, TABLE OF CONTENTS
1. Nursing and the Health Care System
2. Concepts of Health, Illness, Stress, and Health Promotion
3. Legal and Ethical Aspects of Nursing
4. The Nursing Process and Critical Thinking
5. Assessment, Nursing Diagnosis, and Planning
6. Implementation and Evaluation
7. Documentation of Nursing Care
8. Communication and the Nurse–Patient Relationship
9. Patient Teaching for Health Promotion
10. Delegation, Leadership, and Management
11. Growth and Development: Infancy Through Adolescence
12. Adulthood and the Family
13. Cultural and Spiritual Aspects of Patient Care
14. Loss, Grief, and End-of-Life Care
15. Infection Prevention and Control: Protective Mechanisms and Asepsis
16. Lifting, Moving, and Positioning Patients
17. Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers
18. Admitting, Transferring, and Discharging Patients
19. Diagnostic Tests and Specimen Collection
20. Fluid, Electrolyte, and Acid–Base Balance
21. Concepts of Basic Nutrition and Cultural Considerations
22. Nutritional Therapy and Assisted Feeding
23. Assisting with Respiration and Oxygen Delivery
24. Administering Intravenous Solutions and Medications
25. Care of the Surgical Patient
26. Providing Wound Care and Treating Pressure Ulcers
27. Promoting Musculoskeletal Function
28. Common Physical Care Problems of the Older Adult
, Chapter 01: Nursing and the Health Care System
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
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.
d. were limited only to the care of severe traumatic wounds.
ANS: 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.
ANS: B
Because of the influence of early nNuUrRsiSnIgNGleTaBd.eCrOs,Mnursing 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.
ANS: 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.
d. human relationships, the environment, and health.
ANS: 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.
ANS: 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 VERIFIED-TEST BANK
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.
ANS: 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.
ANS: C
1. Nursing and the Health Care System
2. Concepts of Health, Illness, Stress, and Health Promotion
3. Legal and Ethical Aspects of Nursing
4. The Nursing Process and Critical Thinking
5. Assessment, Nursing Diagnosis, and Planning
6. Implementation and Evaluation
7. Documentation of Nursing Care
8. Communication and the Nurse–Patient Relationship
9. Patient Teaching for Health Promotion
10. Delegation, Leadership, and Management
11. Growth and Development: Infancy Through Adolescence
12. Adulthood and the Family
13. Cultural and Spiritual Aspects of Patient Care
14. Loss, Grief, and End-of-Life Care
15. Infection Prevention and Control: Protective Mechanisms and Asepsis
16. Lifting, Moving, and Positioning Patients
17. Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers
18. Admitting, Transferring, and Discharging Patients
19. Diagnostic Tests and Specimen Collection
20. Fluid, Electrolyte, and Acid–Base Balance
21. Concepts of Basic Nutrition and Cultural Considerations
22. Nutritional Therapy and Assisted Feeding
23. Assisting with Respiration and Oxygen Delivery
24. Administering Intravenous Solutions and Medications
25. Care of the Surgical Patient
26. Providing Wound Care and Treating Pressure Ulcers
27. Promoting Musculoskeletal Function
28. Common Physical Care Problems of the Older Adult
, Chapter 01: Nursing and the Health Care System
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
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.
d. were limited only to the care of severe traumatic wounds.
ANS: 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.
ANS: B
Because of the influence of early nNuUrRsiSnIgNGleTaBd.eCrOs,Mnursing 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.
ANS: 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.
d. human relationships, the environment, and health.
ANS: 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.
ANS: 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 VERIFIED-TEST BANK
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.
ANS: 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.
ANS: C
