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and Concepts 12th Edition
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by Loretta A Donnelly-Moreno, Chapters 1 - 38 Complete
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,Table of contents
b b
o Chapter 1 b Nursing Foundations b
o Chapter 2
b Nursing Process b
o Chapter 3 b Laws and Ethics
b b
o Chapter 4
b Health and Illness
b b
o Chapter 5 b Homeostasis, Adaptation, and Stress b b b
o Chapter 6 b Culture and Ethnicity b b
o Chapter 7 b The Nurse–Client Relationship
b b
o Chapter 8 b Client Teaching b
o Chapter 9
b Recording and Reporting b b
o Chapter 10
b Asepsis
o Chapter 11
b Admission, Discharge, Transfer, and Referrals
b b b b
o Chapter 12
b Vital Signs
b
o Chapter 13
b Physical Assessment b
o Chapter 14
b Special Examinations and Tests
b b b
o Chapter 15
b Nutrition
o Chapter 16
b Fluid and Chemical Balance
b b b
o Chapter 17
b Hygiene
o Chapter 18
b Comfort, Rest, and Sleep b b b
o Chapter 19
b Safety
o Chapter 20
b Pain Management
b
o Chapter 21
b Oxygenation
o Chapter 22
b Infection Control b
o Chapter 23
b Body Mechanics, Positioning, and Moving
b b b b
o Chapter 24
b Fitness and Therapeutic Exercise
b b b
o Chapter 25
b Mechanical Immobilization b
o Chapter 26
b Ambulatory Aids b
o Chapter 27
b Perioperative Care b
o Chapter 28
b Wound Care b
o Chapter 29
b Gastrointestinal Intubation b
o Chapter 30
b Urinary Elimination b
o Chapter 31
b Bowel Elimination
b
o Chapter 32
b Oral Medications
b
o Chapter 33
b Topical and Inhalant Medications
b b b
o Chapter 34
b Parenteral Medications b
o Chapter 35
b Intravenous Medications b
o Chapter 36
b Airway Management b
o Chapter 37
b Resuscitation
o Chapter 38
b End-of-Life Care b
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,Chapterb1bNursingbFoundations
MULTIPLEbCHOICE
1. bFlorencebNightingalesbcontributionsb tobnursingbpracticebandbeducation:
a. arebhistoricallybimportantbbutbhavebnobvaliditybforbnursingbtoday.
b. werebneitherbrecognizedbnorbappreciatedbinbherbownbtime.
c. werebabmajorbfactorbinbreducingbthebdeathbratebinbthebCrimeanbWar.
d. wereblimitedbonlybtobthebcarebofbseverebtraumaticb
wounds. ANSWER:bC
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Bybimprovingbsanitation,bnutritionbventilation,bandbhandwashingbtechniques,bFlorencebNightin
galesbnursesbdramaticallybreducedbthebdeathbratebfrombinjuriesbinbthebCrimeanbWar. DIF:bCogni
rt
tivebLevel:bKnowledgebREF:bdmb2bOBJ:bTheoryb#1
TOP:bNursingbHistorybKEY:bNursingbProcessbStep:
N/AMSC:bNCLEX:bN/A
2. EarlybnursingbeducationbandbcarebinbthebUnitedbStates:
a. werebdirectedbatbcommunitybhealth.
b. providedbindependencebforbwomenbthroughbeducationbandbemployment.
c. werebanbeducationalbmodelbbasedbinbinstitutionsbofbhigherblearning.
d. havebcontinuedbtobbebentirelybfocusedbonbhospitalb
nursing. ANSWER:bB
rt
Becausebofbthebinfluencebofbearlybnursingbleaders,bnursingbeducationbbecamebmorebformalizedt
hroughbapprenticeshipsbinbNightingalebschoolsbthatbofferedbindependencebtobwomenbthroughed
ucationbandbemployment.
DIF:bCognitivebLevel:bKnowledgebREF:bdmb2bOBJ:bTheoryb#4 T rt
OP:bNursingbHistorybKEY:bNursingbProcessbStep:bN/AbMSC:bN
CLEX:bN/A
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,3. Inborderbtobfulfillbthebcommonbgoalsbdefinedbbybnursingbtheoristsb(promotebwellness,
prevent illness,b facilitate coping,b andb restore health),b the LPNb must take on the roles of:
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a. caregiver,beducator,bandbcollaborator.
b. nursingbassistant,bdelegator,bandbenvironmentalbspecialist.
c. medicationbdispenser,bcollaborator,bandbtransporter.
d. dietitian,bmanager,band
b housekeeper. ANSWER:bA
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InborderbforbthebLPNbtobapplybthebcommonbgoalsbofbnursing,bheborbshebmustbassumebthebrolesbof c rt
aregiver,beducator,bcollaborator,bmanager,bandbadvocate.
