TEST BANK
i
Fundamental Concepts and Skills for Nursing 6/E Patricia Williams
i i i i i i i i
Chapter 1. Nursing and the Health Care System
i i i i i i i
Williams: Fundamental Concepts and Skills for Nursing, 6th Edition
i i i i i i i i
MULTIPLE iCHOICE
1. Florence iNightingale’s icontributions ito inursing ipractice iand ieducation:
a. are ihistorically iimportant ibut ihave ino ivalidity ifor inursing itoday.
b. were ineither irecognized inor iappreciated iin iher iown itime.
c. were ia imajor ifactor iin ireducing ithe ideath irate iin ithe iCrimean iWar.
d. were ilimited ionly ito ithe icare iof isevere itraumatic iwounds.
ANS: i i C
By iimproving isanitation, inutrition iventilation, iand ihandwashing itechniques, iFlorence
iNightingale’s inurses idramatically ireduced ithe ideath irate ifrom iinjuries iin ithe iCrimean iWar.
DIF: Cognitive iLevel: iKnowledge REF: p. i2 OBJ: Theory i#1
iTOP: Nursing iHistory KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
2. Early inursing ieducation iand icare iin ithe iUnited iStates:
a. were idirected iat icommunity ihealth.
b. provided iindependence ifor iwomen ithrough ieducation iand iemployment.
c. were ian ieducational imodel ibased iin iinstitutions iof ihigher ilearning.
d. have icontinued ito ibe ientirely ifocused ion ihospital inursing.
ANS: i i B
Because iof ithe iinfluence iof iearly inursing ileaders, inursing ieducation ibecame imore
iformalized ithrough iapprenticeships iin iNightingale ischools ithat ioffered iindependence ito
iwomen ithrough ieducation iand iemployment.
DIF: Cognitive iLevel: iKnowledge REF: p. i2 OBJ: Theory i#4
iTOP: Nursing iHistory KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
3. In iorder ito ifulfill ithe icommon igoals idefined iby inursing itheorists i(promote iwellness, iprevent
iillness, ifacilitate icoping, iand irestore ihealth), ithe iLPN imust itake ion ithe iroles iof:
a. caregiver, ieducator, iand icollaborator.
b. nursing iassistant, idelegator, iand ienvironmental ispecialist.
c. medication idispenser, icollaborator, iand itransporter.
d. dietitian, imanager, iand ihousekeeper.
ANS: i i A
In iorder ifor ithe iLPN ito iapply ithe icommon igoals iof inursing, ihe ior ishe imust iassume ithe iroles
iof icaregiver, ieducator, icollaborator, imanager, iand iadvocate.
DIF: Cognitive iLevel: iComprehension REF: p. i3 OBJ: Theory i#2
iTOP: Art iand iScience iof iNursing KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
,4. Although inursing itheories idiffer iin itheir iattempts ito idefine inursing, iall iof ithem ibase itheir
ibeliefs ion icommon iconcepts iconcerning:
a. self-actualization, ifundamental ineeds, iand ibelonging.
b. stress ireduction, iself-care, iand ia isystems imodel.
c. curative icare, irestorative icare, iand iterminal icare.
d. human irelationships, ithe ienvironment, iand ihealth.
ANS: i i D
Although inursing itheories idiffer, ithey iall ibase itheir ibeliefs ion ihuman irelationships, ithe
ienvironment, iand ihealth.
DIF: Cognitive iLevel: iComprehension REF: p. i4 OBJ: Theory i#2
iTOP: Nursing iTheories KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
5. Standards iof icare ifor ithe inursing ipractice iof ithe iLPN iare iestablished iby ithe:
a. Boards iof iNursing iExaminers iin ieach istate.
b. National iCouncil iof iStates iBoards iof iNursing i(NCSBN).
c. American iNurses iAssociation i(ANA).
d. National iAssociation iof iLicensed iPractical iNurses.
ANS: i i D
The ipractical inurse ifollows istandards iwritten iby ithe iNational iAssociation iof iLicensed
iPractical iNurses ito ideliver isafe, iknowledgeable inursing icare i(Box i1.1, iAppendix iD)
DIF: Cognitive iLevel: iComprehension REF: p. i6 OBJ: Theory i#2
iTOP: Standards iof iCare KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
6. The iLPN idemonstrates ian ievidence-based ipractice iby:
a. using ia idrug imanual ito icheck icompatibility iof idrugs.
b. using iscientific iinformation ito iguide idecision imaking.
c. using imedical ihistory iof ia ipatient ito idirect inursing iinterventions.
d. basing inursing icare ion iadvice ifrom ian iexperienced inurse.
