Fundamentals of Nursing 1st Edition Yoost Test Bank
Fundamentals of Nursing 1st Edition Yoost Test Bank
Fundamentals of Nursing 1st Edition Yoost Test Bank
MULTIPLE CHOICE
1. A group of students are discussing the impact of non-nursing theories in clinical practice. The
students would be correct if they chose which theory to prioritize patient care?
a. Erikson’s Psychosocial Theory
b. Paul’s Critical Thinking Theory
c. Maslow’s Hierarchy of Needs
d. Rosenstock’s Health Belief Model
ANS: C
Maslow’s hierarchy of needs specifies the psychological and physiologic factors that affect
each person’s physical and mental health. The nurse’s understanding of these factors helps
with formulating nursing diagnoses that address the patient’s needs and values to prioritize
care. Erikson’s Psychosocial Theory of Development and Socialization is based on
individuals’ interacting and learning about their world. Nurses use concepts of developmental
theory to critically think in providing care for their patients at various stages of their lives.
Rosenstock (1974) developed the psychological Health Belief Model. The model addresses
possible reasons for why a patient may not comply with recommended health promotion
behaviors. This model is especially useful to nurses as they educate patients.
2. A nursing student is preparing study notes from a recent lecture in nursing history. The
student would credit Florence Nightingale for which definition of nursing?
a. The imbalance between the patient and the environment decreases the capacity for
health.
b. The nurse needs to focus on interpersonal processes between nurse and patient.
c. The nurse assists the patient with essential functions toward independence.
d. Human beings are interacting in continuous motion as energy fields.
ANS: A
Florence Nightingale’s (1860) concept of the environment emphasized prevention and clean
air, water, and housing. This theory states that the imbalance between the patient and the
environment decreases the capacity for health and does not allow for conservation of energy.
Hildegard Peplau (1952) focused on the roles played by the nurse and the interpersonal
process between a nurse and a patient. Virginia Henderson described the nurse’s role as
substitutive (doing for the person), supplementary (helping the person), or complementary
(working with the person), with the ultimate goal of independence for the patient. Martha
Rogers (1970) developed the Science of Unitary Human Beings. She stated that human beings
and their environments are interacting in continuous motion as infinite energy fields.
4. The nursing instructor is researching the five proficiencies regarded as essential for students
and professionals. Which organization, if explored by the instructor, would be found to have
added safety as a sixth competency?
a. Quality and Safety Education for Nurses (QSEN)
b. Institute of Medicine (IOM)
c. American Association of Colleges of Nursing (AACN)
d. National League for Nursing (NLN)
ANS: A
The Institute of Medicine report, Health Professions Education: A Bridge to Quality (2003),
outlines five core competencies. These include patient-centered care, interdisciplinary
teamwork, use of evidence-based medicine, quality improvement, and use of information
technology. QSEN added safety as a sixth competency. The Essentials of Baccalaureate
Education for Professional Nursing Practice are provided and updated by the American
Association of Colleges of Nursing (AACN) (2008). The document offers a framework for the
education of professional nurses with outcomes for students to meet. The National League
for Nursing (NLN) outlines and updates competencies for practical, associate, baccalaureate,
and graduate nursing education programs.
5. The nurse manager is interviewing graduate nurses to fill existing staffing vacancies. When
hiring graduate nurses, the nurse manager realizes that they will probably not be considered
“competent” until:
a. They graduate and pass NCLEX.
b. They have worked 2 to 3 years.
c. Their last year of nursing school.
d. They are actually hired.
ANS: B
Benner’s model identifies five levels of proficiency: novice, advanced beginner, competent,
proficient, and expert. The student nurse progresses from novice to advanced beginner during
nursing school and attains the competent level after approximately 2 to 3 years of work
experience after graduation. To obtain the RN credential, a person must graduate from an
approved school of nursing and pass a state licensing examination called the National Council
Licensure Examination for Registered Nurses (NCLEX-RN) usually taken soon after
completion of an approved nursing program.
6. The prospective student is considering options for beginning a career in nursing. Which
degree would best match the student’s desire to conduct research at the university level?
a. Associate Degree in Nursing (ADN)
b. Bachelor of Science in Nursing (BSN)
c. Doctor of Nursing Practice (DNP)
d. Doctor of Philosophy in Nursing (PhD)
ANS: D
Doctoral nursing education can result in a doctor of philosophy (PhD) degree. This degree
prepares nurses for leadership roles in research, teaching, and administration that are essential
to advancing nursing as a profession. Associate Degree in Nursing (ADN) programs usually
are conducted in a community college setting. The nursing curriculum focuses on adult acute
and chronic disease; maternal/child health; pediatrics; and psychiatric/mental health nursing.
