Test Bank for Foundations of Nursing 8th Edition

Test Bank for Foundations of Nursing 8th Edition
download pdf
http://testbankbell.com/product/test-bank-for-foundations-of-
nursing-8th-edition/
Visit testbankbell.com to explore and download the complete
collection of test banks or solution manuals!

We believe these products will be a great fit for you. Click
the link to download now, or visit testbankbell.com
to discover even more!
Test Bank for Varcarolis Foundations of Psychiatric-Mental
Health Nursing 8th Edition by Halter
http://testbankbell.com/product/test-bank-for-varcarolis-foundations-
of-psychiatric-mental-health-nursing-8th-edition-by-halter/
Test Bank for Foundations of Marketing 8th Edition
http://testbankbell.com/product/test-bank-for-foundations-of-
marketing-8th-edition/
Foundations of Nursing 7th Edition Gosnell Cooper Test
Bank
http://testbankbell.com/product/foundations-of-nursing-7th-edition-
gosnell-cooper-test-bank/
Test Bank for Business and Society Ethics Sustainability
and Stakeholder Management 9th Edition by Carroll
http://testbankbell.com/product/test-bank-for-business-and-society-
ethics-sustainability-and-stakeholder-management-9th-edition-by-
carroll/

Solution Manual for Advanced Accounting 11th Edition by
Hoyle
http://testbankbell.com/product/solution-manual-for-advanced-
accounting-11th-edition-by-hoyle/
Cengage Advantage Books The American Pageant 15th Edition
Kennedy Test Bank
http://testbankbell.com/product/cengage-advantage-books-the-american-
pageant-15th-edition-kennedy-test-bank/
Test Bank for Microbiology: The Human Experience
Preliminary Edition
http://testbankbell.com/product/test-bank-for-microbiology-the-human-
experience-preliminary-edition/
Test Bank for Vander’s Human Physiology, 12th Edition:
Eric Widmaier
http://testbankbell.com/product/test-bank-for-vanders-human-
physiology-12th-edition-eric-widmaier/
Solution Manual for Introduction to Environmental
Engineering – SI Version, 3rd Edition
http://testbankbell.com/product/solution-manual-for-introduction-to-
environmental-engineering-si-version-3rd-edition/

Test Bank for Biology of Humans Concepts Applications and
Issues, 5th Edition : Goodenough
http://testbankbell.com/product/test-bank-for-biology-of-humans-
concepts-applications-and-issues-5th-edition-goodenough/

Test Bank for Foundations of Nursing 8th Edition
Full download at: https://testbankbell.com/product/test-bank-for-
foundations-of-nursing-8th-edition/
Cooper and Gosnell: Foundations and Adult
Health Nursing, 7th Edition
Chapter 1: Evolution of Nursing
Cooper and Gosnell: Foundations and Adult Health Nursing,
7th Edition
MULTIPLE CHOICE
1.What is a nursing program considered when certified by a state
agency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B
Approved means certified by a state agency for having met
minimum standards; accredited means certified by the NLN for
having met more complex standards. Provisional and
exemplified are not terms used in regard to nursing program
certification.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 10
OBJ: 5 TOP: Nursing programs KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
2.Which of the following must the nurse recognize regarding the
healthcaredeliverysystem?
a. It includes all states.
b. It affects the illness of patients.
c. Insurance companies are not involved.
d. The major goal is to achieve optimal levels of health care.
ANS: D
The nurse must recognize that in the health care delivery

system, the major goal is to achieve optimal levels of health
care. The health care system consists of a network of agencies,
facilities, and providers involved with health care in a specified

geographic area. Insurance companies do have involvement in
the health care system. The illness of patients is not necessarily
affected by the health care system.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12
OBJ: 7 TOP: Health care systems KEY: Nursing Process Step:
N/A
MSC:NCLEX: N/A
3.What is required by the health care team to identify the needs
ofapatientandtodesigncaretomeetthoseneeds?
a. The Kardex
b. The physicians order sheet
c. An individualized care plan
d. The nurses notes
ANS: C
An individualized care plan involves all health care workers and
outlines care to meet the needs of the individual patient. The
Kardex, physicians order sheet, and nurses notes do not identify
the needs of the patient nor are they designed to assist all
members of the health care team to meet those needs.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 13, 16
OBJ: 8 | 9 TOP: Care plan KEY: Nursing Process Step: Planning
MSC:NCLEX: N/A
4.Patient care emphasis on wellness, rather than illness, begins
asaresultof:
a. increased education concerning causes of illness.
b. improved insurance payments.
c. decentralized care centers.
d. increased number of health care givers.
ANS: A
The acute awareness of preventive medicine has resulted in
todays emphasis on education about issues such as smoking,
heart disease, drug and alcohol abuse, weight control, and
mental health and wellness promotion activities. This preventive
education has resulted in an emphasis on wellness, rather than

illness. Improved insurance payments, decentralized care
centers, and increased numbers of health care givers did not
influence an emphasis on wellness.
OBJ: 4 | 8 TOP: Wellness KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
5.What is the most effective process to ensure that the care plan
ismeetingtheneedsofthepatient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B
Communication is the primary essential component among the
health care team to evaluate and modify the care plan.
Documentation, evaluation, and planning are not primary
essential components to ensure the care plan is meeting the
needs of the patient.
OBJ: 8 TOP: Communication KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
6.How does an interdisciplinary approach to patient treatment
enhancecare?
a. By improving efficiency of care
b. By reducing the number of caregivers
c. By preventing the fragmentation of patient care
d. By shortening hospital stay
ANS: C
An interdisciplinary approach prevents fragmentation of care. An
interdisciplinary approach does not improve the efficiency of
care, reduce the number of caregivers, or shorten hospital stay.
OBJ: 8 | 9 TOP: Interdisciplinary approach KEY: Nursing
Process Step: N/A

MSC:NCLEX: N/A
7.HowmayanewlylicensedLPN/LVNpractice?
a. Independently in a hospital setting
b. With an experienced LPN/LVN
c. Under the supervision of a physician or RN
d. As a sole practitioner in a clinic setting
ANS: C
An LPN/LVN practices under the supervision of a physician,
dentist, OD, or RN.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Pages 13, 19
OBJ: 11 TOP: Vocational nursing KEY: Nursing Process Step: N/
A
MSC:NCLEX: N/A
8.Whose influence on nursing practice in the 19th century was
related to improvement of patient environment as a method of
healthpromotion?
a. Clara Barton
b. Linda Richards
c. Dorothea Dix
d. Florence Nightingale
ANS: D
The influence of Florence Nightingale was highly significant in
the 19th century as she fought for sanitary conditions, fresh air,
and general improvement in the patient environment. Clara
Barton developed the American Red Cross in 1881. Linda
Richards is known as the first trained nurse in America, was
responsible for the development of the first nursing and hospital
records, and is credited with the development of our present-day
documentation system. Dorothea Dix was the pioneer crusader
for elevation of standards of care for the mentally ill and
superintendent of female nurses of the Union Army.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Pages 2, 17 Table
1-2

OBJ: 2 | 4 TOP: Nursing leaders KEY: Nursing Process Step: N/
A
MSC:NCLEX: N/A
9.What document identifies the roles and responsibilities of the
LPN/LVN?
a. NLN Accreditation Standards
b. Nurse Practice Act
c. NAPNE Code
d. American Nurses Association Code
ANS: B
The LPN/LVN functions under the Nurse Practice Act. NLN
Accreditation Standards, the NAPNE Code, and the American
Nurses Association Code do not identify the roles and
responsibilities of the LPN/LVN.
OBJ: 11 TOP: Roles and Responsibilities KEY: Nursing Process
Step: N/A
MSC:NCLEX: N/A
10.What is a cost-effective delivery of care used by many
hospitals that allows the LPN/LVN to work with the RN to meet
theneedsofpatients?
a. Focused nursing
b. Team nursing
c. Case management
d. Primary nursing
ANS: C
Case management is a cost-effective method of care. Focused
nursing, team nursing, and primary nursing are not cost-effective
methods of delivering care that allow the LPN/LVN to work with
the RN to meet patient needs.
OBJ: 7 | 9 TOP: Patient care delivery systems KEY: Nursing
Process Step: N/A
MSC:NCLEX: N/A