ANS: i i B
The iuse iof iscientific iinformation ifrom ihigh-quality iresearch ito iguide inursing idecisions iis
ireflective iof ithe iapplication iof ievidence-based ipractice.
DIF: Cognitive iLevel: iKnowledge REF: p. i4 OBJ: Theory i#3
iTOP: Evidence-Based iPractice KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
7. Lillian iWald iand iMary iBrewster iestablished ithe iHenry iStreet iSettlement iService iin iNew
iYork iin i1893 iin iorder ito:
a. offer ia ishelter ito iinjured iwar iveterans.
b. found ia inursing iapprenticeship.
c. provide ihealth icare ito ipoor ipersons iliving iin itenements.
d. offer ibetter ihousing ito ilow-income ifamilies.
i ANS: i C
, Henry iStreet iSettlement iService ibrought ithe iprovision iof icommunity ihealth icare ito ithe ipoor
ipeople iliving iin itenements.
DIF: Cognitive iLevel: iComprehension REF: p. i2 OBJ: Theory i#4
iTOP: Growth iof iNursing KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
8. An ieducational ipathway ifor ian iLPN/LVN irefers ito ian iLPN/LVN:
a. learning ion ithe ijob iand ibeing ipromoted ito ia ihigher ilevel iof iresponsibility.
b. moving ifrom ia imaternity iunit ito ia imore icomplicated isurgical iunit.
c. obtaining iadditional ieducation ito imove ifrom ione ilevel iof inursing ito ianother.
d. learning ithat iadvancement irequires iconsistent iwork iand icommitment.
ANS: i i C
By ibroadening ithe ieducational ibase, ian iLPN/LVN imay iadvance iand ibuild ia inursing icareer.
DIF: Cognitive iLevel: iKnowledge REF: p. i7 OBJ: Theory i#7
iTOP: Nursing iEducation iPathways KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
9. When idiagnosis-related igroups i(DRGs) iwere iestablished iby iMedicare iin i1983, ithe ipurpose
iwas ito:
a. put ipatients iwith ithe isame idiagnosis ion ithe isame iunit.
b. attempt ito icontain ithe icosts iof ihealth icare.
c. increase ithe iavailability iof imedical icare ito iolder iadults.
d. identify ia ipatient’s icondition imore iquickly.
ANS: i i B
The ipurpose iof iinstituting iDRGs iwas ito icontain iskyrocketing icosts iof ihealth icare.
DIF: Cognitive iLevel: iKnowledge REF: p. i10 OBJ: Theory i#10
iTOP: Health iCare iDelivery KEY: i Nursing iProcess iStep: iN/A
MSC: i NCLEX: iN/A
10. The iadvent iof idiagnosis-related igroups i(DRGs) irequired ithat inurses iworking iin ihealth icare
iagencies:
a. record isupportive idocumentation ito iconfirm ia ipatient’s ineed ifor icare iin iorder ito
iqualify ifor ireimbursement.
b. use ithe iDRG irather ithan itheir iown iobservations ifor ipatient iassessment.
c. be iaware iof ithe ispecific idrugs irelated ito ithe idiagnosis.
d. acquire icross-training ito imake istaffing imore iflexible.
ANS: i i A
DRGs irequired ithat inurses iprovide imore isupportive idocumentation iof itheir iassessments iand
iidentified ipatient’s ineeds ito iqualify ithe ifacility ifor iMedicare ireimbursement. iObservant
iassessment imight ialso iindicate ianother iDRG iclassification iand iconsequently imore
ireimbursement ifor ithe ifacility.
DIF: Cognitive iLevel: iComprehension REF: p. i10 OBJ: Theory i#10
iTOP: Managed iCare KEY: i Nursing iProcess iStep: iN/A
, MSC: i NCLEX: iN/A
11. If ia imember iof ia ihealth imaintenance iorganization i(HMO) iis ihaving irespiratory iproblems
isuch ias ifever, icough, iand ifatigue ifor iseveral idays iand iwants ito isee ia ispecialist, ithe iperson iis
irequired ito igo:
a. directly ito ian iemergency iroom ifor itreatment.
b. to iany igeneral ipractitioner iof ichoice.
c. directly ito ia irespiratory ispecialist.
d. to ia iprimary icare iprovider ifor ia ireferral.