ADN RNs may return to school to earn a bachelor’s degree or higher in an RN-to-BSN or
RN-to-MSN program. Bachelor’s degree programs include community health and
management courses beyond those provided in an associate degree program. A newer
practice-focused doctoral degree is the doctor of nursing practice (DNP), which concentrates
on the clinical aspects of nursing. DNP specialties include the four advanced practice roles of
NP, CNS, CNM, and CRNA.
7. During a staff meeting, the nurse manager announces that the hospital will be seeking Magnet
status. In order to explain the requirements for this award, the nurse manager will contact the:
a. American Nurses Association (ANA).
b. American Nurses Credentialing Center (ANCC).
c. National League for Nursing (NLN).
d. Joint Commission.
ANS: B
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receiving in return a very interesting letter from Mrs Ramsay, expressing
her approbation of my work, and inclosing a bill of ten dollars. Before
my eyes failed, I had sent out a subscription paper; but afterward, the
idea that I never should be able to complete the compilation, induced me
to drop it; and I was obliged to publish the work almost entirely at my
own expense. The printers were in low circumstances, and required
payment before I could dispose of the books. I was therefore obliged to
borrow a sum of money to defray the expenses of the work, which, as it
was printed on very good paper, were large, and I derived but little profit
from my labor.
My next publication was the third edition of my View of Religions, to
which I made the addition of a hundred pages. The Rev. Mr Freeman,
who continued his kind attentions, made the bargain for me with the
printer, by which I was entitled to receive five hundred dollars in yearly
payments, for an edition of two thousand copies. This relieved me from
the embarrassments in which I was involved by printing my History of
New England at my own expense. As my eyes still continued too weak
to engage in any new laborious work, I determined to wait till a large
part of my History of New England was sold; and then, if my life
continued, to abridge it for the use of schools.
In the meantime, however, I set about writing a concise View of the
Christian Religion, selected from the writings of eminent laymen. I wrote
with difficulty, as my eyes were still very weak; but I wished to exert
myself as much as possible to be useful, and to gain a subsistence.
Though attention to religious controversy had led me to feel undecided
on some disputed points, of which perhaps Christians of equal piety form
different opinions, my conviction of the truth of divine revelation,
instead of being weakened by all my researches, was strengthened and
confirmed; and I wished to make a public declaration of my sentiments
on this important subject. I found it difficult to procure proper materials
for the work, as I was utterly unable to purchase books. A considerable
part of this compilation, as well as the additions to the third edition of
my View of Religions, was written in booksellers’ shops. I went to make
visits in Boston, in order to consult books in this way, which it was
impossible for me to buy, or borrow. I desire, however, to recognise with
gratitude the attention of my kind father, who took pains that I should
have the benefit of all books which he could procure, and assisted me
greatly in disposing of my works. When I had completed my
compilation, I found the printers and booksellers unwilling to purchase
the copy, because much had been written on the subject, and these
publications were unsaleable. At length, in 1804, I agreed with a printer
to execute the work, upon the small consideration of receiving only one
hundred dollars in books.
The tenor of my life at this time was very monotonous. It was
enlivened, however, by gleams of happiness, from the society of a few
friends, and the pleasure I derived from literary pursuits; and, by my
convictions of the truth of that religion, to the examination of which I
had devoted so much of my time. My eyes still continued very weak, and
I wrote under the apprehension of being reduced to a state that would
preclude all application to study. A considerable part of my History of
New England being now disposed of, my only resource appeared to be to
abridge that work for the use of schools. The profit I hoped to derive
from this compilation seemed to me to constitute all I had to depend
upon in future, if my life should be spared. While I entertained these
hopes, in which I was made sanguine by my knowledge of the success
with which books for schools had been printed, can it be a subject of
blame, or reproach, to a person in my situation, that I felt extremely
grieved, and hurt, when I found my design anticipated by a reverend
gentleman, whose calling, and indefatigable industry, are highly
respectable? The difference between us was left to referees, who
sustained a high reputation for ability, and sound judgment, extensive
information, and moral excellence. I was satisfied with their decision.
But I was reduced to the painful task of writing on the subject; for,
though I took this measure with extreme reluctance, my opponent left me
no other alternative. I sincerely hope the painful affair may never be
recalled to his prejudice.
CHAPTER IV.
