariesiofitheiriprofession. iNursesihave iled itheiwayiinifurtheringitheiridiscipline ibyirespondingitoineedsiduringiwartime. DIF: Cognitive iLevel:iComprehension REF: p. i34 24. Florence iNightingale iisioftenicreditediasibeingithe ifirstinurse iresearcher. iThisidesignationiis ibasedion a. herimethodsiofireorganizingiBritishihospitals. b. heriuse iofidataionithe imorbidityiandimortalityiofisoldiersiinihospitalsiiniScutari. c. demonstrationithatitrainedinursesiprovidedibetterinursingicare. d. publicationiofiNotesioniNursing, itheifirstischolarlyinursingipublication. ANS: B Feedback A AlthoughiNightingale ireformedibothithe iBritishiArmyiandiBritishicivilian ihospitalsion itheibasisiofidataishe icollected, ithe ireformationsiwereinotiresearched. B Nightingale iwasieducatediinistatisticsiandiusedithe idetailedidataicollectedito ieffectivelyiargue ithe icaseiforithe ireformiofithe iBritishiArmyihospitalisystem. C Nightingale ifoundedithe ifirstitrainingischooliafterishe ihadigainedifameibasedion itheihospitalireformsisupportedibyiheridataicollectioniduringitheiCrimeaniWar. D TheipublicationireflectediNightingale'siphilosophicalithoughtsioninursing. DIF: Cognitive iLevel:iComprehension REF: p. i25 25. Theinursingiprofessioniisiresponsible iforiimprovingiitsiowniimage. iTheimostieffective iavenue iforichangingithe iimage iofinursingiisito a. writeilettersiexpressingiconcernsitoithose iresponsible iforinegative iimagesion itelevisioniandiinifilms. b. haveinursesiasiconsultantsitoithe imediaitoiensureithatitheimediaiproducersihave iaccurate iinformationiaboutinursing. c. haveinursesiappeariandibehave iprofessionallyiandiexplainiwhatinursesidoiinieach ipatientiinteraction. d. supportithe iJohnsoni&iJohnsonicampaignibyidistributingitheiriinformationiabout inursingitoistudentsiinterestediininursing. ANS: C Feedback A Whileiappropriate, iwritingilettersitoiprofessionalsiinitelevisioniandifilmiisinotithe imostieffective iavenue iforichangingithe iimageiofinursing. B Whileiappropriate, ihavinginursingiconsultantsitoitheimediaiisinotithe imost ieffective iavenueiforichangingithe iimage iofinursing. C Theimajoriavenue iforichangingitheiimage iofinursingioccursione inurse-patient iencounteriatia itime, iwhere inursesilookiandibehave iprofessionallyiand idemonstrate iwhatiitiisinursesido. D WhileisupportingiJohnsoni&iJohnson'siCampaigniforiNursing'siFuture iis iappropriate, iitiisinotitheimostieffective iavenueiforichangingithe iimage iofinursing. DIF: Cognitive iLevel:iApplication REF: p. i42 26. Theidiversityiofitheipopulationienteringitheihealthicareisystemiisia ichallenge iforinurses ibecause a. theiportioniofiminoritiesiininursingiisigreaterithanithe iportioniofiminoritiesiinithe igeneralipopulation. b. educatorsiareiculturallyicompetentileadersiforinursesiandistudents. c. lessonsiabouticulture iandiculturalidifferencesiareinotipartiofiprogressive ieducation iprograms. d. ethniciminorityigroupinursesiare iapproximatelyi12%iofinurses. ANS: D Feedback A Onlyi12%iofinursesiareiminorities, ibutiapproximatelyi31%iofithe igeneral ipopulationiisiidentifiediasia iminority. B Managers, ieducators, iandiotherinursingileadersiwillirequireitrainingisoitheyican ibe iculturallyicompetentileadersiforinursesiandistudentsiwhoimayihave ibackgroundsidifferentifromitheiriown. C Cultureiandiculturalidifferencesiareipartiofiprogressive ieducationiprograms. iHowever, iunderstandingiofihealthiandiillnessiinithe icontextioficulturaliheritageiis inoticonsistentlyiaddressediinithe ihealthicareisystem. D Approximatelyi1 iini10inursesiidentifyithemselvesiasiaimemberiofia iminority igroup. iThisimightimakeiitidifficultiforipatientsiwhoiidentifyiasiethnic iminorities itoifeelicomfortable ioriconfidentiwithitheihealthicareisystem. DIF: Cognitive iLevel:iComprehension REF: p. i45 27. Biomedicalitechnologyiinvolvesithe iuse ioficompleximachinesioridevicesiinipatienticare isituations. iBecause iofithe ihighlyitechnologicalienvironmentiiniwhichinursesiwork, iitiis iimportantithatinurses a. assumeitotaliresponsibilityiforimonitoringidataigeneratedibyithese idevices. b. useihumanitouchiandiwordsiofireassurance ifrequentlyitoiconveyicaring. c. maintainitheidevice'sisafetyibyiassuringiroutineiassessmentibyiphysicians. d. beicarefulinotitoifrightenithe ipatientiandifamilyiwithiinformationiaboutithe idevice. ANS: B Feedback A Theimonitoringiandisafetyiofimachinesiandidevicesiare imostioftenithe iresponsibilityiofinursesianditechnicians. B Theiuse iofitechnologyineedsitoibe icombinediwithicaringitoimaintainipatientiand ifamilyisatisfaction. iTechnologyimustineveritakeithe iplaceiofihuman-to-human icontact. C Theimonitoringiandisafetyiofimachinesiandidevicesiare imostioftenithe iresponsibilityiofinursesianditechnicians. D Theipatientiandifamilyineediinformationiaboutitheiuse iofitheidevice, iasiwellias itheimeaningiofithe iinformationiproduced, itoidecrease istressiandianxiety. DIF: Cognitive iLevel:iApplication REF: p. i46 28. MargaretiSanger, iasia inurse iandiactivist, iworkedionitheiLoweriEastiSide iofiNewiYorkiCityiin itheiearlyi1900siwithiimmigrantiwomen. iWhatiwasitheifocusiofiheriwork? a. Sanitationitoipreventidisease itransmission b. Healthieducationiforichildren c. ProvidinginursingicareitoiunderservediAfrican-Americanifamilies d. Safeicontraceptioniandifamilyiplanningiforiwomen ANS: D Feedback A Sanitationitoipreventidisease itransmissionimayihave ibeenipartiofiheriworkiiniher iearlyiyears, ibutiSangeridevotediherilife itoitheibirthicontrolimovementiand ibecameiainationalifigure iinithaticause. B Healthieducationiforichildrenimayihaveibeenipartiofiheriworkiiniheriearlyiyears, ibutiSangeridevotediherilifeitoitheibirthicontrolimovementiandibecame iainational ifigureiinithaticause. C ProvidinginursingicareitoiunderservediAfrican-Americanifamiliesimayihaveibeen ipartiofiheriworkiiniheriearlyiyears, ibutiSangeridevotediherilifeitoitheibirthicontrol imovementiandibecameiainationalifigureiinithaticause. D MargaretiSanger, iinspiredibyithe ideathiofianiimmigrantiwomanifromiaiselfattemptediabortion, ibecameidetermineditoiteachiwomeniaboutibirthicontrol. DIF: Cognitive iLevel:iKnowledge REF: p. i29 MULTIPLEiRESPONSE 1. NursingipracticesiduringitheiCiviliWariadvancedithe icauseiofiprofessionalinursing. iTheimove itowardiformalieducationianditrainingiwasisupportedibyi(Selectiallithatiapply.) a. endorsementibyitheiCatholic inursingiordersi(SistersiofiCharity, iSistersiofiMercy, iandiSistersiofithe iHolyiCross). b. aiproposalibyiDr. iSamueliGrossiini1869ithatilarge ihospitalsidevelopitraining ischoolsiforinurses. c. reportsiofiinadequate iconditionsiinihospitalsireportedibyisocialireformersiafterithe iCiviliWar. d. lobbyingibyitheiUnitediStatesiSanitaryiCommissioniforitheicreationiofinursing ischools. e. theiappointmentiofiDorotheaiDixiasiSuperintendentiofiWomeniNursesiofithe i(Union)iArmy. ANS: B, iC, iD, iE Feedback Correct TheiproposalibyiDr. iSamueliGrossiini1869ithatilarge ihospitalsidevelop itrainingischoolsiforinurses;ireportsiofiinadequate iconditionsiinihospitals ireportedibyisocialireformersiafteritheiCiviliWar;iandilobbyingibyithe iUnitediStatesiSanitaryiCommissioniforitheicreationiofinursingischoolsiall ileditowardiformalieducationianditrainingiforinursingipractices. iSupportifor itheidevelopmentiofischoolsitoitraininursesiwasigivenibyiphysiciansiwho ihadiobserveditheidifference itrainingimadeiinihospitalsiduringithe iwar, ias iwelliasibyitheiU.S. iSanitaryiCommission. iSocialireformationithatistarted ibeforeithe iCiviliWariidentifieditheishockingiconditionsiinihospitals. iDorotheaiDixicreatediaimonth-longitrainingiprogramiforiwomeniwho iwisheditoiserve iasinursesiinithe iCiviliWar. Incorrect "Endorsementibyithe iCatholic inursingiordersi(SistersiofiCharity, iSistersiof iMercy, iandiSistersiofitheiHolyiCross)" iisiincorrectibecause, ialthoughithe iCatholic inursingiordersiprovidedisignificantiorganizedinursingicareiduring itheiwar, ievenitheyididinotidevelopiformalieducationiprogramsiuntililater. DIF: Cognitive iLevel:iComprehension REF: p. i26 2. Historically, ione isolutionithatiattempteditoicorrectitheishortage iofiRNsiwasitoiincrease ithe isupplyiofinurses. iMeansiofiincreasingitheisupplyiofinursesiincludedi(Selectiallithatiapply.) a. implementationiofiteaminursing. b. useiofi"travelinginurses." c. developmentiofiassociate idegreeiprograms. d. importationiofinursesifromiEnglish-speakingicountries. e. useiofiregisteredicareitechnicians. ANS: B, iC, iD Feedback Correct "Use iofitravelinginurses," i"developmentiofiassociate idegreeiprograms," iandi"importationiofinursesifromiEnglish-speakingicountries"iareicorrect ibecause iallihave ibeeniuseditoiincreaseitheinumbersiofipracticinginurses. Incorrect "Implementationiofiteaminursing"iisiincorrectibecauseialthoughithe iimplementationiofiteaminursingiwasiintendeditoiimprove inurse iavailability, iitididinotiincrease ithe inumberiofinurses. iRegisteredicare itechniciansiwere i"nurseiextenders"iproposedibyithe iAMAitoieaseithe ishortage, ibutithisisolutioniwasiquicklyidefeated. DIF: Cognitive iLevel:iComprehension REF: p. i47 3. ProvisionsiofitheiAffordableiCareiActiincludei(Selectiallithatiapply.) a. lifetime ilimitsioficatastrophic icareiinsuranceiwillicover. b. childreniupitoiage i26ibeingialloweditoistayioniparents' iinsurance. c. disallowingidenialioficoverage iforichildrenianditeens' ipreexistingiconditions. d. theirightitoiappealicoverageidecisions. e. recommendedipreventative iservicesiwithoutiout-of-pocketicostitoiconsumers. ANS: B, iC, iD, iE Feedback Correct ProvisionsiofitheiAffordableiCareiActiinclude inoilifetime ilimitsion iinsurance icoverage, iallowingichildreniupitoiage i26itoistayionitheiriparents' iinsurance iplan, ibanningithe ipractice iofidenyingicoverage iforichildreniand iteensiwithipreexistingiconditions, iandia irecommendationiforipreventative iservicesitoibe icoverediwithinoiout-of-pocketicostiforithe iconsumer. Incorrect TheiAffordableiCareiActidoesinotiplaceilifetime ilimitsionicovering icatastrophic icare. DIF: Cognitive iLevel:iKnowledge REF: p. i35 Chapteri3:iNursing'siPathwayitoiProfessionalism TestiBank MULTIPLEiCHOICE 1. Whichiofithe ifollowingiwasirecognizediearliestiasia itrue iprofession? a. Ministry b. Teaching c. Socialiwork d. Engineering ANS: A Feedback A Historicallyionlyimedicine, ilaw, iandithe iministryiwereiacceptediasiprofessions. B Teachingiwasinotiacceptediasianiearlyiprofession. C Socialiworkiwasinotiacceptediasianiearlyiprofession. D Engineeringiwasinotiacceptediasianiearlyiprofession. DIF: Cognitive iLevel:iKnowledge REF: p. i52 2. Whichiofithe ifollowingicharacteristicsiofia iprofessioniwere ilistediiniFlexner'siworkion iprofessions? a. Activitiesiofiprofessionsiare imoreiphysicallyithaniintellectuallyioriented. b. Activitiesiofiprofessionsiare ibasedion itheiriownibodyiofiknowledge. c. Beliefsiofiprofessionsiareimore itheoreticalithanipractical. d. Beliefsianditraditionsiareihandedidownifromigenerationitoigeneration. ANS: B Feedback A Flexneriactuallyilistsiintellectualiasiopposeditoiphysicaliactivities. B Flexner'sicharacteristicsiofiprofessionsilistiaibodyiofiknowledge ithaticanibe ilearnediandiisirefreshediandirefinedithroughiresearch. C Flexnerilistsipracticaliasiwelliasitheoreticalibeliefs. D Flexneristressedithatiiniprofessions, iinformationiisitaughtithroughia iprocessiof ihighlyispecializediprofessionalieducation. DIF: Cognitive iLevel:iComprehension REF: p. i53 3. Similaritiesiexistibetweenivariousiideasiaboutiwhaticonstitutesiaiprofession. iWhichiofithe ifollowingiisibelieveditoibe ia icharacteristic iofia iprofession? a. Membersihave iautonomy. b. Membersiareitrainedionithe ijob. c. Membersiareimotivatediprimarilyibyifinancialireward. d. Theigroup ilacksia icodeiofiethics. ANS: A Feedback A Aireviewiofithe iliterature ionicharacteristicsiofia iprofessioniyieldedithese isimilarities:iservice/altruism, ispecializediknowledge, iandiautonomy/ethics. B Specializediformalieducationiisirequired. C Membersiareimotivatedibyialtruism. D Ethicsioria icode iofiethicsiisia icharacteristiciofiprofessions. DIF: Cognitive iLevel:iKnowledge REF: p. i54 4. Whichiofithe ifollowingibestidescribesitheidifferenceibetweenianioccupationiandiaiprofession? a. Aiprofessionirequiresia idutyitoiserve. b. Aiprofessioniisidefinedibyimembers' iaverage iincome. c. Inia iprofession, iactioniisibasedioniintuition. d. Inia iprofession, iknowledge iisihandedidownifromigenerationitoigeneration. ANS: A Feedback A "Profession" iisidefinediasia iduty, ivocation, ioriformiofiemploymentithatiprovides ia ineedediservice itoisocietyiandipossessesicharacteristicsiofiexpertise, iautonomy, ilongiacademic ipreparation, icommitment, iandiresponsibility. B Averageiincome idoesinotidetermine itheidifference ibetweenianioccupationiandia iprofession. C Inia iprofession, iactioniisibasedionilongiacademic ipreparation, iaibodyiof iknowledge, iandiinstructioniinitechniquesiofithe iprofession, inotioniintuition. D Knowledge iisitransferrediiniformaliacademic ipreparation, inotihandedidown. DIF: Cognitive iLevel:iComprehension REF: p. i59 5. Accordingitoithe inurse'siCode iofiEthics, itheihallmarkiofinursingipractice iis a. autonomy. b. accountability. c. evidence-basedipractice. d. altruism. ANS: B Feedback A Nursesidoinotihaveicomplete iautonomyibutiworkiwithiotheridisciplines. B Individualiaccountabilityihasibecome itheihallmarkiofipractice. iProvisioni4iofithe iCode iofiEthicsistates, i"The inurse iisiresponsible iandiaccountable iforiindividual ipractice. i. i. i" C Evidence-basedipractice iisirelativelyinewitoinursing. D Althoughiimportantitoinursing, ialtruismiisinotitheihallmarkiofinursingipractice iaccordingitoitheiCode iofiEthics. DIF: Cognitive iLevel:iComprehension REF: p. i56 6. Theidocumentithatiprovidesiprofessionalistandardsiandia iframeworkiforiprofessionalidecision imakingithatiensuresidecisionsiareimadeiwithitheihighestiintegrityiisithe a. NurseiPractice iAct. b. CodeiofiEthics. c. Nursing'siSocialiPolicyiStatement. d. bylawsiofithe iAmericaniNursesiAssociationi(ANA). ANS: B Feedback A TheiNurse iPractice iActidefinesitheilegaliscopeiofipractice. B TheiCodeiofiEthicsiininursingiguidesidecisionsiandithe iconductiofipractitioners. C Nursing'siSocialiPolicyiStatementidescribesitheiresponsibilitiesiofinursesitoward isociety. D Bylawsiofithe iANAiguide itheiprocessesiofitheiorganization. DIF: Cognitive iLevel:iComprehension REF: p. i57 7. Aicomponentithatiseparatesioccupationsifromiprofessionsiisicommitment. iWhichiofithe ifollowingiisitheibestiwayithatinursesicanishowicommitmentitoieachiother? a. Reportingisubstandardipractice ibyiunlicensedipersonnel b. Readingithe iprofessionaliliterature c. Mentoringinursingistudentsiandinovice inurses d. Makingia ifinancialidonationitoia iprofessionaliorganization ANS: C Feedback A Reportingisubstandardipractice iisinotithe ibestiexample ioficommitmentitoieach iother. B Readingithe iliterature idoesinotiinvolve imentoringioridisseminatingiknowledge ito iothers. C Nursesishowicommitmentitoithe iprofessionibyimentoringiothersienteringithe iprofession. D Donatingitoia iprofessionaliorganizationiisilessieffective ithaniservingiasianiactive imemberiofitheiorganizationiandidisseminatingiknowledge ithroughiactive iparticipation. DIF: Cognitive iLevel:iApplication REF: p. i60 8. Theinursingiprofessionihasiexperiencedibarriersitoiprofessionalism. iWhich iofitheifollowingiis itheiprimaryicurrentibarrieritoinursing'siprofessionalism? a. Tooimanyimeniininursing b. Unquestioningiobedience itoidoctors c. Limitationsiplacedionipractice ibyistateilegislators d. Variabilityiofieducationalibackgroundsiofinurses ANS: D Feedback A Althoughiincreasing, itheinumberiofimeniininursingiisilow. B Unquestioningiobedienceiisinotia icurrentibehavior. C Currently, inurse ipractice iactsiareibroaderithanieveribefore. D Noiotheriprofessioniallowsientryiintoipractice iatilessithanithe ibaccalaureate ilevel. iInifact, imanyiprofessionsirequireipostgraduate ipreparationiforibeginning iprofessionalipractice. DIF: Cognitive iLevel:iComprehension REF: p. i60 9. Theiprocessiofiprofessionalizationiofianioccupationitypicallyifollowsia ipatterniof idevelopmentalistages. iOneiofitheistagesiisicollective iidentity. iWhichiofithe ifollowingiisian iexample ioficollective iidentity? a. Legalirightitoipractice iprofessionitoiprotectiuniqueiskillsifromioutsiders b. Apprenticeshipiprogramsitoidevelopiskills c. Ailooseiassociationiofipractitioners d. Definitioniofitheiprofession'simissionirelateditoifull-timeiwork ANS: A Feedback A Professionsiwillibe idefinedilegallyitoidetermine iwhoicaniuse ithe iskillsipracticed ibyitheirimembers. B Professionsihaveia iformalieducationaliprocessiforiallimembers. C Professionsihaveiveryiorganizediassociationsiforitheirimembersithatimayiset istandardsiforipractice. D Toipractice iaiprofession, itheiworkidoesinotineeditoibe ifullitimeionly. DIF: Cognitive iLevel:iComprehension REF: p. i54 10. Preparationiisia icomponentithatiseparatesioccupationsifromiprofessions. iWhichiofithe ifollowingiisitheibestiwayithatia inurseidemonstratesipreparationiforithe iprofession? a. Improvesinursingipractice ithroughitheiuse iofitrialiandierrorimethods b. Focusesionitheiskillsineedediforithe ipractice isetting c. Articulatesitheivaluesioficaringiandicompassioniinipatient-centeredicare d. Utilizesitextbooksifromicollege itoisupportipractice i5iyearsiafterigraduation ANS: C Feedback A Professionalipreparationienablesipractitionersitoiactiinia ilogical, irationalimanner iratherithanirelyingioniintuition, itradition, ioritrialiandierror. B Theipreparationiincludesimoreithanijustipractice iskills. C Preparationiforia iprofessioniincludesimore ithanithe iacquisitioniofiknowledge iand iskills. iPreparationiincludesitheiorientationitoitheibeliefs, ivalues, iandiattitudes iexpectediofimembersiofitheiprofession. D Professionsihaveianiever-expandingibaseiofiknowledge, iwhichimeans ipractitionersineeditoiuse itheimosticurrentiinformationitoiinformipractice idecisions. DIF: Cognitive iLevel:iApplication REF: p. i54 11. Aibarrieritoiprofessionalismiattributeditoinursing'sirootsiinialtruismiisiillustratediwhenia inurse a. questionsia imedicationiorderiwrittenibyitheiphysician. b. takesitheitimeitoilistenitoia ipatient'sifearsiaboutisurgery. c. needsitoiseekiapprovalifromicharge inurse itoigive ia iPRNimedication. d. feelsiguiltyiforiexpectingitoibe ipaidiwelliforiwork. ANS: D Feedback A Theinurse iisiservingiasia ipatientiadvocateibyiquestioningithe iorderiifiitiisiunclear; iunquestioninglyifollowingithe iorderiwouldiviolate itheipatient'sitrust. B Listeningitoipatients' iconcernsiisianiimportantiaspectiofinursing. C Theinurse iisianiindependentipractitioneriandidoesinotirequireipermissionito iprovideinursingicare. D Asiwithiotherihelpingiprofessionsipractitioners, ithe ivalueiofialtruismifrequently imakesinursesifeeliguiltyiorigreedyiforiexpectingicompensationiforithe icomplex iandidemandingiworkitheyido. DIF: Cognitive iLevel:iApplication REF: p. i62 12. Aimajorichallenge itoifulliautonomyiforinursesiis/are a. stateinurseipractice iacts. b. lobbyistsiforithe iAmericaniMedicaliAssociationi(AMA)iandihospitaliassociations. c. theistatusiofinursesiinihospitalihierarchy. d. theiviewiofiphysiciansiasithe igatekeepersiinihealthicare. ANS: B Feedback A Althoughinurse ipractice iactsiinimanyistatesireinforceinursing'sitenuousiselfdeterminationibyirequiringithatinursesiperformicertainiactionsionlyiwhen iauthorizedibyisupervisingiphysiciansiorihospitaliprotocols, itheyiare inotithe imajor ichallenge. B Historicallyiatileastithreeigroupsihave iattempteditoicontrolinursingipractice, iorganizedimedicine, iandihealthiserviceiadministration, iasiwelliasiorganized inursing. iHowever, ibothithe imedicaliprofessioniandihealthiservicesiadministration ihaveiattempteditoicontrolinursingibecauseitheyibelievediitiwasiinitheiribest iinterestitoikeepinursesidependentionithem. C Althoughistatusiwithinithe ihospitalimayiinfluence iautonomyiofipractice, iitiisinot itheimajorichallenge. D Althoughiphysicianisupervisionioriauthorizationiisirequiredibefore icertain iactivitiesicanioccur, ithisiisinotitheimajorichallenge itoinursingiautonomy. DIF: Cognitive iLevel:iKnowledge REF: p. i57 13. Oneiofithe icharacteristicsiofia iprofessioniidentifiedibyiKellyiwasi"thereiisianiorganization i(association)ithatiencouragesiandisupportsihighistandardsiofipractice."iWhichiofitheifollowing iillustratesiaiconcerniforinursingimeetingithisicharacteristic? a. TheiANAihasiexistediforimore ithani100iyears. b. Nursingispecialtyiorganizationsihave igreateripoweritoiinfluenceipractice ithania imoreigeneralinursingiorganization. c. Theimembershipiofithe iANAiisilessithani10%iofiallinurses. d. Theipurpose iofitheiANAidoesinotiaddressitheieconomic iandigeneraliwelfareiof inurses. ANS: C Feedback A AlthoughitheiANAihasiexistedisincei1896, ithe ilongevityiofitheiorganizationidoes inotiassure itheidevelopmentiofistandardsiofipractice. B Althoughispecialtyiorganizationsimayiinfluence ipractice iinispecialtyiareas, ithe iANAiaddressesithe ineedsiofiallinursesiregardlessiofiareaiofipractice. C Fewerithani1iini10inursesibelongitoitheiANA, itheiofficialivoiceiofinursing. D TheiANAihasia iclearifocusionitheieconomiciandigeneraliwelfare iofinurses ihistorically. DIF: Cognitive iLevel:iComprehension REF: p. i58 MULTIPLEiRESPONSE 1. Scholarsihave idefinedi"profession" ithroughithe iyears. iWhichiofitheifollowingiwere iidentified iasicommonimajoricharacteristicsiaccordingitoischolars? i(Selectiallithatiapply.) a. Itiisibasedionia ibodyiofiknowledge ithaticanibe ilearned. b. Itihasia iservice iorientation. c. Practice iisiinia isingle irecognizedisetting. d. Professionalsicontrolitheiriownipractice. e. Skillsicanibe ilearnediinia ivarietyiofisettings, iincludingithroughijobitraining. ANS: A, iB, iD Feedback Correct "Basedion iaibodyiofiknowledge ithaticanibeilearned,"i"hasia iservice iorientation,"iandi"professionalsicontrolitheiriownipractice"iareicorrectias itheseicharacteristicsiwere iidentifiedibyiFlexner, iHall, iandiothers. Incorrect "Professionalsicontrolitheiriownipractice"iisiincorrectibecause ia iprofession iisinotialwaysipracticediinia isingleisetting. iForiexample, inursingimayibe ipracticediiniorganizedihealthisettings, iasiwelliasiinitheihome iand icommunity. iThe ieducationiandiskillsineededitoilearnia iprofessionicome ifromianiinstitutioniofihigherieducation. DIF: Cognitive iLevel: iComprehension REF: p. i53 2. An iimportantiaspectiofiprofessionalismiisicollegiality. iWhichiofithe ifollowingidemonstrates icollegiality? i(Selectiallithatiapply.) a. Assistingiainurse iresearcheriwithidataicollectionirelateditoimeasuringistressilevels iinihospitalizedichildren b. Reportingia inursingiassistantitoitheinurse imanageriwheniheartirateiwasinotirecorded iinia ipatient c. Participatingiiniweeklyipatienticareiconferencesiwithiphysicians, isocialiworkers, iandiotheritherapists d. Sharingiwithianotherinurse ithatiyouihearditheinurse imanageriisidatingitheinew iphysicalitherapistionithe iunit e. Servingiasia ipreceptoritoia inurseicompletingia irefreshericourse itoireactivate iher inursingilicense. ANS: A, iC, iE Feedback Correct "Assistinginurse iresearcheriwithidataicollectionirelateditoimeasuringistress ilevelsiinihospitalizedichildren;"i"participatingiiniweeklyipatienticare iconferencesiwithiphysicians, isocialiworkers, iandiotheritherapists;"iand i"servingiasia ipreceptoritoia inurse icompletingia irefreshericourse ito ireactivate iherinursingilicense" iareicorrectibecauseitheseiactions idemonstrate icollegialityibyisharingiwith, isupporting, iassisting, iand icounselingiotherinursesiandihealthicareiproviders. Incorrect "Reportingiainursingiassistantitoithe inurse imanageriwheniheartirateiwasinot irecordediinia ipatient"iisiincorrectibecauseithisiisinotia isupportive iactivity iasieveryone icanimakeia imistake iandineedsitoibe igivenithe iopportunityito icorrectithisibehavior. i"Sharingiwithianotherinurse ithatiyouihearditheinurse imanageriisidatingithe inewiphysicalitherapistionithe iunit"iisiincorrect ibecause iparticipatingiinigossipiandirumorsidoesinotisupportiothers. DIF: Cognitive iLevel:iApplication REF: p. i60 Chapteri4:iLegaliAspectsiofiNursing TestiBank MULTIPLEiCHOICE 1. Whichiofithe ifollowingiisianiexample ioficivililaw? a. Possessioniofimarijuana b. Assaultiandibattery c. Givingialcoholitoiaiminor d. Childicustodyicase ANS: D Feedback A Possessioniofimarijuana iisianiexample iofia iviolationioficriminalilaw:ipossession iofianiillegalisubstance. B Assaultiandibatteryicomesiunderithe ipurviewioficriminalilaw. C Givingialcoholitoiaiminoriisianiexampleiofia iviolationioficriminalilaw. D Civililawirecognizesiandienforcesitheirightsiofiindividuals, isuchiasidisputesiover ilegalirightsioridutiesiofiindividualsiinirelationitoione ianother. iAichildicustody icaseiisianiexample ioficivililaw. DIF: Cognitive iLevel:iComprehension REF: p. i68 2. Theinurse ipractice iactiofia istateidefinesithe iscopeiandiresponsibilitiesiofinursingipractice iinithat istate. iWhichiofithe ifollowingiisitrueiregardinginurse ipractice iacts? a. Theyidetermine itheieducationalirequirementsiforilicensure. b. Theyidescribe itheiprocessiforigainingimembershipitoia iprofessionaliorganization. c. Theyiregulateihowimanyiprofessionalinursingiorganizationsimayibe iformed. d. Theyidefine itheipractice iofimedicine iinirelationitoinursing. ANS: A Feedback A Nurseipractice iactsidefineithe iminimumieducationaliqualificationsiandiother irequirementsiforilicensure. B Nurseipractice iactsidoinotidescribe ithe iprocessiforiadmissionitoitheistateiboardiof inursing. C Nurseipractice iactsidoinotiregulate inursingiorganizations. D Nurseipracticeiactsihaveino iauthorityioverimedicalipracticeiissues. DIF: Cognitive iLevel:iComprehension REF: p. i69 3. Whichiofithe ifollowingifallsiunderitheijurisdictioniofithe istateiboardiofinursing? a. Approvingiorirejectiapplicationsiforinewinursingieducationiprograms b. Expandingithe iprovisionsiofithe inurse ipractice iact c. Reducingithe iprovisionsiofithe inurse ipracticeiact d. Rightitoisuspenditheineediforilicensure iofiregisteredinursesi(RNs)iinitimesiof iextremeishortage ANS: A Feedback A Schoolsiofinursingimustihave istate iapprovalifromithe istateiboardiofinursingito ioperate. B Theistateiboardiofinursingicanienforceithe inurseipractice iactibuticannotiexpandiit. C Theistateiboardiofinursingicanienforceithe inurseipractice iactibuticannotireduceiit. D Theistateiboardiofinursingidoesinotihave itheiauthorityitoisuspendithe ilicensure irequirementiforianyireason. DIF: Cognitive iLevel:iComprehension REF: p. i71 4. Theimosticommonireasonithatinursesiareidisciplinedibyitheistateiboardiofinursingiis a. makingimedicationierrors. b. followingiunsafeinursingipractice. c. practicingiwhile iimpaired. d. abandoningipatients. ANS: C Feedback A Medicationierrorsiareinotitheimosticommonicause iofinursesihavingitheirilicenses isuspended. B Unsafeinursingipractice iisiaireasonitoihave ia ilicense isuspendedibutinotithe imost icommonireason. C Theimosticommonireasonithatithe istateiboardisuspendsia inurse'silicenseiisifor ipracticingiwhile iimpaired. D Abandoningipatientsiisinotitheimosticommonireasoniforisuspendinginursing ilicenses. DIF: Cognitive iLevel:iKnowledge REF: p. i71 5. Whatiisithe iprimaryifunctioniofithe iNationaliCounciliofiStateiBoardsiofiNursingi(NCSBN)? a. Overseeingidecisionsimadeibyistate iboardsiofinursing b. Developingithe iNCLEX-RN® iandiNCLEX-PN® ilicensingiexaminations c. AdministeringitheiNCLEXiexaminationiatitestingicenters d. Overseeingigrantingilicensure ibyiendorsement ANS: B Feedback A TheiNCSBNidoesinotihave ithe iauthorityitoioversee istateiboardsiofinursing. B TheiNCSBNidevelopsithe itestiplaniandiitemsiforithe iNCLEXiexamination. C States, inotithe iNCSBN, iadministeritheiNCLEXiexamination. D Stateiboardsiofinursing, inotitheiNCSBN, igrantilicensure ithroughiendorsement. DIF: Cognitive iLevel:iComprehension REF: p. i71 6. Whichiofithe ifollowingiactionsibyithe inurseiconstitutesiprofessionalimalpractice? a. Administeringia ipreoperative isedative iinitheipatientiholdingiareaiinsteadiofiinithe ipatient'siroom b. Failingitoinotifyitheiphysicianiofia ipotassiumileveliofi4imEq/L c. Placingithe iheadiofithe ibediflatiwhenia ipatientiisireceivingia itubeifeeding, icausing itheipatientitoiaspirate itheimixture d. Administeringia iroutineimedicationi10iminutesilateibecauseiofia iunitiemergency ANS: C Feedback A Administeringia ipreoperative isedative iinitheipatientiholdingiareaiinsteadiofiinithe ipatient'siroomidoesinoiharmitoithe ipatient. B Failingitoinotifyitheiphysicianiofia ipotassiumileveliofi4imEq/Lidoesinot inecessarilyidoiharmitoithe ipatient. C Theireasonable inurseiwouldiknowithatithe iheadiofitheibedimustibe ielevatediwhen itheipatientiisireceiving iaitube ifeeding. D Noiharmiresultedifromiadministeringia iroutineimedicationi10iminutesilate ibecauseiofia iunitiemergency. DIF: Cognitive iLevel:iAnalysis REF: p. i72 7. Theinurse iforgetsitoigive itheipatientia idose iofiantibiotic. iLateriinitheishift, ithe ipatientigoesiinto icardiac iarrestiandidies. iWhatielementiisilackingitoisupportimalpractice? a. Dutyioficare b. Breachiofiduty c. Specificiinjury d. Proximateicause ANS: D Feedback A Thereiisinothingitoisupportithatithe inurse ididinotiassume itheidutyioficareiofithe ipatient. B Althoughitheinurse ibreachediheridutyibyinotiadministeringitheiantibiotic, ithere ialsoihasitoibe isupportithatithisiactionicauseditheiinjury. C Althoughione imighticlaimiinjuryi(cardiaciarrestiandideath), ithe ilinkitoithe inurse's iactioniisinotisupported. D Thereiisinoisupportithatifailingitoiadministeritheiantibiotic icauseditheicardiac iarrestiandideath. DIF: Cognitive iLevel:iAnalysis REF: p. i73 8. Analysisioficasesiofireportedinegligence ifromi1995itoi2001idemonstratedithatitheimajorityiof icasesioccurrediiniwhichipatienticareisetting? a. Acuteicare b. Psychiatric c. Nursingihomesiandilong-termicareifacilities d. Home ihealth ANS: A Feedback A Theimajorityiofinegligence icasesi(60%)ioccurrediiniacuteicareisettings. B Psychiatric isettingsiaccountediforionlyi8%iofithe icasesiofinegligence. C Nursingihomesiaccountedifori18%iofithe icasesiofinegligence. D Home ihealthisettingsiaccountediforionlyi2%iofithe icasesiofinegligence. DIF: Cognitive iLevel:iKnowledge REF: p. i74 9. Aicompetentiresidentiiniailong-termicareifacilityirefusesianiorderediantidepressantimedication. iTheinurse ibelievesithe ipatientineedsithe imedicationibecause iheiisiclearlyishowingisignsiof idepressioniandidissolvesitheimedicationiinijuiceiwithoutitellingithe ipatient. iThisiillustrates inegligence ibyifailure ito a. followitheistandardioficare. b. assessiandimonitoria ipatient. c. communicateiwithia ipatient. d. document. ANS: C Feedback A Theistandardioficareiwasifollowediasirelateditoitheigivingiofianiordered imedication. B Theinurse iassessedithe ipatientiandideterminedihe istillineededitheimedication ibecauseihe iwasishowingisignsiofidepression. C Theinurse ididinoticommunicate iwithitheipatientitoidetermine iwhyihe ididinotiwant itoitakeitheimedication. iBasedionithe iinformationisheigathered, ifurtheriactions icouldihave ibeenitaken. D Thereiisinoievidence ithatithe inurse ididinotidocumentitheiadministrationiofithe imedication. DIF: Cognitive iLevel:iApplication REF: p. i75 10. Ainursingistudentigotia ithank-youicardifromia ipatient'sifamilyiandihadianotheristudentitakeia iphotoiofitheistudentiwithitheifamily. iThe istudentiasksitheinursingiinstructoriifiitiwouldibe ialrightitoipostitheiphotoioniFacebook. iWhichiresponse ibyitheiinstructoriisibest? a. "Yes, iasilongiasiyouiask itheifamilyiifithatiwouldibe iOK." b. "IithinkithatiwouldibeiOK, ibutiyouishouldicheckihospitalipolicy." c. "No, ipostingipicturesiofipatientsiandifamiliesionisocialimediaisitesiisinot iacceptable." d. "No, ithaticouldileaditoia imalpractice isuitibyithe ipatientiorifamily." ANS: C Feedback A ConfidentialityiandiHealthiInsurance iPortabilityiandiAccountabilityiActiofi1996 i(HIPAA)iregulationsiplaceisevereirestrictionsioninurses' iuse iofisocialimedia isites. iTheistudentishouldinotipostithe iphoto. B Theihospitaliprobablyihasia ipolicyiregardingithe iuse iofisocialimedia isites, ibutithe istudentishouldialsoibeiinstructeditoicheckitheinursingischool'sipoliciesiasiwell. iMostisuchipoliciesiprohibitioriseverelyirestrictiwhatinursesiandistudentsicanipost. iEveniifithereiare inoipoliciesiiniplace, itheistudentishouldinotipostithe iphotoidue ito iethicaliandiHIPAAiconsiderations. C Theistudentiwouldibe iwise itoinotipostithe iphotoionianyisocialimedia isite. iPosts iareineitheri"private"ioriinaccessible ionceideleted. D Iniorderitoiprove iaiclaimiofimalpractice, ifourielementsiareineeded;iduty, ibreach iofiduty, iharm, iandicausation. iThisiwouldimostilikelyinotibeia icase iofimalpractice. DIF: Cognitive iLevel:iAnalysis REF: p. i79 11. Theinurse igivingimedicationsitoia ipediatric ipatientinotesithatianiorderiforia imedicationiis iconsiderablyilargerithanithe iusualidose. iSheilooksiupithe imedicationiinia ipharmacologyibook iandifindsishe iisicorrectiaboutitheidosage. iWhichiactionishouldithe inurse itake? a. Documentingitheifindingsiinithe ichartiafterigivingitheimedication b. Callingitheinursingisupervisoriandiaskiwhatitoido inext c. Callingitheipharmacistitoiobtainitheiusualidosage d. Notifyingitheiphysicianiofiherifindingsibeforeigivingithe imedication ANS: D Feedback A Documentationiisiimportant, ibutitheiorderineedsitoibeiclarifiedibeforeithe imedicationiisiadministered. B Althoughiseekingiadviceifromitheisupervisoriisihelpful, itheinurse istillineedsito iclarifyitheiorderiwithitheiphysicianiwhoiwroteiit. C Althoughitheipharmacisticanicheckithe idosageicalculationiandiprovide isupportive iinformationitoithe inurse, ihe iorishe iisiunableitoichange itheiorder;ionlyithe iphysicianicanidoithat. D Theinurse inotifyingitheiphysicianiofiherifindingsibefore igivingithe imedication iallowsitheiphysicianitoiclarifyithe iorderiifiwritteniincorrectlyioritoiclarifyihis irationale iforithe iincreasediamount. DIF: Cognitive iLevel:iAnalysis REF: p. i75 12. Whichiofithe ifollowinginursingiresponsibilitiesicanineveribe idelegated? a. Complexitasks b. Evaluation c. Medicationiadministration d. Accountability ANS: D Feedback A Complexitasksicanibe idelegatediifitheipersonihasibeenitraineditoiperformitheitask. B Whileianiunlicensediassistive ipersonneli(UAP)iisinotiqualifieditoievaluate iresults, iifitheinurseidelegatesisomethingitoianotheriRN, itheisecondiRNiisiresponsibleifor ievaluatingithe iresultsiandiactingiappropriately. C Medicationiadministrationiinisome istatesicanidelegatedi(toia ilimitedidegree)ito iUAPs. D Professionaliaccountabilityicannotibe idelegated. DIF: Cognitive iLevel:iComprehension REF: p. i75 13. TheiRNiaskedia inursingiassistantitoimonitoriseveralipostoperative ipatients. iWhichiofithe ifollowingiinstructionsitoitheinursingiassistantidemonstrate iappropriate idelegation? a. "Take ivitalisignsieveryi2 ihours, iandireportitoimeianythingioutside iofithe inorms." b. "Assessipainiusingia i10-pointiscale, iandirecorditheiscoreionithe ichart." c. "Recorditheiurine ioutput, iandireportitoimeiifitheyihave inotivoidediwithini4ihours." d. "Recorditheiamountiofidrainage ionitheidressingionitheibedside irecord." ANS: C Feedback A Theinursingiassistantiisitolditoireporti"anythingioutsideiofitheinorms." iAniRN ishouldinotiassume ithatithe inursingiassistantiknowsitheispecificinormsithe iRNiis ireferringito. B Theinursingiassistantishouldiknowiifithereiareispecific iscoresithatitheiRNiwishes itoiknowiabout. C Thisiisithe imostiappropriateiinstructionibecause itheinursingiassistantinotionly iknowsiwhatitoidoibutialsoiwhatispecificiinformationitoireport. D TheiRNineedsitoiknowithe iamountiofidrainageitoidetermine iwhetherianyifurther iactionsiare ineeded. DIF: Cognitive iLevel:iApplication REF: p. i76 14. TheiRNidelegatesichangingiaisterileidressingioveria icentralilineitoia ilicensed ipractical/vocationalinursei(LPN/LVN). iTheiLPN/LVNicontaminateditheisiteiduringithe idressingichange, iandianiinfectionidevelopediinitheipatient. iWhichiofitheifollowingistatements iisitrue? a. TheiLPN/LVNiisiguiltyiofimalpractice. b. TheiRNiisiultimatelyiresponsible iforiactsiheiorishe idelegates. c. Theihospitalicannotibe iheldiresponsible iforithe iactsiofiitsiemployees. d. Aimalpractice isuiticannotibeibroughtiasino iharmicameitoithe ipatient. ANS: B Feedback A Guiltihasitoibeideterminediinia icourtiofilaw. iTheiLPN/LVNicanibe iheld iresponsibleiforiactionsiinirelationitoitheiLPN/LVNiscope iofipractice iinitheistate. B TheiRNiisiresponsible iforitasksidelegateditoibothilicensediandiunlicensed ipersonnel. C Theihospitalicanibe iheldiresponsible iforiemployeesinoticorrectlyifollowing ipoliciesirelateditoithe istandardsiofiqualityicare. D Theipatientiwasiharmed. DIF: Cognitive iLevel:iComprehension REF: p. i74 15. Whichiofithe ifollowingiisiailegitimate idefenseitoia icharge iofiassaultiandibattery? a. Presenceiofiaimedicaliorder b. Knowledge iofiwhatiisibestiforithe ipatient c. Informediconsent d. Livingiwill ANS: C Feedback A Theipresenceiofia imedicaliorderidoesinotinegate itheineediforiinformediconsent. B Eveniifithe itreatmentiisiinitheipatient'sibestiinterest, iwithoutiinformediconsentiit icannotibe idone. C Informediconsentiisia iviableidefenseiagainstianiaccusationiofiassaultiandibattery. D Havingia ilivingiwillidoesinotireplace itheineediforiinformediconsent. DIF: Cognitive iLevel:iKnowledge REF: p. i80 16. Iniwhichiofithe ifollowingisituationsishouldithe ilegalityiofianiinformediconsentibe iquestioned? a. Patientiwithidementia;iconsentigivenibyispouse b. Patientiwhoireceived ia ipreoperative idose iofiDemerolibeforeigivingiconsent c. Patientiwhoiisianxiousiandiasksimanyiquestionsiofithe iphysician d. Patientiwhoiexpressesiconcerniaboutithe icostiofithe iprocedure ANS: B Feedback A Whenithe ipatientiisiincompetent, iaispouse imayigive iinformediconsent. B Patientsicannotibeisedatedioriimpairediandilegallyigive iinformediconsent. C Patientsihave iairightitoiaskiquestionsiofitheihealthicareiteam. D Questioningitheicostidoesinotinegate itheilegalityiofithe iinformediconsent. DIF: Cognitive iLevel:iApplication REF: p. i76 17. Whichiofithe ifollowingiisiainursingiresponsibilityiregardingiinformediconsent? a. Cancelingithe iprocedure iifitheipatientihasiquestions b. Explainingithe iprocedure, irisks, ianditreatmentialternatives c. Servingiasia iwitness, iensuringithatithe ipatientidoesinotifeelicoercediintoia idecision d. Ensuringithatithe iphysicianihasicompletelyiexplaineditheicostsiofithe iprocedure ANS: C Feedback A Theinurse idoesinotihave ithe iresponsibilityitoischedule ioricancelimedical iprocedures. B Theiphysicianihasitheiresponsibilityiofiexplainingitheiprocedure, irisks, iand ibenefits. C Theinurse icaniserve iasia iwitnessiiniinformediconsent. D Theicostsiofitheiprocedureiare inotirequireditoibe iincludediinitheiphysician's iexplanation. DIF: Cognitive iLevel:iComprehension REF: p. i76 18. Whichiofithe ifollowingiactionsiisiacceptable iasianiexceptionitoia inurse'siobligationiregarding iconfidentiality? a. Reportingicertainidiseasesitoipublicihealthiauthority b. Discussingiaipatient'sicareiwithisomeoneiwhoidoesinotiknowithe ipatient c. Leavingiprintoutsiofilabireportsionitheideskiinithe iphysicians' iloungeiasia iconvenience d. Discussingiaipatient'siconditioniinia ipubliciplaceiasilongiasitheipatient'sinameiisinot imentioned ANS: A Feedback A Exceptionsitoiconfidentialityiinclude ireportingicertainidiseasesitoitheiappropriate ipublicihealthiauthority. B Itiisiinappropriate itoidiscussiaipatientiwithianyoneioutside iofithe itreatmentiteam. C Patientirecordsimustibe ikeptiprivate iatiallitimes. D Eveniifithe ipatient'siname iisinotimentioned, idiscussingia ipatientiinipubliciisia iviolationiofiprivacyibecauseisomeoneilisteningimayibe iableitoidetermine ithe ipatient'siidentityifromitheidiscussion. DIF: Cognitive iLevel: iKnowledge REF: p. i77 19. Whichipatientirightsiare iguaranteedibyiHIPAA? a. Patientsiareiaskeditoisign iairelease iofiresponsibilityiifitheirihealthicareirecords iinadvertentlyibecome iaimatteriofipublicirecord. b. Patientsisignia irelease iprotectingithe ihealthicareiprovideriandiinsurance icompany iagainsticomputerifileitheft. c. Patientsiareiprotectediagainstimedicalirecordsibeingiindiscriminatelyishared. d. Patientsimayireceive ia icomplete icopyiofitheirimedicalirecordsiatinoicost. ANS: C Feedback A Patients' ihealthirecordsiareineveritoibecomeia imatteriofipublicirecord. B Healthicareiprovidersiandiinsurance icompaniesiareinotiprotectediagainst icomputeritheft. C HIPAAiprotectsimedicalirecords:iwritten, ioral, iandielectronic. D Patientsihave iaccessitoitheirimedicalirecordsithroughiHIPAA, ibutitheyimayibe iassessedia ifee. DIF: Cognitive iLevel:iComprehension REF: p. i78 20. Aichildiisitestediforigeneticiabnormalities. iAfteritheitestiresultsiareideliveredifromithe ilaboratory, ia irepresentative iofithe iparents' imedicaliinsurance icompanyicallsithe inurse'sistation iandiasksiforithe iresultsiofitheitests. iThe inurse'sibestiresponse itoithisirequestiisito a. refuseitoigive ithe iinformation. b. tellitheirepresentative ithe istatusiofitheitestsiisiunknown. c. giveithe iresultsiasireportedibecauseithe iinsurance icompanyiisipayingiforithe itests. d. tellitheirepresentative ithatithe itestiresultsiwillineeditoibe iobtainedifromithe iphysicianiwho iorderedithem. ANS: A Feedback A OnitheibasisiofiHIPAAiguidelines, ithisiinformationiisiforithe ipatientiandihealth icareiproviders. B Nursesishouldinotiprovideifalse iinformation. C Givingitheitestiresultsitoitheiinsurance icompanyiwouldiviolate itheiHIPAA iguidelines. D Nursesishouldinotiprovideifalse iinformation. DIF: Cognitive iLevel:iApplication REF: p. i78 21. TheiPatientiSelf-DeterminationiActiofi1991, iasiimplementeditoday, iisiknowniasiproviding