Test Bank For Nursing in Todays World Trends, Issues, and Management 13th Edition by Amy J. Buckway; Holli Sowerby

Test Bank For Nursing in Today's World Trends, Issues, and Management 13th Edition by Amy J. Buckway; Holli Sowerby

Chapter 1 Exploring the Growth of Nursing as a Profession

Multiple Choice

1.

Which of the following statements most accurately describes the practice of medicine in

Greece from 800 BC to 300 BC?

A

)

Greek culture stressed natural causes for disease, a patient-centered approach, and the

necessity of accurate observations and record keeping.

B) Greek culture borrowed medical practices from the countries it conquered, and physicians

were often slaves.

C) Major and minor surgery, childrens diseases, and diseases of the nervous and urinary systems

were described in Greek culture.

D

)

Medicine men (known first as shamans and later as priests) were responsible for curing ills of

body and mind.

Ans: A

Client Needs: B

Cognitive Level: Comprehension

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

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dm and Header: 4, Table 1.1

Feedback:

 Hippocrates, born about 400 BC, was a Greek citizen who became known as the

Father of Modern Medicine. He emphasized natural causes for disease, a patient-centered

approach, and the necessity of accurate observations and record keeping. These priorities

influenced the practice of medicine both in Greece and beyond. Persia was known to utilize

slaves as physicians, and Rome borrowed medical practices from the countries it conquered.

Ancient India emphasized hygiene and prevention of sickness and described major and minor

surgery, childrens diseases, and diseases of the nervous and urinary systems. Medicine men were

characteristic of the Mayan and Aztec civilizations.

2. Florence Nightingale fostered the development of nursing as a profession. What was the basis

of her nursing theory?

A) The nurses role is to assist individuals (sick or well) to carry out those activities that they

would perform unaided if they had the necessary strength, will, or knowledge.

B) The goal of nursing is to put the patient in the best condition for nature to act upon him,

primarily by altering the environment.

C) The focus of nursing is the spiritual subjective aspects of both the nurse and the patient and

the caring moment relating to the time when the nurse and the patient first come together.

D

)

The focus of nursing is the care of human beings who are viewed as open systems in constant

interaction with their environments.

Ans: B

Client Needs: A-1

Cognitive Level: Analysis

Difficulty: Difficult

Integrated Process: Nursing Process

Objective: 2

dm and Header: 21, Early Definitions of Nursing

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Feedback:

 Florence Nightingale, in her Notes on Nursing: What It Is and What It Is Not,

described the nurses role as one that would put the patient in the best condition for nature to act

upon him (Nightingale, 1954, p. 133), a definition that often is quoted today. This action was

prioritized over physically assisting the patient. Watson emphasized the spiritual subjective

aspects of the nurse and the patient, and the open systems concept is central to Kings theory of

nursing.

3. Which one of the following statements accurately describes an element of the process of

providing a definition of nursing?

A) Researchers can pinpoint the period in history when nursing first evolved.

B) Nurses agree on a single definition of nursing, partly because of the history of nursing.

C) There is an obvious distinction between nursing and medicine.

D

)

Nursing theorists developed definitions of nursing consistent with their conceptual

frameworks.

Ans: D

Client Needs: A-1

Cognitive Level: Analysis

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 7, 8

dm and Header: 23, Influences on the Definition of Nursing

Feedback:

 As nursing has grown into a true profession, many nursing theorists have developed

definitions of nursing consistent with their conceptual frameworks; these frameworks provide the

foundation for any given definition of nursing. The historical emergence of nursing did not take

place at one particular time, and there are multiple definitions of nursing. While nursing and

medicine indeed differ, the distinctions between the two professions are not always clear.

4. A nurse wishes to document nursing actions using a standardized language. Which of the

following systems might the nurse use?

A) NANDA International (NANDA-I)

B) Nursing Outcomes Classification (NOC)

C) Minimum Data Set for Nursing Home Resident Assessment and Care Screening (MDS)

D

)

Nursing Interventions Classification (NIC)

Ans: D

Client Needs: A-1

Cognitive Level: Application

Difficulty: Moderate

Integrated Process: Communication and Documentation

Objective: 12

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Feedback: Started in 1996 at the University of Iowa, the Nursing Interventions Classification

(NIC) is a comprehensive, standardized language that describes actions that nurses perform in all

settings and in all specialties and includes both physiologic and psychosocial interventions.

NANDA and NOC provide standardized language for nursing diagnoses and outcomes. The

MDS is an assessment tool specific to long-term care settings.

5.

An RN who practices in a community clinic recognizes the need for a standardized

classification and documentation system. Which of the following systems of nursing care

classification and documentation would best fit the RNs needs?

A

)

NANDA International (NANDA-I)

B) Nursing Outcomes Classification (NOC)

C) The Omaha System

D

)

Patient Care Data Set (PCDS)

Ans: C

Client Needs: A-1

Cognitive Level: Application

Difficulty: Difficult

Integrated Process: Communication and Documentation

Objective: 13

dm and Header: 41, The Omaha System

Feedback:

 The Omaha System is a research-based comprehensive practice documentation

standardized taxonomy designed to document client care from admission to discharge. It was

designed as a three-part, comprehensive yet brief approach to documentation and information

management for multidisciplinary healthcare professionals who practice in community settings.

NANDA and NOC provide frameworks only for nursing diagnoses and outcomes, while the

PCDS is specific to hospital settings.

6. The number and size of nursing schools in the United States grew significantly in the years of

the early 20th century. Which of the following characteristics was emphasized in these schools?

A) A thorough knowledge of anatomy, physiology, and epidemiology

B) Critical thinking, assertiveness, and autonomy

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C) An understanding of the relationship among mind, body, and spirit