TESTBANK
TESTBANK
,Chapter 01: Nursing and the Health Care System
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MULTIPLE CHOICE ht
1. FlorenceNightingale’scontributions to nursing practice and education:
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a. arehistorically important but have no validity for nursing today.
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b. were neither recognized norappreciated inher 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. werelimited onlyto the care ofsevere traumatic wounds.
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ANS: C h t
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence
h t h t h t h t h t h t h t h t ht ht ht ht
Nightingale’s nurses dramatically reduced the death rate from injuries in the Crimean W
h t h t h t h t ht ht ht ht ht ht ht ht ht
ar.
DIF: Cognitive Level: Knowledge ht ht
REF: p. 2 h t ht h
OBJ:Theory #1 TOP: Nursing History
t ht ht h t ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht 1a ht ht ht h t ht
2. Early nursing education and care in the United States:
ht ht ht ht ht ht ht ht
a. were directed at community health. ht ht ht ht
b. provided independence for women through education and employment. ht ht ht ht ht ht ht
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.
ht ht ht ht ht ht ht ht
ANS: B h t
Because of the influence of early nursing leaders, nursing education became more formalized t hro
ht ht ht ht ht ht ht ht ht ht ht ht ht ht
ugh apprenticeships in Nightingale schools that offered independence to women through e ducat
ht ht ht ht ht ht ht ht ht ht ht ht
ion and employment.
ht ht
DIF: Cognitive Level: Knowledge ht ht
REF: p. 2 h t ht h
OBJ:Theory #4 TOP: Nursing History
t ht ht h t ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht 1a ht ht ht h t ht
3. In order to fulfill the common goals defined by nursing theorists (promote wellness, pr ev
ht ht ht ht ht ht ht ht ht ht ht ht ht ht
ent illness, facilitate coping, and restore health), the LPN must take on the roles of:
1a ht ht ht ht ht ht ht ht 1a ht 1a ht ht
a. caregiver, educator, and collaborator. ht ht 1a
b. nursing assistant, delegator, and environmental specialist.1a ht ht 1a ht
c. medication dispenser, collaborator, and transporter. ht ht ht ht
d. dietitian, manager, and housekeeper. ht ht ht
ANS: A h t
In order for the LPN to apply the common goals of nursing, he or she must assume the roles o f car
1a ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht h t ht ht ht
egiver, educator, collaborator, manager, and advocate.
ht ht ht ht ht
DIF: Cognitive Level: Comprehension ht ht
REF: p. 3 OBJ:Theory #2 h t ht ht ht ht
TOP: Art and Science of Nursing 1a ht ht ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht 1a ht ht ht h t ht
,4. Although nursing theories differ in their attempts to define nursing, all ofthem base their b elie
ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht
fs on common concepts concerning:
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a. self-actualization, fundamental needs, and belonging. ht ht ht ht
b. stress reduction, self-care, and a systems model. ht ht ht ht ht ht
c. curative care, restorative care, and terminal care. ht ht ht ht ht ht
d. human relationships, the environment, and health. ht ht ht ht 1a
ANS: D h t
Although nursing theories differ, they all basetheirbeliefs on human relationships, the environm ent,
ht ht ht ht ht ht ht ht ht ht ht ht ht ht
and health.
ht 1a
DIF: Cognitive Level: Comprehension ht ht
REF: p. 4 h t ht h
OBJ:Theory #2 TOP: Nursing Theories
t ht ht h t ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht ht ht ht ht h t ht
5. Standards of care for the nursing practice of the LPN are established by the:
ht ht ht ht ht ht ht ht ht ht ht ht ht
a. Boards of Nursing Examiners in each state. 1a ht ht ht ht ht
b. National Council of States Boards of Nursing (NCSBN). ht ht ht ht 1a ht ht
c. American Nurses Association (ANA). ht ht ht
d. National Federation of Licensed Practical Nurses. ht ht ht 1a ht
ANS: D h t
The National Federation of Licensed Practical Nurses modified the standards published by the A NA
ht ht ht ht ht ht ht ht ht ht 1a ht ht ht
in 2015 to better fit the role of the LPN. In 2015 the American Nurses Association (ANA) revise
ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht
d the Standards of Nursing Practice which contained 17 standards of national practice of nursing
ht ht ht ht ht ht ht ht ht ht ht ht ht 1h t
, describing all facets of nursing practice: who, what, when, where, how.