Notwithstanding the little profit, and various discouragements I had
experienced in writing for the press, as I was entirely dependent upon my
own exertions for a support, I was resolved to persevere. I had now
acquired a number of valuable friends, to whose generous exertions in
my favor I was deeply indebted. By several of them, I was enabled to put
my abridgment of the History of New England to the press. I was
however unfortunate in this, as well as my other compilations. The
printer failed while it was in the press, which deprived me of the profit I
expected to derive from it. Two years afterwards, I published a new
edition. A similar misfortune befel me in this second attempt to avail
myself of my labors.
But though my productions were far from being profitable, and I had
frequent interruptions in my studies from ill health, and bad eyes, I still
had my share of enjoyment. I hoped my works might be useful, and I
was highly gratified by their candid reception by the public.
I next chose a subject in which I thought it probable that I should not
meet with any interference. I formed the design of writing the History of
the Jews, though I was sensible that it would require much reading, and
that I must wander through a dreary wilderness, unenlivened by one spot
of verdure. My curiosity was strongly excited, and I determined to
persevere in my attempt to investigate the fate of this wonderful people. I
began the introduction with their state under the Persian monarchy, after
their restoration from the Babylonish captivity. The standard works for
this History were Josephus, and Basnage, the latter of whom brings his
narrative down only to the 19th century. After this period, I was obliged
to compile from desultory publications and manuscripts. I had at this
time the privilege of corresponding with the celebrated Gregoire, who
had attained great celebrity for the conspicuous part he acted during the
French Revolution, and exerted all his energy in the first constitutional
assembly to procure the rights of citizens for the Jews. He had the
goodness to send me some writings in their favor, which increased the
interest I felt in this oppressed people.
Previously to concluding this gloomy detail of the difficulties I
encountered, while writing for the press, I would first notice, that I was
obliged to exert myself to the utmost to overcome my natural timidity,
and accommodate myself to my situation. After the age and infirmities of
my father prevented him from assisting me, as he had formerly done, in
selling and exchanging the copies of my work, I was necessitated to
exert myself in doing business out of the female line, which exposed me
to public notice. And as I could not but be sensible that my manners
were remarkably awkward, this consciousness, joined with my ignorance
of the established rules of propriety, rendered me tremblingly
apprehensive of exposing myself to ridicule. These unpleasant feelings,
however, in time abated. In order to meet this trial, I considered, that
what is right and necessary in the situation in which Providence has
placed me, cannot be really improper; and though my acting upon this
principle may have exposed me to the censure, or ridicule of those,
whose ideas upon the subject are derived from the varying modes of
fashion, and not from the unchanging laws of moral rectitude, it saved
me from a feeling which would have been infinitely more painful, that of
self-reproach. My objects were, to obtain the approbation of my own
heart, and the esteem of a few friends whose opinion I most highly
prized, and I was comparatively indifferent to the censure or ridicule of
the world in general.
In the life of Mrs Charlotte Smith it is pertly remarked, that the
‘penalties and discouragements attending authors in general fall upon
woman with double weight. To the curiosity of the idle, and the envy of
the malicious, their sex affords a peculiar excitement. Arraigned not
merely as writers, but as women, their characters, their conduct, and
even their personal endowments, become the object of severe inquisition.
From the common allowances claimed by the species, literary women
appear only to be exempted.’
Though I have been too insignificant, and treated with too much
candor, fully to realize the above remarks, yet I have been in a situation
deeply to feel the trials which attend literary pursuits. At length I saw old
age approaching, without any provision for it, when if my life was
spared, I should be incapable of exerting myself; and my mind was at
times depressed by this gloomy prospect.
CHAPTER V.
While I was compiling my History of the Jews, I boarded in Dedham.
I was here honored with the friendship, and received the kind offices of
Mr Dowse, his lady, and her sister,[1] and more pecuniary favors than I
have ever experienced from any other individuals. Whenever I visited
this happy family, I was received with the utmost cordiality; and I desire
publicly to express my grateful sense of their goodness.
[1] Mrs Shaw, who allowed Miss Adams one hundred dollars a year, for
twenty-five years, paid to her quarterly, by Josiah Quincy, Esq.
NOTICES.
Those who have been favored with a personal knowledge of the
Author of the short Memoir contained in this book, will read it with the
deepest interest; and perhaps to them it may seem almost superfluous to
say more of her. But Miss Adams’s works have circulated far beyond the
sphere in which she moved, and there are many who are desirous of
knowing her, as she was appreciated by others, and not by her own
estimate. Such would be poorly satisfied with the short sketch she has
given of herself, though her friends must ever value it as a parting
legacy.
