Test Bank for Basic Nursing: Thinking, Doing, and Caring (2nd Edition) by Leslie S. Treas & Judith M. Wilkinson – All Chapters 1–46 Complete

Test Bank for Basic Nursing by Treas/ Test Bank for Basic Nursing by Treas/ Test Bank for Basic Nursing by Treas

Chapter 1. Nursing Past & Present

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____        1. What is the most influential factor that has shaped the nursing profession?

1)       Physicians’ need for handmaidens

2)       Societal need for healthcare outside the home

3)       Military demand for nurses in the field 4) Germ theory influence on sanitation

____         2. Which of the following is an example of an illness prevention activity? Select all that apply.

1)       Encouraging the use of a food diary

2)       Joining a cancer support group

3)       Administering immunization for HPV

4)       Teaching a diabetic patient about his diet

____             3. Which of the following contributions of Florence Nightingale had an immediate impact on improving patients’ health? 1) Providing a clean environment

2)       Improving nursing education

3)       Changing the delivery of care in hospitals

4)       Establishing nursing as a distinct profession

____             4. All of the following are aspects of the full-spectrum nursing role. Which one is essential for the nurse to do in order to successfully carry out all the others?

1)       Thinking and reasoning about the client’s care

2)       Providing hands-on client care

3)       Carrying out physician orders

4)       Delegating to assistive personnel

____         5. Which statement pertaining to Benner’s practice model for clinical competence is true?

1)       Progression through the stages is constant, with most nurses reaching the proficient stage.

2)       Progression through the stages involves continual development of thinking and technical skills.

3)       The nurse must have experience in many areas before being considered an expert.

4)       The nurse’s progress through the stages is determined by years of experience and skills.

____             6. Which of the following best explains why it is difficult for the profession to develop a definition of nursing?

1)       There are too many different and conflicting images of nurses.

2)       There are constant changes in healthcare and the activities of nurses.

3)       There is disagreement among the different nursing organizations. 4) There are different education pathways and levels of practice. ____    7. Nurses have the potential to be very influential in shaping healthcare policy. Which of the following factors contributes most to nurses’ influence?

1)       Nurses are the largest health professional group.

2)       Nurses have a long history of serving the public.

3)       Nurses have achieved some independence from physicians in recent years.

4)       Political involvement has helped refute negative images portrayed in the media.

____        8. Nursing was described as a distinct occupation in the sacred books of which faith?

1)       Buddhism

2)       Christianity

3)       Hinduism

4)       Judaism

____        9. The American Red Cross was established by

1)       Louisa May Alcott

2)       Clara Barton

3)       Dorothea Dix

4)       Harriet Tubman

____      10. Which of the following is the most important reason to develop a definition of nursing?

1)       Recruit more informed people into the nursing profession

2)       Evaluate the degree of role satisfaction

3)       Dispel the stereotypical images of nurses and nursing

4)       Differentiate nursing activities from those of other health professionals

____       

19.      ANS: 4

Typically, registered nurses serve as case managers for patients with specific diagnoses. Their role is coordinator of care across the healthcare system. The occupational therapist, physician, and physician’s assistant all serve on the healthcare team and take direction from the case manager.

                            PTS:    1                      DIF:    Easy                 

REF: ESG, Chapter 1, “Healthcare Delivery Systems—Expanded Discussion,” “What Healthcare

                            Providers Will You Work With?”                   

KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Recall

20.      ANS: 2

Primary care services focus on health promotion and disease prevention; administering childhood immunizations is one such service. Providing wound care and drug rehabilitation are examples of tertiary care services. Outpatient hernia repair surgery is an example of a secondary care service.

                            PTS:    1                      DIF:    Moderate         

REF: ESG, Chapter 1, “Healthcare Delivery Systems—Expanded Discussion,” “Categories of

                            Healthcare?”                

KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application

21.      ANS: 2

A skilled nursing facility primarily provides skilled nursing care for patients who can be expected to improve with treatment. For example, a patient who no longer needs hospitalization may transfer to a skilled nursing facility to get skilled care until she is able to return home. A nursing home provides custodial care for people, like this patient, who cannot live on their own but who are not sick enough to require hospitalization. It provides a room, custodial care, and opportunity for recreation. This patient cannot ambulate or perform activities of daily living, so outpatient therapy and home care would not be appropriate.

