TEST BANK
r
,Test Bank For Dewits Fundamental Concepts And Skills For Nursing 6th Edition By Williams
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r Chapter 01: Nursing and the Health Care System
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MULTIPLE CHOICE r
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.
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d. were limited onlyto the care of severe traumatic wounds.ANS: C
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By improving sanitation, nutrition ventilation, and handwashing techniques, Florence Nightingale‗s
r r r r r r r r r
nurses dramaticallyreduced the death rate from injuries in the Crimean War.
r r r r r r r r r r r r
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #1 TOP: Nursing History
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KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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2. Early nursing education and care in the United States:
r r r r r r r r
a. were directed at communityhealth. r r r r
b. provided independence for women through education and employment. r r r r r r r
c. were an educational model based in institutions of higher learning.
r r r r r r r r r
d. have continued to be entirely focused on hospital nursing.ANS: B
r r r r r r r r r
Because of the influence of early nNuUrRsiSnIgNGleTaBd.eCrOs,Mnursing education became more
r r r r r r r r r
formalized through apprenticeships in Nightingale schools that offered independence to women
r r r r r r r r r r r
through education and employment.
r r r r
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #4 TOP: Nursing History
r r r r r r r r r r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r r
3. In order to fulfill the common goals defined by nursing theorists (promote wellness,
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prevent illness, facilitate coping, and restore health), the LPN must take on the roles of:
r r r r r r r r r r r r r r r
a. caregiver, educator, and collaborator. r r r
b. nursing assistant, delegator, and environmental specialist. r r r r r
c. medication dispenser, collaborator, and transporter. r r r r
d. dietitian, manager, and housekeeper. ANS: A r r r r r
In order for the LPN to applythe common goals of nursing, he or she must assume the roles of
r r r r r r r r r r r r r r r r r r r
caregiver, educator, collaborator, manager, and advocate.
r r r r r r
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: Theory #2 TOP: Art and r r r r r r r r r
Science of Nursing KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r r r r
4. Although nursing theories differ in their attempts to define nursing, all of them base their
r r r r r r r r r r r r r r
beliefs on common concepts concerning:
r r r r r
a. self-actualization, fundamental needs, and belonging. r r r r
,b. stress reduction, self-care, and a systems model. r r r r r r
c. curative care, restorative care, and terminal care. r r r r r r
d. human relationships, the environment, and health. r r r r r
ANS: D
r r
Although nursing theories differ, theyall base their beliefs on human relationships, the
r r r r r r r r r r r r
environment, and health.
r r r
DIF: Cognitive Level: Comprehension REF: p. 4 OBJ: Theory#2 TOP: Nursing r r r r r r r r
Theories
r KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
5. Standards of care for the nursing practice of the LPN are established bythe: r r r r r r r r r r r r r
a. Boards of Nursing Examiners in each state. r r r r r r
b. National Council of States Boards of Nursing (NCSBN). r r r r r r r
c. American Nurses Association (ANA). r r r
d. National Federation of Licensed Practical Nurses. r r r r r
ANS: D
r r
The National Federation of Licensed Practical Nurses modified the standards published by the ANA
r r r r r r r r r r r r r
in 2015 to better fit the role of the LPN. In 2015 the American Nurses Association (ANA) revised the
r r r r r r r r r r r r r r r r r r r
Standards of Nursing Practice which contained 17 standards of national practice of nursing,
r r r r r r r r r r r r r
describing all facets of nursing practice: who, what, when, where, how.
r r r r r r r r r r r
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory #2 TOP: Standards of r r r r r r r r r
Care
r KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r
6. The LPN demonstrates an evidence-based practice by:
r r r r r r
a. using a drug manual to check compatibility of drugs.
r r r r r r r r
Test Bank For Dewits Fundamental Concepts And Skills For Nursing 5th Edition By Williams 4
r r r r r r r r r r r r r r
b. using scientific information to guide decision making.
r r r r r r
c. using medical historyof a patient to direct nursing interventions.
r r r r r r r r r
d. basing nursing care on advice from an experienced nurse. r r r r r r r r
ANS: B
r r
The use of scientific information from high-quality research to guide nursing decisions is
r r r r r r r r r r r r
reflective of the application of evidence-based practice.
r r r r r r r
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory#3 TOP: Evidence-Based r r r r r r r r r
Practice
r KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
7. Lillian Wald and Mary Brewster established the HenryStreet Settlement Service in New
r r r r r r r r r r r r
York in 1893 in order to:
r r r r r r
a. offer a shelter to injured war veterans. r r r r r r
b. found a nursing apprenticeship. r r r
c. provide health care to poor persons living in tenements. r r r r r r r r
d. offer better housing to low-income families. r r r r r
ANS: C
r r
Henry Street Settlement Service brought the provision of community health care to the poor
r r r r r r r r r r r r r
, people living in tenements.
