Concepts and Skills for
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Nursing 6th Edition mm mm mm
Williams-all chapters-2022- mm
2023
Chapter 01: Nursing and the Health Care System
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Williams: deWit's Fundamental Concepts and Skills for Nursing, 6th Edition
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MULTIPLE s s CHOICE
1. Florence s s Nightingale‘s s s contributions s s to s s nursing s s practice s s and s s education:
a. are s s historically s s important s s but s s have s s no s s validity s s for s s nursing s s today.
b. were s s neither s s recognized s s nor s s appreciated s s in s s her s s own s s time.
c. were s s a s s major s s factor s s in s s reducing s s the s s death s s rate s s in s s the s s Crimean s s War.
d. were s s limited s s only s s to s s the s s care s s of s s severe s s traumatic s s wounds.
ANS: s s C
By s s improving s s sanitation, s s nutrition s s ventilation, s s and s s handwashing s s techniques, s s Florence
ssNightingale‘s s s nurses s s dramatically s s reduced s s the s s death s s rate s s from s s injuries s s in s s the
s s Crimean s s War.
DIF: Cognitive s s Level: s s Knowledge REF: p. s s 2 OBJ: ssTheory
ss#1 s s TOP: Nursing s s History KEY: Nursing s s Process s s Step:
s s N/A ssMSC: NCLEX: s s N/A
2. Early s s nursing s s education s s and s s care s s in s s the s s United s s States:
a. were s s directed s s at s s community s s health.
b. provided s s independence s s for s s women s s through s s education s s and s s employment.
c. were s s an s s educational s s model s s based s s in s s institutions s s of s s higher s s learning.
d. have s s continued s s to s s be s s entirely s s focused s s on s s hospital s s nursing.
ANS: s s B
Because ssof ssthe ssinfluence ssof ssearly ssnNuUrRs ssiSnI gN ssGl sseTaBd.eCrOs ss,Mn ssursing sseducation s s became
s s more ssformalized ssthrough ssapprenticeships ssin ssNightingale ssschools ssthat ssoffered
ssindependence ssto sswomen s s through s s education s s and s s employment.
DIF: Cognitive s s Level: s s Knowledge REF: p. s s 2 OBJ: ssTheory
ss#4 s s TOP: Nursing s s History KEY: Nursing s s Process s s Step:
s s N/A ssMSC: NCLEX: s s N/A
,3. In order s s to s s fulfill s s the s s common s s goals s s defined s s by s s nursing s s theorists
ss
s s (promote s s wellness, ssprevent s s illness, s s facilitate s s coping, s s and s s restore s s health),
s s the s s LPN s s must s s take s s on s s the s s roles ssof:
a. caregiver, s s educator, s s and s s collaborator.
b. nursing s s assistant, s s delegator, s s and s s environmental s s specialist.
c. medication s s dispenser, s s collaborator, s s and s s transporter.
d. dietitian, s s manager, s s and s s housekeeper.
ANS: s s A
In s s order s s for s s the s s LPN s s to s s apply s s the s s common s s goals s s of s s nursing, s s he s s or
s s she s s must s s assume ssthe s s roles s s of s s caregiver, s s educator, s s collaborator, s s manager,
s s and s s advocate.
DIF: Cognitive s s Level: s s Comprehension REF: p. s s 3 OBJ: ssTheory
ss#2 s s TOP: Art s s and s s Science s s of s s Nursing ssKEY: Nursing
s s Process s s Step: s s N/A ssMSC: NCLEX: s s N/A
4. Although s s nursing s s theories s s differ s s in s s their s s attempts s s to s s define s s nursing,
ss all s s of s s them ssbase s s their s s beliefs s s on s s common s s concepts s s concerning:
VERIFIED-TEST
, a. self-actualization, s s fundamental s s needs, s s and s s belonging.
b. stress s s reduction, s s self-care, s s and s s a s s systems s s model.
c. curative s s care, s s restorative s s care, s s and s s terminal s s care.
d. human s s relationships, s s the s s environment, s s and s s health.
ANS: s s D
Although s s nursing s s theories s s differ, s s they s s all s s base s s their s s beliefs s s on s s human s s relationships,
s s the ssenvironment, s s and s s health.
DIF: Cognitive s s Level: s s Comprehension REF: p. s s 4 OBJ: ssTheory
ss#2 s s TOP: Nursing s s Theories KEY: Nursing s s Process s s Step:
s s N/A ssMSC: NCLEX: s s N/A
5. Standards s s of s s care s s for s s the s s nursing s s practice s s of s s the s s LPN s s are s s established ss by s s the:
a. Boards s s of s s Nursing s s Examiners s s in s s each s s state.
b. National s s Council s s of s s States s s Boards s s of s s Nursing s s (NCSBN).
c. American s s Nurses s s Association s s (ANA).
d. National s s Federation s s of s s Licensed s s Practical s s Nurses.
ANS: s s D
The s s National s s Federation s s of s s Licensed s s Practical s s Nurses s s modified s s the s s standards
s s published ssby s s the s s ANA s s in s s 2015 s s to s s better s s fit s s the s s role s s of s s the s s LPN. s s In
s s 2015 s s the s s American s s Nurses ssAssociation s s (ANA) s s revised s s the s s Standards s s of
s s Nursing s s Practice s s which s s contained s s 17 ssstandards s s of s s national s s practice s s of
s s nursing, s s describing s s all s s facets s s of s s nursing s s practice: s s who, sswhat, s s when, s s where,
s s how.
DIF: s s Cognitive s s Level: s s Comprehension s s REF: s s s s p. ss 6 OBJ:
ssTheory ss#2 s s TOP: s s s s Standards s s of s s Care KEY:
ssNursing ssProcess ssStep: ssN/A ssMSC: s s NCLEX: s s N/A VERIFIED-TEST
ss BANK
6. The s s LPN s s demonstrates s s an s s evidence-based s s practice s s by:
a. using s s a s s drug s s manual s s to s s check s s compatibility s s of s s drugs.
b. using s s scientific s s information s s to s s guide s s decision s s making.
c. using s s medical s s history s s of s s a s s patient s s to s s direct s s nursing s s interventions.
d. basing s s nursing s s care s s on s s advice s s from s s an s s experienced s s nurse.
ANS: s s B
The s s use s s of s s scientific s s information s s from s s high-quality s s research s s to s s guide s s nursing
s s decisions s s is ssreflective s s of s s the s s application s s of s s evidence-based s s practice.
DIF: Cognitive s s Level: s s Knowledge REF: p. s s 7 OBJ: ssTheory
ss#3 s s TOP: Evidence-Based s s Practice KEY: Nursing s s Process s s Step:
s s N/A ssMSC: NCLEX: s s N/A
7. Lillian s s Wald s s and s s Mary s s Brewster s s established s s the s s Henry s s Street s s Settlement
ss Service s s in s s New ssYork s s in s s 1893 s s in s s order s s to:
a. offer s s a s s shelter s s to s s injured s s war s s veterans.
b. found s s a s s nursing s s apprenticeship.
c. provide s s health s s care s s to s s poor s s persons s s living s s in s s tenements.
d. offer s s better s s housing s s to s s low-income s s families.
ANS: s s C