TEST BANK FOR DEWITS FUNDAMENTAL CONCEPTS AND
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SKILLS FOR NURSING 5TH EDITION BY WILLIAMS chapter 1
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-41 h
Chapterh01:hNursinghandhthehHealthhCarehSystem
Williams:hdeWit'shFundamentalhConceptshandhSkillshforhNursing,h5thhEdition
MULTIPLEhCHOICE
1. hFlorencehNightingale‘shcontributionshtohnursinghpracticehandheducation:
a. arehhistoricallyhimportanthbuthhavehnohvalidityhforhnursinghtoday.
b. werehneitherhrecognizedhnorhappreciatedhinhherhownhtime.
c. werehahmajorhfactorhinhreducinghthehdeathhratehinhthehCrimeanhWar.h
d. werehlimitedhonlyhtohthehcarehofhseverehtraumatichwounds.
ANS:hC
Byhimprovinghsanitation,hnutritionhventilation,handhhandwashinghtechniques,hFlorencehNigh
tingale‘shnurseshdramaticallyhreducedhthehdeathhratehfromhinjurieshinhthehCrimeanhWar.
DIF: CognitivehLevel:h Knowledgeh REF:h p.h2
OBJ:hTheoryh#1hTOP:hNursinghHistoryh
KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hN/A
2. EarlyhnursingheducationhandhcarehinhthehUnitedhStates:
a. werehdirectedhathcommunityhhealth.
b. providedhindependencehforhwomenhthroughheducationhandhemployment.
c. werehanheducationalhmodelhbasedhinhinstitutionshofhhigherh learning.h
d. havehcontinuedhtohbehentirelyhfocusedhonhhospitalhnursing.
ANS:hB
BecausehofhthehinfluencehofhearlyhnNuUrRsiSnIgNGleTaBd.eCrOs,Mnursingheducationhbecamehmor
ehformalizedhthroughhapprenticeshipshinhNightingalehschoolshthathofferedhindependencehtohwomenhth
roughheducationhandhemployment.
DIF: CognitivehLevel:h Knowledgeh REF:h p.h2
OBJ:hTheoryh#4hTOP:hNursinghHistoryh
KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hN/A
3. Inhorderhtohfulfillhthehcommonhgoalshdefinedhbyhnursinghtheoristsh(promotehwellness,hp
reventhillness,hfacilitatehcoping,handhrestorehhealth),hthehLPNhmusthtakehonhthehroleshof:
a. caregiver,heducator,handhcollaborator.
b. nursinghassistant,hdelegator,handhenvironmentalhspecialist.
c. medicationhdispenser,hcollaborator,handhtransporter.h
d. dietitian,hmanager,handhhousekeeper.
,ANS:hA
InhorderhforhthehLPNhtohapplyhthehcommonhgoalshofhnursing,hhehorhshehmusthassumehthehroleshofhcare
giver,heducator,hcollaborator,hmanager,handhadvocate.
,DIF: CognitivehLevel:hComprehension REF:hhhp.h3
OBJ:hTheoryh#2hTOP:hArthandhSciencehofhNursing
KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hN/A
4. Althoughhnursinghtheorieshdifferhinhtheirhattemptshtohdefinehnursing,h allhofhthemhbasehtheirhb
eliefshonhcommonhconceptshconcerning:
a. self-actualization,hfundamentalhneeds,handhbelonging.
b. stresshreduction,hself-care,handhahsystemshmodel.
c. curativehcare,hrestorativehcare,handhterminalhcare.h
d. humanhrelationships,hthehenvironment,handhhealth.
ANS:hD
Althoughhnursinghtheorieshdiffer,htheyhallhbasehtheirhbeliefshonhhumanhrelationships,hthehenvironment,h
andhhealth.
DIF: CognitivehLevel:hComprehension REF:hhhp.h4
OBJ:hTheoryh#2hTOP:hNursinghTheories
KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hN/A
5. StandardshofhcarehforhthehnursinghpracticehofhthehLPNharehestablishedhbyhthe:
a. BoardshofhNursinghExaminershinheachhstate.
b. NationalhCouncilhofhStateshBoardshofhNursingh(NCSBN).
c. AmericanhNurseshAssociationh(ANA).
d. NationalhFederationhofhLicensedhPracticalhNurses.h
ANS:hD
ThehNationalhFederationhofhLicensedhPracticalhNurseshmodifiedhthehstandardshpublishedhbyhthehAN
Ahinh2015htohbetterhfiththehrolehofhthehLPN.hInh2015hthehAmericanhNurseshAssociationh(ANA)hrevisedht
hehStandardshofhNursinghPracticehwhichhcontainedh17hstandardshofhnationalhpracticehofhnursing,hdesc
ribinghallhfacetshofhnursinghpractice:hwho,hwhat,hwhen,hwhere,h how.