r r r
DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: Theory #4 TOP: Growth of r r r r r r r r r
Nursing
r KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
8. An educational pathway for an LPN/LVN refers to an LPN/LVN:
r r r r r r r r r
a. learning on the job and being promoted to a higher level of responsibility. r r r r r r r r r r r r
b. moving from a maternity unit to a more complicated surgical unit. r r r r r r r r r r
c. obtaining additional education to move from one level of nursing to another. r r r r r r r r r r r
d. learning that advancement requires consistent work and commitment. r r r r r r r
ANS: C
r r
Bybroadening the educational base, an LPN/LVN may advance and build a nursing career.
r r r r r r r r r r r r r
Test Bank For Dewits Fundamental Concepts And Skills For Nursing 5th Edition By Williams 5
r r r r r r r r r r r r r r
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #7 TOP: Nursing Education r r r r r r r r r r
Pathways
r KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the
r r r r r r r r r r
purpose was to:
r r r
a. put patients with the same diagnosis on the same unit.
r r r r r r r r r
b. attempt to contain the costs of health care. r r r r r r r
c. increase the availability of medical care to older adults. r r r r r r r r
d. identifya patient‗s condition more quickly. r r r r r
ANS: B
r r
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
r r r r r r r r r r r r
DIF: Cognitive Level: Knowledge REF: p. 9 OBJ: Theory#10 TOP: Health Care r r r r r r r r r r
Delivery
r KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health
r r r r r r r r r r r
care agencies:
r r
a. record supportive documentation to confirm a patient‗s need for care in order to qualify
r r r r r r r r r r r r r
for reimbursement.
r r
b. use the DRG rather than their own observations for patient assessment.
r r r r r r r r r r
c. be aware of the specific drugs related to the diagnosis.
r r r r r r r r r
d. acquire cross-training to make staffing more flexible. r r r r r r
ANS: A
r r
DRGs required that nurses provide more supportive documentation of their assessments and
r r r r r r r r r r r
identified patient‗s needs to qualify the facility for Medicare reimbursement. Observant
r r r r r r r r r r r
assessment might also indicate another DRG classification and consequently more
r r r r r r r r r r
reimbursement for the facility.
r r r r
DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory#10 TOP: Managed
r r r r r r r r
Care
r KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r
Test Bank For Dewits Fundamental Concepts And Skills For Nursing 5th Edition By Williams 6
r r r r r r r r r r r r r r
r
,Test Bank For Dewits Fundamental Concepts And Skills For Nursing 6th Edition By Williams
r r r r r r r r r r r r r
r Chapter 01: Nursing and the Health Care System
r r r r r r r
MULTIPLE CHOICE r
1. Florence Nightingale‗s contributions to nursing practice and education:
r r r r r r r
a. are historically important but have no validity for nursing today.
r r r r r r r r r
b. were neither recognized nor appreciated in her own time.
r r r r r r r r
c. were a major factor in reducing the death rate in the Crimean War.
r r r r r r r r r r r r
d. were limited onlyto the care of severe traumatic wounds.ANS: C
r r r r r r r r r r
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence Nightingale‗s
r r r r r r r r r
nurses dramaticallyreduced the death rate from injuries in the Crimean War.
r r r r r r r r r r r r
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #1 TOP: Nursing History
r r r r r r r r r r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r r
2. Early nursing education and care in the United States:
r r r r r r r r
a. were directed at communityhealth. r r r r
b. provided independence for women through education and employment. r r r r r r r
c. were an educational model based in institutions of higher learning.
r r r r r r r r r
d. have continued to be entirely focused on hospital nursing.ANS: B
r r r r r r r r r
Because of the influence of early nNuUrRsiSnIgNGleTaBd.eCrOs,Mnursing education became more
r r r r r r r r r
formalized through apprenticeships in Nightingale schools that offered independence to women
r r r r r r r r r r r
through education and employment.
r r r r
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #4 TOP: Nursing History
r r r r r r r r r r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r r
3. In order to fulfill the common goals defined by nursing theorists (promote wellness,
r r r r r r r r r r r r
prevent illness, facilitate coping, and restore health), the LPN must take on the roles of:
r r r r r r r r r r r r r r r
a. caregiver, educator, and collaborator. r r r
b. nursing assistant, delegator, and environmental specialist. r r r r r
c. medication dispenser, collaborator, and transporter. r r r r
d. dietitian, manager, and housekeeper. ANS: A r r r r r
In order for the LPN to applythe common goals of nursing, he or she must assume the roles of
r r r r r r r r r r r r r r r r r r r
caregiver, educator, collaborator, manager, and advocate.
r r r r r r
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: Theory #2 TOP: Art and r r r r r r r r r
Science of Nursing KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r r r r
4. Although nursing theories differ in their attempts to define nursing, all of them base their
r r r r r r r r r r r r r r
beliefs on common concepts concerning:
r r r r r
a. self-actualization, fundamental needs, and belonging. r r r r
,b. stress reduction, self-care, and a systems model. r r r r r r
c. curative care, restorative care, and terminal care. r r r r r r
d. human relationships, the environment, and health. r r r r r
ANS: D
r r
Although nursing theories differ, theyall base their beliefs on human relationships, the
r r r r r r r r r r r r
environment, and health.
