Share this study material
Test Bank for Kozier and Erbs Fundamentals of Nursing 11th Edition by Berman
Fundamentals of Nursing, 11e (Berman/Snyder)
Chapter 1 Historical and Contemporary Nursing Practice
1) The nurse is reviewing historic events in nursing for a presentation to be provided to new nursing students. In which chronological order should the nurse present these events? Begin with the earliest (1) and end with the most recent (5).
1. The Order of Deaconesses opens a small hospital in Kaiserswerth, Germany
2. The Knights of St. Lazarus dedicate themselves to the care of people with leprosy, syphilis, and chronic skin conditions.
3. During the American Civil War (1861-1865), Harriet Tubman administered to the care of slaves and injured soldiers.
4. World War II casualties created an acute shortage of care, and the Cadet Nurse Corps was established in response to the shortage of nurses.
5. During the Crimean War (1854-1856), Ms. Nightingale transformed the military hospitals by setting up sanitation practices., Answer: 2, 1, 5, 3, 4
Explanation: 1. In 1836, Theodore Fliedner reinstituted the Order of Deaconesses and opened a small hospital and training school in Kaiserswerth, Germany, where Florence Nightingale received her training.
2. Religion played a significant role in the development of nursing. The crusades saw the formation of several orders of knights who provided care to the sick and injured, including the Knights of St. Lazarus.
3. During the American Civil War (1861-1865), Harriet Tubman administered to the care of slaves and injured soldiers.
4. World War II casualties created an acute shortage of care, and the Cadet Nurse Corps was established in response to the shortage of nurses.
5. During the Crimean War (1854-1856), Ms. Nightingale transformed the military hospitals by setting up sanitation practices.
Page Ref: 4-6
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II. C. 3. Value the perspectives and expertise of all health team members | AACN Essential Competencies: I. 9. Value the ideal of lifelong learning to support excellence in nursing practice | NLN Competencies: Knowledge and Science; Knowledge; Relationships between knowledge/science and quality and safe patient care | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1. Discuss historical factors and nursing leaders, female and male, who influenced the development of nursing.
MNL Learning Outcome: 1. Recognize how historical factors and leaders influenced the development of contemporary nursing practice.
2) The nurse is caring for a nurse who provided care to soldiers during the Vietnam War. What information in this patient's history should the nurse use to understand the patient's nursing career?
1. The patient was still a student when serving in the war.
2. The patient decided to leave the profession after serving in the war.
3. The patient's first patient care experiences were during a time of war.
4. The patient contracted long-term illnesses from being overseas in a war.
Answer: 3
Explanation: During the Vietnam War, approximately 11,000 American military women stationed in Vietnam were nurses. Most of them volunteered to go to Vietnam right after they graduated from nursing school, making them the youngest group of medical personnel ever to serve in wartime. The patient was not a student when serving in the war. There is no evidence that the patient left the profession after the war or contracted long-term illnesses from being overseas during a wary.
Page Ref: 6
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II. C. 3. Value the perspectives and expertise of all health team members | AACN Essential Competencies: I. 9. Value the ideal of lifelong learning to support excellence in nursing practice | NLN Competencies: Knowledge and Science; Knowledge; Relationships between knowledge/science and quality and safe patient care | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1. Discuss historical factors and nursing leaders, female and male, who influenced the development of nursing.
MNL Learning Outcome: 1. Recognize how historical factors and leaders influenced the development of contemporary nursing practice.
3) The nurse is reviewing public health and health promotion roles available for nurses. To which leader should the nurse attribute the development of these roles?
1. Clara Barton
2. Lillian Wald
3. Mary Brewster
4. Florence Nightingale
Answer: 4
Explanation: Florence Nightingale's vision of nursing included public health and health promotion roles for nurses, but it was only partly addressed in the early days of nursing. Her focus tended to be on developing the profession within the hospitals. Clara Barton is noted for establishing the American Red Cross. She persuaded Congress to ratify the Treaty of Geneva in 1882 so that the Red Cross could perform humanitarian efforts in times of peace. Lillian Wald is considered the founder of public health nursing. She and Mary Brewster were the first to offer trained nursing services to the poor in the New York slums and developed the Visiting Nurse Service, along with the Henry Street Settlement.
