Fundamentals of Nursing 11TH Edition by Potter Perry PDF, Exams of Nursing

Download Fundamentals of Nursing 11TH Edition by Potter Perry PDF and more Exams Nursing in PDF only on Docsity! TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF 2025 Which nurse most likely kept records on sanitation techniques and the effects on health? a. Florence Nightingale b. Mary Nutting c. Clara Barton d. Lillian Wald - Correct answer-a. Florence Nightingale Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came after Nightingale, each contributing to the nursing profession in her own way. Mary Nutting was instrumental in moving nursing education into universities. Clara Barton founded the American Red Cross. Lillian Wald helped open the Henry Street Settlement. The nurse prescribes strategies and alternatives to attain expected outcomes. Which standard of nursing practice is the nurse following? a. Assessment TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF 2025 b. Planning c. Diagnosis d. Implementation - Correct answer-b. Planning An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is the nurse upon initial transition to obstetrical floor? a. Novice b. Proficient c. Competent d. Advanced beginner - Correct answer-a. Novice A beginning nursing student or any nurse entering a situation in which there is no previous level of experience (e.g., an experienced operating room nurse chooses to now practice in home health) is an example of a novice nurse. A proficient nurse perceives a patient's cl inical situation as a whole, is able to assess an entire situation, and can readily transfer knowledge gained from multiple previous experiences to a situation. A competent nurse understands the organization and specific care required by the type of patients (e.g., surgical, oncology, or orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing care and establish long-range goals. A nurse who has had some level of experience with the situation is an advanced beginner. This experience may only be observational in nature, but the nurse is able to identify meaningful aspects or principles of nursing care. A nurse assesses a patient's fluid status and decides that the patient needs to drink more fluids. The nurse then encourages the patient to drink more fluid. Which concept is the nurse demonstrating? a. Licensure b. Autonomy c. Certification d. Accountability - Correct answer-b. Autonomy A nurse prepares the budget and policies for and intensive care unit. Which role is the nurse implementing? TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF 2025 b. Works under the guidance of an anesthesiologist c. Obtains a PhD degree in anesthesiology d. Coordinates acute medical conditions - Correct answer-b. Works under the guidance of an anesthesiologist A nurse teaches a group of nursing students about nurse practice acts. Which information is most important to include in the teaching session about the nurse practice acts? a. Protect the nurse b. Protect the public c. Protects the provider d. Protects the hospital - Correct answer-b. Protects the public A bill has been submitted to the state house of representatives that is designed to reduce the cost of health care by increasing the patient to nurse ratio to maximize of 2:1 in intensive care unit to 3:1. Which what should the nurse realize? a. Legislation is politics beyond the nurse's control b. National programs have no bearing on state politics c. The individual nurse can influence legislative decisions d. Focusing on nursing care providers the best patient benefit - Correct answer-c. The individual nurse can influence legislative decisions A nurse is using a guide that provides principles of right and wrong to provide care to patients. Which guide is the nurse using? a. Code of ethics b. Standards of practice c. Standards of professional performance d. Quality and safety education of nurses - Correct answer-a. Code of ethics TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF 2025 A graduate of a baccalaureate degree program plans to start working as a registered nurse (RN) in the emergency department. Which action must the nurse take first? a. Obtain certification for an emergency nurse. b. Pass the National Council Licensure Examination. c. Take a course on genomics to provide competent emergency care. d. Complete the Hospital Consumer Assessment of Healthcare Providers Systems. - Correct answer-b. Pass the National Council Licensure Examination. While providing care to a patient, the nurse is responsible, both professionally and legally, for the appropriateness and proper execution of care. Which concept does thi s describe? a. Autonomy b. Accountability c. Patient advocacy d. Patient education - Correct answer-b. Accountability Accountability means that the nurse is responsible, professionally and legally, for the type and quality of nursing care provided. Autonomy is an essential element of professional nursing that involves the initiation of independent nursing interventions without medical orders. As a patient advocate, the nurse protects the patient's human and legal rights and provides assistance in asserting these rights if the need arises. As an educator, the nurse explains concepts and facts about health, describes the reasons for routine care activities, demonstrates procedures such as self -care activities, reinforces learning or patient behavior, and evaluates the patient's progress in learning. The nurse is teaching the staff about Benner's levels of proficiency. In which order should the nurse place the levels from beginning level to ending level? 