TEST BANK-Fundamental Concepts and Skills for Nursing 6TH Edition
BY 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 ANS:C
EXPLANATION:By improving sanitation, nutrition ventilation, and handwashing techniques,
Florence Nightingale’s RNs dramatically reduced the death rate from injuries in the Crimean
War.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 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 ANS: B
EXPLANATION: Because of the influence of early nNuUrRsiSnIgNGleTaBd.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 #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. RN, educator, and collaborator.
b. nursing assistant, delegator, and environmental specialist.
c. medication dispenser, collaborator, and trcorrect answerporter.
d. dietitian, manager, and housekeeper.
CORRECT ANS:A
EXPLANATION:In order for the LPN to apply the common goals of nursing, he or she must
assume the rolesof RN, educator, collaborator, manager, and advocate.
DIF: Cognitive Level: 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 ANS:D
EXPLANATION:Although nursing theories differ, they all base their beliefs on human
relationships, theenvironment, and health.
DIF: Cognitive Level: 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 RNs Association (ANA).
d. National Federation of Licensed Practical RNs.
CORRECT ANS:D
EXPLANATION:The National Federation of Licensed Practical RNs modified the standards
published by the ANA in 2015 to better fit the role of the LPN. In 2015 the American RNs
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 #2
TOP: Standards of Care KEY: Nursing Process Step: N/A
, MSC: NCLEX: N/A
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 RN.
CORRECT ANS:B
EXPLANATION: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 #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 vetercorrect answer.
b. found a nursing apprenticeship.
c. provide health care to poor persons living in tenements.
d. offer better housing to low-income families.
CORRECT ANS:C
EXPLANATION:Henry Street Settlement Service brought the provision of community
health care to the poorpeople living in tenements.
DIF: Cognitive Level: 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 ANS:C
EXPLANATION:By broadening the educational base, an LPN/LVN may advance and build a
nursing career.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: 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.
OBJ: Theory #2 TOP: Nursing Theory KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