a. informediconsent. b. advanceidirectives. c. patientibilliofirights. d. HIPAAiprotections. ANS: B Feedback A Informediconsentiassuresipatientiautonomy. B Advanceidirectivesidescribeianiindividual'sipreferencesiiniregarditoimedical iinterventionishouldithe iindividualibecomeiincapacitated, iwhichiwasitheiprimary iintentiofitheiPatientiSelf-DeterminationiActiofi1991. C Theipatientibilliofirightsiassuresipatientsicertainibasicirightsiunrelatedito ibecomingiincapacitated. D HIPAAiprotectsimedicalirecordsifromidisclosure. DIF: Cognitive iLevel:iComprehension REF: p. i82 22. Whichiofithe ifollowingiputsitheinurse iatiincreasediriskiforilegaliaction? a. Delegatingia iFoleyicatheteriinsertionitoia iLPN/LVN b. Documentingitheiexactiwordsia ipatientiusesiwhenicomplaining. c. Notiassessingia ipatientiwhoiisicomplainingiofipain d. Caringiforiaipostoperative ipatientiwhoihasiaipulmonaryiembolusiwhileibeing itransferreditoitheichair ANS: C Feedback A Properidelegationidoesinotiincrease iriskiforilegaliaction. B Documentingiinidetail, iincludingiusingidirectiquotationsiwheniappropriate, iwill iprotectitheinurseifromilegaliliability. C Failingitoiassessia ipatienticonstitutesianiareaiofirisk. D Theiembolusimayihave ibeeniunavoidable, iandiencouragingipostoperative imobilityimeetsitheistandardioficare. DIF: Cognitive iLevel:iApplication REF: p. i75i| iBoxi4-3 23. Whichiofithe ifollowingichartientriesirepresentsia ipitfalliinidocumentation? a. Restlessiandicombative;iSaO2 i87% b. Patientidemandingiandidifficultitoiplease c. Discoverediinibathroom;iinstructeditoiaskiforiassistance ibeforeiambulating d. Three-centimeteriareaiofiserosanguineousidrainage inotedionithe idressingitoitheileft ihip ANS: B Feedback A "Restlessiandicombative;iSaO2 i87%" iisianiacceptable ichartientry. B Theichartientryiisisubjective iandinonspecific. iItialsoicontainsijudgmentsiaboutithe ipatientiwhichicouldibe iinterpretediasibias. C "Discoverediinibathroom;iinstructeditoiaskiforiassistance ibeforeiambulating" iis ianiacceptable ichartientry;iitiisiaccurate iandiconcise. D "Three-centimeteriareaiofiserosanguineousidrainage inotedionitheidressingitoithe ileftihip"iisicomplete, iaccurate, iandiconcise. DIF: Cognitive iLevel:iApplication REF: p. i83 24. Theiqualityiofinursingicareiisijudged ibyiwhetherinursingiactionsimeetithe istandardioficare. iWhichiofithe ifollowingiisianiexample iofimeetingithe istandardioficare? a. Demonstratingitheiuseiofitheinursingiprocessiwhenicharting b. Followingiactionsiconsistentiwithilocalipractice c. Monitoringiaipatientimoreicloselyiifithe iequipmentihasioccasionallyimalfunctioned d. Bypassingimedicationichecksitoisave itimeionceitheinurse iisiexperienced ANS: A Feedback A Chartingithatiincludesiassessment, iplanning, iintervention, iandievaluationimustibe ipresentiinithe ipatient'sirecord. B National, inotilocal, istandardsiofipractice ishouldibe iused. C Nursesimustiuse iequipmentiproperlyiandireplace iitiwheniitiisimalfunctioning. D Properimedicationisafetyichecksiareithe istandardiofipracticeiforiallinurses, iincludingithose iwithiexperience. DIF: Cognitive iLevel:iApplication REF: p. i83 25. Whichiofithe ifollowingiisianiimportantistepiinipreventingilegaliactioniagainstitheinurse? a. Neverimakeia imistake. b. Deflectiblameifromiyourselfiasimuchiasipossible. c. Developicaring, itherapeutic irelationshipsiwithipatients. d. Avoidiexplainingicareiproceduresitoipatients. ANS: C Feedback A Itiisinotireasonable itoiexpectithatinursesiwillineverimakeia imistake. B Nursesimustihave iaccountabilityiforierrors. C Establishingiandimaintainingigood icommunicationiandirapportiwithipatientsinot ionlyiisianiaspectiofibestipractice ibutialsoiprotectsitheinurse ifromilawsuits. D Nursesishouldiexplainialliproceduresitoipatients. DIF: Cognitive iLevel:iKnowledge REF: p. i85 MULTIPLEiRESPONSE 1. TheiAmericaniNursesiAssociationi(ANA)ipublishediaiguide iforistateinursesiassociations iseekingitoirevise itheirinurse ipractice iacts. iAccordingithe iANA, iwhichiofithe ifollowingishould ibe iincludediinithese irevisions?i(Selectiallithatiapply.) a. Differentiationibetweeniadvancediandigeneralistinursingipractice b. AuthorityiforiboardsiofinursingitoioverseeiUAP c. Specifiedifrequencyiofirevisionsitoitheinurseipracticeiacts d. Authorityiforiboardsiofinursingitoiregulate iprescriptioniwritingibyiadvanced ipractice inurses e. Nurses' iresponsibilityiforidelegatingitoiLPN/LVNs ANS: A, iB, iD, iE Feedback Correct "Differentiationibetweeniadvancediandigeneralistinursingipractice," i"authorityiforiboardsiofinursingitoioversee iUAP," i"specifiedifrequencyiof irevisionsitoitheinurse ipractice iacts,"i"authorityiforiboardsiofinursingito iregulate iprescriptioniwritingibyiadvancedipracticeinurses"iandi"nurses' iresponsibilityiforidelegatingitoiLPN/LVNs"iareiidentifiediinithe iANA's iModeliPractice iActipublishediini1996. Incorrect Theifrequencyiofirevisioniforithe inurse ipractice iactsiisinotiaddressed. DIF: Cognitive iLevel:iKnowledge REF: p. i69 2. Theicentraliquestioniinianyicharge iofimalpractice iisiwhetheritheiprevailingistandardioficare iwasimet. iWhichiofitheifollowingiareiconsideredipartiofithe istandardiofinursingicare?i(Selectiall ithatiapply.) a. Basiciprudentinursingicareiisia istandard. b. Healthicareiprovidersidetermine istandardsioficareiinihealthicareisettings. c. Standardsioficareiare ineverichanging. d. Standardsiareibasedionithe iethicaliprincipleiofinonmaleficence. e. Nationalistandardsiofinursingipractice iareistandardsiforiallinurses. ANS: A, iD, iE Feedback Correct Theistandardioficareireflectsia ibasiciminimumileveliofiprudenticareiforithe inurse ibasedionithe iethicaliprincipleiofinonmaleficence iori"to idoinoiharm," ianditheinationalistandardsiofinursingirelevantitoithe isituationiatithatitime. Incorrect Nurses, inotiotherihealthicareiproviders, iareiresponsible iforidetermining iwhetherithe istandardiofinursingicareiwasimet. iAsinursingipractice idevelops, ithe istandardsioficareichange iaccordingly. DIF: Cognitive iLevel:iComprehension REF: p. i73 3. Foriainursingimalpractice iaction, iessentialicharacteristicsiofinegligence imustibe ipresent. iWhich iofithe ifollowingiconstitute itheseiessentialicharacteristics?i(Selectiallithatiapply.) a. Theinurse iassumedithe iresponsibilityiforitheipatient'sicare. b. Theinurse iisifounditoihaveifaileditoimeetitheistandardioficare. c. Theiharmitoitheipatientimustibeishownitoihaveibeenicausedibyithe ifailureitoimeet itheistandardioficare. d. Harmitoianiindividualihasioccurred. e. Theinurse'siactioniinvolvesiactsioficommission. ANS: A, iB, iC, iD Feedback Correct Theinurse iassumingithe iresponsibilityiforitheipatients' icare, itheinurse ifailingitoimeetitheistandardioficare, iharmioccurringitoianiindividual, iand itheiharmibeingishownitoihave ibeenicausedibyithe ifailureitoimeetithe istandardioficareiareithe ifourielementsithatineeditoibe ipresentitoisupportithe icharge iofimalpractice. Incorrect Malpractice icaniinvolve iactsiofieithericommissionioriomission. DIF: Cognitive iLevel:iComprehension REF: p. i73 4. Theinurse ireceivesireportsionithe ifollowingipatientsiatitheibeginningiofithe ishift. iWhichiofithe ifollowingicare iactivitiesicouldibe idelegateditoia inursingiassistant? i(Selectiallithatiapply.) a. Ambulatingia ipatientiwhoihadianiemergencyiappendectomyi8ihoursiago, ihasistable ivitalisigns, iandineedsitoiambulate iforithe iseconditime b. Assistingiaipatientiwhoiwasiinianiautomobile iaccidentiandiwhose irightiarmiandileg iareiinitractioniwithibathing c. Feedingia ipatientirecoveringifromia istrokeiresultingiinidifficultyiholdingia ispoon d. Takingivitalisigns, iincludingibloodipressure, iforia ipatientiwithinewlyidiagnosed idiabetesiandiaihistoryiofihypertension e. Measuringia ibed-boundipatient'sipressure iulceriandiassessingithe ipatient'siriskifor iskinibreakdowniwheniturningitheipatient ANS: A, iB, iC, iD Feedback Correct Nursingiassistantsicaniassistiwithihygiene iandiactivitiesiofidailyiliving, iespeciallyiforipatientsiinistableiconditions. Incorrect UAPicannotiinterpretidataioriassessipatients, ibecauseiassessmentiisipartiof itheinursingiprocess. DIF: Cognitive iLevel:iAnalysis REF: p. i76 Chapteri5:iEthics:iBasiciConceptsiforiNursingiPractice TestiBank MULTIPLEiCHOICE 1. Whichiofithe ifollowingisituationsiisianiexampleiofimoralidistress? a. Youihearinursesiinithe iloungeimakingioff-colorijokesiaboutia ipatient. iYouiareiafraid itoispeakiupiforifeariofiretaliation. b. Youihave ibeenilateiforiworkia icoupleiofitimesiinitheilasti2iweeks, iandiyouricoworkersiare icoveringiforiyou. c. Youibecomeiromanticallyiinvolvediwithia ico-worker, iwhichiisiagainstitheiunit ipolicy, iso iyouiresign iyouriposition. d. Youipurposefullyiuse ivague ilanguage iwheniexplainingiaipatient'siconditionitoithe ifamily. iStaffiexpectsithatitheipatientimayibeibrain-dead, ibutitestiresultsiareinotiyet iconclusive. ANS: A Feedback A Theidefinitioniofi"moralidistress"iisidistressithatiresultsifromiparticipatingiinia iperceivedimoraliwrongdoingidueitoisituationaliconstraintsidespite iattemptingito imakeia imoralichoice. B Thereiisinoibreachiofiethicsiinibeingilateiandihavingico-workersicoveriforiyou. C Theipersoniactsiappropriatelyitoithe imoraliissueibyiresigningitheiposition. D Theipersoniisiactingiappropriatelyiundericurrenticircumstances. DIF: Cognitive iLevel:iAnalysis REF: p. i91 2. AccordingitoiKohlberg'sitheoryiofimoralidevelopment, iadolescentsiwhoishopliftiareioperating iiniwhichileveliofimoralidevelopment? a. Preconventional b. Conventional c. Postconventional d. Developmental ANS: A Feedback A IniKohlberg'sipreconventionalileveliofimoralidevelopment, itheiindividualiis iinattentive itoithe inormsiofisocietyiandiisiself-centered. B Inithe iconventionalilevel, imoralidecisionsiconformitoithe inormsiofisociety. C Inithe ipostconventionalilevel, itheiindividualihasiaihighlyidevelopedimoralivalue isystemiindependentiofigroup inorms. D "Developmental" iisinotia ileveliofimoralidevelopmentiidentifiedibyiKohlberg. DIF: Cognitive iLevel:iComprehension REF: p. i93 3. AccordingitoiKohlberg'sitheoryiofimoralidevelopment, iindividualsiwhoiacti"becauseiitiisithe iruleiofisociety"iare ioperatingiiniwhichileveliofimoralidevelopment? a. Preconventional b. Conventional c. Postconventional d. Developmental ANS: B Feedback A IniKohlberg'sipreconventionalileveliofimoralidevelopment, itheiindividualiis iinattentive itoithe inormsiofisocietyiandiisiself-centered. B Inithe iconventionalilevel, imoralidecisionsiconformitoithe inormsiofisociety. C Inithe ipostconventionalilevel, itheiindividualihasiaihighlyidevelopedimoralivalue isystemiindependentiofigroup inorms. D "Developmental"iisinotia ileveliofimoralidevelopmentiidentifiedibyiKohlberg. DIF: Cognitive iLevel:iComprehension REF: p. i93 4. Flighti93, ihijackedioniSeptemberi11, i2001, icrashediintoithe iPennsylvania icountryside ibecause isome iofitheipassengersidecideditoitryitoitakeicontroliofithe iplaneiandipreventiitifromibeing iusediasia iweaponiofimassidestructioniagainstistructuresiiniWashington, iD.C. iTheyidecidedito iactidespiteigrave idangeritoithemselves. iThisiisianiexample iofiwhichileveliofiKohlberg'sitheory iofimoralidevelopment? a. Preconventional b. Conventional c. Postconventional d. Conventionaliphasei4 ANS: C Feedback A Inithe ipreconventionalilevel, ithe iperson'siself-interestitakesiprecedence iover igroupinorms. B Inithe iconventionalilevel, itheipersoniconformsitoigroupinorms. C Peopleiinithe ipostconventionalileveliofimoralidevelopmentimayiignore iselfinterestiandigroupinormsiwhenimakingidecisionsiandimayisacrifice ithemselves iforithe igroup. D Phasei4iofitheiconventionalilevelifollowsigroupiandiculturalinorms. DIF: Cognitive iLevel:iAnalysis REF: p. i93 5. AccordingitoiKohlberg'sitheory, iwhichiofitheifollowingiisitrueiofimoralidevelopment? a. Participatingiinidecisionimakingipromotesimoralireasoning. b. Intellectualidevelopmentihasino ieffectionimoralidevelopment. c. Participatingiinidebatesioniethicaliissuesidecreasesimoralidevelopment. d. Holdingipeopleiresponsibleiforitheiriactionsidoesinotiimprove imoralidevelopment. ANS: A Feedback A Kohlbergithoughtithaticertainiconditionsipromoteimoralidevelopment, isuchias iparticipatingiinidecisionimaking. B Kohlbergithoughtithatiintellectualidevelopmentiwasinecessaryiforiadvanced imoralidevelopment. C Participatingiinidebatesioniethicaliissuesidoesienhanceimoralidevelopment. D Takingiresponsibilityiforiactionsipromotesimoralidevelopment. DIF: Cognitive iLevel:iComprehension REF: p. i93 6. Gilligan'sitheoryion imoralidevelopmentidifferedifromiKohlberg'sitheoryibecauseiGilligan iconsiderediwhichipopulationinotiaddressedibyiKohlberg? a. Children b. Men c. Women d. Adolescents ANS: C Feedback A Kohlbergimostlyitestedihisitheoryiinimeniandiboys. B MeniwereitheifocusiofiKohlberg'sitheory. C GilliganithoughtithatiKohlberg'sitheoryididinotirecognizeithe iexperience iof iwomeniinimoralidevelopment. D Gilligan'sitheoryididinotifocusion iadolescents. DIF: Cognitive iLevel:iKnowledge REF: p. i93 7. Whichiofithe ifollowingiethicalitheoriesiisiillustratedibyitheiexampleiofifollowingithe iGolden iRule, i"Doiuntoiothersiasiyou iwishithemitoidoiuntoiyou"? a. Deontology b. Principalism c. Utilitarianism d. Virtueiethics ANS: A Feedback A Deontologyistatesithatianiactiisimoraliifiitioriginatesifromigoodiwill. B Principalismiisitheiuseiofiethicaliprinciplesiinidecisionimaking. C Decisionsiareimadeibasedioniwhatiwillidoitheigreatestigoodiforitheigreatest inumberiofipeople. iAimainitenetiofiutilitarianiethicsiisithatirightioriusefuliactions ibringiaboutithe igreatestigoodiforitheigreatestinumberiofipeople. D Virtueiethicsirefersitoicharacteritraitsiofitheidecisionimaker, isuchiasihonesty, icourage, ikindness, iandiintegrity. DIF: Cognitive iLevel:iApplication REF: p. i95 8. Whichiofithe ifollowingiethicalitheoriesiisiillustratedibyitheiexampleiofitriage iinidisaster inursing? a. Deontology b. Principalism c. Utilitarianism d. Virtueiethics ANS: C Feedback A Deontologyistatesithatianiactiisimoraliifiitioriginatesifromigoodiwill. B Principalismiisitheiuseiofiethicaliprinciplesiinidecisionimaking. C Triageiinidisastersirequiresidecisionsitoibe imadeionihowitoidoitheigreatestigood iforithe igreatestinumberiofipeople. iAimainitenetiofiutilitarianiethicsiisithatirightior iusefuliactionsibringiaboutithe igreatestigoodiforithe igreatestinumberiofipeople. D Virtueiethicsirefersitoicharacteritraitsiofitheidecisionimaker, isuchiasihonesty, icourage, ikindness, iandiintegrity. DIF: Cognitive iLevel:iApplication REF: p. i95 9. Respectingitheirightiofia ipatientiwithiterminalicanceritoirefuse ichemotherapyiisibasedionia ibeliefiinitheiethicaliprincipleiof a. justice. b. autonomy. c. nonmaleficence. d. deathiwithidignity. ANS: B Feedback A "Justice"irefersitoithe iequalityiofithe iallocationiofiservices. B Autonomyiisibasedionithe iprinciple ithatipatientsihave itheirightitoidetermine itheir iownicourse iofiaction. C "Nonmaleficence"irefersitoitheiresponsibilityitoido inoiharm. D Deathiwithidignityiisinotianiethicaliprinciple. DIF: Cognitive iLevel:iApplication REF: p. i97 10. Respectingianielderlyiwoman'sidecisionitoistayiiniheriownihomeiisibasedionia ibeliefiinithe iethicaliprincipleiof a. justice. b. autonomy. c. nonmaleficence. d. deathiwithidignity. ANS: B Feedback A "Justice"irefersitoithe iequalityiofithe iallocationiofiservices. B Autonomyiisibasedionithe iprincipleithatipatientsihave itheirightitoidetermine itheir iownicourse iofiaction. C "Nonmaleficence"irefersitoitheiresponsibilityitoido inoiharm. D Deathiwithidignityiisinotianiethicaliprinciple. DIF: Cognitive iLevel:iApplication REF: p. i97 11. Aischoolinurse iteachingischool-agedichildreniaboutiwaterisafetyiisianiexample iofiwhichiethical iprinciple? a. Beneficence b. Justice c. Veracity d. Autonomy ANS: A Feedback A Beneficence icanibe iseeniasi"the idoingiofigood." B "Justice"irefersitoithe iequalitreatmentiofiall. C Veracityiisitruthitelling. D "Autonomy" irefersitoianiindividual'sirightitoimakeihisioriheriownidecisions. DIF: Cognitive iLevel:iApplication REF: p. i97 12. Ainurse iwhoiadvocatesiforia ilongeristayiwhenia imedicallyiindigentipatientiisibeing iprematurelyidischargeditoireduceihospitalicostiisirelyingioniwhichiethicaliprinciple? a. Justice b. Beneficence c. Autonomy d. Fidelity ANS: A Feedback A "Justice"irefersitoithe iequaliandifairiallocationiofiservicesibasedionineed. iAccordingitoithisiprinciple, itheipatientishouldireceive ithe isameicareiasiothersiin itheisameicondition, iregardlessiofiabilityitoipay. B "Beneficence"isimplyirefersitoidoingigood. C Autonomyiassertsithatiindividualsihave itheirightitoimakeitheiriownidecisions. D "Fidelity" iisianiincomplete ianswer, ibecauseifidelityirefersitoifaithfulnessior ihonoringione'sipromisesitoipatients. DIF: Cognitive iLevel:iApplication REF: p. i98 13. Theicurrentiemphasisionieliminatingiraciallyibasedihealthidisparitiesiisibasedion iwhichiofithe ifollowingiethicaliprinciples? a. Doubleieffect b. Fidelity c. Justice d. Veracity ANS: C Feedback A Doubleieffectiisitheiconceptithatijustifiesiinflictingiharmiifitheiintentiisitoiproduce ianioveralligoodieffect. B "Fidelity" irefersitoihonoringione'sipromisesitoipatients. C Theiprinciple iofijusticeistatesithatiequalsishouldibe itreateditheisame. D Veracityiisitellingithe itruth. DIF: Cognitive iLevel:iApplication REF: p. i98 14. Ainurse iisiturningia ibedfastipatientitoipreventipressure iulcers. iThe ipatienticomplainsithatithe iprocessiisipainful. iThe inurse iexplainsithe ireasoniforitheiturningischedule iandicompletesithe itask. iThisiisianiexample iofithe iethicaliprincipleiof a. autonomy. b. fidelity. c. nonmaleficence. d. veracity. ANS: C Feedback A Autonomyihasitoidoiwithiindividualsibeingiableitoimakeitheiriownidecisions. B "Fidelity" irefersitoihonoringione'sicommitmentsiandipromises. C "Nonmaleficence"iisidefinediasitheidutyitoidoino iharm. iAlthoughitemporarily ipainful, inotiturningithe ipatientiwouldicauseiactualiharmi(physicalidamage), iand isoithisinurse iisiactingionitheiprinciple iofinonmaleficence. D "Veracity" irefersitoibeingitruthful. DIF: Cognitive iLevel:iApplication REF: pp. i97-98 15. Aipatientiwhoiisiterminallyiilliisiexperiencingigreatipain. iToirelieve itheipatient'sisuffering, ithe inurse ineedsitoiadministerilargeridosesiofimorphine. iThisirelievesitheipainibutialsoiinhibits irespiration. iWhichiprinciple ijustifiesitheiriskiofiharm? a. Justice b. Fidelity c. Veracity d. Doubleieffect ANS: D Feedback A Justiceirelatesitoiequalitreatmentiofiall. B Fidelityiisifaithfulnessitoione'sicommitments. C Veracityiisibeingitruthful. D Theiprinciple iofidouble ieffectiaddressesiactionsithatimayiresultiinia inegative ieffectiifitheiendiresultiisigood. iTheiendipointijustifiesitheiriskiofiharm. DIF: Cognitive iLevel:iApplication REF: pp. i97-98 16. Takingia ipediatric ipatientitoithe iplayroomionia ipromiseditimeiandidayiisibasedionithe ibeliefiin itheiethicaliprinciple iof a. autonomy. b. fidelity. c. justice. d. veracity. ANS: B Feedback A Autonomyirelatesitoithe irightiofiindividualsitoimake itheiriownidecisions. B Fidelityiisibeingifaithfulitoicommitmentsimadeitoiothers. C "Justice"irefersitoithe iequalitreatmentiofiall. D Veracityiisibeingitruthful. DIF: Cognitive iLevel:iApplication REF: p. i99 17. Wheninursesireceive ia ipatientiassignmentiandiacceptireportsionithese ipatients, itheyiare icommitteditoiprovidingicareitoithose iassigneditoithem. iThisiisibasedionitheiethicaliprinciple iof a. beneficence. b. fidelity. c. justice. d. veracity. ANS: B Feedback A Beneficence ispeaksitoidoingigood. B Fidelityiisibeingifaithfuliorikeepingicommitmentsimadeitoiothers. iIniaccepting itheiassignment, itheinurse ihasicommitteditoicaringiforithe ipatientsiassigneditoiher iorihim. C Justiceiisirelateditoitheiequalitreatmentiofiall. D "Veracity" irefersitoione'sitruthfulness. DIF: Cognitive iLevel:iApplication REF: pp. i98-99 18. Answeringia iterminallyiillichild'siquestionsiaboutihisiorihericonditionihonestlyiisibasedionia ibeliefiinitheiethicaliprincipleiof a. autonomy. b. fidelity. c. justice. d. veracity. ANS: D Feedback A Autonomyirelatesitoithe irightiofianiindividualitoimakeihisioriheriownidecisions. B "Fidelity" irefersitoibeingifaithfulitoione'sicommitments. C "Justice"irefersitoithe iequalitreatmentiofiall. D "Veracity" iisidefinediasitellingitheitruth. iTruthfulnessiisifundamentaliinithe idevelopmentiandimaintenance iofitrustiinia irelationship. DIF: Cognitive iLevel:iApplication REF: p. i99 19. Aifatheriofifouriisiadmittediafterianiautomobile iaccidentiiniwhichitwoiofithe ichildreniwere ikilled. iRecognizingithatihe iisiiniveryiseriousicondition, itheinurse ibelievesithatiitiwouldibe iappropriate itoiavoiditellingihimiaboutithe ideathiofihisichildreniunlessihe iasksidirectly. iThis icouldibe iconsideredia iviolationiofitheiethicaliprinciple iof a. beneficence. b. fidelity. c. justice. d. veracity. ANS: D Feedback A Beneficence iisitheiexpectationiofidoingigood. B "Fidelity" irefersitoikeepingicommitmentsiandipromises. C Justiceiisitheitreatmentiofialliequally. D Veracityiisitruthitelling. iTheinurse iisinotilyingibutiisinotiforthcomingiwithithe iinformationiaboutitheichildren. DIF: Cognitive iLevel:iApplication REF: p. i99 20. Whichiofithe ifollowingiisitheibestidescriptioniofia icodeiofiethics? a. Aidocumentithatidescribesitheicorrecticourseiofiactioniandidoesinotichange iregardlessiofisocietalichanges b. Aidocumentithatialliprofessionsimustihave ieveniifinotirepresentative iofipractice c. Aidocumentithatipermitsiothersitoiknowiwhatiprinciplesiguide iprofessionalidecision imaking d. Aidocumentiwidelyiopenitoiinterpretationibyiprofessionalsiinivariousisettings ANS: C Feedback A Codesiofiethicsihave ibeenirevisedithroughitheiyearsitoireflectichangesiinisociety. B Codesiare iusefulionlyiifiupheldibyimembersiofitheiprofessioniinitheiridaily ipractice. C TheiCodeiofiEthicsiofinursingiisianiimpliedicontractithroughiwhichithe iprofessioniinformsisocietyiofithe iprinciplesiandirulesibyiwhichiitifunctions. D TheiCodeiofiEthicsishouldibe iinterpretediinia isimilariwayiregardlessiofipractice isetting. DIF: Cognitive iLevel:iComprehension REF: p. i100 21. Ainurse iisiinvolvediinianiethicallyichallengingicase. iToiuse ianiethicalidecision-makingimodel, iwhichistepishoulditheinurseiperformifirst? a. Gatheriandiexamine iallipossibleisolutions. b. Identifyithe iethicalidilemma iinitheicase. c. Identifyiallipartiesiwhoiwillibe iimpactedibyithe idecision. d. Gatherialliinformationiimportantitoithe isituation ANS: B Feedback A Theifirstistepiinimanyiethicalidecision-makingimodelsiisitoiidentifyithe iethical idilemma. iExaminingiallipossible isolutionsicomesiafterithisistepiandigathering iinformation. B Theifirstistepiinimanyiethicalidecision-makingimodelsiisitoiidentifyithe iethical idilemma. C Theifirstistepiinimanyiethicalidecision-makingimodelsiisitoiidentifyithe iethical idilemma. iIdentifyingipartiesiaffectediisinotia ispecific istepibutiisipartiof iidentifyingithe idilemma. D Theifirstistepiinimanyiethicalidecision-makingimodelsiisitoiidentifyithe iethical idilemma. iTheinextistepiwouldibe itoigatheriallidatairelateditoitheisituation. DIF: Cognitive iLevel:iComprehension REF: p. i102 MULTIPLEiRESPONSE 1. Whichiofithe ifollowingiare iactivitiesiinithe iethicalidecisionimakingiprocess?i(Selectiallithat iapply.) a. Avoidilookingiatilegalicasesioriprecedentsirelateditoithe isituation. b. Determine iifithe ipeopleiwhoiare iaffectedibyithe idilemma ihaveivalueiconflicts. c. Brainstormiwithiothersiinvolveditoiidentifyiallipossible isolutions. d. Evaluate itheiactionitakenitoidetermine iwhetheriitiaccomplishediitsipurpose. e. Discussionlyiacceptable isolutionsithatiare ipracticalitoiimplement. ANS: B, iC, iD Feedback Correct Determiningiwhoiisiaffectedibyitheidilemma iandiidentifyingipossibleivalue iconflictsiamongithem, iidentifyingiallipossible isolutions, iandievaluatingithe iactionitakenitoidetermine iwhetheriitiaccomplishediitsipurpose iclarifyithe isituationiandidetermineiwhetheritheiselectediactioniachievediitsigoal. Incorrect Aivarietyiofimaterialsiincludingilegalidocumentsimayihelpiclarifyithe isituationiorihelpiidentifyipossibleiactions. iEthicalidecisionimakingiisinot idone iiniisolation. iItimayiinvolve iothersibutiespeciallyimustiinvolve ithe ipatientiandifamily. iAllipossible isolutionsishouldibe iconsideredieveniifithey iareiunusual, icomplex, iorimayibe idifficultitoiimplement. DIF: Cognitive iLevel:iComprehension REF: p. i102 Chapteri6:iBecomingiaiNurse:iDefiningiNursingiandiSocializationiintoiProfessional iPractice TestiBank MULTIPLEiCHOICE 1. Whichiearlyinursingitheoristirecognizeditherapeutic imilieu, iassessmentiskills, iandia iunique ibodyiofiknowledge iiniheridefinitioniofinursing? a. DorotheaiOrem b. VirginiaiHenderson c. HildegardiPeplau d. FlorenceiNightingale ANS: D Feedback A Oremiwasiknowniforiheriself-careitheory. B Hendersoniwasibestiknowniforiheridefinitioniofinursingiasiassisting itheisickitoido ithose ithingsithatitheyiwouldidoiforithemselvesiifitheyiwereiableiandiforiherilistiof i14ipatientiproblems. C Peplauiisiknowniforiheritheoryiofitherapeutic inurse-patientirelationships. D Nightingale iwasitheifirstinurseitoirealize itheiimportance iofienvironmentiand iassessmentiskillsiandithatinursingicareishouldibe ideliveredibyia iprofessional inurse iwithia iuniqueibodyiofiknowledge, inotia ilayperson. DIF: Cognitive iLevel:iKnowledge REF: p. i116 2. Whichiearlyinursingitheoristidefinedinursingiiniinterpersonalitermsibyistatingithatinursingiisia isignificant, itherapeutic, iandiinterpersonaliprocess? a. VirginiaiHenderson b. HildegardiPeplau c. MarthaiRogers d. DorotheaiOrem ANS: B Feedback A Henderson'sidefinitioniofinursingididinotifocusionithe iinterpersonalirelationship. B Peplauidefinedinursingiiniinterpersonaliterms. C Rogersiisiknowniforiincludinginursingiprocessiiniheridefinitioniofinursing. D Oremiisiknown iforiheritheoryioniself-care. DIF: Cognitive iLevel:iKnowledge REF: p. i116 3. Whichiofithe ifollowingiisianiexample iofiOrem'siself-careitheory? a. Assuringiproperifreshiairiandiventilation b. Demonstratingigoodihandwashingitechniques c. Assistingiaidisorientedipatientiwithiaibath d. Performingia ivisualiscreeningiexam ANS: C Feedback A ProperiventilationiwasidescribedibyiNightingale. B Good ihandwashingiwasidescribedibyiNightingale. C Providingiadequate ipatientihygiene iisidescribediiniOrem'sitheoryiofinursingias iprovidingiassistance itoia ipersonibecauseiofithe iperson'siinabilitiesiforiself-care. D Preventive iservicesiare inotiaddressediiniOrem'sitheory. DIF: Cognitive iLevel:iApplication REF: p. i116 4. Whichiofithe ifollowingiisianiexample iofiHenderson'sidefinitioniofinursing? a. Performingia ihearingiscreeningiinipreschoolichildren b. Interactingiwithidepressedimenitoilearninewistrategiesiforireducingitheirisymptoms c. Settingigoalsiforiweightilossiwithia ipatient d. Teachingia ipersoniwithifrequenticonstipationiaboutihigh-fiberifoods ANS: D Feedback A Henderson'sidefinitionidoesinotispeakitoipreventive iservices. B Henderson'sidefinitionidoesinotifocusioniinterpersonalirelationship. C GoalisettingiisipartiofiKing'sidefinitioniofinursing, inotiHenderson's. D Henderson'sidefinitionistatesithati"theiuniqueifunctioniofithe inurse iisitoiassistithe iindividuali. i. i. iinitheiperformance iofithose iactivitiesicontributingitoihealthi. i. i. ithat ihe iwouldiperformiunaidediifihe ihadithe inecessaryi. i. i. iknowledge." DIF: Cognitive iLevel:iAnalysis REF: p. i116 5. Theilegalidefinitioniofinursingiforianyiparticularistate icanibeifoundiinithe a. stateilegislature'siofficialinewsletter. b. stateiboardiofinursing'sibylaws. c. governor'siofficialipapers. d. state'sinurseipractice iact. ANS: D Feedback A Theilegalidefinitioniofinursingiisinotifoundiinithe istateilegislature'siofficial inewsletter. B Theistateiboardiofinursingiadministersitheinurseipractice iactiofithatistate, iandiits ibylawsigoverniitsiinternalifunctioning. C Theigovernor'sioffice idoesinotidetermine itheilegalidefinitioniofinursing. D Eachistate'sinurse ipractice iacticontainsitheilegalidefinitioniofinursingiforia iparticularistate. DIF: Cognitive iLevel:iComprehension REF: p. i117 6. Whichiofithe ifollowingiisianiexample iofiformalisocializationiintoithe iprofessioniofinursing? a. Unplannediobservationiofia inurse icomfortingia ichildiafteria ipainfuliprocedure b. Hearingitwo inursesidiscussingihowitoiorganizeipatienticareimoreieffectively c. Startingianiintravenousi(IV)iline iinitheisimulationilaboratoryiunderifaculty iguidance d. Participatingiiniaistudentinurses' iassociationimeeting ANS: C Feedback A "Unplannediobservationiofia inurse icomfortingiaichildiafteriaipainfuliprocedure" iisianiexample iofianiincidentalilearningiexperience. B "Hearingitwoinursesidiscussingihowitoiorganize itheicareiofiaipatientimore ieffectively" iisianiexampleiofianiincidentalilearningiexperience. C Formalisocializationiincludesiplannediactivitiesitoigainiknowledge iandiskills ineededibyithe inurse. D "Participatingiinia istudentinurses' iassociationimeeting"iisianiexample iofian iincidentalilearningiexperience. DIF: Cognitive iLevel:iApplication REF: p. i118 7. Whichiofithe ifollowingiisianiexample iofiinformalisocializationiintoia iprofession? a. Nursesidiscussingia ipatienticareiissue iinitheipresence iofiotherinurses b. Takingianiextra iclassiforianielective c. Performingiyourifirstiphysicaliassessmentiinia iclient d. Teachingia ipatientiaboutiwarfarini(Coumadin) ANS: A Feedback A Informalisocializationiintoithe iroleiofia inurseioccursiwhenithe istudentilearnsifrom itheinurse iinianiinformal, iunplannediway. B Takingianiextraiclassiforianielective iisianiexample iofiformal, iplannedieducation. C Performingiyourifirstiphysicaliassessmentiinia iclientiisipartiofithe iformalilearning iprocess. D Teachingia ipatientiaboutiCoumadiniisipartiofia iplannediclinicaliexperience iand ithereforeifallsiunderitheicategoryiofiformalisocialization. DIF: Cognitive iLevel: iApplication REF: p. i119 8. Ainursingistudentisaysitoitheiclinicalifaculty, i"IiknowiIiwillibe iableitoicareiforithisipatient igiveniyouridirections."iIniwhichistage iofiCohen'simodeliofiprofessionalisocializationiisithis istudent? a. StageiI:iUnilateralidependence b. StageiII:iNegativity/independence c. StageiIII:iDependence/mutuality d. StageiIV:iInterdependence ANS: A Feedback A Inistage iI, istudentsirelyioniexternalicontrolsianditeachers, iabsorbingiinformation igivenibyithe ifaculty. B Inistage iII, istudentsibeginitoiquestioniauthorityifiguresiversusiacceptingithe ipatientiassignmentiwithoutiquestioning. C TheistudentihasidevelopedibettericriticalithinkingiskillsiatistageiIII. D Inistage iIV, ithe istudentihasilearneditoimakeidecisionsiinicollaborationiwith iothers. DIF: Cognitive iLevel:iApplication REF: p. i120 9. Ainursingistudentiasks, i"WhyidoiIihave itoigoitoiclinicaliiniobstetricsiwheniIiknowiI'llinever iworkiwithiwomeniandichildren?"iIniwhichistage iofiCohen'simodeliofiprofessional isocializationiisithisistudent? a. StageiI:iUnilateralidependence b. StageiII:iNegativity/independence c. StageiIII:iDependence/mutuality d. StageiIV:iInterdependence ANS: B Feedback A Studentsiinistage iIirelyioniexternalicontrolsianditeachers. B Inistage iII, istudentsibeginitoiquestioniauthorityifiguresiandioverestimate itheir iabilityitoicareiforicomplexipatients. C Studentsidevelopibettericriticalithinkingiskillsiinistage iIII. D Inistage iIV, istudentsilearnitoimakeidecisionsiinicollaborationiwithieachiother. DIF: Cognitive iLevel:iApplication REF: p. i121 10. Ainursingistudentisays, i"Iicaninowiseeihowidevelopingicareiplansihelpsiorganize imyithoughts iandipatienticare."iIniwhichistage iofiCohen'simodeliofiprofessionalisocializationiisithisistudent? a. StageiI:iUnilateralidependence b. StageiII:iNegativity/independence c. StageiIII:iDependence/mutuality d. StageiIV:iInterdependence ANS: C Feedback A Inistage iI, istudentsifollowidirectionsiwithoutiquestioningioriunderstandingithe ireasoningibehinditheiactivity. B Inistage iII, itheistudentiwouldiquestioniauthorityifiguresiandioverestimate ihisior iheriabilities. C Studentsiinistage iIIIihave ia imoreireasonedievaluationiofiothers' iideas. D Studentsiinistage iIVilearnitoimakeidecisionsiinicollaborationiwithiothers. DIF: Cognitive iLevel:iApplication REF: p. i121 11. Ainursingistudentiasks, i"SinceiIiworkiasiainurseitechnicianiinipsychiatric inursing, imayiIispend ipartiofimyiclinicalirotationiwithia ipsychiatric ihomeivisitinginurse?"iIn iwhichistage iofiCohen's imodeliofiprofessionalisocializationiisithisistudent? a. StageiI:iUnilateralidependence b. StageiII:iNegativity/independence c. StageiIII:iDependence/mutuality d. StageiIV:iInterdependence ANS: D Feedback A Studentsiinistage iIiare idependentionifaculty. B Inistage iII, istudentsibeginitoiquestioniauthority. C Inistage iIII, istudentsibeginitoidevelopicriticalithinkingiskills. D Studentsiinistage iIViofteniare iself-directediandiseekioutiappropriate ilearning iopportunitiesithatibetteriroundioutitheirieducationaliexperience. DIF: Cognitive iLevel:iApplication REF: p. i121 12. Benneridescribesifiveistagesiofinursingiproficiencyiasistudentsidevelopiintoiexpertinurses. iWhichiofithe ifollowingiisinotia istage iofidevelopmentidescribedibyiBenner? a. Novice b. Inexpertibeginner c. Competentipractitioner d. Expertipractitioner ANS: B Feedback A Noviceiisitheifirstistageiinithe itheory. B TheistagesiidentifiedibyiBenneriiniheritheoryiFromiNoviceitoiExpertidoinot iincludeiinexpertibeginner. C Competentipractitioneriisithe ithirdistage iiniBenner'sitheory. D Expertipractitioneriisithe ififthistage iiniBenner'sitheory. DIF: Cognitive iLevel:iKnowledge REF: p. i121 13. Aimotheriasksithe inurse iifiheri5-year-old icanivisit ihisitwinibrotheriinithe ipediatric iintensive icareiuniti(PICU)iaftericardiacisurgery. iTheinurse ideniesithe irequestibecauseihospitalipolicy istatesithatichildreniyoungerithani12iyearsiofiage iareinotialloweditoivisitithe iPICU. iThis iillustratesiwhichiofiBenner'sistagesiofinursingiproficiency? a. Novice b. Advancedibeginner c. Competentipractitioner d. Proficientipractitioner ANS: A Feedback A Atithe inovice istage, inursesihave ilittleibackgroundioniwhichitoibase iclinical ibehaviorianditherefore idependiratheririgidlyioniestablishedirules. B Nursesiatithe iadvancedibeginneristage ibaseidecisionsion ibothitheoryiand iprinciplesibutimayihave idifficultyiformulatingiprioritiesiorialternative iactions. C Nursesiatithe icompetentipractitioneristage ihaveifeelingsiofimasteryiandican iexamineitheineedsiofieveryone iinitheisituationibeforeimakingidecisions. D Nursesiatithe iproficientipractitioneristageiseeipatientisituationsiholisticallyiand ieasilyirecognize iprioritiesioficare. DIF: Cognitive iLevel:iApplication REF: p. i121 14. Aimotheriasksithe inurse iifiheri5-year-oldicanivisitihisitwinibrotheriinitheiPICUiaftericardiac isurgery. iThe inurse ideniesithe irequestibecauseihospitalipolicyistatesithatichildreniyoungerithan i12iyearsiofiage iareinotialloweditoivisitithe iPICUibutisuggestsithatithe imotherivisitiwithithe ichildiinitheivisitor'silounge ianditalkitoihimiaboutiwhatiisihappeningiwithihisibrother. iThis iillustratesiwhichiofiBenner'sistagesiofinursingiproficiency? a. Novice b. Advancedibeginner c. Competentipractitioner d. Proficientipractitioner ANS: B Feedback A Nursesiatithe inoviceistageiwouldidenyithe irequestionitheibasisiofitheiestablished irules. B Nursesiatithe iadvancedibeginneristage ibaseitheiridecisionsion itheoryiand iprinciplesibutihave idifficultyiviewingimanyinursingiactionsiasiequallyiimportant. iTheinurse iwouldistillilikelyidenyitheirequestibut, iknowingithe ineedsiofithe imotheriandichild, isuggestianialternative imeansiofivisiting. C Nursesiatithe icompetentipractitioneristage ihaveifeelingsiofimasteryiandican iexamineitheineedsiofieveryone iinitheisituationibeforeimakingidecisions. D Nursesiatithe iproficientipractitioneristageiseeipatientisituationsiholisticallyiand ieasilyirecognize iprioritiesioficare. DIF: Cognitive iLevel:iApplication REF: p. i122 15. Aimotheriasksithe inurse iifiheri5-year-old icanivisit ihisitwinibrotheriinithe iPICUiaftericardiac isurgery. iThe inurse iknowsithatihospitalipolicyistatesithatichildreniyoungerithani12iyearsiofiage iareinotialloweditoivisititheiPICU. iAftericonsideringithe ineedsiofitheipatientiandihisibrother, ithe inurse isuggestsithatitheibrothericanivisitifori5iminutes. iThisiillustratesiwhichiofiBenner'sistages iofinursingiproficiency? a. Advancedibeginner b. Competentipractitioner c. Proficientipractitioner d. Expertipractitioner ANS: B Feedback A Nursesiatithe iadvancedibeginneristage ibaseitheiridecisionsion itheoryiand iprinciplesibutimayihave idifficultyiviewingimanyinursingiactionsiasiequally iimportant. B Nursesiatithe icompetentipractitioneristage iwilliexamine itheineedsiofieveryone iin itheisituationibeforeimakingia idecision. iTheinursesimayiorimayinotiallowithe ivisit, ibutionlyiafteriexaminingitheineedsiofieveryone iandiotheriexigencies iinvolved. C Nursesiatithe iproficientipractitioneristageiseeipatientisituationsiholisticallyiand ieasilyirecognize iprioritiesioficare. D Nursesiatithe iexpertipractitioneristage ihaveiexpertise ithatiallowsithemitoiselect iactionsibasedionithe ipatient'sicomplete iexperience. DIF: Cognitive iLevel:iApplication REF: p. i122 16. Aimotheriasksithe inurse iifiheri5-year-oldicanivisitihisitwinibrotheriinitheiPICUiaftericardiac isurgery. iThe inurse iknowsithatihospitalipolicyistatesithatichildreniyoungerithani12iyearsiofiage iareinotialloweditoivisititheiPICU. iThe inurseigrantsitheirequest. iThisiillustratesiwhichiof iBenner'sistagesiofinursingiproficiency? a. Advancedibeginner b. Competentipractitioner c. Proficientipractitioner d. Expertipractitioner ANS: C Feedback A Nursesiatithe iadvancedibeginneristage ibaseitheiridecisionsion itheoryiand iprinciplesibutimayihave idifficultyiviewingimanyinursingiactionsiasiequally iimportant. B Nursesiatithe icompetentipractitioneristage iwilliexamine itheineedsiofieveryone, ias iwelliasiotheriexigenciesiinvolved, ibeforeimakingia idecision. C Nursesiatithe iproficientipractitioneristageiseeitheipatientisituationsiholistically iandieasilyirecognize ithe iprioritiesioficare. iTheinurse iisimoreiconcernediabout ipatientioutcomesithaniinstitutionalirules. D Nursesiatithe iexpertipractitioneristage ihaveiexpertise ithatiallowsithemitoiselect iactionsibasedionithe ipatient'sicomplete iexperience. DIF: Cognitive iLevel: iApplication REF: p. i122 17. Ai5-year-oldiwithia itwinibrotheriisiadmitteditoithe iPICUiaftericardiacisurgery. iHospitalipolicy idoesinotiallowiindividualsiyoungerithani12iyearsiofiage itoivisitithe iPICU. iThe inurse irecognizesitheineedsiofithe ipatientiandihisibrotheriandisuggestsithatitheimotheribringiherisonito ivisitihisibrotheribrieflyiinithe iafternooniwhenitheiunitiisiusuallyiquiet. iThisiillustratesiwhichiof iBrenner'sistagesiofinursingiproficiency? a. Advancedibeginner b. Competentipractitioner c. Proficientipractitioner d. Expertipractitioner ANS: D Feedback A Nursesiatithe iadvancedibeginneristage ibaseitheiridecisionsion itheoryiand iprinciplesibutimayihave idifficultyiviewingimanyinursingiactionsiasiequally iimportant. B Nursesiatithe icompetentipractitioneristage iwilliexamine itheineedsiofieveryone, ias iwelliasiotheriexigenciesiinvolved, ibeforeimakingia idecision. C Althoughinursesiatitheiproficientipractitioneristage iseeipatientisituations iholistically, ieasilyirecognize ithe iprioritiesioficare, iandiallowirulesitoibe ibent, ithey imayinotisuggestibendingirulesiforitheidesiredipatientioutcome. D Nursesiatithe iexpertipractitioneristage ihaveiexpertise ithatiallowsithemitoiselect iactionsibasedionithe ientireipatient'sicomplete isituation, iincludingitheineedsiof ifamilyimembers. DIF: Cognitive iLevel:iApplication REF: p. i122 18. Whichiofithe ifollowingiillustratesianieffectiveistrategyiforia iregisteredinurse istudentireturning iforia ibachelor'siofiscience iininursingi(BSN)? a. Getireacquaintediwithithe ilibrary;iexpectitoispendimanyihoursithere idoingiresearch. b. Be iopenitoiinformationithatidoesinotiseemitoibe ireadilyiapplicable itoiyouricurrent iposition. c. Startiaiprogramionlyiifiyouihave ia igreatidealiofifreeitimeitoidevote itoiclassesion icampus. d. Use iyourico-workersiasia isoundingiboarditoirelieve ifrustration. ANS: B Feedback A ManyiBSNicoursesiuseionline ilearningiandiare iuser-friendlyiforiworking istudents;iresearchitodayiisimuchieasieriwithithe iInternet. B NursesireturningitoischooliforitheiBSNidegreeineeditoikeepianiopenimindifor iinformationithatimightinotiseemireadilyiapplicable itoitheiriwork isetting. C Manyicoursesiare ionlineioriWebiassisted;inursesicannotiwaitiforiconditionsitoibe iperfectitoireturnitoischool. D Stayingipositive iandiopenitoifeedbackifromiinstructorsiwillipayimoreidividends ithanicomplaining. DIF: Cognitive iLevel: iComprehension REF: p. i123 19. Ainurse iobservesia inewigraduateinurse ibeingiharassedibyico-workersiwheniaskingiquestionsior irequestingihelp. iWhatiactionibyitheinurseiisibest? a. Doinotiintervene, ibecauseiitiwillionlyiinviteimoreiharassment. b. Askitheinursingimanageritoiintervene ionibehalfiofithe inewinurse. c. Respectfullyiconfrontitheistaffiandiexplainithatithisibehavioriisinotipartiofinursing. d. Teachitheinewinurse itoistandiupiforihimselfioriherselfiwheniharassed. iThisiis ibullyingibehavioribyithe istaff, iandioftenitheinewinurse icannotihandleiitialone. iIfithe inewinurse icannotimanage ithisiwithimentoringiofithe iseasonedinurse, ithe iother inurse ishouldihelpitheinewinurse ireportithisibehavioritoitheimanagementistaff. ANS: C Feedback A Byinotigettingiinvolved, ithe inurse iisisilentlyiacceptingithatithisibehavioriis ialright. B Theimanagerimayineeditoibecome iinvolved, ibutinotiasithe ifirstistep. iThe iresponsible, iprofessionalinurse iwoulditryitoiintervene ifirst. C