                            PTS:    1                      DIF:    Moderate          REF: p. 18                  

KEY: Nursing process: Implementation | Client need: SECE | Cognitive level: Application  

MULTIPLE RESPONSE

22.      ANS: 1, 4

Health promotion includes strategies that promote positive lifestyle changes. Disinfecting an abraded knee is a treatment/intervention for an injury. Administering a vaccination is a disease-prevention and treatment activity.

                            PTS:    1                      DIF:    Moderate         

                              REF: p. 18; high-level question, not directly stated in text               

KEY: Nursing process: N/A | Client need: HPM | Cognitive level: Application

23.      ANS: 1, 2

Direct care involves personal interaction between the nurse and clients (e.g., giving medications, dressing a wound, or teaching a client about medicines or care). Nurses deliver indirect care when they work on behalf of an individual, group, family, or community to improve their health status (e.g., restocking the code blue cart [an emergency cart], ordering unit supplies, or arranging unit staffing).

                            PTS:    1                      DIF:    Easy                 REF: p. 17                  

KEY: Nursing process: Implementation | Client need: SECE | Cognitive level: Comprehension  

MATCHING

24.      ANS: 3    PTS:    1          DIF:    Moderate          

                              REF: p. 13; must recognize examples not provided in content         

KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Application

25.      ANS: 5    PTS:    1          DIF:    Moderate          

                              REF: p. 13; must recognize examples not provided in content         

KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Application

26.      ANS: 1    PTS:    1          DIF:    Moderate          

                              REF: p. 13; must recognize examples not provided in content         

KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Application

27.      ANS: 2    PTS:    1          DIF:    Moderate          REF: p. 13; must recognize examples not provided in content     

KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Application

28.      ANS: 4    PTS:    1          DIF:    Difficult           

REF: pp. 6–11; must recognize examples not provided in content       KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall  

29.      ANS: 6    PTS:    1          DIF:    Difficult           

REF: pp. 6–11; must recognize examples not provided in content       KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall  

30.      ANS: 7    PTS:    1          DIF:    Difficult           

REF: pp. 6–11; must recognize examples not provided in content       KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall  

31.      ANS: 5    PTS:    1          DIF:    Difficult           

REF: pp. 6–11; must recognize examples not provided in content       KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall  

32.      ANS: 3    PTS:    1          DIF:    Difficult           

REF: pp. 6–11; must recognize examples not provided in content       KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall  

33.      ANS: 2    PTS:    1          DIF:    Difficult           

REF: pp. 6–11; must recognize examples not provided in content       KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall  

34.      ANS: 2    PTS:    1          DIF:    Moderate         REF: p. 17

KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall  

35.      ANS: 3    PTS:    1          DIF:    Moderate         REF: p. 17

KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall  

36.      ANS: 1    PTS:    1          DIF:    Moderate         REF: p. 17

KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall  

37.      ANS: 5    PTS:    1          DIF:    Moderate         REF: p. 17

KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall  

38.      ANS: 4    PTS:    1          DIF:    Moderate         REF: p. 17

KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall   

TRUE/FALSE

               39. ANS: T

The nurse caring for a patient receiving care after outpatient surgery provides the same type of care as with the hospitalized patient. The only difference is that the outpatient spends fewer than 24 hours in the facility.

                            PTS:    1                      DIF:    Easy                 

                              REF: p. 18; students must draw conclusion from content                

KEY: Nursing process: Implementation | Client need: SECE | Cognitive level: Recall  

COMPLETION

40.      ANS: 

Medicaid 

Medicaid is a health program run by the state and funded by the federal and state governments. It is intended to provide preventative and acute healthcare for individuals without ability to pay for services, particularly pregnant women and children.

                            PTS:    1                      DIF:    Moderate         

REF: ESG, Chapter 1, “Healthcare Delivery Systems—Expanded Discussion,” “How Is

                            Healthcare Financed?”                                    

KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Recall

41.      ANS: 

Medicare

Medicare is a federal insurance program created by Title XVIII of Social Security Act of 1965.

This Act was designed to protect people age 65 years and older from the high cost of healthcare. In 1972, the program was expanded to cover disabled workers as well as people with end-stage renal disease.

                            PTS:    1                      DIF:    Moderate         

REF: ESG, Chapter 1, “Healthcare Delivery Systems—Expanded Discussion,” “How Is

                            Healthcare Financed?”                                    

KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Recall