1. Expert 2. Novice 3. Proficient pull 4. Competent 5. Advanced beginner TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF 2025 a. 2,4,5,1,3 b. 2,5,4,3,1 c. 4,2,5,3,1 d. 4,5,2,1,3 - Correct answer-b. 2,5,4,3,1 A nurse is preparing a teaching session about the contemporary influences on nursing. Which examples should the nurse include? (Select all that apply) a. Human rights b. Affordable care act c. Demographic changes d. Medically undeserved e. Decreasing health care costs - Correct answer-a,b,c,d After licensure, the nurse wants to stay current in knowledge and skills. Which programs are the most common ways nurses can do this? (Select all that apply.) a. Master's degree b. Inservice education c. Doctoral preparation d. Continuing education e. National Council Licensure Examination retakes - Correct answer-ANS: B, D Continuing education programs help nurses maintain current nursing skills, gain new knowledge and theory, and obtain new skills reflecting the changes in the health care delivery system. Inservice education programs are provided by a health care facility to increase the knowledge, skills, and competencies of nurses employed by the institution. Both can help the nurse stay current. Master's degree programs are valuable for those in the role of nurse educator, nurse administrator, or advanced practice nurse. Professional doctoral programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical nursing. National Council Licensure Examination retakes are not to keep current; this test is taken to enter RN practice. TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF 2025 Novice Beginning nursing student or any nurse entering a situation in which there is no previous level of experience (e.g., an experienced operating room nurse chooses to now practice in home health). The learner learns via a specific set of rules or procedures, which are usually stepwise and linear. Advanced Beginner A nurse who has had some level of experience with the situation. This experience may be only observational in nature, but the nurse is able to identify meaningful aspects or principles of nursing care. Competent A nurse who has been in the same clinical position for 2 to 3 years. This nurse understands the organization and specific care required by the type of patients (e.g., surgical, oncology, or orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing care and establish long-range goals. In this phase the nurse has usually had experience with all types of psychomotor skills required by this specific group of patients. Proficient A nurse with more than 2 to 3 years of experience in the same clinical position. This nurse perceives a patient's clinical situation as a whole, is able to assess an entire situation, and can readily transfer knowledge gained from multiple previous experiences to a situation. This nurse focuses on managing care as opposed to managing and performing skills. Expert A nurse with diverse experience who has an intuitive grasp of an ex isting or potential clinical problem. This nurse is able to zero in on the problem and focus on multiple dimensions of the situation. This nurse is skilled at identifying both patient-centered problems and problems related to the health care system or perhaps the needs of the novice nurse. how does critical thinking apply and how does it help? Critical thinking applied with clinical judgment helps you acquire and interpret scientific knowledge, integrate knowledge from clinical experiences, and become a lifelong learner Integrate incorporating from? knowledge from the basic sciences and nursing, applying knowledge from past and present experiences, considering environmental factors, applying critical thinking attitudes, and implementing intellectual and professional standards. When you provide well -thought-out care with compassion and caring, you provide each patient the best of the science and art of nursing care when giving care, what is essential? it is essential to provide a specified service according to standards of practice and to follow a code of ethics TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF 2025 what does professional practice includes? knowledge from social and behavioral sciences, biological and physiological sciences, and nursing theories what does nursing practice incorporate? incorporates ethical and social values, professional autonomy, and a sense of commitment and community ICN International Council of Nurses ANA American Nurses Association WHAT DOES NURSING INCLUDES? Nursing includes the promotion of health; prevention of i llness; and the care of ill, disabled, and dying people. WHAT DOES ANA (American Nurses Association) do? develops, revises, and maintains the scope of practice statement and standards that apply to the practice of all professional nurses What does the scope of practice guide nurse for what? to make significant and visible contributions that improve the health and well -being of all individuals, communities, and populations Assessment: The registered nurse collects pertinent data and information relative to the healthcare consumer's health or the situation. Diagnosis The registered nurse analyzes the assessment data to determine the actual or potential diagnoses, problems, and issues. Outcomes Identification The registered nurse identifies expected outcomes for a plan individualized to the healthcare consumer or the situation. Planning the registered nurse develops a plan encompassing strategies to achieve expected outcomes . Implementation: TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF 2025 The registered nurse implements the identified plan. 5a. Coordination of Care: The registered nurse coordinates care delivery. 