11.What is the title of the American Hospital Associations 1972
document that outlines the patients expectations to be treated
withdignityandcompassion?
a. Code of Ethics
b. Patients Bill of Rights
c. OBRA
d. Advance directives
ANS: B
Patient expectations are outlined by the Patients Bill of Rights.
Patient expectations are not outlined in the Code of Ethics,
OBRA, or advance directives.
OBJ: 4 | 8 TOP: Patients rights KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
12.The relationships among nursing, patients, health, and the
environmentarethebasisfor:
a. care plans.
b. nursing models.
c. physicians orders.
d. evaluation of patient care.
ANS: B
Nursing models are theories based on the relationship between
nursing, patients, health, and environment. Care plans,
physicians orders, and evaluation of patient care are not based
on the relationships among nursing, patients, health, and
environment.
OBJ: 1 TOP: Nursing models KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
13.What system reduces the number of employees but still
providesqualitycareforpatients?
a. Team nursing
b. Cross-training

c. Use of critical pathways
d. Case management
ANS: B
Cross-training reduces the number of employees but does not
alter the quality of patient care. Team nursing, use of critical
pathways, and case management do not reduce the number of
employees while continuing to provide quality care for patients.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 14-15
OBJ: 8 TOP: Patient care KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
14.WhatisthepurposeoflicensinglawsforLPN/LVNs?
a. To limit the number of LPN/LVNs.
b. Prevention of malpractice
c. Protection of the public from unqualified people
d. To increase revenue for the state board of nursing
ANS: C
The purpose of licensing laws for LPN/LVNs is to protect the
public from unqualified practitioners. Licensing laws purpose is
not to limit the number of LPNs/LVNs, prevent malpractice, or
increase revenue for the state board of nursing.
OBJ: 4 | 9 | 10 TOP: Licensure KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
15.WhatpremiseisMaslowshierarchyofneedsbasedon?
a. All needs are equally important.
b. Basic needs must be met before the next level of needs can be met.
c. Self-actualization is a primary need.
d. Individuals prioritize needs the same way.
ANS: B
Maslows hierarchy of needs is based on the premise that basic
needs must be met first. It is not based on all needs being
equally important or that individuals prioritize needs the same
way. Self-actualization is not a primary need according to
Maslow.

OBJ: 8 TOP: Maslows hierarchy of needs KEY: Nursing Process
Step: N/A
MSC:NCLEX: N/A
16.What must the nurse realize when assessing physical and
socialenvironmentalfactorsaffectinghealthandillness?
a. They affect one another.
b. They cause illness.
c. They cause patients to react similarly.
d. They can be separated.
ANS: A
Physical and social factors affect each other, cannot be
separated, and cause each patient to react in a unique manner.
They do not necessarily cause illness or cause patients to react
similarly, and they cannot be separated.
OBJ:4 | 8TOP:Environmental factors
KEY: Nursing Process Step: Assessment MSC: NCLEX: Health
Promotion and Maintenance
17.What organization, established during World War II, provided
nursingeducationandtraining?
a. Nightingale school
b. Cadet Nurse Corps
c. Public health department
d. Frontier Nursing Service
ANS: B
The Cadet Nurse Corps was established during World War II to
provide nursing education and training. The Nightingale school,
public health department, and Frontier Nursing Service are not
organizations established during World War II to provide nursing
education and training.
OBJ: 1 | 4 TOP: Nursing education KEY: Nursing Process Step:
N/A

MSC:NCLEX: N/A
18.What is a modern educational advancement program for the
LPN/LVNtoenterRNeducation?
a. Repetition
b. Exclusion
c. Articulation
d. Coexistence
ANS: C
Most states have some type of articulation program in which the
LPN/LVN can achieve advanced standing in an RN program
without having to enroll in the entire curriculum. Repetition,
exclusion, and coexistence do not refer to educational
advancement.
OBJ: 1 | 9 TOP: Nursing education KEY: Nursing Process Step:
N/A
MSC:NCLEX: N/A
19.Where did Florence Nightingales original nursing education
takeplace?
a. Saint Thomas
b. Kings College Hospital
c. Crimean Hospital
d. Kaiserswerth School
ANS: D
Florence Nightingale trained at Kaiserswerth School. Florence
Nightingales original training was not at Saint Thomas, Kings
College Hospital, or Crimean Hospital.
OBJ: 2 TOP: Nursing programs KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
20.What system of comprehensive patient care considers the
physical, emotional, and social environment and spiritual needs
ofaperson?
a. Interdependent care

b. Holistic health care
c. Illness prevention care
d. Health promotion care
ANS: B
Holistic health care encompasses the physical, emotional, social,
and spiritual aspects of the patient.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 13
OBJ: 8 TOP: Health care KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
21.What official agency exists exclusively for LPN/LVN
membershipandpromotesstandardsfortheLPN/LVN?
a. NFLPN
b. ANA
c. NLN
d. NAPNES
ANS: A
The NFLPN exists solely for the LPN/LVN. The other options
have membership that includes RNs and the lay public.
OBJ: 5 | 6 | 9 TOP: Nursing organizations KEY: Nursing Process
Step: N/A
MSC:NCLEX: N/A
22.What score does the graduate practical nurse require to be
issued a license upon completion of the computerized
examination?
a. 70% or better
b. This is defined and set by each state
c. Designated as pass
d. Within the 75th percentile
ANS: C
Currently graduates of an approved vocational school are eligible
to take the licensing examination and be awarded a license with
a score of pass that is recognized by all states.

OBJ: 3 TOP: Licensure examination KEY: Nursing Process Step:
N/A
MSC:NCLEX: N/A
23.What document, published in 1965 by the ANA, clearly
definedtwolevelsofnursingpractice?
a. Licensing standards
b. Position paper
c. Smith-Hughes Act
d. Nurse practice act
ANS: B
The ANAs position paper of 1965 defined two levels of nursing:
registered nurse and technical nurse. Licensing standards, the
Smith-Hughes Act, and the nurse practice act were not
documents defining two levels of nursing practice published in
1965.
OBJ: 3 | 4 | 9 TOP: Position paper KEY: Nursing Process Step:
N/A
MSC:NCLEX: N/A
24.Whatisthewellness/illnesscontinuumdefinedas?
a. A concept that never changes
b. The range of a persons total health
c. A continuum influenced only by ones physical condition
d. An idea that focuses strictly on an individuals social well-being
ANS: B
The wellness/illness continuum is defined as the range of a
persons total health. This continuum is ever-changing, and it is
influenced by the individuals physical condition, mental condition,
and social well-being.
OBJ: 8 TOP: Wellness/Illness continuum KEY: Nursing Process
Step: N/A
MSC:NCLEX: N/A

MULTIPLE RESPONSE
25.Florence Nightingale established a nursing school at Saint
Thomas Hospital in London. What was it characterized by?
(Selectallthatapply.)
a. Allowing all applicants who applied to be enrolled
b. Offering formal and practical educational experiences
c. Keeping records of students progress
d. Focusing on sanitation and hygiene
e. Retaining a registry of all graduates
ANS: B, C, D, E
The nursing school established by Florence Nightingale
rigorously screened its applicants. The curriculum, which
included both formal education and practical experiences, was
focused on hygiene and sanitation. The school kept records of
the students progress during their school years, and also kept a
registry of the graduates.
OBJ:1 | 2TOP:School established by Florence Nightingale
KEY:Nursing Process Step: N/AMSC:NCLEX: N/A
COMPLETION
26.Primitive medical interventions were based on the belief that
illness was caused by the presence of
.
ANS:
evil spirits
Illness was thought to be caused by the inhabitation of the body
by evil spirits. Medical interventions were designed to drive out
the evil spirits by introducing good spirits.
OBJ: 1 TOP: Primitive health care KEY: Nursing Process Step:
N/A
MSC:NCLEX: N/A
27.During early civilization performed
witchcraft and rituals to induce the bad spirits to leave the body
of the ailing person.

