FundamentalaConceptsaandaSkillsaforaNursinga6thaEditionaTestaBa
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TEST BANK FOR FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING 6TH EDITION
a a a a a a a a a a
aBY WILLIAMS.
a
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FundamentalaConceptsaandaSkillsaforaNursinga6thaEditionaTestaBa
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Chapter 01: Nursing and the Health Care System
a a a a a a a
MULTIPLEaCHOICE
1. FlorenceaNightingale’sacontributionsatoanursingapracticeaandaeducation:
a. areahistoricallyaimportantabutahaveanoavalidityaforanursingatoday.
b. wereaneitherarecognizedanoraappreciatedainaheraownatime.
c. wereaaamajorafactorainareducingatheadeatharateainatheaCrimeanaWar.
d. werealimitedaonlyatoatheacareaofasevereatraumaticawounds.
ANS:a C
Byaimprovingasanitation,anutritionaventilation,aandahandwashingatechniques,aFlorence
Nightingale’sanursesadramaticallyareducedatheadeatharateafromainjuriesainatheaCrimeanaWar.
DIF: CognitiveaLevel:aKnowledge REF:a p.a2 OBJ:a Theorya#1
TOP:a NursingaHistorya KEY:a NursingaProcessaStep:aN/A
MSC:a NCLEX:aN/A
2. EarlyanursingaeducationaandacareainatheaUnitedaStates:
a. wereadirectedaatacommunityahealth.
b. providedaindependenceaforawomenathroughaeducationaandaemployment.
c. wereaanaeducationalamodelabasedainainstitutionsaofahigheralearning.
d. haveacontinuedatoabeaentirelyafocusedaonahospitalanursing.
ANS:a B
Becauseaofatheainfluenceaofaearlyanursingalead.ers,anursingaeducationabecameamoreaformalizedath
roughaapprenticeshipsainaNightingaleaschoolsathataofferedaindependenceatoawomenathroughaedu
cationaandaemployment.
DIF: CognitiveaLevel:aKnowledge REF:a p.a2 OBJ:a Theorya#4
TOP:a NursingaHistorya KEY:a NursingaProcessaStep:aN/A
MSC:a NCLEX:aN/A
3. Inaorderatoafulfillatheacommonagoalsadefinedabyanursingatheoristsa(promoteawellness,apreventaill
ness,afacilitateacoping,aandarestoreahealth),atheaLPNamustatakeaonathearolesaof:
a. caregiver,aeducator,aandacollaborator.
b. nursingaassistant,adelegator,aandaenvironmentalaspecialist.
c. medicationadispenser,acollaborator,aandatransporter.
d. dietitian,amanager,aandahousekeeper.
ANS:a A
InaorderaforatheaLPNatoaapplyatheacommonagoalsaofanursing,aheaorasheamustaassumeathearolesaofa
caregiver,aeducator,acollaborator,amanager,aandaadvocate.
DIF: CognitiveaLevel:aComprehension REF:a p.a3 OBJ:a Theorya#2
TOP:a ArtaandaScienceaofaNursinga KEY:a NursingaProcessaStep:aN/A
MSC:a NCLEX:aN/A
4. Althoughanursingatheoriesadifferainatheiraattemptsatoadefineanursing,aallaofathemabaseatheirab
eliefsaonacommonaconceptsaconcerning:
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FundamentalaConceptsaandaSkillsaforaNursinga6thaEditionaTestaBa
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a. self-actualization,afundamentalaneeds,aandabelonging.
b. stressareduction,aself-care,aandaaasystemsamodel.
c. curativeacare,arestorativeacare,aandaterminalacare.
d. humanarelationships,atheaenvironment,aandahealth.
ANS:a D
Althoughanursingatheoriesadiffer,atheyaallabaseatheirabeliefsaonahumanarelationships,atheae
nvironment,aandahealth.
DIF: CognitiveaLevel:aComprehension REF:a p.a4 OBJ:a Theorya#2
TOP:a NursingaTheoriesa KEY:a NursingaProcessaStep:aN/A
MSC:a NCLEX:aN/A
5. StandardsaofacareaforatheanursingapracticeaofatheaLPNaareaestablishedabyathe:
a. BoardsaofaNursingaExaminersainaeachastate.
b. NationalaCouncilaofaStatesaBoardsaofaNursinga(NCSBN).
c. AmericanaNursesaAssociationa(ANA).
d. NationalaFederationaofaLicensedaPracticalaNurses.
ANS:a D
TheaNationalaFederationaofaLicensedaPracticalaNursesamodifiedatheastandardsapublishedabyatheaA
NAaina2015atoabetterafitathearoleaofatheaLPN.aIna2015atheaAmericanaNursesaAssociationa(ANA)are
visedatheaStandardsaofaNursingaPracticeawhichacontaineda17astandardsaofanationalapracticeaofanu
rsing,adescribingaallafacetsaofanursingapractice:awho,awhat,awhen,awhere,ahow.
