TEST BANK
Fundamental Concepts and Skills for Nursing 6/E Patricia Williams newest edition.
, TEST BANK
Fundamental Concepts and Skills for Nursing 6/E Patricia Williams newest edition.
Chapter 1. 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.
ANS: C
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence Nightingale’s nurses 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.
ANS: B
Because of the influence of early nursing leaders, nursing education became more formalized through apprenticeships in
Nightingale schools that offered independence towomen through education 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, preventillness, 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.
ANS: A
In order for the LPN to apply the common goals of nursing, he or she must assume the rolesof caregiver, 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
, TEST BANK
Fundamental Concepts and Skills for Nursing 6/E Patricia Williams newest edition.
4. Although nursing theories differ in their attempts to define nursing, all of them base theirbeliefs 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.
ANS: D
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 Nurses Association (ANA).
d. National Association of Licensed Practical Nurses.
ANS: D
The practical nurse follows standards written by the National Association of LicensedPractical Nurses to deliver safe, knowledgeable
nursing care (Box 1.1, Appendix D)
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 nurse.
ANS: B
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. 4 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 NewYork 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.ANS: C
, TEST BANK
Fundamental Concepts and Skills for Nursing 6/E Patricia Williams newest edition.
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.
ANS: C
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 purposewas to:
a. put patients 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 patient’s condition more quickly.
ANS: B
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
DIF: Cognitive Level: Knowledge REF: p. 10 OBJ: Theory #10TOP:
Health Care Delivery KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health careagencies:
a. record supportive documentation to confirm a patient’s need for care in order toqualify for reimbursement.
b. use the DRG rather than their own observations for patient assessment.
c. be aware of the specific drugs related to the diagnosis.
d. acquire cross-training to make staffing more flexible.
ANS: A
DRGs required that nurses provide more supportive documentation of their assessments andidentified patient’s needs to qualify the
facility for Medicare reimbursement. Observant assessment might also indicate another DRG classification and consequently more
reimbursement for the facility.
DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory #10TOP:
Managed Care KEY: Nursing Process Step: N/A
Fundamental Concepts and Skills for Nursing 6/E Patricia Williams newest edition.
, TEST BANK
Fundamental Concepts and Skills for Nursing 6/E Patricia Williams newest edition.
Chapter 1. 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.
ANS: C
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence Nightingale’s nurses 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.
ANS: B
Because of the influence of early nursing leaders, nursing education became more formalized through apprenticeships in
Nightingale schools that offered independence towomen through education 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, preventillness, 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.
ANS: A
In order for the LPN to apply the common goals of nursing, he or she must assume the rolesof caregiver, 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
, TEST BANK
Fundamental Concepts and Skills for Nursing 6/E Patricia Williams newest edition.
4. Although nursing theories differ in their attempts to define nursing, all of them base theirbeliefs 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.
ANS: D
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 Nurses Association (ANA).
d. National Association of Licensed Practical Nurses.
ANS: D
The practical nurse follows standards written by the National Association of LicensedPractical Nurses to deliver safe, knowledgeable
nursing care (Box 1.1, Appendix D)
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 nurse.
ANS: B
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. 4 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 NewYork 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.ANS: C
, TEST BANK
Fundamental Concepts and Skills for Nursing 6/E Patricia Williams newest edition.
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.
ANS: C
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 purposewas to:
a. put patients 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 patient’s condition more quickly.
ANS: B
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
DIF: Cognitive Level: Knowledge REF: p. 10 OBJ: Theory #10TOP:
Health Care Delivery KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health careagencies:
a. record supportive documentation to confirm a patient’s need for care in order toqualify for reimbursement.
b. use the DRG rather than their own observations for patient assessment.
c. be aware of the specific drugs related to the diagnosis.
d. acquire cross-training to make staffing more flexible.
ANS: A
DRGs required that nurses provide more supportive documentation of their assessments andidentified patient’s needs to qualify the
facility for Medicare reimbursement. Observant assessment might also indicate another DRG classification and consequently more
reimbursement for the facility.
DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory #10TOP:
Managed Care KEY: Nursing Process Step: N/A
