, Chapter 01: Nursing and the Health Care System
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. were limited only to the care
of severe traumatic wounds.
ACCURATE ANSWER: 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. ACCURATE ANSWER: B
Because of the influence of early nursing leaders, nursing education became more formalized through
apprenticeships in Nightingale schools that offered independence to women 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, prevent illness,
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. ACCURATE ANSWER: A
In order for the LPN to apply the common goals of nursing, he or she must assume the roles of 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
4. Although nursing theories differ in their attempts to define nursing, all of them base their beliefs 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. human relationships, the environment, and
health.
d. Human relationships, the environment and health.
ACCURATE ANSWER: D
Although nursing theories differ, they all base their beliefs on human relationships, the environment, 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 Federation of Licensed Practical Nurses. ACCURATE ANSWER: D
The National Federation of Licensed Practical Nurses modified the standards published by the ANA in
2015 to better fit the role of the LPN. In 2015 the American Nurses Association (ANA) revised the
Standards of Nursing Practice which contained 17 standards of national practice of nursing, describing all
facets of nursing practice: who, what, when, where, how.
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. ACCURATE ANSWER: B
The use of scientific information from high-quality research to guide nursing decisions is reflective of the
application of evidence-based practice.
DIF: Cognitive Level: Knowledge REF: p. 7 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 New York 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. ACCURATE ANSWER: C
Henry Street Settlement Service brought the provision of community health care to the poor people living
in tenements.
DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: Theory #4 TOP: Growth of
NursingKEY: 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. ACCURATE ANSWER: 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
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. were limited only to the care
of severe traumatic wounds.
ACCURATE ANSWER: 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. ACCURATE ANSWER: B
Because of the influence of early nursing leaders, nursing education became more formalized through
apprenticeships in Nightingale schools that offered independence to women 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, prevent illness,
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. ACCURATE ANSWER: A
In order for the LPN to apply the common goals of nursing, he or she must assume the roles of 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
4. Although nursing theories differ in their attempts to define nursing, all of them base their beliefs 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. human relationships, the environment, and
health.
d. Human relationships, the environment and health.
ACCURATE ANSWER: D
Although nursing theories differ, they all base their beliefs on human relationships, the environment, 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 Federation of Licensed Practical Nurses. ACCURATE ANSWER: D
The National Federation of Licensed Practical Nurses modified the standards published by the ANA in
2015 to better fit the role of the LPN. In 2015 the American Nurses Association (ANA) revised the
Standards of Nursing Practice which contained 17 standards of national practice of nursing, describing all
facets of nursing practice: who, what, when, where, how.
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. ACCURATE ANSWER: B
The use of scientific information from high-quality research to guide nursing decisions is reflective of the
application of evidence-based practice.
DIF: Cognitive Level: Knowledge REF: p. 7 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 New York 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. ACCURATE ANSWER: C
Henry Street Settlement Service brought the provision of community health care to the poor people living
in tenements.
DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: Theory #4 TOP: Growth of
NursingKEY: 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. ACCURATE ANSWER: 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