The ‘timidity of early years’ followed Miss Adams through life; and,
even when surrounded by intimate friends, it never wholly forsook her. It
was a sensitiveness that sprung from deep feeling, and a diffidence that
was the result of genuine humility. This often operated unfavorably upon
her manners, and produced an awkwardness, of which she was painfully
conscious. But there were times when the warmth of her heart, and the
cultivation of her mind, gave an enthusiasm and eloquence to her
language, that astonished those who listened to her. At such times, her
countenance lost its usual calm placidity, and glowed with an animation
that rendered it highly interesting. There was indeed a wonderful
singularity in her appearance. In the circles of polished life to which she
was often courted, there was nothing like her. In the circles of humble
life, she was equally unassuming, and equally peculiar. No one could see
her, without feeling that she was not of this world. It is possible that part
of this timidity might have arisen from the seclusion of early years. But it
is certain, that no culture, or discipline, could have formed her manners
to the standard of easy and fashionable life. She sometimes observed, ‘I
know I am very awkward; I never could learn to make a curtsey.’ But it
must not be supposed that there was in her any want of gentleness, or
propriety. Her disinterested and affectionate disposition made her, in
reality, all that the most calculating would desire to appear.
The simplicity, and often the abstractedness of Miss Adams’ manner,
led many to suppose that her talents were confined to the subjects on
which she wrote. Some considered her as a walking dictionary of
‘Religious Opinions.’ Others viewed her merely as an ‘Abridgment of
the History of New England.’ And many said, ‘if you want to know Miss
Adams, you must talk to her about the Jews.’ And this last was, indeed, a
subject that always called forth the energy of her mind. She had
faithfully studied their history, and she venerated the antiquity of their
origin. Her inquiring mind was deeply interested by their ‘wonderful
destination, peculiar habits, and religious rites.’ She felt for them as a
suffering and persecuted people; and she felt yet more, when she
considered them as a standing monument of that religion, which she
regarded as the first and best of God’s gifts to men. It was the long
contemplation of this chosen race that induced her, amidst all the
obstacles that were in her way, to write their history. It was an arduous
labor. Yet her work is a proof, that, in this ‘barren wilderness she found
many a spot of verdure.’ But those who viewed her merely in relation to
her literary works, knew her but imperfectly. With her extreme
simplicity, there was an uncommon depth of observation, and an intuitive
knowledge of character. She was often in circles where her timidity kept
her almost wholly silent, and where she hardly seemed to be even a
spectator. But her subsequent remarks would show how accurately she
had observed, and how nicely she had discriminated. In speaking of a
lady of her acquaintance, she said, ‘I value and admire her, but I can
never be easy with her. She is so kind, and so condescending, that I can
see she never forgets I am a poor awkward old woman.’ At another time,
when deploring the loss of a young lady, whose fine talents had made her
the delight of her friends, ‘and yet,’ she said, ‘she died at the best time.
Her powers were brilliant, and beautiful, but they were exhausting to
herself; and had she lived, she would have faded before she reached her
prime.’ Her mind was habitually cheerful, and her cheerfulness was
much increased by her sensibility to the works of nature. She looked
upon every object with the eye of a poet, and forgot her infirmities, and
even her diffidence, as she described her emotions. On visiting her sister,
who resided in the country, after having been confined to her chamber, in
the city through the winter, ‘it seemed to me,’ said she, ‘as if the world
was just created.’ No one could exclaim with more feeling and truth,
There is but little doubt, that, had she given way to the natural
temperament of her mind, which was enthusiastic and romantic, she
might have been a poet. But her duties, and her lot, led her into a
different path of life. In her youth, however, she occasionally listened to
the inspiration of the muses; and though she never set any value on these
productions, they discover much excellent thought, and a high tone of
feeling.
The want of early advantages, to which Miss Adams so feelingly
alludes in her memoirs, ought not to be forgotten, nor the difficulties
through which she struggled. Her attendance upon any school was
extremely uncertain, and often interrupted by her feeble health. Added to
this, the schools of a country village are not often of the highest class.
Even the elementary parts of education are much neglected in them. ‘I
never,’ said she, ‘was taught how to hold my pen.’
There is nothing that more strikingly denotes the progress of literature
in this part of the country, than the attention which is at present paid to
female education. There are few branches, if any, in which boys are
instructed, which are not now equally open to girls. Not many years ago,
however, the test of a good school rested principally upon the exhibitions
made of hand-writing, spelling, and arithmetic. Grammar, it is true, was
professedly taught, but in a manner that conveyed few ideas to the pupil.
