concepts test bank test 1
In order to attain professional status, which of the following do nurses need to do? - Work individually to showcase contributions to society - Maintain three levels of education for nurses collectively - Work together to collaborate through professional organizations - Ethically maintain standards of care for clients
Work together to collaborate through professional organizations
A nurse who has worked for 15 years in the hospital has an opportunity to attend an RN-to-BSN program in her local community, and the hospital will pay for the cost of tuition if she agrees to work there for two years following graduation. The nurse has accepted and is in her first term at the local college. Which of the following skills will she develop through critical and reflective thinking? - Reading - Speaking - Listening - Writing
Writing
The mother of visiting nursing, Phoebe, highlighted which movement in the history of nursing that corresponds to home health nursing today? - Careful nursing movement - Women's liberation movement - Religious order movement - Deaconess movement
Deaconess movement
The implementation of the use of clinical pathways in hospitals had what effect on current nursing practice? - Decreased the autonomy of nurses in practice - Increased the variance of care in nursing practice - Increased the complexity of nursing care - Decreased the individualization of nursing care plans
Decreased the individualization of nursing care plans
There are many parallels throughout nursing history that relate to current nursing practice. Which of the following can be seen today in nursing education? - Informal training programs - Formal training programs - Decrease in scholarships - Decrease in student diversity
Formal training programs
Attending a workshop on the development of a professional self-concept, a nurse is exposed to Benner's Novice-to-Expert Model. Which of the following is one of the three general aspects of skilled performance in Benner's model? - Ability to move back and forth between principles of model - Change in perception of demand from whole parts being relevant to portions being equally relevant - Movement of past experiences to abstract principles as paradigms - Passage of a detached performer to an involved performer engaged in the situation
Passage of a detached performer to an involved performer engaged in the situation
The Professional Nurse Contributions Model attempts to synthesize the affective cognitive, behavioral, and psychomotor domains of the professional practice of nursing. Caring, compassion, and commitment are part of which domain? - Cognitive - Behavioral - Affective - Psychomotor
Affective
A nurse works in the medical-surgical unit of a suburban hospital and is taking care of a client who is complex. The nurse exhibits habits of flexibility, inquisitiveness, and open-mindedness in caring for the client. What type of thinking is this nurse exhibiting? - Critical thinking - Creative thinking - Reflective thinking - Independent thinking
Critical Thinking
A client's regulatory systems operate by way of compensation, and the nurse who uses this theoretical framework recognizes that any change in the internal environment automatically initiates a response to minimize or counteract the change. What theoretical framework is this nurse using in this clinical situation? - Adaptation framework - Systems framework - Complexity framework - Caring framework
Adaptation framework
A staff nurse is promoted to nurse manager on his unit. Which of the following roles will he undertake as the nurse manager? - Caregiver - Teacher - Coordinator - Counselor
Coordinator
A nurse arrives to the unit and receives report from the night shift nurse. The nurse identifies what medications are necessary for the client prior to going to the patient's room. Upon entering the room, the nurse introduces herself and takes blood pressure and then listens to the client's lungs, heart, and abdomen before checking pedal pulses and inquiring about pain. What is the name of this portion of the nursing process? - Diagnosis - Implementation - Assessment - Planning
Assessment
Which of the following educational levels supports the use of psychomotor processes in education? - Associate's degree - Baccalaureate - Advanced practice - Certification
Associate's degree
Which of the following models suggests that the new nurse utilizes steps of the nursing process in order and that experienced nurses use a more engaged and practical reasoning approach to clinical judgment, bypassing some steps of the nursing process? - Peplau's Interpersonal Relations Model - Paterson and Zderad's Humanistic Theory - Tanner's Model of Clinical Judgment - Benner's Novice-to-Expert Model
Benner's Novice-to-Expert Model
The strengths of which of the following nursing models utilize the systems approach and make it relevant to current nursing practice? - Callista Roy's Adaptation Model and Martha Rogers' Science of Unitary Human Beings - Rosemarie Parse's Human Becoming Theory and Susan Leddy's Human Energy Model - Betty Neuman's Health Care Systems Model and Imogene King's Theory of Goal Attainment model - Jean Watson's Human Science and Human Care Theory and Dorothea Orem's Self Care Deficit Theory
Betty Neuman's Health Care Systems Model and Imogene King's Theory of Goal Attainment model
The nursing models that focus on achievement or restoration of stability instead of the growth model for change include - Callista Roy's Adaptation Model. - Dorothea Orem's Self-Care Deficit Theory. - Jean Watson's Human Science and Human Care Theory. - Martha Rogers' Science of Unitary Human Beings Theory.
Callista Roy's Adaptation Model.
