TEST BANK
deWit's Fundamental Concepts and Skills for Nursing
Patricia A. Williams, RN, MSN, CCRN
5th Edition
,Table of Contents
Chapter 01 Nursing and the Health Care System 2
Chapter 02 Concepts of Health, Illness, Stress, and Health Promotion 13
Chapter 03 Legal and Ethical Aspects of Nursing 24
Chapter 04 The Nursing Process and Critical Thinking 38
Chapter 05 Assessment, Nursing Diagnosis, and Planning 46
Chapter 06 Implementation and Evaluation 56
Chapter 07 Documentation of Nursing Care 64
Chapter 08 Communication and the Nurse-Patient Relationship 74
Chapter 09 Patient Education and Health Promotion 95
Chapter 10 Delegation, Leadership, and Management 106
Chapter 11 Growth and Development Infancy Through Adolescence 120
Chapter 12 Adulthood and the Family 143
Chapter 13 Promoting Healthy Adaptation to Aging 155
Chapter 14 Cultural and Spiritual Aspects of Patient Care 166
Chapter 15 Loss, Grief, and End-of-Life Care 181
Chapter 16 Infection Prevention and Control Protective Mechanisms and Asepsis 193
Chapter 17 Infection Prevention and Control in the Hospital and Home 207
Chapter 18 Safe Lifting, Moving, and Positioning of Patients 220
Chapter 19 Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure
Ulcers 230
Chapter 20 Patient Environment and Safety 243
Chapter 21 Measuring Vital Signs 253
Chapter 22 Assessing Health Status 264
Chapter 23 Admitting, Transferring, and Discharging Patients 276
Chapter 24 Diagnostic Tests and Specimen Collection 286
Chapter 25 Fluid, Electrolyte, and Acid-Base Balance 297
Chapter 26 Concepts of Basic Nutrition and Cultural Considerations 307
Chapter 27 Nutritional Therapy and Assisted Feeding 318
Chapter 28 Assisting with Respiration and Oxygen Delivery 329
Chapter 29 Promoting Urinary Elimination 339
Chapter 30 Promoting Bowel Elimination 349
Chapter 31 Pain, Comfort, and Sleep 360
Chapter 32 Complementary and Alternative Therapies 371
Chapter 33 Pharmacology and Preparation for Drug Administration 382
Chapter 34 Administering Oral, Topical, and Inhalant Medications 392
Chapter 35 Administering Intradermal, Subcutaneous, and Intramuscular Injections 402
Chapter 36 Administering Intravenous Solutions and Medications 412
Chapter 37 Care of the Surgical Patient 422
,Chapter 38 Providing Wound Care and Treating Pressure Ulcers 431
Chapter 39 Promoting Musculoskeletal Function 441
Chapter 40 Common Physical Care Problems of the Older Adult 450
Chapter 41 Common Psychosocial Care Problems of Older Adults 459
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Test Bank - deWit's Fundamental Concepts and Skills for Nursing, 5e (Williams, 2018)
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 nursing leaders, nursing 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:
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,______________________________________________________________________________________________
Test Bank - deWit's Fundamental Concepts and Skills for Nursing, 5e (Williams, 2018)
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
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
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2|Page
, ______________________________________________________________________________________________
Test Bank - deWit's Fundamental Concepts and Skills for Nursing, 5e (Williams, 2018)
Henry Street Settlement Service brought the provision of community health care to the poor
people living in tenements.
DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: Theory #4
TOP: Growth of Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
8. An educational pathway for an LPN/LVN refers to an LPN/LVN:
a. learning on the job and being promoted to a higher level of responsibility.
b. moving from a maternity unit to a more complicated surgical unit.
c. obtaining additional education to move from one level of nursing to another.
d. learning that advancement requires consistent work and commitment.
ANS: C
By broadening the educational base, an LPN/LVN may advance and build a nursing career.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #7
TOP: Nursing Education Pathways KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose
was to:
a. put patients with the same diagnosis on the same unit.
b. attempt to contain the costs of health care.
c. increase the availability of medical care to older adults.
d. identify a patient’s condition more quickly.
ANS: B
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
DIF: Cognitive Level: Knowledge REF: p. 9 OBJ: Theory #10
TOP: Health Care Delivery KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care
agencies:
a. record supportive documentation to confirm a patient’s need for care in order to
qualify for reimbursement.
b. use the DRG rather than their own observations for patient assessment.
c. be aware of the specific drugs related to the diagnosis.
d. acquire cross-training to make staffing more flexible.
ANS: A
DRGs required that nurses provide more supportive documentation of their assessments and
identified patient’s needs to qualify the facility for Medicare reimbursement. Observant
assessment might also indicate another DRG classification and consequently more
reimbursement for the facility.
DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory #10
TOP: Managed Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
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3|Page
deWit's Fundamental Concepts and Skills for Nursing
Patricia A. Williams, RN, MSN, CCRN
5th Edition
,Table of Contents
Chapter 01 Nursing and the Health Care System 2
Chapter 02 Concepts of Health, Illness, Stress, and Health Promotion 13
Chapter 03 Legal and Ethical Aspects of Nursing 24
Chapter 04 The Nursing Process and Critical Thinking 38
Chapter 05 Assessment, Nursing Diagnosis, and Planning 46
Chapter 06 Implementation and Evaluation 56
Chapter 07 Documentation of Nursing Care 64
Chapter 08 Communication and the Nurse-Patient Relationship 74
Chapter 09 Patient Education and Health Promotion 95
Chapter 10 Delegation, Leadership, and Management 106
Chapter 11 Growth and Development Infancy Through Adolescence 120
Chapter 12 Adulthood and the Family 143
Chapter 13 Promoting Healthy Adaptation to Aging 155
Chapter 14 Cultural and Spiritual Aspects of Patient Care 166
Chapter 15 Loss, Grief, and End-of-Life Care 181
Chapter 16 Infection Prevention and Control Protective Mechanisms and Asepsis 193
Chapter 17 Infection Prevention and Control in the Hospital and Home 207
Chapter 18 Safe Lifting, Moving, and Positioning of Patients 220
Chapter 19 Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure
Ulcers 230
Chapter 20 Patient Environment and Safety 243
Chapter 21 Measuring Vital Signs 253
Chapter 22 Assessing Health Status 264
Chapter 23 Admitting, Transferring, and Discharging Patients 276
Chapter 24 Diagnostic Tests and Specimen Collection 286
Chapter 25 Fluid, Electrolyte, and Acid-Base Balance 297
Chapter 26 Concepts of Basic Nutrition and Cultural Considerations 307
Chapter 27 Nutritional Therapy and Assisted Feeding 318
Chapter 28 Assisting with Respiration and Oxygen Delivery 329
Chapter 29 Promoting Urinary Elimination 339
Chapter 30 Promoting Bowel Elimination 349
Chapter 31 Pain, Comfort, and Sleep 360
Chapter 32 Complementary and Alternative Therapies 371
Chapter 33 Pharmacology and Preparation for Drug Administration 382
Chapter 34 Administering Oral, Topical, and Inhalant Medications 392
Chapter 35 Administering Intradermal, Subcutaneous, and Intramuscular Injections 402
Chapter 36 Administering Intravenous Solutions and Medications 412
Chapter 37 Care of the Surgical Patient 422
,Chapter 38 Providing Wound Care and Treating Pressure Ulcers 431
Chapter 39 Promoting Musculoskeletal Function 441
Chapter 40 Common Physical Care Problems of the Older Adult 450
Chapter 41 Common Psychosocial Care Problems of Older Adults 459
,______________________________________________________________________________________________
Test Bank - deWit's Fundamental Concepts and Skills for Nursing, 5e (Williams, 2018)
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 nursing leaders, nursing 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:
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - deWit's Fundamental Concepts and Skills for Nursing, 5e (Williams, 2018)
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
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
______________________________________________________________________________________________
2|Page
, ______________________________________________________________________________________________
Test Bank - deWit's Fundamental Concepts and Skills for Nursing, 5e (Williams, 2018)
Henry Street Settlement Service brought the provision of community health care to the poor
people living in tenements.
DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: Theory #4
TOP: Growth of Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
8. An educational pathway for an LPN/LVN refers to an LPN/LVN:
a. learning on the job and being promoted to a higher level of responsibility.
b. moving from a maternity unit to a more complicated surgical unit.
c. obtaining additional education to move from one level of nursing to another.
d. learning that advancement requires consistent work and commitment.
ANS: C
By broadening the educational base, an LPN/LVN may advance and build a nursing career.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #7
TOP: Nursing Education Pathways KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose
was to:
a. put patients with the same diagnosis on the same unit.
b. attempt to contain the costs of health care.
c. increase the availability of medical care to older adults.
d. identify a patient’s condition more quickly.
ANS: B
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
DIF: Cognitive Level: Knowledge REF: p. 9 OBJ: Theory #10
TOP: Health Care Delivery KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care
agencies:
a. record supportive documentation to confirm a patient’s need for care in order to
qualify for reimbursement.
b. use the DRG rather than their own observations for patient assessment.
c. be aware of the specific drugs related to the diagnosis.
d. acquire cross-training to make staffing more flexible.
ANS: A
DRGs required that nurses provide more supportive documentation of their assessments and
identified patient’s needs to qualify the facility for Medicare reimbursement. Observant
assessment might also indicate another DRG classification and consequently more
reimbursement for the facility.
DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory #10
TOP: Managed Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
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