x
Fundamental Concepts and Skills for Nursing 6/E Patricia Williams
x x x x x x x x
Chapter 1. Nursing and the Health Care System
x x x x x x x
Williams: Fundamental Concepts and Skills for Nursing, 6th Edition
x x x x x x x x
MULTIPLExCHOICE
1. FlorencexNightingale’sxcontributionsxtoxnursingxpracticexandxeducation:
a. arexhistoricallyximportantxbutxhavexnoxvalidityxforxnursingxtoday.
b. werexneitherxrecognizedxnorxappreciatedxinxherxownxtime.
c. werexaxmajorxfactorxinxreducingxthexdeathxratexinxthexCrimeanxWar.
d. werexlimitedxonlyxtoxthexcarexofxseverextraumaticxwounds.
ANS:x C
Byximprovingxsanitation,xnutritionxventilation,xandxhandwashingxtechniques,xFlorencexNighti
ngale’sxnursesxdramaticallyxreducedxthexdeathxratexfromxinjuriesxinxthexCrimeanxWar.
DIF: CognitivexLevel:xKnowledge REF: p.x2 OBJ:
Theoryx#1xTOP: NursingxHistory
KEY:xxxNursingxProcessxStep:xN/AxMSC:x NCLEX:xN/A
2. EarlyxnursingxeducationxandxcarexinxthexUnitedxStates:
a. werexdirectedxatxcommunityxhealth.
b. providedxindependencexforxwomenxthroughxeducationxandxemployment.
c. werexanxeducationalxmodelxbasedxinxinstitutionsxofxhigherxlearning.
d. havexcontinuedxtoxbexentirelyxfocusedxonxhospitalxnursing.
ANS:x B
Becausexofxthexinfluencexofxearlyxnursingxleaders,xnursingxeducationxbecamexmorexformalize
dxthroughxapprenticeshipsxinxNightingalexschoolsxthatxofferedxindependencextoxwomenxthroug
hxeducationxandxemployment.
DIF: CognitivexLevel:xKnowledge REF: p.x2 OBJ:
Theoryx#4xTOP: NursingxHistory
KEY:xxxNursingxProcessxStep:xN/AxMSC:x NCLEX:xN/A
3. Inxorderxtoxfulfillxthexcommonxgoalsxdefinedxbyxnursingxtheoristsx(promotexwellness,xpreventxil
lness,xfacilitatexcoping,xandxrestorexhealth),xthexLPNxmustxtakexonxthexrolesxof:
a. caregiver,xeducator,xandxcollaborator.
b. nursingxassistant,xdelegator,xandxenvironmentalxspecialist.
c. medicationxdispenser,xcollaborator,xandxtransporter.
d. dietitian,xmanager,xandxhousekeeper.
ANS:x A
InxorderxforxthexLPNxtoxapplyxthexcommonxgoalsxofxnursing,xhexorxshexmustxassumexthexrolesxof
xcaregiver,xeducator,xcollaborator,xmanager,xandxadvocate.
DIF: CognitivexLevel:xComprehension REF: p.x3 OBJ:
Theoryx#2xTOP: ArtxandxSciencexofxNursing
KEY:xxxNursingxProcessxStep:xN/AxMSC:x NCLEX:xN/A
,4. Althoughxnursingxtheoriesxdifferxinxtheirxattemptsxtoxdefinexnursing,xallxofxthemxbasextheirxb
eliefsxonxcommonxconceptsxconcerning:
a. self-actualization,xfundamentalxneeds,xandxbelonging.
b. stressxreduction,xself-care,xandxaxsystemsxmodel.
c. curativexcare,xrestorativexcare,xandxterminalxcare.
d. humanxrelationships,xthexenvironment,xandxhealth.
ANS:x D
Althoughxnursingxtheoriesxdiffer,xtheyxallxbasextheirxbeliefsxonxhumanxrelationships,xthexenviro
nment,xandxhealth.
DIF: CognitivexLevel:xComprehension REF: p.x4 OBJ:
Theoryx#2xTOP: NursingxTheories
KEY:xxxNursingxProcessxStep:xN/AxMSC:x NCLEX:xN/A
5. StandardsxofxcarexforxthexnursingxpracticexofxthexLPNxarexestablishedxbyxthe:
a. BoardsxofxNursingxExaminersxinxeachxstate.
b. NationalxCouncilxofxStatesxBoardsxofxNursingx(NCSBN).
c. AmericanxNursesxAssociationx(ANA).
d. NationalxAssociationxofxLicensedxPracticalxNurses.
