,Chapter 01: Nursing and the Health Care System
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Williams: deWit's Fundamental Concepts and Skills for Nursing, 7th Edition
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MULTIPLE CHOICE 5r
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 only to the care of severe traumatic wounds
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.ANS: C
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By improving sanitation, nutrition ventilation, and handwashing techniques, Florence Nightin
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gale‗s nurses dramatically reduced the death rate from injuries in the Crimean War.
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DIF: Cognitive Level: Knowledge REF: 5r 5r 5 r 5 r p. 2 5r
OBJ: Theory #1 TOP: Nursing Histor 5r 5r 5r 5r 5r
yKEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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2. Early nursing education and care in the United States:
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a. were directed at community health. 5r 5r 5r 5r
b. provided independence for women through education and employment.
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c. were an educational model based in institutions of higher learning.
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d. have continued to be entirely focused on hospital nursing
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.ANS: B
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Because of the influence of early nNuUrRsiSnIgNGleTaBd.eCrOs,Mnursing education becamem
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ore formalized through apprenticeships in Nightingale schools that offered independence to wom
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en through education and employment.
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DIF: Cognitive Level: Knowledge REF: 5r 5r 5 r 5 r p. 2 5r
OBJ: Theory #4 TOP: Nursing Histor 5r 5r 5r 5r 5r
yKEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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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:
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a. caregiver, educator, and collaborator. 5r 5r 5r
b. nursing assistant, delegator, and environmental specialist.
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c. medication dispenser, collaborator, and transporter. 5r 5r 5r 5r
d. dietitian, manager, and housekeeper. 5r 5r 5r r
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ANS: A 5r
In order for the LPN to apply the common goals of nursing, he or she must assume the roles o
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fcaregiver, educator, collaborator, manager, and advocate.
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, DIF: Cognitive Level: Comprehension REF: p. 3 5r 5r 5r5r5r 5r
OBJ: Theory #2 TOP: Art andScience of Nursing
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KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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4. Although nursing theories differ in their attempts to define nursing, all of them base thei
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rbeliefs on common concepts concerning:
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a. self-actualization, fundamental needs, and belonging. 5r 5r 5r 5r
b. stress reduction, self-care, and a systems model.
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c. curative care, restorative care, and terminal care.
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d. human relationships, the environment, and health.
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ANS: D 5r
Although nursing theories differ, they all base their beliefs on human relationships, theenviron
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ment, and health.
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DIF: Cognitive Level: Comprehension REF: p. 4 5r 5r 5r5r5r 5r
OBJ: Theory #2 TOP: NursingTheories
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KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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5. Standards of care for the nursing practice of the LPN are established by the:
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a. Boards of Nursing Examiners in each state.
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b. National Council of States Boards of Nursing (NCSBN).
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c. American Nurses Association (ANA). 5r 5r 5r
d. National Federation of Licensed Practical Nurses.
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ANS: D 5r
The National Federation of Licensed Practical Nurses modified the standards published by the A
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NA in 2015 to better fit the role of the LPN. In 2015 the American Nurses Association (ANA)revi
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sed the Standards of Nursing Practice which contained 17 standards of national practice of nursin
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g, describing all facets of nursing practice: who, what, when, where, how.
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DIF: Cognitive Level: Comprehension REF: p. 6 5r 5r 5r5r5r 5r
OBJ: Theory #2 TOP: Standards ofCare
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KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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6. The LPN demonstrates an evidence-based practice by:
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a. using a drug manual to check compatibility of drugs.
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