Page Ref: 7-8
Cognitive Level: Analyzing
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II. C. 3. Value the perspectives and expertise of all health team members | AACN Essential Competencies: I. 9. Value the ideal of lifelong learning to support excellence in nursing practice | NLN Competencies: Knowledge and Science; Knowledge; Relationships between knowledge/science and quality and safe patient care | Nursing/Integrated
Concepts: Nursing Process: Implementation
Learning Outcome: 1. Discuss historical factors and nursing leaders, female and male, who influenced the development of nursing.
MNL Learning Outcome: 1. Recognize how historical factors and leaders influenced the development of contemporary nursing practice.
4) The nurse has been asked to participate on the hospital's Shared Governance Committee. To which nurse leader should the nurse attribute the ability for nurses to control the profession?
1. Mary Breckinridge
2. Lavinia Dock
3. Virginia Henderson
4. Margaret Higgins Sanger
Answer: 2
Explanation: Lavinia Dock was a feminist, writer, and activist. She participated in protest movements for women's rights that resulted in passage of the 19th Amendment, which allowed women the right to vote. In addition, Dock campaigned for legislation to allow nurses, rather than physicians, to control their profession. Mary Breckinridge established the Frontier Nursing Service. Margaret Higgins Sanger is considered the founder of Planned Parenthood.
Page Ref: 9
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II. C. 3. Value the perspectives and expertise of all health team members | AACN Essential Competencies: I. 9. Value the ideal of lifelong learning to support excellence in nursing practice | NLN Competencies: Knowledge and Science; Knowledge; Relationships between knowledge/science and quality and safe patient care | Nursing/Integrated Concepts: Nursing Process: Diagnosis
Learning Outcome: 1. Discuss historical factors and nursing leaders, female and male, who influenced the development of nursing.
MNL Learning Outcome: 1. Recognize how historical factors and leaders influenced the development of contemporary nursing practice.
5) While conducting a health assessment, the individual asks why the term patient is being used. What should the nurse explain about the implication of the term patient?
1. The person is seeking assistance because of illness.
2. The individual is proactive in his or her healthcare needs.
3. The person is a collaborator in his or her care.
4. The individual is using a service or commodity.
Answer: 1
MNL Learning Outcome: 2. Differentiate between the types and purposes of programs involving nursing education.
28) The student nurse is reviewing the code of academic and clinical conduct prior to beginning a clinical assignment. On what area should the nurse focus when providing client care? (Select all that apply.)
1. Support lifelong learning.
2. Ensure the safety of all clients.
3. Maintain client confidentiality.
4. Provide care in a professional manner.
5. Collaborate with students and faculty.
Answer: 2, 3, 4
Explanation: When providing care, the student nurse should focus on client safety.
When providing care, the student nurse should focus on client confidentiality. When providing care, the student nurse should ensure professionalism.
Page Ref: 20
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: I. A. 7. Explore ethical and legal implications of patientcentered care | AACN Essential Competencies: VIII. 1. Demonstrate the professional standards of moral, ethical, and legal conduct | NLN Competencies: Context and Environment; Knowledge; Code of Ethics; Regulatory and professional standards | Nursing/Integrated
Concepts: Nursing Process: Implementation
Learning Outcome: 10. Identify the purposes of nurse practice acts and standards of professional nursing practice.
MNL Learning Outcome: 3. Recognize the components that make up professional nursing practice.
29) The nurse is interested in specializing in forensics. What should the nurse expect to learn prior to assuming the role of a forensics nurse? (Select all that apply.)