5b. Health Teaching and Health Promotion: The registered nurse employs strategies to teach and promote health and wellness. Evaluation The registered nurse evaluates progress toward attainment of goals and outcomes. what does the standards of professional nursing practice describes? The Standards of Professional Nursing Practice describe a competent level of nursing care demonstrated by a critical thinking model known as the nursing process: assessment, diagnosis, outcomes identification and planning, implementation, and evaluation what does the ANA standards of professional performance describes? The ANA Standards of Professional Performance (Box 1.3) describe a competent level of behavior in the professional nursing role. what are the Ana standards? The standards set a level of performance to assure patients that they are receiving high-quality care. This assumes that nurses know exactly what is necessary to provide nursing care. The standards are used as a measure to determine whether nursing care meets the standards. Ethics The registered nurse integrates ethics in all aspect of practice. Advocacy: The registered nurse demonstrates advocacy in all roles and settings. Respectful and Equitable Practice: The registered nurse practices with cultural humility and inclusiveness. Communication The registered nurse communicates effectively in all areas of professional practice. Collaboration The registered nurse collaborates with health care consumers and other key stakeholders. Leadership The registered nurse leads within the professional practice setting and the profession. TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF 2025 what does a patient educator do? teach effectively improves patients' knowledge, skills, self-care activities, and ability to make informed decisions Communicator An effective communicator is central to the nurse-patient relationship. is high-quality communication is essential for all nursing roles and activities? yes as a communicator, what do they normally do? outinely communicate with patients and families, other nurses and health care professionals, resource people, and the community. effective communication are fundamental to providing high-quality care, coordinating and managing patient care, assisting patients in rehabilitation, advocating for patients, assisting patients and families in decision making, and providing patient education Manager Nurse managers direct groups of nurses by establishing an environment for collaborative patient- centered care and safe, evidence-based quality care with positive patient outcomes. a manager arrange what? the activities of members of a nursing staff in delivering nursing care and has personnel, policy, and budgetary responsibility for a specific nursing unit or agency. what does the manager uses for a healthy environment? A manager uses appropriate leadership styles to create a nursing environment for patients and staff that reflects the mission and values of the health care organization Career development Today the majority of nurses practice in hospital settings, followed by community-based care, ambulatory care, home care, and nursing homes/extended care settings. what does career advancement promotes? promotes a maturing of clinical skills and clinical decision making. In community and home care settings, what is included? nurses' clinical abilities will include technical skills. advanced practice registered nurse (APRN) TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF 2025 An APRN has a master's degree or Doctor of Nursing Practice (DNP) degree in nursing; advanced education in pathophysiology, pharmacology, and physical assessment; and certification and expertise in a specialized area of practice (American Association of Colleges of Nursing The consensus model identified that the title of APRN is for nurses with advanced graduate-level knowledge prepared in one of four roles: clinical nurse specialist (CNS), nurse practitioner (NP), certified nurse-midwife (CNM), and certified registered nurse anesthetist (CRNA) does these advanced practice roles provide career opportunities? for nurses and expand the professional health care opportunities for patients, many of whom are underserved what does this clinical practice helps with? This clinical practice helps the new graduate increase knowledge about disease processes and how the body responds to illnesses. what does the nurse gains in basic and complex skills? The nurse gains expertise and confidence how does new grad nurses refine their critical thinking? they refine their critical thinking and have opportunities to make sound clinical judgments are essential preparation for the education and practice in an advanced role clinical nurse specialist (CNS) is an APRN who has graduate preparation (master's degree or doctorate) in nursing and is an expert clinician in a specialized area of practice The specialty can be identified by a population go (e.g., geriatrics), setting (e.g., critical care), disease specialty (e.g., oncology, diabetes), type of care (e.g., rehabilitation), or type of problem (e.g., pain) ( what are clinical nurse specialist duties? -provide diagnosis, treatment, and ongoing management of patients -provide expertise and support to nurses caring for patients at the bedside -help drive practice changes throughout an organization, and ensure the use of evidence -based practices and evidence-based care to achieve the best possible patient outcomes. nurse practitioner (NP) APRN who has graduate preparation (master's degree or doctorate) in nursing. NPs provide primary, acute, and specialty health care to patients of all ages and in all types of health care settings. TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF 2025 what does being an NP (Nurse practitioner) includes? includes assessment, diagnosis, planning, and treatment; monitoring ongoing health status; evaluation of therapies; and health education what does other np's provide? provide comprehensive care in outpatient settings, directly managing the nursing and medical care of patients who are healthy or who have chronic conditions what does some states require for nurse practitioners? Some states require the NP to have a collaborative provider agreement with an agency or physician/physician group to treat a specific group of patients; other states do not CNM certified nurse-midwife what is a certified nurse midwife? is an APRN who has graduate preparation (master's degree or doctorate) in nursing, is also educated in midwifery, and is certified by the American College of Nurse-Midwives (ACNM) what does a Certified nurse midwife help assist with? primary care; gynecological and family planning