ANS: i i D
Participants iin ian iHMO imust isee itheir iprimary iprovider ito ireceive ia ireferral ifor ia ispecialist iin
iorder ifor ithe iHMO ito ipay ifor ithe icare.
DIF: Cognitive iLevel: iComprehension REF: p. i10 OBJ: Theory i#11
iTOP: Managed iCare KEY: i Nursing iProcess iStep: iN/A
MSC: i NCLEX: iN/A
12. An iadvantage iof ipreferred iprovider iorganizations i(PPOs) iis ithat:
a. they imake iinsurance icoverage iof iemployees iless iexpensive ito iemployers.
b. there iare ifewer iphysicians ito ichoose ifrom ithan iin ian iHMO.
c. long-term irelationships iwith iphysicians iare imore ilikely.
d. patients imay igo idirectly ito ia ispecialist ifor icare.
ANS: i i A
The iuse iof iPPOs iallows iinsurance icompanies ito ikeep itheir ipremiums ilow iand iin iturn imakes
iinsurance icoverage iless iexpensive ifor ithe iemployers. iThere iare iusually imore iphysicians
ifrom iwhich ito ichoose ithan ifrom ian iHMO, ibut ilong-term irelationships ibetween iphysician
iand ipatient icannot ibe iestablished ieasily. iPatients istill imust isee itheir iprimary iphysician
ibefore ibeing ireferred ito iother ispecialties.
DIF: Cognitive iLevel: iKnowledge REF: p. i11 OBJ: Theory i#11
iTOP: Preferred iProvider iOrganizations KEY: i Nursing iProcess iStep: iN/A
MSC: i NCLEX: iN/A
13. After ipassing ithe iNational iCouncil iLicensure iExamination ifor iPractical iNurses i(NCLEX
iPN), ithe inurse iis iqualified ito itake ian iadditional icertification iin ithe ifield iof:
a. pharmacology.
b. care iof iinfants iand ichildren.
c. operating iroom itechnology.
d. community ihealth.
ANS: i i A
After ibecoming ian iLPN, ithe inurse imay iapply ifor iadditional icertification iin ipharmacology,
ilong-term icare, iand/or iIV itherapy.
DIF: Cognitive iLevel: iKnowledge REF: p. i7 OBJ: Theory i#6
iTOP: Educational iOpportunities KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
i
Fundamental Concepts and Skills for Nursing 6/E Patricia Williams
i i i i i i i i
Chapter 1. Nursing and the Health Care System
i i i i i i i
Williams: Fundamental Concepts and Skills for Nursing, 6th Edition
i i i i i i i i
MULTIPLE iCHOICE
1. Florence iNightingale’s icontributions ito inursing ipractice iand ieducation:
a. are ihistorically iimportant ibut ihave ino ivalidity ifor inursing itoday.
b. were ineither irecognized inor iappreciated iin iher iown itime.
c. were ia imajor ifactor iin ireducing ithe ideath irate iin ithe iCrimean iWar.
d. were ilimited ionly ito ithe icare iof isevere itraumatic iwounds.
ANS: i i C
By iimproving isanitation, inutrition iventilation, iand ihandwashing itechniques, iFlorence
iNightingale’s inurses idramatically ireduced ithe ideath irate ifrom iinjuries iin ithe iCrimean iWar.
DIF: Cognitive iLevel: iKnowledge REF: p. i2 OBJ: Theory i#1
iTOP: Nursing iHistory KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
2. Early inursing ieducation iand icare iin ithe iUnited iStates:
a. were idirected iat icommunity ihealth.
b. provided iindependence ifor iwomen ithrough ieducation iand iemployment.
c. were ian ieducational imodel ibased iin iinstitutions iof ihigher ilearning.
d. have icontinued ito ibe ientirely ifocused ion ihospital inursing.
ANS: i i B
Because iof ithe iinfluence iof iearly inursing ileaders, inursing ieducation ibecame imore
iformalized ithrough iapprenticeships iin iNightingale ischools ithat ioffered iindependence ito
iwomen ithrough ieducation iand iemployment.
DIF: Cognitive iLevel: iKnowledge REF: p. i2 OBJ: Theory i#4
iTOP: Nursing iHistory KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
3. In iorder ito ifulfill ithe icommon igoals idefined iby inursing itheorists i(promote iwellness, iprevent
iillness, ifacilitate icoping, iand irestore ihealth), ithe iLPN imust itake ion ithe iroles iof:
a. caregiver, ieducator, iand icollaborator.
b. nursing iassistant, idelegator, iand ienvironmental ispecialist.
c. medication idispenser, icollaborator, iand itransporter.
d. dietitian, imanager, iand ihousekeeper.