ANS:
medicine men
Medicine men performed witchcraft and rituals to induce the bad
spirits to leave the body of the ailing person during early
civilization.
OBJ: 1 TOP: Primitive health care KEY: Nursing Process Step:
N/A
MSC:NCLEX: N/A
28.The National Council of State Boards of Nursing (NCSBN)
performs a job analysis every years to determine the
scope of practice of LPN/LVNs.
ANS:
3
three
The National Council of State Boards of Nursing performs a job
analysis every 3 years to measure the scope of practice for LPN/
LVNs.
OBJ: 6 | 9 TOP: National Council analysis KEY: Nursing Process
Step: N/A
MSC:NCLEX: N/A
29.Graduates of the first school for training the practical nurse
were referred to as nurses.
ANS:
attendant
The first school for training the practical nurse started in
Brooklyn, New York in 1892 and was conducted under the
auspices of the Young Womens Christian Association (YWCA).
The Ballard School, as it was known, was approximately 3
months in duration and trained its students to care for the
chronically ill, invalids, children, and the elderly. The main
emphasis was on home care and included cooking, nutrition,
basic science, and basic procedures. Graduates of this program
were referred to as attendant nurses.
OBJ: 1 TOP: Attendant nurses KEY: Nursing Process Step: N/A

MSC:NCLEX: N/A
30.In 1949, the National Federation of Licensed Practical Nurses
(NFLPN) was founded by .
ANS:
Lillian Kuster
In 1949 the National Federation of Licensed Practical Nurses
(NFLPN) was founded by Lillian Kuster. This association is the
official membership organization for licensed practical
nurses/licensed vocational nurses (LPN/LVNs), and membership
is limited to LPNs and LVNs.
OBJ: 2 TOP: National Federation of Licensed Practical Nurses
OTHER
31.What is the order of Maslows hierarchy of needs beginning
with the most basic?
a. Safety and security
b. Love/belongingness
c. Physiological
d. Self-actualization
e. Esteem
ANS:
C, A, B, E, D
Abraham Maslow believed that an individuals behavior is formed
by the individuals attempts to meet essential human needs,
which he identified as physiological, safety and security, love and
belongingness, and esteem and self-actualization.
OBJ: 8 TOP: Maslows Hierarchy of Needs KEY: Nursing
Process Step: N/A
MSC:NCLEX: N/A
Chapter 2: Legal and Ethical Aspects of Nursing
7th Edition
MULTIPLE CHOICE

1.When a nurse becomes involved in a legal action, the first step
to occur is that a document is filed in an appropriate court. What
isthisdocumentcalled?
a. Deposition
b. Appeal
c. Complaint
d. Summons
ANS: C
A document called a complaint is filed in an appropriate court as
the first step in litigation. A deposition is when witnesses are
required to undergo questioning by the attorneys. An appeal is a
request for a review of a decision by a higher court. A summons
is a court order that notifies the defendant of the legal action.
OBJ: 1 TOP: Legal KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
2.The nurse caring for a patient in the acute care setting
assumes responsibility for a patients care. What is this legally
bindingsituation?
a. Nurse-patient relationship
b. Accountability
c. Advocacy
d. Standard of care
ANS: A
When the nurse assumes responsibility for a patients care, the
nurse-patient relationship is formed. This is a legally binding
contract for which the nurse must take responsibility.
Accountability is being responsible for ones own actions. An
advocate is one who defends or pleads a cause or issue on
behalf of another. Standards of care define acts whose
performance is required, permitted, or prohibited.
MSC:NCLEX: N/A

3.What are the universal guidelines that define appropriate
measuresforallnursinginterventions?
a. Scope of practice
b. Advocacy
c. Standard of care
d. Prudent practice
ANS: C
Standards of care define actions that are permitted or prohibited
in most nursing interventions. These standards are accepted as
legal guidelines for appropriateness of performance. The laws
that formally define and limit the scope of nursing practice are
called nurse practice acts. An advocate is one who defends or
pleads a cause or issue on behalf of another. Prudent is a term
that refers to careful and/or wise practice.
MSC:NCLEX: N/A
4.An LPN/LVN is asked by the RN to administer an IV
chemotherapeutic agent to a patient in the acute care setting.
What law should this nurse refer to before initiating this
intervention?
a. Standards of care
b. Regulation of practice
c. American Nurses Association Code
d. Nurse practice act
ANS: D
It is the nurses responsibility to know the nurse practice act in his
or her state. Standards of care, regulation of practice, and the
American Nurses code are not laws that the nurse should refer
to before initiating this treatment.
PTS: 1 DIF: Cognitive Level: Application REF: Page 25
MSC:NCLEX: N/A

5.A nurse fails to irrigate a feeding tube as ordered, resulting in
harmtothepatient.Thisnursecouldbefoundguiltyof:
a. malpractice.
b. harm to the patient.
c. negligence.
d. failure to follow the nurse practice act.
ANS: A
The nurse can be held liable for malpractice for acts of omission.
Failure to meet a legal duty, thus causing harm to another, is
malpractice. The nurse practice act has general guidelines that
can support the charge of malpractice.
PTS: 1 DIF: Cognitive Level: Application REF: Pages 22-23
MSC:NCLEX: N/A
6.Patients have expectations regarding the health care services
they receive. To protect these expectations, which of the
followinghasbecomelaw?
a. American Hospital Associations Patients Bill of Rights
b. Self-determination act
c. American Hospital Associations Standards of Care
d. The Joint Commissions rights and responsibilities of patients
ANS: A
Patients have expectations regarding the health care services
they receive. In 1972, the American Hospital Association (AHA)
developed the Patients Bill of Rights. The Self-determination act,
American Hospital Associations Standards of Care, and The
Joint Commissions rights and responsibilities do not address
patients expectations regarding health care.
OBJ: 3 | 4 TOP: Legal KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
7.The nurse is preparing the patient for a thoracentesis. What
mustbecompletedbeforetheproceduremaybeperformed?
a. Physical assessment

b. Interview
c. Informed consent
d. Surgical checklist
ANS: C
The doctrine of informed consent refers to full disclosure of the
facts the patient needs to make an intelligent (informed) decision
before any invasive treatment or procedure is performed. A
physical assessment, interview, and surgical checklist are not
required before this procedure.
MSC:NCLEX: N/A
8.When a nurse protects the information in a patients record
whatethicalresponsibilityisthenursefulfilling?
a. Privacy
b. Disclosure
c. Confidentiality
d. Absolute secrecy
ANS: C
The nurse has an ethical and legal duty to protect information
about a patient and preserve confidentiality. Some disclosures
are legal and anticipated, and may not be subject to the rules of
confidentiality. None of the information in a chart is considered
secret.
OBJ: 9 TOP: Confidentiality KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
9.An older adult is admitted to the hospital with numerous bodily
bruises, and the nurse suspects elder abuse. What is the best
nursingaction?
a. Cover the bruises with bandages.
b. Take photographs of the bruises.
c. Ask the patient if anyone has hit her.

d. Report the bruises to the charge nurse.
ANS: D
The law stipulates that the health care professional is required to
report certain information to the appropriate authorities. The
report should be given to a supervisor or directly to the police,
according to agency policy. When acting in good faith to report
mandated information (e.g., certain communicable diseases or
gunshot wounds), the health care professional is protected from
liability.
OBJ: 9 TOP: Elder abuse KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
10.Whatisthebestwayforanursetoavoidalawsuit?
a. Carry malpractice insurance
b. Spend time with the patient
c. Provide compassionate, competent care
d. Answer all call lights quickly
ANS: C
The best defense against a lawsuit is to provide compassionate
and competent nursing care. Carrying malpractice insurance is
prudent, but it will not avoid a lawsuit. Spending time with
patients and answering call lights quickly will not necessarily help
avoid a lawsuit.
OBJ: 8 TOP: Avoiding a lawsuit KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
11.The nurse is caring for a patient with a do-not-resuscitate
(DNR) order. Although the nurse may disagree with this order,
whatishisorherlegalobligation?
a. To question the doctor
b. To seek advice from the family
c. To discuss it with the patient
d. To follow the order
ANS: D

When a DNR order is written in the chart, the nurse has a duty to
follow the order. Questioning the doctor, seeking advice from the
family, and discussing it with the patient are not legal obligations
of the nurse.
OBJ: 10 | 14 TOP: Legal KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
12.The nurse has strong moral convictions that abortions are
wrong. When assigned to assist with an abortion, what is the
mostappropriateactionforthenursetotake?
a. Ask for another assignment
b. Leave work
c. Transfer to another floor
d. Protest to the supervisor
ANS: A
The nurse should not abandon the patient, but ask for another
assignment.
OBJ: 9 | 16 TOP: Ethics KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
13.The new LPN/LVN is concerned regarding what should or
should not be done for patients. What resource will best provide
thisinformation?
a. Nurse practice act
b. Standards of care
c. Scope of nursing practice
d. Professional organizations
ANS: B
Standards of care define what should or should not be done for
patients. The nurse practice act, scope of nursing practice, and
professional organizations do not provide the best information as
to what should or should not be done for patients.
OBJ: 5 TOP: Standards of care KEY: Nursing Process Step: N/A