ht ht ht ht ht ht ht ht ht ht ht
DIF: Cognitive Level: Comprehension ht ht
REF: p. 6 h t ht h
OBJ:Theory #2 TOP: Standards of Care
t ht ht h t ht ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht ht ht ht ht h t ht
6. The LPN demonstrates an evidence-based practice by:
ht ht ht ht ht ht
a. using a drug manual to check compatibility of drugs. ht ht ht ht ht ht ht ht
b. using scientific information to guide decision making. ht ht ht ht ht ht
c. using medical history of a patient to direct nursing interventions.
ht ht ht ht ht ht ht ht ht
d. basing nursing care on advice from an experienced nurse. ht ht ht ht ht ht ht ht
ANS: B h t
The use of scientific information from high-
ht ht ht ht ht ht
quality research to guide nursing decisions is reflective of the application of evidence-
ht ht ht ht 1a ht ht ht ht ht ht ht
based practice. ht
DIF: Cognitive Level: Knowledge ht ht
REF: p. 7 h t ht h
OBJ:Theory#3 TOP: Evidence-Based Practice
t ht ht h t ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht ht ht ht ht h t ht
7. Lillian WaldandMaryBrewster established theHenryStreet Settlement ServiceinNewYork i n
1a ht ht ht 1a ht ht 1a ht ht ht ht ht ht ht
1893 in order to: ht ht ht
a. offer a shelter to injured war veterans. ht ht ht ht ht ht
b. found a nursing apprenticeship. 1a ht ht
c. provide health care to poor persons living in tenements. ht ht ht ht ht ht ht ht
d. offer better housing to low-income families. ht ht ht ht ht
ANS: C h t
, Henry Street Settlement Service brought the provision of community health care to the poor peo ple li
ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht
ving in tenements.
ht 1a
DIF: Cognitive Level: Comprehension ht ht
REF: p. 2 h t ht h
OBJ:Theory #4 TOP: Growth of Nursing
t ht ht h t ht ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht ht ht ht ht h t ht
8. Aneducational pathway for an LPN/LVN refers to an LPN/LVN:
ht ht ht ht ht ht ht ht ht
a. learning on the job and being promoted to a higher level of responsibility.
ht ht ht ht ht ht ht ht ht ht ht ht
b. moving from a maternity unit to a more complicated surgical unit.
ht ht ht ht ht ht ht ht ht ht
c. obtaining additional education to move from one level of nursing to another.
ht ht ht ht ht ht ht ht ht ht ht
d. learningthat advancement requires consistent work and commitment.
ht ht ht ht ht 1a ht
ANS: C h t
Bybroadening the educational base, an LPN/LVN may advance and build a nursing career.
ht ht ht ht ht ht ht ht ht ht ht ht ht
DIF: Cognitive Level: Knowledge ht ht
REF: p. 7 OB h t ht ht
J:Theory#7 TOP: Nursing Education Pathways ht ht h t ht ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht 1a ht ht ht h t ht
9. When diagnosis- ht
related groups (DRGs) wereestablished by Medicarein 1983,the purpose was to:
ht ht ht ht 1a ht ht ht ht ht ht ht
a. put patients with the same diagnosis on the same unit.
ht ht ht ht ht ht ht ht ht
b. attempt to contain the costs of health care. ht ht ht ht ht ht ht
c. increase the availability of medical care to older adults. ht ht ht ht ht ht ht ht
d. identify a patient’s condition more quickly. ht ht ht ht ht
ANS: B
Thepurpose of instituting DRGs was to contain skyrocketing costs of health care.