Harassmentiandibullyingiisiantitheticalitoinursingiandishouldinotibe itolerated; ihowever, icolleaguesishouldibe iaddressedirespectfully. D Theinewinurse imayineeditoilearniself-assertive iskills;ihowever, ithe inurse ishould iinterveneitoistopithe ibehavior. DIF: Cognitive iLevel:iApplication REF: p. i126 20. Ainewigraduateinurse iisiinitheififthiweekiofiworkingion iaibusyisurgicaliunit. iTheinurseitellsia ifriendiaboutiwitnessingisome ipatienticareithatiwasi"appalling."iWhatishouldithe inurseido? a. Returnitoischoolitoiobtainia imaster'siofiscienceiininursingi(MSN)iandileave ibedside inursing. b. Talkitoithe iotherinursesiinvolvediinitheisituationiaboutitheiconcerns. c. Reportitheibehavioritoitheinurse imanageriofithe iunit. d. Acceptithatithisiisithe irealityiofinursingiiniaibusyiunit. ANS: B Feedback A Returningitoischooliwillinotihelpitheinurseiresolve ithe irealityiofithisisituation. B Talkingitoitheiotherinursesiinvolvediallowsithisinurse itoitake iresponsibilityifor ifeelingsiandigetisupport. C Reportingithe ibehavioriwithoutiattemptingitoiresolve iitiwithitheinursesiinvolved iappearsitoibe ioverreactingiandimayiappeariasiifithe inurse iisinotia iteamiplayer. D Disengagingimentallyiandiemotionallyimayiresultiinidropout. DIF: Cognitive iLevel:iAnalysis REF: p. i128 21. Whichiofithe ifollowingistrategiesimayihelpitoiovercome irealityishockiinithe inoviceinurse? a. Participatingiiniaipreceptorship b. Returningitoischooliimmediatelyiafterigraduation c. Movingifrequentlyifromijobitoijob d. Becomingiemotionallyiinvolvediwithipatients ANS: A Feedback A Participatingiiniaipreceptoriprogramicanihelpiainoviceiassimilate imoreismoothly iintoithe iregisteredinurse i(RN)irole. B Prematurelyireturningitoischooliisioftenianiavoidance imechanism. C Movingifrequentlyifromijobitoijobicaniincrease itheiriskiofiburnout. D Nursesishouldinotibecomeioverlyiemotionallyiinvolvediwithipatients. DIF: Cognitive iLevel:iComprehension REF: p. i128 22. Blackiillustratesiconceptsiofipreventingiburnoutibyiusingithe iexampleiofia iflightiattendant iinstructingipersonsitoi"putiyouriownioxygenimaskionifirst."iWhatidoesithisistatementimean? a. Oxygeniisithe imostiimportantielementiofilife. b. Airwayiisialwaysia ipriorityiinipatienticare. c. Takingicareiofiyourselfiwillienable iyou itoibeia ibetterinurse. d. Askiothersiforihelpiifiyouifeelioverwhelmedibyiyourifirstipositioniasia inurse. ANS: C Feedback A "Puttingiyouriownioxygen imaskion ifirst"iisiaboutiself-care, inotioxygen. B "Puttingiyouriownioxygen imaskion ifirst"iisiaimetaphoriforiself-care. C Takingicareiofiyourselfiwilliallowiyouitoibettericareiforiothers. D Althoughifindingia imentoriisiimportantitoiself-care, i"puttingiyouriownioxygen imaskionifirst"idoesinotispecificallyiaddressithisiconcern. DIF: Cognitive iLevel:iComprehension REF: p. i128 MULTIPLEiRESPONSE 1. Aidefinitioniofinursingiisiessentialibecauseiiti(Selectiallithatiapply.) a. differentiatesinursingifromiotherihealthioccupations. b. guidesieducationalipreparationianditheoryidevelopment. c. helpsistateinurse ipractice iactsireflectitheichangingirolesiofinurses. d. clarifiesitheipurposesiandifunctionsiofitheinurses. e. informsipotentialistudentsiofiexactlyiwhatinursesido. ANS: A, iB, iC, iD Feedback Correct Aidefinitioniisiimportantibecauseiitiallowsinurses, iotherihealthicare iproviders, ipolicyimakers, iandiothersiinitheicommunityitoibetteriunderstand iwhatinursesido. Incorrect Althoughia idefinitioniclarifiesitheirole iofinursing, inoidefinitionicanibe iso iexplicitithatiitiexplainsieverythingia inurse idoes. DIF: Cognitive iLevel:iComprehension REF: pp. i114-115 2. Whichiofithe ifollowingibehaviorsiofia istudentiindicate ithatitheistudentihasitakeniresponsibility iforihisioriheriowniprofessionalisocialization? i(Selectiallithatiapply.) a. Projectingia iprofessionaliappearance iiniclass b. Attendingiclass, iquietlyilisteningitoitheilectures c. Takingiresponsibilityitoirequestialternative idatesiforiexaminationsiiniorderitoiwork d. Takingiresponsibilityitoilearnitheiexpectationsiofitheifacultyiinieachicourse e. Acceptingiconstructive icriticismiwithoutibecomingidefensive ANS: A, iD, iE Feedback Correct Partiofibeingiaiprofessionaliisitoilookiandibehaveilikeia iprofessional. iEach iteacherimayihave idifferentiexpectationsiandiitiisitheistudent's iresponsibilityitoiseekiclarificationiasia iprofessional. iItiisithroughifeedback ithatione iisiableitoiimprove iasia iprofessional. iIfistudentsibecomeidefensive, itheyimayinotiheariallithe ifeedback, ipositive iandinegative. Incorrect Althoughiclassiattendance iisiimportant, iaskingiquestionsiandiinitiating idiscussionsicreateiaidynamic ilearningienvironment. iAiprofessionaliisinot imerelyianiacademicispectator. iTakingiresponsibilityiforiorganizingione's iworkitoimeetideadlinesireflectsiprofessionalibehavior. DIF: Cognitive iLevel:iComprehension REF: pp. i118-119 Chapteri7:iTheiEducationiofiNurses:iOnitheiLeadingiEdgeiofiTransformation TestiBank MULTIPLEiCHOICE 1. Ini1900, ithe iprimaryireasoniforihospital-basedinursingieducationiprogramsiwasito a. educateinursesitoicareiforipatientsiinihospitals. b. provideieducationaliopportunitiesiforiwomen. c. staffitheihospitalsithatioperateditheieducationiprograms. d. provideistandardizedipreparationiforinurses. ANS: C Feedback A Mostinursesiworkediinihomesiandiveryifewiworkediinihospitals. B Theieducationiforiwomeniwasinotia ivalueiofisocietyiatitheitime. C Inithe ihospitalsithereiwereifewipaidistaffinurses, iandimostiofithe icareiwas iprovidedibyithe inursingistudents. D Theiprogramsiofistudyivariediinilength, iandieachischoolisetiitsistandardsiand irequirements. DIF: Cognitive iLevel:iKnowledge REF: p. i131 2. Whichiofithe ifollowinginursingileadersiisicreditediwithibeingione iofitheiearliestinursing ieducatorsiinitheiworld? a. IsabeliHamptoniRobb b. MaryiAdelaideiNutting c. MelindaiAnne iRichards d. Annie iW. iGoodrich ANS: B Feedback A Robbistudiedinursingieducation. B MaryiAdelaide iNuttingiwasia iprofessoriatiTeachersiCollege iini1907, iandishe iwas ialsoitheifirstinursingiprofessor. C Richardsiwasitheifirstitrainedinurse ieducatediinitheiUnitediStates. D Goodrichibecame itheifirstideaniofithe iYaleiSchooliofiNursingiini1924. DIF: Cognitive iLevel:iKnowledge REF: p. i133 3. TheiGoldmarkiReportifocusedioniwhatiaspectiofinursing? a. Consistencyiinilengthiofinursingieducationiprograms b. Consistencyiinitheoryicontentiacrossidiplomaiprograms c. Desirabilityiofiestablishingischoolsiofinursingiwithiniacademic isettings d. Increasinginumbersiofiphysiciansiteachingiininursingiprograms ANS: C Feedback A Consistencyiinilengthiofiprogramsiwasinotianiissue. B Contentiwasinotitheiissue. C TheiGoldmarkiReportifocusedioniclinicalilearningiexperiencesiofistudents, ihospitalicontroliofischoolsiofinursing, idesirabilityiofiestablishingischoolsiof inursingiiniuniversities, ilackiofifundingiforinursingieducation, iandilackiof iqualifiedifaculty. D Nursingicurriculumiwithiinstructionibyiphysiciansiwasinotiencouraged. DIF: Cognitive iLevel:iComprehension REF: p. i134 4. WhichiAmericaniuniversityiopenedithe ifirstinursingischooliasia iseparate idepartmentiwithinithe iuniversity? a. Harvard b. TeachersiCollege c. Columbia d. Yale ANS: D Feedback A Harvardiwasinotithe ifirstiAmericaniuniversityitoiopeniainursingischooliasiitsiown idepartment. B TeachersiCollege iwasinotitheifirstiAmericaniuniversityitoiopenia inursingischool iasiitsiown idepartment. C Columbiaiwasinotithe ifirstiAmericaniuniversityitoiopenia inursingischooliasiits iownidepartment. D Ini1924, iYaleiUniversityiwasitheifirstiAmericaniuniversityitoiopeniaischooliof inursingiasiitsiownidepartment. DIF: Cognitive iLevel:iKnowledge REF: p. i134 5. Whichiofithe ifollowingirecommendationsiresultingifromithei1934 istudyiNursingiSchools iTodayiandiTomorrowistillihasirelevance itoday? a. Nursingistudentsishouldibeitrainedionithe ijob. b. Nursingistudentsishouldibeiuseditoistaffihospitalsionitheiweekends. c. Nursesishouldibe ihighlyieducated. d. Nursesiwithihighlyidevelopediinstinctsidoinotirequireistandardsiofipractice. ANS: C Feedback A Nursesishouldibe ihighlyieducatediiniaiuniversityisetting. B Studentsishouldinotibe iuseditoistaffihospitals. C Theistudyimadeifive irecommendations:inursingieducationishouldibe iestablished iwithinihigherieducation;inursesishouldibe ihighlyieducated;istudentsishouldinot ibe iuseditoistaffihospitals;istandardsiofipractice ishouldibeiestablished;iand istudentsishouldimeetiminimaliqualificationsiforigraduation. D Standardsiofipractice ishouldibe iestablished. DIF: Cognitive iLevel:iKnowledge REF: p. i134 6. Theiearliestitypeiofiformalinursingieducationiprogramiwasithe a. diplomaiprogram. b. associate idegree iprogram. c. bachelor'sidegreeiprogram. d. grandfatherediacceptanceiasiregistered inursei(RN). ANS: A Feedback A Diplomaiprogramsiofinursingibeganiinitheilatei1800siandiwere itheiearliestiform iofinursingieducation. B Associateinursingidegree iprogramsibeganiini1952. C Bachelor'sidegreeiprogramsibeganiini1909ibutibecame icommonplace ionlyiinithe imid-1900s. D Nursesiareinotigrandfatherediintoilicensure. DIF: Cognitive iLevel:iKnowledge REF: p. i134 7. Theisingle imostiimportantireasoniforithe idecline iinithe inumberiofihospital-basedidiploma iprogramsiwas a. shiftiinihospitalioccupancyifromiacuteicareitoihome icare. b. increaseiinihospital-basedimedicaliresidencyiprogramsicompetingiforieducational idollars. c. beginningiofiassociate idegreeiprogramsithatiwereishorteriinilength. d. diplomaieducation'sipositionioutsideithe imainstreamiofihigherieducation. ANS: D Feedback A Theiincreaseiinicomplexityiofihealthicareileditoitheineediforimoreiadvanced ieducationalipreparationiforinurses. B Althoughiitibecame imoreidifficultiforihospitalsitoifundidiplomaiprograms, ithis iwasinotithe imostiimportantireasoniforitheiridecline. C Theiadventiofiassociate idegree iprogramsileditoitheidecline iinidiploma iprograms, ibecauseiassociate idegree iprogramsiareilocatediiniacademic isettings. D Theimovementiofinursingieducationiintoitheieducationalimainstream, ithatiis, icollegesiandiuniversities, iwasiresponsibleiforithe irapididecrease iinidiploma iprograms. DIF: Cognitive iLevel:iKnowledge REF: p. i135 8. Whichiofithe ifollowingiisiaiprimaryireasoniforithe iinitialislowigrowthiofibachelor'sidegree inursingiprogramsiinitheiUnitediStates? a. Beliefithatihands-onitrainingireceivediinihospital-basedidiplomaiprogramsiwas isuperioritoitheitheoretical-focusedicontentiinibachelor'sidegree iprograms b. Beliefithatihospital-basedidiploma iprogramsiwereimoreiscientificallyibased c. Beliefithatistudentsipreparediinihospital-basedidiploma iprogramsiwere imore icompassionate icaregivers d. Beliefithatihospital-basedieducationiprogramsifacilitatedicareerimobility ANS: A Feedback A Thereiwasiaigreatidealiofiacceptance iofithe ihands-oniteachingireceivediin idiplomaiprograms. B Bachelor'sidegreeiprogramsiareimore itheoreticallyifocused. C Thereiisinoidifference iiniperceptionioficaringibetweenithe iprograms. D Bachelor'sidegreeieducationifacilitatesicareerimobility. DIF: Cognitive iLevel:iComprehension REF: p. i135 9. Thei1948iBrowniReportirecommendediwhichiofitheifollowing? a. Limitienrollmentiofimeniandiminoritiesiininursingiprograms. b. Studentsiadmitteditoinursingiprogramsishouldinotibe irequireditoimeetiadmission irequirementsiofitheiuniversity. c. Schoolsiofinursingishouldibe iassociatediwithiteachingihospitals. d. Schoolsiofinursingishouldibe ilocatediiniinstitutionsiofihigherilearning. ANS: D Feedback A TheiBrowniReportirecommendedithatimoreimeniandiminoritiesibeirecruitediinto inursing. B TheiBrowniReportirecommendationsididinotiaddressiadmissionirequirementsiof iuniversities. C TheiBrowniReportirecommendedimovinginursingieducationiintoiacademic isettings. D TheiBrowniReportirecommendedithatischoolsiofinursingibeimoveditoiinstitutions iofihigherilearning. DIF: Cognitive iLevel:iKnowledge REF: p. i135 10. Whichiofithe ifollowingiisitrueiaboutibachelor'siofiscience iininursingi(BSN)ieducation? a. Facultyimustibe iBSNiprepared. b. Itiisirecommendedibyiprofessionaliorganizationsiasipreparationiforientryiinto ipractice. c. Itirequiresi3iyearsitoicomplete. d. Facultyiare inotigivenifullifacultyistatusiinitheiuniversity. ANS: B Feedback A FacultyiiniBSNiprogramsihave imaster'sioridoctorateidegrees. B Manyinursingiorganizationsihave iadvocatediforithe iBSNiasitheibeginning ieducationalipreparationiforithe iprofessioniofinursing. C TheiBSNidegreeirequiresi4iyearsitoicomplete. D Facultyiininursinginowihave ifullifacultyistatus. DIF: Cognitive iLevel:iKnowledge REF: p. i136 11. Whichirecommendationimadeibyithei1965 iAmericaniNursesiAssociationi(ANA)iposition ipaperiandiotheripositionipapersiofinationalinursingiorganizationsiisistillianiissue itoday? a. Educationiforinursingishoulditakeiplaceiinihospital-basediprograms. b. Minimumipreparationiforiprofessionalinursingipractice ishouldibe ithe iBSNidegree. c. Minimumipreparationiforitechnicalinursingipractice ishouldibe ithe ilicensed ipractical/vocationinurse i(LPN/LVN)idiploma. d. Educationiforinursingimustibe ievidence-based. ANS: B Feedback A TheiANAipositionipaperiadvocatediforieducationiinicollegesiandiuniversities. B Theiissue iofiminimumieducationalirequirementiforientryiintoipractice iisinot ilikelyitoichange iuntilithereiareisafeguardsiiniplaceithatiensure ithatiallinurses icurrentlyiinipractice icontinueitoifeelithatitheyiareivaluedimembersiofithe iprofession. iThisiprovisionicontinuesitoibe icontroversialitoday. C Theitechnicalileveliofinursingiwasisupportediinicommunityiandijunioricolleges. D Thereiisilittleievidence itoisupportitraditionalieducationalimethodsiusediininursing ieducation. DIF: Cognitive iLevel:iComprehension REF: p. i136 12. Whichitype iofibasic inursingieducationiprogramigraduatesitheilargestinumberiofiRNsiinithe iUnitediStatesitoday? a. Diplomaiprograms b. Associateidegree iprograms c. BSNiprograms d. Nurseipractitioneriprograms ANS: B Feedback A Diplomaiprogramsiareion itheideclineiinienrollmentiandinumberiofiprograms ioperating. B Associateidegree iprogramsigraduate ithe imostinursesitoday. C BSNiprogramienrollmentsihave iincreasedibutiareistillilowerithaniassociate idegree iprogramienrollments. D Nurseipractitioneriprogramsiareiadvancedipractice imaster's-leveliprograms. iThe iquestionirefersitoibasic iRNipreparation. DIF: Cognitive iLevel:iKnowledge REF: p. i137 13. Whoiisicreditediwithidevelopingithe imodeliofiassociate idegree inursingieducation? a. EstheriLucille iBrown b. Annie iW. iGoodrich c. MildrediMontag d. NationaliLeague iforiNursing ANS: C Feedback A EstheriLucille iBrowniwrote itheiBrowniReport. B Annie iW. iGoodrichiwasitheifirstideaniofinursing. C MildrediMontagidevelopedia imodeliofiassociate idegreeinursing. D TheiNationaliLeague iforiNursingididinotidevelopithe imodeliofiassociate idegree inursing. DIF: Cognitive iLevel:iKnowledge REF: p. i139 14. Whatiisithe ipurpose iofiarticulatedimodelsiorisystemsiforinursingieducation? a. Increasingicurriculumisimilaritiesiininursingiprograms b. Allowinginursesitoiworkiininursingiasitheyigainiadditionalieducation c. Increasingithe inumbersiofinursingieducationiprograms d. Facilitatingiopportunitiesiforinursesitoimove iupithe ieducationaliladderiwithiease ANS: D Feedback A Articulationihasinotimadeithe iprogramsimoreisimilar. B Althoughiarticulationimodelsiallowia ipersonitoimove iwithigreateriease ifromione ilevelitoianotheriwithilessirepetitionioficoursework, iarticulationisystemsidoinot iaddressithe iabilityitoiworkiandiattendischoolisimultaneouslyianyimore ithaniany iotherinursingieducationiprogram. C Articulationimodelieducationaliprogramsihaveibeenislowitoidevelopibecause iof itheiworkirequireditoikeepiallitheicoursesicongruentiwithieachiother, iand iincreasedieducationaliprogramsihave inotiresulted. D Articulatedimodelsiallowia inursingistudent/nurse itoienteriandileave iatidifferent ipoints. iArticulatedisystemsiprovide iflexibilityiforithe inurse itoigainimore ieducation. DIF: Cognitive iLevel:iComprehension REF: p. i140 15. Whichiofithe ifollowingiisianiimportantiadvantage iofidistance ilearning? a. Itiallowsiaccessitoiadultilearnersiwhoiareigeographicallyiunableitoiparticipate iinia itraditionaliclassroomisetting. b. Itiallowsistudentsitoisetitheiriownilearningiobjectives. c. Itiallowsia istudentitoitakeicoursesiwithouticlinicalicomponents. d. Itiallowsiuniversitiesitoiofferimore iclassesiwithifewerifaculty. ANS: A Feedback A Distanceieducationiallowsiflexibility, iparticularlyiforiworkingipeopleiinilocations iwhere ithereiisinoicampus, iandienablesithemitoireturnitoischool. B Theirequirementsiareijustiasistringentiasitraditionalicourses, ibutithe imethodiof iparticipationiisiflexible. C Distanceilearningidoesinotinegate itheineediforiclinicalicomponentsioficourses. D Facultyirequirementsiareithe isame. DIF: Cognitive iLevel:iComprehension REF: p. i142 16. Allilevelsiofinursingieducationaliprogramsicanibe iaccreditedibyiwhichiorganization? a. AmericaniAssociationiofiCollegesiofiNursingi(AACN) b. CommissionioniCollegiate iNursingiEducationi(CCNE) c. NationaliLeague iforiNursingiAccreditingiCommissioni(NLNAC) d. NationaliLeague iforiNursingiCouncilsiofiEducationiProgramsi(NLNCEP) ANS: C Feedback A TheiAACNidoesinotiaccreditieducationaliprograms. B AlthoughitheiCCNEiaccreditsieducationaliprograms, iitionlyiaccreditsibachelor's iandihigheridegreeiprograms. C TheiNLNACiaccreditsiLPN/LVN, iassociateidegree, iBSN, iandiMSNiprograms. D TheiNLNCEPidevelopsiaccreditationiprogramsiandicriteria iforidifferentilevelsiof ieducationibutidoesinoticarryioutitheiaccreditationiprocess. DIF: Cognitive iLevel:iKnowledge REF: p. i143 17. Whichiofithe ifollowingiisiaipartiofithe ihistoryiofidoctoralieducationiininursing? a. Theinurse iscientistiprogramiwasidiscontinuediafterimoreiuniversitiesibeganioffering idoctoraliprogramsiininursing. b. Theifirstidoctoralidegreei(PhD)iwasiofferediatitheiUniversityiofiPittsburgh. c. Theinumberiofidoctoraliprogramsiininursingihasidoubledisincei1990. d. Theilargestinumbersiofidoctoraliprogramsiareipractice-focused. ANS: A Feedback A Inithe i1970s, ithere iwasia imajoriincreaseiinidoctoraliprogramsiininursing. iThis iprovidedianieducationiininursingithatidevelopediresearchiskillsiandiprovided inursingifaculty. iTherefore, itheinurse iscientistiprogramiwasidiscontinuediini1975. B Theifirstidoctoralidegreeiininursingi(PhD)iwasiofferediatiNewiYorkiUniversityiin i1934. iTeachersiCollege iatiColumbia ihadiofferediaidegreeiininursingieducation i(EdD). C Ini1990, ithere iwerei48idoctoraliprogramsiininursing, iandibyi2007 ithereiwerei166, iactuallyimore ithanitriplingitheinumber. D Sixty-eightipercentiofitheidoctoraliprogramsiare iresearch-focused, iwhilei32%iare ipractice-focused. DIF: Cognitive iLevel:iComprehension REF: p. i145 18. Ini2004, ithe iAACNiproposedia inewidoctoralidegree, itheidoctoriofinursingipractice i(DNP). iWhatiisithe ifocusiofithe iDNPidegree iininursing? a. Nursingiresearch b. Nursingiqualityiimprovement c. Advancediclinicalipractice d. Nursingitheoryidevelopment ANS: C Feedback A Theiresearchidegree iisitheiPhD. B Thereiisinotia inursingidoctoralidegreeidesignedispecificallyitoiaddressiquality iimprovement. C TheiDNPidegree iisidesigneditoibe ia iclinicalipractice idegree. iItiwouldireplaceithe imaster'sidegreeiforinurse ipractitionersiandinurse-midwives, iplacingithemion iequalifootingiwithiotheridisciplines. D TheiPhDidegreeiisimostiappropriate iforitheoryidevelopmentiandiadvancement. DIF: Cognitive iLevel:iKnowledge REF: p. i145 19. Whichiofithe ifollowingiisitheiprimaryidistinctionibetweenilicensureiandicertification? a. Certificationiisirequireditoipractice inursing. b. Licensure iisigrantediautomaticallyionicompletioniofianiaccreditedinursingiprogram. c. Certificationivalidatesia ihigh ileveliofiproficiency. d. Licensure iisivoluntary. ANS: C Feedback A Licensure, inoticertification, iisirequireditoipractice inursing. B Licensure iisinotiautomaticallyigrantedionicompletioniofia inursingiprogram. C Certificationivalidatesia ihigh ileveliofiproficiencyiandiknowledge. D TheiNCLEXiexaminationimustibe icompletedisuccessfully. iCertificationiis ivoluntary, ibutilicensureiisinot. DIF: Cognitive iLevel: iComprehension REF: p. i145 20. Theipurpose iofimandatoryicontinuingieducationiforilicense irenewaliisito a. ensureithatinursesiremainiupitoidateiiniknowledge. b. ensureithatinursesiremainicompetentiinipsychomotoriskills. c. ensureithatinursesiattendiregularistaffidevelopmentimeetings. d. ensureiconsistencyibetweenistatesiregardingicontinuingieducationirequirements. ANS: A Feedback A Mandatoryicontinuingieducationiisia istateigovernment'siwayiofiensuringithat inursesiremainiupitoidate. B Ensuringithatinursesiremainicompetentiinipsychomotoriskillsiisinotia itestiof ipsychomotoricompetency. C Staffidevelopmentidealsiwithicompetencyiandiinstitutionaliupdates. D Theinumberioficontinuingieducationihoursirequiredivariesiamongistates. DIF: Cognitive iLevel:iComprehension REF: p. i147 MULTIPLEiRESPONSE 1. Florence iNightingale iestablishediaischooliofinursingibasedioniwhichiofithe ifollowing iinnovative iprinciples? i(Selectiallithatiapply.) a. Theinursingischoolishouldibe iaffiliatediwithia iteachingihospitalibutiindependentiof iit. b. Professionalinursesishouldibeipaidiforitheiriinstructioniinitheischool. c. Studentsishouldibe iselecteditoicreate iaidiverseistudentibody. d. Theicurriculumishouldiincludeitheoryiandipracticaliexperience. e. Nursesishouldibe itrainediiniprivatelyifundedieducationaliinstitutions. ANS: A, iB, iD Feedback Correct Nightingale isawitheibenefititoiaffiliationiwithiaiteachingihospitalibut ithoughtithatitheiteachingimissionishouldibeiseparate ifromithe iservice imission. iNightingale isawiinstructioniasia ivaluediactivityiworthyiof ireimbursementiandiinvolvingimore ithaniallowingione itoilearniby iwatching. iNightingale ithoughtithatinursingiwasimoreithanijustion-the-job itrainingiandirequirediknowledge iuponiwhichitoibaseinursingiactivities. Incorrect Nightingale isawinursingiasia iprofessioniforiwomenionlyiandithatithe iwomenishouldibe iselectedibasedionicertainicriteria. iNightingale ithought ithatinursingieducationishouldibe ipubliclyifunded. DIF: Cognitive iLevel:iComprehension REF: p. i133 2. Whyiisiaccreditationiofinursingieducationiprogramsiisiimportant?i(Selectiallithatiapply.) a. Itiassuresistudentsithatitheirieducationaliprogramiisiofferingiqualityieducation. b. Acceptance iintoigraduateiprogramsiininursingidependsionigraduationifromian iaccreditediprogram. c. Itiservesiasistimulusiforiprogramsitoiinitiate iperiodic iself-examinationiandiselfimprovement. d. Itihasiestablishedistandardsitoiallowigraduatesitoitakeilicensureiexaminations. e. Graduatingifromianiaccreditediprogramiensuresisuccessfulicompletioniofithe ilicensure iexam. ANS: A, iB, iC Feedback Correct Forianieducationaliprogramitoibe iaccredited, iitimustimeeticriteriaithat iprotectitheiqualityiofieducation. iGraduate iprogramsiuse itheiprogram's iaccreditationistatusitoiassure itheiqualityiofieducationitheipotentialistudent ihasireceivediinipreparationiforigraduateistudy. iAsipartiofitheiaccreditation iprocess, ithe ieducationaliprogramimusticomplete iaiself-studyiandishow ihowithe ischoolimeetsieachistandard. Incorrect Theistandardsithatieducationaliprogramsineeditoimeetitoiallowitheir igraduatesitoitakeithe ilicensure iexaminationiare ideterminedibyieachistate, inotibyiaccreditingibodies. iGraduationifromianyiprogramiofinursingidoes inotiguarantee ipassage iofithe ilicensure iexam. DIF: Cognitive iLevel:iComprehension REF: p. i142 3. Whichifactorsicontribute itoithreateningitheicurrentiandifuture isupplyiofinurses?i(Selectiallithat iapply.) a. Theinumberiofiqualifiediapplicantsihasidecreased. b. Seventy-five ipercentioficurrentifacultyimayiretire ioveritheinextidecade. c. Overallinumbersiofiapplicantsitoidoctoraliprogramsihasidecreased. d. Facultyivacanciesiareihavingianiimpactionilargeinumbersiofischools. e. Moreimeniareienteringinursingiandichoosingifacultyipositions. ANS: B, iD Feedback Correct Itiisiprojectedithatiasimanyiasi75%ioficurrentifacultyiwilliretire ibyi2019. iThisiwilliimpactilarge inumbersiofischoolsiandicanilimitienrollment. Incorrect Theinumberiofiqualifiediapplicantsihasiincreased, ibutimore ithani30,000 iapplicantsiwereiturnediawayifromibachelor'sidegreeiprogramsifori"lackiof icapacity."iMore imeniare ienteringinursing, iwhichishouldihelpiincrease irecruitmentiofiotherimeniintoithe ifield. iMoreimaleifacultyicouldialsoihelp irecruitmentiofimeniintoinursing. iThereiisicontinuedidemandiforidoctoral ieducationiininursing. DIF: Cognitive iLevel:iComprehension REF: p. i147 4. Overithe ilastitwoidecadesia inumberiofiorganizationsiissuedireportsiidentifyingichangesineeded iininursingieducationitoiprepareinursesiforipracticeiinitheitwenty-firsticentury. iWhichiofithe ifollowingisuggestionsiwereiincludediinitheseireports?i(Selectiallithatiapply.) a. Recruitmentiofistudentsiandifacultyitoireflectitheimulticulturalinatureiofisociety b. Moreifocusion iknowledge iandiskillsitoicareiforiacutelyiilliindividuals c. Increasediinformaticsitrainingitoiimprove iaccessitoiinformation d. Limitingidiscussioniofitheiqualityiimprovementimeasuresiinithe ihealthicareisystem e. Curriculaiemphasizingiinterdisciplinaryiteamworkiandicollaboration ANS: A, iC, iE Feedback Correct Theichangesi"recruitmentiofistudentsiandifacultyitoireflectithe imulticulturalinatureiofisociety," i"increasediinformaticsitrainingitoiimprove iaccessitoiinformation"iandi"curriculaiemphasizingiinterdisciplinary iteamworkiandicollaboration"iwere imadeiiniseveralinursingireportsiandiin ithei2003 iInstitute iofiMedicine ireport. Incorrect Theireportsistatedithatithereishouldibe iincreasedifocusionichroniciillness iandithatia iqualityiimprovementiprocessiofitheihealthicareisystemimustibe iincludediinitheieducationiofihealthicareiproviders. DIF: Cognitive iLevel:iComprehension REF: p. i149 Chapteri8:iCriticaliThinking, itheiNursingiProcess, iandiClinicaliJudgment TestiBank MULTIPLEiCHOICE 1. Criticalithinkingiininursingineedsitoiinclude iwhichiofitheifollowingiimportantivariables? a. Considerationiofiethicsiandiresponsible idecisionimaking b. Abilityitoiactiquickly, ioftenioniimpulse c. Abilityitoidetermine itheibestinursingiinterventionsiregardlessiofipatient'sivaluesiand ibeliefs d. Flexibleithinkingithatirarelyifollowsia ipatternioriconsidersistandards ANS: A Feedback A Criticalithinkingiininursingiisibasedion iethicsiandistandardsiofitheiprofession. B Criticalithinkingiisiconsciouslyideveloped, icomplex, iandipurposeful, inever iimpulsive. C Criticalithinkingiandidecisionimakingiare ibasedionipatient'sivaluesiandibeliefs. D Criticalithinkingiisibasedion iaidecision-makingimodeliandinursingistandards. DIF: Cognitive iLevel:iComprehension REF: p. i154 2. Ainursingistudentiasksia ifacultyimemberihowitoiimprove icriticalithinking. iWhichiresponse iby itheifacultyiisibest? a. "Don'tiworryitooimuch;iitiwillicomeiwithitimeiandiexperience." b. "Payicloseiattentionitoihowiyouisolve iproblems;iassessiyouriownistyle iofithinking." c. "Spenditimeishadowingianiexperiencedinurseitoisee ihowiitiisidone." d. "Use iethicalistandardsitoiguideihowiyouiapproachipatientisituations." ANS: B Feedback A Althoughitimeiandiexperienceiareiimportantiinidevelopingicriticalithinking, ipeopleiactuallyimustiactivelyiconsiderihowitheyithinkiiniorderitoiimprove icritical ithinking. B Makingithinkingia ifocusioficoncerniandiactivelyithinkingiaboutiitiisithe ibest iadviseithe ifacultyicanigive. C Whileiobservingianiexperiencedinurse imayibe ihelpful, ithe istudentineedsitoibe ian iactiveiparticipantitoiimprove icriticalithinking. D Usingiethicaliandiprofessionalistandardsiisia ipartioficriticalithinking, ibutithatiis ionlyia iportioniofiwhatimakesiaigood icriticalithinker. DIF: Cognitive iLevel:iAnalysis REF: p. i154 3. Whichiofithe ifollowingiisiaicharacteristic iofianiaccomplishedicriticalithinker? a. Inquisitiveness b. Narrowifocus c. Unaffectedibyiotheriarguments d. Quickidecisionimaking ANS: A Feedback A Theiaccomplishedicriticalithinkerineedsitoiaskiquestionsiwhenithingsidoinotiseem iquiteiright. B Theiaccomplishedicriticalithinkerithinksibroadly, iconsideringiallipossibilities. C Theiaccomplishedicriticalithinkericonsidersialliinformationiandialliarguments ibeforeidecidingionia icourse iofiaction. D Theiaccomplishedicriticalithinkericonsidersitheifacts, ifitsithemiintoiknown ipatterns, iconsidersialliaspectsiofitheiproblem, iandimakesidecisionsibasedion iknowledge, inotioniinstinct. DIF: Cognitive iLevel:iComprehension REF: p. i153 4. Whichiofithe ifollowingistatementsidescribesithe ipurpose iofithe inursingiprocess? a. Processiofidocumentationidesigneditoidecreaseiliability b. Processidesigneditoimaximize ireimbursementipotential c. Aisophisticateditime-managementistrategy d. Processiuseditoiidentifyiandisolve ipatientiproblems ANS: D Feedback A Althoughiproperidocumentationiisipartiofitheinursingiprocess, iitiisia iproblemsolvingiprocess, inotia idocumentationiprocess. B Theinursingiprocessiisinotiusediwithireimbursementipotentialiinimind. C Theinursingiprocessiisinotia itime-managementistrategy. D Theipurpose iofitheinursingiprocessiisitoiidentifyiandisolve ipatientiproblems. DIF: Cognitive iLevel:iKnowledge REF: p. i156 5. Whichiofithe ifollowingiisiconsideredisubjective idataiiniinformationigatheringifromitheipatient? a. Pulseiandibloodipressure imeasurements b. ECGipattern c. Diaphoresis d. Pain ANS: D Feedback A Pulseirateiandibloodipressure imeasurementsiare isignsioriobjective idata ithatican ibe iconfirmedibyiobservation. B TheiECGipatterniisiobjective idata. C Diaphoresisiisiobjective idata. D Subjective idataiareithe ipatient'siperceptions, isometimesicalledi"symptoms." DIF: Cognitive iLevel:iComprehension REF: p. i157 6. Ainursingistudentiisicomplainingiaboutiwritingicareiplans. iWhichiresponseibyithe ifacultyiis ibestitoihelpithe istudentiseeitheiimportance iofithisiactivity? a. "Usingithe inursingiprocessiwillihelpinursesigetireimbursementiforitheiriservices." b. "Youineedia iwritteniplanioficareisoieveryoneiisionithe isameipage iasiyouiare." c. "The inursingiprocessiisiaiwayitoisystematicallyithinkiaboutiandiuse ipatientidata." d. "Mostistateinurseipractice iactsirequire ithem, isoiyou ineeditoilearnihowitoido ithem." ANS: C Feedback A Demonstratingiuse iofithe inursingiprocessimayibe iimportantiiniobtaining ireimbursement, ibutiitiisinotitheiprimaryireasoniforiusingitheinursingiprocessi(and iwritingicare iplans). B Havingia idetailediplanithatiotherinursesicanifollowiisiimportant, ibutiitiisinotithe iprimaryireasoniforiusingithe inursingiprocessi(andiwritingicareiplans). C Writingicareiplansiteachesistudentsitoiuseitheinursingiprocess, iwhichiisia isystematic iwayiofithinkingiaboutiandiprocessingipatientidata. D Stateinurseipractice iactsidoirequireithatinursesidemonstrate itheiuse iofitheinursing iprocess, ibutithisistatementidoesinotidescribeiwhyithe iprocessiitselfiisiimportant. DIF: Cognitive iLevel:iComprehension REF: p. i156 7. Whichiofithe ifollowingiisiconsiderediobjective idataiobtainedifromitheipatient? a. "Iican'ticatchimyibreath." b. Patientiexpressesiconcerniaboutimissingiwork. c. Patientinods, iindicatingianiaffirmative iansweritoia iquestion. d. Bloodipressure iisi110/70iati8iPM. ANS: D Feedback A Aipatient'siexpressioniofia iproblemiisisubjective idata. B Theipatientiexpressingiconcerniaboutimissingiworkiisianiinference ibasedioniwhat ia ipatientihasisaid. C "Patientinods, iindicatingianiaffirmative iansweritoia iquestion"iisiinterpretationiof ia imovement. D Objective idataiareimeasurable iandiobservable. DIF: Cognitive iLevel:iComprehension REF: p. i157 8. Theinurse iobservesia ipatientilyingirigidlyiinibedianditakingishallowibreaths. iThe ipatientireports ia ipainiscoreiofi4ioutiofi5 iandisays, i"Myilegihurts." iTheinurse ideterminesithatithe iobjective iand isubjective idata iare a. incongruentiandirequireimoreiassessment. b. insufficientitoimakeianyiconclusions. c. congruentiandisupportithatithe ipatientiisiinipain. d. unclear;itheinurse ineedsitoitalkitoitheipatient'sifamilyiforimoreiinformation. ANS: C Feedback A Theistatementiandibehaviorsiobservediindicate ithatitheipatientiisiexperiencing ipain. B Oneicanimakeia iconclusionibecause ithereiisisufficientiinformationiavailable. C Theipatientistatesihe/she iisiinipainiandithe irigidipositioningiandishallowibreathing iareibehaviorsifoundiwheniindividualsiexperience ipain. D Theisubjective inatureiofipainirequiresiobtainingitheiinformationifromithe ipatient iifiatiallipossible. iThe ifamilyicanibe ianiexcellentisourceiofiinformationiifithe ipatientiisiunableitoicooperate iwithitheinurse'siassessment. DIF: Cognitive iLevel:iAnalysis REF: p. i158 9. Ainurse iisiadmittingia inon-Englishispeakingipatientitoitheihospitaliunit. iWhichiisitheibest imethodiofiobtainingidataifromithe ipatient? a. Askingitheiotherifamilyimembersitoihelpiinterpret b. Performingia iphysicaliexaminationionithe ipatient c. Interviewingitheipatientiusingia iprofessionaliinterpreter d. Attemptingitoiobtainipastimedicalirecordsiforithisipatient ANS: C Feedback A Whileitempting, ithe inurse ishouldinotiuse ifamilyimembersitoiinterpret. iTheyimay iinserticulturalibiases, imayibe iembarrasseditoitranslate icertainitopics, iorimay imisunderstandithe inurse'siquestion. iProfessionaliinterpretersimustibe iused. B Aiphysicaliexaminationiyieldsiimportantidata, ibutitheipatientiinterviewiisithe iprimaryimethodiofiobtainingiinformation. iTheinurse ineedsitoiuseianiinterpreterito igainithisiinformationifromitheipatient. C Aiprofessionaliinterpreterihasibeenitraineditoiconveyimedicaliinformation iwithouticulturalibiasesiandiinianiobjective ifashion. D Pastimedicalirecordsimayiprovideiusefuliinformationibutiobtainingithemidoesinot ireplaceitheineeditoiconductia ipatientiinterviewiwithitheiassistance iofia iprofessionaliinterpreter. DIF: Cognitive iLevel: iApplication REF: p. i161 10. Whatiisithe iprimaryimethodiofiobtainingipatientidata? a. Medicalirecord b. Speakingiwithifamily c. Interviewiwithipatient d. Physicaliexamination ANS: C Feedback A Theimedicalirecordiisithe ithirdisource, ialongiwithiconsultation. B Theipresenceiofiothers, ievenifamily, icaniobstructitheiinterviewiprocess. C Theipatientiinterviewiisitheiprimaryimethodiofiobtainingiinformation. D Theiexaminationiisithe isecondiprocess. DIF: Cognitive iLevel:iKnowledge REF: p. i158 11. Whatidoesithe iprocessiofianalysisiofipatientidataidirectlyiresultiin? a. Validatingiactualiproblemsioridiagnoses b. Determiningithe inursingiinterventionsiofiimportance c. Identifyingiactualioripotentialiproblemsiamenable itoinursingiintervention d. Confirmingithe imedicalidiagnosis ANS: C Feedback A Analysisiidentifiesibothiactualiandipotentialiproblems. B Analysisiidentifiesiproblems. iThe imostiimportantiinterventionsiareideterminediby iidentifyingithe imostiimportantiproblemsiandithe iinterventionsirelateditoithem. C Analysisiwilliidentifyibothiactualiandipotentialiproblems. iTheseiproblemsicanibe iaddressedithrough inursingiinterventions. D Theiidentificationiofipatientiproblemsithatinursingicaniintervene iwithiisinot irelatedionlyitoithe imedicalidiagnosis. DIF: Cognitive iLevel:iKnowledge i| iCognitive iLevel:iComprehension REF: p. i159 12. Whichiofithe ifollowingidescribesitheiprimaryidifference ibetweeninursingidiagnosesiand imedicalidiagnoses? a. Nursingidiagnosesiidentifyisimple iinsteadioficomplexiproblems. b. Nursingidiagnosesimustibe iverifiedibyia iphysician. c. Nursingidiagnoses, ilike imedicalidiagnoses, iidentifyimedicalidiseases. d. Nursingidiagnosesiidentifyiproblemsithaticanibe itreatediwithiindependentinursing iactions. ANS: D Feedback A Nursingidiagnosesiare inotisimple iversusicomplexiproblemsibutitheihuman iresponse itoidisease. B Nursingidiagnosesiare iidentifiedibyinursesiandidoinotineeditoibe iverifiedibyiany iotheriprofessional. C Nursingidiagnosesiidentifyithe ihumanieffectiofidiseaseionithe iperson. D Nursingidiagnosesiidentifyiproblemsithatinursesicanitreatiwithinitheiriscopeiof ipractice. DIF: Cognitive iLevel:iKnowledge REF: p. i159 13. Whichiofithe ifollowingiisiaicorrectlyistatedinursingidiagnosis? a. Fluidivolumeideficit b. Hypovolemia irelateditoivomiting c. Fluidivolumeideficitirelateditoivomitingiasievidencedibyiincreasediheartirateiand idecreasediurineioutput d. Hypovolemia irelateditoinausea iasievidencedibyirestlessnessiandianxiety ANS: C Feedback A "Fluidivolume ideficit"iisiincomplete;iiticontainsionlyithe idiagnostic ilabel. B "Hypovolemia irelateditoivomiting"iisiincomplete;iiticontainsionlyitheidiagnostic ilabelianditheietiology. C "Fluidivolume ideficitirelateditoivomitingiasievidencedibyiincreasediheartirateiand idecreasediurineioutput"icontainsithe idiagnostic ilabel, itheietiology, iandithe idefiningicharacteristics. D Theietiologyiofi"hypovolemia irelateditoinauseaiasievidencedibyirestlessnessiand ianxiety"iisiincorrect. DIF: Cognitive iLevel:iComprehension REF: p. i160 14. Aipatientiisiadmittediwithithe idiagnosisiofibronchitis, icongestive iheartifailure, iandifever. iThe inurse'siassessmentifindsia itemperature iofi101°iF, iperipheraliedema, iandirhonchi. iWhichiofithe ifollowingiisitheibestietiologyitoisupportitheinursingidiagnosisiofiineffective iairwayiclearance? a. Peripheraliedema b. Retainedisecretions c. Bronchitis d. Congestive iheartifailure ANS: B Feedback A Peripheraliedemaiisirelateditoithe iaccumulationiofifluidiinitheifeetiandilegsibut ihasinothingitoidoiwithitheiairway. B Theinursingidiagnosisiindicatesithati"something"imayibeiblockingitheiairway. iRespiratoryisecretionsiare itheionlyichoiceithaticouldiblockithe iairway. C Bronchitisiisia imedicalidiagnosis. D Congestive iheartifailureiisia imedicalidiagnosis. DIF: Cognitive iLevel:iAnalysis REF: p. i160 15. Whyiisithe ietiologyiofitheinursingidiagnosisistatementiimportant? a. Ifithe ietiologyiisiincorrect, itheinursingiinterventionsiare ilikelyitoibeiineffective. b. Theietiologyiwillibe itheisameieachitimeitheinursingidiagnosisiisiidentified. c. Theietiologyiisinecessaryitoiidentifyitheidefiningicharacteristics. d. Theietiologyideterminesiwhetherithe iproblemicanibe isolved. ANS: A Feedback A Onitheibasisiofithe ietiology, idifferentiinterventionsiwouldibe iselected;ifor iexample, ianxietyiversusifatigue. B Theietiologyicanivaryialthoughitheisameidiagnosisiisiidentified. iForiexample, ithe ietiologyiofitheinursingidiagnosisiofiineffective ibreathingipatternicouldibe ieither ifatigue iorianxiety. C Theietiologyiisinotinecessaryitoiidentifyitheidefiningicharacteristicsithatiareithe isignsiandisymptomsiofithe inursingidiagnosis. D Theiresolutioniofitheiproblemiisinotideterminedibyithe ietiology. DIF: Cognitive iLevel:iComprehension REF: p. i160 16. Aipatientiisiadmittediwithiasthma. iThe inurse'siassessmentifindsia itemperature iofi99° iF, iwheezing, ispeakingiinithree-wordiphrases, iandirespiratoryirateiofi16 ibreathsiperiminute. iWhichiofithe ifollowingiare itheibestidefiningicharacteristicsitoisupportitheidiagnosisiof iineffective iairwayiclearance irelateditoiinflammationiandiconstrictioniofitheibronchialitree? a. Elevateditemperature iandirespiratoryirate b. Diagnosisiofiasthma iwithiwheezing c. Wheezingiandispeakingiinithree-wordiphrases d. Limitedivocalizationiandifever ANS: C Feedback A Neitheritheitemperature inorithe irespiratoryirate iisioutsideiofithe inormsiofian iadult. B Theimedicalidiagnosisiisinotiaidefiningicharacteristic. C Theiconstrictionicausesiwheezingiandidifficultyivocalizing. D Thereiisinoifever. DIF: Cognitive iLevel:iAnalysis REF: p. i160 17. Whichiofithe ifollowingipatientiproblemsiisigivenitheihighestipriorityibyithe inurse? a. Anxietyirelateditoihospitalizationiasimanifestedibyihyperactive istate b. Impaireditissue iperfusion, icerebral, irelateditoihypoxia iasimanifestedibyidecreased ilevelioficonsciousness c. Impairediskiniintegrityirelateditoisurgicaliincision d. Riskiforifluidivolume ioverloadirelateditoiimbalance iiniantidiuretic ihormoneias imanifestedibyiperipheraliedema iandidecreasedisodium ANS: B Feedback A Anxietyiisia ipsychological, inotia iphysicaliorilife-threatening, iproblem. B Impaireditissue iperfusion, icerebral, iisilifeithreateningiandiwoulditake ipriority. C Impairediskiniintegrityihasiaipotentialiforiharmibutidoesinotitake ipriorityiover icerebralitissue iperfusioniproblems. D Riskiforifluidivolumeioverloadirelateditoiimbalance iiniantidiuretic ihormoneias imanifestedibyiperipheraliedemaiandidecreasedisodiumiisia ipotentialiproblemiand idoesinotitakeipriorityioveriactualiproblems. DIF: Cognitive iLevel:iAnalysis REF: p. i160 18. Whichiofithe ifollowingipatientiproblemsiisigivenitheihighestipriorityibyithe inurse iusing iMaslow'sihierarchyiofineeds? a. Anxietyirelateditoifeariofithe ihospital b. Ineffective iairwayiclearance irelateditoiretainedisecretions c. Fluidivolumeiexcessirelateditoithirdispacingiofifluidi(edema) d. Ineffectiveithermoregulationirelateditoifever ANS: B Feedback A Psychologicalisafetyiisia inotihigherilevelineedithanioxygenation. B Theineediforioxygeniisione iofithe imostibasicineedsiaccordingitoiMaslow's ihierarchy. C Althoughifluidivolume iexcessirelateditoithirdispacingiofifluidi(edema)iconcernsia ibasicineed, iitiisinotiasilifeithreateningiasilackiofioxygen. D Althoughiineffective ithermoregulationirelateditoifevericoncernsia ibasicineed, iitiis inotiasilifeithreateningiasilackiofioxygen. DIF: Cognitive iLevel:iAnalysis REF: p. i160 19. Theiidentificationiofinursingidiagnosisiandigoalisettingishouldiideallyibeia icollaborative iprocessibetweenithe inurse iandiwhichiotheriparty? a. Physician b. Nurseimanager c. Patient'sifamily d. Patient ANS: D Feedback A Theiphysicianidoesinotisetinursingigoals. B Theinurse imanageridoesinotisetinursingigoals. C Theifamilyidoesinotisetigoalsiforithe ipatient. D Nursingigoalsishouldibeiagreedion ijointlyibyithe inurse ianditheipatient. DIF: Cognitive iLevel:iKnowledge