r r r
DIF: Cognitive Level: Comprehension REF: p. 4 OBJ: Theory#2 TOP: Nursing r r r r r r r r
Theories
r KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
5. Standards of care for the nursing practice of the LPN are established bythe: r r r r r r r r r r r r r
a. Boards of Nursing Examiners in each state. r r r r r r
b. National Council of States Boards of Nursing (NCSBN). r r r r r r r
c. American Nurses Association (ANA). r r r
d. National Federation of Licensed Practical Nurses. r r r r r
ANS: D
r r
The National Federation of Licensed Practical Nurses modified the standards published by the ANA
r r r r r r r r r r r r r
in 2015 to better fit the role of the LPN. In 2015 the American Nurses Association (ANA) revised the
r r r r r r r r r r r r r r r r r r r
Standards of Nursing Practice which contained 17 standards of national practice of nursing,
r r r r r r r r r r r r r
describing all facets of nursing practice: who, what, when, where, how.
r r r r r r r r r r r
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory #2 TOP: Standards of r r r r r r r r r
Care
r KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r
6. The LPN demonstrates an evidence-based practice by:
r r r r r r
a. using a drug manual to check compatibility of drugs.
r r r r r r r r
Test Bank For Dewits Fundamental Concepts And Skills For Nursing 5th Edition By Williams 4
r r r r r r r r r r r r r r
b. using scientific information to guide decision making.
r r r r r r
c. using medical historyof a patient to direct nursing interventions.
r r r r r r r r r
d. basing nursing care on advice from an experienced nurse. r r r r r r r r
ANS: B
r r
The use of scientific information from high-quality research to guide nursing decisions is
r r r r r r r r r r r r
reflective of the application of evidence-based practice.
r r r r r r r
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory#3 TOP: Evidence-Based r r r r r r r r r
Practice
r KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
7. Lillian Wald and Mary Brewster established the HenryStreet Settlement Service in New
r r r r r r r r r r r r
York in 1893 in order to:
r r r r r r
a. offer a shelter to injured war veterans. r r r r r r
b. found a nursing apprenticeship. r r r
c. provide health care to poor persons living in tenements. r r r r r r r r
d. offer better housing to low-income families. r r r r r
ANS: C
r r
Henry Street Settlement Service brought the provision of community health care to the poor
r r r r r r r r r r r r r
, people living in tenements.
r r r
DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: Theory #4 TOP: Growth of r r r r r r r r r
Nursing
r KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
8. An educational pathway for an LPN/LVN refers to an LPN/LVN:
r r r r r r r r r
a. learning on the job and being promoted to a higher level of responsibility. r r r r r r r r r r r r
b. moving from a maternity unit to a more complicated surgical unit. r r r r r r r r r r
c. obtaining additional education to move from one level of nursing to another. r r r r r r r r r r r
d. learning that advancement requires consistent work and commitment. r r r r r r r
ANS: C
r r
Bybroadening the educational base, an LPN/LVN may advance and build a nursing career.
r r r r r r r r r r r r r
Test Bank For Dewits Fundamental Concepts And Skills For Nursing 5th Edition By Williams 5
r r r r r r r r r r r r r r
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #7 TOP: Nursing Education r r r r r r r r r r
Pathways
r KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the
r r r r r r r r r r
purpose was to:
r r r
a. put patients with the same diagnosis on the same unit.
r r r r r r r r r
b. attempt to contain the costs of health care. r r r r r r r
c. increase the availability of medical care to older adults. r r r r r r r r
d. identifya patient‗s condition more quickly. r r r r r
ANS: B
r r
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
r r r r r r r r r r r r
DIF: Cognitive Level: Knowledge REF: p. 9 OBJ: Theory#10 TOP: Health Care r r r r r r r r r r
Delivery
r KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health
r r r r r r r r r r r
care agencies:
r r
a. record supportive documentation to confirm a patient‗s need for care in order to qualify
r r r r r r r r r r r r r
for reimbursement.
r r
b. use the DRG rather than their own observations for patient assessment.
r r r r r r r r r r
c. be aware of the specific drugs related to the diagnosis.
r r r r r r r r r
d. acquire cross-training to make staffing more flexible. r r r r r r
ANS: A
r r
DRGs required that nurses provide more supportive documentation of their assessments and
r r r r r r r r r r r
identified patient‗s needs to qualify the facility for Medicare reimbursement. Observant
r r r r r r r r r r r
assessment might also indicate another DRG classification and consequently more
r r r r r r r r r r
reimbursement for the facility.
r r r r
DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory#10 TOP: Managed
r r r r r r r r
Care
r KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r
Test Bank For Dewits Fundamental Concepts And Skills For Nursing 5th Edition By Williams 6
r r r r r r r r r r r r r r
