Test Bank for Fundamental Concepts and Skills for Nursing, 6th Edition, By Patricia Williams, 9780323694766, All Chapters 1-41 LATEST

Wiseprof

,Wiseprof

,Chapter 01: Nursing and the Health Care System
16z 16z 16z 16z 16z 16z 16z



Williams: deWit's Fundamental Concepts and Skills for Nursing, 6th Edition
16z 16z 16z 16z 16z 16z 16z 16z 16z




MULTIPLE CHOICE 16z




1. Florence Nightingale‗s contributions to nursing practice and education:
16z 16z 16z 16z 16z 16z 16z



a. are historically important but have no validity for nursing today.
16z 16z 16z 16z 16z 16z 16z 16z 16z



b. were neither recognized nor appreciated in her own time.
16z 16z 16z 16z 16z 16z 16z 16z


c. were a major factor in reducing the death rate in the Crimean War.
16z 16z 16 z 16z 16z 16z 16z 16z 16z 16z 16z 16z



d. were limited only to the care of severe traumatic wo
16z 16z 16z 16z 16z 16z 16z 16z 16z



unds.ANS: C z
6
1 16z


By improving sanitation, nutrition ventilation, and handwashing techniques, Florence Nig
16z 16z 16z 16z 16z 16z 16z 16z 16z



htingale‗s nurses dramatically reduced the death rate from injuries in the Crimean War.
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z




DIF: Cognitive Level: Knowledge REF: p. 2 16z 16z 1 6 z 1 6 z 16z



OBJ: Theory #1 TOP: Nursing Hist 16z 16z 16z 16z 16z



oryKEY: Nursing Process Step: N/A MSC: NCLEX: N/A
z
6
1 16z 16z 16z 16z 16z 16z 16z




2. Early nursing education and care in the United States:
16z 16z 16z 16z 16z 16z 16z 16z



a. were directed at community health. 16z 16z 16z 16z


b. provided independence for women through education and employment.
16z 16z 16z 16z 16z 16z 16z



c. were an educational model based in institutions of higher learning.
16z 16z 16z 16z 16z 16z 16z 16z 16z



d. have continued to be entirely focused on hospital nur
16z 16z 16z 16z 16z 16z 16z 16z


sing.ANS: B z
6
1 16z


Because of the influence of early nNuUrRsiSnIgNGleTaBd.eCrOs,Mnursing education becam
16z 16z 16z 16z 16z 16z 16z 16z



emore formalized through apprenticeships in Nightingale schools that offered independence
z
6
1 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z


to women through education and employment.
16z 16z 16z 16z 16z




DIF: Cognitive Level: Knowledge REF: p. 2 16z 16z 1 6 z 1 6 z 16z



OBJ: Theory #4 TOP: Nursing Hist 16z 16z 16z 16z 16z


oryKEY: Nursing Process Step: N/A MSC: NCLEX: N/A
z
6
1 16z 16z 16z 16z 16z 16 z 16z




3. In order to fulfill the common goals defined by nursing theorists (promote we
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z



llness,prevent illness, facilitate coping, and restore health), the LPN must take on the
z
6
1 16z 16 z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z


roles of:
16z 16z



a. caregiver, educator, and collaborator. 16z 16z 16z



b. nursing assistant, delegator, and environmental specialist.
16z 16z 16z 16z 16z


c. medication dispenser, collaborator, and transporter. 16z 16z 16z 16z


d. dietitian, manager, and housekeepe 16z 16z 16z



r.ANS: A
z
6
1 16z



In order for the LPN to apply the common goals of nursing, he or she must assume th
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z



e roles ofcaregiver, educator, collaborator, manager, and advocate.
16z 16z z
6
1 16z 16z 16z 16z 16z




Wiseprof

,DIF: Cognitive Level: Comprehension REF: p. 3
16z 16z 16z16z16z 16z



OBJ: Theory #2 TOP: Art andScience of Nursing
16z 16z 16z 16z 16z z
6
1 16z 16z


KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
16z 16z 16z 16z 16z 16z 16z




4. Although nursing theories differ in their attempts to define nursing, all of them ba
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z



se theirbeliefs on common concepts concerning:
16z z
6
1 16z 16z 16z 16z




a. self-actualization, fundamental needs, and belonging. 16z 16z 16z 16z



b. stress reduction, self-care, and a systems model.
16z 16z 16z 16z 16z 16z



c. curative care, restorative care, and terminal care.
16z 16z 16z 16z 16z 16z



d. human relationships, the environment, and heal
16z 16z 16z 16z 16z


th.ANS: D
z
6
1 16z


Although nursing theories differ, they all base their beliefs on human relationships, theen
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z z
6
1



vironment, and health. 16z 16z




DIF: Cognitive Level: Comprehension REF: p. 4 16z 16z 16z16z16z 16z



OBJ: Theory #2 TOP: NursingTheories
16z 16z 16z 16z z
6
1


KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
16z 16z 16z 16z 16z 16z 16z




5. Standards of care for the nursing practice of the LPN are established by the:
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z


a. Boards of Nursing Examiners in each state.
16z 16z 16z 16z 16z 16z



b. National Council of States Boards of Nursing (NCSBN).
16z 16z 16z 16z 16z 16z 16z



c. American Nurses Association (ANA). 16z 16z 16z



d. National Federation of Licensed Practical Nurs 16z 16z 16z 16z 16z


es.ANS: D
z
6
1 16z



The National Federation of Licensed Practical Nurses modified the standards published by
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z



the ANA in 2015 to better fit the role of the LPN. In 2015 the American Nurses Associati
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z



on (ANA)revised the Standards of Nursing Practice which contained 17 standards of nation
16z z
6
1 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z


al practice of nursing, describing all facets of nursing practice: who, what, when, where, h
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z



ow.

