Test Bank for Fundamental Concepts and Skills for Nursing (6th Edition, Patricia A. Williams) – Complete Chapters 1–41

TESTBA J




i a
t h
u

,Chapter 01: Nursing and the Health Care System
J J J J J J J




MULTIPLEJCHOICE

1. FlorenceJNightingale’sJcontributionsJtoJnursingJpracticeJandJeducation:
a. areJhistoricallyJimportantJbutJhaveJnoJvalidityJforJnursingJtoday.
b. wereJneitherJrecognizedJnorJappreciatedJinJherJownJtime.
c. wereJaJmajorJfactorJinJreducingJtheJdeathJrateJinJtheJCrimeanJWar.
d. wereJlimitedJonlyJtoJtheJcareJofJsevereJtraumaticJwounds.
ANS:JC
ByJimprovingJsanitation,JnutritionJventilation,JandJhandwashingJtechniques,JFlorenceJNightinga
le’sJnursesJdramaticallyJreducedJtheJdeathJrateJfromJinjuriesJinJtheJCrimeanJWar.

DIF: CognitiveJLevel:JKnowledge REF: p.J2 OBJ:JTheoryJ#1
TOP: NursingJHistory KEY:JNursingJProcessJStep:JN/A
MSC:JNCLEX:JN/A

2. EarlyJnursingJeducationJandJcareJinJtheJUnitedJStates:
a
a. wereJdirectedJatJcommunityJhealth.
b. providedJindependenceJforJwomenJthroughJeducationJandJemployment.
i
c. wereJanJeducationalJmodelJbasedJinJinstitutionsJofJhigherJlearning.
h
d. haveJcontinuedJtoJbeJentirelyJfocusedJonJhospitalJnursing.
ANS:JB
BecauseJofJtheJinfluenceJofJearlyJnursingJleaders,JnursingJeducationJbecameJmoreJformalizedJth
t
roughJapprenticeshipsJinJNightingaleJschoolsJthatJofferedJindependenceJtoJwomenJthroughJedu
u
cationJandJemployment.
b
DIF: CognitiveJLevel:JKnowledge REF: p.J2 OBJ:JTheoryJ#4
TOP: NursingJHistory KEY:JNursingJProcessJStep:JN/A
MSC:JNCLEX:JN/A
M
3. InJorderJtoJfulfillJtheJcommonJgoalsJdefinedJbyJnursingJtheoristsJ(promoteJwellness,JpreventJi
llness,JfacilitateJcoping,JandJrestoreJhealth),JtheJLPNJmustJtakeJonJtheJrolesJof:
a. caregiver,Jeducator,JandJcollaborator.
b. nursingJassistant,Jdelegator,JandJenvironmentalJspecialist.
c. medicationJdispenser,Jcollaborator,JandJtransporter.
d. dietitian,Jmanager,JandJhousekeeper.
ANS:JA
InJorderJforJtheJLPNJtoJapplyJtheJcommonJgoalsJofJnursing,JheJorJsheJmustJassumeJtheJrolesJofJ
caregiver,Jeducator,Jcollaborator,Jmanager,JandJadvocate.

DIF: CognitiveJLevel:JComprehension REF: p.J3 OBJ:JTheoryJ#2
TOP: ArtJandJScienceJofJNursing KEY:JNursingJProcessJStep:JN/A
MSC:JNCLEX:JN/A

,4. AlthoughJnursingJtheoriesJdifferJinJtheirJattemptsJtoJdefineJnursing,JallJofJthemJbaseJtheirJb
eliefsJonJcommonJconceptsJconcerning:
a. self-actualization,JfundamentalJneeds,JandJbelonging.
b. stressJreduction,Jself-care,JandJaJsystemsJmodel.
c. curativeJcare,JrestorativeJcare,JandJterminalJcare.
d. humanJrelationships,JtheJenvironment,JandJhealth.
ANS:JD
AlthoughJnursingJtheoriesJdiffer,JtheyJallJbaseJtheirJbeliefsJonJhumanJrelationships,JtheJe
nvironment,JandJhealth.

DIF: CognitiveJLevel:JComprehension REF: p.J4 OBJ:JTheoryJ#2
TOP: NursingJTheories KEY:JNursingJProcessJStep:JN/A
MSC:JNCLEX:JN/A