ANS: i i A
In iorder ifor ithe iLPN ito iapply ithe icommon igoals iof inursing, ihe ior ishe imust iassume ithe iroles
iof icaregiver, ieducator, icollaborator, imanager, iand iadvocate.
DIF: Cognitive iLevel: iComprehension REF: p. i3 OBJ: Theory i#2
iTOP: Art iand iScience iof iNursing KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
,4. Although inursing itheories idiffer iin itheir iattempts ito idefine inursing, iall iof ithem ibase itheir
ibeliefs ion icommon iconcepts iconcerning:
a. self-actualization, ifundamental ineeds, iand ibelonging.
b. stress ireduction, iself-care, iand ia isystems imodel.
c. curative icare, irestorative icare, iand iterminal icare.
d. human irelationships, ithe ienvironment, iand ihealth.
ANS: i i D
Although inursing itheories idiffer, ithey iall ibase itheir ibeliefs ion ihuman irelationships, ithe
ienvironment, iand ihealth.
DIF: Cognitive iLevel: iComprehension REF: p. i4 OBJ: Theory i#2
iTOP: Nursing iTheories KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
5. Standards iof icare ifor ithe inursing ipractice iof ithe iLPN iare iestablished iby ithe:
a. Boards iof iNursing iExaminers iin ieach istate.
b. National iCouncil iof iStates iBoards iof iNursing i(NCSBN).
c. American iNurses iAssociation i(ANA).
d. National iAssociation iof iLicensed iPractical iNurses.
ANS: i i D
The ipractical inurse ifollows istandards iwritten iby ithe iNational iAssociation iof iLicensed
iPractical iNurses ito ideliver isafe, iknowledgeable inursing icare i(Box i1.1, iAppendix iD)
DIF: Cognitive iLevel: iComprehension REF: p. i6 OBJ: Theory i#2
iTOP: Standards iof iCare KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
6. The iLPN idemonstrates ian ievidence-based ipractice iby:
a. using ia idrug imanual ito icheck icompatibility iof idrugs.
b. using iscientific iinformation ito iguide idecision imaking.
c. using imedical ihistory iof ia ipatient ito idirect inursing iinterventions.
d. basing inursing icare ion iadvice ifrom ian iexperienced inurse.
ANS: i i B
The iuse iof iscientific iinformation ifrom ihigh-quality iresearch ito iguide inursing idecisions iis
ireflective iof ithe iapplication iof ievidence-based ipractice.
DIF: Cognitive iLevel: iKnowledge REF: p. i4 OBJ: Theory i#3
iTOP: Evidence-Based iPractice KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
7. Lillian iWald iand iMary iBrewster iestablished ithe iHenry iStreet iSettlement iService iin iNew
iYork iin i1893 iin iorder ito:
a. offer ia ishelter ito iinjured iwar iveterans.
b. found ia inursing iapprenticeship.
c. provide ihealth icare ito ipoor ipersons iliving iin itenements.
d. offer ibetter ihousing ito ilow-income ifamilies.
i ANS: i C
, Henry iStreet iSettlement iService ibrought ithe iprovision iof icommunity ihealth icare ito ithe ipoor
ipeople iliving iin itenements.
DIF: Cognitive iLevel: iComprehension REF: p. i2 OBJ: Theory i#4
iTOP: Growth iof iNursing KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
8. An ieducational ipathway ifor ian iLPN/LVN irefers ito ian iLPN/LVN:
a. learning ion ithe ijob iand ibeing ipromoted ito ia ihigher ilevel iof iresponsibility.
b. moving ifrom ia imaternity iunit ito ia imore icomplicated isurgical iunit.
c. obtaining iadditional ieducation ito imove ifrom ione ilevel iof inursing ito ianother.
d. learning ithat iadvancement irequires iconsistent iwork iand icommitment.
ANS: i i C
By ibroadening ithe ieducational ibase, ian iLPN/LVN imay iadvance iand ibuild ia inursing icareer.
DIF: Cognitive iLevel: iKnowledge REF: p. i7 OBJ: Theory i#7
iTOP: Nursing iEducation iPathways KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
9. When idiagnosis-related igroups i(DRGs) iwere iestablished iby iMedicare iin i1983, ithe ipurpose
iwas ito:
a. put ipatients iwith ithe isame idiagnosis ion ithe isame iunit.
b. attempt ito icontain ithe icosts iof ihealth icare.
c. increase ithe iavailability iof imedical icare ito iolder iadults.
d. identify ia ipatient’s icondition imore iquickly.