MSC:NCLEX: N/A
14.What role is the nurse who diligently works for the protection
ofpatientsinterestsplaying?
a. Caregiver
b. Health care administrator
c. Advocate
d. Health care evaluator
ANS: C
A nurse accepts the role of advocate when, in addition to general
care, the nurse protects the patients interests. Caregiver, health
care administrator, and health care evaluator are not terms for
the nurse who diligently works for the protection of patients.
OBJ: 9 | 12 TOP: Advocate KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
15.When asked to perform a procedure that the nurse has never
done before, what should the nurse do to legally protect himself
orherself?
a. Go ahead and do it
b. Refuse to perform it, citing lack of knowledge
c. Discuss it with the charge nurse, asking for direction
d. Ask another nurse who has performed the procedure
ANS: C
The nurse cannot use ignorance as an excuse for
nonperformance. The nurse should ask for direction from the
charge nurse, explaining she has never performed the procedure
independently.
MSC:NCLEX: N/A
16.The nurse is assisting a patient to clarify values by
encouraging the expression of feelings and thoughts related to
thesituation.Whatisthemostappropriateactionforthenurse?
a. Compare values with those of the patient

b. Make a judgment
c. Withhold an opinion
d. Give advice
ANS: C
The nurse can assist the patient in values clarification without
giving an opinion.
OBJ: 3 | 8 TOP: Values clarification KEY: Nursing Process Step:
N/A
MSC:NCLEX: N/A
17.What fundamental principle must the nurse first observe when
confrontedwithanethicaldecision?
a. Autonomy
b. Beneficence
c. Respect for people
d. Nonmaleficence
ANS: C
The first fundamental principle is respect for people. Autonomy,
beneficence, and nonmaleficence are not the first fundamental
principles to observe when confronted with an ethical decision.
OBJ: 13 | 15 TOP: Ethics KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
18.A nurse working on an acute care medical surgical unit is
aware that his or her first duty is to the patients health, safety,
and well-being. Given this knowledge, which of the following is
mostnecessaryforthenursetoreport?
a. Unethical behavior of other staff members
b. A worker who arrives late
c. Favoritism shown by nursing administration
d. Arguments among the staff
ANS: A

A member of the nursing profession must report behavior that
does not meet established standards. Unethical behavior
involves failing to perform the duties of a competent caring
nurse.
OBJ: 13 TOP: Unethical behavior KEY: Nursing Process Step:
N/A
MSC:NCLEX: N/A
19.A nurse is considering purchasing malpractice insurance.
What should the nurse be aware of regarding malpractice
insuranceprovidedbythehospital?
a. Only offers protection while on duty
b. Is limited in the amount of coverage
c. Is difficult to renew
d. Can be terminated at any time
ANS: A
Most institutional insurance only provides liability coverage if the
nurse is on duty at that facility.
OBJ: 2 TOP: Malpractice insurance KEY: Nursing Process Step:
N/A
MSC:NCLEX: N/A
20.Which is a nursing care error that violates the Health
InsurancePortabilityandAccountabilityAct(HIPAA)?
a. Administering a stronger dose of drug than was ordered
b. Refusing to give a patients daughter information over the phone
c. Informing the patients medical power of attorney of a medication chan
d. Leaving a copy of the patients history and physical in the photocopier
ANS: D
Leaving the document in the photocopier could expose it to the
public. Inappropriate drug administration is possible malpractice.
Sharing information with the power of attorney is legal. Refusing
to give a patients daughter information over the phone is
appropriate practice.

PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 26, 28
OBJ: 7 TOP: Health Insurance Portability and Accountability Act
(HIPAA)
21.Which of the following could cause a nurse to be cited for
malpractice?
a. Refusing to give 60 mg of morphine as ordered
b. Giving prochlorperazine (Compazine) to a patient allergic to phenothia
c. Dragging an injured motorist off the highway and causing further injury
d. Informing a visitor about a patients condition
ANS: B
Standards of care dictate that a nurse must be aware of all the
properties of drugs administered. Prochlorperazine (Compazine)
is a phenothiazine. Providing confidential information or refusing
to give an excessively large narcotic dose is not considered
malpractice. Good Samaritan laws generally protect a person
giving aid to an injured motorist.
OBJ: 2 TOP: Malpractice KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
22.A lumbar puncture was performed on a patient without a
signedinformedconsentform.Thispatientmightsuefor:
a. punitive damages.
b. civil battery.
c. assault.
d. nothing; no violation has occurred.
ANS: B
Civil battery charges can be brought against someone
performing an invasive procedure without the patients informed
consent legally documented. This patient could not sue for
punitive damages or an assault.
OBJ: 6 | 8 TOP: Informed consent KEY: Nursing Process Step:
N/A

MSC:NCLEX: N/A
MSC:NCLEX: N/A
23.A physician instructs the nurse to bladder train a patient. The
nurse clamps the patients indwelling urinary catheter but forgets to
unclamp it. The patient develops a urinary tract infection. What
dothenursesactionsexemplify?
a. Malpractice
b. Battery
c. Assault
d. Neglect of duty
ANS: A
A nurse is liable for acts of commission (doing an act) and
omission (not doing an act) performed in the course of their
professional duty. A charge of malpractice is likely when a duty
exists, there is a breach of that duty, and harm has occurred to
the patient.
MSC:NCLEX: N/A
24.Whatistrueaboutnursepracticeacts?
a. They informally define the scope of nursing practice.
b. They provide for unlimited scope of nursing practice.
c. Only some states have adopted a nurse practice act.
d. The nurse must know the nurse practice act within his or her state.
ANS: D
The laws formally defining and limiting the scope of nursing
practice are called nurse practice acts. All state, provincial, and
territorial legislatures in the United States and Canada have
adopted nurse practice acts, although the specifics they contain
often vary. It is the nurses responsibility to know the nurse
practice act that is in effect for her geographic region.
OBJ: 1 TOP: Nurse practice acts KEY: Nursing Process Step: N/
A

MSC:NCLEX: N/A
MULTIPLE RESPONSE
25.How can the medical record be used in litigation? (Select all
thatapply.)
a. Public record
b. Proof of adherence to standards
c. Evidence of omission of care
d. Documentation of time lapses
e. Evidence by only the plaintiff
ANS: A, B, C, D
The information when used in court becomes a public record.
The information can be used as proof of adherence to standards,
omission of care, and documentation of time lapses. Both
plaintiff and defendant can use the document.
OBJ: 4 TOP: Legal properties of medical record KEY: Nursing
Process Step: N/A
MSC:NCLEX: N/A
26.During a lunch break, an emergency department (ED) nurse
truthfully tells another nurse about the condition of a patient who
came to the ED last night. What is the ED nurse guilty of?
(Selectallthatapply.)
a. HIPAA violation
b. Slander
c. Libel
d. Invasion of privacy
e. Defamation
ANS: A, D
The disclosure is an invasion of privacy and a violation of HIPAA.
Because the information is true and verbal, it cannot be
considered slander or libel.
PTS: 1 DIF: Cognitive Level: Application REF: Pages 26, 28
OBJ: 7 TOP: Disclosure of information KEY: Nursing Process
Step: N/A

27.A nurse failed to monitor a patients respiratory status after
medicating the patient with a narcotic analgesic. The patients
respiratory status worsened, requiring intubation. The patients
family claimed the nurse committed malpractice. What must be
presentforthenursetobeheldliable?(Selectallthatapply.)
a. A nurse-patient relationship exists.
b. The nurse failed to perform in a reasonable manner.
c. There was harm to the patient.
d. The nurse was prudent in her performance.
e. The nurse did not cause the patient harm.
f. Duty does not exist.
ANS: A, B, C
For the court to uphold the charge of malpractice, and to find the
nurse liable, the following elements must be present: duty exists,
there is a breach of duty, and harm must have occurred.
MSC:NCLEX: N/A
COMPLETION
28.Personal beliefs about the worth of an object, idea, custom, or
attitude that influence a persons behavior in a given situation are
referred to as .
ANS:
values
Values are personal beliefs about the worth of an object, an idea,
a custom, or an attitude. Values vary among people and
cultures; they develop over time and undergo change in
response to changing circumstances and necessity. Each of us
adopts a value system that will govern what we feel is right or
wrong (or good and bad) and will influence our behavior in a
given situation.
OBJ: 11 | 12 TOP: Values KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A

29.Acts whose performance is required, permitted, or prohibited
are defined by of .
ANS:
standards, care
Standards of care define acts whose performance is required,
permitted, or prohibited.
OBJ: 4 TOP: Standards of care KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
Chapter 3: Documentation
7th Edition
MULTIPLE CHOICE
1.What does documentation of type of care, time of care, and
signatureofthepersonprove?
a. The person who signed the documentation did all the work noted.
b. No litigation can be brought against the person who signed.
c. Interventions were implemented to meet the patients needs.
d. The patients response to the intervention was positive.
ANS: C
Documenting type of care, time of care, and signature of the
person results in recording the interventions that are
implemented to meet the patients needs. Many charting entries
include doctors visits, presence of family, or interventions by
other departments. Patient response to some interventions is not
always positive.
OBJ:1TOPocumentation
KEY: Nursing Process Step: Implementation MSC: NCLEX: N/A
2.Whyisdocumentationespeciallysignificantinmanagedcare?
a. The hospital needs to show that employees care for patients.
b. Institutions are reimbursed only for patient care that is documented.
c. Patients might bring lawsuits if care was not given.
d. Documents may become part of a lawsuit.

