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Test Bank for Fundamental Concepts and Skills for Nursing 6th Edition by Patricia A. Williams
Test Bank for Fundamental Concepts and Skills for Nursing 6th Edition by Patricia A. Williams
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Test Bank for Fundamental Concepts and Skills for Nursing 6th Editionby Patricia A. Williams
,Chapter 01: Nursing and the Health Care System
Williams: deWit's Fundamental Concepts and Skills for Nursing, 6th Edition
MULTIPLE CHOICE
1. 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.
CORRECT CHOICE: C
RATIONALE: By improving sanitation, nutrition ventilation, and handwashing techniques,
Florence Nightingale’s nurses dramatically reduced the death rate from injuries in the
Crimean War.
DIFFICULTY LVL: COG: Knowledge REF: p. 2OBJ:
Theory #1 TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. 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.
CORRECT CHOICE: B
RATIONALE: Because of the influence of early nNuUrRs iSnI gN Gl eTaBd.eCrOs ,Mn u rs i n g education became
more formalized through apprenticeships in Nightingale schools that offered independence to
women through education and employment.
DIFFICULTY LVL: COG: Knowledge REF: p. 2OBJ:
Theory #4 TOP: 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.
CORRECT CHOICE: A
RATIONALE: 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.
DIFFICULTY LVL: COG: Comprehension REF: p. 3
OBJ: Theory #2 TOP: 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.
CORRECT CHOICE: D
RATIONALE: Although nursing theories differ, they all base their beliefs on human
relationships, the environment, and health.
DIFFICULTY LVL: COG: Comprehension REF: p. 4
OBJ: Theory #2 TOP: Nursing Theories KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
5. 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.
CORRECT CHOICE: D
RATIONALE: 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.
DIFFICULTY LVL: COG: Comprehension REF: p. 6OBJ:
Theory #2 TOP: 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 patient to direct nursing interventions.
d. basing nursing care on advice from an experienced nurse.
CORRECT CHOICE: B
RATIONALE: The use of scientific information from high-quality research to guide nursing
decisions is reflective of the application of evidence-based practice.
DIFFICULTY LVL: COG: Knowledge REF: p. 7OBJ:
Theory #3 TOP: 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.
CORRECT CHOICE: C
RATIONALE: Henry Street Settlement Service brought the provision of community health
care to the poor people living in tenements.
DIFFICULTY LVL: COG: Comprehension REF: p. 2
OBJ: Theory #4 TOP: Growth of Nursing KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
8. 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.
CORRECT CHOICE: C
RATIONALE: By broadening the educational base, an LPN/LVN may advance and build a nursing
career.
DIFFICULTY LVL: COG: Knowledge REF: p. 7OBJ:
Theory #7 TOP: Nursing Education 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 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.
CORRECT CHOICE: B VV
RATIONALE: The purpose of instituting DRGs was to contain skyrocketing costs of health care.
DIFFICULTY LVL: COG: Knowledge REF: p. 9OBJ:
Theory #10 TOP: 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 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.
CORRECT CHOICE: A
RATIONALE: 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.
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