ANS: i i B
The ipurpose iof iinstituting iDRGs iwas ito icontain iskyrocketing icosts iof ihealth icare.
DIF: Cognitive iLevel: iKnowledge REF: p. i10 OBJ: Theory i#10
iTOP: Health iCare iDelivery KEY: i Nursing iProcess iStep: iN/A
MSC: i NCLEX: iN/A
10. The iadvent iof idiagnosis-related igroups i(DRGs) irequired ithat inurses iworking iin ihealth icare
iagencies:
a. record isupportive idocumentation ito iconfirm ia ipatient’s ineed ifor icare iin iorder ito
iqualify ifor ireimbursement.
b. use ithe iDRG irather ithan itheir iown iobservations ifor ipatient iassessment.
c. be iaware iof ithe ispecific idrugs irelated ito ithe idiagnosis.
d. acquire icross-training ito imake istaffing imore iflexible.
ANS: i i A
DRGs irequired ithat inurses iprovide imore isupportive idocumentation iof itheir iassessments iand
iidentified ipatient’s ineeds ito iqualify ithe ifacility ifor iMedicare ireimbursement. iObservant
iassessment imight ialso iindicate ianother iDRG iclassification iand iconsequently imore
ireimbursement ifor ithe ifacility.
DIF: Cognitive iLevel: iComprehension REF: p. i10 OBJ: Theory i#10
iTOP: Managed iCare KEY: i Nursing iProcess iStep: iN/A
, MSC: i NCLEX: iN/A
11. If ia imember iof ia ihealth imaintenance iorganization i(HMO) iis ihaving irespiratory iproblems
isuch ias ifever, icough, iand ifatigue ifor iseveral idays iand iwants ito isee ia ispecialist, ithe iperson iis
irequired ito igo:
a. directly ito ian iemergency iroom ifor itreatment.
b. to iany igeneral ipractitioner iof ichoice.
c. directly ito ia irespiratory ispecialist.
d. to ia iprimary icare iprovider ifor ia ireferral.
ANS: i i D
Participants iin ian iHMO imust isee itheir iprimary iprovider ito ireceive ia ireferral ifor ia ispecialist iin
iorder ifor ithe iHMO ito ipay ifor ithe icare.
DIF: Cognitive iLevel: iComprehension REF: p. i10 OBJ: Theory i#11
iTOP: Managed iCare KEY: i Nursing iProcess iStep: iN/A
MSC: i NCLEX: iN/A
12. An iadvantage iof ipreferred iprovider iorganizations i(PPOs) iis ithat:
a. they imake iinsurance icoverage iof iemployees iless iexpensive ito iemployers.
b. there iare ifewer iphysicians ito ichoose ifrom ithan iin ian iHMO.
c. long-term irelationships iwith iphysicians iare imore ilikely.
d. patients imay igo idirectly ito ia ispecialist ifor icare.
ANS: i i A
The iuse iof iPPOs iallows iinsurance icompanies ito ikeep itheir ipremiums ilow iand iin iturn imakes
iinsurance icoverage iless iexpensive ifor ithe iemployers. iThere iare iusually imore iphysicians
ifrom iwhich ito ichoose ithan ifrom ian iHMO, ibut ilong-term irelationships ibetween iphysician
iand ipatient icannot ibe iestablished ieasily. iPatients istill imust isee itheir iprimary iphysician
ibefore ibeing ireferred ito iother ispecialties.
DIF: Cognitive iLevel: iKnowledge REF: p. i11 OBJ: Theory i#11
iTOP: Preferred iProvider iOrganizations KEY: i Nursing iProcess iStep: iN/A
MSC: i NCLEX: iN/A
13. After ipassing ithe iNational iCouncil iLicensure iExamination ifor iPractical iNurses i(NCLEX
iPN), ithe inurse iis iqualified ito itake ian iadditional icertification iin ithe ifield iof:
a. pharmacology.
b. care iof iinfants iand ichildren.
c. operating iroom itechnology.
d. community ihealth.
ANS: i i A
After ibecoming ian iLPN, ithe inurse imay iapply ifor iadditional icertification iin ipharmacology,
ilong-term icare, iand/or iIV itherapy.
DIF: Cognitive iLevel: iKnowledge REF: p. i7 OBJ: Theory i#6
iTOP: Educational iOpportunities KEY: i Nursing iProcess iStep: iN/A
iMSC: i NCLEX: iN/A