ANS: B
Cost reimbursement rates by government plans (Medicare,
Medicaid) are based on the prospective payment system of
diagnosis-related groups (DRGs); a system that classifies
patients by age, diagnosis, surgical procedure, and other
information with hundreds of different categories to predict the
use of hospital resources, including length of stay, resulting in a
fixed payment amount.
OBJ: 1 TOP: Documentation KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
3.The nurse charts only additional treatments done, changes in
patient condition, and new concerns. What is this system of
documentation?
a. SOAP
b. Block
c. CBE
d. Focus
ANS: C
Charting additional treatments done, changes in a patients
condition, and new concerns during the shift is charting by
exception (CBE).
OBJ: 1 | 5 | 7 TOP: Documentation KEY: Nursing Process Step:
N/A
MSC:NCLEX: N/A
4.What form explains the lapse when events are not consistent
withfacilityornationalstandardsofexpectedcare?
a. Subjective data
b. Focus chart
c. Incident report
d. Nursing assessment
ANS: C

Exploring the Variety of Random
Documents with Different Content

The Project Gutenberg eBook of Kathrina—A Poem

This ebook is for the use of anyone anywhere in the United States
and most other parts of the world at no cost and with almost no
restrictions whatsoever. You may copy it, give it away or re-use it
under the terms of the Project Gutenberg License included with this
ebook or online at www.gutenberg.org. If you are not located in the
United States, you will have to check the laws of the country where
you are located before using this eBook.
Title: Kathrina—A Poem
Author: J. G. Holland
Release date: October 10, 2020 [eBook #63423]
Most recently updated: October 18, 2024
Language: English
Credits: Produced by Al Haines
*** START OF THE PROJECT GUTENBERG EBOOK KATHRINA—A
POEM ***

KATHRINA
DR. J. G. HOLLAND'S WRITINGS.
Complete Works. 16 Volumes. Small 12mo.
Sold separately.
Bitter-Sweet
Kathrina
The Mistress of the Manse
Puritan's Guest and other Poems
Titcomb's Letters to Young People
Gold-Foil
Lessons in Life
Plain Talks on Familiar Subjects
Concerning the Jones Family
Every-Day Topics. First Series
Every-Day Topics. Second Series
Sevenoaks
The Bay Path
Arthur Bonnicastle
Miss Gilbert's Career
Nicholas Minturn
KATHRINA

A POEM
BY
J. G. HOLLAND
NEW YORK
CHARLES SCRIBNER'S SONS
1893.
COPYRIGHT BY
CHARLES SCRIBNER & CO.
1867
COPYRIGHT BY
J. G HOLLAND
1881
TROW'S
PRINTING AND BOOKBINDING COMPANY,
NEW YORK.

I DEDICATE
"KATHRINA"
THE WORK OF MY HAND
TO
ELIZABETH
THE WIFE OF MY HEART
CONTENTS
A TRIBUTE
PART I.
CHILDHOOD AND YOUTH
COMPLAINT
PART II.
LOVE
A REFLECTION
PART III.

LABOR
DESPAIR
PART IV.
CONSUMMATION
KATHRINA.
A TRIBUTE.
More human, more divine than we—
In truth, half human, half divine—
Is woman, when good stars agree
To temper with their beams benign
The hour of her nativity.
The fairest flower the green earth bears,
Bright with the dew and light of heaven,
Is, of the double life she wears,
The type, in grace and glory given
By soil and sun in equal shares.
True sister of the Son of Man:
True sister of the Son of God:
What marvel that she leads the van
Of those who in the path he trod,
Still bear the cross and wear the ban?

If God be in the sky and sea,
And live in light and ride the storm,
Then God is God, although He be
Enshrined within a woman's form;
And claims glad reverence from me.
So, as I worship Him in Christ,
And in the Forms of Earth and Air,
I worship Him imparadised,
And throned within her bosom fair
Whom vanity hath not enticed.
O! woman—mother! Woman—wife!—
The sweetest names that language knows!
Thy breast, with holy motives rife,
With holiest affection glows,
Thou queen, thou angel of my life!
Noble and fine in his degree
Is the best man my heart receives;
And this my heart's supremest plea
For him: he feels, acts, lives, believes,
And seems, and is, the likest thee.
O men! O brothers! Well I know
That with her nature in our souls
Is born the elemental woe—
The brutal impulse that controls,
And drives, or drags, the godlike low.
Ambition, appetite and pride—
These throng and thrall the hearts of men
These plat the thorns, and pierce the side
Of Him, who, in our souls again,
Is spit upon, and crucified.
The greed for gain, the thirst for power,
The lust that blackens while it burns:

Ah! these the whitest souls deflour!
And one, or all of these by turns,
Rob man of his divinest dower!
Yet man, who shivers like a straw
Before Temptation's lightest breeze,
Assumes the master—gives the law
To her who, on her bended knees,
Resists the black-winged thunder-flaw!
To him who deems her weak and vain,
And boasts his own exceeding might,
She clings through darkest fortune fain;
Still loyal though the ruffian smite;
Still true, though crime his hands distain!
And is this weakness? Is it not
The strength of God, that loves and bears
Though He be slighted or forgot
In damning crimes, or driving cares,
And closest clings in darkest lot?
Not many friends my life has made;
Few have I loved, and few are they
Who in my hand their hearts have laid;
And these were women. I am gray,
But never have I been betrayed.
These words—this tribute—for the sake
Of truth to God and womankind!
These—that my heart may cease to ache
With love and gratitude confined,
And burning from my lips to break!
These—to that sisterhood of grace
That numbers in its sacred list
My mother, risen to her place;

My wife, but yester-morning kissed,
And folded in Love's last embrace!
This tribute of a love profound
As ever moved the heart of man,
To those to whom my life is bound,
To her in whom my life began,
And her whose love my life hath crowned!
Immortal Love! Thou still hast wings
To lift me to those radiant fields,
Where Music waits with trembling strings,
And Verse her happy numbers yields,
And all the soul within me sings.
So from the lovely Pagan dream
I call no more the Tuneful Nine;
For Woman is my Muse Supreme;
And she with fire and flight divine,
Shall light and lead me to my theme.

PART I.
CHILDHOOD AND YOUTH.
Thou lovely vale of sweetest stream that flows:
Winding and willow-fringed Connecticut!
Swift to thy fairest scenes my fancy flies,
As I recall the story of a life
Which there began in years of sinless hope,
And merged maturely into hopeless sin.
O! golden dawning of a day of storms,
That fell ere noontide into rayless night!
O! beautiful initial, vermeil-flowered,
And bright with cherub-eyes and effigies,
To the black-letter volume of my life!
O! faëry gateway, gilt and garlanded,
And shining in the sun, to gloomy groves
Of shadowy cypress, and to sunless streams,
Feeding with bane the deadly nightshade's roots,—
To vexing labyrinths of doubt and fear,
And deep abysses of despair and death!
Back to thy peaceful villages and fields,
My memory, like a weary pilgrim, comes
With scrip and burdon, to repose awhile,—
To pluck a daisy from a lonely grave
Where long ago, in common sepulture,
I laid my mother and my faith in God;
To fix the record of a single day
So memorably wonderful and sweet
Its power of inspiration lingers still,—
So full of her dear presence, so divine
With the melodious breathing of her words,

And the warm radiance of her loving smile,
That tears fall readily as April rain
At its recall; to pass in swift review
The years of adolescence, and the paths
Of glare and gloom through which, by passion led
I reached the fair possession of my power,
And won the dear possession of my love,
And then—farewell!
Queen-village of the meads
Fronting the sunrise and in beauty throned,
With jewelled homes around her lifted brow,
And coronal of ancient forest trees—
Northampton sits, and rules her pleasant realm.
There where the saintly Edwards heralded
The terrors of the Lord, and men bowed low
Beneath the menace of his awful words;
And there where Nature, with a thousand tongues
Tender and true, from vale and mountain-top,
And smiling streams, and landscapes piled afar,
Proclaimed a gentler Gospel, I was born.
In an old home, beneath an older elm—
A fount of weeping greenery, that dripped
Its spray of rain and dew upon the roof—
I opened eyes on life; and now return,
Among the visions of my early years,
Two so distinct that all the rest grow dim:
My mother's pale, fond face and tearful eyes,
Bent upon me in Love's absorbing trance,
From the low window where she watched my play;
And, after this, the wondrous elm, that seemed
To my young fancy like an airy bosk,
Poised by a single stem upon the earth,
And thronged by instant marvels. There in Spring
I heard with joy the cheery blue-bird's note;
There sang rejoicing robins after rain;

