Test Bank for Fundamental Concepts and Skills for Nursing, 6th Edition, By Patricia Williams, 9780323694766, All Chapters 1-41 LATEST

TEST BA
70

,Chapter7001:70Nursing70and70the70Health70Care70System


MULTIPLE70CHOICE

1. Florence70Nightingale’s70contributions70to70nursing70practice70and70education:
a. are70historically70important70but70have70no70validity70for70nursing70today.
b. were70neither70recognized70nor70appreciated70in70her70own70time.
c. were70a70major70factor70in70reducing70the70death70rate70in70the70Crimean70War.
d. were70limited70only70to70the70care70of70severe70traumatic70wounds.
ANS:7 0 C
By7 0 improving7 0 sanitation,7 0 nutrition7 0 ventilation,70and70handwashing70techniques,70Flo
rence
Nightingale’s7 0 nurses7 0 dramatically7 0 reduced7 0 the70death70rate70from70injuries70in70the70
Crimean70War.

DIF: Cognitive70Level:70Knowledge REF:7 0 p.702
OBJ:70Theory70#170TOP:7 0 Nursing70History
KEY:70Nursing70Process70Step:70N/A70MSC:7 0 NCLEX:70N/A

2. Early70nursing70education70and70care70in70the70United70States:
a. were70directed70at70community70health.
b. provided70independence70for70women70through70education70and70employment.
c. were70an70educational70model70based70in70institutions70of70higher70learning.
d. have70continued70to70be70entirely70focused70on70hospital70nursing.
ANS:7 0 B
Because70of70the70influence70of70early70nursing70leaders,70nursing70education70became70more7
0formalized70through70apprenticeships70in70Nightingale70schools70that70offered70independenc
e70to70women70through70education70and70employment.

DIF: Cognitive70Level:70Knowledge REF:7 0 p.702
OBJ:70Theory70#470TOP:7 0 Nursing70History
KEY:70Nursing70Process70Step:70N/A70MSC:7 0 NCLEX:70N/A

3. In70order70to70fulfill70the70common70goals70defined70by70nursing70theorists70(promote7
0wellness,70prevent70illness,70facilitate70coping,70and70restore70health),70the70LPN70must
70take70on70the70roles70of:
a. caregiver,70educator,70and70collaborator.
b. nursing70assistant,70delegator,70and70environmental70specialist.
c. medication70dispenser,70collaborator,70and70transporter.
d. dietitian,70manager,70and70housekeeper.
ANS:7 0 A
In70order70for70the70LPN70to70apply70the70common70goals70of70nursing,70he70or70she70must70as
sume70the7 0 roles70of70caregiver,70educator,70collaborator,70manager,70and70advocate.

DIF: Cognitive70Level:70Comprehension REF:7 0 p.703
OBJ:70Theory70#270TOP:7 0 Art70and70Science70of70Nursing
KEY:70Nursing70Process70Step:70N/A70MSC:7 0 NCLEX:70N/A

,4. Although70nursing70theories70differ70in70their70attempts70to70define70nursing,70all70of70the
m70base70their70beliefs70on70common70concepts70concerning:
a. self-actualization,70fundamental70needs,70and70belonging.
b. stress70reduction,70self-care,70and70a70systems70model.
c. curative70care,70restorative70care,70and70terminal70care.
d. human70relationships,70the70environment,70and70health.
ANS:7 0 D
Although70nursing70theories70differ,70they70all70base70their70beliefs70on70human70relationships,70t
he70environment,70and70health.

DIF: Cognitive70Level:70Comprehension REF:7 0 p.704
OBJ:70Theory70#270TOP:7 0 Nursing70Theories
KEY:70Nursing70Process70Step:70N/A70MSC:7 0 NCLEX:70N/A

5. Standards70of70care70for70the70nursing70practice70of70the70LPN70are70established70by70the:
a. Boards70of70Nursing70Examiners70in70each70state.
b. National70Council70of70States70Boards70of70Nursing70(NCSBN).
c. American70Nurses70Association70(ANA).
d. National70Federation70of70Licensed70Practical70Nurses.
ANS:7 0 D
The70National70Federation70of70Licensed70Practical70Nurses70modified70the70standards70publish
ed70by70the70ANA70in70201570to70better70fit70the70role70of70the70LPN.70In70201570the70America
n70Nurses70Association70(ANA)70revised70the70Standards70of70Nursing70Practice70which70cont
ained701770standards70of70national70practice70of70nursing,70describing70all70facets70of70nursing7
0practice:70who,70what,70when,70where,70how.


