,Chapter 01: Nursing and the Health Care System
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Williams: deWit's Fundamental Concepts and Skills for Nursing, 7th Edition
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MULTIPLE CHOICE 8z
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 wound
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s.ANS: C
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By improving sanitation, nutrition ventilation, and handwashing techniques, Florence Nightin
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gale‗s nurses dramatically reduced the death rate from injuries in the Crimean War.
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DIF: Cognitive Level: Knowledge REF: 8z 8z 8 z 8 z p. 2 8z
OBJ: Theory #1 TOP: Nursing Histor 8z 8z 8z 8z 8z
yKEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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2. Early nursing education and care in the United States:
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a. were directed at community health. 8z 8z 8z 8z
b. provided independence for women through education and employment.
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c. were an educational model based in institutions of higher learning.
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d. have continued to be entirely focused on hospital nursin
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g.ANS: B
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Because of the influence of early nNuUrRsiSnIgNGleTaBd.eCrOs,Mnursing education becamem
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ore formalized through apprenticeships in Nightingale schools that offered independence to wo
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men through education and employment.
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DIF: Cognitive Level: Knowledge REF: 8z 8z 8 z 8 z p. 2 8z
OBJ: Theory #4 TOP: Nursing Histor 8z 8z 8z 8z 8z
yKEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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3. In order to fulfill the common goals defined by nursing theorists (promote wellnes
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s,prevent illness, facilitate coping, and restore health), the LPN must take on the roles of:
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a. caregiver, educator, and collaborator. 8z 8z 8z
b. nursing assistant, delegator, and environmental specialist.
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c. medication dispenser, collaborator, and transporter. 8z 8z 8z 8z
d. dietitian, manager, and housekeeper 8z 8z 8z
.ANS: A
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In order for the LPN to apply the common goals of nursing, he or she must assume the roles
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ofcaregiver, educator, collaborator, manager, and advocate.
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, DIF: Cognitive Level: Comprehension REF: p. 3 8z 8z 8z8z8z 8z
OBJ: Theory #2 TOP: Art andScience of Nursing
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KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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4. Although nursing theories differ in their attempts to define nursing, all of them base th
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eirbeliefs on common concepts concerning:
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a. self-actualization, fundamental needs, and belonging. 8z 8z 8z 8z
b. stress reduction, self-care, and a systems model.
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c. curative care, restorative care, and terminal care. 8z 8z 8z 8z 8z 8z
d. human relationships, the environment, and health8z 8z 8z 8z 8z
.ANS: D
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Although nursing theories differ, they all base their beliefs on human relationships, theenviro
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nment, and health. 8z 8z
DIF: Cognitive Level: Comprehension REF: p. 4 8z 8z 8z8z8z 8z
OBJ: Theory #2 TOP: NursingTheories
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KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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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. 8z 8z 8z 8z 8z 8z
b. National Council of States Boards of Nursing (NCSBN). 8z 8z 8z 8z 8z 8z 8z
c. American Nurses Association (ANA). 8z 8z 8z
d. National Federation of Licensed Practical Nurses 8z 8z 8z 8z 8z
.ANS: D
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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)r
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evised the Standards of Nursing Practice which contained 17 standards of national practice of n
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ursing, describing all facets of nursing practice: who, what, when, where, how.
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DIF: Cognitive Level: Comprehension REF: p. 6 8z 8z 8z8z8z 8z
OBJ: Theory #2 TOP: Standards ofCare
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KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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6. The LPN demonstrates an evidence-based practice by:
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a. using a drug manual to check compatibility of drugs.
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