1. Knowledge about the legal system
2. Approaches to collecting evidence
3. Budgeting, staffing, and planning programs
4. Information necessary when providing testimony in court
5. Training in identification, evaluation, and documentation of injuries
Answer: 1, 2, 4, 5
Page Ref: 18
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II. B. 2. Initiate plan for self-development as a team member | AACN Essential Competencies: VIII. 13. Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development | NLN Competencies: Quality and Safety; Ethical Comportment; Engage in lifelong learning to keep professional knowledge current | Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 12. Describe the expanded career roles of nurses and their functions.
MNL Learning Outcome: 4. Examine the factors that influence contemporary nursing practice. 30) The nurse is considering a Doctor of Nursing Practice (DNP) degree. Which should the nurse expect to be a focus of this program? (Select all that apply.)
1. Research
2. Teaching
3. Systems leadership
4. Quality improvement
5. Evidence-based practice (EBP)
Answer: 3, 4, 5
Explanation: The nurse who earns a DNP receives additional education in systems leadership.
The nurse who earns a DNP receives additional education in quality improvement. The nurse who earns a DNP receives additional education in EBP.
Page Ref: 13
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II. B. 2. Initiate plan for self-development as a team member | AACN Essential Competencies: VIII. 13. Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development | NLN Competencies: Relationship Centered Care; Practice-Know-How; Learn continuously, learn cooperatively | Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 3. Describe the different types of educational programs for nurses.
MNL Learning Outcome: 2. Differentiate between the types and purposes of programs involving nursing education.
31) The nurse is enrolled in a course that is based upon scientific theory. Which should the nurse expect to be the purpose of research in this course?
1. Theory development
2. Perform a professional role
3. New possibilities for practice
4. Understand the impact of the role
Answer: 1
Explanation: A course that focuses on scientific theory will have research and theory development as the central focus. A course on practice will focus on professional role development, new possibilities for practice, and understanding the impact of the role.
Page Ref: 13
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II. B. 2. Initiate plan for self-development as a team member | AACN Essential Competencies: VIII. 13. Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development | NLN Competencies: Relationship Centered Care; Practice-Know-How; Learn continuously, learn cooperatively | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 4. Describe the major purpose of theory in the sciences and practice disciplines.
MNL Learning Outcome: 2. Differentiate between the types and purposes of programs involving nursing education.
32) The nurse enrolled in a Doctor of Nursing Practice (DNP) program is designing a research study as an expectation for graduation. Which should the nurse identify as a topic for this study?
1. Validity of a systems theory of health care
2. Application of a humanistic theory of nursing
3. Advantages of using a caring theory in nursing
4. Implementation of the role of DNP in community healthcare clinics
Answer: 4
Explanation: In a practice discipline the practice disciplines, the main function of theory and research is to provide new possibilities for understanding the discipline's practice such as implementing the role of DNP into community clinics. Applying a theory, using a theory in practice, or validating a theory would promote theory development and not application to practice.
Page Ref: 13
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II. B. 2. Initiate plan for self-development as a team member | AACN Essential Competencies: VIII. 13. Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development | NLN Competencies: Relationship Centered Care; Practice-Know-How; Learn continuously, learn cooperatively | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 4. Describe the major purpose of theory in the sciences and practice disciplines.
MNL Learning Outcome: 2. Differentiate between the types and purposes of programs involving nursing education.
33) The nurse is asked to explain the metaparadigm for nursing. Which characteristic should the nurse include in response? (Select all that apply.)
1. Health
2. Person
3. Nursing
4. Education
5. Environment
Answer: 1, 2, 3, 5
Explanation: Health is the degree of wellness or well-being that the patient experiences.
Person is the recipient of nursing care to include individuals, families, groups, or the community. Nursing is the attributes, characteristics, and actions of the nurse providing care on behalf of, or in conjunction with, the patient.
Environment is the internal and external surroundings that affect the patient.
Page Ref: 14
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: III. A. 2. Describe EBP to include the components of research evidence, clinical expertise, and patient/family values | AACN Essential Competencies: III. 1. Explain the interrelationships among theory, practice, and research | NLN Competencies: Knowledge and Science; Knowledge; 1. Retrieve research findings and other sources of information | Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 5. Identify the components of the metaparadigm for nursing.