services; preconception care; care during pregnancy, childbirth, and the postpartum period; care of the normal newborn during the first 28 days of life; and treatment of male partners for sexually transmitted infections what does nurse-midwife conducts? physical examinations; prescribes medications, including controlled substances and contraceptive methods; admits, manages, and discharges patients; orders and interprets laboratory and diagnostic tests; and orders the use of medical devices. certified registered nurse anesthetist (CRNA) APRN with advanced education from an accredited nurse anesthesia program. nurse educator works primarily in schools of nursing, staff development departments of health care agencies, and patient education departments. what are nursing faculty members are responsible for? teaching current nursing practice; trends; theory; and necessary skills in classroom, laboratories, and clinical settings. what kind of degree a nursing faculty have? TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF 2025 education and development through every career stage, which leads to greater autonomy at the bedside. what university was the first nurses credentialing center (ANCC) Magnet®-designated organization the University of Washington Medical Center what year did the ANA established the Center for Ethics and Human Rights? 1990 What does the center for ethics and human rights provides? a forum to address the complex ethical and human rights issues confronting nurses and designs activities and programs to increase ethical competence in nurses Multiple external forces affect nursing, including the need for nurses' self-care, health care reform and rising health care costs, demographic changes of the population, human rights, and increasing numbers of the medically underserved. Compassion fatigue state of burnout and secondary traumatic stress Secondary traumatic stress the trauma that health care providers experience when witnessing and caring for others suffering trauma Burnout It is a state of physical and mental exhaustion that often affects health care providers because of the nature of their work environment Compassion fatigue results in feelings of hopelessness, a decrease in the ability to take pleasure from previously enjoyable activities, a state of hypervigilance, and anxiety. Why should health care agencies to identify program for recognition go fatigue and to develop interventions? -to help nurses manage it. -Prompt interventions and creating work environments in which nurses feel supported by co-workers and management improve nurse retention and job satisfaction rates -programs that provides opportunities for nurses to voice their experiences lateral violence TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF 2025 -ometimes occurs in nurse-nurse interactions and includes behaviors such as withholding information -making snide remarks, and demonstrating nonverbal expressions of disapproval -such as raising eyebrows or making faces. New grad nurses and nurses that's new to a unit are most likely to face problems with lateral or horizontal violence? yes what is required for nurses to better manage the stressors that contribute to compassion fatigue and lateral violence? resiliency skills what is the current philosophies and definitions of nursing? have a holistic focus, which addresses the needs of the whole person in all dimensions, in health and illness, and in interaction with the family and community. Quality and Safety Education for Nurses (QSEN) -project is to meet the challenge of preparing future nurses and advanced practice nurses to have the knowledge, skills, and attitudes (KSAs) -necessary to continuously improve the quality and safety of the health care systems within which they work Patient-centered care Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient's preferences, values, and needs. Teamwork and collaboration Function effectively within nursing and interprofessional teams, fostering open communication, mutual respect, and shared decision making to achieve high-quality patient care. Evidence-based practice Integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care. Quality improvement Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems. Safety Minimize risk of harm to patients and providers through both system effectiveness and individual performance. TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF 2025 Informatics Use information and technology to communicate, manage knowledge, mitigate error, and support decision making. Genomics is a newer term that describes the study of all the genes in a person and interactions of these genes with one another and with that person's environment what is the most frequent way to become a registered nurse in the United States? is through completion of either an associate or bachelor's degree program. professional organization deals with issues of concern to those practicing in the profession. In addition to the educational organizations previously discussed, a variety of specialty nursing organizations exist. You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation, you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which statement best describes this code? Defines the principles of right and wrong to provide patient care A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the operation to the family and discusses the patient's wishes with them. The nurse is acting as the patient's: advocate The nurse spends time with a patient and family reviewing a dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role? educator The examination for RN licensure is the same in every state in the United States. This examination: Provides the minimal standard of knowledge for an RN in practice Contemporary nursing requires that the nurse have knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples of these roles and responsibilities? 1. Caregiver 2. Autonomy and Accountability 3. Patient advocate 4. Health Promotion