Test Bank for Fundamental Concepts and Skills for Nursing 6th Edition
by Patricia A. Williams
,Chapter 01: Nursing and the Health Care System
Williams: 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.
ANSWER✔✔ C
DETAILED REASON- By improving sanitation, nutrition ventilation, and handwashing
techniques, Florence Nightingale’s nurses dramatically reduced the death rate from injuries
in the Crimean War.
DIFFICULTY> CL Knowledge PAGE- p. 2
OBJECTIVE> Theory #1 TOPIC- Nursing History KEY: Nursing
Process Step: _ MSC: NCLEX: _
2. Early nursing education and care in the U.S.A:
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.
ANSWER✔✔ B
DETAILED REASON- Because of the influence of early nNuUrRs iSnI gN GleTaBd. eCrOs ,Mnu r s i ng education
became more formalized through apprenticeships in Nightingale schools that offered
independence to women through education and employment.
DIFFICULTY> CL Knowledge PAGE- p. 2
OBJECTIVE> Theory #4 TOPIC- Nursing History KEY: Nursing
Process Step: _ MSC: NCLEX: _
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.
ANSWER✔✔ A
DETAILED REASON- 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> CL Comprehension PAGE- p. 3
OBJECTIVE> Theory #2 TOPIC- Art and Science of Nursing
KEY: Nursing Process Step: _ MSC: NCLEX: _
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.
ANSWER✔✔ D
DETAILED REASON- Although nursing theories differ, they all base their beliefs on human
relationships, the environment, and health.
DIFFICULTY> CL Comprehension PAGE- p. 4
OBJECTIVE> Theory #2 TOPIC- Nursing Theories KEY: Nursing
Process Step: _ MSC: NCLEX: _
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.
ANSWER✔✔ D
DETAILED REASON- 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> CL Comprehension PAGE- p. 6
OBJECTIVE> Theory #2 TOPIC- Standards of Care KEY:
Nursing Process Step: _ MSC: NCLEX: _ 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 hospital client to direct nursing interventions.
d. basing nursing care on advice from an experienced nurse.
ANSWER✔✔ B
DETAILED REASON- The use of scientific information from high-quality research to guide
nursing decisions is reflective of the application of evidence-based practice.
DIFFICULTY> CL Knowledge PAGE- p. 7
OBJECTIVE> Theory #3 TOPIC- Evidence-Based Practice KEY:
Nursing Process Step: _ MSC: NCLEX: _
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.
ANSWER✔✔ C
DETAILED REASON- Henry Street Settlement Service brought the provision of community
health care to the poor people living in tenements.
DIFFICULTY> CL Comprehension PAGE- p. 2
OBJECTIVE> Theory #4 TOPIC- Growth of Nursing KEY: Nursing
, Process Step: _ MSC: NCLEX: _
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.
ANSWER✔✔ C
DETAILED REASON- By broadening the educational base, an LPN/LVN may advance and build a
nursing career.
DIFFICULTY> CL Knowledge PAGE- p. 7
OBJECTIVE> Theory #7 TOPIC- Nursing Education Pathways
KEY: Nursing Process Step: _ MSC: NCLEX: _
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose
was to:
a. put hospital 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 hospital client’s condition more quickly.
ANSWER✔✔ B VV
DETAILED REASON- The purpose of instituting DRGs was to contain skyrocketing costs of
health care.
DIFFICULTY> CL Knowledge PAGE- p. 9
OBJECTIVE> Theory #10 TOPIC- Health Care Delivery KEY: Nursing
Process Step: _ MSC: NCLEX: _
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care
agencies:
a. record supportive documentation to confirm a hospital client’s need for care in
order to qualify for reimbursement.
b. use the DRG rather than their own observations for hospital client assessment.
c. be aware of the specific drugs related to the diagnosis.
d. acquire cross-training to make staffing more flexible.
ANSWER✔✔ A
DETAILED REASON- DRGs required that nurses provide more supportive documentation
of their assessments and identified hospital 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.
DIFFICULTY> CL Comprehension PAGE- p. 10
OBJECTIVE> Theory #10 TOPIC- Managed Care KEY: Nursing
Process Step: _ MSC: NCLEX: _
11. If a member of a health maintenance organization (HMO) is having respiratory problems such
as 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.
by Patricia A. Williams
,Chapter 01: Nursing and the Health Care System
Williams: 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.
