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TEST BANK FOR DEWITS FUNDAMENTAL CONCEPTS AND
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SKILLS FOR NURSING 5TH EDITION BY WILLIAMS
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Chapterv01:vNursingvandvthevHealthvCarevSystemv
,TestvBankvForvDewitsvFundamentalvConceptsvAndvSkillsvForvNursingv5thvEditionvByvWilliamsv2v
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Williams:vdeWit'svFundamentalvConceptsvandvSkillsvforvNursing,v5thvEditionv
vv
v
MULTIPLEvCHOICEv
v
1.v FlorencevNightingale‘svcontributionsvtovnursingvpracticevandveducation:v
a. arevhistoricallyvimportantvbutvhavevnovvalidityvforvnursingvtoday.v
b. werevneithervrecognizedvnorvappreciatedvinvhervownvtime.v
c. werevavmajorvfactorvinvreducingvthevdeathvratevinvthevCrimeanvWar.v
d. werevlimitedvonlyvtovthevcarevofvseverevtraumaticvwounds.v
ANS:vCv
Byvimprovingvsanitation,vnutritionvventilation,vandvhandwashingvtechniques,vFlorencev
Nightingale‘svnursesvdramaticallyvreducedvthevdeathvratevfromvinjuriesvinvthevCrimeanvWar.v
v
DIF:v CognitivevLevel:vKnowledgevREF:vvvp.v2v OBJ:vTheoryv#1vTOP:vNursingvHistory
v KEY:vNursingvProcessvStep:vN/AvMSC:vNCLEX:vN/Av
v
2.v EarlyvnursingveducationvandvcarevinvthevUnitedvStates:v
a. werevdirectedvatvcommunityvhealth.v
b. providedvindependencevforvwomenvthroughveducationvandvemployment.v
c. werevanveducationalvmodelvbasedvinvinstitutionsvofvhighervlearning.v
d. havevcontinuedvtovbeventirelyvfocusedvonvhospitalvnursing.v
ANS:vBv
BecausevofvthevinfluencevofvearlyvnNuUrRsiSnIgNGleTaBd.eCrOs,Mnursingveducationvbecamev
morevformalizedvthroughvapprenticeshipsvinvNightingalevschoolsvthatvofferedvindependencevtovwo
menvthroughveducationvandvemployment.v
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DIF:v CognitivevLevel:vKnowledgevREF:vvvp.v2v OBJ:vTheoryv#4vTOP:vNursingvHistory
v KEY:vNursingvProcessvStep:vN/AvMSC:vNCLEX:vN/Av
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3.vInvordervtovfulfillvthevcommonvgoalsvdefinedvbyvnursingvtheoristsv(promotevwellness,vpreve
ntvillness,vfacilitatevcoping,vandvrestorevhealth),vthevLPNvmustvtakevonvthevrolesvof:va.vcaregive
r,veducator,vandvcollaborator.v
b. nursingvassistant,vdelegator,vandvenvironmentalvspecialist.v
c. medicationvdispenser,vcollaborator,vandvtransporter.v
d. dietitian,vmanager,vandvhousekeeper.v
ANS:vAv
InvordervforvthevLPNvtovapplyvthevcommonvgoalsvofvnursing,vhevorvshevmustvassumevthevrolesvofvcare
giver,veducator,vcollaborator,vmanager,vandvadvocate.v
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DIF:v CognitivevLevel:vComprehensionv REF:vvvp.v3v
OBJ:vTheoryv#2vTOP:vArtvandvSciencevofvNursingv
KEY:vNursingvProcessvStep:vN/AvMSC:vNCLEX:vN/Av
,TestvBankvForvDewitsvFundamentalvConceptsvAndvSkillsvForvNursingv5thvEditionvByvWilliamsv3v
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4.v
Althoughvnursingvtheoriesvdiffervinvtheirvattemptsvtovdefinevnursing,vallvofvthemvbasevtheirvbeliefsvo
nvcommonvconceptsvconcerning:v
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v
v
v
vv
v
a. self-actualization,vfundamentalvneeds,vandvbelonging.v
b. stressvreduction,vself-care,vandvavsystemsvmodel.v
c. curativevcare,vrestorativevcare,vandvterminalvcare.v
d. humanvrelationships,vthevenvironment,vandvhealth.v
ANS:vDv
Althoughvnursingvtheoriesvdiffer,vtheyvallvbasevtheirvbeliefsvonvhumanvrelationships,vthevenvironme
nt,vandvhealth.v
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DIF:v CognitivevLevel:vComprehensionv REF:vvvp.v4v
OBJ:vTheoryv#2vTOP:vNursingvTheoriesv
KEY:vNursingvProcessvStep:vN/AvMSC:vNCLEX:vN/Av
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5.v StandardsvofvcarevforvthevnursingvpracticevofvthevLPNvarevestablishedvbyvthe:v