5. StandardsJofJcareJforJtheJnursingJpracticeJofJtheJLPNJareJestablishedJbyJthe:
a. BoardsJofJNursingJExaminersJinJeachJstate.
a
b. NationalJCouncilJofJStatesJBoardsJofJNursingJ(NCSBN).
c. AmericanJNursesJAssociationJ(ANA).
i
d. NationalJFederationJofJLicensedJPracticalJNurses.
h
ANS:JD
TheJNationalJFederationJofJLicensedJPracticalJNursesJmodifiedJtheJstandardsJpublishedJbyJtheJ
t
ANAJinJ2015JtoJbetterJfitJtheJroleJofJtheJLPN.JInJ2015JtheJAmericanJNursesJAssociationJ(ANA)Jr
evisedJtheJStandardsJofJNursingJPracticeJwhichJcontainedJ17JstandardsJofJnationalJpracticeJofJn
u
ursing,JdescribingJallJfacetsJofJnursingJpractice:Jwho,Jwhat,Jwhen,Jwhere,Jhow.
b
DIF: CognitiveJLevel:JComprehension REF: p.J6 OBJ:JTheoryJ#2
TOP: StandardsJofJCare KEY:JNursingJProcessJStep:JN/A
MSC:JNCLEX:JN/A
M
6. TheJLPNJdemonstratesJanJevidence-basedJpracticeJby:
a. usingJaJdrugJmanualJtoJcheckJcompatibilityJofJdrugs.
b. usingJscientificJinformationJtoJguideJdecisionJmaking.
c. usingJmedicalJhistoryJofJaJpatientJtoJdirectJnursingJinterventions.
d. basingJnursingJcareJonJadviceJfromJanJexperiencedJnurse.
ANS:JB
TheJuseJofJscientificJinformationJfromJhigh-
qualityJresearchJtoJguideJnursingJdecisionsJisJreflectiveJofJtheJapplicationJofJevidence-
basedJpractice.

DIF: CognitiveJLevel:JKnowledge REF:JJp.J7 OBJ:JTheoryJ#3
TOP: Evidence-BasedJPractice KEY:JNursingJProcessJStep:JN/A
MSC:JNCLEX:JN/A

7. LillianJWaldJandJMaryJBrewsterJestablishedJtheJHenryJStreetJSettlementJServiceJinJNewJYorkJi
nJ1893JinJorderJto:
a. offerJaJshelterJtoJinjuredJwarJveterans.
b. foundJaJnursingJapprenticeship.
c. provideJhealthJcareJtoJpoorJpersonsJlivingJinJtenements.
d. offerJbetterJhousingJtoJlow-incomeJfamilies.
ANS:JC

, HenryJStreetJSettlementJServiceJbroughtJtheJprovisionJofJcommunityJhealthJcareJtoJtheJpoorJp
eopleJlivingJinJtenements.

DIF: CognitiveJLevel:JComprehension REF: p.J2 OBJ:JTheoryJ#4
TOP: GrowthJofJNursing KEY:JNursingJProcessJStep:JN/A
MSC:JNCLEX:JN/A

8. AnJeducationalJpathwayJforJanJLPN/LVNJrefersJtoJanJLPN/LVN:
a. learningJonJtheJjobJandJbeingJpromotedJtoJaJhigherJlevelJofJresponsibility.
b. movingJfromJaJmaternityJunitJtoJaJmoreJcomplicatedJsurgicalJunit.
c. obtainingJadditionalJeducationJtoJmoveJfromJoneJlevelJofJnursingJtoJanother.
d. learningJthatJadvancementJrequiresJconsistentJworkJandJcommitment.
ANS:JC
ByJbroadeningJtheJeducationalJbase,JanJLPN/LVNJmayJadvanceJandJbuildJaJnursingJcareer.

DIF: CognitiveJLevel:JKnowledge REF: p.J7 OBJ:JTheoryJ#7
TOP: NursingJEducationJPathways KEY:JNursingJProcessJStep:JN/A
MSC:JNCLEX:JN/A
a
9. WhenJdiagnosis-
relatedJgroupsJ(DRGs)JwereJestablishedJbyJMedicareJinJ1983,JtheJpurposeJwasJto:
i
a. putJpatientsJwithJtheJsameJdiagnosisJonJtheJsameJunit.
h
b. attemptJtoJcontainJtheJcostsJofJhealthJcare.
c. increaseJtheJavailabilityJofJmedicalJcareJtoJolderJadults.
d. identifyJaJpatient’sJconditionJmoreJquickly.
t
ANS:JJB
u
TheJpurposeJofJinstitutingJDRGsJwasJtoJcontainJskyrocketingJcostsJofJhealthJcare.
b
DIF: CognitiveJLevel:JKnowledge REF: p.J9 OBJ:JTheoryJ#10
TOP: HealthJCareJDelivery KEY:JNursingJProcessJStep:JN/A
MSC:JNCLEX:JN/A
M
10. TheJadventJofJdiagnosis-
relatedJgroupsJ(DRGs)JrequiredJthatJnursesJworkingJinJhealthJcareJagencies:
a. recordJsupportiveJdocumentationJtoJconfirmJaJpatient’sJneedJforJcareJinJorderJtoJq
ualifyJforJreimbursement.
b. useJtheJDRGJratherJthanJtheirJownJobservationsJforJpatientJassessment.
c. beJawareJofJtheJspecificJdrugsJrelatedJtoJtheJdiagnosis.
d. acquireJcross-trainingJtoJmakeJstaffingJmoreJflexible.
ANS:JA
DRGsJrequiredJthatJnursesJprovideJmoreJsupportiveJdocumentationJofJtheirJassessmentsJandJi
dentifiedJpatient’sJneedsJtoJqualifyJtheJfacilityJforJMedicareJreimbursement.JObservantJassess
mentJmightJalsoJindicateJanotherJDRGJclassificationJandJconsequentlyJmoreJreimbursementJf
orJtheJfacility.

DIF: CognitiveJLevel:JComprehension REF: p.J10 OBJ:JTheoryJ#10
TOP: ManagedJCare KEY:JNursingJProcessJStep:JN/A
MSC:JNCLEX:JN/A