MNL Learning Outcome: 3. Recognize the components that make up professional nursing practice.
34) The research committee is planning a study that focuses on nursing activities. On which theme should the study focus? (Select all that apply.)
1. Art
2. Caring
3. Holism
4. Science
5. Curative
Answer: 1, 2, 3, 4
Explanation: A common theme in theoretical definitions of nursing include nursing is an art.
A common theme in theoretical definitions of nursing include nursing is caring.
A common theme in theoretical definitions of nursing include nursing is holism.
A common theme in theoretical definitions of nursing include nursing is science. Page Ref: 14
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: III. A. 2. Describe EBP to include the components of research evidence, clinical expertise, and patient/family values | AACN Essential Competencies: III. 1. Explain the interrelationships among theory, practice, and research | NLN Competencies: Knowledge and Science; Knowledge; 1. Retrieve research findings and other sources of information | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 5. Identify the components of the metaparadigm for nursing.
MNL Learning Outcome: 3. Recognize the components that make up professional nursing practice.
35) The department of nursing is redesigning the approach used for patient care. For which reason should a nursing theory be identified to base this care?
1. Reduces the need to create care plans
2. Enhances the nurse-patient relationship
3. Eliminates the need to validate interventions
4. Guides knowledge development and directs practice
Answer: 4
Explanation: There is a direct link between nursing theory, education, research, and clinical practice. Nursing theory guides knowledge development and directs practice. Nursing theory is not used to reduce the need to create care plans, enhance the nurse—patient relationship, or eliminate the need to validate interventions.
Page Ref: 14
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: III. A. 2. Describe EBP to include the components of research evidence, clinical expertise, and patient/family values | AACN Essential Competencies: III. 1. Explain the interrelationships among theory, practice, and research | NLN Competencies: Knowledge and Science; Knowledge; 1. Retrieve research findings and other sources of information | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 6. Identify the role of nursing theory in nursing education, research, and clinical practice.
MNL Learning Outcome: 3. Recognize the components that make up professional nursing practice.
36) The nurse educator is preparing a tool on the different types of nursing theories. Which theorist should be included in this tool? (Select all that apply.)
1. Roy
2. Orem
3. Erikson
4. Neuman
5. Leininger
Answer: 1, 2, 4, 5
Explanation: Roy's adaptation model is an example of a nursing theory.
Orem's general theory of nursing is an example of a nursing theory.
Neuman's systems model is an example of a nursing theory.
Leininger's cultural care diversity and universality theory is an example of a nursing theory.
Page Ref: 14
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: III. A. 2. Describe EBP to include the components of research evidence, clinical expertise, and patient/family values | AACN Essential Competencies: III. 1. Explain the interrelationships among theory, practice, and research | NLN Competencies: Knowledge and Science; Knowledge; 1. Retrieve research findings and other sources of information | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 6. Identify the role of nursing theory in nursing education, research, and clinical practice.
MNL Learning Outcome: 3. Recognize the components that make up professional nursing practice.
37) The nurse wants to complete a continuing education program before renewing state licensure. Which topic should the nurse select for this program? (Select all that apply.)
1. Medication administration
2. Advances in hemodialysis care
3. Update on weaning procedures
4. Actions to prevent pressure injuries
5. New laws affecting advance directives
Answer: 2, 3, 5
Explanation: Advances in hemodialysis care would inform about a new technology and would be appropriate for continuing education.
Update on weaning procedures would help attain expertise in a specialized area of practice. New laws affecting advance directives would provide information about a legal aspect of nursing. Page Ref: 14-15
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: VIII. 13. Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development | NLN Competencies: Relationship Centered Care; Practice-Know-How; Learn continuously, learn cooperatively | Nursing/Integrated Concepts:
Nursing Process: Planning
Learning Outcome: 7. Explain the importance of continuing nursing education.
