Fundamental Concepts and Skills for Nursing – 7th Edition by
Williams – Complete Test Bank (Chapters 1–41)
Testbankscove
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, Chapter 01: Nursing and the Health Care System
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w MULTIPLE CHOICE w
1. Florence Nightingale‗s contributions to nursing practice and education:
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a. are historically important but have no validity for nursing today.
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b. were neither recognized nor appreciated in her own time.
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c. were a major factor in reducing the death rate in the Crimean War. were limited only to the
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wcare of severe traumatic wounds.
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ACCURATE ANSWER: C w w
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence Nightingale‗s
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nurses dramatically reduced the death rate from injuries in the Crimean War.
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DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #1 TOP: Nursing History KEY:
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Nursing Process Step: N/A MSC: NCLEX: N/A
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2. Early nursing education and care in the United States:
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a. were directed at community health.
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b. provided independence for women through education and employment.
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c. were an educational model based in institutions of higher learning.
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d. have continued to be entirely focused on hospital nursing. ACCURATE ANSWER: B
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Because of the influence of early nursing leaders, nursing education became more formalized
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through apprenticeships in Nightingale schools that offered independence to women through
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education and employment.
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DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #4 TOP: Nursing History KEY:
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Nursing Process Step: N/A MSC: NCLEX: N/A
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3. In order to fulfill the common goals defined by nursing theorists (promote wellness, prevent
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illness, facilitate coping, and restore health), the LPN must take on the roles of:
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a. caregiver, educator, and collaborator.
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b. nursing assistant, delegator, and environmental specialist.
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c. medication dispenser, collaborator, and transporter.
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,d. dietitian, manager, and housekeeper. ACCURATE ANSWER: A
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In order for the LPN to apply the common goals of nursing, he or she must assume the roles of
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wcaregiver, educator, collaborator, manager, and advocate.
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DIF: Cognitive Level: Comprehension w w REF: p. 3 OBJ: Theory #2 TOP: Art and
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Science of Nursing
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N/A
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4. Although nursing theories differ in their attempts to define nursing, all of them base their beliefs
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on common concepts concerning:
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a. self-actualization, fundamental needs, and belonging. w w w w
b. stress reduction, self-care, and a systems model.
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c. curative care, restorative care, and terminal care. human relationships, the environment,
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wand health. w
ACCURATE ANSWER: D w w
Although nursing theories differ, they all base their beliefs on human relationships, the environment,
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and health.
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DIF: Cognitive Level: Comprehension REF: p. 4
w OBJ: Theory #2 TOP: Nursing
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Theories KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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5. Standards of care for the nursing practice of the LPN are established by the:
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a. Boards of Nursing Examiners in each state.
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b. National Council of States Boards of Nursing (NCSBN).
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c. American Nurses Association (ANA). w w w
d. National Federation of Licensed Practical Nurses. ACCURATE ANSWER: D
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The National Federation of Licensed Practical Nurses modified the standards published by the ANA
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in 2015 to better fit the role of the LPN. In 2015 the American Nurses Association (ANA) revised
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the Standards of Nursing Practice which contained 17 standards of national practice of nursing,
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describing all facets of nursing practice: who, what, when, where, how.
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DIF: Cognitive Level: Comprehension REF: p. 6w OBJ: Theory #2 TOP: Standards of
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Care KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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, 6. The LPN demonstrates an evidence-based practice by:
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a. using a drug manual to check compatibility of drugs.
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b. using scientific information to guide decision making.
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c. using medical history of a patient to direct nursing interventions.
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d. basing nursing care on advice from an experienced nurse. ACCURATE ANSWER: B
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The use of scientific information from high-quality research to guide nursing decisions is reflective of
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the application of evidence-based practice.
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DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #3 TOP: Evidence-Based Practice
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wKEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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7. Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New York in
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1893 in order to:
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a. offer a shelter to injured war veterans.
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b. found a nursing apprenticeship.
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c. provide health care to poor persons living in tenements.
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d. offer better housing to low-income families. ACCURATE ANSWER: C
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Henry Street Settlement Service brought the provision of community health care to the poor people
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living in tenements.
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DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: Theory #4 TOP: Growth
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of NursingKEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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8. An educational pathway for an LPN/LVN refers to an LPN/LVN:
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a. learning on the job and being promoted to a higher level of responsibility.
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b. moving from a maternity unit to a more complicated surgical unit.
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c. obtaining additional education to move from one level of nursing to another.
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d. learning that advancement requires consistent work and commitment. ACCURATE ANSWER:
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C By broadening the educational base, an LPN/LVN may advance and build a nursing career.
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DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #7 TOP: Nursing Education
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Pathways KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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