Test Bank for deWit's Fundamental Concepts and Skills for Nursing, 5th Edition by Patricia A. Williams – Comprehensive Chapter-wise Q&A

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TEST BANK FOR DEWITS FUNDAMENTAL
CONCEPTS AND SKILLS FOR NURSING
5TH EDITION BY WILLIAMS

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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:
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a. are historically important but have no validity for nursing today.
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b. were neither recognized nor appreciated in her 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. were limited only to the care of severe traumatic wounds.
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ANS: j C
Byimproving sanitation, nutrition ventilation, and handwashing techniques, Florence
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Nightingale’s nurses dramatically reduced the death rate from injuries in the Crimean War. j j j j j j j j j j j j




DIF: Cognitive Level: Knowledge j j REF: p. 2 OBJ: Theory j j j j




#1 TOP: Nursing History
j j j KEY: Nursing Process Step: N/A j j j j j




MSC: NCLEX: N/A j j




2. Early nursing education and care in the United States:
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a. were directed at community health. j j j j




b. provided independence for women through education and employment. j j j j j j j




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.
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ANS: j B
Because of the influence of early nNuUr Rs iSnI gN Gl eTaBd.eCrOs ,Mnu rs i n g education became more formalized
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through apprenticeships in Nightingale schools that offered independence to women through
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education and employment. j j




DIF: Cognitive Level: Knowledge j j REF: p. 2 OBJ: Theory j j j j




#4 TOP: Nursing History
j j j KEY: Nursing Process Step: N/A j j j j j




MSC: NCLEX: N/A j j




3. In order to fulfill the common goals defined by nursing theorists (promote wellness, prevent
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illness, facilitate coping, and restore health), the LPN must take on the roles of:
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a. caregiver, educator, and collaborator. j j j




b. nursing assistant, delegator, and environmental specialist. j j j j j




c. medication dispenser, collaborator, and transporter. j j j j




d. dietitian, manager, and housekeeper. j j j




ANS: j A
In order for the LPN to apply the common goals of nursing, he or she must assume the roles of
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caregiver, educator, collaborator, manager, and advocate. j j j j j




DIF: Cognitive Level: Comprehension j j REF: p. 3 OBJ: Theory j j j j




#2 TOP: Art and Science of Nursing
j j j j j j KEY: Nursing Process Step: N/A j j j j j




MSC: NCLEX: N/A j j




4. Although nursing theories differ in their attempts to define nursing, all of them base their
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beliefs on common concepts concerning:
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a. self-actualization,fundamental needs, and belonging. j j j j




b. stress reduction, self-care, and a systems model. j j j j j j




c. curative care, restorative care, and terminal care. j j j j j j




d. human relationships, the environment, and health. j j j j j




ANS: j D
Although nursing theories differ, they all base their beliefs on human relationships, the
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environment, and health. j j




DIF: Cognitive Level: Comprehension j j REF: p. 4 OBJ: Theory j j j j




#2 TOP: Nursing Theories
j j j KEY: Nursing Process Step: N/A j j j j j




MSC: NCLEX: N/A j j




5. Standards of care for the nursing practice of the LPN are established by the:
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a. Boards of Nursing Examiners in each state. j j j j j j




b. National Council of States Boards of Nursing (NCSBN). j j j j j j j




c. American Nurses Association (ANA). j j j




d. National Federation of Licensed Practical Nurses. j j j j j




ANS: j D
The National Federation of Licensed Practical Nurses modified the standards published by the
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ANA in 2015 to better fit the role of the LPN. In 2015 the American Nurses Association (ANA)
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revised the Standards of Nursing Practice which contained 17 standards of national practice of
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nursing, describing all facets of nursing practice: who, what, when, where, how.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory j j j j j j




#2 TOP: Standards of Care
j KEY: Nursing Process Step: N/A
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MSC: NCLEX: j
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N/A

6. The LPN demonstrates an evidence-based practice by:
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a. using a drug manual to check compatibility of drugs. j j j j j j j j




b. using scientific information to guide decision making. j j j j j j




c. using medical history of a patient to direct nursing interventions.
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d. basing nursing care on advice from an experienced nurse. j j j j j j j j




ANS: j B
The use of scientific information from high-quality research to guide nursing decisions is
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reflective of the application of evidence-based practice. j j j j j j




DIF: Cognitive Level: Knowledge j j REF: p. 7 OBJ: Theory j j j j




#3 TOP: Evidence-Based Practice
j j j KEY: Nursing Process Step: N/A j j j j j




MSC: NCLEX: N/A j j




7. Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New York in
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1893 in order to:
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a. offer a shelter to injured war veterans. j j j j j j




b. found a nursing apprenticeship. j j j




c. provide health care to poor persons living in tenements. j j j j j j j j




d. offer better housing to low-income families. j j j j j




ANS: j C




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Henry Street Settlement Service brought the provision of community health care to the poor people
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living in tenements.
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DIF: Cognitive Level: Comprehension j j REF: p. 2 OBJ: Theory j j j j




#4 TOP: Growth of Nursing
j j j j KEY: Nursing Process Step: N/A j j j j j




MSC: NCLEX: N/A j j




8. An educational pathway for an LPN/LVN refers to an LPN/LVN:
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a. learning on the job and being promoted to a higher level of responsibility.j j j j j j j j j j j j




b. moving from a maternity unit to a more complicated surgical unit. j j j j j j j j j j




c. obtaining additional education to move from one level of nursing to another. j j j j j j j j j j j




d. learning that advancement requires consistent work and commitment. j j j j j j j




ANS: j C
Bybroadening the educational base, an LPN/LVN may advance and build a nursing career.
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DIF: Cognitive Level: Knowledge j j REF: p. 7 OBJ: Theory j j j j




#7 TOP: Nursing Education Pathways
j j j j KEY: Nursing Process Step: N/A j j j j j




MSC: NCLEX: N/A j j




9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose was
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to:
a. put patients with the same diagnosis on the same unit.
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b. attempt to contain the costs of health care. j j j j j j j




c. increase the availability of medical care to older adults. j j j j j j j j




d. identify a patient’s condition more quickly. j j j j j




ANS: j B NURSINGTB.COM
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
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DIF: Cognitive Level: Knowledge j j REF: p. 9 OBJ: Theory j j j j




#10 TOP: Health Care Delivery
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MSC: NCLEX: N/A j j




10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care
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agencies:
a. record supportive documentation to confirm a patient’s need for care in order to
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qualify for reimbursement. j j




b. use the DRG rather than their own observations for patient assessment.
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c. be aware of the specific drugs related to the diagnosis.
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d. acquire cross-training to make staffing more flexible. j j j j j j




ANS: j A
DRGs required that nurses provide more supportive documentation of their assessments and
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identified patient’s needs to qualify the facility for Medicare reimbursement. Observant
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assessment might also indicate another DRG classification and consequently more
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reimbursement for the facility. j j j




DIF: Cognitive Level: Comprehension j j REF: p. 10 OBJ: Theory j j j j




#10 TOP: Managed Care
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MSC: NCLEX: N/A j j




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