MNL Learning Outcome: 2. Differentiate between the types and purposes of programs involving nursing education.
38) The nurse provides care to clients in the community clinic. Which should the nurse provide to help the clients prevent the development of disease? (Select all that apply.)
1. Infant care
2. Medications
3. Prenatal care
4. Immunizations
5. Prevention of sexually transmitted infections (STIs)
Answer: 1, 3, 4, 5
Explanation: Infant care is one activity to prevent illness.
Prenatal care is one activity to prevent illness.
Immunizations are used to prevent illness.
Preventing STIs will maintain optimal health and prevent disease.
Page Ref: 15
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I. B. 7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences, and expressed needs | AACN Essential Competencies: IX. 6. Implement patient and family care around resolution of end-of-life and palliative care issues, such as symptom management, support of rituals, and respect for patient and family preferences | NLN Competencies: Context and Environment; Ethical Comportment; Examine personal beliefs, values, and biases with regard to respect for persons, human dignity, equality, and justice; explore ideas of nurse caring and compassion | Nursing/Integrated
Concepts: Nursing Process: Implementation
Learning Outcome: 9. Identify the four major areas of nursing practice.
MNL Learning Outcome: 3. Recognize the components that make up professional nursing practice.
39) A nurse has been caring for patients on the same care area for 10 years. Which behavior demonstrates that the nurse is performing at the expert level? (Select all that apply.)
1. Follows regulations
2. Focuses on long-term goals
3. Acts when it feels right to do so
4. Coordinates multiple complex care demands
5. Does not refer to guides when providing care
Answer: 3, 5
Explanation: The expert nurse acts when it feels right to do so.
The expert nurse does not refer to guides when providing care.
Page Ref: 20
Cognitive Level: Analyzing
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II. B. 2. Initiate plan for self-development as a team member | AACN Essential Competencies: VIII. 13. Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development | NLN Competencies: Relationship Centered Care; Practice-Know-How; Learn continuously,
learn cooperatively | Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: 14. Discuss Benner's levels of nursing proficiency.
MNL Learning Outcome: 3. Recognize the components that make up professional nursing practice.
40) The nurse is employed in a company that provides telenursing services. Which type of care should the nurse expect to provide to patients? (Select all that apply.)
1. Home visits
2. Internet -based
3. Telephone contact
4. Video conferencing
5. Telemonitoring equipment
Answer: 2, 3, 4, 5
Explanation: Telenursing is Internet-based.
Telephone contact is a part of telenursing.
Telenursing can include video conferencing.
Telenursing can include telemonitoring equipment.
Page Ref: 23
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II. A. 4. Recognize contributions of other individuals and groups in helping patient/family achieve health goals | AACN Essential Competencies: VII. 6.
Use information and communication technologies in preventive care | NLN Competencies:
Context and Environment; Knowledge; Health care systems | Nursing/Integrated Concepts:
Nursing Process: Implementation
Learning Outcome: 15. Describe factors influencing contemporary nursing practice.
MNL Learning Outcome: 4. Examine the factors that influence contemporary nursing practice. 41) The nurse receives notification of being selected as a member Sigma Theta Tau. What should the nurse expect as a member of this organization? (Select all that apply.)
1. Nursing students are members
2. It is a professional organization
3. It represents nursing worldwide
4. The organization has various chapters
5. Academic achievement is used to identify members
Answer: 2, 4, 5
Explanation: Sigma Theta Tau is a professional organization.
Sigma Theta Tau has various chapters.
Academic achievement is used to identify members in Sigma Theta Tau.
Page Ref: 24
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II. B. 2. Initiate plan for self-development as a team member | AACN Essential Competencies: VIII. 13. Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development | NLN Competencies: Relationship Centered Care; Practice-Know-How; Learn continuously, learn cooperatively | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 16. Explain the functions of national and international nurses' associations. MNL Learning Outcome: 4. Examine the factors that influence contemporary nursing practice.
Contact the Author
Please Sign In to contact this author.
