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Test Bank for deWit's Fundamental Concepts and Skills for Nursing 5th Edition by Patricia A. Williams
Test Bank for deWit's Fundamental Concepts and Skills for Nursing 5th Edition by Patricia A. Williams
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lOMoARcPSD|15424936Test Bank for deWit's Fundamental Concepts and Skills for Nursing
5th Edition by Patricia A. Williams
, Chapter 01: Nursing and the Health Care System
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
MULTIPLE CHOICE
1. Florence Nightingale’s contributions to nursing profession and training:
a. are historically important but have no validity for nursing today.
b. were neither recognized nor appreciated in her own time.
c. were a major factor in reducing the death rate in the Crimean War.
d. were limited only to the care of severe traumatic wounds.
RIGHT RESPONSE✔✔ C
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence
Nightingale’s nurses dramatically reduced the death rate from injuries in the Crimean War.
COMPLEXITY- Cognitive Level: Knowledge REF: p.
2 OBJ: Theory #1TOP: Nursing History KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
2. Early nursing training and care in the U.S.A:
a. were directed at community health.
b. provided independence for women through training and employment.
c. were an trainingal model based in institutions of higher learning.
d. have continued to be entirely focused on hospital nursing.
RIGHT RESPONSE✔✔ B
Because of the influence of early nNuUrR
siSnIgNG
leTaBd.eCrO
s,Mnursing training became more formalized
through apprenticeships in Nightingale schools that offered independence to women through
training and employment.
COMPLEXITY- Cognitive Level: Knowledge REF: p.
2 OBJ: Theory #4TOP: Nursing History KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
3. In order to fulfill the common goals defined by nursing theorists (promote wellness, prevent
illness, facilitate coping, and restore health), the LPN must take on the roles of:
a. caregiver, educator, and collaborator.
b. nursing assistant, delegator, and environmental specialist.
c. medication dispenser, collaborator, and transporter.
d. dietitian, manager, and housekeeper.
RIGHT RESPONSE✔✔ A
In order for the LPN to apply the common goals of nursing, he or she must assume the roles
of caregiver, educator, collaborator, manager, and advocate.
COMPLEXITY- Cognitive Level: Comprehension
REF: p. 3 OBJ: Theory #2TOP: Art and Science
of Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
4. Although nursing theories differ in their attempts to define nursing, all of them base their
beliefs on common concepts concerning:
, a. self-actualization, fundamental needs, and belonging.
b. stress reduction, self-care, and a systems model.
c. curative care, restorative care, and terminal care.
d. human relationships, the environment, and health.
RIGHT RESPONSE✔✔ D
Although nursing theories differ, they all base their beliefs on human relationships, the
environment, and health.
COMPLEXITY- Cognitive Level: Comprehension
REF: p. 4 OBJ: Theory #2TOP: Nursing
Theories KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
5. Standards of care for the nursing profession of the LPN are established by the:
a. Boards of Nursing Examiners in each state.
b. National Council of States Boards of Nursing (NCSBN).
c. American Nurses Association (ANA).
d. National Federation of Licensed Practical Nurses.
RIGHT RESPONSE✔✔ D
The National Federation of Licensed Practical Nurses modified the standards published by the
ANA in 2015 to better fit the role of the LPN. In 2015 the American Nurses Association
(ANA) revised the Standards of Nursing profession which contained 17 standards of national
practice of nursing, describing all facets of nursing profession: who, what, when, where, how.
COMPLEXITY- Cognitive Level: Comprehension
REF: p. 6 OBJ: Theory #2TOP: Standards of
Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A VV
6. The LPN demonstrates an evidence-based practice by:
a. using a drug manual to check compatibility of drugs.
b. using scientific information to guide decision making.
c. using medical history of a client to direct nursing interventions.
d. basing nursing care on advice from an experienced nurse.
RIGHT RESPONSE✔✔ B
The use of scientific information from high-quality research to guide nursing decisions is
reflective of the application of evidence-based practice.
COMPLEXITY- Cognitive Level: Knowledge REF: p.
7 OBJ: Theory #3TOP: Evidence-Based Practice KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
7. Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New York
in 1893 in order to:
a. offer a shelter to injured war veterans.
b. found a nursing apprenticeship.
c. provide health care to poor persons living in tenements.
d. offer better housing to low-income families.
RIGHT RESPONSE✔✔ C
, Henry Street Settlement Service brought the provision of community health care to the poor
people living in tenements.
COMPLEXITY- Cognitive Level: Comprehension
REF: p. 2 OBJ: Theory #4TOP: Growth of
Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
8. An trainingal pathway for an LPN/LVN refers to an LPN/LVN:
a. learning on the job and being promoted to a higher level of responsibility.
b. moving from a maternity unit to a more complicated surgical unit.
c. obtaining additional training to move from one level of nursing to another.
d. learning that advancement requires consistent work and commitment.
RIGHT RESPONSE✔✔ C
By broadening the trainingal base, an LPN/LVN may advance and build a nursing career.
COMPLEXITY- Cognitive Level: Knowledge REF: p.
7 OBJ: Theory #7TOP: Nursing Training Pathways KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose
was to:
a. put clients with the same diagnosis on the same unit.
b. attempt to contain the costs of health care.
c. increase the availability of medical care to older adults.
d. identify a client’s condition more quickly.
RIGHT RESPONSE✔✔ B VV
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
COMPLEXITY- Cognitive Level: Knowledge REF: p.
9 OBJ: Theory #10TOP: Health Care Delivery KEY: Nursing
Process Step: N/A
MSC: NCLEX: N/A
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care
agencies:
a. record supportive documentation to confirm a client’s need for care in order to
qualify for reimbursement.
b. use the DRG rather than their own observations for client assessment.
c. be aware of the specific drugs related to the diagnosis.
d. acquire cross-training to make staffing more flexible.
RIGHT RESPONSE✔✔ A
DRGs required that nurses provide more supportive documentation of their assessments and
identified client’s needs to qualify the facility for Medicare reimbursement. Observant
assessment might also indicate another DRG classification and consequently more
reimbursement for the facility.
COMPLEXITY- Cognitive Level: Comprehension
REF: p. 10 OBJ: Theory #10TOP: Managed Care
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
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