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Testbank for Fundamental Concepts and Skills for Nursing
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Test Bank for Fundamental Concepts andSkills for Nursing 6th Edition Williams-all
chapters-
Chapter 01: Nursing and the Health Care System
Williams: deWit's Fundamental Concepts and Skills for Nursing, 6th
Edition
MULTIPLE
CHOICE
• Florence Nightingale’s contributions to nursing practice and education:
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.
ANS: C
By improving sanitation, nutrition ventilation, and handwashing techniques,
Florence Nightingale’s nurses dramatically reduced the death rate from injuries
in the Crimean War.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #1TOP: Nursing H
• Early nursing education and care in the United States:
A. were directed at community health.
B. provided independence for women through education and employment.
C. were an educational model based in institutions of higher learning.
D. have continued to be entirely focused on hospital nursing.
ANS: B
Because of the influence of early nNuUrRs iSnIgNGleTaBd.eCrOs,Mnursing education became
more formalized through apprenticeships in Nightingale schools that offered
independence to women througheducation and employment.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #4TOP: Nursing H
,• 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.
ANS: A
In order for the LPN to apply the common goals of nursing, he or she must
assume the rolesof caregiver, educator, collaborator, manager, and
advocate.
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: Theory #2TOP: Art and S
• 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.
ANS: D
Although nursing theories differ, they all base their beliefs on human
relationships, theenvironment, and health.
DIF: Cognitive Level: Comprehension REF: p. 4 OBJ: Theory #2TOP: Nursing T
• Standards of care for the nursing practice 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.
ANS: 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
Practice which contained 17 standards of national practice of nursing,
describing all facets of nursing practice: who, what, when, where, how.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory #2TOP: Standards
• 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 patient to direct nursing interventions.
D. basing nursing care on advice from an experienced nurse.
ANS: B
The use of scientific information from high-quality research to guide
nursing decisions isreflective of the application of evidence-based
practice.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #3TOP: Evidence-
• 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.
ANS: C
Henry Street Settlement Service brought the provision of community health
care to the poor people living in tenements.
DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: Theory #4TOP: Growth of
• An educational 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 education to move from one level of nursing to
another.
D. learning that advancement requires consistent work and commitment.
ANS: C
By broadening the educational base, an LPN/LVN may advance and build a
nursing career.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #7TOP: Nursing E
• When diagnosis-related groups (DRGs) were established by Medicare in
1983, the purposewas to:
A. put patients 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 patient’s condition more quickly.
ANS: B VERIFIED-TEST BANK
, The purpose of instituting DRGs was to contain skyrocketing costs of health
care.
DIF: Cognitive Level: Knowledge REF: p. 9 OBJ: Theory #10TOP: Health C
• The advent of diagnosis-related groups (DRGs) required that nurses
working in health careagencies:
A. record supportive documentation to confirm a patient’s need
for care in order to qualify for reimbursement.
B. use the DRG rather than their own observations for patient assessment.
C. be aware of the specific drugs related to the diagnosis.
D. acquire cross-training to make staffing more flexible.
ANS: A
DRGs required that nurses provide more supportive documentation of their
assessments and identified patient’s needs to qualify the facility for
Medicare reimbursement. Observant assessment might also indicate
another DRG classification and consequently more reimbursement for the
facility.
DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory #10TOP: Managed
• If a member of a health maintenance organization (HMO) is having
respiratory problems suchas fever, cough, and fatigue for several days and
wants to see a specialist, the person is required to go:
A. directly to an emergency room for treatment.
B. to any general practitioner of choice.
C. directly to a respiratory specialist.
D. to a primary care provider for a referral.
ANS: D
Participants in an HMO must see their primary provider to receive a referral
for a specialist inorder for the HMO to pay for the care.
DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory #11TOP: Managed
• An advantage of preferred provider organizations (PPOs) is that:
A. they make insurance coverage of employees less expensive to employers.
B. there are fewer physicians to choose from than in an HMO.
C. long-term relationships with physicians are more likely.
D. patients may go directly to a specialist for care.
ANS: A
The use of PPOs allows insurance companies to keep their premiums low
and in turn makes insurance coverage less expensive for the employers.
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