Claywell LPN To RN Transitions 3rd Edition
Claywell LPN To RN Transitions 3rd Edition
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Chapter 07: The Nurses, Ideas, and Forces That Define the Profession
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | She encouraged men to become nurses. |
| b. | She encouraged nurses to serve physicians in order to learn from them. |
| c. | She instituted changes that affected patient survival rates. |
| d. | She organized nursing in America. |
ANS: C
When she learned of the lack of medical and nursing care for British troops during the Crimean War (1853-1856), Nightingale organized a group of 38 nurses to travel to the Crimea in southern Russia. Despite societal opposition, she and her team reached the Crimean battlefields in 1854. They found overcrowding in the hospitals, no medical supplies, and limited space for the sick and injured. Using her own funds, Nightingale obtained supplies, cleaned up the unsanitary conditions, and established laundries to wash linens. At the end of 6 months, Nightingale and her nurses had decreased the death rate from 42% to 2%.
DIF: Cognitive Level: Application REF: Page 100
OBJ: Discuss historical contributions to modern nursing. TOP: History of Nursing
| a. | “America’s first trained nurse reduced student nurses’ working hours.” |
| b. | “As America’s first trained nurse, Isabel Hampton Robb promoted licensure exams.” |
| c. | “America’s first trained nurse worked to create associate degree programs.” |
| d. | “America’s first trained nurse was Linda Richards.” |
ANS: D
Linda Richards is known as America’s first trained nurse. Isabel Hampton Robb reduced student nurse working hours and promoted licensure exams. Mildred Montag worked to create associate degree programs as a shorter route into nursing.
DIF: Cognitive Level: Application REF: Page 104
OBJ: Discuss historical contributions to modern nursing. TOP: History of Nursing
| a. | To increase cost to increase profit |
| b. | To contain rising costs |
| c. | To ignore rising costs |
| d. | To manage care according to cost |
ANS: B
The dominant focus of patient care in the current health care environment is to contain rising costs. Hospitals, faced with financial difficulties, are merging into large health care systems. Managed care, an insurance-based approach to reducing costs, has invaded patient care in every setting. Nurses are challenged to deliver quality nursing care in an environment that limits consumers’ options.
DIF: Cognitive Level: Evaluation REF: Page 107
OBJ: Describe the effect of managed care and merging health care services on the nursing profession. TOP: Nursing in the Current Health Care Environment
| a. | To improve staff compliance with training |
| b. | To assist staff in building on nursing skills |
| c. | To assess patient care, from admission to discharge |
| d. | To improve collaboration of staff |
ANS: C
Continuous Quality Improvement involves assessing patient care, beginning with point-of- entry into the health system through discharge or transitional care.
DIF: Cognitive Level: Analysis REF: Pages 108-109
OBJ: Discuss the role of nursing in quality improvement of patient care.
TOP: Quality Improvement in Nursing
| a. | Educates another student about the efforts of Florence Nightingale to promote research |
| b. | States that Nightingale is responsible for minor contributions to the early education of nurses |
| c. | Believes that Nightingale was not involved in the theory of nursing |
| d. | States that Nightingale did not assist in the development of the nursing process |
ANS: A
The student shows an understanding of the history of nursing when he or she educates another student on the research efforts of Nightingale. Nightingale is responsible for major contributions to education of nurses, began the development of the nursing process, and served a large role in the development of nursing theory.
DIF: Cognitive Level: Application REF: Page 104
OBJ: Discuss historical contributions to modern nursing. TOP: History of Nursing
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