ht ht ht ht 1a ht ht ht ht ht ht ht
DIF: Cognitive Level: Knowledge ht ht
REF: p. 9 h t ht h
OBJ:Theory #10 TOP: Health Care Delivery
t ht ht h t ht ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht 1a ht ht ht h t ht
10. The advent of diagnosis-
ht 1a ht
related groups (DRGs) required that nurses working in health care agencies:
ht ht ht ht ht ht ht 1a ht ht
a. record supportive documentation to confirm a patient’s need for care in orderto q ual
ht ht ht 1a ht ht ht ht ht ht ht ht ht ht
ify for reimbursement. ht ht
b. use the DRG rather than their own observations for patient assessment.
ht ht ht ht 1a ht ht ht ht ht
c. be aware of the specific drugs related to the diagnosis.
ht ht ht ht ht ht ht ht ht
d. acquire cross-training to make staffing more flexible.
ht ht ht ht ht ht
ANS: A h t
DRGs required that nurses provide more supportive documentation of their assessments and iden ti
1a 1a 1a ht ht ht ht ht ht ht ht ht ht
fied patient’s needs to qualify the facility for Medicare reimbursement. Observant assessment mi
ht ht ht ht ht ht ht ht ht ht ht 1h t
ght also indicate another DRG classification and consequently more reimbursement for the f acili
ht ht ht ht ht ht ht ht ht ht ht ht ht
ty.
DIF: Cognitive Level: Comprehension ht ht
REF: p. 10 h t ht h
OBJ:Theory #10 TOP: Managed Care
t ht ht h t ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht 1a ht ht ht h t ht
TESTBANK
,Chapter 01: Nursing and the Health Care System
ht ht ht ht ht ht ht
MULTIPLE CHOICE ht
1. FlorenceNightingale’scontributions to nursing practice and education:
ht ht ht 1a ht ht ht
a. arehistorically important but have no validity for nursing today.
ht ht ht ht ht ht ht ht ht
b. were neither recognized norappreciated inher own time.
ht ht ht ht ht ht ht ht
c. were a major factor in reducing the death rate in the Crimean War.
ht ht ht ht ht ht ht ht ht ht ht ht
d. werelimited onlyto the care ofsevere traumatic wounds.
ht ht ht ht ht ht ht ht ht
ANS: C h t
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence
h t h t h t h t h t h t h t h t ht ht ht ht
Nightingale’s nurses dramatically reduced the death rate from injuries in the Crimean W
h t h t h t h t ht ht ht ht ht ht ht ht ht
ar.
DIF: Cognitive Level: Knowledge ht ht
REF: p. 2 h t ht h
OBJ:Theory #1 TOP: Nursing History
t ht ht h t ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht 1a ht ht ht h t ht
2. Early nursing education and care in the United States:
ht ht ht ht ht ht ht ht
a. were directed at community health. ht ht ht ht
b. provided independence for women through education and employment. ht ht ht ht ht ht ht
c. were an educational model based in institutions of higher learning.
ht ht ht ht ht ht ht ht ht
d. have continued to be entirely focused on hospital nursing.
ht ht ht ht ht ht ht ht
ANS: B h t
Because of the influence of early nursing leaders, nursing education became more formalized t hro
ht ht ht ht ht ht ht ht ht ht ht ht ht ht
ugh apprenticeships in Nightingale schools that offered independence to women through e ducat
ht ht ht ht ht ht ht ht ht ht ht ht
ion and employment.