DIF: CognitivehLevel:hComprehension REF:hhhp.h6
OBJ:hTheoryh#2hTOP:hStandardshofhCare
KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hN/A
6. ThehLPNhdemonstrateshanhevidence-basedhpracticehby:
a. usinghahdrughmanualhtohcheckhcompatibilityhofhdrugs.
, b. usinghscientifichinformationhtohguidehdecisionhmaking.
c. usinghmedicalhhistoryhofhahpatienthtoh directhnursinghinterventions.
d. basinghnursinghcarehonhadvicehfromhanhexperiencedhnurse.h
ANS:hB
Thehusehofhscientifichinformationhfromhhigh-
qualityhresearchhtohguidehnursinghdecisionshishreflectivehofhthehapplicationhofhevidence-
basedhpractice.
DIF: CognitivehLevel:h Knowledgeh REF:h p.h7 OBJ:hTheoryh#3hTOP:hEvidence-
BasedhPractice KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hN/A
7. LillianhWaldhandhMaryhBrewsterhestablishedhthehHenryhStreethSettlementhServicehinhNewh
Yorkhinh1893h inhorderhto:
a. offerhahshelterhtohinjuredhwarhveterans.
b. foundhahnursinghapprenticeship.
c. providehhealthhcarehtohpoorhpersonshlivinghinhtenements.
d. offerhbetterhhousinghtohlow-
incomehfamilies.hANS:hC
HenryhStreethSettlementhServicehbroughththehprovisionhofhcommunityhhealthhcarehtohthehpoorhpeop
lehlivinghinhtenements.
DIF: CognitivehLevel:hComprehension REF:hhhp.h2
OBJ:hTheoryh#4hTOP:hGrowthhofhNursing
KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hN/A
8. AnheducationalhpathwayhforhanhLPN/LVNhrefershtohanhLPN/LVN:
a. learninghonhthehjobhandhbeinghpromotedhtohahhigherh levelhofhresponsibility.
b. movinghfromhahmaternityhunithtohahmorehcomplicatedhsurgicalhunit.
c. obtaininghadditionalheducationhtohmovehfromhonehlevelhofhnursinghtohanother.
d. learninghthathadvancementhrequireshconsistenthworkhandhcommitment.h
ANS:hC
Byhbroadeninghtheheducationalhbase,hanhLPN/LVNh mayhadvancehandhbuildhahnursinghcareer.
h h h h h h h
SKILLS FOR NURSING 5TH EDITION BY WILLIAMS chapter 1
h h h h h h h h
-41 h
Chapterh01:hNursinghandhthehHealthhCarehSystem
Williams:hdeWit'shFundamentalhConceptshandhSkillshforhNursing,h5thhEdition
MULTIPLEhCHOICE
1. hFlorencehNightingale‘shcontributionshtohnursinghpracticehandheducation:
a. arehhistoricallyhimportanthbuthhavehnohvalidityhforhnursinghtoday.
b. werehneitherhrecognizedhnorhappreciatedhinhherhownhtime.
c. werehahmajorhfactorhinhreducinghthehdeathhratehinhthehCrimeanhWar.h
d. werehlimitedhonlyhtohthehcarehofhseverehtraumatichwounds.
ANS:hC
Byhimprovinghsanitation,hnutritionhventilation,handhhandwashinghtechniques,hFlorencehNigh
tingale‘shnurseshdramaticallyhreducedhthehdeathhratehfromhinjurieshinhthehCrimeanhWar.
DIF: CognitivehLevel:h Knowledgeh REF:h p.h2
OBJ:hTheoryh#1hTOP:hNursinghHistoryh
KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hN/A
2. EarlyhnursingheducationhandhcarehinhthehUnitedhStates:
a. werehdirectedhathcommunityhhealth.
b. providedhindependencehforhwomenhthroughheducationhandhemployment.
c. werehanheducationalhmodelhbasedhinhinstitutionshofhhigherh learning.h
d. havehcontinuedhtohbehentirelyhfocusedhonhhospitalhnursing.
ANS:hB
BecausehofhthehinfluencehofhearlyhnNuUrRsiSnIgNGleTaBd.eCrOs,Mnursingheducationhbecamehmor
ehformalizedhthroughhapprenticeshipshinhNightingalehschoolshthathofferedhindependencehtohwomenhth
roughheducationhandhemployment.
DIF: CognitivehLevel:h Knowledgeh REF:h p.h2
OBJ:hTheoryh#4hTOP:hNursinghHistoryh
KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hN/A
3. Inhorderhtohfulfillhthehcommonhgoalshdefinedhbyhnursinghtheoristsh(promotehwellness,hp
reventhillness,hfacilitatehcoping,handhrestorehhealth),hthehLPNhmusthtakehonhthehroleshof:
a. caregiver,heducator,handhcollaborator.
b. nursinghassistant,hdelegator,handhenvironmentalhspecialist.
c. medicationhdispenser,hcollaborator,handhtransporter.h
d. dietitian,hmanager,handhhousekeeper.