And there within the emerald twilight, which
Defied the mid-day sun, from bough to bough—
A torch of downy flame—the oriole
Passed to his nest, to feed the censer-fires
Which Love had lit for Airs of Heaven to swing.
There, too, through all the weird September-eves
I heard the harsh, reiterant katydids
Rasp the mysterious silence. There I watched
The glint of stars, playing at hide-and-seek
Behind the swaying foliage, till drawn
By tender hands to childhood's balmy rest.
My Mother and the elm! Too soon I learned
That o'er me hung, and o'er the widowed one
Who gave me birth, with broader boughs,
Haunted by sabler wings and sadder sounds,
A darker shadow than the mighty elm!
I caught the secret in the street from those
Who pointed at me as I passed, or paused
To gaze in sighing pity on my play;
From playmates who, forbidden to divulge
The knowledge they possessed, with childish tricks
Of indirection strove in vain to hide
Their awful meaning in unmeaning phrase;
From kisses which were pitiful; from words
Gentler than love's because compassionate;
From deep, unconscious sighs out of the heart
Of her who loved me best, and from her tears
That freest flowed when I was happiest.
From frailest filaments of evidence,
From dark allusions faintly overheard,
From hint and look and sudden change of theme
When I approached, from widely scattered words
Remembered well, and gathered all at length
Into consistent terms, I know not how
I wrought the full conclusion, nor how young.
I only know that when a little child
I learned, though no one told, that he who gave

My life to me in madness took his own—
Took it from fear of want, though he possessed
The finest fortune in the rich old town.
Thenceforth I had a secret which I kept—
Kept by my mother with as close a tongue—
A secret which embittered every cup.
It bred rebellion in me—filled my soul,
Opening to life in innocent delight,
With baleful doubt and harrowing distrust.
Why, if my father was the godly man
His gentle widow vouched with tender tears,
Did He to whom she bowed in daily prayer—
Who loved us, as she told me, with a love
Ineffable for strength and tenderness—
Permit such fate to him, such woe to us?
Ah! many a time, repeating on my knees
The simple language of my evening prayer
Which her dear lips had taught me, came the dark
Perplexing question, stirring in my heart
A sense of guilt, or quenching all my faith.
This, too, I kept a secret. I had died
Rather than breathe the question in her ears
Who knelt beside me. I had rather died
Than add a sorrow to the load she bore.
Taught to be true, I played the hypocrite
In truthfulness to her. I had no God,
Nor penitence, nor loyalty nor love;
For any being higher than herself.
Jealous of all to whom she gave her hand,
I clung to her with fond idolatry.
I sat with her; where'er she walked, I walked
I kissed away her tears; I strove to fill,
With strange precocity of manly pride
And more than boyish tenderness, the void
Which death had made.

I could not fail to see
That ruth for me and sorrow for her loss—
Twin leeches at her heart—were drinking blood
That, from her pallid features, day by day
Sank slowly down, to feed the cruel draught.
Nay, more than this I saw, and sadly worse.
Oft when I watched her and she knew it not,
I marked a quivering horror sweep her face—
A strange, quick thrill of pain—that brought her hand
With sudden pressure to her heart, and forced
To her white lips a swiftly whispered prayer.
I fancied that I read the mystery;
But it was deeper and more terrible
Than I conjectured. Not till darker years
Came the solution.
Still, we had some days
Of pleasure. Sorrow cannot always brood
Over the shivering forms that drink her warmth;
But springs to meet the morning light, and soars
Into the empyrean, to forget
For one sweet hour the ring of greedy mouths
That surely wait, and cry for her return.
My mother's hand in mine, or mine in hers,
We often left the village far behind,
And walked the meadow-paths to gather flowers,
And watch the plowman as he turned the tilth,
Or tossed his burnished share into the sun
At the long furrow's end, the while we marked
The tipsy bobolink, struggling with the chain
Of tinkling music that perplexed his wings,
And listened to the yellow-breasted lark's
Sweet whistle from the grass.
Glad in my joy,
My mother smiled amid these scenes and sounds,
And wandered on with gentle step and slow,

While I, in boyish frolic, ran before,
Chasing the butterflies, or in her path
Tossing the gaudy gold of buttercups,
Till sometimes, ere we knew, we stood entranced
Upon the river's marge.
Ever the spell
Of lapsing water tamed my playful mood,
And I reclined in silent happiness
At the tired feet that rested in the shade.
There through the long, bright mornings we remained,
Watching the noisy ferry-boat that plied
Like a slow shuttle through the sunny warp
Of threaded silver from a thousand brooks,
That took new beauty as it wound away;
Or gazing where at Holyoke's verdant base—
Like a slim hound, stretched at his master's feet—
Lay the long, lazy hamlet, Hockanum;
Or, upward turning, traced the line that climbed
O'er splintered rock and clustered foliage
To the bare mountain-top; then followed down
The scars of fire and storm, or paths of gloom
That marked the curtained gorges, till, at last,
Caught by a wisp of white, belated mist,
Our vision rose to trace its airy flight
Beyond the height, into the distant blue.
One morning, while we rested there, she told
Of a dear friend upon the other side—
A lady who had loved her—whom she loved—
And then she promised to my eager wish
That soon, across the stream I longed to pass,
I should go with her to the lady's home.
The wishedfor day came slowly—came at last—
My birthday morning—rounding to their close
The fourteen summers of my boyhood's life.

The early mists were clinging to the side
Of the dark mountain as we left the town,
Though all the roadside fields were quick with toil
In rhythmic motion through the dewy grass
The mowers swept, and on the fragrant air
Was borne from far the soft, metallic clash
Of stones upon the steel.
This was the day
"So memorably wonderful and sweet
Its power of inspiration lingers still,—
So full of her dear presence, so divine
With the melodious breathing of her words,
And the warm radiance of her loving smile,
That tears fall readily as April rain
At its recall." And with this day there came
The revelation and the genesis
Of a new life. In intellect and heart
I ceased to be a child, and grew a man.
By one long leap I passed the hidden bound
That circumscribed my boyhood, and thenceforth
Abjured all childish pleasure, and took on
The purpose and the burden of my life.
We crossed the river—I, as in a dream;
And when I stood upon the eastern shore,
In the full presence of the mountain pile,
Strange tides of feeling thrilled me, and I wept—
Wept, though I knew not why. I could have knelt
On the white sand, and prayed. Within my soul
Prophetic whispers breathed of coming power
And new possessions. Aspiration swelled
Like a pent stream within a narrow chasm,
That finds nor vent nor overflow, but swirls
And surges and retreats, until it floods
The springs that feed it. All was chaos wild,—
A chaos of fresh passion, undefined,

Deep in whose vortices of mist and fire
A new world waited blindly for its birth.
I had no words for revelation;—none
For answer, when my mother pressed my hand,
And questioned why it trembled. I looked up
With tearful eyes, and met her loving smile,
And both of us were silent, and passed on.
We reached at length the pleasant cottage-home
Where dwelt my mother's friend, and, at the gate,
Found her with warmest welcome waiting us.
She kissed my mother's cheek, and then kissed mine,
Which shrank, and mantled with a new-born shame.
They crossed the threshold: I remained without.
Surprised—half-angry—with the burning blush
That still o'erwhelmed my face.
I looked around
For something to divert my vexing thoughts,
And saw intently gazing in my eyes,
From his long tether in the grass, a lamb—
A lusty, downy, handsome, household pet.
There was a scarlet ribbon on his neck
Which held a silver bell, whose note I heard
First when his eye met mine; for then he sprang
To greet me with a joyous bleat, and fell,
Thrown by the cord that held him. Pitying him,
I loosed his cruel leashing, with intent,
After a half-hour's frolic, to return
And fasten as I found him; but my hand,
Too careless of its charge, slipped from its hold
With the first bound he made; and with a leap
He cleared the garden wall, and flew away.
Affrighted at my deed and its mischance,
I paused a moment—then with ready feet,
And first and final impulse, I pursued.