ht ht
DIF: Cognitive Level: Knowledge ht ht
REF: p. 2 h t ht h
OBJ:Theory #4 TOP: Nursing History
t ht ht h t ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht 1a ht ht ht h t ht
3. In order to fulfill the common goals defined by nursing theorists (promote wellness, pr ev
ht ht ht ht ht ht ht ht ht ht ht ht ht ht
ent illness, facilitate coping, and restore health), the LPN must take on the roles of:
1a ht ht ht ht ht ht ht ht 1a ht 1a ht ht
a. caregiver, educator, and collaborator. ht ht 1a
b. nursing assistant, delegator, and environmental specialist.1a ht ht 1a ht
c. medication dispenser, collaborator, and transporter. ht ht ht ht
d. dietitian, manager, and housekeeper. ht ht ht
ANS: A h t
In order for the LPN to apply the common goals of nursing, he or she must assume the roles o f car
1a ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht h t ht ht ht
egiver, educator, collaborator, manager, and advocate.
ht ht ht ht ht
DIF: Cognitive Level: Comprehension ht ht
REF: p. 3 OBJ:Theory #2 h t ht ht ht ht
TOP: Art and Science of Nursing 1a ht ht ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht 1a ht ht ht h t ht
,4. Although nursing theories differ in their attempts to define nursing, all ofthem base their b elie
ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht
fs on common concepts concerning:
ht ht ht ht
a. self-actualization, fundamental needs, and belonging. ht ht ht ht
b. stress reduction, self-care, and a systems model. ht ht ht ht ht ht
c. curative care, restorative care, and terminal care. ht ht ht ht ht ht
d. human relationships, the environment, and health. ht ht ht ht 1a
ANS: D h t
Although nursing theories differ, they all basetheirbeliefs on human relationships, the environm ent,
ht ht ht ht ht ht ht ht ht ht ht ht ht ht
and health.
ht 1a
DIF: Cognitive Level: Comprehension ht ht
REF: p. 4 h t ht h
OBJ:Theory #2 TOP: Nursing Theories
t ht ht h t ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht ht ht ht ht h t ht
5. Standards of care for the nursing practice of the LPN are established by the:
ht ht ht ht ht ht ht ht ht ht ht ht ht
a. Boards of Nursing Examiners in each state. 1a ht ht ht ht ht
b. National Council of States Boards of Nursing (NCSBN). ht ht ht ht 1a ht ht
c. American Nurses Association (ANA). ht ht ht
d. National Federation of Licensed Practical Nurses. ht ht ht 1a ht
ANS: D h t
The National Federation of Licensed Practical Nurses modified the standards published by the A NA
ht ht ht ht ht ht ht ht ht ht 1a ht ht ht
in 2015 to better fit the role of the LPN. In 2015 the American Nurses Association (ANA) revise
ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht
d the Standards of Nursing Practice which contained 17 standards of national practice of nursing
ht ht ht ht ht ht ht ht ht ht ht ht ht 1h t
, describing all facets of nursing practice: who, what, when, where, how.
ht ht ht ht ht ht ht ht ht ht ht
DIF: Cognitive Level: Comprehension ht ht
REF: p. 6 h t ht h
OBJ:Theory #2 TOP: Standards of Care
t ht ht h t ht ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht ht ht ht ht h t ht
6. The LPN demonstrates an evidence-based practice by:
ht ht ht ht ht ht
a. using a drug manual to check compatibility of drugs. ht ht ht ht ht ht ht ht
b. using scientific information to guide decision making. ht ht ht ht ht ht
c. using medical history of a patient to direct nursing interventions.
ht ht ht ht ht ht ht ht ht
d. basing nursing care on advice from an experienced nurse. ht ht ht ht ht ht ht ht
ANS: B h t
The use of scientific information from high-
ht ht ht ht ht ht
quality research to guide nursing decisions is reflective of the application of evidence-
ht ht ht ht 1a ht ht ht ht ht ht ht
based practice. ht
DIF: Cognitive Level: Knowledge ht ht
REF: p. 7 h t ht h
OBJ:Theory#3 TOP: Evidence-Based Practice
t ht ht h t ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht ht ht ht ht h t ht
7. Lillian WaldandMaryBrewster established theHenryStreet Settlement ServiceinNewYork i n
1a ht ht ht 1a ht ht 1a ht ht ht ht ht ht ht
1893 in order to: ht ht ht
a. offer a shelter to injured war veterans. ht ht ht ht ht ht
b. found a nursing apprenticeship. 1a ht ht
c. provide health care to poor persons living in tenements. ht ht ht ht ht ht ht ht
d. offer better housing to low-income families. ht ht ht ht ht
ANS: C h t
, Henry Street Settlement Service brought the provision of community health care to the poor peo ple li
ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht
ving in tenements.