a. BoardsvofvNursingvExaminersvinveachvstate.v
b. NationalvCouncilvofvStatesvBoardsvofvNursingv(NCSBN).v
c. AmericanvNursesvAssociationv(ANA).v
d. NationalvFederationvofvLicensedvPracticalvNurses.v
ANS:vDv
ThevNationalvFederationvofvLicensedvPracticalvNursesvmodifiedvthevstandardsvpublishedvbyvthevAN
Avinv2015vtovbettervfitvthevrolevofvthevLPN.vInv2015vthevAmericanvNursesvAssociationv(ANA)vrevise
dvthevStandardsvofvNursingvPracticevwhichvcontainedv17vstandardsvofvnationalvpracticevofvnursing,vd
escribingvallvfacetsvofvnursingvpractice:vwho,vwhat,vwhen,vwhere,vhow.v
v
DIF:v CognitivevLevel:vComprehensionv REF:vvvp.v6v
OBJ:vTheoryv#2vTOP:vStandardsvofvCarev
KEY:vNursingvProcessvStep:vN/AvMSC:vNCLEX:vN/Av
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6.v ThevLPNvdemonstratesvanvevidence-basedvpracticevby:v
a. usingvavdrugvmanualvtovcheckvcompatibilityvofvdrugs.v
b. usingvscientificvinformationvtovguidevdecisionvmaking.v
c. usingvmedicalvhistoryvofvavpatientvtovdirectvnursingvinterventions.v
d. basingvnursingvcarevonvadvicevfromvanvexperiencedvnurse.v
ANS:vBv
, TestvBankvForvDewitsvFundamentalvConceptsvAndvSkillsvForvNursingv5thvEditionvByvWilliamsv4v
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Thevusevofvscientificvinformationvfromvhigh-
qualityvresearchvtovguidevnursingvdecisionsvisvreflectivevofvthevapplicationvofvevidence-
basedvpractice.v
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DIF:v CognitivevLevel:vKnowledgevREF:vvvp.v7v OBJ:vTheoryv#3vTOP:vEvidence-
BasedvPracticev KEY:vNursingvProcessvStep:vN/AvMSC:vNCLEX:vN/Av
v
7.vLillianvWaldvandvMaryvBrewstervestablishedvthevHenryvStreetvSettlementvServicevinvNewvYorkvi
nv1893vinvordervto:v
a. offervavsheltervtovinjuredvwarvveterans.v
b. foundvavnursingvapprenticeship.v
c. providevhealthvcarevtovpoorvpersonsvlivingvinvtenements.v
d. offervbettervhousingvtovlow-incomevfamilies.v
ANS:vCv
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v
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v
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v
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vv
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HenryvStreetvSettlementvServicevbroughtvthevprovisionvofvcommunityvhealthvcarevtovthevpoorvpeopl
evlivingvinvtenements.v
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DIF:v CognitivevLevel:vComprehensionv REF:vvvp.v2v OBJ:vTheoryv#4vTOP:vGrowthvofv
Nursingv KEY:vNursingvProcessvStep:vN/AvMSC:vNCLEX:vN/Av
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8.v AnveducationalvpathwayvforvanvLPN/LVNvrefersvtovanvLPN/LVN:v
a. learningvonvthevjobvandvbeingvpromotedvtovavhighervlevelvofvresponsibility.v
b. movingvfromvavmaternityvunitvtovavmorevcomplicatedvsurgicalvunit.v
c. obtainingvadditionalveducationvtovmovevfromvonevlevelvofvnursingvtovanother.v
d. learningvthatvadvancementvrequiresvconsistentvworkvandvcommitment.vANS:vCv
Byvbroadeningvtheveducationalvbase,vanvLPN/LVNvmayvadvancevandvbuildvavnursingvcareer.v
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DIF:v CognitivevLevel:vKnowledgevREF:vvvp.v7v
OBJ:vTheoryv#7vTOP:vNursingvEducationvPathwaysv
KEY:vNursingvProcessvStep:vN/AvMSC:vNCLEX:vN/Av
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9.v Whenvdiagnosis-
relatedvgroupsv(DRGs)vwerevestablishedvbyvMedicarevinv1983,vthevpurposevwasvto:v
a. putvpatientsvwithvthevsamevdiagnosisvonvthevsamevunit.v
b. attemptvtovcontainvthevcostsvofvhealthvcare.v
c. increasevthevavailabilityvofvmedicalvcarevtovoldervadults.v
d. identifyvavpatient‘svconditionvmorevquickly.v
ANS:vBv
ThevpurposevofvinstitutingvDRGsvwasvtovcontainvskyrocketingvcostsvofvhealthvcare.v