He held the pathway to the mountain woods,
The tinkle of his bell already faint
In the long distance he had placed between
Himself and his pursuer. On and on,
Climbing the mountain path, he sped away,
I following swiftly, never losing sight
Of the bright scarlet streaming from his neck,
Or hearing of the tinkle of his bell,
Till, wearied both, and panting up the steep,
Our progress slackened to a walk.
At length
He paused and looked at me, and waited till
My foot had touched the cord he dragged, and then
Bounded away, scaling the shelvy cliffs
That bolder rose along the narrow path.
He had no choice but mount. I pressed him close,
And rocks and chasms were thick on either side;
So, pausing oft, but ever leaping on
Before my hand could reach him, he advanced.
Not once in all the passage had I paused
To look below, nor had I thought of her
Whom I had left. Absorbed in the pursuit
I pressed it recklessly, until I grasped
My fleecy prisoner, wound and tied his cord
Around my wrist, and both of us sank down
Upon the mountain summit.
In a swoon
Of breathless weariness how long I lay
I could not know; but consciousness at last
Came by my brute companion, who, alert
Among the scanty browse, tugged at my wrist,
And brought me startled to my feet. I saw
In one swift sweep of vision where I stood,—
In presence of what beauty of the earth,
What glory of the sky, what majesty

Of lofty loneliness. I drew the lamb—
The dear, dumb creature—gently to my side,
And led him out upon the beetling cliff
That fronts the plaided meadows, and knelt down.
When once the shrinking, dizzy spell was gone,
I saw below me, like a jewelled cup,
The valley hollowed to its heaven-kissed lip—
The serrate green against the serrate blue—
Brimming with beauty's essence; palpitant
With a divine elixir—lucent floods
Poured from the golden chalice of the sun,
At which my spirit drank with conscious growth,
And drank again with still expanding scope
Of comprehension and of faculty.
I felt the bud of being in me burst
With full, unfolding petals to a rose,
And fragrant breath that flooded all the scene.
By sudden insight of myself I knew
That I was greater than the scene,—that deep
Within my nature was a wondrous world,
Broader than that I gazed on, and informed
With a diviner beauty,—that the things
I saw were but the types of those I held,
And that above them both, High Priest and King,
I stood supreme, to choose and to combine,
And build from that within me and without
New forms of life, with meaning of my own.
And there alone, upon the mountain-top,
Kneeling beside the lamb, I bowed my head
Beneath the chrismal light, and felt my soul
Baptized and set apart to poetry.
The spell of inspiration lingered not;
But ere it passed, I knew my destiny—
The passion and the portion of my life:

Though, with the new-born consciousness of power
And organizing and creative skill,
There came a sense of poverty—a sense
Of power untrained, of skill without resource,
Of ignorance of Nature and her laws
And language and the learning of the schools.
I could not rise upon my callow wings,
But felt that I must wait until the years
Should give them plumage, and the skill for flight
Be won by trial.
Then before me rose
The long, long years of study, interposed
Between me and the goal that shone afar;
But with them rose the courage to surmount,
And I was girt for toil.
Then, for the first,
My eye and spirit that had drunk the whole
Wide vision, grew discriminate, and traced
The crystal river pouring from the North
Its twinkling tide, and winding down the vale,
Till, doubling in a serpent coil, it paused
Before the chasm that parts the frontal spurs
Of Tom and Holyoke; then in wreathing light
Sped the swart rocks, and sought the misty South.
Across the meadows—carpet for the gods,
Woven of ripening rye and greening maize
And rosy clover-blooms, and spotted o'er
With the black shadows of the feathery elms—
Northampton rose, half hidden in her trees,
Lifted above the level of the fields,
And noiseless as a picture.
At my feet
The ferry-boat, diminished to a toy,
With automatic diligence conveyed

Its puppet passengers between the shores
That hemmed its enterprise; and one low barge,
With white, square sail, bore northward languidly
The slow and scanty commerce of the stream.
Eastward, upon another fertile stretch
Of meadow-sward and tilth, embowered in elms,
Lay the twin streets, and sprang the single spire
Of Hadley, where the hunted regicides
Securely lived of old, and strangely died;
And eastward still, upon the last green step
From which the Angel of the Morning Light
Leaps to the meadow-lands, fair Amherst sat,
Capped by her many-windowed colleges;
While from his outpost in the rising North,
Bald with the storms and ruddy with the suns
Of the long eons, stood old Sugarloaf,
Gazing with changeless brow upon a scene,
Changing to fairer beauty evermore.
Save of the river and my pleasant home,
I knew not then the names and history
Borne by these visions; but upon my brain
Their forms were graved in lines indelible
As, on the rocks beneath my feet, the prints
Of life in its first motion. Later years
Renewed the picture, and its outlines filled
With fair associations,—wrought the past
And living present into fadeless wreaths
That crowned each mound and mount, and town and tower,
The king of teeming memories. Nor could
I guess with faintest foresight of the life
Which, in the years before me, I should weave
Of mingled threads of pleasure and of pain
Into these scenes, until not one of all
Could meet my eye, or touch my memory,
Without recalling an experience

That drank the sweetest ichor of my veins
Or crowded them with joy.
At length I turned
From the wide survey, and with pleased surprise
Detected, nestling at the mountain's foot,
The cottage I had left; and, on the lawn,
Two forms of life that flitted to and fro.
I knew that they had missed me; so I sought
The passage I had climbed, and, with the lamb
Still fastened to my wrist, I hasted down.
Full of the marvels of the hour I sped,
Leaping from rock to rock, or flying swift
The smoother slopes, with arms half wings, and feet
That only guarded the descent, the while
My captive led me captive at his will.
So tense the strain of sinew, so intense
The mood and motion, that before I guessed,
The headlong flight was finished, and I walked,
Jaded and reeking, in the level path
That led the lambkin home.
My mother saw,
And ran to meet me: then for long, still hours,
Couched in a dim, cool room, I lay and slept.
When I awoke, I found her at my side,
Fanning my face, and ready with her smile
And soothing words to greet me. Then I told,
With youthful volubility and wild
Extravagance of figure and of phrase,
The morning's exploit.
First she questioned me
But, as I wrought each scene and circumstance
Into consistent form, she drank my words
In eager silence; and within her eyes
I saw the glow of pride which gravity

And show of deep concern could not disguise,
I read her bosom better than she knew.
I saw that she had made discovery
Of something unsuspected in her child,
And that, by one I loved, and she the best,
The fire that burned within me and the power
That morning called to life, were recognized.
When I had told my story, and had read
With kindling pride my praises in her eyes,
She placed her soft hand on my brow, and said:
"My Paul has climbed the noblest mountain height
In all his little world, and gazed on scenes
As beautiful as rest beneath the sun.
I trust he will remember all his life
That to his best achievement, and the spot
Nearest to heaven his youthful feet have trod,
He has been guided by a guileless lamb.
It is an omen which his mother's heart
Will treasure with her jewels."
When the sun
Of the long summer day hung but an hour
Above his setting, and the cool West Wind
Bore from the purpling hills his benison,
The farewell courtesies of love were given,
And we set forth for home.
Not far we fared—
The river left behind—when, looking back,
I saw the mountain in the searching light
Of the low sun. Surcharged with youthful pride
In my adventure, I can ne'er forget
The disappointment and chagrin which fell
Upon me; for a change had passed. The steep
Which in the morning sprang to kiss the sun,
Had left the scene; and in its place I saw

A shrunken pile, whose paths my steps had climbed.
Whose proudest height my humble feet had trod.
Its grand impossibilities and all
Its store of marvels and of mysteries
Were flown away, and would not be recalled.
The mountain's might had entered into me;
And, from that fruitful hour, whatever scene
Nature revealed to me, she never caught
My spirit humbled by surprise. My thought
Built higher mountains than I ever found;
Poured wilder cataracts than I ever saw;
Drove grander storms than ever swept the sky;
Pushed into loftier heavens and lower hells
Than the abysmal reach of light and dark;
And entertained me with diviner feasts
Than ever met the appetite of sense,
And poured me wine of choicer vintages
Than fire the hearts of kings.
The frolic-flame
Which in the morning kindled in my veins
Had died away; and at my mother's side
I walked in quiet mood, and gravely spoke
Of the great future. With a tender quest
My mother probed my secret wish, and heard,
With silence new and strange respectfulness,
The revelation of my plans. I felt
In her benign attention to my words;
In her suggestions, clothed with gracious phrase
To win my judgment; and in all those shades
Of mien and manner which a mother's love
Inspires so quickly when the form it nursed
Becomes a staff in its caressing hand,
She had made space for me, and placed her life
In new relations to my own. I knew
That she who through my span of tender years
Had counselled me, had given me privilege