REF: p. i161 20. Whichiofithe ifollowingistatementsihasialliofithe inecessaryicriteriaiforia iwell-writtenioutcome? a. Patientiwilliconsume i50%iofimealsiwithinoinausea iandivomitingibyi24ihours ipostsurgery. b. Therapistiwillireportiimprovementiinipatient'sirangeiofimotionionia idailyibasis. c. Patientiwilliambulate iinithe ihallsia ilittleitoday. d. Patient'siconditioniwilliimprove ibeforeidischarge. ANS: A Feedback A "Patientiwilliconsume i50%iofimealsiwithinoinausea iandivomitingibyi24ihours ipostsurgery" iisispecific, imeasurable, iandihasia ispecific itimeiframe. B Outcomesishouldibe ipatientifocused. C "Patientiwilliambulate iinitheihallsia ilittleitoday"iisinonspecificiandinot imeasurable. D "Patient'siconditioniwilliimprove ibeforeidischarge"iisinonspecific, iis inonmeasurable, iandihasino itimeiframe. DIF: Cognitive iLevel:iApplication REF: p. i162 21. Aipatientiisiinirespiratoryidistressiandiplacedionioxygen. iWhichiisithe imostiappropriate ishorttermigoal? a. Nasalicannulairemainsiiniplace. b. Patienticompletesimorningicareiandieatsibreakfast. c. Patientiverbalizesithatihe iisibreathingibetteriafterilunch. d. Patientimaintainsianioxygenisaturationiofi90%iduringithe ishift. ANS: D Feedback A "Nasalicannula iremainsiiniplace"iisinotia ipatientigoal, iandithereiisinoitimeiframe. B "Patienticompletesimorningicareiandieatsibreakfast"iisibroad, iandithere iisinoitime iframe. C Althoughithere iisia ishortitimeiframe, ithe igoali"patientiverbalizesithatihe iis ibreathingibetteriafterilunch" ilacksispecificity. D "Patientimaintainsianioxygenisaturationiofi90%iduringithe ishift"iinvolvesia ispecificigoaliforithe ipatientiinia ishortitimeiframe. DIF: Cognitive iLevel:iApplication REF: p. i162 22. Whichiofithe ifollowingiisianiappropriate ilong-termigoalitoimeasure idiabetesicontroliforia ipatientiiniwhomidiabetesihasibeeninewlyidiagnosed? a. Patientiwilliinjectiinsulinitwiceidaily. b. Patientiwillikeepiappointmentsiwithiphysicianioveritheinexti6imonths. c. Patient'siA1c iwillibe i5%iati1 iyearipostdiagnosis. d. Patient'sirecordedibloodiglucose iwillibe ibetweeni60iandi120 img/dLieachiday. ANS: C Feedback A Takingithe iinsuliniisiimportantibutidoesinotiindicate ihowiwellibloodiglucoseiwas icontrolled. B Althoughikeepingiappointmentsiisiimportantiforidiabetesimanagement, ithisidoes inotiindicate ibloodiglucoseicontrol. C "Patient'siA1c iwillibe i5%iati1iyearipostdiagnosis"ireflectsitheibestiindicatoriof ilong-termicontroliofibloodiglucoseilevelianditherefore idiabetesimanagement. iThisigoaliisispecific iandieasilyimeasurable. D "Patient'sirecordedibloodiglucose iwillibe ibetweeni60iandi120img/dLieachiday" iis ia ishort-termimeasure iofibloodiglucose icontrol. DIF: Cognitive iLevel:iApplication REF: p. i162 23. Whichiofithe ifollowingiisianiindependentinursingiintervention? a. Teachingia ipatientiwithicongestiveiheartifailureitoiweighiherselfidaily b. Recommendingianiextraidose iofidiuretic itoithe ipatientiwhose iweightihasiincreased i2ipoundsiovernight c. Changingitheifirstisurgicalidressingionia ipatientiafterisurgery d. Transferringia ipatientioutiofithe iintensive icareiuniti2idaysiafterivascularisurgery ANS: A Feedback A Teachingirequiresinoisupervision, iandinursesicanicarryioutiteachingiinterventions iindependently. B Prescribingimedicationiisinotia inursingiintervention. C "Changingithe ifirstisurgicalidressingionia ipatientiafterisurgery" iisia idependent inursingiaction. D "Transferringiaipatientioutiofitheiintensive icareiuniti2idaysiafterivascularisurgery" iisia idependentinursingiintervention. DIF: Cognitive iLevel:iComprehension REF: p. i163 24. Whichiofithe ifollowingirepresentsianiinterdependentinursingiaction? a. Givingitheipatientianiorderedimedication b. Bathingithe ipatient c. Insertingia iFoleyicatheter d. Participatingiiniai"code"i(cardiac iarrestiresponse) ANS: D Feedback A "Givingithe ipatientianiorderedimedication" iisia idependentinursingiaction. B "Bathingitheipatient"iisianiindependentinursingiaction. C "Insertingia iFoleyicatheter"iisia idependentinursingiaction. D "Participatingiinia i'code' i(cardiac iarrestiresponse)" iisianiexample iofianiactionithat iinvolvesicollaborationiwithiotherihealthicareiprofessionalsibeforeiandiduring iimplementation. iItirequiresia iprotocol. DIF: Cognitive iLevel:iComprehension REF: p. i163 25. Theiuse iofistandardizediplansioficareiforidifferentipatientipopulationsihas a. facilitateditheiuse ioficriticalipathsiasiinterdisciplinaryiplansioficare. b. requireditheinurse itoiindividualize ithe iplanioficareitoithe ipatient. c. eliminateditheineediforitheinurse itoidevelopia iplanioficareiforianiindividual. d. increaseditheitimeitheinurse ihasitoidocumentitheiplanioficare. ANS: B Feedback A Standardizediplansioficare iareinotialwaysicriticalipathsiand/oriinterdisciplinary. B Althoughiplansiforifrequentipatientiproblemsicanibeieasilyiproduced, ithe iplaniof icareistillimayineeditoibe imodifieditoimeetitheineedsiofithe ipatient. C Theiuse iofistandardizediplansioficareihasinotieliminateditheineediforian iindividualizediplan. D Theiuse iofitheistandardizediplansioficareihasidecreaseditheitimeirequirediofithe inurse itoiupdateiandidocumentitheiplanioficare. DIF: Cognitive iLevel:iComprehension REF: p. i163 26. Theinurse iinstructsithe ipatientiaboutiincentiveispirometryiasipreoperative iteaching. iWhich iphase iofitheinursingiprocessidoesithisiillustrate? a. Assessment b. Planning c. Implementation d. Evaluation ANS: C Feedback A Theiexampleiinitheiquestioniisianiintervention, inotianiassessment. B Theiexampleiinitheiquestioniisianiintervention, inotia iplan. C Implementationiisithe iphase iofitheinursingiprocessiwheniinterventionsiareicarried iout. D Theiexampleiofiincentive ispirometryiisinotianievaluation. DIF: Cognitive iLevel:iComprehension REF: p. i164 27. Inithe inursingiprocess, ithe ievaluationiphaseiisiuseditoidetermineithe a. valueiofithe inursingiintervention. b. accuracyiofiproblemiidentification. c. theiqualityiofitheiplanioficare. d. degreeiofioutcome iachievement. ANS: D Feedback A Evaluationidoesinotimeasureithe ivalueiofitheiintervention. B Evaluationidoesinotimeasureithe iaccuracyiofiproblemiidentification. C Whileiitiisianiindicatoriofitheieffectivenessiofithe iplanioficare, ievaluationiisifar imoreithanithat. D Theievaluationiphaseiofitheinursingiprocessiisiuseditoievaluate ipatientiprogress irelateditoigoalsiandioutcomeiachievementitoidetermine iwhetheriaiproblemiis iresolved. DIF: Cognitive iLevel:iKnowledge REF: p. i164 28. Ainurse ireviewingia ipatient'sicareiplaninotesia igoaliofi"Patientiwilliambulate i50ifeet, ithree itimesiinitheihallwayitoday." iAccordingitoiBloom, iwhatitaxonomicicategoryiisithisigoal? a. Affective idomain b. Physicalidomain c. Psychomotoridomain d. Cognitive idomain ANS: C Feedback A Theiaffective idomainiinvolvesifeelings, iemotions, ivalues, iandiattitudes. iThisigoal iisinotiinitheiaffective idomain. B Bloom'sitaxonomyidoesinotiinclude i"physical"idomain. C Theipsychomotoriinvolvesimovementiandimotoriskills. iAniambulationigoal iwouldibe ipartiofithisidomain. D Theicognitive idomainiincludesiknowledge iandicognitive iskills. iAmbulating iwouldinotibe ipartiofithe icognitive idomain. DIF: Cognitive iLevel:iComprehension REF: p. i161 MULTIPLEiRESPONSE 1. Ai"well-cultivatedicriticalithinker"iisianiindividualiwhoidoesiwhichiofitheifollowing?i(Select iallithatiapply.) a. Raisesiquestions b. Recognizesialternative iwaysitoiseeiproblems c. Usesionlyilogic itoidetermine irelevance iofiinformation d. Implementsisolutionsitoicomplexiproblemsionlyiasianiindividual e. Criticizesisolutionsiandialternativesisuggestedibyiothers ANS: A, iB Feedback Correct Aicriticalithinkeriidentifiesicleariandiprecise iquestionsiandiisiopen-minded itoialternative iwaysitoiseeiproblems. Incorrect Aicriticalithinkerigathersiandiassessesiallirelevantiinformationiandiwill icommunicate iwithiothersiasihe iorisheiformulatesisolutions. iCritical ithinkingidoesinotiinvolve icriticismiofiothers' isolutionsiandiideas, ialthough iitidoesiincludeiquestioningiandiarrivingiatione'siown iconclusions. DIF: Cognitive iLevel:iComprehension REF: p. i154 2. Theinurse iisiadmittingia ipatientiforisurgery. iThe ipatientiisitwistingia ihandkerchiefioveriand ioveriwhileisaying, i"I'migoingitoihaveia ilittleimoleiremoved. iI'minotiworried. iThe isurgeryiwill itakeionlyianihour, ianditheniIiwilligoihome. iI've ineveribeenisickiaidayiinimyilife, iso iI'llibe ifine." iTheinurse ifindsitheifollowingiduringiheriphysicaliassessment:ibloodipressure iisi150/90; itemperature iisi98.6° iF;ipulse iisi88 ibeatsiperiminute;irespirationiisi20 ibreathsiperiminute;iblack, ibrown, iandiredipigmentedipea-sizediraisediareaioniherishoulder. iWhichiofithe iabove iinformationiwouldibeiconsiderediobjective idata?i(Selectiallithatiapply.) a. Twistingihandkerchief b. Bloodipressure i150/90 c. "I'mihavingithisilittleimoleiremoved." d. Patientiisiworried. e. Patientiisiexhibitingidenial. ANS: A, iB Feedback Correct Twistingihandkerchiefiandibloodipressure i150/90iareimeasurable ior iobservable idata. Incorrect "Patientiisiworried"iisisubjective idata, iandi"I'mihavingithisilittleimole iremoved" iisitheipatient'sidescriptioniofiwhatiisigoingitoioccur. i""Patientiis iworried"iisiincorrectibecause ithisiisia iconclusionitheinurse imightimake ibasedionitheisubjective iandiobjective idata. i"Patientiisiexhibitingidenial" iis iincorrectibecauseithisiisiaiconclusionioriinference ithatitheinurse imight imakeibasedionithe idata. DIF: Cognitive iLevel:iApplication REF: p. i157 3. Theinurse iisiadmittingia ipatientiforisurgery. iThe ipatientiisitwistingia ihandkerchiefioveriand ioveriwhileisaying, i"I'migoingitoihaveia ilittleimoleiremoved. iI'minotiworried. iThe isurgeryiwill itakeionlyianihour, ianditheniIiwilligoihome. iI've ineveribeenisickiaidayiinimyilife, iso iI'llibe ifine." iTheinurse ifindsitheifollowingiduringiheriphysicaliassessment:ibloodipressure iisi150/90; itemperature iisi98.6° iF;ipulse iisi88 ibeatsiperiminute;irespirationiisi20 ibreathsiperiminute;iblack, ibrown, iandiredipigmentedipea-sizediraisediareaioniherishoulder. iWhichiofithe iabove iinformationiwouldibeiconsideredisubjective idata?i(Selectiallithatiapply.) a. Pigmentedimole ionishoulder b. "I'minotiworried…iI'llibe ifine." c. Patientiisianxious. d. Heartirate iisiincreased. e. "The isurgeryiwillitakeionlyianihourianditheniIiwilligoihome." ANS: B, iE Feedback Correct "I'minotiworried…iI'llibe ifine"iandi"The isurgeryiwillitakeionlyianihouriand itheniIiwilligoihome"iare istatementsimadeibyithe ipatientidescribingifeelings iorievents. Incorrect "Pigmentedimoleionishoulder"iisia iconclusionibasedioniobjective idata. i"Patientiisianxious" iisiincorrectibecauseithisiisia iconclusionithe inurse imightimakeibasedionithe isubjective iandiobjective idata. i"Heartirateiis iincreased"iisiincorrectibecause ithisiisia iconclusionitheinurse imightimake ibasedioniobjective idata. DIF: Cognitive iLevel:iApplication REF: p. i157 4. Severalimethodsihave ibeenidevelopeditoiassistinursesiiniorganizingipatientidata. iTheyiinclude i(Selectiallithatiapply.) a. Henderson'si14inursingiproblems. b. Gordon'si11ifunctionalihealthipatterns. c. Nightingale'siecologicaliframework. d. Abdellah'si21inursingiproblems. ANS: A, iB, iD Feedback Correct Henderson'si14inursingiproblems, iGordon'si11ifunctionalihealthipatterns, iandiAbdellah'si21inursingiproblemsihelpisortipatientidataiintoicategories. Incorrect Nightingale ididinotiprovide ia imethodiofiorganizingipatientidata. DIF: Cognitive iLevel:iComprehension REF: p. i158 5. Developingisound iclinicalijudgmentiisia iprofessionaliresponsibilityiofitheinurse. iWhich istatementsiindicate ibehaviorsithatiimprove iclinicalijudgment? i(Selectiallithatiapply.) a. "Iialwaysiassessibefore iactingiandimake ichangesiasineeded." b. "Iiworkithe ishiftsiIiamiassigned." c. "Iilookiforiresearchifindingsitoisupportimyinursingiactions." d. "Iibelieveithatieveryipatientideservesimyiveryibestiefforts." e. "Iihave ireaditheiprofessionalinursingistandards." ANS: A, iC, iD, iE Feedback Correct "Iialwaysiassessibefore iactingiandimake ichangesiasineeded," "Iilookiforiresearchifindingsitoisupportimyinursingiactions,"i"Iibelieve ithat ieveryipatientideservesimyiveryibestiefforts,"iandi"Iihave ireadithe iprofessionalinursingistandards"iareibehaviorsithatidemonstrate itheiuse iof iresourcesianditheinursingiprocessitoigive itheipatientiqualityicare. iThese iactivitiesifacilitate itheidevelopmentioficlinicalijudgment. Incorrect Theinurse iisinotitakingiopportunitiesitoiextendiherselfiorihimselfiand ipotentiallyilearnifromiotherisituations. iThisiwouldinotishowisoundiclinical ijudgment. DIF: Cognitive iLevel:iApplication REF: p. i165 Chapteri9:iCommunicationiandiCollaborationiiniNursing TestiBank MULTIPLEiCHOICE 1. Whichiofithe ifollowingibestidescribesiPeplau'sitheoryion itherapeutic iuse iofiself? a. Puttingipatients' ineedsiaheadiofiyouriown b. Providingiexcellenticlinicaliskillsitoiimprove ipatients' ihealthistatus c. Usingiexcellentiinterpersonaliskillsitoihelpipatientsiimprove itheirihealthistatus d. Self-protectionithroughiavoidance iofia irelationshipiwithithe ipatient ANS: C Feedback A "Puttingipatients' ineedsiaheadiofiyouriown" iisinotitheibestiansweribecause ialthoughiitiisitrueithatitheipatient'sineeds, inotitheinurse's, iareimetiduringithe itherapeutic irelationship, inursesishouldinotinecessarilyiputiallipatientineedsiahead iofitheiriown. B Theitheoryifocusesionitherapeutic icommunication, inoticlinicaliskills. C Peplau'sitheoryidescribedi"usingione'sipersonalityiandicommunicationiskillsito ihelpipatientsiimprove itheirihealthistatus"iasitherapeutic iuseiofiself. D Theifocusiisitheipatient, inotitheinurse. DIF: Cognitive iLevel:iComprehension REF: p. i170 2. Therapeutic iuse iofiselfiinvolves a. formingia irelationshipibasedionitheinurse'siknowledge, iattitudes, iandiskillsito icommunicate ieffectively. b. providingiaisafeienvironmentibasedion itheiuseiofienvironmentalimanipulationiand iverbalilimitisetting. c. evaluationiofinurse-patientiinteractionsiandithe icreationiofisocialialliances. d. determiningiwhetheriitiisinecessaryitoilistenitoithe ipatientiandiprovideifeedback. ANS: A Feedback A Therapeutic iuse iofiselfiasidefinedibyiPeplauiincludediusingicommunicationiskills itoihelpipatients. B Therapeutic iuse iofiselfidoesinotiinvolve itheimanipulationiofitheienvironment. C Therapeutic iuse iofiselfidoesinotiinvolve itheicreationiofisocialialliances. D Therapeutic iuse iofiselfiinvolvesilisteningiandiprovidingifeedbackitoithe ipatient. DIF: Cognitive iLevel:iComprehension REF: p. i170 3. Whatiisithe imostiimportantiinformationitheinurse ishouldishareiwithitheipatientiduringithe iorientationiphase? a. Name, icredentials, iextentiofiresponsibility b. Planiforithe iday, itimesitheinurse iwillibe iunavailable, ihowitoicontactitheinurse c. Nurse'siname, iphysician'siname, ipossibleidischarge idate d. Planiforidischarge, iteachingineeds, igoalsiforithe iday ANS: A Feedback A Duringithe iorientationiphaseitheinurse isharesihisioriheriname, icredentials, iand iextentiofiresponsibilities. B Sharingiinformationiaboutitheiplaniforitheiday, itimesithe inurse iwillibe iunavailableiandihowitoicontactitheinurse iisinotiprimaryiduringithe iorientation iphase. C Determiningia idischarge idateiwouldibe itheiresponsibilityiofithe ientire itreatment iteam. D Theinurse idoesinotishareithe iplaniforidischargeianditeachingineedsiduringithe iorientationiphase. DIF: Cognitive iLevel: iKnowledge REF: p. i170 4. Oneiofithe imostiimportantioutcomesiofitheiorientationiphaseiofithe inurse-patientirelationshipiis itheidevelopmentiofimutual a. communication. b. understanding. c. acceptance. d. trust. ANS: D Feedback A Theientireirelationshipirequiresiexcellenticommunication, inotijustitheiorientation iphase. B Alliphasesiofithe itherapeuticirelationshipirequire iunderstanding. C Alliphasesirequire inonjudgmentaliacceptance. D Theipurpose iofitheiorientationiphaseiisitoiestablishitrust. DIF: Cognitive iLevel:iComprehension REF: p. i170 5. Whichibehaviorsihelpipatientsidevelopitrustiinithe inurse? a. Answeringiquestionsiwithiauthority b. Sharingipersonaliinformationitoiindicate iopenness c. Conveyingiacceptance iofitheipatientiandia inonjudgmentaliattitude d. Meetingiwithithe ipatientispontaneouslyibecauseithatiindicatesicaring ANS: C Feedback A Althoughiansweringiquestionsiasifullyiasipossible iandiadmittingitheilimitsiof iknowledgeifacilitatesitrust, iansweringiquestionsiwithiauthorityiimplyingithatithis iisithe ientireiansweridoesinotihelpidevelopitrust. B Theisharingiofipersonaliinformationidoesinotihelpidevelopitrust. C Acceptingitheipatient'sithoughtsiandifeelingsiwithoutijudgmentihelpsidevelop itrustiinitheinurse. D Meetingiatidesignateditimesihelpsithe ipatientidevelopitrustithatitheinurse iwill ifollowithrough iwithiwhatiisipromised. DIF: Cognitive iLevel:iComprehension REF: p. i170 6. Theinurse isaysitoia inewlyidiagnosedidiabetic ipatient, i"Iiwillibe iworkingiwithiyouiduringiyour i3-dayistayitoihelpiyouipractice iinsuliniinjectionsianditoireviewiyourinewidiet. iI'miwonderingiif iwe icouldifindia itimeiofidayitoibeginithe iteachingisessionsithatiisigood iforius." iThis iconversationiwouldioccuriiniwhichiphase iofithe inurse-patientirelationship? a. Acquaintance iphase b. Orientationiphase c. Workingiphase d. Terminationiphase ANS: B Feedback A Theiphasesiofitheinurse-patientirelationshipidoinotiincludeianiacquaintance iphase. B Duringithe iorientationiphaseitheitimeiframeiofitheirelationshipiisiestablished, ithe iproblemsitoibe iworkedioniare iidentified, iandia itimeitoimeetiisiestablished. C Theiworkingiphaseiisiwhenitheinurseiandipatientiaddressitheiproblems. D Theiterminationiphaseiisiwhenithe irelationshipiisiending. DIF: Cognitive iLevel:iApplication REF: p. i170 7. Whichiofithe ifollowingisuggestsithatia isuccessfulicontractihasibeeniestablishedibetweenithe inurse iandipatientiinithe iorientationiphaseiofithe inurse-patientirelationship? a. Patientihasiagreeditoilearnitoichange ihisicolostomyibag. b. Patientiambulatesiinithe ihalliwithoutiassistance. c. Patientiallowsitheinurseitoiinjectihisidailyiinsulin. d. Patientiasksithe icharge inurse itoiverifyithatitheistaffinurse'siteachingiisicorrect. ANS: A Feedback A Theisuccessfulicompletioniofiaiplannediinterventionisignifiesithe isuccessful iestablishmentiofithe itherapeutic irelationship. B Theipatientiisiactingiindependentlyiofithe inurse'siinstructions. C Theipatientiisinotimovingitowardigoalsiofiindependence. D Trustihasinotibeeniestablished. DIF: Cognitive iLevel:iApplication REF: p. i171 8. Ainewlyidiagnosedidiabetic ipatientistatesi"Iihave iveryidefinite ilikesiandidislikesiwheniiticomes itoifood. iAmiIigoingitoihave itoieationlyicertainifoods, ioriwilliIihave isome ichoice?"iTheinurse iresponds, i"Whyidon'tiyou igive ime iailistiofiyourilikesiandidislikes? iIiwilliconsultiwithithe idietitianiaboutihowitoiincludeiyouripreferencesiandistillicomeiupiwithia igoodidietiforiyou." iWhatiphase iofithe inurse-patientirelationshipiisithis? a. Relationshipiphase b. Orientationiphase c. Workingiphase d. Terminationiphase ANS: C Feedback A Theiphasesiofitheinurse-patientirelationshipidoinotiincludeia irelationshipiphase. B Theiorientationiphaseiisiwhenitheirelationshipiisiestablished, itheiproblemsitoibe iworkedioniare iidentified, iandiaitimeitoimeetiisiestablished. C Theiworkingiphaseiisiwhenitheinurseiandipatientiaddressitheiproblemsithatihave ibeeniidentified. D Theiterminationiphaseiisiwhenithe irelationshipiisiending. DIF: Cognitive iLevel:iComprehension REF: p. i171 9. Aipatientidemonstratesiobviousiregression iiniabilityitoiperformiself-careiduringithe iworking iphase. iWhichiresponse ibyithe inurse iisimostiappropriate? a. Frustrationibecauseitheipatientidoesinotiappearitoibe imotivateditoiachieve igoals b. Persistence iinidemonstratingithe iimportance iofiachievingigoals c. Patienceiandiunderstandingibecause iregressioniisia idefense imechanism d. Ignoringiitibecauseithe inurse irealizesithe ipatientiisiexhibitingichildlike ibehavior ANS: C Feedback A Theinurse ineedsitoishowipatience iandimaturity, inotifrustration. B Regressionimayibe ia inecessaryidefense imechanismiagainstistress, ianditheinurse ineedsipatience iduringithisitime. C Patienceiandiunderstandingiare inecessaryibecause itheipatient'siprogressitoward igoaliachievementimayinotibe ismooth. iRegressioniisia idefense imechanismithat imayiprecedeipositive ioutcomes. D Understandingiofiregressioniisineedediduringithisitime. DIF: Cognitive iLevel:iAnalysis REF: p. i171 10. Whenishoulditheipreparationiforitheiterminationiphaseiofithe inurse-patientirelationshipibegin? a. Inithe iorientationiphase b. Duringithe iworkingiphase c. Asipartiofitheiterminationiphase d. Rightibeforeitermination ANS: A Feedback A Duringithe iorientationiphase, itheinurse igivesithe ipatientianiestimateditimeiframe iforitheirirelationship. iThisibeginsithe ipreparationiforitermination. B Preparationiforiterminationiofitheinurse-patientirelationshipibeginsiinithe iorientationiphase. C Preparationiforiterminationiofitheinurse-patientirelationshipibeginsiinithe iorientationiphase. D Preparationiforiterminationiofitheinurse-patientirelationshipibeginsiinithe iorientationiphase. DIF: Cognitive iLevel:iKnowledge REF: p. i171 11. Theinurse iandipatientimayiexperience isadnessiduringithe iterminationiphase. iHowicanithe inurse ihelpithe ipatientibeisuccessfuliinitheiterminationiphaseiofithe inurse-patientirelationship? a. Providingipersonalicontactiinformationisoitheipatienticanicontactitheinurse iif ineeded b. Visitingitheipatientiatihome iduringioff-dutyitimeitoihelpithe itransitionitoiself-care c. Emphasizingithe iachievementsitheipatientihasimade, iincludingithe iabilityiforiselfcare d. Exchangingigoodbye igiftsiasiaisign ithatitheirelationshipiisiterminated ANS: C Feedback A Nursesishouldinotimaintainipersonalicommunicationiwithipatientsiafter idischarge. B Theinurse irespectsiprofessionaliboundaries. C Emphasizingithe ipatient'siachievementiofigoalsianditheireasonsihe iorisheidoesinot ineedithe inurse ianymore iisieffective iinithe iterminationiprocess. D Nursesishouldinotiexchange igiftsiwithipatientsibutishouldiinsteadirespect iprofessionaliboundaries. DIF: Cognitive iLevel:iComprehension REF: p. i171 12. Aipatientiisibeingidischargedifromitheihospital. iWhichistatementibyithe inurse iisiappropriate ifor itheiterminationiphaseiofithe inurse-patientirelationship? a. "Youimustibe ihappyitoibe igoingihome. iHereiareithe iwrittenidietiandimedication iinstructions." b. "Itihasibeeniwonderfuligettingitoiknowiyou. iThe ibestiofiluckiwheniyou igetihome." c. "Duringitheipasti3idays, iyou ihave ilearnedihowitoiinjectiinsuliniandihowitoimake iappropriateifoodichoices. iRememberithatiyouihave itheiunititelephone inumberiif iyouihave ianyiquestions." d. "Youihaveidone iwellilearningiailotiofinewimaterialiandishouldibe iableitoidoiwelliat ihome." ANS: C Feedback A Thisiresponse idoesinotisummarize iwhatihasioccurred, iwhichiisianiimportantipart iofithe iterminationiphase. B Thisiresponse idoesinotiinclude ia isummaryiofithe iprogressithe ipatientihasimade, iwhichiisianiimportantipartiofitheiterminationiphase. C Summarizingithe igainsitheipatientihasimadeiisiimportantiduringithe itermination iphase. D Thisiresponse igivesifalseireassurance iaboutisuccessiatihome. DIF: Cognitive iLevel:iApplication REF: p. i171 13. Whichiofithe ifollowingiisianieffective iwayitoimaintainisafeiprofessionaliboundaries? a. Neveriacceptingismalligiftsifromipatients b. Findingiwaysitoisatisfyiyourineedsithroughipersonalirelationshipsioutsideiof inursing c. Avoidingicaringiforipatientsiwhoiask ipersonaliquestionsiaboutiyou d. Sharingiyouripersonalistoriesisoithatipatientsiwillifeeliunderstoodianditrusting ANS: B Feedback A Thereiareimanyiotheripossibilitiesiforiviolatingiprofessionaliboundaries;igiftsiare ionlyione ismalliwayiand, ionioccasionsiwhenithe igiftiisinotivaluable iandicanibe isharediwithitheientireistaff, imayibe iaccepted. B Respectingiprofessionaliboundariesimeansithatithe inurse irecognizesithe ivulnerabilityiofitheipatientianditheipowerithaticomesifromitheinurse'sipersonal iknowledgeiaboutitheipatient. iFindingiwaysitoisatisfyipersonalineedsioutsideiof itheiprofessionalirelationshipiwillipreventitheinurse ifromibecoming iinappropriatelyiinvolvediwithitheipatient. C Avoidanceiisinotia ihelpfuliresponse itoianyinurse-patientiproblem. D Theinurse ishouldistayifocusedion itheipatient. DIF: Cognitive iLevel:iComprehension REF: p. i172 14. Whichiofithe ifollowingiisimostiimportantiiniorderiforia inewistaffinurse itoicommunicate itherapeuticallyiwithipatients? a. Focusingiinteractionsionieducatingipatientsiaboutitheiritreatments b. Becomingiawareiofiownifeelingsiaboutiillnessiandideath c. Sharingiinformationiaboutitheiintimate idetailsiofione'siownilife d. Presentingihimselfioriherselfiasia iknowledgeable iandiexperiencediclinician ANS: B Feedback A Althoughieducationiisiimportantiforipatients, ithisidoesinotihelpitheinurse iunderstandihisioriherifeelingiandiresponses. B Reflectioniwilliallowithe inurse itoidevelopiself-awareness, iwhichiwillihelpihimior iheribecomeiaibetteriadvocateiforitheipatients. C Sharingiintimate ipersonaliinformationiisinotitherapeutic. D Asia inewinurse, iknowledgeiandiexperienceimayibe ilimited;iportrayingimore iknowledgeiandiexperienceithanione ihasiisideceitful. DIF: Cognitive iLevel:iApplication REF: p. i175 15. Duringireport, iainurse icomplainsiaboutia i3-year-oldiboy, isayingi"He isure iknowsiwhenitoipour ionithe itears. iThere'sinothingiwrongiuntiliheiseesiyou;ithenithe itearsistart, ibutitheyistopiasisoon iasiyouileave iorihisimothericomes. iHe'sijustispoiledibecauseitheyihaveia inannyiatihomeiwho iwaitsionihimihandiandifoot." iThisiisianiexample iof a. lackiofiunderstandingiofichildidevelopment. b. frustrationithatitheimotheriisinotipresent. c. assessmentiofitheichild'sibehavior. d. stereotypingibecause itheichildihasia inanny. ANS: D Feedback A Theiresponse idoesinotireflectilackiofiknowledge iaboutichildidevelopment, iassessmentiofitheibehavior, ioria iresponse itoithe imother'sinotibeingipresent. B Theiresponse idoesinotireflectilackiofiknowledge iaboutichildidevelopment, iassessmentiofitheibehavior, ioria iresponse itoithe imother'sinotibeingipresent. C Theiresponse idoesinotireflectilackiofiknowledge iaboutichildidevelopment, iassessmentiofitheibehavior, ioria iresponse itoithe imother'sinotibeingipresent. D Stereotypesiare isimplistic iandiillogicaliimagesiuseditoidescribeigroupsiofipeople. DIF: Cognitive iLevel: iAnalysis REF: p. i174 16. Ainurse icommentsiiniprivateiaboutiaipatient:i"Thatiladyiwithisixikidsiisipregnantiagain!iIt imakesime isickitoiseeithese ipeopleioniwelfareitakingiawayifromiouritaxidollars. iIidon't iknow ihowishe icanicontinue itoidoithis."iThe ibestiresponseibyia inurse ipeeriisito a. ignoreithe ibiasedistatements. b. acceptitheicommentsiasiself-disclosure. c. offerineutraliresponses. d. conveyiacceptance iofitheipatient. ANS: D Feedback A Toiignoreithe istatementsiwillinotihelpithisinurseibecomeiawareiofistereotypes. B Theseistatementsidoinotiqualifyiasiself-disclosure. C Offeringineutraliresponsesiwillinotihelpitheinurse ibecomeiawareiofistereotyping. D Acceptance iconveysineitheriapprovalinoridisapprovaliofipersonalibeliefs. iNonjudgmentaliacceptanceimeansithatithe inurse iacknowledgesithatiallipeople ihaveirightsitoibe idifferentianditoiexpressitheiridifferences. iNursesishouldiconvey iacceptance iofipeople iasitheyiare ieveniifitheyidisagree iwithispecific ibeliefsiand/or ipractices. DIF: Cognitive iLevel:iApplication REF: p. i175 17. Whichiofithe ifollowingibestiillustratesinonjudgmentaliacceptance ibyitheinurse? a. Usingiprofessionaliinfluenceitoichangeia ipatient'simoralityitoibe imoreiinikeeping iwithisocietalinorms b. Changingiyouriassignmentiifiyouidiscoverithatiyouihave inegative ifeelingsitoward iyouripatient'silifestyle c. Demonstratingicaringibehavioriinispiteiofinegative ifeelings d. Avoidingiallinegative ifeelingsiaboutithe ipatient ANS: C Feedback A Theinurse ishouldinotiattemptitoichange ia ipatient'sibeliefisystemiorimorality. B Weicannoticontroliourifeelingsibutineeditoibe iableitoicontroliouribehaviors. C Acceptance iindicatesineitheriapprovalinoridisapprovaliofipatient'sibeliefs, ibehaviors, iorilifestyles. D Prejudicesiareistrong, iandiwe imayibe iunawareiofithem. iItiisiimpossible itoicontrol iallinegative ifeelings, ibutiitiisiprofessionalitoiacknowledge ithemiandicontinueito iprovideisafeiandieffectiveicare. DIF: Cognitive iLevel:iAnalysis REF: p. i175 18. UsingiHagertyiandiPatusky'sitheoryiofihumanirelatednessi(2003), ithe inurse-patientirelationship ihasibeenireconceptualizedibyiapproaching a. eachipatienticontactiasione istepiinia ilengthyirelationship-buildingiprocess. b. patientsiwithia isense iofitheipatient'siautonomy, ichoice, iandiparticipation. c. theirelationshipiasione iiniwhichitheinurse ihasithe ipower. d. theinurse-patienticontactiasianiopportunityitoistreamline icaregiving. ANS: B Feedback A Eachicontactishouldibe iapproachediasianiopportunityiforiconnectioniandigoal iachievementiandinotia ilengthyiprocess. B Theirelationshipibetweenitheinurse ianditheipatientiisionia imoreiequitable ibasis ithanithe itraditionalinurse-patientirelationship. C Theirelationshipishouldibe iequitable. D Theireconceptualizationidoesinotistreamline icaregiving. DIF: Cognitive iLevel:iComprehension REF: p. i175 19. Whichiisitrue iofiverbaliandinonverbalicommunication? a. Verbalimessagesiare imoreiimportantithaninonverbalicues. b. Individualsicaniexerciseimoreicontrolioverinonverbalicommunication. c. Verbaliandinonverbalicommunicationialwaysimatch. d. Theinonverbalicommunicationimayibeia imoreireliable imessage. ANS: D Feedback A Theinonverbalimessage imayitellimuchimoreithanithe iverbalione. B Individualsicaniexercise imoreicontrolioveriverbalicommunicationithaninonverbal icommunication. C Verbaliandinonverbalicommunicationiareinotialwaysicongruent. D Nonverbalicommunicationiincludesigestures, iposture, ifacialiexpressions, ieye icontact, iandiactions, iamongiotherithings. iAlthoughitheiverbalimessage iusing iwordsimayibe ishort, ithe inonverbalimessageicanitellimuchimoreiaboutithe iperson'sifeelings. DIF: Cognitive iLevel:iComprehension REF: p. i176 20. Whichiofithe ifollowingicouldibe iconsideredicongruenticommunication? a. Theinurse imanageristates, i"Come ibyimyiofficeianytime."iThenishe ikeepsiheridoor iclosediandidoesinotiansweriphone icalls. b. Asia ico-workerihurriesidownitheihall, ihe iasks, i"Isithereianythingiyouineedihelp iwith?" c. Asishe idropsiaistackiofichartsiloudlyionitheidesk, ia ico-workeristates, i"Thisiisigoing itoibe iaiwonderfuliday." d. Theinurse imanagerisitsiwithiyou iinitheinurse'silounge iandiasks, i"Isithereianything iyouiwouldilike itoitalkiabout?" ANS: D Feedback A Theiverbalimessage iisithatishe iisiavailable, ibutithe iclosedidooriindicates iotherwise. B Theiverbalimessage iisiwillingnessitoihelp;itheinonverbalimessage iis, i"Iihope iyou idoinotiask." C Theidroppingiofithe ichartsiloudlyiindicatesifrustrationiandiisiincongruentiwithithe imessagei"Thisiisigoingitoibe iaiwonderfuliday."iSarcasmiisiincongruent icommunication. D Theinurse imanager'siverbalimessage imatchesithe inonverbalimessage. iThisiisithe idefinitionioficongruenticommunication. DIF: Cognitive iLevel:iApplication REF: p. i176 21. Ainurse iisiirrigatingipressureiulcersionia ipatient'sicoccyx. iWhenithe ipatientiasksihowitheyiare ihealing, itheinurseigrimacesiandisays, i"Oh, ithey're idoingijustifine." iThisiis a. incongruenceibetweeniverbaliandinonverbalimessages. b. aiconfirmingistatement. c. objectivityiinirespondingitoithe iquestion. d. theitherapeutic iuseiofihumor. ANS: A Feedback A Theiwordsisay, i"It'siOK,"ibutithe ifacialigrimacesisayiitiisinot. B Theiverbaliandinonverbalimessagesido inotimatch. C Objectivityiisinotifoundiinithe istatement. D Thereiisinoiuse iofihumor. DIF: Cognitive iLevel:iApplication REF: p. i176 22. Contextiisione iofithe ifiveimajorielementsioficommunicationiidentifiedibyiRuesch. iWhichiofithe ifollowingiisipartiofithe icontextioficommunication? a. Informationiaboutithe isender b. Attitude iofithe ireceiver c. Responseiofithe ireceiver d. Contentiofithe imessage ANS: B Feedback A Informationiaboutithe isenderiisinotipartiofitheicontextiofithe icommunication. B Contextirefersitoitheienvironmentiiniwhichithe iinteractionioccurs. iThisiincludes itheimoodiandithe irelationshipibetweenitheisenderiandireceiver. C Theiresponse iofitheireceiveriisinotipartiofitheicontextioficommunication. D Theicontentiofithe imessageiisinotipartiofitheicontextioficommunication. DIF: Cognitive iLevel:iComprehension REF: p. i177 23. Ainewimotherisaysitoithe inurse, i"Itireallyihurtsime itoibreastfeed. iIithinkiIishouldiweanimy ibaby."iThe imostiappropriate iresponseibyitheinurse iis, a. "Itiisigooditoiweanithe ibabyiearlyibecauseiitiisieasierioniyou." b. "IfiIiunderstandiyou, iitihurtsiwheniyou ibreastfeed. iTellimeihowiandiwheniitihurts." c. "Itiisiyouridecisionitoimakeiwhetheriyou ibreastfeed." d. "Youishouldicontinue itoibreastfeedibecauseiitiisimuchibetteriforithe ibaby." ANS: B Feedback A Sayingi"Itiisigood itoiweanithe ibabyiearlyibecause iitiisieasierioniyou" igivesia iresponse ibefore itheisituationiisiclarifiediandiclosesiofficontinuedicommunication. B Theinurse iisigainingifeedbackithatihelpsitheinurse iunderstandimore iaboutithe isituationifromitheipatient'siperspective iandikeepsicommunicationiopen. C Sayingi"Itiisiyouridecisionitoimakeiwhetheriyouibreastfeed" igivesia iresponse ibeforeithe isituationiisiclarifiediandiclosesiofficontinuedicommunication. D Sayingi"Youishouldicontinueitoibreastfeedibecauseiitiisimuchibetteriforithe ibaby" igivesia iresponse ibeforeithe isituationiisiclarifiediandiclosesiofficontinued icommunication. DIF: Cognitive iLevel:iApplication REF: p. i178 24. Ainewimotherisaysitoithe inurse, i"Itireallyihurtsime itoibreastfeed. iIithinkiIishouldiweanimy ibaby."iThe inurse iresponds, i"IfiIiunderstandiyou, iitihurtsiwheniyouibreastfeed. iTellimeihow iandiwheniitihurts." iThisiresponse ibestirepresentsiwhichicriterioniofisuccessful icommunication? a. Appropriateness b. Efficiency c. Feedback d. Flexibility ANS: C Feedback A Appropriatenessirelatesitoiwhetherithe ireplyifitsithe icircumstancesiandimatches itheimessage. B Efficiencyimeansiusingisimple, icleariwordsithatiareitimediatia ipaceisuitable itoithe ipatient. C Theinurse iseeksitoiclarifyithe ihurtibeforeiinterveningifurther. D Flexibilityimeansitheimessage iisibasedionitheiimmediate isituationiandinot ipreconceivediexpectations. DIF: Cognitive iLevel:iApplication REF: p. i178 25. Whenia ico-workeritellsithe inurse, i"Iiaminotisure iIiwillibe iableitoigive ithe irightianswersiinithe ijobiinterview,"ithe inurse ireplies, i"Iiknowiwhatiyouimean. iInterviewsihave ialwaysibeenia iproblemiforime, itoo."iThisiresponse icanibeievaluatediasilacking a. appropriateness. b. efficiency. c. feedback. d. flexibility. ANS: A Feedback A Appropriatenessirelatesitoiwhetherithe ireplyifitsithe icircumstancesiandimatches itheimessage. iTheinurse'siresponse irelateditoihisiown iissue idoesinotidealiwithithe ico-worker'siissue, iwhichishouldibe itheifocusiofitheiinteraction. B Efficiencyimeansiusingisimple, icleariwordsithatiareitimediatia ipaceisuitable itoithe ipatient. C Feedbackimeansitheinurse iseeksitoiclarifyiwhatitheipatientihasisaidiandigain iunderstanding. D Flexibilityimeansitheimessage iisibasedionitheiimmediate isituationiandinot ipreconceivediexpectations. DIF: Cognitive iLevel:iApplication REF: p. i178 26. Ainewimotherisays, i"Myibabyiisibeingikeptiinitheinursery. iI'mireallyiworriediaboutihim. iI'm ialsoiworriedithatitheiseparationiwilliinterfereiwithibreastfeeding." iThe imostiappropriate iresponse ibyithe inurse iis, a. "Well, ithat'sinotimyiterritory. iYou'llihave itoidealiwithithe inurseryistaffiabout ibreastfeeding." b. "Asia inurseion ithisiunit, iIicaniassure iyouithatiwe iwillidoialliwe icanitoihelpiyou." c. "Iicanisee iyou're iupsetiaboutithis, ibutitoibeihonestiwithiyou, iI'miainewinurse ihere, iandiI'minotisureihowiIicanihelpiyou." d. "Iicanisee ithisiisia iproblemiforiyou. iIiwilligoitoithe inurseryiandiseeiifiIicanigetisome ianswersiforiyou." ANS: D Feedback A Tellingithe imotherithatisheiwillineeditoidealiwithithe inurseryistaffidoesinot iaddressithe iconcerniofitheimother. B Sayingithatithe istaffiofitheihospitaliwillidoiallitheyicanitoihelpidoesinotiaddress itheiconcerniofitheimother. C Theinurse itellingithe imotherithatihe iisinewiandidoesinotiknowihowitoihelpidoes inotiaddressitheiconcerniofitheimother. D Theinurse'siresponse ifitsitheicircumstancesiandimatchesitheimother'simessage iof ibeingiconcernediaboutitheiseparationiandibreastfeeding. DIF: Cognitive iLevel:iApplication REF: p. i178 27. Usingisimple, icleariwordsitoiexplainitheidetailsiofia icolonoscopyiprocedure ishowsisensitivity itoiwhichisuccessfulicommunicationicriterion? a. Appropriateness b. Efficiency c. Feedback d. Flexibility ANS: B Feedback A Appropriatenessirelatesitoiwhetherithe ireplyifitsithe icircumstancesiandimatches itheimessage. B Efficiencyimeansiusingisimple, icleariwordsithatiareitimediatia ipaceisuitable itoithe ipatient. C Feedbackimeansitheinurse iseeksitoiclarifyiwhatitheipatientihasisaidiandigain iunderstanding. D Flexibilityimeansitheimessage iisibasedionitheiimmediate isituationiandinot ipreconceivediexpectations. DIF: Cognitive iLevel:iApplication REF: p. i179 28. Ai4-year-oldichildiisigoingitoihave ianiabdominalix-rayiexamination. iTheichildiasks, i"Whyido itheyihave itoidoithis? iWilliitihurt?" iWhichiofithe ifollowingiisithe imostiappropriateiresponseiby itheinurse? a. "The idoctorineedsiyouitoihave itheix-rayiso ishe iknowsiwhatiisiwrongiwithiyou." b. "Youiwilligoitoitheix-rayidepartmentisoitheyicanitakeipicturesiofiyouritummyito ifindioutiwhyiyouihave ia itummyiache. iTheibediyouilieionimayibe icool, ibutiyouiwill ihaveia iblanketitoikeepiyou iwarm. iThe itestiwillinotihurt." c. "Youiwilligoidownstairsionia istretcher. iYouiwillineeditoilieiveryistillionia iharditable iwhileithe ix-rayimachineigoesioveriyou. iItiwillinotitake iveryilong." d. "X-raysidoinotihurt. iTheimachine itakesia ipictureibutiwillinotitouchiyou." ANS: B Feedback A Tellingithe ichildithatihe iwillineedianix-rayitoidetermine iwhatiisiwrongiwithihim idoesinotiprovideia icleariexplanationithatiaddressesithe ichild'siconcerns. B Theinurse'siresponse iexplainsithe iprocedureiinicleariandisimpleiwordsithatiare isuitable itoiai4-year-oldichild. C Explainingithe ix-rayiprocedureiinitermsithatimayinotibe ieasyitoiunderstandiforia i4-year-oldidoesinotiprovide iaicleariexplanationithatiaddressesithe ichild's iconcerns. D Tellingithe ichildithatix-raysido inotihurtiandithatitheyitakeipicturesidoesinot iprovideia icleariexplanationithatiaddressesitheichild'siconcerns. DIF: Cognitive iLevel:iApplication REF: p. i179 29. Whichiofithe ifollowingiexamplesiillustratesitheinurse'sifailureitoiuse iflexibilityieffectivelyiin iprofessionalicommunication? a. Askingionitheiadmissioniassessment, i"Youidon'tismoke, idoiyou?" b. Wheniupdatingiaifamilyimemberionia ipatient'siconditionistating, i"Youriwife'siABG ireportiindicatesisignificantihypoxia." c. Continuingitoifollowitheiagenda iinia istaffimeetingiwhenipeopleiareiobviouslyiupset ibyia irecentideathionithe iunit d. Requiringinursesitoireadibackiphone iordersitoiphysicians ANS: C Feedback A "Youidon't ismoke, idoiyou?" iisianiexampleiofivalue ijudgment. B Thisiisianiexample iofipooricommunication, ibecause ithe imessage iisinotigearedito itheireceiver'sileveliofiunderstanding. C Continuingitoifollowianiestablishediagendaiwhenitheiemotionalistateiofitheigroup ineedsitoibeiaddressediindicatesiinflexibilityionithe ipartiofitheileader. D Requiringinursesitoireadibackiphone iordersitoiphysiciansiisianiexample iof ifeedback. DIF: Cognitive iLevel:iAnalysis REF: p. i179 30. Theinurse iplansitoiteachia ipatientiaboutitheicareiofiherimastectomyisite. iTheinurse ifindsithe ipatienticrying. iTheibestiresponseibyithe inurseiis, a. "Itiisitimeitoidiscussihowitoicareiforithe isurgicalisite." b. "Youiseemiupset. iYouishouldistartilookingiforwarditoigoingihome iandibeingia iwife iandimotheriagain." c. "Iiseeiyou iareiupset. iIsithere isomethingioniyourimindiyou'dilikeitoitalkiabout?" d. "Dr. iAbramsisaidiyouicanigoihomeitomorrow, iandiwe ineeditoitalkiaboutithe icareiof iyourisurgicalisite." ANS: C Feedback A Thisistatementifollowsithe iestablishediagendaiandidoesinotiresponditoithe iemotionalistate iofithe ipatient. B Thisistatementifollowsithe iestablishediagendaiandidoesinotiresponditoithe iemotionalistate iofithe ipatient. C Theinurse'siresponse idemonstratesiflexibility. iTheiresponse iidentifiesithe iemotionalistate iofithe ipatientiandirequiresideviationifromithe iestablishediagenda. D Thisistatementifollowsithe iestablishediagendaiandidoesinotiresponditoithe iemotionalistate iofithe ipatient. DIF: Cognitive iLevel:iApplication REF: p. i179 31. Theipatientisaysitoithe inurse, i"The istaffitreatsimeilike iI'mia ichild. iEveryone itellsime iwhatito ido. iNo ioneieveriasksimyiopinion. iAfteriall, iitiisimyibody." iWhichiresponse ibyitheinurse iindicatesiactiveilistening? a. "Well, iyou're isick. iDon'tiyouithinkiyou ishouldiletiusitakeicareiofiyou?" b. "Iidon'tithinkiIicanihelpiyouiwithithis. iThisiisia ipersonalimatteribetweeniyouiandithe irestiofitheistaff." c. "Itimakesiyouiangryinotitoibeiincludediiniyourihealthicareidecisions. iLet'sitalk iaboutihowiyouicaniventiyouriangeriappropriately." d. "Letimeisee iifiIiunderstand. iItibothersiyouinotitoibe irecognizediforiyouriabilitiesito ihandleiyourilife. iIicanidiscussithisiwithithe istaffiifiyouiwish isoithatieveryone iinvolvesiyou iiniplanningiyouricare." ANS: D Feedback A Thisistatementiindicatesiailackiofiinterestiiniwhatithe