DIF:bCognitivebLevel:bComprehensionbREF:bdmb4bOBJ:bTheoryb#2 rt
TOP:bArtbandbSciencebofbNursingbKEY:bNursingbProcessbStep:bN/A rt
MSC:bNCLEX:bN/A
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,4. Althoughbnursingbtheoriesbdifferbinbtheirbattemptsbtobdefinebnursing,b allbofbthembbase
their beliefs on common b concepts concerning:
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a. self-actualization,bfundamentalbneeds,bandbbelonging.
b. stressbreduction,bself-care,bandbabsystemsbmodel.
c. curativebcare,brestorativebcare,bandbterminalbcare.
d. humanrelationships,bthebenvironment,bandb
health. ANSWER:bD
rt
Althoughbnursingbtheoriesbdiffer,btheyballbbasebtheirbbeliefsbonbhumanbrelationships,bthe environ rt
ment,bandbhealth.
DIF:bCognitivebLevel:bComprehensionbREF:bdmb4bOBJ:bTheoryb
#2 TOP:bNursingbTheoriesbKEY:bNursingbProcessbStep:bN/AbMS
rt
C:bNCLEX:bN/A
5. Standardsbofbcarebforbtheb nursingbpracticebofbtheb LPNbarebestablishedbbybthe:
a. BoardsbofbNursingbExaminersbinbeachbstate.
b. NationalbCouncilbofbStatesbBoardsbofbNursingb(NCSBN).
c. AmericanbNursesbAssociationb(ANA).
d. NationalbFederationbofbLicensedbPracticalb
Nurses. ANSWER:bD rt
ThebNationalbFederationbofbLicensedbPracticalbNursesbmodifiedbthebstandardsbpublishedbbybthe rt
ANAbinb2004btobbetterbfitbthebrolebofbthebLPN.
DIF:bCognitivebLevel:bComprehensionbREF:bdmb5bOBJ:bTheoryb
#2 TOP:bStandardsbofbCarebKEY:bNursingbProcessbStep:bN/AbM
rt
SC:bNCLEX:bN/A
6. ThebLPNbdemonstratesb anbevidence-basedbpracticebby:
a. usingbabdrugbmanualbtobcheckbcompatibilitybofbdrugs.
b. usingbscientificbinformationbtobguidebdecisionbmaking.
c. usingbmedicalbhistorybofbabpatientbtobdirectbnursingbinterventions.
d. basingbnursingbcarebonbadvicebfrombanbexperiencedb
nurse. ANSWER:bB
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,Thebusebofbscientificbinformationbfrombhigh-
qualitybresearchbtobguidebnursingbdecisionsbis reflectivebofbthebapplicationbofbevidence-
rt
basedbpractice.
DIF:bCognitivebLevel:bKnowledgebREF:bdmb5bOBJ:bTheoryb#3bT
OP:bEvidencebBasedbPracticebKEY:bNursingbProcessbStep:
N/A MSC:bNCLEX:bN/A
rt
7. LillianbWaldb andbMarybBrewsterbestablishedbthebHenrybStreetbSettlementbServicebinbNewb
York inb1893binborderbto:
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a. offerbabshelterbtobinjuredbwarbveterans.
b. foundbabnursingbapprenticeship.
c. providebhealthbcarebtobpoorbpersonsblivingbinbtenements.
d. offerbbetterbhousingbtoblow-incomebfamilies.
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,ANSWER:bC
HenrybStreetbSettlementbServicebbroughtbthebprovisionbofbcommunitybhealthbcarebtobthebpoorpeo
pleblivingbinbtenements.
DIF:bCognitivebLevel:bComprehensionbREF:bdmb2bOBJ:bTheoryb
#4 TOP:bGrowthbofbNursingbKEY:bNursingbProcessbStep:bN/AbM
tr
SC:bNCLEX:bN/A
8. AnbeducationalbpathwaybforbanbLPNbrefersbtobanb LPN:
a. learningbonbthebjobbandbbeingbpromotedbtob abhigherblevelbofbresponsibility.
b. movingbfrombabmaternitybunitbtobabmorebcomplicatedbsurgicalbunit.
c. obtainingbadditionalbeducationbtobmovebfromboneblevelbofbnursingbtob another.
d. learningbthatbadvancementbrequiresbconsistentbworkbandb
commitment. ANSWER:bC
rt
Bybbroadeningbthebeducationalbbase,banbLPNbmaybadvancebandbbuildbabnursingbc
areer.DIF:bCognitivebLevel:bKnowledgebREF:bdmb6bOBJ:bTheoryb#7
TOP:bNursingbEducationbPathwaysbKEY:bNursingbProcessbStep:
N/AMSC:bNCLEX:bN/A
9. Whenbdiagnosis-
relatedbgroupsb(DRGs)bwerebestablishedb bybMedicarebinb1983,bthebpurpose wasbto:
rt
a. putbpatientsbwithbthebsamebdiagnosisbonbthebsamebunit.