Within her councils; and the moment came
I learned that in the converse of that hour,
The appetency of maternity
For manhood in its offspring, had laid hold
Of the fresh growth in me, and feasted well
Its gentle passion.
Ere we reached our home,
The plans for study were matured, and I,
Who, with an aptitude beyond my years,
Had gathered learning's humbler rudiments
From her to whom I owed my earliest words,
Was, when another day should rise, to pass
To rougher teaching, and society
Of the rude youth whose wild and boisterous ways
Had scared my childish life.
I nerved my heart
To meet the change; and all the troubled night
I tossed upon my pillow, filled with fears,
Or fired with hot ambitions; shrinking oft
With girlish sensitiveness from the lot
My manly heart had chosen; rising oft
Above my cowardice, well panoplied
By fancy to achieve great victories
O'er those whose fellows I should be.
At last,
The dawn looked in upon me, and I rose
To meet its golden coming, and the life
Of golden promise whose wide-open doors
Waited my feet.
The lingering morning hours
Seemed days of painful waiting, as they fell
In slowly filling numbers from the tower
Of the old village church; but when, at length,
My eager feet had touched the street, and turned

To climb the goodly eminence where he
In whose profound and stately pages live
His country's annals, ruled his youthful realm,
My heart grew stern and strong; and nevermore
Did doubt of excellence and mastery
Drag down my soaring courage, or disturb
My purposes and plans.
What boots it here
To tell with careful chronicle the life
Of my novitiate? Up the graded months
My feet rose slowly, but with steady step,
To tall and stalwart manliness of frame,
And ever rising and expanding reach
Of intellection and the power to call
Forth from the pregnant nothingness of words
The sphered creations of my chosen art.
What boots it to recount my victories
Over my fellows, or to tell how all,
Contemptuous at first, became at length
Confessed inferiors in every strife
When brain or brawn contended? Victories
Were won too easily to bring me pride,
And only bred contempt of the low pitch
And lower purpose of the power which strove
So feebly and so clumsily. When won,
They fed my mother's passion, and she praised;
And her delight was all the boon they brought.
My fierce ambition, ever reaching up
To higher fields and nobler combatants,
Trampled its triumphs underneath its feet;
And in my heart of hearts I pitied her
To whose deep hunger of maternal pride
They bore ambrosial ministry.
In all
These years of doing and development,

My heart was haunted by a bitter pain.
In every scene of pleasure, every hour
That lacked employment, every moment's lull
Of toil or study, its familiar hand
Was raised aloft, to smite me with its pang.
From month to month, from year to year, I saw
That she who bore me, and to whom I owed
The meek and loyal reverence of a child,
Was changing places with me, and that she—
Dependent, trustful and subordinate—
Deferred to me in all things, and in all
Gave me the parent's place and took the child's.
She waited for my coming like a child;
She ran to meet and greet me like a child;
She leaned on me for guidance and defence,
And lived in me, and by me, like a child.
If I were absent long beyond my wont,
She yielded to distresses and to tears;
And when I came, she flew into my arms
With childish impulse of delight, or chid
With weak complainings my delay.
By these,
And by a thousand other childish ways,
I knew disease was busy with her life,
Working distempers in her heart and brain,
And driving her for succor to my strength.
The change was great in her, though slowly wrought,—
Though wrought so slowly that my thought and life
Had been adjusted to it, but for this:—
One dismal night, a trivial accident
Had kept me from my home beyond the hour
At which my promise stood for my return.
Arriving at the garden gate, I paused
To catch a glimpse of the accustomed light,
Through the cold mist that wrapped me, but in vain.
Only one window glimmered through the gloom,

Through whose uncurtained panes I dimly saw
My mother in her chamber. She was clad
In the white robe of rest; but to and fro
She crossed the light, sometimes with hands pressed close
Upon her brow, sometimes raised up toward heaven,
As if in deprecation or despair;
And through the strident soughing of the elm
I heard her voice, still musical in woe,
Wailing and calling.
With a noiseless step
I reached the door, and, with a noiseless key,
Turned back the bolt, and stood within. I could
Have called her to my arms, and quelled her fears
By one dear word, and yet, I spoke it not.
I longed to learn her secret, and to know
In what recess of history or heart
It hid, and wrought her awful malady.
Not long I waited, when I heard her voice
Wail out again in wild, beseeching prayer,—
Her voice so sweet and soulful, that it seemed
As if a listening fiend could not refuse
Such help as in him lay, although her tongue
Should falter to articulate her pain.
I heard her voice—O God! I heard her words!
Not bolts of burning from the vengeful sky
Had scathed or stunned me more. I shook like one
Powerless within the toils of some great sin,
Or some o'ermastering passion; or like one
Whose veins turn ice at onset of the plague.
"O God," she said, "my Father and my Friend!
Spare him to me, and save me from myself!
O! if thou help me not—if thou forsake—
This hand which thou hast made, will take the life
Thou mad'st the hand to feed. I cling to him,

My son,—my boy. If danger come to him,
No one is left to save me from this crime.
Thou knowest, O! my God, how I have striven
To quench the awful impulse; how, in vain,
My prayers have gone before thee, for release
From the foul demon who would drive my soul
To crime that leaves no space for penitence.
O! Father! Father! Hear me when I call!
Hast thou not made me? Am I not thy child?
Why, why this mad, mysterious desire
To follow him I loved, by the dark door
Through which he forced his passage to the realm
That death throws wide to all? O why must I,
A poor, weak woman—"
I could hear no more,
But dropped my dripping cloak, and, with a voice,
Toned to its tenderest cadence, I pronounced
The sweet word, "mother!"
Her excess of joy
Burst in a cry, and in a moment's space
I sat within her room, and she, my child,
Was sobbing in my arms. I spoke no word,
But sat distracted with my tenderness
For her who threw herself upon my heart
In perfect trust, and bitter thoughts of Him
Whose succor, though importunately sought
In piteous pleadings by a gentle saint,
Was grudgingly withheld. Her closing words:
"O why must I, a poor, weak woman—" rang
Through every chamber of my tortured soul,
And called to conclave and rebellion all
The black-browed passions thitherto restrained.
Ay, why should she, who only sought for God,
Be given to a devil? Why should she

Who begged for bread be answered with a stone?
Ay, why should she whose soul recoiled from sin
As from a fiend, find in her heart a fiend
To urge the sin she hated?—questions all
The fiends within me answered as they would.
O God! O Father! How I hated thee!
Nay, how within my angry soul I dared
To curse thy sacred name!
Then other thoughts—
Thoughts of myself and of my destiny—
Succeeded. Who and what was I? A youth,
Doomed by hereditary taint to crime,
A youth whose every artery and vein
Was doubly charged with suicidal blood.
When the full consciousness of what I was
Possessed my thought, and I gazed down the abyss
God had prepared for me, I shrank aghast;
And there in silence, with an awful oath
I dare not write, I swore my will was mine,
And mine my hand; and that, though all the fiends
That cumber hell and overrun the earth
Should spur the deadly impulse of my blood,
And heaven withhold the aid I would not ask;
Though woes unnumbered should beset my life,
And reason fall, and uttermost despair
Hold me a hopeless prisoner in its glooms,
I would resist and conquer, and live out
My complement of years. My bosom burned
With fierce defiance, and the angry blood
Leaped from my heart, and boomed within my brain
With throbs that stunned me, though each fiery thrill
Was charged with tenderness for her whose head
Was pillowed on its riot.
Long I sat—
How long, I know not—but at last the sad,

Welcome to our website – the perfect destination for book lovers and
knowledge seekers. We believe that every book holds a new world,
offering opportunities for learning, discovery, and personal growth.
That’s why we are dedicated to bringing you a diverse collection of
books, ranging from classic literature and specialized publications to
self-development guides and children's books.
More than just a book-buying platform, we strive to be a bridge
connecting you with timeless cultural and intellectual values. With an
elegant, user-friendly interface and a smart search system, you can
quickly find the books that best suit your interests. Additionally,
our special promotions and home delivery services help you save time
and fully enjoy the joy of reading.
Join us on a journey of knowledge exploration, passion nurturing, and
personal growth every day!
testbankbell.com

Test Bank for Foundations of Nursing 8th Edition

More Related Content

Similar to Test Bank for Foundations of Nursing 8th Edition

Recently uploaded

Test Bank for Foundations of Nursing 8th Edition