ipatientiwasisayingiandiis ipaternalistic. B Thisistatementiindicatesiailackiofiinterestiiniwhatithe ipatientiwasisayingiandian iunwillingnessitoihelpitheipatient. C Thisistatementishowsianiassumptionibyitheinurse ithatishouldibe iverified. D Theinurse'siresponse irecognizesitheipatient'sifeelingsiandiconcerns. iThe inurse iverifiesithe ipatient'sifeelingsiandisuggestsianiactioniwhichigivesithe ipatientithe idesiredicontrol. DIF: Cognitive iLevel:iApplication REF: p. i175 32. Iniwhichiofithe ifollowingiexamplesiisithe inurseidemonstratingiempathyiforitheipostoperative imastectomyipatient? a. "Withitoday'siadvancedireconstructionitechniques, iyou'lliquicklyiforgetiyouiever ihadisurgery." b. "You'llibe ibackitoiyouribusyiroutineisoonerithaniyouithink." c. "Thisimustibe ia iveryidifficultitimeiforiyou." d. "Iiknowihowiyouifeel;iIialsoihadibreasticancer." ANS: C Feedback A Sayingi"Withitoday'siadvancedireconstructionitechniques, iyou'lliquicklyiforget iyouieverihadisurgery" idiscountsitheipatient'sifeelingsiandiisifalse ireassurance. B Theinurse iisimakingianiassumptionithatitheipatientiwantsitoireturnitoiaibusy iroutine. iThisiisifalse ireassurance ibasedion iaifaultyiassumptioniaboutithe ipatient. C Theinurse iacknowledgesitheipatient'sifeelingsiandiusesianiopen-endedistatement itoiencourage itheipatientitoiverbalize ifurther. D Theinurse ishouldineveriassume itoiknowihowitheipatientifeels. iTheifocusishould ibe ionitheipatient, inotitheinurse. iThe inurse'siexperience iisinotigermaneitoithe inurse-patientirelationship. DIF: Cognitive iLevel:iApplication REF: p. i181 33. Whichiofithe ifollowingidemonstratesigivingiinformationiversusiopinion? a. "Mrs. iKhan, ilet'sipractice itogetheritheibreathingitechniquesiyou ilearnediiniLamaze iclasses. iThatiwillihelpiusitoiworkitogetherimoreieffectivelyilateriwheniyourilaboriis istronger." b. "YouilearnedibreathingitechniquesiiniLamazeiclasses. iIireallyibelieve ithe ibreathing itechniquesimakeilaborieasier." c. "Mrs. iKhan, ihave iyouibeenipracticingitheibreathingitechniquesiyouilearned?iItiis iveryiimportantitoipractice iifiyouiwishitoiuseithemieffectivelyiinilabor." d. "Usingibreathingitechniquesiinilaboriisireallyitoiyouribenefitibecause iyou ifeeliin icontrol." ANS: A Feedback A Sayingi"Mrs. iKhan, ilet'sipractice itogetheritheibreathingitechniquesiyouilearnediin iLamaze iclasses. iThatiwillihelpiusitoiworkitogetherimoreieffectivelyilateriwhen iyourilaboriisistronger"idoesinotiofferianiopinion. B Sayingi"YouilearnedibreathingitechniquesiiniLamaze iclasses. iIireallyibelieveithe ibreathingitechniquesimakeilaborieasier" ioffersithe inurse'siopinioniregardingithe ibreathingitechniques. C Sayingi"Mrs. iKhan, ihave iyouibeenipracticingithe ibreathingitechniquesiyou ilearned?iItiisiveryiimportantitoipractice iifiyouiwishitoiuse ithemieffectivelyiin ilabor"ioffersithe inurse'siopinioniregardingitheibreathingitechniques. D Sayingi"Usingibreathingitechniquesiinilaboriisireallyitoiyouribenefitibecauseiyou ifeeliinicontrol" ioffersitheinurse'siopinioniregardingithe ibreathingitechniques. DIF: Cognitive iLevel: iApplication REF: p. i181 34. Howiwouldia inurse'siuseiofitheitechnique iofireflectionihelpia iperson? a. Showingianiawarenessiofithe iperson'sifeelings b. Causingitheiperson itoianswerimoreifullyithaniyesiorino c. Showingiknowledge ithe ipersoniisinotiexpecteditoiknow d. Encouragingitheipersonitoithinkithrough iproblemsiforihimselfioriherself ANS: D Feedback A Reflectionimayiinvolve itheipersonibecomingiaware iofihisioriherifeelingsibutidoes inotirequireitheinurse'siawareness. B Reflectioniisinotirelateditoithe ianswersiprovidedibyithe ipatient. C Reflectioniisirelateditoitheiinsightitheipersonigains, inotiinformationiprovidedito ihimioriher. D Reflectioniimpliesirespectiforithe ipatientiandihisioriheriabilityitoisolve ihisioriher iproblems. DIF: Cognitive iLevel:iComprehension REF: p. i181 35. Withininurse-patienticommunication, itheiuseiofisilence ican a. blockifurtheritherapeutic icommunication. b. allowitheipatientitoinotifeelipressureditoiprovideiinformation. c. demonstrateitrust. d. provideithe inurse iwithianiopportunityitoicomplete itheipatient'sicare. ANS: B Feedback A Usingisilence iactuallyiencouragesicommunicationibecauseiitiallowsitheipatientito iorganize ihisioriherithoughts. B Usingisilence imeansiallowingiperiodsiofiquietithoughtiduringitheinurse-patient iinteractioniwhenitheipatientidoesinotifeelipressureitoiprovideiconversation. C Usingisilence idoesinotirelateitoitrust. D Usingisilence iisinotia irequirementiforicompletingipatienticare. DIF: Cognitive iLevel:iComprehension REF: p. i182 36. Aipatientistates, i"TheiharderiIitryitoigetialongiwithimyison, ithe imoreiIifeelihe ijustiwantsitoibe ileftialone,"ianditheinurse iresponds, i"Iiguessiparentsihaveitoiexpectithese iproblemsiasichildren igetiolder."iThe inurse'siresponseiisianiexampleiofia icommunicationibreakdowniknownias a. failingitoiseeithe iuniquenessiofitheiindividual. b. failingitoirecognize ilevelsiofimeaning. c. usingivalueistatements d. failingitoiclarifyiunclearimessages. ANS: A Feedback A Theinurse'siresponse ihasiputitheipatientiintoia igroup, iparents, iandithereforeidoes inotiresponditoitheipatientiasia iuniqueiindividual. B Thereiisinoimeaningiunderithe isurfaceicontentiinithe ipatient'siremark. C Thereiareinoivalueistatementsiinithe inurse'siresponse. D Theipatient'siremarkiwasinotiunclear. DIF: Cognitive iLevel:iApplication REF: p. i184 37. Aipatientistates, i"Theithingithatiscaresimeitheimostiaboutisurgeryiisithe ispinalianesthesia. iI'm iafraidiit'llileaveime iparalyzed,"ianditheinurseiresponds, i"Everythingiwillibe ifine. iThe ianesthesiologistsiareiveryiskillediiniadministeringispinalianesthesia."iTheinurse'siresponse iis ianiexampleiofia icommunicationibreakdowniknownias a. failingitoiseeithe iuniquenessiofitheiindividual. b. failingitoirecognize ilevelsiofimeaning. c. usingivalueistatements. d. usingifalse iassurance. ANS: D Feedback A Theinurse idoesinotifailitoiresponditoitheipatientiasia iuniqueiindividual. B Theinurse idoesinotifailitoitakeiintoiaccountithe imeaningiunderithe isurface icontent. C Theinurse idoesinotiuse ivalueistatements. D Theinurse ioffersifalseiassurance. DIF: Cognitive iLevel:iApplication REF: p. i185 38. Collaborationiinihealthicareisettingsiinvolves a. professionalsirespectediforitheiriuniqueiknowledge iandiabilities. b. professionalsieducatediinia icollaborative imodeliofieducation. c. recognitioniofiindividualiprofessionaliaccomplishments. d. aimultitieredisystemihierarchy. ANS: A Feedback A Collaborationiimpliesiworkingijointlyiwithiotheriprofessionals, ialliofiwhomiare irespectediforitheiriuniqueiknowledge iandiskillsiinitheisituation. B Currentlyimostiprofessionalsiareinotieducatediinia icollaborative imodeliof ieducation, ialthoughitheyiareiexpecteditoiworkiinicollaboration. C Inicollaborationitheiaccomplishmentsiofitheitotaligroupiareirecognized, inot iindividuals. D Collaborationiimpliesithatieveryone ionithe iinterdisciplinaryiteamicanimake ivaluableicontributions. DIF: Cognitive iLevel:iComprehension REF: p. i190 39. Collaborationiamongihealthicareiprofessionalsimostiimportantlyiresultsiin a. theidevelopmentiofiespritideicorps. b. benefitsitoitheiorganization ialone. c. positiveipatientioutcomes. d. maintenance iofiemployeeisatisfaction. ANS: C Feedback A Althoughiespritideicorpsidevelops, itheiultimate iresultiisiforipositive ipatient ioutcomes. B Collaborationibenefitsitheiindividualsiinvolved, iasiwelliasithe iorganization. C Makingitheimostioficollaborative iopportunitiesienhancesipositive ipatient ioutcomes. D Employeeisatisfactioniisigreateriwithimoreicollaboration, ibutitheiultimate ivalue ioficollaborationiisipositive ipatientioutcomes. DIF: Cognitive iLevel:iComprehension REF: p. i190 MULTIPLEiRESPONSE 1. Whichibehaviorsifosteriactive ilistening? i(Selectiallithatiapply.) a. Encouragingitheispeakeribyisaying, i"Tellimeimore" b. Limitingiverbaliventilationibecauseiitiisinotifocused c. Sittingiinianiopeniposture isuchiasileaningiforward d. Engagementiinia itask e. Good ieye icontactiatieye ileveliandinoddingiofithe ihead ANS: A, iC, iE Feedback Correct Active ilisteningiisia imethodioficommunicatingiinterestiandiattention. iEncouragingitheispeaker, iusingianiopeniposture, ieye icontact, iandinodding itheiheadiallicommunicate iinterestiandiattention. Incorrect Limitingiverbaliexpressioniisilikelyitoidecrease itheisharingiofiinformation ibyithe ipatient. iAitaskimayiserve iasia idistractioniforithe inurse iandipatient iandimayilimitiactive ilistening. DIF: Cognitive iLevel:iComprehension REF: p. i180 2. Whichiofithe ifollowingiare iexamplesiofiopen-endediquestions? i(Selectiallithatiapply.) a. "Ms. iGoode, ididiyou ihave ia iproductive itherapyisession?" b. "Howiare iyou?" c. "Howido iyouifeeliaboutistayingiwithiyouridaughter?" d. "Whatiwouldiyouilikeitoidiscussitodayiwhileiwe itakeia iwalk?" e. "Are iyouihavingithatiproblemiwithiarthritisiiniyourihandiagain?" ANS: B, iC, iD Feedback Correct Theiquestionsi"Howiareiyou?"i"Howidoiyouifeeliaboutistayingiwithiyour idaughter?"iandi"Whatiwouldiyouilikeitoidiscussitodayiwhile iwe itakeia iwalk?" irequireitheipatientitoiansweribyiprovidingidataiandinotijustia iyesior inoianswer. Incorrect Theistatementsi"Ms. iGoode, ididiyou ihave iaiproductive itherapy isession?"andi"Are iyouihavingithatiproblemiwithiarthritisiiniyourihand iagain?"idoinotirequireimore ithaniyesiorinoianswers. DIF: Cognitive iLevel:iAnalysis REF: p. i181 Chapteri10:iIllness, iCulture, iandiCaring:iImpactioniPatients, iFamilies, iandiNurses TestiBank MULTIPLEiCHOICE 1. Whichiillnessihasitheicharacteristicsiofianiacuteiillness? a. Exercise-inducediasthma b. Typei2 idiabetes c. Influenza d. Cleftipalate ANS: C Feedback A Exercise-inducediasthmaiisia ichroniciconditionibecauseiitirequiresiongoing ihealthicareiservicesiandiaffectsithe ipersoniforihisioriherientireilife. B Typei2 idiabetesiisiaichronic iconditionibecauseiitirequiresiongoingihealthicare iservicesiandiaffectsithe ipersoniforihisioriherientire ilife. C Influenza isymptomsiareishort-lived, ianditheipersonireturnsitoihisioriheriprevious ileveliofiwellness. D Cleftipalateiisia ichroniciconditionibecauseiitirequiresiongoingihealthicareiservices iandiaffectsitheipersoniforihisioriherientireilife. DIF: Cognitive iLevel:iComprehension REF: p. i195 2. Whichiillnessihasitheicharacteristicsiofia ichroniciillness? a. Lupus b. Bronchitis c. ChickeniPox d. Gastroenteritis ANS: A Feedback A Lupusirequiresilong-termitreatmentiandiimpactsiaipersoniforihisioriherientireilife. iPreviously, itheilifeiexpectancyiwasiasishortiasia ifewimonthsiafteridiagnosis. B Bronchitisiisianiacuteiillnessiwithisymptomsithatiare ishort-lived, ianditheiperson ireturnsitoihisioriheripreviousileveliofiwellnessionceihe iorishe iisino ilongeriill. C Chickenipoxiisianiacuteiillnessiwithisymptomsithatiare ishort-lived, ianditheiperson ireturnsitoihisioriheripreviousileveliofiwellnessionceihe iorishe iisino ilongeriill. D Gastroenteritisiisianiacuteiillnessiwithisymptomsithatiareishort-lived, iandithe ipersonireturnsitoihisioriheripreviousileveliofiwellnessionceihe iorishe iisinoilonger iill. DIF: Cognitive iLevel:iComprehension REF: p. i195 3. Whichistatementiaboutiacuteiillnessiisitrue? a. Mostipeopleiwithiacuteiillnessidevelopichroniciillness. b. Mostipeopleiwithiacuteiillnessireturnitoitheiripreviousileveliofiwellness. c. Allipeopleiwithianiacuteiillnessineedimedicalicare. d. Acuteiillnessesiareiusuallyicatastrophic iininature. ANS: B Feedback A Someipeopleidoigoion itoidevelopiaichroniciillnessiafterianiacute ione, ibutiunless ithereiareicomplications, imostipeopleiwithiacute iillnessireturnitoitheiriprevious ileveliofiwellness. B Mostipeopleiwithiacuteiillnessireturnitoitheiripreviousileveliofiwellness. C Manyiacuteiillnessesido inotirequireimedicaliintervention. D Whileisome iacute iillnessesiareicatastrophic iininature, inotialliacuteiillnessesiare. DIF: Cognitive iLevel:iKnowledge REF: p. i195 4. Whatiisithe iprimaryidifferenceibetweeniacuteiillnessiandichroniciillness? a. Iniacuteiillness, isymptomsibeginisuddenly, iprogressiquickly, iandisubside iquickly. b. Iniacuteiillness, isymptomsibeginisuddenly, iprogressigradually, iandidoinotisubside. c. Inichroniciillness, isymptomsibeginigradually, iprogressisuddenly, iandisubside iquickly. d. Inichroniciillness, isymptomsibeginisuddenly, irequireiongoingimanagement, iand isubsideiquickly. ANS: A Feedback A Acuteiillnessiisidefinediasisevere isymptomsithatiappearisuddenly, iprogress isteadily, iandisubside iquickly. B Chroniciillnessisymptomsiprogressigraduallyiandigenerallyidoinotisubside. C Chroniciillnessisymptomsiprogressigraduallyiandigenerallyidoinotisubside. D Chroniciillnessisymptomsibeginigradually. DIF: Cognitive iLevel:iComprehension REF: p. i196i| iBoxi10-1 5. Aipatientiwithidiabetesiwhoirefusesitoichange ieatingipatternsimayibe iiniwhichistage iof iadjustment? a. Denialiandidisbelief b. Irritabilityiandianger c. Attemptingitoigainicontrol d. Acceptance iandiparticipation ANS: A Feedback A Denialiandidisbeliefiisitheifirstistage iiniadjustmentitoianiillness. iItiisicharacterized ibyibeliefithatithe isymptomsido inotireallyirepresentiillnessiandiwilligoiaway. B Irritabilityiandiangeriareicharacteristicsiofitheisecondistage iofiillnessiacceptance. iItiisicharacterizedibyiangeriatithe ibodyiforinotifunctioningiproperlyioribyianger idisplacediontoiothers. C Theipersoniinithe i"attemptingitoigainicontrol"istage iusuallyiseeksihelpiand iknowledgeiasiwaysitoigainicontrol. D Thei"acceptance iandiparticipation"istageioccursiwhenitheipatientiisireadyito iparticipate iinidecisionsiaboutitreatment. DIF: Cognitive iLevel:iComprehension REF: p. i197 6. Aipatientistates, i"IiamisoiupsetithatiIineediaikneeireplacement. iIishouldihaveidone ithose iexercisesithatithe iphysicalitherapistitoldimeitoidoiyearsiago." iIniwhichistageiofiillnessiisithe ipatient? a. Disbeliefiandidenial b. Irritabilityiandianger c. Attemptingitoigainicontrol d. Depressioniandidespair ANS: B Feedback A Theipersoniinithe i"disbeliefiandidenial"istage ibelievesithatitheisymptomsidoinot ireallyirepresentiillnessiandiwilligoiaway. B Irritabilityiandiangeriisithe isecondistage iofiillnessiacceptance. iItiisicharacterized ibyiangeriatithe ibodyiforinotifunctioningiproperlyioribyiangeriatiselfioriothers. C Theipersoniinithe i"attemptingitoigainicontrol"istage iusuallyiseeksihelpiand iknowledgeiasiwaysitoigainicontrol. D Atithe i"depressioniandidespair"istage, ithe ipatientimayiexperience imanyilosses, iandidepressioniisitheiresponse. DIF: Cognitive iLevel:iComprehension REF: p. i197 7. Aipatientistates, i"IidoinotiunderstandiwhyiIikeepigettingithese iheadaches. iIihave iseenia inurse ipractitionerianditwoispecialists. iIihave itakeniseveralimedications, ibutitheiheadachesikeep icomingiback."iIniwhichistage iofiillnessiisitheipatient? a. Disbeliefiandidenial b. Irritabilityiandianger c. Attemptingitoigainicontrol d. Acceptance iandiparticipation ANS: C Feedback A Theipersoniinithe ifirstistage ibelievesithatitheisymptomsidoinotireallyirepresent iillnessiandiwilligoiaway. B Atithe isecondistage itheiperson iisiangryiatitheibodyiforinotifunctioningiproperlyior idisplacesiangeriontoiselfioriothers. C Attemptingitoigainicontroliisithe ithirdistageiiniadjustmentitoianiillness. iThe ipersoniinithisistageiusuallyiseeksihelpiandiknowledgeiasiwaysitoigainicontrol. D Theififthistage ioccursiwhenithe ipatientiisireadyitoiparticipate iinidecisionsiabout itreatment. DIF: Cognitive iLevel:iComprehension REF: p. i197 8. Aipatientistates, i"Thereiisinoihope. iThey'reigoingitoikeepime ihereiuntiliIidie. iCan'tiyouigive ime imyimedicationimoreioften?iI'migoingitoidieianyway." iIniwhichistage iofiillnessiisithisipatient? a. Disbeliefiandidenial b. Irritabilityiandianger c. Attemptingitoigainicontrol d. Depressioniandigrief ANS: D Feedback A Theipersoniinithe ifirstistage ibelievesithatitheisymptomsidoinotireallyirepresent iillnessiandiwilligoiaway. B Atithe isecondistage itheiperson iisiangryiatitheibodyiforinotifunctioningiproperlyior idisplacesiangeriontoiselfioriothers. C Theipersoniinithe ithirdistage iusuallyiseeksihelpiandiknowledge iasiwaysitoigain icontrol. D Depressioniandigriefiisitheifourthistageiinitheiadjustmentitoianiillness. iTheiperson iatithisistage imayiexperienceimanyilosses, iandidepressioniisitheiresponse. DIF: Cognitive iLevel:iComprehension REF: p. i197 9. Aipatientistates, i"Iihave iknowledge iaboutimyidietiandihowitoidoimyiinsuliniinjections, isoiIican igetion iwithimyilife."iIniwhichistageiofiillnessiisithisipatient? a. Disbeliefiandidenial b. Irritabilityiandianger c. Attemptingitoigainicontrol d. Acceptance iandiparticipation ANS: D Feedback A Theipersoniinithe ifirstistage ibelievesithatitheisymptomsidoinotireallyirepresent iillnessiandiwilligoiaway. B Atithe isecondistage itheiperson iisiangryiatitheibodyiforinotifunctioningiproperlyior idisplacesiangeriontoiselfioriothers. C Theipersoniinithe ithirdistage iusuallyiseeksihelpiandiknowledge iasiwaysitoigain icontrol. D Acceptance iandiparticipationiisithe ifinalistageiinithe iadjustmentitoianiillness. iA ipersoniinithisistageiisireadyitoiparticipate iinidecisionsiaboutitreatment. DIF: Cognitive iLevel:iComprehension REF: p. i197 10. Aicontemporaryiviewiofitheisickirole iincludes a. patientiasipartneriwithitheihealthicareiprovider. b. patientiasisubmissive itoithe ihealthicareiprovider. c. patientinoncompliantiwithithe ihealthicareiprovider. d. movingiawayifromiculturalivaluesiwhenimakingihealthicareidecisions. ANS: A Feedback A Aicontemporaryiviewiofitheisickirole iincludesipartneringiwithipatientsiinimaking ihealthicareidecisions. B Patientiasisubmissive itoihealthicareiprovideriisia ipaternalistic iperspective. C Patientsiareiexpecteditoiwantitoigetiwell, iandithe ipatientiwhoiwantsitoigetiwell iwillicomplyiwithitheiprescribeditreatment. D Allihealthicareineedsitoibe iculturallyisensitive. DIF: Cognitive iLevel:iComprehension REF: p. i198 11. Aipatientitellsitheinurse, i"I'lliletiyouidoiwhateveriyouithinkiisibestiforime." iTheipatientidoes iveryilittleiindependentlyiwithouticallingiforiassistance. iTheinursesiconcludeithatithe ipatientiis idemonstratingiwhichipersonalityicharacteristic? a. Acceptance b. Senseioficontrol c. Coping d. Dependence ANS: D Feedback A Theipersonidemonstratingiacceptance iwilliacknowledge itheisituation. B Theipersonidemonstratingisense ioficontroliwouldibe iactivelyiseekingiwaysito imanage itheisituation. C Theipersoniwhoiisicopingiisilookingitoidecrease itheithreatiinitheisituationiorito iincreaseihisioriheriresourcesitoidealiwithitheithreat. D Someipeopleiassume ia ipassiveiattitude iandirelyioniothersitoicareiforithem. iThis icanioccuriwithioriwithoutiillness. DIF: Cognitive iLevel:iComprehension REF: p. i199 12. Aipatientidiagnosediwithibreasticancerirespondedibyigatheringiinformationiaboutitreatment ioptionsiandibecomingiinvolvediinia iself-helpigroup. iTheinurse iassessesithatithe ipatientiis idemonstratingiwhichipersonalityicharacteristic? a. Independence b. Hardiness c. Self-control d. Tolerance ANS: B Feedback A Independence iisinotirequiringiorineedingitoirelyionisomeoneielse. B Hardinessiisithe iabilityitoifeelicapable iofihandlingistressfulilifeievents. iHardy ipeopleiare ilikelyitoiperceive ithemselvesiasihavingisome icontrolioveria isituation ieveniwhenitheyiareiill. C Self-controliisitheiabilityitoimanage ioneselfiinithe isituation. D Tolerance iisithe icapacityitoiendureioriadaptitoia isituation. DIF: Cognitive iLevel:iApplication REF: p. i210 13. Aipatientiwasidiagnosediwithiovarianicanceri5iyearsiago. iShe iunderwentichemotherapyiand iradiotherapy, ibuticancerireturnedi2iyearsiagoiwithimetastasesitoitheibone iandipossiblyithe ilung. iShe isaysitheicanceriisi"no ilongericurable, ibutitreatable."iDuringithisitimeithe ipatient's idaughteriwasicriticallyiinjurediinia icariaccidentiandinowilivesiwithia itraumatic ibrainiinjury, ineedingiround-the-clockicare. iHerihusbandihadianiaffair. iShe icontinuesitoiwork iandivolunteers iwithivariousicommunityigroups. iWhichiphenomenoniisithe ipatientidemonstrating? a. Resourcefulness b. Independence c. Acceptance d. Resilience ANS: D Feedback A Theipatientihasinotidemonstratedithatiheriabilityitoicontinueiworkiandiactivitiesiis idue itoiheriuse iofiresources. B Independence iisinotirequiringiorineedingitoirelyionisomeoneielse. C Acceptance imeansitheipersoniacknowledgesithe isituationiforiwhatiitiis. D Resilience iisithe isuccessfuliadaptationidespiteichallengingiorithreatening icircumstances. iTheipatientihasifacedidifficult, iadverse, ianditraumatic ieventsiin iherilifeibuticontinuesitoiparticipate iandicontribute. DIF: Cognitive iLevel:iComprehension REF: p. i200 14. Aipatientiiniwhomimetastatic icanceriisidiagnoseditellsithe inurse, i"Godihasineveriletimeidown ibefore. iI'lliprayiforistrength." iThisipatient'siillnessibehavioriisibeingiinfluencediby a. resiliency. b. senseioficontrol. c. spirituality. d. depression. ANS: C Feedback A Resiliencyiisisurvivaliunderitryingicircumstances. B Senseioficontroliisifeelingithationeicanicontroliaisituation. C Spiritualityiisianiinneristrengthirelateditoia ibeliefiiniandiconnectednessitoia ihigher ipower. D Depressioniinvolvesifeelingsiofiloss, igrief, iandidespair. DIF: Cognitive iLevel:iApplication REF: p. i200 15. Aipatientiiniwhomicancerihasijustibeenidiagnoseditellsithe inurse, i"Justigetioutiofihereiand ileave imeialone!iLetime isufferialone. iGodiisipunishingime."iThe inurse ideterminesithatitheimost iappropriate inursingidiagnosisiforithisipatientiis a. riskiforiloneliness. b. powerlessness. c. dysfunctionaligrieving. d. spiritualidistress. ANS: D Feedback A Theiriskiforilonelinessiisiwhenia ipersonimayiexperience iaivague isense iof iunpleasantness. B Powerlessnessiisia iperceivedilackioficontroliinitheicurrentisituation. iThisipatient imayifeelipowerless, ibutitheireference itoiGod'sipunishmentimakesispiritual idistressia imoreilikelyidiagnosis. C Dysfunctionaligrievingiisithe iunsuccessfuliuse iofiintellectualiandiemotional iresponsesitoidealiwithia iloss. D Spiritualidistressiisithe iinabilityitoiexperienceiandiintegrate imeaningiandipurpose iinilifeithroughiconnectednessiwithiself, iothers, ioria ipowerigreaterithanioneself. DIF: Cognitive iLevel:iApplication REF: p. i201 16. Whichiofithe ifollowingiisianiappropriate iinterventioniforitheinursingidiagnosisiofispiritual idistress? a. Neveriprayiwithipatientsiorishareireadingsithaticanihave ia ireligiousiconnection. b. Informipatientsiofitheiprevalentireligiousibeliefsithatiexistiinitheilocale iwhereithey iareibeingitreated. c. Consideripatients' ireligiousibeliefsiwheniplanningicare. d. ReassureipatientsithatitheyishouldinotiblameiGodiforitheiriillness. ANS: C Feedback A Itiisiacceptable itoiprayiwithipatientsiorishareireadingsiwithithemiifirequestediby itheipatientianditheinurseiisicomfortable idoingiso. B Theinurse ishouldihelpithe ipatientitoitapiintoihisioriheriownispirituality, inoticreate ione iforithemioriinfluenceitheipatient. C Helpingipatientsiengageispirituallyiassuresiholistic icare. D NursesishouldirecognizeithatiblamingiGodiisia isigniofispiritualidistress. DIF: Cognitive iLevel:iComprehension REF: p. i201 17. Aipatientiisiinithe iintensive icareiunitiafteriaimyocardialiinfarctioniandirefusesitoistayiinibed, isaying, i"Iihave itoibe iupiandiwalkingiaround. iWheniIistayediinibediafterihavingimyibabiesi40 iyearsiago, iIigotisoiweakiIicouldihardlyimove."iThisipatient'siillnessibehavioriisibeing iinfluencediby a. hardiness. b. pastiexperiences. c. culture. d. roleiexpectations. ANS: B Feedback A Hardinessiisithe iresistance itoistressfulievents. B Theipatientiisibasingiwhatishe ithinksishe ineedsitoidoioniexperiencesishe ihadi40 iyearsiago iafterishe ihadideliverediherichildren. C Sheidoesinotisayishe ibasesiherineeditoigetiupioniculturalibeliefs. D Sheidoesinotibase iherineeditoibe iupionianiexpectationithatisheishouldibe. DIF: Cognitive iLevel:iApplication REF: p. i202 18. AiCaucasianinurseiisicaringiforia iNative iAmericaniafteriaistroke. iThe inurse ifindsitheipatient isleepingiwhile iholdingiseveralismallifeathersiboundibyia ibeadedileatherithong. iTheinurse ishouldiconsideritheipossibilityithatithisiis a. aniinterestingitrinketitoibrightenithe ienvironment. b. aigiftifromihisigrandchildrenitoimakeihimifeelicloseritoithe ifamily. c. aniimportantiitemiusediininative ihealingipractices. d. aniitemithatimightiintroduceimicroorganismsiintoitheihospitalienvironment. ANS: C Feedback A Althoughitheiobject'simeaningiisiunknown, ithe iimplicationiisithatiitiisinot iimportant. B Althoughitheiobject'simeaningiisiunknown, ithe iimplicationiisithatiitiisinot iimportant. C Becauseithe ipatientiisiofia idifferenticultureithanitheinurse, ithe inurse ishould iclarifyiwithieitheritheipatientiorifamilyiwhatitheimeaningiandiimportance iofithe iitemiisiandihowiitishouldibe itreated. D Althoughitheiobject'simeaningiisiunknown, ithe iimplicationiisithatiitiisinot iimportant. DIF: Cognitive iLevel:iApplication REF: p. i203 19. Aiyoungigirlifromia iMiddleiEasternicountryiisiinithe iprocessiofidying. iHeriparentsiaskithe inursesitoiallowiheritoibe ipreparediforideathibyibeingidressediinia ispecific igarmentiand iheaddressieveryiday. iTheiparentsicannotibeithereieveryidayitoidoithisiandiaskithe inursesito iapplyithe iattire. iWhichiactionsibyitheinursesidemonstrate iculturallyicompetenticare? a. Allowingitheiparentsitoidressithe ipatientiinithe igarmentiandiheaddressiwhenithey iareibyiheriside b. Consultingitheichaplainiasitoitheimeaningiofithe iritualiinithe iMiddleiEast c. Informingithe iparentsithatihospitalipolicyirequiresiallipatientsitoiwearihospital igarments d. Learningihowitoiapplyitheigarmentiandiheaddressiproperly ANS: D Feedback A Allowingitheiparentsitoidressithe ichildiwhenitheyiare ibyiheriside idoesinotiassure itheidailyiculturaliexpectationsiofithe ifamily. B Whileitheimeaningiofithe iritualiwouldibe iniceitoiknow, iwhetheritheinursesiknow itheimeaningidoesinotimakeithe iritualianyilessiculturallyiimportantitoitheifamily. C Informingithe iparentsithatihospitalipolicyirequiresiallipatientsitoiwearihospital igarmentsitotallyidisregardsithe idesiresiofitheifamily. D Byilearningihowitoidressitheipatient, itheinursesiareiacknowledgingithe iimportance ioficultureiforithisifamily. DIF: Cognitive iLevel:iApplication REF: p. i206 20. An iEnglish-speakinginurseigave ia inon–English-speakingiAsianipatientiinstructionsiabout ipreparingianiabdominalisurgicalisite. iTheinurseishoweditheipatientihowithe ibottleiofipovidoneiodine iwasitoibeiusediinicleansingithe iarea. iThe ipatientismilediandinoddedithroughoutithe iinstructions. iThe ipatientididinotirespondiwheniaskediifihe ihadianyiquestions. iWhenitheinurse ileftithe iroom, ithe ipatientipromptlyidrankitheibottleiofipovidone-iodine. iWhichiactioniwouldibe imostieffective iinipreventingithisierror? a. Givingitheipatientiwritteniinstructionsiinihisilanguage b. Usingiaimedicaliinterpreteritoigive itheipreoperative iinstructions c. Havingitheipatientisignia istatementithatiheiunderstooditheiinstructions d. Usingiillustrationsitoishowitheipatientitheiprocedure ANS: B Feedback A Theipatientimayinotibe iableitoireadiinihisilanguage ibutimayinotiindicate ithatito itheinurse. B Theiuse iofitheiinterpreteriassuresithatithe ipatientihasireceivedithe icorrect iinformationiinia imannerihe icaniunderstand. C Havingitheipatientisignia istatementidoesinotiindicate ithatiheiunderstood. iHe imay isignibecauseihe ifeelsithatithisiisiexpected. D Althoughiillustrationsimayihelp, ithe iuse iofianiinterpreteriisistillithe ibestiactionito iensure iunderstanding. DIF: Cognitive iLevel:iAnalysis REF: p. i206 21. Whyiisia ibasiciunderstandingiofiethnopharmacologyipartiofibeingia iculturallyicompetent inurse? a. Significantidifferencesiamongiethnic igroupsihave ibeenifound iinirelationitoithe ieffectsiofimedications. b. Ethnopharmacologyiisia inewiareaiofistudyiimportantitoiallinurses. c. Nursesishouldiknowihowimedicationsimayiaffectiindividualipatientsitoiproperly iadministeritheimedication. d. Pharmacologyiisia isignificantiaspectiofinursingipractice. ANS: A Feedback A Theiabsorption, imetabolism, idistribution, iandieliminationiofimedicationsihave ibeenidemonstrateditoidifferiamongiethnicigroups. iNursesineeditoibe iawareiof itheseiethnicidifferencesitoiprovideiqualityicare. B Theiimportance iisinotithatiitiisinew, ibutithatiethnopharmacologyiisisignificantito itheicare inursesiprovide. C Althoughinursesishouldiknowihowitoiadministerimedicationiproperlyitoiany ipatient, itheinurse ialsoineedsitoiunderstanditheidifferentiresponsesiincludingithose ibasedioniethnicity. D Althoughitheiunderstandingiofipharmacologyiisisignificant, itheinurse ineedsito iunderstandiethnopharmacologyitoibe iculturallyicompetent. DIF: Cognitive iLevel:iComprehension REF: p. i204 22. Theibestidefinitioniofiethnocentrismiis a. aitendencyitoicompare ithe ibehavioriofiothersiwithiyouriowniculturalivalues. b. aniastuteiawarenessiofiyouriown ipersonalibiasesiregardingiothericultures. c. aitendencyitoiviewiyouriowniculture iasisuperioritoiothers. d. theiabilityitoiincorporate ipatients' iculturalibeliefsiandivaluesiintoihealthiteaching. ANS: C Feedback A Aitendencyitoicompareitheibehavioriofiothersiwithione'siown iculturalibeliefs idescribesiculturalirelativism. B Ethnocentrismiimpliesia ilackiofiawarenessiofione'siown ibiases. C Ethnocentrismidescribesiaitendencyitoiviewiyouriownicultureiasisuperiorito iothers. D Theiabilityitoiincorporateipatients' iculturalibeliefsiandivaluesiintoihealthiteaching idescribesiculturallyisensitive icare, inotiethnocentrism. DIF: Cognitive iLevel:iComprehension REF: p. i204 23. Theinurse ifindsia ipatientisittingiinibed, irockingibackiandiforth, iwringingiherihandsiand irepeatingirapidly, i"Iican'tibreathe. iMyiheartiisipounding. iIithinkiI'migoingitoidie."iHer iphysicianiisicalleditoitheibedside ianditellsitheinurse, i"Sheiisihavingianianxietyiattack." iWhat iassessmenticanibe imadeibyithe inurse? a. Severeianxietyiisipresentiinithisipatient. b. Culturalifactorsicontrolianxietyilevels. c. Focusingionidischarge iinstructioniwillieaseitheianxiety. d. Theileveliofianxietyicannotibe ideterminediatithisipoint. ANS: A Feedback A Withiincreasedianxiety, ione iobservesirapidispeech, iincreasedipurposelessibody imovements, iandisubjective istatementsiofidiscomfort. B Althoughiculturalifactorsimayiinfluenceihowianxietyiisiexpressed, itheyidoinot icontrolianxiety. C Ifia ipersoniisiexperiencingianxiety, ihe iorisheiwillinotibe iableitoifocusion ireceivingiinformation, iincludingidischargeiinstructions. D Theileveliofianxietyicanibe ideterminedionitheibasisiofitheiobservationiofithe ipatient'sibehavior. DIF: Cognitive iLevel:iApplication REF: p. i209i| iBoxi10-5 24. Aipatientihasibeenidiagnosediwithiangina. iAsihe italksiwithithe inurse, ihe iasksiseveraligood iquestionsiaboutiangina iandiseemsiableitoiconcentrate ionitheiexplanations. iHe iseemsieagerito ilearnihowitoimanage ihisicondition. iWhatiassessmenticanibe imadeibyithe inurse? a. Severeianxietyiisipresent. b. Mildianxietyiisipresent. c. Moderateianxietyiisipresent. d. Theileveliofianxietyicannotibe idetermined. ANS: B Feedback A Whenisevere ianxietyiisipresent, ithe iperson'sithoughtsiare iscatterediandiattention itoilearningiisidecreased. B Withimildianxiety, ithe ipersoniisiableitoifocusiattention, iandithere iisianiincreased icapacityiforilearning. C Whenimoderate ianxietyiisipresent, ithe ipersoniisionlyiableitoiconcentrate ionione ithingiatia itimeiandiwouldinotibeiaskingiquestions. D Theileveliofianxietyicanibe ideterminedifromitheipatient'sibehaviors. DIF: Cognitive iLevel:iApplication REF: p. i209i| iBoxi10-5 25. Nursesicanibestihelpipatientsidealiwithistressiby a. helpingipatientsieliminate iallistressifromitheirilives. b. helpingipatientsicommunicate itheiristressibetteritoifriendsiandifamily. c. helpingipatientsievaluate itheirilifestylesiforiareasiofipotentialistress. d. interveningiinithe ifamilyisystemitoireduceifamilyistress. ANS: C Feedback A Itiisinotipossible ioridesirableitoieliminate iallistressifromione'silife. B Havingisomeoneitoitalkitoimayibe ihelpfuliinireducingistress, ibutiproblemisolving iandiplanningiareimore ieffective iplansiforimanagement. C Nursesicaniassistipatientsitoirestructure itheistressfuliaspectsiofitheirilivesito ireduceioriminimize istress. D Itiisinotireasonable itoiexpectitheinurse itoisolveithe ipatient'siproblems. DIF: Cognitive iLevel:iComprehension REF: p. i211 26. Wheniplanningiforipatientiteaching, itheinurseiisiaware ithatiwhichiofitheifollowingifactors icreate(s)iaibarrieritoilearning? a. Mildianxiety b. Painiandifatigue c. Familyipresence d. Patientiautonomy ANS: B Feedback A Mildianxietyicaniimprove ilearning. B Painiandifatigue icreateibarriersitoilearning. C Familyipresence idoesinotinecessarilyiimpedeilearning. D Patientiautonomyidoesinotiimpede ilearning, iandipatientilearningifacilitates idevelopmentiofiautonomy. DIF: Cognitive iLevel:iKnowledge REF: p. i212i| iBoxi10-9 27. Theiparentsiofia i4-year-oldidiabetic ihave ibecomeiincreasinglyiargumentative iespeciallyiabout iwhetherithe ifatherihelpsienough iwithichildicareiandihousekeeping. iHe iworksitwoijobsiwhich ileavesilittleitimeitoihelpihisistay-at-homeiwife. iWhichinursingiinterventioniisimostiappropriate iforithisifamily? a. Referringithe iparentsitoia imarriage icounselor b. Discussingiwithithe iparentsithe istressesitheyiperceive iinithe isituation c. Suggestingithatithe ifatherigive iupione iofihisijobs d. Identifyingia iwayitoireallocate itheichild'sidiabetesicareibetweenitheiparents ANS: B Feedback A Itimayibe ipremature itoireferitheiparentsitoiaimarriage icounseloriuntilitheisituation iisiassessedifurther. B Beforeichangesiareisuggestediand/orimade, ieveryone iinvolvedishouldihave iidentifiediwhatitheiperceivedistressorsiareiforiallimembersiofitheifamily. C Suggestingithatithe ifatherigive iupihisipart-timeijobimayibe ipremature iuntiliitiis iknowniwhatithe istressorsiare, iasiwelliasideterminingiwhetheritheiincomeiis irequireditoiprovideiforitheineedsiofithe ifamily. D Theinurse ishouldinotibe itheione ideterminingihowitoireallocate itheichild'sicare iwithinithe ifamily. iTheidecisionirestsiwithitheiparents. DIF: Cognitive iLevel:iApplication REF: p. i212 MULTIPLEiRESPONSE 1. Whichiquestionsiwilliaidithe inurse iiniplanningiculturallyicongruenticare?i(Selectiallithat iapply.) a. "Whatidoismiles, inods, iandihandigesturesimean?" b. "Howiare iyouiusuallyiaddressed?" c. "Howimanyihealthicareiprofessionalsihave iyouiseen?" d. "Whatiisieateniwhenione iisisick?" e. "Whoiisiinvolvediinimakingidecisionsiaboutihealthicare?" ANS: A, iB, iD, iE Feedback Correct Theiquestionsiallowitheinurseitoilearniaboutitheispecificicultural iexpectationsiofithe ipatient. Incorrect Whileiitiisiimportantitoiknowihowimanyiprovidersitheipatientihasibeen iseeing, ithisiinformationiisinotirelateditoiculturallyicompetenticare. DIF: Cognitive iLevel:iComprehension REF: p. i206 2. Aipatientirecentlyilostia ijobiasia isalesperson. iWhichibehaviorsiwouldiindicate ithatitheipatientiis iexperiencingistress? i(Selectiallithatiapply.) a. Patientidescribesitheidesireitoisleepiaigreatidealidue itoifatigue. b. Patientistatesiaidecrease iiniparticipatingiiniusualichurchiactivities. c. Patientiseemsitoihave idifficultyiselectingiitemsifromiaimenu. d. Patientiisireadingithe inewspaperiandionlineijobilistingsidaily. e. Patienticontinuesitoispenditimeiwithiheridogiatitheidogipark. ANS: A, iB, iC Feedback Correct Excessive isleepiness/fatigue, idecreaseiinisocialiactivitiesiandiparticipation iiniusualievents, iandidifficultyimakingidecisionsiareicorrectibecauseistress iaffectsia ipersoniphysically, iemotionally, iandicognitively. Incorrect Readingithe ijobilistingsiandispendingitimeiwithitheidogiatitheiparkiindicate itheipatientiisimanagingitheisituation. DIF: Cognitive iLevel:iComprehension REF: p. i210 3. Whichiofithe ifollowingiare icharacteristic ioficompassionifatigue?i(Selectiallithatiapply.) a. Increasedienergy b. Burnout c. Beingiproneitoiaccidents d. Poorijudgment e. Increasediinterestiinireflection ANS: B, iC, iD Feedback Correct Lossiofiphysicalienergy, iburnout, iaccidentiproneness, iemotional ibreakdowns, iapathy, iindifference, ipoorijudgment, iandidisinterestiin iintrospectioniareiallisignsioficompassionifatigue. Incorrect Increasedienergyiandiincreasediinterestiinireflectioniareinotisignsiof icompassionifatigue. DIF: Cognitive iLevel:iComprehension REF: p. i215 Chapteri11:iTheiScienceiofiNursingiandiEvidence-BasediPractice TestiBank MULTIPLEiCHOICE 1. Theidiscoveryiofioxygeniwouldibe icalledipureiscience ibecauseithisiinformation a. wasiobtainediforithe isake iofiobtaininginewiknowledge iofitheiworld. b. hadianiimmediate iuseiforihumans. c. wouldibe iusefuliinicuring, imanaging, ioripreventingidisease. d. couldidirectifurtheriresearchiatithe ibedside. ANS: A Feedback A Pureiscienceioripure iresearchisummarizesiandiexplainsitheiworldiwithoutiregard itoiwhetherithisiinformationiisiimmediatelyiuseful. B Pureiscienceidoesinotiaddressithe iimmediate iuse iofitheiinformationioriits irelationshipitoidiseasesioribedside iresearch. C Pureiscienceidoesinotiaddressithe iimmediate iuse iofitheiinformationioriits irelationshipitoidiseasesioribedside iresearch. D Pureiscienceidoesinotiaddressithe iimmediate iuse iofitheiinformationioriits irelationshipitoidiseasesioribedside iresearch. DIF: Cognitive iLevel:iComprehension REF: p. i223 2. Whatiisimeantibyithe itermi"evidence-basedipractice"? a. Usinginursingiresearchifindingsitoidevelopinursingitheory b. Integratingithe iresearchiprocessiintoinursingiadministration c. Studyingiresearchifromitheisocialisciencesiandiapplyingiititoipractice d. Applyingiresearchifindings;ipatienticareidata, ipreferences, iandivalues;iandinursing iexpertiseitoinursingipractice ANS: D Feedback A Evidence-basedipractice iisiforithe ipurpose ioficlinicalipractice, inotitheory idevelopment. B Theigoaliofievidence-basedipractice iisitoiintegrate iresearchiintoiclinicalipractice, inotinecessarilyiintoinursingiadministration. C Researchifrominursingiapplieditoipractice iisievidence-basedipractice. D Evidenceibasedipractice iisidefinediasipractice ithati"integratesithe ibestievidence ifromi[research]istudiesiandipatienticareidataiwithiclinicianiexpertise iandipatient ipreferencesiandivalues." DIF: Cognitive iLevel:iKnowledge REF: p. i227 3. Toibuildithe ibodyiofiknowledge iofinursing, ia iproblemiamenable itoistudyishouldibe a. ableitoiensure iparticipantsithatithe iinterventioniisia i"goodiidea." b. basedionipublishediresearchifindingsiandifitilogicallyiwithiwhatiisialreadyiknown. c. anioriginaliareaiofistudyineveriresearchedipreviously. d. ableitoiproduceiresultsithatiare iapplicable itoia ivarietyiofisituations. ANS: B Feedback A An iinterventionibeingia i"good iidea"idoesinotimeaniitiwillibuilditheibodyiof iknowledgeiunlessiitirelatesitoiwhatiwe ialreadyiknow. B Toibuildia ibodyiofiknowledge, ione ineedsitoiextendiwhatione ialreadyiknows. C Althoughioriginaliresearchiisiexcellent, itoibuilditheibodyiofiknowledge, ithe ifoundationaliworkimustibe iexpanded. D Notialliproblemsioccuriinia ivarietyiofisettings. DIF: Cognitive iLevel:iComprehension REF: p. i225 4. Whichiofithe ifollowingiisinotia inecessaryistepiinithe iresearchiprocess? a. Reviewiofitheiliterature b. Reviewiofibestipractice iguidelines c. Designiofithe istudy d. Disseminationiofiresults ANS: B Feedback A Reviewiofitheiliterature iisia iprimaryistepiinithe iresearchiprocess. B Reviewiofibestipractice iguidelinesiisinotia istepiinitheiresearchiprocess. C Designiofithe istudyiisianiessentialistepiinitheiresearchiprocess. D Disseminationiisia istepiofitheiresearchiprocessiandia iresponsibilityiofithe iresearcher. DIF: Cognitive iLevel:iComprehension REF: pp. i228-229 5. Whichiofithe ifollowingiare itheithreeimosticommonisourcesiofiresearchiquestions? a. Studyioficlinicaliproblems, ianecdotalistories, irequestsibyithe iNationaliInstitutesiof iHealthi(NIH) b. Requestsibyidrugicompanies, idoctoralistudents, ireviewiofithe iliterature c. Clinicaliproblems, ireplicationiofiprioriresearch, itestinginursingitheory d. Reviewiofiexistingiresearch, iNIHigrants, irequestibyistateiboardiofinursing ANS: C Feedback A Clinicaliproblemsiareia isource iofiresearch, ibutianecdotalistoriesiandiNIHirequests iareinot. B Drugicompaniesiconductitheiriownistudies. C Theithreeimosticommonisourcesiofiresearchiquestionsiareiclinicalisituations, ithe iliterature, ianditheory. D Mostiresearchiquestionsido inoticomeifromitheistate iboardiofinursing. DIF: Cognitive iLevel:iComprehension REF: p. i229 6. Whichiofithe ifollowingiisianiexample iofia iresearchiquestionibasedion iaiclinicaliproblem? a. Publishediobservationsiofiainurse iwhoipracticedimanyiyearsiinieldericare b. Nursingiintuitioniaboutiwhatimeasuresiareimostiusefuliwithianxiousipatientsibefore isurgery c. Storiesiofia iflightinurse'siexperiencesiwithiposttraumatic istressidisorder d. Relationshipibetweenihoursiofibrightilightiandiirritabilityiofipretermiinfants ANS: D Feedback A Publishediobservationsiaboutieldericareidoinotimeetitheicriteriaiofiairesearch iquestion. B Nursingiintuitionidoesinotimeetitheicriteriaiofia iresearchiquestion. C Storiesiofiflightinurses' iexperiencesidoinotimeetitheicriteriaiofiairesearch iquestion. D Theirelationshipibetweenihoursiofibrightilightiandiirritabilityiinipretermiinfantsiis ia iresearchiquestionibasedionia iclinicaliproblemithaticanibe istudied. DIF: Cognitive iLevel:iComprehension REF: p. i229 7. Ainursingimanageriwantsitheiunitistaffitoibecomeimoreiinvolvediiniresearch. iThe istaffinurses isayitheyiareinotiqualifieditoiconductiresearch. iWhichiresponse ibyithe imanageriisibest? a. "Youineedia ibasic iunderstandingiofithe iresearchiprocessibecauseiyouishouldibe igoodiconsumersiofiresearch." b. "Atitheistaffinurse