ht 1a
DIF: Cognitive Level: Comprehension ht ht
REF: p. 2 h t ht h
OBJ:Theory #4 TOP: Growth of Nursing
t ht ht h t ht ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht ht ht ht ht h t ht
8. Aneducational pathway for an LPN/LVN refers to an LPN/LVN:
ht ht ht ht ht ht ht ht ht
a. learning on the job and being promoted to a higher level of responsibility.
ht ht ht ht ht ht ht ht ht ht ht ht
b. moving from a maternity unit to a more complicated surgical unit.
ht ht ht ht ht ht ht ht ht ht
c. obtaining additional education to move from one level of nursing to another.
ht ht ht ht ht ht ht ht ht ht ht
d. learningthat advancement requires consistent work and commitment.
ht ht ht ht ht 1a ht
ANS: C h t
Bybroadening the educational base, an LPN/LVN may advance and build a nursing career.
ht ht ht ht ht ht ht ht ht ht ht ht ht
DIF: Cognitive Level: Knowledge ht ht
REF: p. 7 OB h t ht ht
J:Theory#7 TOP: Nursing Education Pathways ht ht h t ht ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht 1a ht ht ht h t ht
9. When diagnosis- ht
related groups (DRGs) wereestablished by Medicarein 1983,the purpose was to:
ht ht ht ht 1a ht ht ht ht ht ht ht
a. put patients with the same diagnosis on the same unit.
ht ht ht ht ht ht ht ht ht
b. attempt to contain the costs of health care. ht ht ht ht ht ht ht
c. increase the availability of medical care to older adults. ht ht ht ht ht ht ht ht
d. identify a patient’s condition more quickly. ht ht ht ht ht
ANS: B
Thepurpose of instituting DRGs was to contain skyrocketing costs of health care.
ht ht ht ht 1a ht ht ht ht ht ht ht
DIF: Cognitive Level: Knowledge ht ht
REF: p. 9 h t ht h
OBJ:Theory #10 TOP: Health Care Delivery
t ht ht h t ht ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht 1a ht ht ht h t ht
10. The advent of diagnosis-
ht 1a ht
related groups (DRGs) required that nurses working in health care agencies:
ht ht ht ht ht ht ht 1a ht ht
a. record supportive documentation to confirm a patient’s need for care in orderto q ual
ht ht ht 1a ht ht ht ht ht ht ht ht ht ht
ify for reimbursement. ht ht
b. use the DRG rather than their own observations for patient assessment.
ht ht ht ht 1a ht ht ht ht ht
c. be aware of the specific drugs related to the diagnosis.
ht ht ht ht ht ht ht ht ht
d. acquire cross-training to make staffing more flexible.
ht ht ht ht ht ht
ANS: A h t
DRGs required that nurses provide more supportive documentation of their assessments and iden ti
1a 1a 1a ht ht ht ht ht ht ht ht ht ht
fied patient’s needs to qualify the facility for Medicare reimbursement. Observant assessment mi
ht ht ht ht ht ht ht ht ht ht ht 1h t
ght also indicate another DRG classification and consequently more reimbursement for the f acili
ht ht ht ht ht ht ht ht ht ht ht ht ht
ty.
DIF: Cognitive Level: Comprehension ht ht
REF: p. 10 h t ht h
OBJ:Theory #10 TOP: Managed Care
t ht ht h t ht
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
ht 1a ht ht ht h t ht