The Religious Sisters of Mercy in the 1830s devised a system of nursing that included "physical care and emotional consolation provided from a spiritual perspective." What was this form of nursing called? - Public health nursing - Civil War nursing - Home health nursing - Careful nursing
Careful nursing
There were many historical eras in which society was involved in nursing care. Which era involved the appointment of Dorothea Dix as superintendent of female nurses? - Victorian era - Colonial America era - Civil War era - Renaissance-era
Civil War era
A nurse and a client engage in communication about the client's length of stay as a result of having open-heart surgery. The unit uses day-by-day specific instructions for nursing care on a form that is at the client's bedside. What is the cognitive tool that is used in this specific instance that has reduced variation of nursing care received by clients with the same clinical problem, streamlined care to reduce costs, reduced care errors and oversights, and decreased the time nurses spend in documentation? - Critical thinking - Client care paths - Nursing-Sensitive Outcomes Classification - Nursing Interventions Classification
Client care paths
In reviewing the history of the nursing profession, how can students and nurses alike utilize the past to assist in solving future nursing issues? - Utilize strategies that have been unsuccessful in the past to support nursing professionalism - Work alone in solving nursing issues with nursing colleagues not taking account of past history - Collaborate with other professions to assist in solving current nursing issues - Reinvent nursing from a philosophical standpoint
Collaborate with other professions to assist in solving current nursing issues
A client arrives from surgery and the nurse assesses the client vital signs, pain level, and bleeding status. Following the assessment, the nurse writes "acute pain related to surgery as evidenced by moaning, verbalization of pain being 10 on a scale of one to 10, and elevated blood pressure." What portion of the nursing process has the nurse utilized? - Assessment - Planning - Diagnosis - Evaluation
Diagnosis
A nurse is working in a rehabilitation center, and in defining for her practice the concept of environment, she utilizes the definition of physical, chemical, biologic, and social contexts within which human beings exist. Which of the following theorists uses the above definition for environment in her nursing model? - Jean Watson - Martha Rogers - Dorothea Orem - Martha Newman
Dorothea Orem
Good nutrition, a clean environment, and ventilation were hallmarks of which geographical area? - Greece - East - Palestine - Assyria
East
In looking through the history of nursing, which geographical area was noted for nursing interventions that formed the root of holistic nursing? - East - China - Egypt - Babylon
East
A client requests pain medication as a result of incisional pain following a Cesarean section. The client's pain level is five on a ten-point scale with 10 being the worst pain the client has ever had. Thirty minutes after receiving the pain medication, the client states her pain is a two on the ten-point scale. What is the nursing process step that is described above? - Diagnosis - Evaluation - Planning - Implementation
Evaluation
Which of the following nurses was thought to have established nursing as a profession? - Dorothea Dix - Florence Nightingale - Mary Brewster - Lillian Wald
Florence Nightingale
A nurse in the long-term care facility decides to return to school to earn a higher degree. Which of the following phases in Shane's Returning-to-School Syndrome best describes the positive energy the nurse feels about learning new things? - Conflict Phase - Reintegration Phase - Integration Phase - Honeymoon Phase
Honeymoon Phase
Community institutes developed for sick travelers were the precursors to what types of current facilities? - Places of worship - Hospitals - Surgical centers - Long-term care facilities
Hospitals
When reviewing the literature for systems theories, the nurse comes across several specific theories. Which of the following systems theories discusses the purpose of nursing being able to help people attain, maintain, or restore health, primarily by mutual goal setting? - Dorothea Orem's Self-Care Deficit Theory - Betty Neuman's Health Care Systems Model - Jean Watson's Human Science and Human Care Theory - Imogene King's Systems Interaction Model (Theory of Goal Attainment)
Imogene King's Systems Interaction Model (Theory of Goal Attainment)
A community is in need of a program that looks at the development of goals to improve single mothers' quality of life. A focus group has been developed involving 20 single mothers. A nurse working in the community is leading the focus group and has asked for input on setting the goals for the program. Which theory can be most closely related to the above scenario? - Susan Leddy's Human Energy Model - Margaret Newman's Theory of Health as Expanding Consciousness - Rosemarie Parse's Human Becoming Theory - Imogene King's Theory of Goal Attainment
Imogene King's Theory of Goal Attainment
A nurse presents an article in a nursing magazine that discusses interventions to improve skin integrity with second-degree decubitus ulcers. What part of the nursing process is the article discussing? - Assessment - Planning - Evaluation - Implementation
Implementation
Nurses routinely check the telemetry monitors while at the desk of the unit looking for abnormal arrhythmias on the monitor. A nurse looks at the strip in Room 1030 and has a feeling that she should check the client. She does so, and the client is having difficulty breathing in addition to being cyanotic. What is the term that identifies the feeling that the nurse had in the above scenario or is described as "another way of knowing wherein facts or truths are known or felt directly rather than arrived at through a linear process of rational analysis"? - Critical thinking - Negative thinking - Intuition - Reflection