b. attemptbtobcontainbthebcostsbofbhealthbcare.
c. increasebavailabilitybofbmedicalbcarebtobthebelderly.
d. identifybabpatientsbconditionbmoreb
quickly. ANSWER:bB
rt
ThebpurposebofbinstitutingbDRGsbwasbtobcontainbskyrocketingbcostsbofbhealthbcar
e.DIF:bCognitivebLevel:bKnowledgebREF:bdmb8bOBJ:bTheoryb#10
TOP:bHealthbCarebDeliverybKEY:bNursingbProcessbStep:
N/AMSC:bNCLEX:bN/A
10. Thebadventbofbdiagnosis-
relatedbgroupsb(DRGs)brequiredbthatbnursesbworkingbinbhealthbcare agencies:
rt
a. recordbsupportivebdocumentationbtobconfirmbabpatientsbneedbforbcarebinborderbtobqualifybforbr
eimburs
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, b. usebthebDRGbratherbthanbtheirbownbobservationsbforbpatientbassessment.
c. bebawarebofbthebspecificbdrugsbrelatedbtobthebdiagnosis.
d. acquirebcross-
trainingbtobmakebstaffingbmorebflexible. ANSWER:bA
rt
DRGsbrequiredbthatbnursesbprovidebmorebsupportivebdocumentationbofbtheirbassessmentsbandbid
entifiedbpatientbneedsbtobqualifybthebfacilitybforbMedicarebreimbursement.bObservantbassessme
nt mightbalsobindicatebanotherbDRGbclassificationbandbconsequentlybmorebreimbursementbforbt
rt
hebfacility.
DIF:bCognitivebLevel:bComprehensionbREF:bdmb8bOBJ:bTheoryb
#10 TOP:bManagedbCarebKEY:bNursingbProcessbStep:bN/AbMS
rt
C:bNCLEX:bN/A
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, 11. Ifbabmemberbofbabhealthbmaintenanceborganizationb(HMO)bisbhavingbrespiratorybproblems
suchbasbfever,b cough,b andbfatiguebforbseveralbdaysbandbwantsbtobseebabspecialist,b thebpersonbis rt
requiredbtobgo:
a. directlybtobanbemergencybroombforbtreatment.
b. tobanybgeneralbpractitionerbofbchoice.
c. directlybtobabrespiratorybspecialist.
d. tobabprimarybcarebphysicianbforbab
referral. ANSWER:bD
rt
ParticipantsbinbanbHMObmustbseebtheirbprimarybphysicianbtobreceivebabreferralbforbabspecialistbin rt
orderbforbthebHMObtobpaybforbthebcare.
DIF:bCognitivebLevel:bComprehensionbREF:bdmb9bOBJ:bTheoryb
#11TOP:bManagedbCarebKEY:bNursingbProcessbStep:bN/AbMSC
:bNCLEX:bN/A
12. Anbadvantagebofbpreferredbproviderborganizationsb(PPOs)bisbthat:
a. theybmakebinsurancebcoveragebofbemployeesblessbexpensivebtobemployers.
b. therebarebfewerbphysiciansbtobchoosebfrombthanbinbanbHMO.
c. long-termbrelationshipsbwithbphysiciansbarebmoreblikely.
d. patientsbmaybgobdirectlybtobabspecialistbforb
care. ANSWER:bA
rt
ThebusebofbPPOsballowsbinsurancebcompaniesbtobkeepbtheirbpremiumsblowbandbinbturnbmakesbinsur
ancebcoverageblessbexpensivebforbthebemployers.bTherebarebusuallybmorebphysiciansbfrombwhichbt
obchoosebthanbfrombabHMO,bbutblong-
termbrelationshipsbbetweenbphysicianbandbpatientbcannotbbebestablishedbeasily.bPatientsbstillbmustb
seebtheirbprimarybphysicianbbeforebbeingbreferred tobotherbspecialties.
rt
DIF:bCognitivebLevel:bKnowledgebREF:bdmb6bOBJ:bTheoryb#11bTOP
:bPreferredbProviderbOrganizationsbKEY:bNursingbProcessbStep:bN/A
MSC:bNCLEX:bN/A
13. AfterbpassingbthebNationalbCouncilbLicensurebExaminationbforbPracticalbNursesb(NCLEX-
PN),bthebnursebisbqualifiedbtobtakebanbadditionalbcertificationbinbthebfieldbof:
a. pharmacology.
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