ANS:x D
ThexpracticalxnursexfollowsxstandardsxwrittenxbyxthexNationalxAssociationxofxLicensedxPractica
lxNursesxtoxdeliverxsafe,xknowledgeablexnursingxcarex(Boxx1.1,xAppendixxD)
DIF: CognitivexLevel:xComprehension REF: p.x6 OBJ:
Theoryx#2xTOP: StandardsxofxCare
KEY:xxxNursingxProcessxStep:xN/AxMSC:x NCLEX:xN/A
6. ThexLPNxdemonstratesxanxevidence-basedxpracticexby:
a. usingxaxdrugxmanualxtoxcheckxcompatibilityxofxdrugs.
b. usingxscientificxinformationxtoxguidexdecisionxmaking.
c. usingxmedicalxhistoryxofxaxpatientxtoxdirectxnursingxinterventions.
d. basingxnursingxcarexonxadvicexfromxanxexperiencedxnurse.
ANS:x B
Thexusexofxscientificxinformationxfromxhigh-
qualityxresearchxtoxguidexnursingxdecisionsxisxreflectivexofxthexapplicationxofxevidence-
basedxpractice.
DIF: CognitivexLevel:xKnowledge REF: p.x4 OBJ:
Theoryx#3xTOP: Evidence-BasedxPractice
KEY:xxxNursingxProcessxStep:xN/AxMSC:x NCLEX:xN/A
7. LillianxWaldxandxMaryxBrewsterxestablishedxthexHenryxStreetxSettlementxServicexinxNewx
Yorkxinx1893xinxorderxto:
a. offerxaxshelterxtoxinjuredxwarxveterans.
b. foundxaxnursingxapprenticeship.
c. providexhealthxcarextoxpoorxpersonsxlivingxinxtenements.
d. offerxbetterxhousingxtoxlow-
incomexfamilies.xANS:x C
, HenryxStreetxSettlementxServicexbroughtxthexprovisionxofxcommunityxhealthxcarextoxthexpoorxp
eoplexlivingxinxtenements.
DIF: CognitivexLevel:xComprehension REF: p.x2 OBJ:
Theoryx#4xTOP: GrowthxofxNursing
KEY:xxxNursingxProcessxStep:xN/AxMSC:x NCLEX:xN/A
8. AnxeducationalxpathwayxforxanxLPN/LVNxrefersxtoxanxLPN/LVN:
a. learningxonxthexjobxandxbeingxpromotedxtoxaxhigherxlevelxofxresponsibility.
b. movingxfromxaxmaternityxunitxtoxaxmorexcomplicatedxsurgicalxunit.
c. obtainingxadditionalxeducationxtoxmovexfromxonexlevelxofxnursingxtoxanother.
d. learningxthatxadvancementxrequiresxconsistentxworkxandxcommitment.
ANS:x C
Byxbroadeningxthexeducationalxbase,xanxLPN/LVNxmayxadvancexandxbuildxaxnursingxcareer.
DIF: CognitivexLevel:xKnowledge REF: p.x7 OBJ:
Theoryx#7xTOP: NursingxEducationxPathways
KEY:xxxNursingxProcessxStep:xN/AxMSC:x NCLEX:xN/A
9. Whenxdiagnosis-
relatedxgroupsx(DRGs)xwerexestablishedxbyxMedicarexinx1983,xthexpurposexwasxto:
a. putxpatientsxwithxthexsamexdiagnosisxonxthexsamexunit.
b. attemptxtoxcontainxthexcostsxofxhealthxcare.
c. increasexthexavailabilityxofxmedicalxcarextoxolderxadults.
d. identifyxaxpatient’sxconditionxmorexquickly.
ANS:x B
ThexpurposexofxinstitutingxDRGsxwasxtoxcontainxskyrocketingxcostsxofxhealthxcare.