DIF: CognitiveaLevel:aComprehension REF:a p.a6 OBJ:a Theorya#2
TOP:a StandardsaofaCarea KEY:a NursingaProcessaStep:aN/A
MSC:a NCLEX:aN/A
6. TheaLPNademonstratesaanaevidence-basedapracticeaby:
a. usingaaadrugamanualatoacheckacompatibilityaofadrugs.
b. usingascientificainformationatoaguideadecisionamaking.
c. usingamedicalahistoryaofaaapatientatoadirectanursingainterventions.
d. basinganursingacareaonaadviceafromaanaexperiencedanurse.
ANS:a B
Theauseaofascientificainformationafromahigh-
qualityaresearchatoaguideanursingadecisionsaisareflectiveaofatheaapplicationaofaevidence-
basedapractice.
DIF: CognitiveaLevel:aKnowledge REF:a p.a7 OBJ:a Theorya#3
TOP:a Evidence- KEY:a NursingaProcessaStep:aN/A
BasedaPracticeaMSC:a NCLEX:a
N/A
7. LillianaWaldaandaMaryaBrewsteraestablishedatheaHenryaStreetaSettlementaServiceainaNewaYorkain
a 1893ainaorderato:
a. offeraaashelteratoainjuredawaraveterans.
b. foundaaanursingaapprenticeship.
c. provideahealthacareatoapoorapersonsalivingainatenements.
d. offerabetterahousingatoalow-incomeafamilies.
ANS:a C
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FundamentalaConceptsaandaSkillsaforaNursinga6thaEditionaTestaBa
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HenryaStreetaSettlementaServiceabroughtatheaprovisionaofacommunityahealthacareatoatheapoorap
eoplealivingainatenements.
DIF: CognitiveaLevel:aComprehension REF:a p.a2 OBJ:a Theorya#4
TOP:a GrowthaofaNursinga KEY:a NursingaProcessaStep:aN/A
MSC:a NCLEX:aN/A
8. AnaeducationalapathwayaforaanaLPN/LVNarefersatoaanaLPN/LVN:
a. learningaonatheajobaandabeingapromotedatoaaahigheralevelaofaresponsibility.
b. movingafromaaamaternityaunitatoaaamoreacomplicatedasurgicalaunit.
c. obtainingaadditionalaeducationatoamoveafromaonealevelaofanursingatoaanother.
d. learningathataadvancementarequiresaconsistentaworkaandacommitment.
ANS:a C
Byabroadeningatheaeducationalabase,aanaLPN/LVNamayaadvanceaandabuildaaanursingacareer.
DIF: CognitiveaLevel:aKnowledge REF:a p.a7 OBJ:a Theorya#7
TOP:a NursingaEducationaPathwaysa KEY:a NursingaProcessaStep:aN/A
MSC:a NCLEX:aN/A
9. Whenadiagnosis-
relatedagroupsa(DRGs)awereaestablishedabyaMedicareaina1983,atheapurposeawasato:
a. putapatientsawithatheasameadiagnosisaonatheasameaunit.
b. attemptatoacontainatheacostsaofahealthacare.
c. increaseatheaavailabilityaofamedicalacareatoaolderaadults.
d. identifyaaapatient’saconditionamoreaquickly.
ANS:a B
TheapurposeaofainstitutingaDRGsawasatoacontainaskyrocketingacostsaofahealthacare.
DIF: CognitiveaLevel:aKnowledge REF:a p.a9 OBJ:a Theorya#10
TOP:a HealthaCareaDeliverya KEY:a NursingaProcessaStep:aN/A
MSC:a NCLEX:aN/A
10. Theaadventaofadiagnosis-
relatedagroupsa(DRGs)arequiredathatanursesaworkingainahealthacareaagencies:
a. recordasupportiveadocumentationatoaconfirmaaapatient’saneedaforacareainaorderato
qualifyaforareimbursement.
b. useatheaDRGaratherathanatheiraownaobservationsaforapatientaassessment.
c. beaawareaofatheaspecificadrugsarelatedatoatheadiagnosis.
d. acquireacross-trainingatoamakeastaffingamoreaflexible.
ANS:a A
DRGsarequiredathatanursesaprovideamoreasupportiveadocumentationaofatheiraassessmentsaandaid
entifiedapatient’saneedsatoaqualifyatheafacilityaforaMedicareareimbursement.aObservantaassess
mentamightaalsoaindicateaanotheraDRGaclassificationaandaconsequentlyamoreareimbursementaf
oratheafacility.
DIF: CognitiveaLevel:aComprehension REF:a p.a10 OBJ:a Theorya#10
TOP:a ManagedaCarea KEY:a NursingaProcessaStep:aN/A
MSC:a NCLEX:aN/A