ilevel, iyouicaniassistiwithiclinicalistudiesibyidoingidata icollection." c. "Aibaccalaureate-preparedinurse ishouldibeiableitoidesignisimple istudies." d. "Ifiwe ialliworkion ithisitogether, iweicanidesigniandiimplementigoodiresearch istudies." ANS: A Feedback A Nursesiatiallilevelsiofibasicipreparationibecome iconsumersiofiresearchiwhenithey ienteripractice, isoitheyineediaigood iunderstandingiofitheiprocess. B Staffinursesimightibeiaskeditoiassistiinidataicollection, ibutithisioptionidoesinot ifullyiexplainiwhyitheyishouldibe iinvolvediiniresearch. C Theimasters-preparedinurse ishouldibe iableitoidesignireplicationistudies. D Withoutitheieducationalibackgroundithatipreparesiainurseitoiconductiresearch, ievenia iteamieffortiwilliprobablyinotiyieldihighiqualityistudies. DIF: Cognitive iLevel:iApplication REF: p. i237 8. An iintensive icareiuniti(ICU)inurse inoticesithatipatientsiseemitoihave imoreinormalivitalisigns iwhenitheyiareibeingivisitedibyitheirifamilyimembers, iespeciallyiwhenitheivisitorsiseemitoibe imorei"caring." iHowever, itheihospitalihasistrictivisitingihoursiofi10iminutesieveryiotherihour. iWhatiwouldibe ithe imostiappropriate iresearchiquestionitoiaskiatithisitime? a. Whatiisipatientiandifamilyisatisfactioniwithivisitationitime? b. Whatiisithe irelationshipibetweenilengthiofivisitationiandivitalisigns? c. Whatiare itheivitalisignsiofiICUipatientsiwhenivisitedibyicaringivisitorsiin icomparisoniwithiwhenitheyiareialone? d. DoiICUipatientsihave ivitalisignsiinitheinormalirange imoreifrequentlyiwhenitheyiare ibeingivisitedibyifamilyimembers? ANS: D Feedback A Satisfactioniisitheiissueithe inurse iisiinterestediin. B Atithisipointitheilengthiofivisitationiisisimilariandiisinotithe iissue. C Althoughithisiisianiinterestingiquestion, itheinurse ineedsitoifirstidiscoveriwhether itheivitalisignsiareiinithe inormalirange imoreiofteniduringifamilyivisitation. D Theinurse ihasionlyisubjective idataiandineedsitoidetermine iwhetheritheivitalisigns iareitrulyimoreiofteniinitheinormalirange iwithivisitation. DIF: Cognitive iLevel:iApplication REF: p. i230 9. Whichiresearchidesignihasithe igoaliofideterminingia icause-and-effectirelationship? a. Experimentalidesign b. Nonexperimentalidesign c. Pureiresearch d. Appliediresearch ANS: A Feedback A Aitrueiexperimentalidesignishouldiprove ia icause-and-effectirelationship. B Nonexperimentalistudiesidoinotinecessarilyiinclude icause-and-effecticontrols. C Pureiresearchiisiresearchiconductediwithoutiregardiforiwhetheritheiinformationiis iimmediatelyiuseful. D Appliediresearchiseeksitoidevelopia ipracticaliuseiforiresearchifindings. DIF: Cognitive iLevel:iKnowledge REF: pp. i230-231 10. Whichiresearchidesigniwouldibe iuseditoidetermine itheirelationshipibetweeniself-concept, iphysicalifitness, iandihealthihabitsiinischool-agedichildren? a. Experimentalidesign b. Nonexperimentalidesign c. Appliediresearchidesign d. Pretestiandiposttestidesign ANS: B Feedback A Experimentalidesignsilookiforidifferencesibetweenigroupsionicertainivariables. B Nonexperimentalidesignsiwilliallowitheiresearcheritoilookiforirelationships iamongithe ivariablesiandiareidescribediasidescriptive ioriexploratory. C Designsiusediiniappliediresearchitakeivariousiforms, iincludingiexperimentaliand inonexperimental. D An iexperimentalidesigniaddressesidifferences, inotirelationships. DIF: Cognitive iLevel:iComprehension REF: pp. i230-231 11. Whichiresearchidesignishouldibe iuseditoidetermine iwhetherithereiisia idifference iinithe ieffectivenessiofitwo ipreoperative ipreparationimethodsion ilengthiofistay? a. Surveyidesign b. Experimentalidesign c. Nonexperimentalidesign d. Descriptive icomparisonidesign ANS: B Feedback A Aisurveyidesign iwillidescribeibutinotiaddressidifferences. B Experimentalidesignsiwilliallowitheiresearcheritoilookiforidifferencesibetween itheioutcomesiofitheitwoidifferentipreparationimethods. C Nonexperimentalidesignsiwillinotiallowitheiresearcheritoiansweriquestionsiabout idifferencesibetweenigroups. D Asia inonexperimentalidesign, iitiaddressesirelationshipsiamongivariablesiin igroups. DIF: Cognitive iLevel:iComprehension REF: pp. i230-231 12. Foridataicollectionitoibe ivalid, iwhatimustioccur? a. Theitoolimustibe ithorough. b. Theitoolimustibe iunbiased. c. Theitoolimustimeasure iwhatiitiisisupposeditoimeasure. d. Theitoolimustibe iaccurate ialliofithe itime. ANS: C Feedback A Thoroughnessiofithe itoolidoesinotimake iitivalid. B Aitoolishouldibe iunbiased, ibutiitiwillinotimakeiitivalid. C Foriaitoolitoibe ivalid, iitimustimeasure iwhatiitiisisupposeditoimeasure. D Theiaccuracyiofitheitooliisireferreditoiasireliability. DIF: Cognitive iLevel:iComprehension REF: p. i231 13. Aidataicollectioniprotocolicallsiforia iquestionnaire itoibe iadministereditoipatientsihavingiknee ireplacementisurgeryiafteritheithirdiphysicalitherapyiappointment. iErrorsicanibe iintroducediinto itheistudyiby a. givingitheiquestionnaire itoialliparticipants. b. readingithe iquestionnaire itoitheiparticipantsiwithipoorireadingiskills. c. givingitheiquestionnaire itoialliparticipantsiwhenitheyiarrive iforitheiriappointment. d. givingitheiquestionnaire itoithe iparticipantsiafterithe iappointmentitoibeicompleted iwhileitheyihaveia isnack. ANS: C Feedback A Givingia iquestionnaire itoialliparticipantsifollowsithe itimingiofitheiprotocol. B Readingithe iquestionnaire itoiparticipantsiwithipoorireadingiskillsifollowsithe itimingiofitheiprotocol. C Givingitheiquestionnaire itoialliparticipantsiwhenitheyiarrive iforitheiriappointment idoesinotifollowitheiprotocol;ithe iparticipanticouldifillioutithe iquestionnaire ibeforeiexperiencingithe itherapyisession. D Givingitheiquestionnaire itoitheiparticipantsiafteritheiappointmentitoibe icompleted iwhileitheyihaveia isnackifollowsithe itimingiofithe iprotocol. DIF: Cognitive iLevel:iApplication REF: p. i231 14. Whichiofithe ifollowingimustibe iincludediinitheiinformediconsentiiniresearch? a. Participantsirelinquishitheirightitoiprivacy. b. Onceiparticipantsiagreeitoiparticipate, itheyimusticomplete itheistudy. c. Participantsineeditoiknowithe ifundingisourceiforitheiresearch. d. Participantsimustibe iinformediofirisksiassociatediwithiparticipation. ANS: D Feedback A Participantsimustibe iguaranteediprivacy. B Participantsimayiwithdrawitheiriconsentiatianyitime. C Participantsidoinotineeditoiknowithe ifundingisourceiforithe istudy. D Participantsimustibe iinformediofianyirisk iinvolvediwhileiparticipating. DIF: Cognitive iLevel:iKnowledge REF: p. i234 15. Whatibodyihasibeeniestablisheditoiprotectiparticipantsiofiresearch? a. Institutionalireviewiboard b. Stateiboardiofinursing c. Nursingiresearchiboard d. Peerireviewipanel ANS: A Feedback A An iinstitutionalireviewiboardihasitheipurposeiofiprotectioniofihumanisubjects. B Theistateiboardiofinursingihasinoijurisdictionioveriresearch. C Theinursingiresearchiboardiisinotiairecognizedientity. D Theipeerireviewiprocessiisinotiuseditoiprotectiparticipantsiofiresearchistudies. DIF: Cognitive iLevel:iKnowledge REF: p. i234 16. Whatiisithe icurrentinameiofithe iagencyithatiservesiasianiimportantisourceiofifundingifor inursingiresearch? a. NIH b. NationaliInstitute iofiNursingiResearch c. NationaliCenteriforiNursingiResearch d. NationaliNursingiResearchiAgenda ANS: B Feedback A TheiNationaliInstitute iofiNursingiResearchiisithe ipartiofitheiNIHichargediwith inursingiresearch. B TheinameiofitheiagencyithatiprimarilyifundsinursingiresearchiisitheiNational iInstitute iofiNursingiResearch. C TheiNationaliCenteriforiNursingiResearchiwasitheioriginalinameiforithe iNational iInstitute iofiNursingiResearchibeforei1992. D TheiNationaliNursingiResearchiAgenda ideterminesiprioritiesiforifundingiof inursingiresearchibutidoesinotidirectlyifundinursingiresearch. DIF: Cognitive iLevel: iKnowledge REF: p. i225 MULTIPLEiRESPONSE 1. Translationaliresearch/science iwillidoiwhichiofitheifollowing? i(Selectiallithatiapply.) a. Resultiinibiomedicaliresearchibecomingilessiflexible iiniresponseitoithe ineedsiof isociety b. Limitiinterdisciplinaryiresearchibecause ithisidoesinotienhanceipatienticare c. Takeilaboratoryifindingsiforidevelopmentiforiuseiwithipatientsiatitheibedside d. Use iclinicaliresearchifindingsitoiaskinewiquestionsiforiresearchiinitheilaboratory e. Discoveripracticaliapplicationsiforiscientific itheoriesiandilaws. ANS: C, iD Feedback Correct Translationaliresearchiservesiasithe iconduitibetweenithei"benchiandithe ibedside." Incorrect Translationaliresearchiwilliresultiinimoreiflexibilityiinitakingibiomedical iresearchifindingsitoipracticaliapplications. iInterdisciplinaryiresearchiis iexpecteditoiincreaseiasimultiple idisciplinesiinvolvediiniclinicaliconcerns icaniuse itheifindingsiofithe ibenchiscientists. iDiscoveringipractical iapplicationsiforiscientific iknowledge iisiappliediscience. DIF: Cognitive iLevel:iComprehension REF: p. i223 2. Quantitative iresearchimethodsimayibe isomewhatilessiusefuliininursingibecauseiofiwhichiofithe ifollowing?i(Selectiallithatiapply.) a. Qualitative imethodsiare itheipreferredimethoditoistudyinursingiphenomena. b. Nursingiethicsirequire imoreistringenticontrolsithaniareirequiredibyiquantitative imethods. c. Manyiphenomena iofiinterestitoinursesiare inotiamenable itoistudyiinitightly icontrolledicircumstances. d. Theicomplexityiofihumanibeingsimakesiitidifficultitoibreakiproblemsiinto istatementsithaticanibe itested. e. Patientiperceptionsiofiexperiencesimayihave isignificantieffectsionitheirihealth ibehaviors. ANS: C, iD, iE Feedback Correct Nursingiproblemsiofiinteresticannotibe istudiediinilaboratoryisettings. iThe iviewiofihumanibeingsiasiholistic imakesiitidifficultitoidissectithemiinto iproblemistatementsitoibe itested. iTheimeaningiofithe iexperience itoithe ipatientimayibe iasisignificantitoihisioriheriresponseiasithe iobjective ievents ithatioccurred. Incorrect Quantitative imethodsihave ihadistatureiasitheimethodiofiinquiry. iHowever, ibothiqualitative iandiquantitative imethodsihaveimuchitoiofferitoithe istudy iofinursingiphenomena. iQuantitative imethodsiareitheimostistringentibutiare inotirequireditoistudyialliphenomenaiofiinterestitoinursing. DIF: Cognitive iLevel: iComprehension REF: p. i224 3. Evidence-basedinursingipractice iinvolvesiwhichiofitheifollowing? i(Selectiallithatiapply.) a. Theiuse iofitheibestievidenceiavailable isupportingitheiinterventions b. Theiuse iofirandomizedicontrolleditrialsionlyiversusiqualitative istudies c. Theiexpertiseiofithe iprofessionalinurse d. Resourcesitoiidentifyipracticesithatihaveitraditionallyibeeniusediininursingipractice e. Theipreferencesiofithe iindividualipatientsianditheirifamilies ANS: A, iC, iE Feedback Correct Focusingionithe ievidence iofithe ieffectivenessiofitheiinterventioniprevents itheinurse ifromibasingicareion itraditionioriroutine. iExpertise iofithe inurse iallowsitheinurseitoiquestionitheibestiwayitoidoisomethingianditoiseek iinformationitoianswerithe iquestion. iPatientipreferenceiisistilliimportantiif itheiintervention iisitoibeisuccessful. Incorrect Randomizedicontrolleditrialsimayibeithe i"goldistandard"iforiproviding ievidence iofieffectiveness, ibutitheyiare inotitheionlyimethoditoistudyipatient iproblems. iResourcesishouldibe iuseditoifindithe ibestievidence itoisupport inursingipractice, inotiwhatinursesihave idoneitraditionally. DIF: Cognitive iLevel:iComprehension REF: p. i227 4. Ainurse iwantsitoiexamine itheiaccuracyiofichildiandiparentiperceptionsiofiasthmaisymptoms ianditheiridecisionimakingibasedionitheiriunderstandingiofithe isymptoms. iWhatispecific ifactors iwouldiidentifyiparticipants?i(Selectiallithatiapply.) a. Childreni5itoi18iyearsiofiage b. Mothersiofithe ichildren c. Childreniwithia ihistoryiofipneumonia d. Familiesilivingiiniruraliareas e. Ethnicity ANS: A, iB Feedback Correct Childreni5itoi18iyearsiofiage ianditheirimothersiaddressithe iparticipants iidentifiediinitheiproblem. Incorrect Thereiisinoimentionithatitheichildrenineededitoihave ihadipneumonia. iAlthoughia iresearchericouldilimitiparticipantsibasedionigeographic ilocationiandiethnicity, ithese iareinotimentionediinitheidescriptioniofithe iparticipantsineedediforithisistudy. DIF: Cognitive iLevel:iApplication REF: p. i234 5. Disseminationiofifindingsimayiinvolve iwhichiofitheifollowingiactivities?i(Selectiallithat iapply.) a. Manuscriptireviewedibyipeers b. Oralipresentationiofifindingsiatiannualiconference iofitheiSocietyiofiPediatric iNurses c. Posteripresentationiatiregionaliconference iofiSigma iThetaiTauiInternational d. PublicationiofifindingsiiniWesterniJournaliofiNursingiResearch e. PowerPointislidesidevelopedishowingichartsiandigraphsiofithe istatisticaliresults ANS: A, iB, iC, iD Feedback Correct Theidisseminationiofifindingsiinvolvesitheipublicationiand/oripresentation iofithe iresultsisoithatitheyiareiavailable itoiothers. Incorrect AiPowerPointipresentationimayibeipartiofipreparationiforipublicationior ipresentation, ibutiitidoesinotidisseminate itheifindingsiiniitselfiunlessishown ioridiscussediwithiotheriprofessionals. DIF: Cognitive iLevel:iComprehension REF: p. i235 Chapteri12:iConceptualiandiPhilosophicaliBasesiofiNursing TestiBank MULTIPLEiCHOICE 1. Whoiisicreditediwithidevelopingithe itheoryionisystems? a. Rogers b. Maslow c. Rosenstock d. voniBertalanffy ANS: D Feedback A CarliRogersidevelopedia itheoryiofipersonhood. B AbrahamiMaslowidevelopedia ihumanineedsitheory. C I. iM. iRosenstockidevelopedia ihealthibeliefimodel. D LudwigivoniBertalanffyidevelopedithe itheoryiofisystems. DIF: Cognitive iLevel:iKnowledge REF: p. i240 2. Whichiofithe ifollowingiisitrueiofiopenisystems? a. Theyihave iveryilittleiinteractioniwithitheienvironment. b. Partsiare iindependentiofieachiother. c. Exchangeiofiinformationiisisporadic iandiintermittent. d. Theiwholeiisigreaterithanitheisumiofialliofiitsiparts. ANS: D Feedback A Openisystemsiinteractiwithithe ienvironment. B Partsiofia isystemiare iinterrelated. C Theiexchangeiofiinformationiisicontinuousiandidynamic. D Inisystemsithe iwhole iisigreaterithanithe isumiofialliofiitsiparts. DIF: Cognitive iLevel:iComprehension REF: pp. i241-242 3. Dynamic ibalanceibetweenisystemsianditheiripartsiisicalled a. synergy. b. homeostasis. c. inertia. d. suprasystems. ANS: B Feedback A Synergyioccursiwheniallipartsiofithe isystemiareiworkingicollaboratively. B Theidynamicibalance iwithiniandibetweeniopenisystemsianditheirisuprasystemsiis ihomeostasis. C "Inertia"iisia itermiiniphysicsithatidescribesitheitendencyiofimatteritoicontinueiin iitsicurrentistate, iwhetherimovingioriresting. D Suprasystemsiare itheisystemiandialliofiitsisubsystems. DIF: Cognitive iLevel:iKnowledge REF: p. i242 4. Aihomelessimanisleepsion iaiparkibenchiandieatsioneimealia idayiatia ishelter. iWhichiisithe ilowestileveliofiMaslow'sibasic ineedsihe idoesinotimeet? a. Basiciphysiologic ineeds b. Safetyineeds c. Love iandibelongingineeds d. Esteemineeds ANS: A Feedback A Althoughihe iisigettingifood, ioxygen, iandirest, ihe idoesinotihave ishelter. iThisiis iMaslow'silowestileveliofineeds. B Maslowiidentifieditheisecondileveliofineedsiasisafetyineeds, iwhichiinclude iphysicaliandipsychologicalisafety. iBasiciphysiologicineedsimustibe imetibefore itheiperson icanimeetihigheriorderineeds. C Maslowiidentifieditheithirdileveliofineedsiasilove iandibelonging. iBasic iphysiologic ineedsimustibe imetibeforeithe ipersonicanimeetihigheriorderineeds. D Maslowiidentifieditheifourthileveliofineedsiasitheineediforiself-esteem. iBasic iphysiologic ineedsimustibe imetibeforeithe ipersonicanimeetihigheriorderineeds. DIF: Cognitive iLevel:iComprehension REF: p. i243 5. An i18-month-oldichildihasibeeniinithreeifosterihomesiwithinithe ipasti9imonths. iWhenitheichild iisiseeniforia iwell-childivisit, itheinurse inoticesitheichildivigilantlyiwatchesieveryone. iThisichild imayinotihave iwhichiofiMaslow'sibasic ineedsimet? a. Basiciphysiologic ineeds b. Safetyineeds c. Love iandibelongingineeds d. Self-actualization ANS: B Feedback A Maslowiidentifieditheifirstileveliofineedsiasithoseinecessaryiforiphysiologic isurvival. iThe ichildiappearsitoihave itheseineedsimet. B Maslowiidentifieditheisecondileveliofineedsiasisafetyineeds, iwhichiinclude iphysicaliandipsychologicalisafety, iasiwelliasisecurity. iThe ichildidoesinotiappear itoihave ithese ineedsimet. C Maslowiidentifieditheithirdileveliofineedsiasilove iandibelonging. iTheisafety ineedsimustibeimetibeforeia ipersoniattemptsitoimeetihigherilevelineeds. D Maslowiidentifieditheififthileveliofineedsiasiself-actualization. iTheisafetyineeds imustibe imetibeforeia ipersoniattemptsitoimeetihigherilevelineeds. DIF: Cognitive iLevel:iComprehension REF: p. i243 6. Whichiofithe ifollowingidescribesione iofitheifive ilevelsiofihumanineedsiidentifiedibyiMaslow? a. Equilibration b. Love iandibelonging c. Growthiandidevelopment d. Adaptation ANS: B Feedback A Equilibrationiisia istage iofiCarliRogers'sitheoryiofipersonhood. B Love iandibelongingiisitheithirdileveliofiMaslow'sibasic ineedsitheory. C GrowthiandidevelopmentiisinotiaileveliofihumanineedsiaccordingitoiMaslow. D AdaptationiisifromiCarliRogers'sitheoryiofipersonhood. DIF: Cognitive iLevel:iKnowledge REF: p. i244 7. Aischool-agedichildiwithispinaibifida iusesiaiwheelchair, iattendsischool, iandiisiactively iinvolvediiniScoutingiandiscienceiclub. iThisichildiisimeetingiwhichiofiMaslow'sibasic ineeds? a. Safetyineeds b. Love iandibelongingineeds c. Esteemineeds d. Self-actualization ANS: B Feedback A Maslowiidentifieditheisecondileveliofineedsiasisafetyineeds, iwhichiinclude iphysicaliandipsychologicalisafety, iasiwelliasisecurity. B Maslowiidentifieditheithirdileveliofineedsiasilove iandibelonging. iThisichildihas idemonstrateditheisocialirelationshipsiandigroupiaffiliations. C Maslowiidentifieditheifourthileveliofineedsiasitheineediforiself-esteem. iLower iorderineedsineeditoibe ifulfilledibeforeimeetingihigheriorderineeds. D Maslowiidentifieditheififthileveliofineedsiasiself-actualization. iLoweriorderineeds ineeditoibe ifulfilledibeforeimeetingihigheriorderineeds. DIF: Cognitive iLevel:iComprehension REF: p. i244 8. An iadultihasidifficultyiinitiatingia iconversation, iandiiniworkingiwithiothersialwaysiagreesiwith ithemibecausei"Myiopinioniisinotiimportant."iWhichiofiMaslow'sibasic ineedsiisinotibeingimet ibyithisiperson? a. Basiciphysiologic ineeds b. Love iandibelongingineeds c. Esteemineeds d. Self-actualization ANS: C Feedback A Maslowiidentifieditheifirstileveliofineedsiasithoseinecessaryiforiphysiologic isurvival. iThere iisinoiinformationithatithisipersoniisinotimeetingitheseineeds. B Maslowiidentifieditheithirdileveliofineedsiasilove iandibelonging. iThereiisino iinformationithatithisiperson iisinotimeetingithese ineeds. C Maslowiidentifieditheifourthileveliofineedsiasitheineediforiself-esteem. iThis iindividualidoesinotidemonstrate ia isense iofiself-worthiandiself-respect. D Maslowiidentifieditheififthileveliofineedsiasiself-actualization. iTheiloweriorder ineediofiself-worthiandiself-respectimustibeimetibeforeiattemptingitoimeetithe ineedsiatithisilevel. DIF: Cognitive iLevel:iComprehension REF: p. i244 9. Whichiofithe ifollowingiisitrueiofiMaslow'sibasic ineediofiself-actualization? a. Onceiself-actualizationiisiachieved, iitiisineverilost. b. Elderlyipeopleioutgrowithe ineediforiself-expressioniandiself-development. c. Mostipeopleiachieve iself-actualizationiafterialliotherineedsiareimet. d. Peopleiuse itheiriabilitiesitoitheifullestiextentipossible iandiareitrueitoitheirinature. ANS: D Feedback A Peopleidoinotistayiinia istateiofiself-actualizationibutimayihave ipeakiexperiences ithatilastiforisome iperiodiofitime. B Maslowifeltithatipeopleineverioutgrewithe iinnate ineediforiself-expressioniand iself-development, iregardlessiofiage. C Maslowibelievedithatimanyipeopleistrive iforiself-actualization, ibutifew iconsistentlyireachitheilevelieveniifitheyihave iachievedithe iotherilevels. D Self-actualizedipeopleihave irealizeditheirimaximumipotential. DIF: Cognitive iLevel:iComprehension REF: p. i244 10. Aipatient'sispouse iandisoniwere irecentlyikillediinianiautomobile iaccident, ianditheipatient's ipositioniinia ilarge icompanyihasibeenieliminatedidueitoicorporateireorganization. iThe ipatient istates, i"IidoinotithinkiIicanihandleithis." iTheinurse icouldisafelyimakeithe iassumptionithat a. theipatientiwillisoonidevelopiclinicalidepression. b. theipatientineedsihospitalizationitoifosteriadaptation. c. environmentalifactorsimayihave ia inegativeiimpactionithisiperson'sihealth. d. self-careiwilliassure ithe ipatient'siabilityitoireadjust. ANS: C Feedback A Multiple ichangesiinia iperson'sienvironmentidoinotialwaysiresultiinidepression. B Adaptationicanibe ifosterediwithoutihospitalization. C Multiple ichangesiinia iperson'sienvironmentimayiaffectihealth. D Self-careiisiimportant, ibutithe ipatientimayineedifurtheriassistance. DIF: Cognitive iLevel:iApplication REF: p. i245 11. Theinurse iisiinterviewingithe imotheriofia ischool-agedichild. iTheimotheristatesithatitheirifamily iconsistsiofiherself, iherison, ia ifemale ifriend, ianditwoifosterichildren. iOne igrandparentilivesiin ianothericity, iandione ilivesiwithinitwoiblocksiofithem. iAsitheinurseiworksiwithithisifamily, iwhatiimplicationiisiimportantitoiinclude? a. Asia isingleiparent, ithe imotherihasimultipleirolesitoifilliandiwillibecome istressed. b. Asianiextendedifamily, iallithe ichildreniwillireceive iattentionifromiseveraliadults. c. Thisichildiwillilackimaleiattentionibecauseihe ilivesiinia isingle-parentifamily. d. Theiqualityiofifamilyilifeiwillibe iinfluencedibecause itheyiareinotia itraditional ifamily. ANS: B Feedback A Althoughitheimotheridoesihave imultiple irolesitoifill, ishe iseemsitoihave ia isupport isystemitoihelpiherimanage iherimultiple irolesisuccessfully. B Theichildrenilive iinia ihouseholdiwithitwoiadultsiandihave ia igrandparentiwithin itwoiblocks. C Thereiisinothingitoiindicate ithatitheichildreniwillinotihave ia imaleipresence, iespeciallyiifitheigrandparentsiare imen. D Qualityiofifamilyilifeicanibe iachievediinia ivarietyiofifamilyistructures. DIF: Cognitive iLevel:iApplication REF: p. i245 12. Familyistructuresihave iexperiencedichangeiinitheisecondihalfiofitheitwentiethicentury. iWhatiis itheimostidramatic idifference iseeniinifamiliesitoday? a. Increasediincidence iofisingle-parentifamilies b. Reemergenceiofilarge, iextendedifamilies c. Increasediincidence iofinuclearifamilies d. Nuclearifamiliesimovingicloseritoiextendedifamilies ANS: A Feedback A Thereiareimoreisingle-parentifamiliesiinitheiUnitediStatesithanieveribefore, iand imostiareiheadedibyiwomen. B Withiincreasedimobility, ilarge iextendedifamiliesiareidecreasing. C Theinumberiofinuclearifamiliesiisialsoidecreasing. D Nuclearifamiliesiareimovingiawayifromiextendedifamilies. DIF: Cognitive iLevel:iKnowledge REF: p. i246 13. Ainurse iisicaringiforia inewimotherifromiSoutheastiAsia. iTheinurse iisiconcernedithatiexceptifor ibreastfeeding, ithe imotheriallowsiherimother-in-lawitoiprovideialliothericareiforithe ibaby. iThe iplanioficareiandipatientiteachingiforithisimotherishouldiinclude a. assessingitheipostpartumipracticesiinihericountryiofiorigin. b. assumingithatithe imother-in-lawiwillicare iforithe ibabyiwellisinceishe iis iexperienced. c. completingithe iteachingioutlinediforinewimothers. d. askingitheimother-in-lawinotitoicare iforitheibabyisoithatithe imotherilearnsithe icare. ANS: A Feedback A Theiinformationigainediwilliassistitheinurseitoiplanianiindividualizediplaniof icare, iincludingiculturalibeliefs. B Theinurse idoesinotiknowihowilongitheimother-in-lawiwillicareiforitheibabyiand iwhatithisimeansiforithe ifuture. C Completingitheiroutineiteachingimayinotibeiappropriate iforithisimother. D Askingitheimother-in-lawinotitoicareiforitheibabyimayibe iinioppositionitoitheir iculturalibeliefs. DIF: Cognitive iLevel:iApplication REF: p. i246 14. Ainurse iisiassessingia ipatient'sileveliofisocialisupport. iHowicanitheinurseibestidetermine ithe iadequacyiofitheipatient'sisocialisupportisystem? a. Noticingithe inumberiofivisitorsithe ipatientihas b. Askingiforitheipatient'siperceptioniofisupport c. Countingitheinumberioficommunityigroupsiwithiwhichithe ipatientiisiinvolved d. Assessingithe ipatient'sifamilyistructure iandiroles ANS: B Feedback A Theiadequacyiofisupporticanibe ideterminedionlyibyithe ipersonihimselfioriherself. iNumbersialoneidoinotiindicate isupportiorilackiofisupport. B Theiadequacyiofisupporticanibe ideterminedionlyibyithe ipersonihimselfioriherself. C Theinumberioficommunityigroupsiwithiwhichitheipatientiisiassociatediisinotithe ibestiwayitoidetermine itheipatient'sisupport. D Assessingifamilyistructureiandirolesiwilliprovideihelpfuliinformationibutiisinot itheibestiwayitoiassessithe iadequacyiofitheipatient'sisupportisystem. DIF: Cognitive iLevel:iComprehension REF: p. i247 15. Howicaninursesicontribute itoia ihealthierienvironment? a. Supportingitheipurchase iofipolyvinylichloridei(PVC)iproducts b. Teachingithe ibenefitsiofiusingidisposable idiapersitoinewiparents c. Recommendingithe ipurchaseiofinondisposable iproductsiwhenipossible d. Leavingitheicomputerionitoireduceithe ielectricaliuseiofirebooting ANS: C Feedback A PVCiproductsidamageithe ienvironment. B Theiuse iofidisposable idiapersiaddsitoisolidiwaste, ianditheyiare inotieasily ibiodegradable. C Theiuse iofiproductsithaticanibe iusediagainidecreasesithe iwasteiproduced. D Moreienergyiisiconservedibyiturningiofficomputers. DIF: Cognitive iLevel:iApplication REF: pp. i249-250 16. Whichiofithe ifollowingiisitheiWorldiHealthiOrganization'sidefinitioniofi"health"? a. Peopleiiniharmonyiwithienvironment b. Aistateiofioptimumifunctioningiforianiindividualiinithe iperformance iofirolesiand itasks c. Physical, imental, iandisocialiwell-being, inotijustitheiabsenceiofidisease ioriinfirmity d. Functioningiatimaximumipotentialiwithitheienvironment ANS: C Feedback A JaniChristianiSmutsiintroduceditheitheoryiofihealthiasimaniiniharmonyiwithihis ienvironment. B “Theistateiofioptimumicapacityiofianiindividualiforithe ieffective iperformanceiof ihisirolesianditasks” iisiParson’sidefinitioniofihealth. C TheiWorldiHealthiOrganization'sidefinitioniofihealthiisi"a istateioficomplete iphysical, imentaliandisocialiwell-beingiandinotimerelyitheiabsence iofidiseaseior iinfirmity." D FunctioningiatimaximumipotentialiwithitheienvironmentiisiDunn'sitheoryiof ihealth. DIF: Cognitive iLevel:iKnowledge REF: p. i250 17. Whatiisianiadvantage iofitheiholisticiviewiofihealthivaluedibyinurses? a. Alteringianiindividual'sihealthibeliefsitoipromote ihealth b. Identifyingia istate iofioptimaliroleifunctioning c. Focusingionithe iinterrelationshipiofiallipartsiofia iwholeiperson d. Emphasizingithe ienvironment ANS: C Feedback A Holismihasinothingitoido iwithialteringihealthibeliefs. B Holismiisimore ithanijustioptimaliroleifunctioning. C Wheniviewingihealthiholistically, iindividualihealthipracticesiareitakeniinto iaccountialongiwithiotheriaspectsiofithe iindividual. D Holismiseesithe ienvironmentiasipartiofitheipersoniandicontributingitoihisioriher ihealth. DIF: Cognitive iLevel:iComprehension REF: p. i250 18. Whichiofithe ifollowingiisitheiprimaryifocusiofiHealthy iPeoplei2020? a. Improvingithe ihealthiofiindividuals b. Improvingithe ihealthiofichildren c. Improvingithe ihealthiofifamilies d. Improvingithe ihealthioficommunities ANS: D Feedback A Improvingithe ihealthiofiindividualsiisionlyia ipartiofithe iprimaryifocusiofiHealthy iPeoplei2020. B Improvingithe ihealthiofichildreniisionlyia ipartiofitheiprimaryifocusiofiHealthy iPeoplei2020. C Improvingithe ihealthiofifamiliesiisionlyiaipartiofitheiprimaryifocusiofiHealthy iPeoplei2020. D HealthyiPeoplei2020ishifteditheifocusifromiindividualsitoitheihealthiof icommunities. DIF: Cognitive iLevel:iKnowledge REF: pp. i251-252 19. An iadultiwearsia ihelmetiwheniridingia ibicycleibecauseihe ibelievesithatihisicyclingiskillsimight inotipreventianiaccident, iwhichicouldiresultiinia iheadiinjuryiwithiseriousiconsequences. iWhich icomponentiofitheihealthibeliefsimodeliisithisipersonidemonstrating? a. Knowledge ithaticyclingiisigoodiexercise iandiimprovesihealth b. Perceptioniofivulnerabilityitoiheadiinjuryifromia ibicycle iaccident c. Concerniaboutihisicyclingiskills d. Beliefithatiindividualsishouldipreventiinjuries ANS: B Feedback A Knowledge iofipracticesitoiimprove ihealthiisinotipartiofitheihealthibeliefsimodel. B Theihealthibeliefsimodelihasiasione icomponentitheievaluationiofione's ivulnerabilityitoiaiconditioniandithe iseriousnessiofithaticondition. C Concerniaboutiskillsiisinotipartiofitheihealthibeliefsimodel. D Theibeliefithatiindividualsishouldipreventiinjuriesiisinotipartiofithe ihealthibeliefs imodel. DIF: Cognitive iLevel:iComprehension REF: p. i253 20. Bandura'sitheoryiofiself-efficacyidescribedipeople'siresponse itoihealth-relatedibehaviors. iWhichiofithe ifollowingiwasia imajoripremiseiofithisitheory? a. Patientsiwillitakeiresponsibilityiforitheirihealthiifitheyiunderstanditheirisksiand ibenefits. b. Ai"cueitoiaction" iisia ipowerfulimotivatoriforichangingihealthibehavior. c. Beliefiiniselfiasihavingithe iabilityitoiimprove ihealthiisiimportantiinichangingihealth ibehaviors. d. Healthiisigeneticallyipredeterminediandicannotibe iinfluencedibyianiindividual's iactionsioribeliefs. ANS: C Feedback A Understandingithe iriskidoesinotialwaysimotivate ipatientsitoichange itheir ibehavior. B Ai"cueitoiaction" iwasidescribedibyiRosenstockiasiaimotivatingifactoriinichanging ibehavior. C Bandura'sitheoryiofiself-efficacyistatesithatibeliefiinione'siself-efficacyileadsito ieffortsitoichange. D Banduraibelieved ithatiindividualsicouldichange itheirihealthipracticesiifithey ibelieveditheyicould. DIF: Cognitive iLevel:iComprehension REF: p. i253 21. Whichistatementibyianiobese iindividualicouldibe iassessediasiperceivingiself-efficacy? a. "I've ineveribeeniableitoilose iweightion ianyidiet." b. "It'sibetteritoimaintainione'siweightithaniloseiweightiandigainiitialliback." c. "I'llibe iallirightiasilongiasimyispouse iwillistayion itheidietiwithime." d. "IibelieveiIicanistayionithisidietiasilongiasinecessary." ANS: D Feedback A Theipersonisayingi"I've ineveribeeniable itoiloseiweightion ianyidiet"idoesinot ireflectitheibeliefithatione iisiableitoichange ihisioriheriownibehaviors. B Theipersonisayingi"It'sibetteritoimaintainione'siweightithanilose iweightiandigain iitialliback" idoesinotireflectitheibeliefithationeiisiableitoichange ihisioriheriown ibehaviors. C Theipersonisayingi"I'llibe iallirightiasilongiasimyispouse iwillistayionithe idietiwith ime"idoesinotireflectitheibeliefithatione iisiableitoichangeihisioriheriownibehaviors. D Self-efficacyiisia iperson'sibeliefithatihe iorisheihasithe iabilityitoimodifyihisioriher iownibehavioritoiimprove ihealth. DIF: Cognitive iLevel:iApplication REF: p. i253 22. Whichiofithe ifollowingiisibelievediaboutitheiconceptiofilocusioficontrol? a. Internallyicontrolledipeopleisee ithemselvesiasiresponsible iforitheirihealthiand iamenable itoichange. b. Externallyicontrolledipeopleibelieve ihealthiisicontrolledibyiwhatitheyido. c. Internallyicontrolledipeopleibelieve ihealthiisicontrolledibyienvironmentalifactors. d. Externallyicontrolledipeopleiareinotilikelyitoichange itheirihealthibehaviors. ANS: A Feedback A Peopleiwithiinternalilocusioficontrolibelieve ithatitheyicontrolitheirihealthiand ihaveithe iabilityitoichangeitheiribehaviors. B Externallyicontrolledipeopleibelieve itheyiareicontrolledibyiexternaliforces. C Internallyicontrolledipeopleibelieve ithatitheyicontrolihealth. D Externallyicontrolledipeopleicanichange ihealthibehaviors, ibutithe istimulusitoido isoiwillicomeifromioutsideiofithemselves. DIF: Cognitive iLevel:iComprehension REF: pp. i253-254 23. Whichione iofithe ifollowingiguidingiprinciplesihelpsiexplaininursing'siholistic iapproach? a. Nursingicareicanibe iprovidediinia ivarietyiofisettings. b. Nursingicareipersistsieveniinithe iabsenceiofiscientific iresearch. c. Nursingicareiconsidersimind, ibody, iandispirit. d. Nursingiprovidesicareiregardlessiofia ipatient'sibeliefisystemsioriculture. ANS: C Feedback A Holistic icareicanibe iprovidediinianyisetting. B "Nursingicareipersistsieveniinitheiabsenceiofiscientific iresearch"idoesinotiaddress itheimeaningiofiholism. C Holistic inursingiconsidersithe iwhole iperson:ibody, imind, iandispirit. D Nursingicareialwaysistrivesitoiconsideriaiperson'sicultureiandibeliefisystem. DIF: Cognitive iLevel:iComprehension REF: p. i255 24. Theinursingiprocessiisianiexampleiofiwhichiofithe ifollowingibranchesiofiphilosophy? a. Aesthetics b. Ethics c. Epistemology d. Logic ANS: D Feedback A Aestheticsiisithe istudyiofiwhatiisibeautiful. B Ethicsidealsiwithistandardsioficonduct. C Epistemologyidealsiwithitheinatureiofiknowledge iitself. D Theinursingiprocessiisianiexample iofiorderedithinkingiandireasoningiknownias ilogiciandireasoning. DIF: Cognitive iLevel:iComprehension REF: p. i261 MULTIPLEiRESPONSE 1. Whichiofithe ifollowingiare iconsideredisystems?i(Selectiallithatiapply.) a. Automobile iengine b. Person c. Rock d. Hospital e. Family ANS: A, iB, iD, iE Feedback Correct An iautomobile iengine, ia iperson, ia ihospitaliandia ifamilyiexhibitithe icomponentsiofia isystem:iinput, ioutput, ithroughput, ievaluation, iand ifeedback. Incorrect Airockidoesinotihave itheicharacteristicsiofiaisystem, isuchiasiinputiand ioutput. DIF: Cognitive iLevel:iComprehension REF: p. i241 2. Nursesirecognize iwhichiofithe ifollowingiaboutihealth?i(Selectiallithatiapply.) a. Individualsidesiringitoichange itheiribehaviorsiareialreadyimotivateditoichange. b. Theiburdeniofichange iisiborne ibyitheiindividual. c. Healthiisirelative iandieverichanging. d. Multiple iinterventionsiareinecessaryitoichange ihealthibehaviors. e. Unhealthyibehaviorsimayipersistiinispiteiofiincreasediknowledge. ANS: C, iD, iE Feedback Correct Nursesirecognize ithatihealthiisirelative iandieverichanging, imultiple iinterventionsiare inecessaryitoichange ihealthibehaviors, iandithatiunhealthy ibehaviorsimayipersistiinispiteiofiincreasediknowledge. Incorrect Individualsimayidesireichange ibutinotihaveitheiknowledge, imotivation, iself-efficacy, iorisupportitoichange. iThe iburdeniofichange iisisharedibyithe ipatient, ihealthicareiproviders, iandipopulation-focusedientities. DIF: Cognitive iLevel:iComprehension REF: p. i254 Chapteri13:iNursingiTheory:iTheiBasisiforiProfessionaliNursing TestiBank MULTIPLEiCHOICE 1. Whichiofithe ifollowingibestidescribesitheimeaningiofitheitermi"theory"? a. Aisetiofibeliefsiaboutithe inatureiofihowithingsiworkiandihowithe iworldishouldibe iviewed b. Aigroupiofirelatediconcepts, idefinitions, iandistatementsithatidescribeia icertainiview iofinursingiphenomena ifromiwhichitoidescribeioripredictioutcomes c. An iorganizationalistructureithatioutlinesiconcrete iconnectionsibetweeniconcepts d. Statementsithatidescribeilinkagesibetweeniconceptsiandipropose ia itestable ioutcome ANS: B Feedback A "Aisetiofibeliefsiaboutitheinature iofihowithingsiworkiandihowithe iworldishould ibe iviewed"iisitheidefinitioniofi"philosophy." B "Aigroupiofirelatediconcepts, idefinitions, iandistatementsithatidescribe ia icertain iviewiofinursingiphenomenaifromiwhichitoidescribe ioripredictioutcomes"iisithe idefinitioniofi"theory." C "Aniorganizationalistructureithatioutlinesiconcrete iconnectionsibetween iconcepts" iisitheidefinitioniofi"conceptualiframework." D "Statementsithatidescribeilinkagesibetweeniconceptsiandipropose ia itestable ioutcome"iisithe idefinitioniofi"propositions." DIF: Cognitive iLevel:iKnowledge REF: p. i266 2. Whichicomponentiofinursingitheoryidescribesia itestable ioutcome? a. Conceptualimodel b. Proposition c. Framework d. Metaparadigm ANS: B Feedback A Aiconceptualimodeliprovidesianiorganizationalistructure, inotia itestable ioutcome. B Aipropositionidescribesianioutcome ithatiisitestable iiniresearchioripractice. C Aiframeworkiisianotherinameiforiconceptualimodel. D Aimetaparadigmiconsistsiofithe imajoriconceptsiofitheidiscipline. DIF: Cognitive iLevel:iKnowledge REF: p. i267 3. Aibroad, igeneraliviewiofinursingithaticlarifiesivaluesiandianswersibroadidisciplinaryiquestions iforinursingiisiknowniasia a. conceptualimodel. b. metaparadigm. c. philosophy. d. theory. ANS: C Feedback A Aiconceptualimodeliisia ibroadlyidefinediconceptiinianiorganizedisystemito iprovideia ifocusiforitheiintegrationiandiinterpretationiofiinformation. B Theimetaparadigmiisithe ifouriconceptsiofiperson, ihealth, ienvironment, iand inursing. C Aiphilosophyiisiaisetiofibroadibeliefsiaboutitheinatureiofihowithingsiwork iand ihowitoiviewithe iworld. D Aitheoryiisia igroupiofirelatediconcepts, idefinitions, iandistatementsithatipropose ia iviewiofiphenomena itoidescribe, iexplain, ioripredictioutcomes. DIF: Cognitive iLevel:iComprehension REF: p. i267 4. Aispecific iorganizationalistructureithatimakesicleariconnectionsibetweeniconceptsiisia a. conceptualimodel. b. metaparadigm. c. philosophy. d. theory. ANS: A Feedback A Aiconceptualimodeliisia ibroadlyidefinediconceptiinianiorganizedisystemito iprovideia ifocusiforitheiintegrationiandiinterpretationiofiinformation. B Theimetaparadigmiisithe ifouriconceptsiofiperson, ihealth, ienvironment, iand inursing. C Aiphilosophyiisiaisetiofibroadibeliefsiaboutitheinatureiofihowithingsiwork iand ihowitoiviewithe iworld. D Aitheoryiisia igroupiofirelatediconcepts, idefinitions, iandistatementsithatipropose ia iviewiofiphenomena itoidescribe, iexplain, ioripredictioutcomes. DIF: Cognitive iLevel:iComprehension REF: p. i267 5. Aigroupioficonceptsiandipropositionsithatidescribeilinkagesibetweenithe iconceptsiisia a. conceptualimodel. b. metaparadigm. c. philosophy. d. theory. ANS: D Feedback A Aiconceptualimodeliisia ibroadlyidefinediconceptiinianiorganizedisystemito iprovideia ifocusiforitheiintegrationiandiinterpretationiofiinformation. B Theimetaparadigmiisithe ifouriconceptsiofiperson, ihealth, ienvironment, iand inursing. C Aiphilosophyiisiaisetiofibroadibeliefsiaboutitheinatureiofihowithingsiwork iand ihowitoiviewithe iworld. D Aitheoryiisia igroupiofirelatediconcepts, idefinitions, iandistatementsithatipropose ia iviewiofiphenomena itoidescribe, iexplain, ioripredictioutcomes. DIF: Cognitive iLevel:iComprehension REF: p. i267 6. An ioverridingiprinciple iofiNightingale'siwritingsioninursingidealtiwithiwhichiaspectiof inursing? a. Theirelationshipibetweeninurses, iphysicians, iandisociety b. Theirelationshipibetweenipatients, ihealth, iandienvironment c. Theirelationshipibetweeniillnessiandihealthipractices d. Theirelationshipibetweenihospitals, inurses, iandipatients ANS: B Feedback A Theirelationshipibetweeninurses, iphysicians, iandisocietyidoesinotireflect iNightingale'siphilosophy. B Nightingale'siphilosophyiwasisensitive itoitheieffectiofitheienvironmentionithe ipatient'sihealthiandirecovery. C Theirelationshipibetweeniillnessiandihealthipracticesidoesinotireflect iNightingale'siphilosophy. D Theirelationshipibetweenihospitals, inurses, iandipatientsidoesinotireflect iNightingale'siphilosophy. DIF: Cognitive iLevel:iKnowledge REF: p. i269 7. Theinurse iadjustsitheipatient'siroomitoiallowitheipatientitoisee itheisunlight ioutithe iwindowiand ichecksithe ipatient'sidietitrayitoiensure ia ibalancedidiet. iTheinurse icouldibe ibasingicareionithe iphilosophyiof a. Henderson. b. Nightingale. c. Roy. d. Watson. ANS: B Feedback A Hendersoniidentifiedi14ibasic ineedsiasia igeneralifocusiforipatienticare. iShe iproposedithatithese ineedsishapedithe ifundamentalielementsiofinursingicare. B Nightingale ibelievedithatithe ihealthiofipatientsiwasirelateditoitheirienvironment. iShe irecognizeditheiimportance ioficleaniairiandiwater, iadequateiventilationiand isunlight, iaibalancedidiet, iandicleanliness. C Royifocusedionithe iindividualiasia ibiopsychosocialiadaptiveisystemiand idescribedinursingiasia ihumanistic idisciplineithatiemphasizedithe iperson's iadaptiveiabilities. D Watson'sicarative ifactorsiguide inursesiwhoiuseitranspersonalicaringiinipractice. iShe ibelievesithatinursesihave ithe iresponsibilityiforicreatingiandimaintainingian ienvironmentisupportingihumanicaringiwhileirecognizingiandiprovidingifor ipatients' iprimaryihumanirequirements. DIF: Cognitive iLevel:iApplication REF: p. i269 8. Whichicontemporaryinursingitheoristiisibestiknowniforiheridefinitioniofinursingithatidescribes itheinurse'siroleiasia isubstitute iforitheipatientiandiasia ihelperiandipartneritoitheipatient? a. Orem b. Henderson c. Watson d. King ANS: B Feedback A Oremidescribeditheiself-careitheory. B Henderson'sitheoryiofinursingidescribeditheinurse'sirole iasithatiofia isubstitute ifor itheipatient, ia ihelperiforitheipatient, ioria ipartneriwithithe ipatient. C Watson'sitheoryiwasibasedion icaring. D King'sitheoryiwasiofiinteractingisystems. DIF: Cognitive iLevel:iKnowledge REF: p. i269 9. Whichiofithe ifollowingihumanineedsiwasinotiincludediiniHenderson'si14ibasicineedsiof ipatients? a. Neediforiwork b. Sleepiandirest c. Spirituality d. Sexuality ANS: D Feedback A Theineediforiwork iwasilistediasione iofithe idevelopmentalineeds. B Sleepiandirestiwere ilistediasione iofithe ifirstinineibasic ineeds. C Spiritualityiwasilistediasione iofithe ipsychosocialineeds. D Hendersonididinotiincludeisexualityiinithe i14ibasic ihumanineeds. DIF: Cognitive iLevel:iKnowledge REF: p. i271i| iBoxi13-3 10. Theinurse iassistsithe ipatientiwithia ibathiinitheimorningibecauseithe ipatientihasia icastionione ihandiandianiintravenousilineiinitheiother. iTheinurse icouldibe ibasingicareionithe iphilosophyiof a. Henderson. b. Nightingale. c. Roy. d. Watson. ANS: A Feedback A Hendersoniidentifiedi14ibasic ineedsiasia igeneralifocusiforipatienticare. iShe iproposedithatithese ineedsishapedithe ifundamentalielementsiofinursingicare. iOne iofithese ineedsiisitoikeepitheibodyiclean, iandithe inurse iisiassistingitheipatientito imeetithisineedibecauseithe ipatientiisiunableitoiperformithe ifunctionialone. B Nightingale