DIF: Cognitive70Level:70Comprehension REF:7 0 p.706
OBJ:70Theory70#270TOP:7 0 Standards70of70Care
KEY:70Nursing70Process70Step:70N/A70MSC:7 0 NCLEX:70N/A

6. The70LPN70demonstrates70an70evidence-based70practice70by:
a. using70a70drug70manual70to70check70compatibility70of70drugs.
b. using70scientific70information70to70guide70decision70making.
c. using70medical70history70of70a70patient70to70direct70nursing70interventions.
d. basing70nursing70care70on70advice70from70an70experienced70nurse.
ANS:7 0 B
The70use70of70scientific70information70from70high-
quality70research70to70guide70nursing70decisions70is70reflective70of70the70application70of70eviden
ce-based70practice.

DIF: Cognitive70Level:70Knowledge REF:7 0 p.707
OBJ:70Theory70#370TOP:7 0 Evidence-Based70Practice
KEY:70Nursing70Process70Step:70N/A70MSC:7 0 NCLEX:70N/A

7. Lillian70Wald70and70Mary70Brewster70established70the70Henry70Street70Settlement70Service70in7
0New70York70in70189370in70order70to:
a. offer70a70shelter70to70injured70war70veterans.
b. found70a70nursing70apprenticeship.
c. provide70health70care70to70poor70persons70living70in70tenements.
d. offer70better70housing70to70low-income70families.
ANS:7 0 C

, Henry70Street70Settlement70Service70brought70the70provision70of70community70health70care70to70
the70poor70people70living70in70tenements.

DIF: Cognitive70Level:70Comprehension REF:7 0 p.702
OBJ:70Theory70#470TOP:7 0 Growth70of70Nursing
KEY:70Nursing70Process70Step:70N/A70MSC:7 0 NCLEX:70N/A

8. An70educational70pathway70for70an70LPN/LVN70refers70to70an70LPN/LVN:
a. learning70on70the70job70and70being70promoted70to70a70higher70level70of70responsibility.
b. moving70from70a70maternity70unit70to70a70more70complicated70surgical70unit.
c. obtaining70additional70education70to70move70from70one70level70of70nursing70to70another.
d. learning70that70advancement70requires70consistent70work70and70commitment.
ANS:7 0 C
By70broadening70the70educational70base,70an70LPN/LVN70may70advance70and70build70a70nursin
g70career.

DIF: Cognitive70Level:70Knowledge REF:7 0 p.707
OBJ:70Theory70#770TOP:7 0 Nursing70Education70Pathways
KEY:70Nursing70Process70Step:70N/A70MSC:7 0 NCLEX:70N/A

9. When70diagnosis-
related70groups70(DRGs)70were70established70by70Medicare70in701983,70the70purpose70was70
to:
a. put70patients70with70the70same70diagnosis70on70the70same70unit.
b. attempt70to70contain70the70costs70of70health70care.
c. increase70the70availability70of70medical70care70to70older70adults.
d. identify70a70patient’s70condition70more70quickly.
ANS:7 0 B
The70purpose70of70instituting70DRGs70was70to70contain70skyrocketing70costs70of70health70care.

DIF: Cognitive70Level:70Knowledge REF:7 0 p.709
OBJ:70Theory70#1070TOP:7 0 Health70Care70Delivery
KEY:70Nursing70Process70Step:70N/A70MSC:7 0 NCLEX:70N/A

10. The70advent70of70diagnosis-
related70groups70(DRGs)70required70that70nurses70working70in70health70care70agencies:
a. record70supportive70documentation70to70confirm70a70patient’s70need70for70care70i
n70order70to70qualify70for70reimbursement.
b. use70the70DRG70rather70than70their70own70observations70for70patient70assessment.
c. be70aware70of70the70specific70drugs70related70to70the70diagnosis.
d. acquire70cross-training70to70make70staffing70more70flexible.
ANS:7 0 A
DRGs70required70that70nurses70provide70more70supportive70documentation70of70their70assessmen
ts70and70identified70patient’s70needs70to70qualify70the70facility70for70Medicare70reimbursement.
70Observant70assessment70might70also70indicate70another70DRG70classification70and70conseque
ntly70more70reimbursement70for70the70facility.

DIF: Cognitive70Level:70Comprehension REF:7 0 p.7010
OBJ:70Theory70#1070TOP:7 0 Managed70Care
KEY:70Nursing70Process70Step:70N/A70MSC:7 0 NCLEX:70N/A