Fundamental of Nursing 9th Edition By Potter – Test Bank

Exam Resources For Basic Principles of Nursing 9th Edition By Potter

ISBN-10: 0323327400, ISBN-13: 978-0323327404

Unit 01: Nursing in the Present Era

MULTIPLE CHOICE

1. Which healthcare professional most likely maintained records on hygiene methods and their impact on well-being?
a. Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
ANS: A
Nightingale was the pioneer nurse epidemiologist who correlated poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald followed Nightingale, each contributing uniquely to the nursing field. Mary Nutting played a crucial role in shifting nursing education to universities. Clara Barton established the American Red Cross. Lillian Wald was instrumental in establishing the Henry Street Settlement.
2. The nurse devises strategies and choices to achieve anticipated results. Which standard of
nursing conduct is the nurse adhering to?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C
In the planning phase, the registered nurse formulates a plan that suggests strategies and alternatives to achieve expected outcomes. During the assessment phase, the registered nurse gathers comprehensive data relevant to the patient’s health and/or the situation. In the diagnosis stage, the registered nurse evaluates the assessment data to determine the diagnoses or issues. During implementation, the registered nurse executes (carries out) the identified plan.
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3. A seasoned medical-surgical nurse opts to transition to obstetrics. What is the nurse’s proficiency level upon this initial move to the obstetrical unit?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
ANS: A
A nurse starting in a new area without previous experience (e.g., an experienced operating room nurse now choosing to work in home health) is an example of a novice nurse. A proficient nurse sees a patient’s clinical situation holistically, assesses an entire situation, and can easily apply knowledge gained from various prior experiences to a situation. A competent nurse understands the organization and specific care needed for particular patient types (e.g., surgical, oncology, orthopedic patients). This nurse is a competent practitioner capable of predicting nursing care and setting long-term goals. An advanced beginner is a nurse with some level of experience in the situation, even if it is only observational, but can identify significant aspects or principles of nursing care.
4. A nurse evaluates a patient’s fluid levels and determines the need for increased fluid intake. Subsequently, the nurse encourages the patient to drink more fluids. Which concept is the nurse showcasing?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B
Autonomy is a vital element of professional nursing that involves the initiation of independent nursing interventions without medical directives. In the United States, to obtain licensure, an RN candidate must pass the NCLEX-RN®. Beyond the NCLEX-RN®, a nurse may opt to pursue certification in a specific nursing practice area. Accountability entails being professionally and legally responsible for the type and quality of nursing care delivered.

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5. A nurse assembles the budget and policies for an intensive care unit. What role is the nurse fulfilling?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B
A manager coordinates the nursing staff’s activities, overseeing nursing care, and holds personnel, policy, and budgetary responsibilities for a specific nursing unit or facility. As an educator, one explains health concepts and facts, describes the rationale for routine care tasks, demonstrates procedures like self-care activities, reinforces learning or patient behavior, and assesses the patient’s learning progress. As a patient advocate, the nurse upholds the patient’s human and legal rights and aids in asserting these rights when necessary. As a caregiver, the nurse assists patients in maintaining and restoring health, managing diseases and symptoms, and achieving maximum function and independence throughout the recovery process.
6. The nurse has been an advanced practice nurse in a clinical setting for several years but has a strong inclination towards pursuing research and theory development. To pursue this aspiration, which program should the nurse enroll in?
a. Doctor of Nursing Science degree (DNSc)
b. Doctor of Philosophy degree (PhD)
c. Doctor of Nursing Practice degree (DNP)
d. Doctor in the Science of Nursing degree (DSN)
ANS: B
Some doctoral programs train nurses in intensive research and theory expansion and confer the research-focused Doctor of Philosophy (PhD) in nursing. Professional doctoral programs in nursing (DSN or DNSc) equip graduates to apply research findings to clinical nursing practice. The Doctor of Nursing Practice (DNP) is a practice-oriented doctorate preparing advanced practice nurses like nurse practitioners.
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7. A nurse attends a seminar on current nursing matters hosted by the American Nurses Association. What type of education did the nurse participate in?
a. Graduate education
b. Inservice education
c. Continuing education
d. Registered nurse education
ANS: C
Continuing education involves formal, structured educational programs offered by universities, hospitals, state nurses associations, professional nursing organizations, and educational and healthcare institutions. Following a nursing bachelor’s degree, one can pursue graduate education leading to a master’s or doctoral degree in various fields, including nursing. Inservice education programs offer instruction or training within a healthcare facility or institution. Registered nurse education refers to the educational preparation for individuals aspiring to become RNs.
8. A nurse identifies discrepancies between local and optimal practices. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating?
a. Safety
b. Patient-centered care
c. Quality improvement
d. Teamwork and collaboration
ANS: C
Quality improvement pinpoints distinctions between localized and ideal practices. Safety reduces the risk of harm to patients and healthcare providers through system efficacy and individual performance. Patient-centered care recognizes the patient or representative as the primary decision-maker and full partner in providing empathetic and coordinated care based on respect for the patient’s choices, values, and needs. Teamwork and collaboration foster effective operation within nursing and interprofessional teams, promoting transparent communication, mutual respect, and joint decision-making.
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9. A nurse is experiencing compassion fatigue. What is the nurse facing?
a. Lateral violence and intrapersonal conflict
b. Burnout and secondary traumatic stress
c. Short-term grief and single stressor
d. Physical and mental exhaustion
ANS: B
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic stress. Compassion fatigue may contribute to scenarios of lateral violence (nurse-nurse interactions, not intrapersonal). Frequent, intense, or extended exposure to grief and loss puts nurses at risk of developing compassion fatigue. Stressors, not a single stressor, contribute to compassion fatigue. Physical and mental exhaustion solely describes burnout.
10. A patient is scheduled for a surgical procedure. When preparing to obtain informed consent, the patient tells the nurse, “I have no understanding of what will happen. I couldn’t ask any questions.” The nurse refrains from allowing the patient to sign the consent form and alerts the healthcare provider about the situation. What role is the nurse embodying?
a. Manager
b. Patient educator
c. Patient advocate
d. Clinical nurse specialist
ANS: C
As a patient advocate, the nurse safeguards the patient’s human and legal rights, including the right of the patient to comprehend procedures before consenting. While nurses can educate, it is the surgeon’s responsibility to educate the patient in advance of surgery, and it becomes the nurse’s duty to notify the healthcare provider if the patient is inadequately informed. Managers coordinate the nursing staff’s activities in delivering nursing care, and clinical nurse specialists are specialists in a particular aspect of nursing practice across various settings.

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