DIF: CognitivexLevel:xKnowledge REF: p.x10 OBJ:
Theoryx#10xTOP: HealthxCarexDelivery
KEY:xxNursingxProcessxStep:xN/A
MSC:x NCLEX:xN/A
10. Thexadventxofxdiagnosis-
relatedxgroupsx(DRGs)xrequiredxthatxnursesxworkingxinxhealthxcarexagencies:
a. recordxsupportivexdocumentationxtoxconfirmxaxpatient’sxneedxforxcarexinxorderxtoxq
ualifyxforxreimbursement.
b. usexthexDRGxratherxthanxtheirxownxobservationsxforxpatientxassessment.
c. bexawarexofxthexspecificxdrugsxrelatedxtoxthexdiagnosis.
d. acquirexcross-trainingxtoxmakexstaffingxmorexflexible.
ANS:x A
DRGsxrequiredxthatxnursesxprovidexmorexsupportivexdocumentationxofxtheirxassessmentsxandxi
dentifiedxpatient’sxneedsxtoxqualifyxthexfacilityxforxMedicarexreimbursement.xObservantxasses
smentxmightxalsoxindicatexanotherxDRGxclassificationxandxconsequentlyxmorexreimbursement
xforxthexfacility.
DIF: CognitivexLevel:xComprehension REF: p.x10 OBJ:
Theoryx#10xTOP: ManagedxCare
KEY:xxNursingxProcessxStep:xN/A
, MSC:x NCLEX:xN/A
11. Ifxaxmemberxofxaxhealthxmaintenancexorganizationx(HMO)xisxhavingxrespiratoryxproblemsxsuc
hxasxfever,xcough,xandxfatiguexforxseveralxdaysxandxwantsxtoxseexaxspecialist,xthexpersonxisxrequi
redxtoxgo:
a. directlyxtoxanxemergencyxroomxforxtreatment.
b. toxanyxgeneralxpractitionerxofxchoice.
c. directlyxtoxaxrespiratoryxspecialist.
d. toxaxprimaryxcarexproviderxforxaxreferral.
ANS:x D
ParticipantsxinxanxHMOxmustxseextheirxprimaryxproviderxtoxreceivexaxreferralxforxaxspecialistxinx
orderxforxthexHMOxtoxpayxforxthexcare.
DIF: CognitivexLevel:xComprehension REF: p.x10 OBJ:
Theoryx#11xTOP: ManagedxCare
KEY:xxNursingxProcessxStep:xN/A
MSC:x NCLEX:xN/A
12. Anxadvantagexofxpreferredxproviderxorganizationsx(PPOs)xisxthat:
a. theyxmakexinsurancexcoveragexofxemployeesxlessxexpensivextoxemployers.
b. therexarexfewerxphysiciansxtoxchoosexfromxthanxinxanxHMO.
c. long-termxrelationshipsxwithxphysiciansxarexmorexlikely.
d. patientsxmayxgoxdirectlyxtoxaxspecialistxforxcare.
ANS:x A
ThexusexofxPPOsxallowsxinsurancexcompaniesxtoxkeepxtheirxpremiumsxlowxandxinxturnxmakesxi
nsurancexcoveragexlessxexpensivexforxthexemployers.xTherexarexusuallyxmorexphysiciansxfromx
whichxtoxchoosexthanxfromxanxHMO,xbutxlong-
termxrelationshipsxbetweenxphysicianxandxpatientxcannotxbexestablishedxeasily.xPatientsxstillxm
ustxseextheirxprimaryxphysicianxbeforexbeingxreferredxtoxotherxspecialties.
DIF: CognitivexLevel:xKnowledge REF: p.x11 OBJ:
Theoryx#11xTOP: PreferredxProviderxOrganizations
KEY:xxNursingxProcessxStep:xN/A
MSC:x NCLEX:xN/A
13. AfterxpassingxthexNationalxCouncilxLicensurexExaminationxforxPracticalxNursesx(NCLEXx
PN),xthexnursexisxqualifiedxtoxtakexanxadditionalxcertificationxinxthexfieldxof:
a. pharmacology.
b. carexofxinfantsxandxchildren.
c. operatingxroomxtechnology.
d. communityxhealth.
ANS:x A
AfterxbecomingxanxLPN,xthexnursexmayxapplyxforxadditionalxcertificationxinxpharmacology,xl
ong-termxcare,xand/orxIVxtherapy.
DIF: CognitivexLevel:xKnowledge REF: p.x7 OBJ:
Theoryx#6xTOP: EducationalxOpportunities
KEY:xxxNursingxProcessxStep:xN/AxMSC:x NCLEX:xN/A