,ANS:hA
InhorderhforhthehLPNhtohapplyhthehcommonhgoalshofhnursing,hhehorhshehmusthassumehthehroleshofhcare
giver,heducator,hcollaborator,hmanager,handhadvocate.
,DIF: CognitivehLevel:hComprehension REF:hhhp.h3
OBJ:hTheoryh#2hTOP:hArthandhSciencehofhNursing
KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hN/A
4. Althoughhnursinghtheorieshdifferhinhtheirhattemptshtohdefinehnursing,h allhofhthemhbasehtheirhb
eliefshonhcommonhconceptshconcerning:
a. self-actualization,hfundamentalhneeds,handhbelonging.
b. stresshreduction,hself-care,handhahsystemshmodel.
c. curativehcare,hrestorativehcare,handhterminalhcare.h
d. humanhrelationships,hthehenvironment,handhhealth.
ANS:hD
Althoughhnursinghtheorieshdiffer,htheyhallhbasehtheirhbeliefshonhhumanhrelationships,hthehenvironment,h
andhhealth.
DIF: CognitivehLevel:hComprehension REF:hhhp.h4
OBJ:hTheoryh#2hTOP:hNursinghTheories
KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hN/A
5. StandardshofhcarehforhthehnursinghpracticehofhthehLPNharehestablishedhbyhthe:
a. BoardshofhNursinghExaminershinheachhstate.
b. NationalhCouncilhofhStateshBoardshofhNursingh(NCSBN).
c. AmericanhNurseshAssociationh(ANA).
d. NationalhFederationhofhLicensedhPracticalhNurses.h
ANS:hD
ThehNationalhFederationhofhLicensedhPracticalhNurseshmodifiedhthehstandardshpublishedhbyhthehAN
Ahinh2015htohbetterhfiththehrolehofhthehLPN.hInh2015hthehAmericanhNurseshAssociationh(ANA)hrevisedht
hehStandardshofhNursinghPracticehwhichhcontainedh17hstandardshofhnationalhpracticehofhnursing,hdesc
ribinghallhfacetshofhnursinghpractice:hwho,hwhat,hwhen,hwhere,h how.
DIF: CognitivehLevel:hComprehension REF:hhhp.h6
OBJ:hTheoryh#2hTOP:hStandardshofhCare
KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hN/A
6. ThehLPNhdemonstrateshanhevidence-basedhpracticehby:
a. usinghahdrughmanualhtohcheckhcompatibilityhofhdrugs.
, b. usinghscientifichinformationhtohguidehdecisionhmaking.
c. usinghmedicalhhistoryhofhahpatienthtoh directhnursinghinterventions.
d. basinghnursinghcarehonhadvicehfromhanhexperiencedhnurse.h
ANS:hB
Thehusehofhscientifichinformationhfromhhigh-
qualityhresearchhtohguidehnursinghdecisionshishreflectivehofhthehapplicationhofhevidence-
basedhpractice.
DIF: CognitivehLevel:h Knowledgeh REF:h p.h7 OBJ:hTheoryh#3hTOP:hEvidence-
BasedhPractice KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hN/A
7. LillianhWaldhandhMaryhBrewsterhestablishedhthehHenryhStreethSettlementhServicehinhNewh
Yorkhinh1893h inhorderhto:
a. offerhahshelterhtohinjuredhwarhveterans.
b. foundhahnursinghapprenticeship.
c. providehhealthhcarehtohpoorhpersonshlivinghinhtenements.
d. offerhbetterhhousinghtohlow-
incomehfamilies.hANS:hC
HenryhStreethSettlementhServicehbroughththehprovisionhofhcommunityhhealthhcarehtohthehpoorhpeop
lehlivinghinhtenements.
DIF: CognitivehLevel:hComprehension REF:hhhp.h2
OBJ:hTheoryh#4hTOP:hGrowthhofhNursing
KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hN/A
8. AnheducationalhpathwayhforhanhLPN/LVNhrefershtohanhLPN/LVN:
a. learninghonhthehjobhandhbeinghpromotedhtohahhigherh levelhofhresponsibility.
b. movinghfromhahmaternityhunithtohahmorehcomplicatedhsurgicalhunit.
c. obtaininghadditionalheducationhtohmovehfromhonehlevelhofhnursinghtohanother.
d. learninghthathadvancementhrequireshconsistenthworkhandhcommitment.h
ANS:hC
Byhbroadeninghtheheducationalhbase,hanhLPN/LVNh mayhadvancehandhbuildhahnursinghcareer.