ibelievedithatithe ihealthiofipatientsiwasirelateditoitheirienvironment. iShe irecognizeditheiimportance ioficleaniairiandiwater, iadequateiventilationiand isunlight, iaibalancedidiet, iandicleanliness. C Royifocusedionithe iindividualiasia ibiopsychosocialiadaptiveisystemiand idescribedinursingiasia ihumanistic idisciplineithatiemphasizedithe iperson's iadaptiveiabilities. D Watson'sicarative ifactorsiguide inursesiwhoiuseitranspersonalicaringiinipractice. iShe ibelievesithatinursesihave ithe iresponsibilityiforicreatingiandimaintainingian ienvironmentisupportingihumanicaringiwhileirecognizingiandiprovidingifor ipatients' iprimaryihumanirequirements. DIF: Cognitive iLevel:iApplication REF: p. i270 11. Whichicontemporaryitheoristiisibestiknowniforiheriemphasisionitheicaringiaspectiofinursing? a. Orem b. Watson c. Henderson d. King ANS: B Feedback A Oremidevelopeditheiself-careitheory. B Watson'sitheoryiemphasizesitheicaringiaspectiofinursing. C Henderson'sitheoryiinvolvesiassistingithe ipatientitoido ithoseithingsithatihe iorishe iwouldidoiforihimselfioriherselfiifiable. D King'sitheoryidescribesiinteractingisystems. DIF: Cognitive iLevel:iKnowledge REF: p. i271 12. Theinurse iteachesitheipatientihowitoiadministeriinsulin. iBeforeithisithe inurse iandipatientihad idevelopedia itrustingirelationshipioveriseveralidays, iwhichiincludedisharingifeelingsiabout ihavingitoitakeidailyimedication. iTheipatientiexpressediconfidenceiinitheicareiprovidedibyithe inurse. iThe inurse icouldibe ibasingicareionitheiphilosophyiof a. Henderson. b. Nightingale. c. Roy. d. Watson. ANS: D Feedback A Hendersoniidentifiedi14ibasic ineedsiasia igeneralifocusiforipatienticare. iThe ifunctioniofinursesiwasitoiassistipatientsiifitheyiwereiunableitoiperformianyiof ithesei14 ifunctionsithemselves. iExamplesiofithe i14ibasicineedsiinclude ibreathing, ieating, iandidrinkingi(careiofithe iphysicaliself), icommunicationi(psychosocial ineeds)ianditheineediforiplayi(developmentalineeds). B Nightingale ibelievedithatithe ihealthiofipatientsiwasirelateditoitheirienvironment. iShe irecognizeditheiimportance ioficleaniairiandiwater, iadequateiventilationiand isunlight, iaibalancedidiet, iandicleanliness. C Royifocusedionithe iindividualiasia ibiopsychosocialiadaptiveisystemiand idescribedinursingiasia ihumanistic idisciplineithatiemphasizedithe iperson's iadaptiveiabilities. D Watson'sicarative ifactorsiguide inursesiwhoiuseitranspersonalicaringiinipractice. iShe ibelievesithatinursesihave ithe iresponsibilityiforicreatingiandimaintainingian ienvironmentisupportingihumanicaringiwhileirecognizingiandiprovidingifor ipatients' iprimaryihumanirequirements. DIF: Cognitive iLevel:iApplication REF: pp. i271-272i| iBoxi13-4 13. Whichinursingimodeliisibasedionitheiassumptionithatipeopleiwantitoibe iinicontroliofitheir ilives? a. Orem b. King c. Roy d. Watson ANS: A Feedback A An iunderlyingiassumptioniofiOrem'simodeliisithatipeopleiwantitoibe iinicontroliof itheirilivesianditoitakeicareiofithemselves. B King'simodeliofiinteractingisystemsistressesigoaliattainment. C Roy'siworkiisibasedioniadaptationiandiadaptive ibehavioriproducedibyichanging itheienvironment. D Watson'sitheoryiemphasizesitheicaringiaspectiofinursing. DIF: Cognitive iLevel:iComprehension REF: p. i273 14. Theinurse iisicaringiforia ipostoperative ipatientiwhoiisiunableitoifeedihimselfiandicomplete ibasic iactivitiesiofidailyiliving. iThe inurse idoesicathetericareiandichangesitheisurgicalidressing, ias iwelliasiassistingiwithifeedingiandihygiene. iThe inurse icouldibe ibasingicareionithe iconceptual imodeliof a. Johnson. b. King. c. Orem. d. Roy. ANS: C Feedback A Johnson'simodelidescribesitheipersoniasia ibehavioralisystemithatiisianiorganized iandiintegratediwhole iofisevenidistinctibehavioralisubsystems. iAccordingito iJohnson, inursingiisianiactivityithatihelpsitheipersoniachieveiandimaintainian ioptimalistateiofihealthithroughithe imanipulationiandiregulationiofithe ienvironment. B Kingifocusesion igoaliattainmentiforiandibyithe ipatient. iKing'siinteractingisystems iformia iframeworkitoiviewiwhole ipeopleiinitheirifamilyiandisocialicontexts. C Orem'simodelifocusesionithe ipatient'siself-careicapacitiesianditheiprocessiof idesigninginursingiactionsitoimeetitheipatient'siself-careineeds. iTheinurse iprescribesiandiregulatesitheinursingisystemionithe ibasisiofitheipatient'siself-care ideficit, iwhichiisithe iextentitoiwhichithe ipatientiisiincapableiofiprovidingieffective iself-care. D Royifocusedionithe iindividualiasia ibiopsychosocialiadaptiveisystemiand idescribedinursingiasia ihumanistic idisciplineithatiemphasizesitheiperson's iadaptiveiabilities. DIF: Cognitive iLevel:iApplication REF: p. i273 15. Whichinursingitheoristiisibestiknowniforiheriemphasisioniinteractingisystems, iincludinginurse iandipatientiinigoalisettingiandigoaliattainment? a. Watson b. Roy c. King d. Orem ANS: C Feedback A Watson'sicarative ifactorsiguide inursesiwhoiuseitranspersonalicaringiinipractice. iShe ibelievesithatinursesihave ithe iresponsibilityiforicreatingiandimaintainingian ienvironmentisupportingihumanicaringiwhileirecognizingiandiprovidingifor ipatients' iprimaryihumanirequirements. B Royifocusedionithe iindividualiasia ibiopsychosocialiadaptiveisystemiand idescribedinursingiasia ihumanistic idisciplineithatiemphasizesitheiperson's iadaptiveiabilities. C Kingifocusedionigoaliattainmentiforiandibyithe ipatient. iKing'siinteracting isystemsiformia iframeworkitoiviewiwhole ipersonsiinitheirifamilyiandisocial icontexts. D Orem'simodelifocusesionithe ipatient'siself-careicapacitiesianditheiprocessiof idesigninginursingiactionsitoimeetitheipatient'siself-careineeds. iTheinurse iprescribesiandiregulatesitheinursingisystemionithe ibasisiofitheipatient'siself-care ideficit, iwhichiisithe iextentitoiwhichithe ipatientiisiincapableiofiprovidingieffective iself-care. DIF: Cognitive iLevel:iComprehension REF: p. i274 16. Ainurse ipractitionericaringiforia idiabetic ipatientithinksithe ipatienticouldigainibettericontroliof itheidiabetesiifithe ipatientilostiweight. iAfteriassessingitheipatient'siperceptioniofiweightiloss, irole, istresses, iandisupportisystems, ithe inurseiandipatientiestablishitheigoaliofilosingi5ipounds iinia imonth. iThe inurse icouldibe ibasingicareionithe iconceptualimodeliof a. Johnson. b. King. c. Orem. d. Roy. ANS: B Feedback A Johnson'simodelidescribesitheipersoniasia ibehavioralisystemithatiisianiorganized iandiintegratediwhole iofisevenidistinctibehavioralisubsystems. iAccordingito iJohnson, inursingiisianiactivityithatihelpsitheipersoniachieveiandimaintainian ioptimalistateiofihealthithroughithe imanipulationiandiregulationiofithe ienvironment. B Kingifocusedionigoaliattainmentiforiandibyithe ipatient. iKing'siinteracting isystemsiformia iframeworkitoiviewiwhole ipersonsiinitheirifamilyiandisocial icontexts. C Orem'simodelifocusesionithe ipatient'siself-careicapacitiesianditheiprocessiof idesigninginursingiactionsitoimeetitheipatient'siself-careineeds. iTheinurse iprescribesiandiregulatesitheinursingisystemionithe ibasisiofitheipatient'siself-care ideficit, iwhichiisithe iextentitoiwhichithe ipatientiisiincapableiofiprovidingieffective iself-care. D Royifocusedionithe iindividualiasia ibiopsychosocialiadaptiveisystemiand idescribedinursingiasia ihumanistic idisciplineithatiemphasizesitheiperson's iadaptiveiabilities. DIF: Cognitive iLevel:iApplication REF: p. i274 17. Whichinursingitheoristibasediherimodelionithe ibeliefithatiadaptationitoichangesiinithe ienvironmentiisitheibasisiofihealth? a. Watson b. King c. Roy d. Peplau ANS: C Feedback A Watson'sitheoryiemphasizesitheicaringiaspectiofinursing. B King'simodelistressesithe irelationshipiofitheinurse itoitheipatientiinigoalisetting iandigoaliattainment. C Roy'simodeliprovidesia icomprehensive iunderstandingiofiadaptation. iWhen ienvironmentalidemandsiare itooihighiandipatient'siadaptiveimechanismsitooilow, ibehavioraliresponsesiforicopingiare iineffective. D Peplau'sitheoryiofitherapeutic iuseiofiselfidescribesitheitherapeutic irelationshipiin itermsiofiphases. DIF: Cognitive iLevel:iComprehension REF: p. i275 18. Aipatientiwhoihadia ibrokenineckiinianiautomobile iaccidentiandiwasiparalyzed, ibutieventually iwentibackitoicollege, iobtainediailawidegree, iandibecameiaipracticingilawyericouldibeisaidito ibe idemonstrating a. adaptation. b. caring. c. self-care. d. homeostasis. ANS: A Feedback A Aipersonianditheienvironmentiareisourcesiofistimuliithatirequireimodificationito ipromoteiadaptationiinithe iperson. iTheipersoniisianiadaptiveisystemiwith iphysiologic, iself-concept, iroleifunction, iandiinterdependentimodes. B Caringiinvolvesithe idevelopmentiofia ihuman-to-humanirelationshipibetween inurse iandipatientithatiresultsiinichangeithroughitranspersonalicaring. C Self-careiisitheipractice iofiactivitiesithatiindividualsiinitiate iandiperformionitheir iownibehalfitoimaintainihealthiandiwell-being. D Homeostasisiisia istateiofiequilibrium. DIF: Cognitive iLevel:iApplication REF: p. i275 19. Aipatientihadia isignificantibloodilossiinisurgeryiandinowihasia ilowihemoglobinilevel. iThe ipatienticomplainsiofifatigue. iThe inurse iintervenesitoifacilitate iadaptationibyiestablishing iperiodsiofirestiandischedulingiactivitiesithroughoutitheiday. iThe inurse icouldibe ibasingicareion itheiconceptualimodeliof a. Johnson. b. King. c. Orem. d. Roy. ANS: D Feedback A Johnson'simodelidescribesitheipersoniasia ibehavioralisystemithatiisianiorganized iandiintegratediwhole iofisevenidistinctibehavioralisubsystems. iAccordingito iJohnson, inursingiisianiactivityithatihelpsitheipersoniachieveiandimaintainian ioptimalistateiofihealthithroughithe imanipulationiandiregulationiofithe ienvironment. B Kingifocusedionigoaliattainmentiforiandibyithe ipatient. iKing'siinteracting isystemsiformia iframeworkitoiviewiwhole ipersonsiinitheirifamilyiandisocial icontexts. C Orem'simodelifocusesionithe ipatient'siself-careicapacitiesianditheiprocessiof idesigninginursingiactionsitoimeetitheipatient'siself-careineeds. iTheinurse iprescribesiandiregulatesitheinursingisystemionithe ibasisiofitheipatient'siself-care ideficit, iwhichiisithe iextentitoiwhichithe ipatientiisiincapableiofiprovidingieffective iself-care. D Royifocusedionithe iindividualiasia ibiopsychosocialiadaptiveisystemiand idescribedinursingiasia ihumanistic idisciplineithatiemphasizesitheiperson's iadaptiveiabilities. DIF: Cognitive iLevel:iApplication REF: p. i275 20. Peplau'sitheoryifocusesionithe itherapeutic irelationshipiasitheikeyitoisuccessfulinursing iintervention. iWhichiofithe ifollowingiisicorrectiaboutiPeplau'sitheory? a. Itiisia igranditheoryithatidemonstratesithatidefininginursingiwasimoreiimportantithan iapplicationitoipractice. b. Heritheoryidevelopedifromiheriwork iwithioncologyipatients. c. Theitheoryidescribesisixikeyinursingirolesithatiareiflexiblyiused, idependingionithe ipractice isetting. d. Heritheoryidescribesinursingirolesiasimother, itechnician, isalesman, ischolar, iand iadvocate. ANS: C Feedback A Mostinursingitheoristsidevelopimidrange itheoriesithatiareiapplicable itoipractice iorieducation. B Peplau'siworkiwasiwithipsychiatric ipatients. C Peplau'sitheoryifocusesionithe itherapeutic irelationshipibetweenitheinurse iand ipatient. iTheinurse'sirole iisione iofisixithatimayichange iwithithe isituationior ipractice isetting. D Peplauidescribeditheirolesiofinurse iasicounselor, iresource, iteacher, itechnical iexpert, isurrogate, iandileader. DIF: Cognitive iLevel:iKnowledge REF: p. i276 21. Theinurse ihasiestablishediairelationshipiwithia ipatientiiniwhomiasthma iwasirecentlyidiagnosed. iThroughitheiriinteractions, ithe inurse ihelpsitheipatientiunderstandithe imechanismiofiasthma iandidevelopitheiskillsitoiuseia ispaceriwithitheiinhaler. iTheinurse icouldibe ibasingicareionithe itheoryiof a. Leininger. b. Peplau. c. Orlando. d. Neuman. ANS: B Feedback A Leiningeriencouragedinursesitoiuse icreativityitoidiscovericulturaliaspectsiof ihumanineedsiandiuse ithese ifindingsitoimakeiculturallyicongruentitherapeutic idecisions. B Peplauifocusedioniwhatihappensibetweenitheinurse iandipatientiinia itherapeutic irelationship. iItiisithroughithe irelationshipithatitheipatientiisihelpeditoidealiwith ihealthiissues. C Orlando'sitheoryiproposesihowinursesiprocessitheiriobservationsiofipatient ibehavioriandihowitheyireactitoipatientsibasedioniinferencesifromipatients' ibehavior. D Neumanifocusedionithe ipersonianditheienvironmentiasisystems. DIF: Cognitive iLevel:iApplication REF: p. i276 22. Whichinursingitheoristiisibestiknowniforiheriemphasisioniinferencesibasedioniobservationiof ipatientibehavior, iconfirmationibyitheipatient, iandiresultsiinieffectiveicareibasedioniidentified ipatientineeds? a. Leininger b. Neuman c. Orlando d. Peplau ANS: C Feedback A Leiningeriencouragedinursesitoiuse icreativityitoidiscovericulturaliaspectsiof ihumanineedsiandiuse ithese ifindingsitoimakeiculturallyicongruentitherapeutic idecisions. B Neumanifocusedionithe ipersonianditheienvironmentiasisystems. iWithinithe isystems, istressorsiareiidentifiedithatiresultiinidisruptioniforitheiperson, iandihow itoimaintainioptimalihealthiisiexplored. C Orlando'sitheoryiproposesihowinursesiprocessitheiriobservationsiofipatient ibehavioriandihowitheyireactitoipatientsibasedioniinferencesifromipatients' ibehavior. D Peplauifocusedioniwhatihappensibetweenitheinurse iandipatientiinia itherapeutic irelationship. iItiisithroughithe irelationshipithatitheipatientiisihelpeditoidealiwith ihealthiissues. DIF: Cognitive iLevel:iComprehension REF: p. i277 23. Theinurse iobservesia ipatientipacingiaroundithe iroom. iTheipatientiexpressesiconcernithatibeing ihospitalizediwillicauseilostiwagesiandicreateieconomiciproblems. iThe inurse iinfersithatithe ipatientiisianxious, iwhichithe ipatienticonfirms. iThe inurse icouldibe ibasingicareionithe itheoryiof a. Leininger b. Neuman c. Orlando d. Peplau ANS: C Feedback A Leiningeriencouragedinursesitoiuse icreativityitoidiscovericulturaliaspectsiof ihumanineedsiandiuse ithese ifindingsitoimakeiculturallyicongruentitherapeutic idecisions. B Neumanifocusedionithe ipersonianditheienvironmentiasisystems. C Orlando'sitheoryiproposesihowinursesiprocessitheiriobservationsiofipatient ibehavioriandihowitheyireactitoipatientsionitheibasisiofiinferencesifromipatients' ibehavior. D Peplauifocusedioniwhatihappensibetweenitheinurse iandipatientiinia itherapeutic irelationship. iItiisithroughithe irelationshipithatitheipatientiisihelpeditoidealiwith ihealthiissues. DIF: Cognitive iLevel:iComprehension REF: p. i277 24. Leininger'sitheoryiusesitheisunrise imodel. iWhatiisithe imajoripremiseiofiLeininger'sitheory? a. Nursingicareishouldibe iculturallyicongruent. b. Nursingicareiisibasedionipersonal, iinterpersonal, iandisocialisystems. c. Nursingicareiisia ideliberate iactionibasedioniobservation. d. Nursingicareiisionlyipossible iafteriscientific ievaluation. ANS: A Feedback A Nursingicareiisifocusedioniculture icareipreservation. B Nursingicareibasedion ipersonal, iinterpersonal, iandisocialisystemsiisifromiKing's itheory. C Nursingicareiasia ideliberateiactionibasedioniobservationiisiaipremise iofiOrlando's itheory. D Muchinursingicareitraditionihasinotibeeniempiricallyitested. DIF: Cognitive iLevel:iKnowledge REF: pp. i277-278 25. Theinurse iisicaringiforia iyoungiHispanic ipatientiafterisurgery. iTheipatientihesitatesiwhenithe inurse iasksiaboutimealiselectionsifromitheimenu. iWhenitheiparentsireturn, ithe inurse iasksithem iwhatifoodsiare ieateniwhenioneiisiill. iTheinurseicouldibeibasingicareion itheitheoryiof a. Leininger. b. Neuman. c. Orlando. d. Peplau. ANS: A Feedback A Leiningeriencouragedinursesitoiuse icreativityitoidiscovericulturaliaspectsiof ihumanineedsiandiuse ithese ifindingsitoimakeiculturallyicongruentitherapeutic idecisions. B Neumanifocusedionithe ipersonianditheienvironmentiasisystems. C Orlando'sitheoryiproposesihowinursesiprocessitheiriobservationsiofipatient ibehavioriandihowitheyireactitoipatientsionitheibasisiofiinferencesifromipatients' ibehavior. D Peplauifocusedioniwhatihappensibetweenitheinurse iandipatientiinia itherapeutic irelationship. iItiisithroughithe irelationshipithatitheipatientiisihelpeditoidealiwith ihealthiissues. DIF: Cognitive iLevel:iApplication REF: pp. i277-278 26. Ainurse iconductsitheoryitestingianditheoryidevelopmentiresearchitoidevelopinursingiscience. iThisinurse iisipreparediatiwhichileveliofinursingieducation? a. Associateidegree b. Bachelor'sidegree c. Master'sidegree d. Doctoralidegree ANS: D Feedback A Nursesipreparediwithianiassociate idegreeimayihave iexperiencedinursing-model ioritheory-guidedicurricula ioricourses. B Theibaccalaureate inurseiisiintroduceditoitheiresearchiprocessianditheiuseiof itheoryitoiguide iresearch. iTheseinursesiareiinformediconsumersiofiresearch irelevantitoievidence-basedinursingipractice. C Master's-preparedinursesiuseitheoreticaliperspectivesifocusedionitheipatientifor ispecificinursingioutcomes. iTheyimayiuse itheoryitoiframeipatienticareiandiguide iresearchiwithipractice iquestions. D Atithe idoctoralilevel, inursesiareiconcernediaboutithe inatureiofiknowledge iand ihowiitiisiknown. iItiisithrough inursingiresearchithatinew, idiscipline-specific iknowledgeiisigenerated. DIF: Cognitive iLevel:iComprehension REF: pp. i281-282 27. Whichiofithe ifollowingibestidescribesiaimiddle-range itheory? a. Theyiare iveryilimitediiniscope iandiare iconfineditoione itoithreeiconcepts. b. Theyido inotiincorporate itheielementsiofinursing'simetaparadigmiiniuse. c. Theyiusuallyiblendinursingipractice iwithinursingiresearch. d. Theyido inotiborrowiconceptsifromiotheridisciplines. ANS: C Feedback A Middle-range itheoriesiareiconsideredineitheribroadinorinarrow. B Whileilimiteditoia ifewiconcepts, itheimiddle-range itheoriesidoinotiexcludeithe iconceptsifromitheimetaparadigm. C Middle-range itheoriesiusuallyimergeiresearchiandinursingipractice. D Theoriesifromiotheridisciplinesiare iofteniincorporatediintoimiddle-rangeitheories. DIF: Cognitive iLevel:iComprehension REF: p. i279 28. Ainurse ihasibeeniintroduceditoitheoryiasiaiguide itoiresearchiandipractice. iThisinurse iis ipreparediatiwhichileveliofinursingieducation? a. Associateidegree b. Bachelor'sidegree c. Master'sidegree d. Doctoralidegree ANS: B Feedback A Nursesipreparediwithianiassociate idegreeimayihave iexperiencedinursing-model ioritheory-guidedicurricula ioricourses. B Theibaccalaureate inurseiisiintroduceditoitheiresearchiprocessianditheiuseiof itheoryitoiguide iresearch. iTheseinursesiareiinformediconsumersiofiresearch irelevantitoievidence-basedinursingipractice. C Master's-preparedinursesiuseitheoreticaliperspectivesifocusedionitheipatientifor ispecificinursingioutcomes. iTheyimayiuse itheoryitoiframeipatienticareiandiguide iresearchiwithipractice iquestions. D Atithe idoctoralilevel, inursesiareiconcernediaboutithe inatureiofiknowledge iand ihowiitiisiknown. iItiisithrough inursingiresearchithatinew, idiscipline-specific iknowledgeiisigenerated. DIF: Cognitive iLevel:iComprehension REF: p. i280 29. Nursingitheoryiprovidesia ifoundationiforitheory-basedipractice iandicurriculumidevelopment. iWhichiisia iprimaryireasoniforiincorporatingitheoryiintoieducation? a. Nursingitheoryihelpsinursesiexplainitheiripractice itoimembersiofiotheridisciplines. b. Nursingitheoryihelpsitransmitiknowledge itoinewiprofessionalinurses. c. Nursingitheoryicontributesitoiprofessionaliautonomy, ianiimportanticharacteristic iof ialliprofessions. d. Nursingitheoryiisitaughtiasiaiguide itoinursingipractice ianditoiteachistudentsicare iwithinithe iuniqueiperspective iofinursing. ANS: D Feedback A Nursingitheoryidoesihelpinursesiexplainitheiripractice itoimembersiofiother idisciplines. B Nursingitheoryidoesihelpitransmitiknowledge itoinewiprofessionalinurses. C Nursingitheoryidoesicontribute itoiprofessionaliautonomy, ianiimportant icharacteristic iofialliprofessions. D Nursingitheoryiisiimportantiiniaicurriculumibecauseiitiservesiasia iguideito inursingipractice iandienhancesipatienticareiwithinithe iuniqueiperspective iofithe idiscipline. DIF: Cognitive iLevel:iComprehension REF: p. i280 MULTIPLEiRESPONSE 1. Whatiare itheireasonsinursingitheoryiisiimportantitoithe iprofession?i(Selectiallithatiapply.) a. Nursingitheoryiisiuseditoiguide iresearchibutinotipractice. b. Theigoaliofinursingitheoryiisitoisupportiexcellence iinipractice. c. Nursingiasia iprofessionibecomesistrongeriwheninursingiknowledge iisibuiltion isounditheory. d. Theoryiisiaiusefulitooliforireasoning, icriticalithinking, iandidecisionimaking. e. Nursingitheoryiisiusedibyiotheridisciplines. ANS: B, iC, iD Feedback Correct Asia iprofession, inursingiusesitheoryitoiguideipractice, ihasia idistinctibody iofiknowledge ithatineedsitoibe ibuiltion isounditheory, ianditheoriesiassistiin iorganizingiinformationiandiprovideia iframeworkitoilookiatisituations. Incorrect Theoryiisiimportantitoinursingitoiguide inotionlyiresearchiandithe idevelopmentiofiknowledge ibutialsoipractice idecisions. iNursingitheoryihas inotibeeniusedibyiotheridisciplines;ihowever, iwithitheiincrease iof iinterdisciplinaryiresearch, ithisimayichange. DIF: Cognitive iLevel:iComprehension REF: p. i267 2. Theimetaparadigmiofinursingiconsistsiofiwhichiconcepts? i(Selectiallithatiapply.) a. Environment b. Health c. Caring d. Nursing e. Person ANS: A, iB, iD, iE Feedback Correct Environment, ihealth, inursing, iandithe ipersoniare itheiconceptsicontainediin imostinursingiphilosophies, imodels, ianditheories. Incorrect Caringiisinotiaiconceptiinithe imetaparadigm. DIF: Cognitive iLevel:iKnowledge REF: p. i267 3. Whichiofithe ifollowingiare iincludediiniHenderson'si14 ibasicineedsiofipatients?i(Selectiallithat iapply.) a. Theineeditoieliminate ibodyiwastes b. Theineediforiinterdependence c. Theineeditoicommunicate d. Theineediforiself-concept e. Theineediforiwork iandisense iofiaccomplishment ANS: A, iC, iE Feedback Correct Theineedsitoieliminate ibodyiwastes, icommunicate, iandiworkiare ipartiofithe i14ibasic ineedsiidentifiedibyiHenderson. Incorrect Theineediforiinterdependence iandiself-conceptiareinotipartiofithe i14ibasic ineedsiidentifiedibyiHenderson. DIF: Cognitive iLevel:iComprehension REF: p. i271i| iBoxi13-3 4. Watson'si10icaritasiprocessesiinclude iwhichiofithe ifollowing? i(Selectiallithatiapply.) a. Theipromotioniofiinterpersonaliteaching-learning b. Theiparticipationiinirecreation c. Theiinstillationiofifaith-hope d. Avoidanceiofiinjuringiothers e. Assistance iwithitheigratificationiofihumanineeds ANS: A, iC, iE Feedback Correct Theipromotioniofiinterpersonaliteaching-learning, ithe iinstillationiofifaithhope, iandiassistance iwithitheigratificationiofihumanineedsiare ipartiofithe i10icarative ifactorsiidentifiedibyiWatson. Incorrect Theiparticipationiinirecreationiandiavoidance iofiinjuringiothersiareinot iincludediinithei10icarative ifactorsiidentifiedibyiWatson. DIF: Cognitive iLevel:iComprehension REF: p. i271i| iBoxi13-4 Chapteri14:iHealthiCareiinitheiUnitediStates TestiBank MULTIPLEiCHOICE 1. Whichiofithe ifollowingiisinotiincludediasianioverarchingigoaliofiHealthyiPeoplei2020? a. Eliminatingihealthidisparities b. Creatingienvironmentsithatipromoteigoodihealth c. Lengtheningithe iaverage ilifespanibyia idecade d. Attainingilongerilivesifreeiofipreventable idiseasesiandiinjury ANS: C Feedback A Eliminatingihealthidisparitiesiisipartiofithe ioverarchingigoalsiofiHealthyiPeople i2020. B Creatingisocialiandiphysicalienvironmentsithatipromoteigoodihealthiisipartiofithe ioverarchingigoalsiofiHealthyiPeoplei2020. C Lengtheningithe iaverage ilifespanibyiitselfiisinotione iofithe ioverarchingigoalsiof iHealthyiPeoplei2020. D Attainingilongerilivesifreeiofipreventable idisease iandiinjuryiisipartiofithe ioverarchingigoalsiofiHealthyiPeoplei2020. DIF: Cognitive iLevel:iKnowledge REF: p. i286i| iFigure i14-1 2. Whichiofithe ifollowingiisianiexample iofihealthipromotioniandimaintenance? a. Talkingitoia iwomen'sichurchigroupiaboutihavingianiannualimammogram b. Establishingianiexerciseiprogramiforipostmenopausaliwomenitoireduce iboneiloss c. Providingicolonoscopyiexaminationsiforihigh-riskiindividuals d. Talkingitoia istate ilegislatoriaboutisupportingia imotorcycle ihelmetilaw ANS: A Feedback A Healthipromotioniandimaintenance iinvolvesiactivitiesitoiassistiindividualsito iremainihealthy, ipreventidiseasesiandiinjuries, idetectidiseasesiearly, iandipromote ihealthierilifestyles. iMammogramsicanidetectidisease iearly. B Establishingianiexercise igroup itoireduce iboneilossiisiillnessipreventionibasedion itheipresenceiofiriskifactors. C Havingia icolonoscopyiexaminationiisiillnessipreventionibasedion iriskifactors. D Speakingitoia istateilegislatoriaboutisupportingia ihelmetilawimayiorimayinotilead itoichangesiinithe ilaw. DIF: Cognitive iLevel:iComprehension REF: p. i286 3. Whichiofithe ifollowingiisianiexample iofiillnessiprevention? a. Viewingia iprogramionitelevision iaboutithe iincreasediincidence iofiheartidisease b. Speakingitoia ihighischooligroupiaboutitheivalueiofiexercise c. Encouragingiwomeniatia ihealthifairitoihaveianiannualimammogram d. Counselingipeopleirecentlyiexperiencingideathiofia ispouse iaboutisignsiand isymptomsiofidepression ANS: D Feedback A Atibestithisiisianiexampleiofihealthipromotion, ialthoughihealthipromotion irequiresiactive iparticipation. iWatchingiaiprogramion itelevisioniisipassive ibut icouldiprovide ihealth-promotingieducation. B Speakingitoihighischooligroupsiaboutiexerciseiisianiexampleiofihealthipromotion. C Healthipromotioniincludesiearlyidetection, iandithe igoaliofiscreeningiforibreast icanceriisiearlyidetection, inotiprevention. D Illnessipreventioniisiusediwhenia ipersoniisialreadyiatiriskiforidevelopmentiofia ihealthiproblemibecauseiofibehaviorioricircumstance. DIF: Cognitive iLevel:iComprehension REF: p. i286 4. Healthipromotionidiffersifromiillnessipreventioniinithatihealthipromotion a. addressesiidentifiedihealthiproblems. b. occursibeforeithe iidentificationiofidiseaseiriskifactors. c. identifiesiandiamelioratesia ihealthiproblem. d. returnsianiindividualitoioptimalifunctioningiafterianiillness. ANS: B Feedback A Healthipromotioniisifocusedion ihelpingipreventihealthiproblems. B Theigoaliofihealthipromotioniisitoikeepitheipersonihealthyiandiinvolvediin ihealthyilifestylesitoipreventitheidevelopmentiofiriskifactors. C Healthipromotionidoesinotiidentifyihealthiproblems. D Returningitoioptimalifunctionioccursiwithirehabilitation. DIF: Cognitive iLevel:iComprehension REF: p. i286 5. Whichiofithe ifollowingiisianiexample iofidiagnosisianditreatment? a. Attendingismokingicessationiclasses b. Computerizeditomographyi(CT)iscanitoiruleioutigallbladderiinflammation c. Screeningiinitheiworkplaceiforituberculosis d. Prenataliclasses ANS: B Feedback A Attendingismokingicessationiclassesiisiillnessipreventionibasedionithe iknown irisksiofismoking. B TheiCTiscaniwillidiagnose idisease ithatimayithenibe itreated. C Screeningsiare iexamplesiofiearlyidetectioniactivities. D Prenataliclassesiareihealthipromotioniactivities. DIF: Cognitive iLevel:iComprehension REF: p. i287 6. Whichiofithe ifollowingiisianiexample iofirehabilitationiandidisease imanagement? a. Promptitreatmentiforihypertension b. Attendingiweightilossiclasses c. Teachingipatientsiwithinewlyidiagnosedidiabetesitheisignsiofihypoglycemia iand ihyperglycemia d. Takingianiantibiotic iforia isinusiinfection ANS: C Feedback A Promptitreatmentiofihypertensioniisianiexample iofidiagnosisianditreatment. B Attendingiweightilossiclassesiisiillnessipreventionibecauseiofithe iriskiforidisease idevelopment. C Knowingitheisignsiofihypoglycemia iandihyperglycemia iwillihelpitheiperson imanage itheidisease iofidiabetes. D Takingimedicationiisitreatmentiofia idisease. DIF: Cognitive iLevel:iComprehension REF: p. i287 7. Whichiofithe ifollowingiisicharacteristiciofipubliciagencies? a. Theyiare isupportedibyidonationsifromithe ipublic. b. Mostionlyiprovide iprimaryicareiservices. c. Theyiare inotiinvolvediinitheieducationiofihealthicareiproviders. d. Theyiprovide ihealthicareiservicesiatitheinational, istate, iandilocalilevels. ANS: D Feedback A Publiciagenciesiare isupportedibyitaxesifromitheicommunityitheyiserve. B Publiciagenciesiofferiallilevelsiofihealthicareiservices, ialthoughinotialliagencies iofferiallilevels. C Manyipubliciagenciesiprovide ieducationaliopportunitiesiorifundingiforieducation. D Publiciagenciesicaniserve itheination, istate, iorilocalicommunity. DIF: Cognitive iLevel:iComprehension REF: p. i287 8. Whichiofithe ifollowingiisinotia ipubliciagency? a. NationaliInstitute iofiNursingiResearch b. AmericaniRediCross c. CentersiforiDisease iControliandiPrevention d. Stateiboardiofinursing ANS: B Feedback A TheiNationaliInstitute iofiNursingiResearchiisia igovernmentali(public)iagency. B TheiAmericaniRediCrossiisianiorganizationithatiisisupportedibyiprivateidonations itoiprovideihealthiservices. iOriginallyialliservicesiwere iprovidedibyivolunteers; ithisiisiwhyithisitype iofiagencyiisifrequentlyicallediaivoluntaryiagency. C TheiCentersiforiDisease iControliandiPreventioniisia igovernmentali(public) iagency. D TheiStateiboardiofinursingiisia igovernmentali(public)iagency. DIF: Cognitive iLevel:iKnowledge REF: p. i288 9. Governmentaliagenciesidifferifromivoluntaryiagenciesiiniwhichiway? a. Levelioficommunityiserved b. Administrative istructure c. Fundingisource d. Howitheiprofitsiare iused ANS: C Feedback A Bothitypesiofiagenciesicaniprovide iservicesiatithe inational, istate, iorilocalilevels. B Theiadministrative istructuresicanibe iveryisimilariinithe itwoitypesiofiagencies. C Governmentaliagenciesiare ifundedithroughitaxidollars, iwhereasivoluntary iagenciesiareifundedibyidonations. D Alligovernmentaliagenciesiareialsoinonprofitiasiareimostivoluntaryiagencies. DIF: Cognitive iLevel:iComprehension REF: pp. i287-288 10. Aihealthicareiagencyithatiusesiitsiprofitsitoibetteritheiinstitutioniratherithanipaying istockholdersiwouldibeiclassifiediasia a. for-profitiagency. b. not-for-profitiagency. c. voluntaryiagency. d. privateiagency. ANS: B Feedback A For-profitiagenciesidistribute iprofitsiearneditoipartnersioristockholders. B Not-for-profitiagenciesiuseitheiriincomeitoipayipersonnel, iimprove iservices, iadvertise iservices, iprovide ieducationaliprograms, ioriotherwiseicontribute itoithe imissioniofithe iagency. C Voluntaryiagenciesicanibe ifor-profitiagencies. D Privateiagenciesicanialsoibe ifor-profitiagencies. DIF: Cognitive iLevel:iComprehension REF: p. i288 11. Theischoolihealthiclinic itreatsicommonihealthiproblems, iasiwelliasiconductingihealth ipromotioniandiillnessipreventioniactivities. iThe iclinic iprovidesiwhichileveliofihealthicare? a. Subacuteicare b. Primaryicare c. Secondaryicare d. Tertiaryicare ANS: B Feedback A Subacuteicareiisiinpatienticareithatiliesibetweenihospitalicareiandilong-termicare. B Careiprovidediatithe ipointiatiwhichia ipersonifirstientersithe ihealthicareisystemiis iconsiderediprimaryicare. iCare iprovidedicaniinclude iemergencyicare, ihealth imaintenance, iandichronicicare, iasiwelliasihealthipromotion. C Secondaryicare iinvolvesithe ipreventionioficomplicationsifromidisease. iThisilevel ioficareimayioccuriinihospitalsiasiwelliasiotheritypesiofiagencies. D Tertiaryicareiisiprovideditoithe iacutelyiill, ithoseirequiringilong-termicare, ithose irequiringirehabilitationiservices, ianditerminallyiillipatients. DIF: Cognitive iLevel:iComprehension REF: pp. i288-289 12. An iagencyithatitreatsitemporaryihealthidysfunctionirequiringiinterventionitoiprevent icomplicationsiisiprovidingiwhichileveliofihealthicare? a. Subacuteicare b. Primaryicare c. Secondaryicare d. Tertiaryicare ANS: C Feedback A Subacuteicareiisiinpatienticareithatiliesibetweenihospitalicareiandilong-termicare. B Primaryicare iisiprovidediatitheipointiatiwhichiaipersonifirstientersitheihealthicare isystem. iCareiprovidedicaniinclude iemergencyicare, ihealthimaintenance, iand ichronicicare, iasiwelliasihealthipromotion. C Secondaryicare iinvolvesithe ipreventionioficomplicationsifromidisease. iThisilevel ioficareimayioccuriinihospitalsiasiwelliasiotheritypesiofiagencies. D Tertiaryicareiisiprovideditoithe iacutelyiill, ithoseirequiringilong-termicare, ithose irequiringirehabilitationiservices, ianditerminallyiillipatients. DIF: Cognitive iLevel:iComprehension REF: p. i289 13. Hospicesithatiprovide icareitoiterminallyiillipatientsianditheirifamiliesiinihospitals, iinitheihome, ioriinispecialihospice ifacilitiesiprovideiwhichileveliofihealthicare? a. Subacuteicare b. Primaryicare c. Secondaryicare d. Tertiaryicare ANS: D Feedback A Subacuteicareiisiinpatienticareithatiliesibetweenihospitalicareiandilong-termicare. B Primaryicare iisiprovidediatitheipointiatiwhichiaipersonifirstientersitheihealthicare isystem. iCareiprovidedicaniinclude iemergencyicare, ihealthimaintenance, iand ichronicicare, iasiwelliasihealthipromotion. C Secondaryicare iinvolvesithe ipreventionioficomplicationsifromidisease. iThisilevel ioficareimayioccuriinihospitalsiasiwelliasiotheritypesiofiagencies. D Tertiaryicareiisiprovideditoithe iacutelyiill, ithoseirequiringilong-termicare, ithose irequiringirehabilitationiservices, ianditerminallyiillipatients. DIF: Cognitive iLevel:iComprehension REF: p. i289 14. An iagencyithatiprovidesiinpatienticareirelateditoilessicomplexiconditionsiandidoesinotirequire ihigh-technologyimonitoringioricomplexidiagnostic iproceduresiisiprovidingiwhichileveliof icare? a. Subacuteicare b. Primaryicare c. Secondaryicare d. Tertiaryicare ANS: A Feedback A Subacuteicareiisiinpatienticareithatiliesibetweenihospitalicareiandilong-termicare. B Primaryicare iisiprovidediatitheipointiatiwhichiaipersonifirstientersitheihealthicare isystem. iCareiprovidedicaniinclude iemergencyicare, ihealthimaintenance, iand ichronicicare, iasiwelliasihealthipromotion. C Secondaryicare iinvolvesithe ipreventionioficomplicationsifromidisease. iThisilevel ioficareimayioccuriinihospitalsiasiwelliasiotheritypesiofiagencies. D Tertiaryicareiisiprovideditoithe iacutelyiill, ithoseirequiringilong-termicare, ithose irequiringirehabilitationiservices, ianditerminallyiillipatients. DIF: Cognitive iLevel:iComprehension REF: p. i289 15. Whichiofithe ifollowingiisiairesponsibilityiofimanyihealthicareiagencies' ichiefiexecutive iofficersi(CEOs)? a. Managingithe ibudgetsiofieachidepartmentiinitheiagency b. Recruitingiandihiringiofistaff c. Overallioperationiofithe iagencyionia idailyibasis d. Establishingipoliciesigoverningithe ioperationiforithe iagency ANS: C Feedback A AlthoughitheiCEOiisiconcernediaboutitheicost-effectivenessiofithe iinstitutioniasia iwhole, ihe iorishe idoesinotidealiwithiindividualidepartmentibudgets. B TheiCEOiisinotiresponsibleiforistaffing. C TheiCEOimakesisure ithatithe iinstitutionirunsiefficientlyiandicost-effectivelyiand icarriesioutipoliciesiestablishedibyitheiboard. D TheiCEOicarriesioutitheipoliciesiestablishedibyithe iboard. DIF: Cognitive iLevel:iKnowledge REF: p. i290 16. Whichiofithe ifollowingiisiairesponsibilityiofimanyinurse iexecutivesi(chiefinursingiofficers)? a. Recruiting, ihiring, ianditraininginewistaff b. Managingiday-to-dayistaffischeduling c. Managingibudgetiforiassignediunit d. Participatingiasia imemberiofitheiboardiofidirectors ANS: D Feedback A Recruiting, ihiring, ianditraininginewistaffiisiaifunctioniofimiddle imanagement. B Managingiday-to-dayistaffischedulingiisia ifunctioniofimiddleimanagement. C Managingibudgetiforiassignediunitiisia ifunctioniofimiddleimanagement. D Theichiefinurse iexecutiveiisioftenia imemberiofitheiboardiofidirectors. DIF: Cognitive iLevel:iKnowledge REF: p. i291 17. Withinia inursingisharedigovernanceimodel, ithe iroleiofithe iclinicalinursingistaffiisito a. determineitheiexpectationsiandigoalsiforitheiunit. b. manageitheibudgetiforitheiunititoibe icost-effective. c. focusionithe iunitiactivitiesirelateditoinursesionly. d. adhereitoistandardsiandiqualityibenchmarksitoiensure iprofessionalipractice. ANS: D Feedback A Determiningithe iexpectationsiandigoalsiforithe iunitiisia ifunctioniofitheinurse imanager. B Managingithe ibudgetiforitheiunititoibeicost-effective iisia ifunctioniofithe inurse imanager. C Dependingion itheiorganizationiofithe iinstitution, iunitigovernance imayiinvolve iotheripersonnelibesidesijustinurses. D Sharedigovernance iisibasedionitheiphilosophyithatinursesihave ibothithe irightiand iresponsibilityitoigovernitheiriowniwork. DIF: Cognitive iLevel:iComprehension REF: p. i291 18. Theipurpose ioficontinuousiqualityiimprovementi(CQI)iisito a. monitoriprocessesiinvolvediinithe iprovisioniofisafe, ieffective icareiforipatients. b. restructure ihospitalidepartmentsitoiinitiate icostisavings. c. provideianiopportunityiforistaffimembersitoiparticipate iiniself-governance. d. deliveriappropriate inursingicareitoipatients. ANS: A Feedback A CQIifocusesioniusingigroupsiofiemployeesitoidecide ihowicareiwillibe idelivered, idecideionitheidesiredioutcomes, iandidesignisystemsitoicreate ithoseioutcomes. iEveryieffortiisimadeitoianticipate ipotentialiproblemsiandipreventitheir ioccurrence. B CQIimayiinvolve irestructuringitoiimprove ipatienticare, ibutiitimayinotirelate ito icost-effectiveness. C CQIimayiorimayinotibeipartiofiself-governance. D TheigoaliofiCQIiisiqualityicare, inotiappropriate icare. DIF: Cognitive iLevel:iComprehension REF: pp. i292-293 19. Differencesibetweenitreatmentioutcomesiforidifferentipopulationsiare iknownias a. healthicareioutcomes. b. populationivariability. c. treatmentichoices. d. healthicareidisparities. ANS: D Feedback A Healthicareioutcomesiare imeasurable iresultsiofithe ihealthicareisystem. B Populationivariabilityirelatesitoitheivariationioficharacteristicsiofitheipopulation. C Treatmentichoicesiareioptionsiofferediforicareiofithe ipatient. D Theidifferencesiinidiseaseimanagementianditreatmentioutcomesihave ibeenifound iinidifferentiethnic iandiracialigroupsiasiwelliasiinidifferentigenderiandiageigroups. DIF: Cognitive iLevel:iKnowledge REF: p. i293 20. Aicontributingifactoritoihealthicareidisparitiesimayibe a. geneticifactors. b. provideribias. c. standarditreatmentioptions. d. diagnostic idifferences. ANS: B Feedback A Geneticifactorsimayiinfluenceidiseaseioccurrence;ihowever, ionce itheidisease iis ifound, iallioccurrencesishouldibe itreatediinia isimilarimanner. B Theihealthicareidisparitiesicouldibeithe iresultiofitheioptionsiofferedioricare iprovidedion itheibasisiofiethnicity, igender, ioriage. C Standarditreatmentioptionsiavailable iforispecific idiseasesioriinjuriesishouldinot iaffectidisparities. D Disparitiesihave ibeenishownitoiexistiamongipatientsiwithitheisame idiagnosis. DIF: Cognitive iLevel: iKnowledge REF: p. i293 21. Whichiofithe ifollowingiisinotirecognizediasipartiofithe iroleiofithe inurse iasia imemberiofithe ihealthicareiteam? a. Patientiadvocate iandieducator b. Collaboratoriandiproviderioficare c. Managerioficareiandiresourcesiforia igroupiofipatients d. Performanceiofiphysicianifunctionsiunderidirectisupervisioniofia iphysician ANS: D Feedback A Advocateiandieducatoriareirolesiofithe inurse. B Collaboratoriandiproviderioficareiisithe iroleiofitheinurse. C Managerioficareiandiresourcesiforia igroupiofipatientsiisithe iroleiofithe inurse. D Theiphysician'siassistantiperformsimanyifunctionsiofitheiphysicianiunderithe idirectisupervisioniofitheiphysician. DIF: Cognitive iLevel:iComprehension REF: pp. i297-299 22. Theinurse iwhoirecognizesithatithe istrictivisitingihoursipolicyithatihasiexistedionitheipediatric iunitiisioutmodediandibeginsitoigatheridataitoisupportia inewipolicyiliberalizingivisitingihours ibasedionievidenceiofibetteripatienticareiisitakingionithe iroleiof a. providerioficare. b. patientiadvocate. c. counselor. d. educator. ANS: B Feedback A Theinurse iasitheiproviderioficareiprovidesinursingicareitoipatients. B Ainurse iadvocate iknowsihowitoiworkithroughibureaucracyitoiprovide iforithe ipatients' ibestiinterestiatiallitimes. C Theinurse iasia icounseloriprovidesibasicicounselingiandisupportitoipatientsiin irelationitoitheiriemotionaliresponsesitoihealthiandiillness. D Theinurse iasianieducatoriprovidesiinformationitoipatientsianditheirifamilies irelateditoihealthiandiillnessiissues. DIF: Cognitive iLevel:iApplication REF: p. i299 23. Ainurse icaringiforia ipreoperative ipatientiisitoldibyithe ipatient, i"The idoctorijustihadimeisignia ipaper. iIiwishiIiknewiwhatiitiwasialliabout." iTheinurse igoesitoireportithisitoitheiphysician. iThe inursingirole iadoptedibyitheinurse iis a. providerioficare. b. counselor. c. changeiagent. d. patientiadvocate. ANS: D Feedback A Theinurse iasitheiproviderioficareiprovidesinursingicareitoipatients. B Theinurse iasia icounseloriprovidesibasicicounselingiandisupportitoipatientsiin irelationitoitheiriemotionaliresponsesitoihealthiandiillness. C Theinurse iasia ichange iagentiisiinvolvediinimakingichangesiinithe ihealthicare isystemioriinitheiprovisioniofipatienticare. D Ainurse iadvocate iworksitoiprovideiforithe ibestiinterestiofipatientsiatiallitimes. DIF: Cognitive iLevel:iApplication REF: p. i299 24. Ainurse iplacesihigh ipriorityioniworkingiwithipatientsiandifamilies, iincludingithemiiniplanning icareiandiiniestablishingigoals. iWhichinursingiroleihasithisinurse iassumed? a. Patientiadvocate b. Providerioficare c. Changeiagent d. Collaborator ANS: D Feedback A Ainurse iadvocate iworksitoiprovideiforithe ibestiinterestiofipatientsiatiallitimes. B Theinurse iasitheiproviderioficareiprovidesinursingicareitoipatients. C Theinurse iasia ichange iagentiisiinvolvediinimakingichangesiinithe ihealthicare isystemioriinitheiprovisioniofipatienticare. D Theinurse iwhoiworksicollaborativelyiwithipatientsiandifamiliesiincludesithemiin iplanningicareiandioutcomes. DIF: Cognitive iLevel:iComprehension REF: p. i299 25. Whichiofithe ifollowingiisiaicharacteristic iofithe iteamimodeliofinursingicareidelivery? a. Eachimemberiofithe iteamiusesihisioriheriabilitiesitoithe