ANSWER✔✔ C
DETAILED REASON- By improving sanitation, nutrition ventilation, and handwashing
techniques, Florence Nightingale’s nurses dramatically reduced the death rate from injuries
in the Crimean War.
DIFFICULTY> CL Knowledge PAGE- p. 2
OBJECTIVE> Theory #1 TOPIC- Nursing History KEY: Nursing
Process Step: _ MSC: NCLEX: _
2. Early nursing education and care in the U.S.A:
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.
ANSWER✔✔ B
DETAILED REASON- Because of the influence of early nNuUrRs iSnI gN GleTaBd. eCrOs ,Mnu r s i ng education
became more formalized through apprenticeships in Nightingale schools that offered
independence to women through education and employment.
DIFFICULTY> CL Knowledge PAGE- p. 2
OBJECTIVE> Theory #4 TOPIC- Nursing History KEY: Nursing
Process Step: _ MSC: NCLEX: _
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.
ANSWER✔✔ A
DETAILED REASON- 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> CL Comprehension PAGE- p. 3
OBJECTIVE> Theory #2 TOPIC- Art and Science of Nursing
KEY: Nursing Process Step: _ MSC: NCLEX: _
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.
ANSWER✔✔ D
DETAILED REASON- Although nursing theories differ, they all base their beliefs on human
relationships, the environment, and health.
DIFFICULTY> CL Comprehension PAGE- p. 4
OBJECTIVE> Theory #2 TOPIC- Nursing Theories KEY: Nursing
Process Step: _ MSC: NCLEX: _
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.
ANSWER✔✔ D
DETAILED REASON- 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> CL Comprehension PAGE- p. 6
OBJECTIVE> Theory #2 TOPIC- Standards of Care KEY:
Nursing Process Step: _ MSC: NCLEX: _ 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 hospital client to direct nursing interventions.
d. basing nursing care on advice from an experienced nurse.
ANSWER✔✔ B
DETAILED REASON- The use of scientific information from high-quality research to guide
nursing decisions is reflective of the application of evidence-based practice.
DIFFICULTY> CL Knowledge PAGE- p. 7
OBJECTIVE> Theory #3 TOPIC- Evidence-Based Practice KEY:
Nursing Process Step: _ MSC: NCLEX: _
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.
ANSWER✔✔ C
DETAILED REASON- Henry Street Settlement Service brought the provision of community
health care to the poor people living in tenements.
DIFFICULTY> CL Comprehension PAGE- p. 2
OBJECTIVE> Theory #4 TOPIC- Growth of Nursing KEY: Nursing
, Process Step: _ MSC: NCLEX: _
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.
ANSWER✔✔ C
DETAILED REASON- By broadening the educational base, an LPN/LVN may advance and build a
nursing career.
DIFFICULTY> CL Knowledge PAGE- p. 7
OBJECTIVE> Theory #7 TOPIC- Nursing Education Pathways
KEY: Nursing Process Step: _ MSC: NCLEX: _
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose
was to:
a. put hospital 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 hospital client’s condition more quickly.
ANSWER✔✔ B VV
DETAILED REASON- The purpose of instituting DRGs was to contain skyrocketing costs of
health care.
DIFFICULTY> CL Knowledge PAGE- p. 9
OBJECTIVE> Theory #10 TOPIC- Health Care Delivery KEY: Nursing
Process Step: _ MSC: NCLEX: _
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care
agencies:
a. record supportive documentation to confirm a hospital client’s need for care in
order to qualify for reimbursement.
b. use the DRG rather than their own observations for hospital client assessment.
c. be aware of the specific drugs related to the diagnosis.
d. acquire cross-training to make staffing more flexible.
ANSWER✔✔ A
DETAILED REASON- DRGs required that nurses provide more supportive documentation
of their assessments and identified hospital 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.
DIFFICULTY> CL Comprehension PAGE- p. 10
OBJECTIVE> Theory #10 TOPIC- Managed Care KEY: Nursing
Process Step: _ MSC: NCLEX: _
11. If a member of a health maintenance organization (HMO) is having respiratory problems such
as 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.