DIF: Cognitive Level: Comprehension REF: p. 6 16z 16z 16z16z16z 16z


OBJ: Theory #2 TOP: Standards ofCare
16z 16z 16z 16z 16z z
6
1



KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
16z 16z 16z 16z 16z 16z 16z




6. The LPN demonstrates an evidence-based practice by:
16z 16z 16z 16z 16z 16z


a. using a drug manual to check compatibility of drugs.
Wiseprof
16z 16z 16z 16z 16z 16z 16z 16z

,b. using scientific information to guide decision making.
16z 16z 16z 16z 16z 16z



c. using medical history of a patient to direct nursing interventions.
16z 16z 16z 16z 16z 16z 16 z 16z 16z



d. basing nursing care on advice from an experienced n
16z 16z 16z 16z 16z 16z 16z 16z



urse.ANS: B z
6
1 16z



The use of scientific information from high-
16z 16z 16z 16z 16z 16z



quality research to guide nursing decisions isreflective of the application of evidence-
16z 16z 16z 16z 16z 16z z
6
1 16z 16z 16z 16z 16z



based practice. 16z




DIF: Cognitive Level: Knowledge REF: p. 7
16z 16z 1 6 z 1 6 z 16z


OBJ: Theory #3 TOP: Evidence-BasedPractice
16z 16z 16z 16z z
6
1



KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
16z 16z 16z 16z 16z 16z 16z




7. Lillian Wald and Mary Brewster established the Henry Street Settlement Service i
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z



n NewYork in 1893 in order to:
16z z
6
1 16z 16z 16z 16z 16z


a. offer a shelter to injured war veterans.
16z 16z 16z 16z 16z 16z



b. found a nursing apprenticeship. 16z 16z 16z


c. provide health care to poor persons living in tenements.
16z 16z 16z 16z 16z 16z 16z 16z


d. offer better housing to low- 16z 16z 16z 16z



income families.ANS: C 16z 16z 16z




Henry Street Settlement Service brought the provision of community health care to t
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z



he poorpeople living in tenements.
16z z
6
1 16 z 16z 16z




DIF: Cognitive Level: Comprehension REF: p. 2
16z 16z 16z16z16z 16z



OBJ: Theory #4 TOP: Growth ofNursing
16z 16z 16z 16z 16z z
6
1



KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
16z 16z 16z 16z 16z 16z 16z




8. An educational pathway for an LPN/LVN refers to an LPN/LVN:
16z 16z 16z 16z 16z 16z 16z 16z 16z


a. learning on the job and being promoted to a higher level of responsibility.
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z



b. moving from a maternity unit to a more complicated surgical unit.
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z


c. obtaining additional education to move from one level of nursing to another.
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z


d. learning that advancement requires consistent work and commitm
16z 16z 16z 16z 16z 16z 16z



ent.ANS: C z
6
1 16z



By broadening the educational base, an LPN/LVN may advance and build a nursing career.
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z




Wiseprof

, DIF: Cognitive Level: Knowledge REF: p. 7
16z 16z 1 6 z 1 6 z 16z



OBJ: Theory #7 TOP: Nursing EducationPathways
16z 16z 16z 16z 16z z
6
1



KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
16z 16z 16z 16z 16z 16z 16z




9. When diagnosis- 16z



related groups (DRGs) were established by Medicare in 1983, thepurpose was to:
16z 16z 16z 16z 16z 16z 16z 16z 16z z
6
1 16z 16z



a. put patients with the same diagnosis on the same unit.
16z 16z 16z 16z 16z 16z 16z 16z 16z



b. attempt to contain the costs of health care. 16z 16z 16z 16z 16z 16z 16z



c. increase the availability of medical care to older adults.
16z 16z 16z 16z 16z 16z 16z 16z


d. identify a patient‗s condition more quick 16z 16z 16z 16z 16z



ly.ANS: B
z
6
1 16z



The purpose of instituting DRGs was to contain skyrocketing costs of health care.
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z




DIF: Cognitive Level: Knowledge REF: p. 9
16z 16z 1 6 z 1 6 z 16z



OBJ: Theory #10 TOP: Health CareDelivery
16z 16z 16z 16z 16z z
6
1



KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
16z 16z 16z 16z 16z 16z 16z




10. The advent of diagnosis- 16z 16z 16z


related groups (DRGs) required that nurses working in healthcare agencies:
16z 16z 16z 16z 16z 16z 16z 16z z
6
1 16z



a. record supportive documentation to confirm a patient‗s need for care in order to
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z



qualifyfor reimbursement.
z
6
1 16z



b. use the DRG rather than their own observations for patient assessment.
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z


c. be aware of the specific drugs related to the diagnosis.
16z 16z 16z 16z 16z 16z 16z 16z 16z



d. acquire cross- 16z



training to make staffing more flexible.ANS: A
16z 16z 16z 16z 16z z
6
1 16z



DRGs required that nurses provide more supportive documentation of their assessments a
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z


ndidentified patient‗s needs to qualify the facility for Medicare reimbursement. Observan
z
6
1 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z



t assessment might also indicate another DRG classification and consequently more rei
16z 16z 16z 16z 16z 16z 16z 16z 16z 16z 16z


mbursement for the facility. 16z 16z 16z




DIF: Cognitive Level: Comprehension REF: p. 10
16z 16z 16z16z16z 16z


OBJ: Theory #10 TOP: ManagedCare
16z 16z 16z 16z z
6
1



KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
16z 16z 16z 16z 16z 16z 16z




Wiseprof