Intuition
During post-conference, the clinical instructor reviews theories that utilize the nursing process and how they differ in their approach to the nursing process. Which of the following theories delineates assessment by including perception, communication, and interaction of the nurse and the client in the definition of the assessment phase? - King's Theory of Goal Attainment - Paterson and Zderad's Humanistic Theory - Newman's Theory of Health as Expanding Consciousness - Parse's Human Becoming Theory
King's Theory of Goal Attainment
Nurse A has taken the state boards and has passed the test. She will receive her license and has agreed to begin work in the next month at the local hospital. In discussing her good news with her mother who has been a nurse in the profession for 20 years, she finds that they have different methods of using the same process. Nurse A suggests that she must routinely follow the steps in order from assessment to evaluation to keep her approach consistent. Which type of cognitive nursing process is Nurse A using? - Connected - Linear - Integrative - Circular
Linear
Which of the following theorists stresses that health and illness are not separate states, good or bad, or in a linear relationship? - Susan Leddy - Martha Rogers - Callista Roy - Rosemarie Parse
Martha Rogers
Which practice can be traced back to the Egyptians and is used in the current practice of nursing? - Bathing and bandaging wounds - Obstetrical care - Medication administration - Physical examination
Medication administration
Which of the following nursing organizations is responsible for improving and advancing the quality of nursing education? - American Association of Colleges of Nursing - National Council of State Boards of Nursing - National League for Nursing - National Student Nurses' Association
National League for Nursing
The second phase of Bridge's Managing Transitions Theory is highlighted when the old identity has vanished but the new one is not fully developed. In this phase, people experience a very unsettled feeling because they may not know how to act or what questions to ask. What is the name of this second phase? - New beginning - Neutral zone - Transition one - Letting go
Neutral Zone
A client returns to the unit following surgery, and the nurse admits the client to the room and describes how to use the call light. After the shift is over, the nurse gives report to the next shift RN and reviews the client's care plan that has been written to identify the necessary plans for the client throughout the next shift. What is the part of the nursing process that this relates to? - Assessment - Planning - Implementation - Evaluation
Planning
A nurse who practiced in the late 19th century experienced many societal reforms that contributed to the establishment of nursing as a profession. What societal reforms were instrumental in leading to a reform in nursing? - War and educational reform - Educational and hospital reform - War and government reform - Prison and hospital reform
Prison and hospital reform
There are three staff nurses working on the general medical-surgical floor. Nurse A has just graduated from nursing school and passed the boards, Nurse B has been working for 4 years on the unit, and Nurse C has been working as a nurse for 10 years in a variety of areas in the hospital. According to Benner's Novice-to-Expert Model, in which phase of the model is Nurse B, who has worked on the unit for 3 to 5 years? - Expert practitioner - Proficient practitioner - Advanced beginner - Competent practitioner
Proficient practitioner
Which of the following techniques from the era of primitive man utilized a form of massage to heal? - Twisting - Starving - Purging - Pummeling
Pummeling
A nurse on a busy cardiac unit experiences her first code, and the client is sent to the coronary care intensive-care unit for further care. The nurse feels that her participation in the code could have been performed in a more efficient manner. What type of thinking was utilized in this scenario? - Critical thinking - Negative thinking - Intuition - Reflection
Reflection
When a nurse enters the room of a client and teaches about pain medication while simultaneously relieving stress with therapeutic massage and then is able to determine what theories pertain to the nursing actions, what type of thinking is she exhibiting? - Independent thinking - Critical thinking - Reflective thinking - Creative thinking
Reflective Thinking
"Patterning nursing processes use energy to enhance health and well-being" is what the student reads in the textbook. As she inquired as to what theories use patterning, she began to read about appraisal and deliberative phases. Which theory highlights the appraisal and deliberative phases and is considered a patterning nursing process theory? - Rogers' Science of Unitary Human Beings - Parse's Human Becoming Theory - Paterson and Zderad's Humanistic Theory - Peplau's Interpersonal Relations Model
Rogers' Science of Unitary Human Beings
A nurse returns to school to complete an advanced degree and is finding it difficult to meet all expectations of being a new mother, a student, a wife, and a full-time employee. The nurse is experiencing what type of issue? - Value conflict - Behavioral conflict - Role conflict - Attitude conflict
Role Conflict
Which of the following theorists assumes that the human being constructs his or her own meaning and whose emphasis is on the meaning and values that influencing a human being's active choices of behavior? - Rosemarie Parse - Martha Rogers - Callista Roy - Susan Leddy