ifullestiinipatienticare. b. Communicationiamongithe iteamisavesitime, isoithe imodeliisicost-efficient. c. Teaminursingiemphasizesiholistic icareiforitheipatientsianditheirifamilies. d. Thisimodeliincreasesicontinuityioficareiforithe ipatients. ANS: A Feedback A Bothitheiprofessionaliandinonprofessionalimembersiofithe iteamiprovideithe ilevel ioficareitheyiareibestiprepareditoioffer. iTheiteamimembersiareiutilizeditoitheir ifullest. B Communicatingipatientiinformationitoialliinvolvediinipatienticareiisitime iconsuming. C Teaminursingifragmentsithe icareiforitheipatientsibecauseimultiple ipeopleiare iinvolved. D Theicontinuityioficareicanibe ifragmentedibecause iofithe imultiple iprovidersiover itheitimeithe ipatientiisiinithe ihospital. DIF: Cognitive iLevel:iComprehension REF: p. i300 26. Theicareideliveryimodeliiniwhichia iregistered inurse iprovidesidirecticareiandialsoihasi24-hour iresponsibilityiforiupdatingithe ipatient'siplanioficareiisiknownias a. functionalicare. b. teaminursing. c. primaryicare. d. caseimanagement. ANS: C Feedback A Functionalinursingidividesitasksiamongicareiteamimembers. B Teaminursingiusesidifferentiskillilevelsitoiprovideicare iiniteams. C Theiprimaryicareinurse iretainsiaccountabilityiforicareioutcomesi24ihoursiaiday iwhileithe ipatientiisionitheiunit. D Caseimanagementicoordinatesicareiandiresources. DIF: Cognitive iLevel:iKnowledge REF: p. i301 27. Whichicareideliveryimodeliusesicriticalipathwaysiandicontinuousiqualityiimprovementito iguideicare ipractices? a. Managedicare b. Primaryicare c. Caseimanagement d. Careiredesign ANS: C Feedback A Managedicare iusesihealthimaintenance iorganizationsiandipreferrediprovider iorganizationsiforiprospectiveireimbursement. B Primaryicare iidentifiesione inurse iasiresponsible iforitheipatient'sicareiand ievaluationiofioutcomesithe ientire itimeitheipatientiisionitheiunit. C Caseimanagementiusesicriticalipathwaysiasiguidesitoicareiandioutcomesiand icontinuousiqualityiimprovementitoiassessitheicauseiofivariancesiinitheicritical ipathway. D Careiredesigniwasianiattemptiduringithe i1990sitoireintroduce iteaminursing. DIF: Cognitive iLevel:iKnowledge REF: p. i301 28. Whichiofithe ifollowingipatientsiisilikelyitoibenefitimostifromireferraliforicaseimanagement? a. Childiinjurediiniaiplaygroundiaccident b. Elderlyipatientiwithitotalihipireplacement c. Ai49-year-oldimaniinitheiemergencyidepartmentiwithichestipain d. Ai20-year-oldiwithiappendectomy ANS: B Feedback A Injuriesisustaineditoia ichildionia iplaygroundiare ilikelyitoibe idifferentifromimany iotherichildhoodiinjuriesiandithusioutcomesiwillibe ilessipredictable. iTheiinjury imayialsoibe iminoriininature iandinotineeditheiinvolvementiofia icaseimanager. B Theibestireferralitoicaseimanagementiisia ipatientiwhoifallsiwithinia ispecific idiagnostic igroupiandiwhose ioutcomesicanibe ireasonablyipredictediwithinia iset iperiodiofitime. C Aimiddle-agedimaniwithichestipainidoesinotiyetihave ia idiagnosisithatiwouldiput ihimiinia idiagnostic igroupibenefitingifromicaseimanagement. D Aiyoungipersoniwithianiacuteiillnessirequiringisurgeryiisilikelyitoihaveian iuncomplicatedirecovery. DIF: Cognitive iLevel:iApplication REF: p. i301 29. Ainursingicaseimanagerirequestsia imeetingiwithithe inursingistaffiafteridiscoveringivariances ifromicriticalipathwaysirelateditoitimelyidischargeiofipatientsihavingihipireplacement. iPatients iareinotibeingidischargedionitimeibecause itheyiareirefusingitheiriphysicalitherapyiasia iresultiof ipooripainicontrol. iMeetingiwithitheistaffitoidiscussipotentialiimprovementsiinipain imanagementiisianiexample iof a. performanceiimprovement. b. continuousiqualityiimprovement. c. teamibuilding. d. JointiCommissionicompliance. ANS: B Feedback A Performanceiimprovementiisidesigneditoiaddressiindividualiemployee iperformanceiandimanageriperformance. B Continuousiqualityiimprovementifocusesioniestablishingiproceduresiforiensuring ihigh-qualityicare. C Teamibuildingiisiaboutibuildingiprofessionalirelationships. D JointiCommissionicompliance iisiadherenceitoia isetioficriteriaiestablishedibyithe iJointiCommission. DIF: Cognitive iLevel:iComprehension REF: p. i292i| ip. i302 30. Whichiofithe ifollowingiisiaicharacteristic iofithe ipatient-centeredicareimodeliofinursingicare idelivery? a. Itiisieasilyiexplaineditoipatientsibecause iitiisibasedionitraditionalimodelsiofinursing icare. b. Communicationiamongiteamimembersiisinotirequireditoimakeitheimodeliwork. c. Aimultidisciplinaryiteamiemphasizesicontinuumioficareiandifocusesionithe ipatient's irightitoiindividualizedicare. d. Itidecreasesitheinumberiofiregisteredinursesirequireditoiprovide icare. ANS: C Feedback A Theipatient-careimodeliisicomplex, iandiitiisidifficultitoiexplainiallitheirolesiofithe iteamimembers. B Foritheipatient-careimodelitoiwork, ithereihasitoibe ia ihigh idegree ioficollaboration iandicommunicationibetweenitheiteamimembers. C Theipatient-careimodeliisia icontemporaryimodelithatiisiimplementedibyia imultidisciplinaryiteamithatifocusesionithe ipatient'sirightitoiindividualizedicare. D Theipatient-careimodeliactuallyirequiresimoreiregistered inursesitoiprovideithe ibestipatient-centeredicare. DIF: Cognitive iLevel:iComprehension REF: pp. i302-303 31. Whatiisithe irelevance iofithe iconceptsiofisupplyiandidemand, ifreeimarket, iandipriceisensitivity iwithiregarditoihealthicareicosts? a. Theiundersupplyiofiavailableihealthicareihasidriveniupicosts. b. Inia ifreeimarket, iincreasedinumbersiofipeopleiareiableitoipayiforihealthicare. c. Consumeriinsensitivityitoicostsihasiincreasedidemandiforihealthicareiservices. d. Third-partyipayersihave idemandedimoreihealthicareiservices. ANS: C Feedback A Thereiisianioversupplyiofihealthicareiservices, isoicostsishouldidecrease. B Inia ifreeimarket, ithe iconsumptioniofihealthicareiservicesiwouldibe ibasedionithe iindividual'siabilityitoipay. C Becauseimore iconsumersihave ihealthiinsurance, itheyipayionlyia ismalliportioniof itheicostiand, itherefore, irequestimore iservices. D Theidemandiforiservicesihasicome ifromiconsumersinotithird-partyipayers. DIF: Cognitive iLevel:iComprehension REF: p. i304 32. An iimpactiofihealthicareicost-containmentimeasuresion inursingihasibeen a. addingimore iregisteredinursesitoithe iskillimixiofitheinursingiteam. b. theiconcerniaboutithe iassuranceiofiqualityicare. c. largeiannualisalaryiincreasesiforinurses. d. developmentiofistandardsiofinursingipractice ANS: B Feedback A Frequentlyithe isolutionitoiincreasedicostsiisitoireduceinursingipersonnel, inot iincreaseitheinumbers. B Frequentlyithe isolutionitoiincreasedicostsiisitoireduceinursingipersonnel, iraising itheiconcernithatitheiqualityioficareiwillibe iaffected. C Salariesihave inotiincreasedisignificantlyiforinursesiasia iresultioficost-containment imeasures. D Cost-containmentimeasuresihave inotiinfluenceditheidevelopmentiofinursing istandards. DIF: Cognitive iLevel:iComprehension REF: p. i305 33. WhatiserviceiisicoveredibyiMedicare, ipartiD? a. Home ihealthicare b. Prescriptionidrugicosts c. Inpatientihospitalistays d. Physicianiofficeivisits ANS: B Feedback A SomeihomeihealthicareiisicoverediunderipartiA. B PrescriptionidrugsicostsiareicoverediunderipartiD. C InpatientihospitalistaysiareicoverediunderipartiA. D PhysicianiofficeivisitsiareicoverediunderipartiB. DIF: Cognitive iLevel:iKnowledge REF: p. i306 MULTIPLEiRESPONSE 1. Whichiofithe ifollowingiareasiexperience iseriousidisparitiesiinihealthicareiaccessiandioutcomes iforiminorities?i(Selectiallithatiapply.) a. Infantimortality b. Arthritis c. Cardiovascularidisease d. Oralihealth e. Immunizations ANS: A, iC, iE Feedback Correct TheiAfrican-Americaniinfantimortalityirate iisi2.5itimesithatiofiwhite iinfants. iThe iincidence iofiheartidisease iisi29%ihigheriamongiAfricanAmericaniadultsithaniamongiwhiteiadults. iHispanicsiandiAfrican iAmericans, iagedi65 iyearsiandiover, iwere ilessilikelyithaniwhitesitoireport ireceivingiinfluenza iandipneumococcalivaccines. Incorrect Differencesiiniarthritisiandioralihealthihaveinotibeenithoroughlyistudied. DIF: Cognitive iLevel:iComprehension REF: p. i294 2. Toiwhomidoesithe inurse iprovideiinformationiwheniworkingiinithe iroleiofieducator?i(Selectiall ithatiapply.) a. Familiesiaboutiillnessesianditreatments b. Communityigroupsiaboutiinjuryiprevention c. Studentinursesiaboutinursingistandardsiandiideals d. Healthicareiteamimembersiaboutitheipatient e. Physicianiassistantsiaboutiinvasive iprocedures ANS: A, iB, iC, iD Feedback Correct Nursesicanibe ikeyieducatorsiforimanyidifferentigroupsiandion iaivarietyiof ihealthiandiprofessionalitopics. Incorrect Theiphysicianisupervisesiphysicianiassistantsiandishouldiprovide iinformationitoithemiaboutiinvasive iproceduresitheyiareidoing. DIF: Cognitive iLevel:iComprehension REF: p. i298 3. Howicanistaffinursesiplayianiimportantiroleiinicontrollingihealthicareicosts? i(Selectiallithat iapply.) a. Becomingiawareioficostiofisupplies b. Questioningitheineediforiunnecessaryiorirepetitive itests c. Suggestingitheiuse iofibrand-nameimedicationsitoisupportithe ieconomy d. Handwashingitoipreventiinfections e. Assuringithatithe ipaymentimethodiisiidentifiedioniadmission ANS: A, iB, iD Feedback Correct Knowingitheicostiofisuppliesiwillihelpitheinurseiselectitheimostiappropriate isupply, iasiwelliasithe iamountiused. iTheinumbersiofilaboratoryitestsiand/or iotheridiagnostic itestsiincrease itheicostsitoitheiinstitution, itheipatient, iand itheipayer. iTheipreventioniofihospital-causediinfectionsiwillidecrease ilengthiofistayiandineediforiantibiotic itreatment. Incorrect Brand-nameimedicationsiareigenerallyimoreiexpensive ithanigenericiforms. iTheiidentificationiofitheipaymentimethodiwillinotiinfluence itheicostiofithe icare. DIF: Cognitive iLevel:iComprehension REF: pp. i307-308 Chapteri15:iPoliticaliActivismiiniNursing:iCommunities, iOrganizations, Government MULTIPLEiCHOICE 1. Theiareaiofiphilosophyithatidealsiwithithe iregulationiandicontroliofipeopleilivingiinisocietyito ipreserve iprosperity, idefendirights, iandiaugmentiresourcesiisiknown ias a. policy. b. politics. c. politicalipower. d. power. ANS: B Feedback A Policyiisia iplaniofiactioniintendeditoiinfluenceiandidetermine idecisions, iactions, iandiotherimatters. B Oneidefinitioniofipoliticsiisiitiisi"thatipartiofiethicsiwhichihasitoidoiwithithe iregulationiandigovernmentiofia inationioristate, itheipreservationiofiitsisafety, ipeace, iandiprosperity, itheidefense iofiitsiexistence iandirightsiagainstiforeign icontrolioriconquest, itheiaugmentationiofiitsistrengthiandiresources, iandithe iprotectioniofiitsicitizensiinitheirirights, iwithithe ipreservationiandiimprovementiof itheirimorals." C Politicalipoweriisiusedibyiindividualsiandigroupsitoiinfluenceipolicy idevelopmentiandiimplementation. D Poweriisistrengthiofiinfluence. DIF: Cognitive iLevel:iComprehension REF: p. i314 2. Ainurse iwhoilobbiesistateilegislatorsitoisupportia ichange iinitheiscope iofipractice iininursingiis iengagingiin a. powerisharing. b. settingipolicy. c. politics. d. legislative ipower. ANS: C Feedback A Powerisharingiisinotipartiofilobbyingiforicauses. B Settingipolicyiisitheiprocessiofideterminingithe idecisionitoigoverniactions. C Politicsihasitoidoiwithithe iconductiandicontestsiofipartiesiwithireference ito ipoliticalimeasuresiorithe iadministrationiofipubliciaffairs. iLobbyingiforia ichange iinitheiscopeiofipractice irelatesitoitheiadministrationiofipubliciaffairs. D Legislative ipoweriisithe iinfluence iofithe ilegislature. DIF: Cognitive iLevel:iApplication REF: p. i314 3. Theiprinciplesiandivaluesithatigoverniactionsidirectediatiinfluencingiandidetermining idecisions, iactions, iandiotherimattersiareiknownias a. policy. b. politics. c. politicalipower. d. power. ANS: A Feedback A Policyiisia iplaniofiactioniintendeditoiinfluenceiandidetermine idecisions, iactions, iandiotherimatters. B Politicsiisithatipartiofiethicsithatihasitoidoiwithitheiregulationiofia inationioristate iforithe ipreservationiofiitsisafetyiandiprosperity, ithe idefenseiofiitsiexistence, ithe iaugmentationiofiitsistrengthiandiresources, iandithe iprotectioniofiitsicitizens' irights. C Politicalipoweriisiusedibyiindividualsiandigroupsitoiinfluenceipolicy idevelopmentiandiimplementation. D Poweriisistrengthiofiinfluence. DIF: Cognitive iLevel:iComprehension REF: p. i315 4. Whichiofithe ifollowingiisianieffective imethodiforithe ipracticinginurse itoiachieveileadership iskills? a. Becomingiactive iiniprofessionaliorganizations b. Changingijobsifrequentlyitoiimprove iskills c. Learningiabouticollective ibargaining d. Avoidingiinvolvementiinipolitics ANS: A Feedback A Becomingiactive iiniprofessionaliorganizationsihelpsinursesiacquire ileadership iskills. B Changingijobsifrequentlyidoesinotibuildileadershipiskills. C Engagingiinicollective ibargainingidoesinotienhanceileadershipiskills. D Involvementiinipoliticsicanibuildileadershipiskills. DIF: Cognitive iLevel:iComprehension REF: p. i316 5. TheiAmericaniNursesiAssociationi(ANA)iservesiasithe a. clearinghouse iofistandardsisetibyiclinicalispecialtyiorganizations. b. regulatoryiagencyisettingithe iguidelinesiforithe iscopeiofipractice. c. sourceiofidisseminationiofinursingiresearch. d. professionaliorganizationiforiallinursesiregardlessiofipractice isettingiorileveliof ipractice. ANS: D Feedback A TheiANAidoesinotiestablishistandardsiforispecialtyiorganizations. B Stateiboardsiofinursingiareithe iregulatoryiagenciesithatisetithe iguidelinesiforithe iscope iofipractice. C TheiANA'sipurpose iisinotitoidisseminate iresearchiinformation. D TheiANAiisianiexampleiofia ibroad-purposeiassociation. iItiservesitheineedsiofiall inurses. DIF: Cognitive iLevel:iComprehension REF: p. i316 6. Ainurse ihasiappliediforia ijobiandiduringitheiinterviewiwasitoldithatitheihealthicareifacilityiisia i"closedishop." iWhatidoesithatiphrase imeanitoithe inurse? a. Theinurse imustijoinia iunionitoibeiemployedithere. b. Theinurse icanijoinitheiunioniifidesired, ibutiitiisinotirequired. c. Thisifacilityiisicloseditoialliunioniactivities. d. Theifacilityiisinegotiatingiwithiseveraliunionsiforicontroliofithe iemployees. ANS: A Feedback A Unionimembershipiisia irequirementiofiemploymentiinia iclosedishop. B Unionimembershipiisia irequirementiofiemploymentiinia iclosedishop. C Aiclosedishop ialreadyihasia iunioniiniexistence, iandimembershipiisia iconditioniof iemploymentithere. D Unionimembershipiisia irequirementiofiemploymentiinia iclosedishop iwhereia iunioniisialreadyiiniexistence. DIF: Cognitive iLevel: iComprehension REF: p. i318 7. Ainurse iisicontemplatingia ipoliticalileadershipipositioniandiwondersiifishe/heihasitheidesired icharacteristicsitoimakeia igoodileader. iWhichiofitheifollowingitraitsiisiinconsistentiwithia igood ileader? a. Hasiaidevelopedisense iofisystemsithinking b. Solvesiproblemsimethodicallyiusingia istrictimodel c. Holdsihighimoraliandiethicalistandards d. Adaptsiquicklyitoinewisituations ANS: B Feedback A Aisense iofisystemsithinkingiisia idesireditraitiinia inurseileader. B Theiabilityitoisolve iproblemsicreatively, inotiusingia irigidimodel, iisia idesireditrait. C Havingihigh imoraliandiethicalistandardsiisia idesireditrait. D Beingiableitoiadaptiquicklyiininewisituationsiisia idesireditrait. DIF: Cognitive iLevel:iKnowledge REF: p. i320i| iBoxi15-1 8. Theimosticriticaliaspectiofinursesibecomingipersonallyi"political"iis a. financiallyisupportingipoliticaliactionicommitteesi(PACs). b. beingiinformediofisocialiandipoliticaliissues. c. communicatingiwithilegislators. d. runningiforioffice. ANS: B Feedback A Financiallyisupportingipoliticaliactionicommitteesiisianiactivityimore iinvolvediin itheiworldiofipolitics. B Theibasisiforiallipoliticaliinvolvementiisiunderstandingibroaderisocialiand ipoliticaliissuesitoigainiinsightiintoiwhatineedsitoibe ichangediinisocietyiandihow inursesicouldihelpibringiaboutitheichange. C Communicatingiwithilegislatorsiisianiactivityimoreiinvolvediinithe iworldiof ipolitics. D Runningiforiofficeiisianiactivityimore iinvolvediinithe iworldiofipolitics. DIF: Cognitive iLevel:iComprehension REF: p. i325 9. Ainurse ihasiregistered itoivote, ivotediiniprimaryiandiregularielections, iandiparticipatediin ipubliciforumsirelateditoibudgetireductionsithaticouldiresultiinitheireductioniofithe inumbersiof ischoolinurses. iThe inurse iisiknown iasia a. nurseicitizen. b. nurseiactivist. c. nurseipolitician. d. nurseiclinician. ANS: A Feedback A Ainurse icitizenibringsitheiperspective iofihealthicareitoitheivotingibooth, itoipublic iforumsithatiadvocate iforihealthiandihumaniservices, ianditoiinvolvementiin icommunityiactivities. B Ainurse iactivistitakesiaimore iactive irole iinipoliticsithanithe inurse icitizeniby ijoiningipoliticallyiactiveinursingiorganizations;icontactingipubliciofficials ithroughiletters, ie-mails, iandiiniperson;iand/oriworkingiinitheicampaign iofia icandidate isupportinginursingiissues. C Ainurse ipoliticianirealizesiandiexperiencesithe iempowermentithaticanicomeifrom ipoliticaliactivismiandichoosesitoiruniforioffice. D Ainurse iclinicianiisiainurse iwithiadvancediskillsiinia iparticulariareaiofinursing ipractice. DIF: Cognitive iLevel:iApplication REF: pp. i325-326 10. Ainurse ihasiheldia imedia ieventitoipublicize itheineediforifundingiforiimmunizationsiand ilobbiedidecisionimakersibyiprovidingipertinentistatisticaliinformationiaboutitheirisksiand ibenefitsiofiimmunizations. iThe inurse iisiknowniasia a. nurseicitizen. b. nurseiactivist. c. nurseipolitician. d. nurseiclinician. ANS: B Feedback A Ainurse icitizenibringsitheiperspective iofihealthicareitoitheivotingibooth, itoipublic iforumsithatiadvocate iforihealthiandihumaniservices, ianditoiinvolvementiin icommunityiactivities. B Ainurse iactivistitakesiaimore iactive irole iinipoliticsithanithe inurse icitizeniby ijoiningipoliticallyiactiveinursingiorganizations;icontactingipubliciofficials ithroughiletters, ie-mails, iandiiniperson;iand/oriworkingiinitheicampaign iofia icandidate isupportinginursingiissues. C Ainurse ipoliticianirealizesiandiexperiencesithe iempowermentithaticanicomeifrom ipoliticaliactivismiandichoosesitoiruniforioffice. D Ainurse iclinicianiisiainurse iwithiadvancediskillsiinia iparticulariareaiofinursing ipractice. DIF: Cognitive iLevel:iApplication REF: p. i326 11. Ainurse iwasiappointeditoia igoverningiboardiofia igovernmentaliagencyianditheniraniforian ielective ioffice. iTheinurseiisiknowniasia a. nurseicitizen. b. nurseiactivist. c. nurseipolitician. d. nurseiclinician. ANS: C Feedback A Ainurse icitizenibringsitheiperspective iofihealthicareitoitheivotingibooth, itoipublic iforumsithatiadvocate iforihealthiandihumaniservices, ianditoiinvolvementiin icommunityiactivities. B Ainurse iactivistitakesiaimore iactive irole iinipoliticsithanithe inurse icitizeniby ijoiningipoliticallyiactiveinursingiorganizations;icontactingipubliciofficials ithroughiletters, ie-mails, iandiiniperson;iand/oriworkingiinitheicampaign iofia icandidate isupportinginursingiissues. C Ainurse ipoliticianirealizesiandiexperiencesithe iempowermentithaticanicomeifrom ipoliticaliactivismiandichoosesitoiruniforioffice. D Ainurse iclinicianiisiainurse iwithiadvancediskillsiinia iparticulariareaiofinursing ipractice. DIF: Cognitive iLevel:iApplication REF: p. i327 MULTIPLEiRESPONSE 1. Aivarietyiofibenefitsiresultifromimembershipiiniprofessionaliorganizations, iincludingi(Select iallithatiapply.) a. availabilityiofipractice iguidelinesitoiinfluenceipolicyidevelopment. b. discountionilicensure ifees. c. continuingieducationiopportunities. d. opportunitiesitoidevelopipersonalileadershipiskills. e. increasedipayiandiprestige iinithe iworkisetting. ANS: A, iC, iD Feedback Correct Availabilityiofipractice iguidelinesitoiinfluence ipolicyidevelopment, icontinuingieducationiopportunities, iandiopportunitiesitoidevelopipersonal ileadershipiskillsiareiallibenefitsiofferedibyiprofessionaliorganizationsisuch iasithe iANA. Incorrect Professionaliorganizationsimayiofferidiscountsionimanyiservices, ibut ilicensure ifeesiare inotione iofithose iservices. iIncreasedipayiisinotian iadvertisedibenefitiofijoiningia iprofessionaliorganization. DIF: Cognitive iLevel:iComprehension REF: p. i321 Chapteri16:iNursing'siChallenge:iTheiCalliforiTransformation TestiBank MULTIPLEiCHOICE 1. Aitired, istressedinurse icomplainsiaboutibeingipartiofithei"SandwichiGeneration."iWhatidoes ithatiphrase imean? a. Peopleiwhoicareiforibothichildreniandiagingiparents b. Employeesiwhoiare istuckiinijobsitheyiwishitoiquit c. Aipersoniwhoiisitirediandistressedifromia ijob d. Aigroupiofipeopleisqueezedibyithe ineediforicontinuediwork ANS: A Feedback A Thei"SandwichiGeneration"irefersitoipeopleibetweeni40iandi60iyearsiofiage iwho ifaceibothicaringiforitheiriownichildreniandiprovidingicareiforitheirielderly iparents. B Thei"SandwichiGeneration"irefersitoipeopleibetweeni40iandi60iyearsiofiage iwho ifaceibothicaringiforitheiriownichildren, iandiprovidingicareiforitheirielderly iparents. C Thei"SandwichiGeneration"irefersitoipeopleibetweeni40iandi60iyearsiofiage iwho ifaceibothicaringiforitheiriownichildren, iandiprovidingicareiforitheirielderly iparents. D Thei"SandwichiGeneration"irefersitoipeopleibetweeni40iandi60iyearsiofiage iwho ifaceibothicaringiforitheiriownichildren, iandiprovidingicareiforitheirielderly iparents. DIF: Cognitive iLevel:iKnowledge REF: p. i333 2. AccordingitoiCooper, iwhatiisione iimportantimeasureinursesicanitakeitoireduceiburnout? a. Beingiawareiofistressorsiandiactingionithem b. Refusingitoiworkiinia inonproductive ienvironment c. Reportingibullyingiwheniitiisinoticediinitheiworkplace d. Keepingia idiaryiofiunhealthyibehaviorsioneiindulgesiin ANS: A Feedback A Beingiawareiofithe ienvironmentienablesinursesitoiidentifyitheiristressorsiandithen iactionithem. iThisiisiaihealthyiresponse itoistress. B Refusingitoiworkiinia inonproductive ienvironmentiwasinotiincludedibyiCooper. C Reportingibullyingiwheninoticediisianiimportantiaction, ibutinotiasiimportantias iidentifyingiandiactingionistressors. D Keepingia idiaryiwasinotimentionedibyiCooper. DIF: Cognitive iLevel:iComprehension REF: p. i334 3. Ainewigraduateimedical-surgicalinurse iisiinterestediinijoiningia iprofessionaliorganization. iWhichiorganizationishouldithe inurse'simanagerirecommend? a. NationaliStudentiNursesiAssociationi(NSNA) b. AmericaniNursesiAssociationi(ANA) c. Theiunit-basedijournaliclub d. Ainationalipoliticaliactionicommittee ANS: B Feedback A Asia inewigraduate, itheiNSNAiwouldinotibeia igoodifit. B TheiANAiisitheivoice iforiprofessionalinursesiandirepresentsinursesiworkingiiniall iareas. iThisiwouldibe ithe ibestichoice iforitheinewinurse. C Aiunit-basedijournaliclubiwouldibe igood itoijoin;ihowever, ithe inurse iwillinotiget iaccessitoistatementsiandipositionipapersioniethics, istandardsioficare, iandipolitical ipositionsithatiareiavailable ifromithe iANA. D Aipoliticaliactionicommittee iwouldibe iaigoodifitiifitheinurse iisiinterestediin ipoliticaliactivity;ihowever, ithe inurse iwillinotigetiaccessitoistatementsiand ipositionipapersioniethics, istandardsioficare, iandipoliticalipositionsithatiare iavailable ifromitheiANA. DIF: Cognitive iLevel:iComprehension REF: p. i335 4. Ainurse iseesianiadvertisementiforiworkishoesithatiinclude ia isexualizingiimage iofia inurse iwearingithem. iWhichiactionibyitheinurse iisibest? a. Buyingitheishoesiandicomplainingitoitheistoreimanager b. Refusingitoibuyitheishoesiandiwritingia iletterioficomplaintitoitheicompany c. Lookingiarounditoiseeiifithereiareiotherishoesithatifitiandiareiappropriate iforiwork d. Askingico-workersiwhatitheyithinkiaboutithisiadvertisementicampaign ANS: B Feedback A Nursesineeditoibe iawareiofinursingiimagesiinithe ipubliciandirespond iappropriately. iTheibestiresponse iisitoirefuseitoibuyithe ishoesiandiwrite iailetteriof icomplaintitoitheicompanyithatimanufacturesithem. B Nursesineeditoibe iawareiofinursingiimagesiinithe ipubliciandirespond iappropriately. iTheibestiresponse iisitoirefuseitoibuyithe ishoesiandiwrite iailetteriof icomplaintitoitheicompanyithatimanufacturesithem. C Nursesineeditoibe iawareiofinursingiimagesiinithe ipubliciandirespond iappropriately. iTheibestiresponse iisitoirefuseitoibuyithe ishoesiandiwrite iailetteriof icomplaintitoitheicompanyithatimanufacturesithem. D Nursesineeditoibe iawareiofinursingiimagesiinithe ipubliciandirespond iappropriately. iTheibestiresponse iisitoirefuseitoibuyithe ishoesiandiwrite iailetteriof icomplaintitoitheicompanyithatimanufacturesithem. DIF: Cognitive iLevel:iApplication REF: p. i335 5. Whatiisimeantibyi"workplaceiincivility"? a. Aisettingiiniwhichithere iareipoorirelationshipsiamongidifferentiprofessional ispecialties b. Aisettingiiniwhichidifferentiprofessionsivieitoitakeioveritheifunctionsiofiother iprofessionaligroups c. Aisettingiiniwhichithe imanageriisiunreceptive, ihostile, iandicreatesidissention d. Aisettingiwhereicolleaguesibully, iintimidate, ioriuse iaggressionitowardieachiother ANS: D Feedback A Incivilityiinithe iworkplaceiisidescribediasiaicontinuumiofibehaviorsitowardicoworkersiincludingitaunting, iusingiracial/ethnic islurs, iintimidating, ibullying, ior iusingiaggressioniagainstianotheriperson. B Incivilityiinithe iworkplaceiisidescribediasiaicontinuumiofibehaviorsitowardicoworkersiincludingitaunting, iusingiracial/ethnic islurs, iintimidating, ibullying, ior iusingiaggressioniagainstianotheriperson. C Incivilityiinithe iworkplaceiisidescribediasiaicontinuumiofibehaviorsitowardicoworkersiincludingitaunting, iusingiracial/ethnic islurs, iintimidating, ibullying, ior iusingiaggressioniagainstianotheriperson. D Incivilityiinithe iworkplaceiisidescribediasiaicontinuumiofibehaviorsitowardicoworkersiincludingitaunting, iusingiracial/ethnic islurs, iintimidating, ibullying, ior iusingiaggressioniagainstianotheriperson. DIF: Cognitive iLevel:iComprehension REF: p. i355 6. Ainursingimanagerihasinoticediincreasingiincidentsiofirudenessiandilackioficooperationiamong ico-workers. iWhichiactionibyithe imanageriisibest? a. Holdingia istaffimeetingiandiremindingitheistaffiofipoliciesiregardingibehavior b. Discipliningithei"ringleaders"iiniorderitoimakeianiexampleiforitheiotheristaff c. Havingiinformalimeetingsitoisolicitistaffiopinionsionithe iworkplace d. Announcingithatiraisesiwillibe iwithheldifromistaffimembersiengagingiinithis ibehavior ANS: C Feedback A Workplaceiincivilityileadsitoipooripatientioutcomesiandicannotibe itolerated. iHowever, ipeopleiengage iinithisitype iofibehavioribecause itheyifeelistressediand ipowerless. iSimplyiremindingistaffimembersiofibehavioraliexpectationsiwould imakeithemifeelimore ipowerless. B Workplaceiincivilityileadsitoipooripatientioutcomesiandicannotibe itolerated. iHowever, ipeopleiengage iinithisitype iofibehavioribecause itheyifeelistressediand ipowerless. iSimplyidiscipliningithe i"ringleaders"iwouldiincrease itheirisenseiof ipowerlessnessiandiwouldinotisolve ithe irootiproblem. C Workplaceiincivilityileadsitoipooripatientioutcomesiandicannotibe itolerated. iHowever, ipeopleiengage iinithisitype iofibehavioribecause itheyifeelistressediand ipowerless. iObtainingiopinionsiaboutitheiworkingiconditionsicouldihelpithe istaff iandimanageripinpointiareasileadingitoitheistressiandipowerlessness, iwhichicould ithenibe iaddressed, iincreasingistaffipoweriandidecreasingistress. iThisishouldilead itoidecreasediincivility. iThe iotherioptionsimightineeditoibeiemployediasiwell, ibut ithisioptioniwouldiholdithe ibestichanceiofisolvingitheirootiproblem. D Workplaceiincivilityileadsitoipooripatientioutcomesiandicannotibe itolerated. iHowever, ipeopleiengage iinithisitype iofibehavioribecause itheyifeelistressediand ipowerless. iSimplyiwithholdingiraisesiwouldiincrease ifeelingsiofipowerlessness, ihostility, iandiresentment. DIF: Cognitive iLevel:iApplication REF: p. i336 7. Howicouldichangesiiniworldipopulationiaffectihealth? a. Decreasingipopulationsiinithirdiworldicountriesifreesiupilimitediresourcesiforithe iremainingipopulation'sineeds. b. Feeding, iimmunizing, iandiprovidingicleaniwateriwillibecomeianioverwhelming itask. c. Massive ipopulationiincreasesiinisome iareasiwillileaditoiabundantihealthicareiin icountriesiwithismalleripopulations. d. Moreihealthicareiresourcesicanibe iutilizedifightingiregionaliproblemsibasedion ishiftingipopulationidynamics. ANS: B Feedback A Asitheiworld'sipopulationsiincrease itoia iprojectedi8.8ibillionibyi2025, ifeeding, iimmunizing, iprovidingipotable iwater, iandicaringiforithisimanyihumanibeings ithreatenitoioverwhelmithe ienvironmental, ieconomic, isocial, iandimedicalisystems iofithe ientireiworld. B Asitheiworld'sipopulationsiincrease itoia iprojectedi8.8ibillionibyi2025, ifeeding, iimmunizing, iprovidingipotable iwater, iandicaringiforithisimanyihumanibeings ithreatenitoioverwhelmithe ienvironmental, ieconomic, isocial, iandimedicalisystems iofithe ientireiworld. C Asitheiworld'sipopulationsiincrease itoia iprojectedi8.8ibillionibyi2025, ifeeding, iimmunizing, iprovidingipotable iwater, iandicaringiforithisimanyihumanibeings ithreatenitoioverwhelmithe ienvironmental, ieconomic, isocial, iandimedicalisystems iofithe ientireiworld. D Asitheiworld'sipopulationsiincrease itoia iprojectedi8.8ibillionibyi2025, ifeeding, iimmunizing, iprovidingipotable iwater, iandicaringiforithisimanyihumanibeings ithreatenitoioverwhelmithe ienvironmental, ieconomic, isocial, iandimedicalisystems iofithe ientireiworld. DIF: Cognitive iLevel:iComprehension REF: p. i337 8. Ainurse imanageriwantsitoicuticostsiandieliminate iexpensive ilatex-freeigloves. iWhichiresponse ibyithe ichiefinursingiofficeri(CNO)iisibest? a. Allowingitheichange ibecause iitiwillisaveisubstantialimoney b. Allowingitheichange ibecause itheimanageriisiinicharge iofithe iunit'sibudget c. Notiallowingithe ichange ibecauseilatexiallergyiisifairlyicommon d. Notiallowingithe ichange iuntilithe inextivendoribiddingicycleioccurs ANS: C Feedback A Ofifrequentiglove iusers, i8itoi12%ihave ilatexiallergies, isoiregardlessiofithe ipossibleicostisavings, itheiCNOishouldinotiapproveithe ichange. B Whileitheiunitimanageriisiinicharge iofitheiunit'sibudget, ilatexiallergyiisifairly icommoni(8itoi12%iofifrequentiglove iusers), isoitheimanageriwillineeditoifindia idifferenticost-cuttingimeasure. C TheiCNOishouldinotiallowitheichange ibecausei8itoi12%iofifrequentiglove iusers ireportilatexiallergies. D Ofifrequentiglove iusers, i8itoi12%ihave ilatexiallergies, isoiregardlessiofiwhereithe ifacilityiisiinithe ibiddingicycle, itheiCNOishouldinotiapprove ithe ichange. DIF: Cognitive iLevel:iApplication REF: p. i338 9. Ainewimanageriisihirediandiisireviewingiunitirecords. iTheimanagerifindsia ilistiofiaccidents, ierrors, iandiinterpersonaliproblemsionitheistaff. iWhichiactionibyitheimanageriisibest? a. Investigatingithe ieducationalicredentialsiandiexperience iofithe istaff b. Hiringimoreiregisteredinursesiandiassistive ipersonnel c. Comparingithisiunit'sirecordsiwithisimilariunitsiinitheihospital d. Researchingialternative istaffingipatternsiandithe ieffectsiofishiftiwork ANS: D Feedback A Becauseithe istaffihasialreadyibeenihired, itheiricredentialsishouldialreadyibe iestablishediandiareilikelyinotitheicause iofitheiproblem. iShiftiworkihasibeen ishownitoiincrease idepression, iexhaustion, iaccidents, iandiinterpersonaliproblems, ianditheimanagerishouldiinvestigate ithisiaspectiofithe iworkienvironment. B Theiunitimayiindeedineedimore istaff, ibutithisialoneiwillinotisolve itheiproblem. iShiftiworkihasibeenishownitoiincreaseidepression, iexhaustion, iaccidents, iand iinterpersonaliproblems, ianditheimanagerishouldiinvestigate ithisiaspectiofithe iworkienvironment. C Comparingiunitsiisia ihelpfulistrategyibutinotitheibestioption. iShiftiworkihasibeen ishownitoiincrease idepression, iexhaustion, iaccidents, iandiinterpersonaliproblems, ianditheimanagerishouldiinvestigate ithisiaspectiofithe iworkienvironment. D Shiftiworkihasibeenishownitoiincrease idepression, iexhaustion, iaccidents, iand iinterpersonaliproblems, ianditheimanagerishouldiinvestigate ithisiaspectiofithe iworkienvironment. iTheimanagerishouldiinvestigate iproblemsiassociatediwith ishiftiworkiandifindialternative ipatternsiofistaffingiiniorderitoipropose ia ichange. DIF: Cognitive iLevel:iApplication REF: p. i338 10. Aipatientiasksiainurse itoiexplainipharmacogenetics. iWhichiresponse ibyithe inurse iisibest? a. "Itiisitheieffectiofipharmaceuticaliagentsionia iperson'sigenes." b. "Itiusesigenetic iinformationitoidetermine iifiparticularidrugsiwilliworkiinia iperson." c. "Itiisitheiscience iofiusingia iperson'sigenesitoihelpicreateinewimedications." d. "Itiwasitheiprojectithatimappediandisequencedihumanigenes." ANS: C Feedback A Pharmacogeneticsiisia idevelopingifieldiiniwhichigeneticivariantsithatiaffectidrug imetabolismicanihelpiprovidersidetermine itheicorrectidose iofia iparticularidrug iandipossiblyieveniwhetheria iparticularidrugiwilliworkiatiall B Pharmacogeneticsiisia idevelopingifieldiiniwhichigeneticivariantsithatiaffectidrug imetabolismicanihelpiprovidersidetermine itheicorrectidose iofia iparticularidrug iandipossiblyieveniwhetheria iparticularidrugiwilliworkiatiall C Pharmacogeneticsiisia idevelopingifieldiiniwhichigeneticivariantsithatiaffectidrug imetabolismicanihelpiprovidersidetermine itheicorrectidose iofia iparticularidrug, iandipossiblyieveniwhetheria iparticularidrugiwilliworkiatiall D Pharmacogeneticsiisia idevelopingifieldiiniwhichigeneticivariantsithatiaffectidrug imetabolismicanihelpiprovidersidetermine itheicorrectidose iofia iparticularidrug iandipossiblyieveniwhetheria iparticularidrugiwilliworkiatiall. iMappingiand isequencingihumanigenesiwasitheiHumaniGenomeiProject. DIF: Cognitive iLevel:iComprehension REF: p. i338 11. Whatiisithe imostiimportantiactioniainurse icanitakeitoihelpifurtherithe iprofessioniofinursing? a. Joiningia iprofessionaliorganizationilikeitheiANA b. Runningiforipoliticaliofficeiandihelpingicreate ihealth-relatedilegislation c. Maintainingia isenseiofiwell-beingianditakingicareiofioneselfiinitheiworkplace d. Developingileadershipiskillsiandiincreasingiprofessionalieducation ANS: A Feedback A Nursesicomprise itheilargestigroupiofihealthicareiprofessionals, iwithioveri3 imillionimembers. iUnitingiinia iprofessionaliorganizationiwouldihelpinurses' ivoicesitoibe iheard, iwouldiinfluence ihealthicareipolicyiandilegislation, iandiwould ihelpiimprove ihealthiforiallipeople. B Runningiforiofficeiisia igoodiideaibutiwillionlyibe iappealingitoia iminorityiof inurses. C Takingicareiofioneselfiisicertainlyiimportant, ibutiitiwillinotihelpiadvanceithe iprofession. D Developingileadershipiskillsiandiadvancingione'sieducationiareigoodiideas, ibut itheyiare inotiasiimportantiasiunitingiiniaiprofessionaliorganization. DIF: Cognitive iLevel:iKnowledge REF: pp. i338-339 12. Whatiisitrue iaboutigeneticsiandinursingipractice? a. Inithe ifuture, iallidrugsiwillibe igeneticallyibased. b. Nursesiwillineedicompetence iinigenetics. c. Geneticidiseasesiwillibecomeimoreiprevalent. d. Alligeneticiconditionsicanibe iidentifiediprenatally. ANS: B Feedback A Havingiallimedicationsibeigeneticallyibasediisinotia igoaliofigeneticsiinihealth icare. B Inithe ifuture, inursesiwillineediincreasingicompetence iinitheiareaiofigenetics. C Geneticidiseasesimayiorimayinotibecomeimoreiprevalent. D Someibutinotialligeneticiconditionsicanibe iidentifiediinitheiprenataliperiod. DIF: Cognitive iLevel:iKnowledge REF: p. i335i| ip. i338 13. Approximatelyihowimanyinursesibelongitoithe iANA? a. 3imillion b. 1imillion c. 500,000 d. 300,000 ANS: D Feedback A Onlyiabouti10%iofithe ination'si3imillioninursesibelongitoitheiANA, iwhich iequatesitoiabouti300,000 imembers. B Onlyiabouti10%iofithe ination'si3imillioninursesibelongitoitheiANA, iwhich iequatesitoiabouti300,000 imembers. C Onlyiabouti10%iofithe ination'si3imillioninursesibelongitoitheiANA, iwhich iequatesitoiabouti300,000 imembers. D Onlyiabouti10%iofithe ination'si3imillioninursesibelongitoitheiANA, iwhich iequatesitoiabouti300,000 imembers. DIF: Cognitive iLevel:iComprehension REF: p. i335 14. Whatiisithe ifocusiofithe iTruthiAboutiNursingiCampaign? a. Educatingihighischoolistudentsiaboutitheinatureiofinursing b. Increasingiinterdisciplinaryicollaborationibyihighlightinginursingiachievements c. Changingihowithe iworldithinksiofinursingiandiprotectingiitsiimage d. Defendinginursesiagainstimalpractice ibyisupplyingiexpertiwitnessesiatitrial ANS: C Feedback A TheiTruthiAboutiNursingiisia iwatchdogiorganizationithatistrivesitoichange ithe ipubliciperceptioniofinursingianditoiprotectiitsipublic iimage. B TheiTruthiAboutiNursingiisia iwatchdogiorganizationithatistrivesitoichange ithe ipubliciperceptioniofinursingianditoiprotectiitsipublic iimage. C TheiTruthiAboutiNursingiisia iwatchdogiorganizationithatistrivesitoichange ithe ipubliciperceptioniofinursingianditoiprotectiitsipublic iimage. D TheiTruthiAboutiNursingiisia iwatchdogiorganizationithatistrivesitoichange ithe ipubliciperceptioniofinursingianditoiprotectiitsipublic iimage. DIF: Cognitive iLevel:iComprehension REF: p. i335 MULTIPLEiRESPONSE 1. Whichifactorsiwillileaditoia icontinuinginursingishortage iinitheifuture?i(Selectiallithatiapply.) a. Agingiofithe iworkforce b. Decreasingipayiforinurses c. Increasediunionization d. Increasedineediforinurses e. Recentieconomic idownturn ANS: A, iD Feedback Correct Agingiofithe iworkforce iandianiever-increasingineediforinursesiwill icontinue itoicontribute itoitheinursingishortage. Incorrect Decreasingipay, iincreasediunionization, iandithe irecentieconomic idownturn iareinotiprojecteditoibeicontributingifactorsiinithe icontinuinginursing ishortage. DIF: Cognitive iLevel:iComprehension REF: p. i334 2. Whichimedicaliconditionsicanibe ilinkeditoidecreasesiinienvironmentaliquality? i(Selectiallithat iapply.) a. Chronicirespiratoryidiseases b. Allergies c. Cancers d. Mentaliillness e. Inflammatoryibowelidisease ANS: A, iB, iC Feedback Correct Chronicirespiratoryiailments, iallergies, iandicancersiofiallitypesihave ibeen ilinkeditoideteriorationiinitheienvironment. Incorrect Mentaliillnessiandiinflammatoryibowelidisease ihave inotibeenilinkedito ichangesiinithe ienvironment. DIF: Cognitive iLevel:iComprehension REF: p. i337 3. Whatiare isomeirecommendationsiforiself-careiforinursesiinitheiworkplace?i(Selectiallithat iapply.) a. Washihandsiconsistently. b. Use isharpsidisposalicontainers. c. Use iadequateihelpiorimechanicalidevicesiforilifting d. Demandimentalihealthiscreeningiforiallivisitorsiandipatients e. Reduceitheineediforiworkingidouble ishifts. ANS: A, iB, iC Feedback Correct Self-protectionimeasuresinursesishoulditake iasipartiofiself-careiatiwork iinclude ihandwashing, iproperlyiusingisharpsicontainers, ihavingiadequate iresourcesiforilifting, iandireducingiorieliminatingishiftirotationsiandidouble ishifts. Incorrect Providingimentalihealthiscreeningiforiallipatientsiandivisitorsiwouldinotibe ifeasible iorireasonable. DIF: Cognitive iLevel:iComprehension REF: p. i338 4. Whatiare itheirolesiofithe iOccupationaliSafetyiandiHealthiAdministrationi(OSHA)iinithe iworkplace? i(Selectiallithatiapply.) a. Theyiprovide iprotectioniforipeopleiwhoireportiworkplaceisafetyiproblems. b. Theyiinspectialliequipmentitoiensure iitiisisafeibeforeitheistaffiusesiit. c. Theiregulate iworkplaceisafety. d. Theyiprovide ihealthiscreeningsiforiallinewiemployees. e. Theyiadministeritheiemployee ihealthiprogram. ANS: A, iC Feedback Correct OSHAiregulatesisafetyiinitheiworkplaceiandioperatesia iwhistleblower iprotectioniprogramithatiprotectsipeopleiwhoihave ireportedisafety iviolationsiinitheiriworkplaceifromiretribution. Incorrect OSHAidoesinotiinspectialliequipment, iprovideihealthiscreenings, ior ioperate itheiemployee ihealthiprogramiinifacilities. DIF: Cognitive iLevel:iComprehension REF: p. i338 5. Whichiofithe ifollowingiare iincludingiinitheibasicibeliefsisetiforthiinitheiANA'siNursing's iAgendaiforitheiFuture?i(Selectiallithatiapply.) a. Healthicareiisia ibasic ihumaniright. b. Healthipoliciesishouldibe ibasedionioutcomesiresearch. c. Governmentishouldibe ithe ionlyihealthicareiinsurer. d. Healthicareishouldiprovide imoreibalanceibyiincludingipreventive iandicommunity icare. e. Allipeopleishouldihave iaccessitoianiall-inclusive ipackage iofihealthicare. ANS: A, iB, iD Feedback Correct Accordingitoithisidocument, itheiANAibelievesithatihealthicareiisia ibasic ihumaniright, ithatipoliciesishouldibe ipatient-centerediandibasedion ioutcomesiresearch, iandithatimore ibalance iisineededibyiproviding icommunityiandipreventive iservices. Incorrect TheiANAibelievesithatiaisingle-payerihealthicareisystemiisibestibutidoes inotispecifyithatithe igovernmentihasitoitakeionithisirole. iTheyialsoibelieve ithatiallipeopleishouldihave iuniversaliaccessitoia istandardipackageiof iessentialihealthiservices. DIF: Cognitive iLevel:iComprehension REF: p. i339 6. Whichiofithe ifollowingiisitrueiregardingitheirequirementithatientryitoinursingipractice ishould irequireia ibachelor'siofiscienceiininursingi(BSN)? a. Withiincreasedicomplexityiinihealthicare, ithisiisibeingidebatediagain. b. Thisiissue icontinuesitoidivideithe inursingiprofession. c. TheiBSNiwillibe irequirediforipractice iinialli50istatesibyi2025. d. Theimaster'siofiscienceiininursingi(MSN)iwillireplace itheiBSNiforibedside inurses. e. TheineediforiBSN-preparedinursesiwillidecreaseiwithiincreasediunlicensedistaff. ANS: A, iB Feedback Correct Withithe iincreasedicomplexityiofitoday'sihealthicareienvironment, ithe isubjectiofithe iBSNiasientryitoipractice iisibeingiheavilyidebatediagainiand iwilliprobablyigainimore ifavor. iUnfortunatelyithisiissue icontinuesitoidivide itheiprofession. Incorrect Thereiisinoimandateiforiall-BSNientryitoipractice ibyi2025;ithe iMSNiwill inotireplace itheiBSNiforibedsideipractice;ianditheineediforiregisteredinurses iwillionlyicontinueitoiincrease iinitheifuture. DIF: Cognitive iLevel:iComprehension REF: p. i335 [Show More]

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