To get the longest lessons, and to be at the head of the class, constituted
the best scholar. By degrees, parsing, in its simplest forms, was
introduced, to aid the knowledge of grammar. Composition, geography
and history followed; and the education of girls began to assume a more
respectable standing. Yet even at this period, our village school-master
much resembled Goldsmith’s, of whom,
It was at such schools as these that Miss Adams received her early
education. Her ardent thirst for knowledge, however, and her industry
and perseverance enabled her, in maturer life, to make uncommon
acquirements. Yet she always felt, and regretted, the want of more
thorough, and systematic instruction. Her father entered into trade as a
desperate resource from the weariness of an agricultural life, for which
he had no taste. He was plundered, and cheated by the man, whom he
engaged to carry on his farm; and as he had plunged into all the
transactions of a country trader, dealing in books and drugs, English and
West India goods, through all came vexation and disappointment, and a
total failure ensued. A large proportion of his books were left on his
hands, and afforded to Miss Adams great facilities for reading. Her
father, too, happily for her, had encouraged in her a taste congenial to his
own; and her mind became cultivated, and embued with knowledge,
almost without her own consciousness of the progress she was making.
However unpropitious to her were the pecuniary disappointments of her
father’s life, they seem to have exerted a favorable influence on her
mind. Resort was had also, at this time, to the receiving of several
boarders into the family; and from these she acquired the knowledge of
Greek and Latin. Of this knowledge, she tells us she availed herself, for
fitting three young men for College; and for Mr P. Clark, one of her
pupils, mentioned in her memoirs, she retained through life the warmest
regard. He married a friend of hers; and ‘this,’ said she, ‘was the only
match I ever had any hand in making.’ Of her mother, she always spoke
with enthusiastic reverence; and though only eleven years of age when
she died, she retained a perfect recollection of her. Mrs Adams was
married at fifteen, and died at the age of thirty three, leaving three girls
and two boys. Her short life seems to have been filled with usefulness;
and the following epitaph, written by an Episcopal clergyman, who was
a particular friend, and constant visitor of the family, may still be traced
on her humble grave stone, should any descendant of ‘Old Mortality’
chance to wander to the spot.
After the death of her mother, the care of Hannah, and of a younger
sister, devolved on Elizabeth, who was the oldest daughter. They now
lived in great retirement; and one of Miss Adams’s early employments
was, weaving lace with bobbins on a cushion. In referring to this, she
afterwards pleasantly observed, that, ‘it was much more profitable than
writing books.’ This manner of life, with her desultory habits of reading,
gave a romantic and enthusiastic turn to her mind, which was never
essentially changed either by time or circumstances.
Miss Adams’s heart was however peculiarly alive to the ties of natural
affection. She deeply felt the death of an aunt, who had shown for her
maternal tenderness. But as long as her sister Elizabeth lived, she had, to
use her own words, a friend, a counsellor, and guide. ‘There was,’ she
said, ‘but one heart between us; and I used sometimes to tell my sister, in
the overflowing of my affection, that I could bear to lose everything if
she was spared to me; but, if she were taken away, I should surely die!’
Yet this calamitous event took place; and Miss Adams lived to prove, as
many others have done, that there is, in the day of sorrow, a strength
imparted beyond human fortitude. The health of this beloved sister was
declining for nearly two years; and it was, during that time, one of her
constant objects, to fortify Miss Adams’s mind for an event, that she felt
was near, and which she feared would be overwhelming. It however
gradually approached, and brought no terrors to herself. She was calm,
and resigned; constantly expressing her ‘entire submission to the Divine
will, and laying all her burden at the foot of the cross.’ There were no
enthusiastic flights, nor was there any unnatural exaltation of mind in her
views of death. Though in the bloom of youth and with an ardent
enjoyment of life, she met the event like a Christian. Hers was a
philosophy which was formed and nurtured by religion.
‘For years after my sister’s death,’ said Miss Adams, ‘it was a struggle
to live.’ Her health was extremely feeble, her heart she believed broken,
and poverty pressed heavily upon her. There were times, indeed, when
she felt as if she had not even a home. Her father had made over his
house and property to a son, with whom he and his other children
continued to live; but as this son was married, and his family was
increasing, notwithstanding his paternal kindness, Miss Adams felt, and
could not but feel, as if she was a burden upon her brother. This was the
most trying period of her life, and it was always recollected by her with
strong emotion.
The first effort of her pen, after her sister’s death, produced some lines
on that subject. They seem to be the very breathings of her heart, and are
thrown together almost without form; yet a few extracts from them will
best show the state of her mind.
SERIOUS RESOLUTIONS.