Rosemarie Parse
A nurse who has worked on the medical-surgical unit for 25 years discusses with a colleague the way that she learned to do things in nursing school. There is a new policy that has been implemented, and the nurse is having difficulty adjusting to the new procedure. Which of the following nursing-based practices does the nurse find herself in? - Conceptual practice - Theoretical practice - Stereotypical practice - Rote practice
Rote practice
Which of the following models uses the growth model of change as the underlying theoretical framework? - Adaption Model - Health Care System Model - Self-Care Deficit Theory - Theory of Goal Attainment
Self-Care Deficit Theory
Which of the three intellectual characteristics of a nurse is involved with licensure? - Specialized education - Body of knowledge - The ability to think critically - The ability to manage colleagues
Specialized Education
Nursing research in the postmodern era of nursing has discovered which entity plays a key role in health and healing? - Consilience - Spirituality - Alternative interventions - Complementary therapy
Spirituality
The characteristics of a profession are many, and nursing is delineated as an emerging profession because of the absence of what characteristics? - Use of a specialized database - Standardized educational entry - Specialized competencies - Autonomy and control overwork
Standardized educational entry
A nurse utilizing a theory to base practice engages the client in definitions of terms such as the theory of healthiness, the theory of participation, and the theory of energetic patterning. Which of the following theorists include the assumptions of the three theories above? - Margaret Newman - Susan Leddy - Callista Roy - Dorothea Orem
Susan Leddy
A professional organization has called for abstracts and the theme is a theory in practice. The nurse sends in the abstract using a model in which the purpose of nursing is to facilitate the harmonious pattern of the essence fields of both client and nurse. Which theory is inclusive of this concept of nursing? - Susan Leddy's Human Energy Model - Margaret Newman's Theory of Health as Expanding Consciousness - Rosemarie Parse's Human Becoming Theory - Jean Watson's Human Science and Human Care Theory
Susan Leddy's Human Energy Model
A nurse who practices on the floor utilizes the theory concerned with elements and interactions among all the factors (variables) in a situation. The whole person is the suprasystem for multiple interacting subsystems. The person's internal environment consists of interacting subsystems that are contained within bodily boundaries. Which theory does she use in her practice? - Systems Theory - Stress/Adaptation Theory - Caring Theory - Complexity Theory
Systems Theory
A nursing preceptor is reviewing the nursing process during the first day together with his preceptee. The steps of assessment, diagnosis, planning, implementation, and evaluation are reviewed, and the preceptor stresses that the process has the advantage of keeping nurses organized and provides structure for problem-solving. While strengths were listed, what is one of the weaknesses of the nursing process that has been discussed in the literature? - The nursing process is time-efficient. - The nursing process is inconsistent with real-world practice. - The nursing process focuses on a client's strengths, not problems. - The nursing process is controversial for beginning nursing practice.
The nursing process is inconsistent with real-world practice.
A client in the medical-surgical unit of a hospital asks the nurse how long it will take to psychologically feel well after her hysterectomy. The nurse replies that in some studies in the nursing literature women feel their best 6 to 8 weeks postoperatively. Which of the following types of nursing practice has the nurse displayed? - Stereotypical-based nursing practice - Theoretically-based nursing practice - Rote-based nursing practice - Typical-based nursing practice
Theoretically-based nursing practice
A nurse manager has been asked to relate a particular theory to the care given in her unit. The nurse manager states, "I'm not sure we utilize a single model but a variety of many models." What is the weakness that this nurse manager verbalizes with models utilized in nursing practice? - Agreement exists about how professional nursing is described. - The nursing profession has a cohesive approach to use one model. - More models are needed to determine a unified approach. - There is a failure to use models in nursing research that then can be related to practice.
There is a failure to use models in nursing research that then can be related to practice.
The research study on the use of untrained nursing personnel in the early 20th century parallels the use of what kind of worker in the 1990s? - Student Nurse Personnel (SNs) - Unlicensed Assistive Personnel (UAPs) - Certified Nurse Aides (CNAs) - Licensed Practical Nurses (LPNs)
Unlicensed Assistive Personnel (UAPs)
The nursing director attends a workshop and is presenting information on the ANA's six essential features of Nursing from the 2003 publication. Which of the following is one of the six essential features of nursing included in the publication? - Use professional judgment and critical thinking to treat human responses and experiences. - Use public policy to shape the future of the nursing profession. - Use scientific inquiry to advance the practice of nursing. - Use assessment and attend to the full range of human responses "within the physical environment."
Use professional judgment and critical thinking to treat human responses and experiences.
