kj
,Chapter 01: Nursing and the Health Care System
kj kj kj kj kj kj kj
MULTIPLEkjCHOICE
1. FlorencekjNightingale’skjcontributionskjtokjnursingkjpracticekjandkjeducation:
a. arekjhistoricallykjimportantkjbutkjhavekjnokjvaliditykjforkjnursingkjtoday.
b. werekjneitherkjrecognizedkjnorkjappreciatedkjinkjherkjownkjtime.
c. werekjakjmajorkjfactorkjinkjreducingkjthekjdeathkjratekjinkjthekjCrimeankjWar.
d. werekjlimitedkjonlykjtokjthekjcarekjofkjseverekjtraumatickjwounds.
ANS:k j C
Byk j improvingk j sanitation,k j nutritionk j ventilation,kjandkjhandwashingkjtechniques,kjFlorence
Nightingale’sk j nursesk j dramaticallyk j reducedk j thekjdeathkjratekjfromkjinjurieskjinkjthekjCrimeankj
War.
DIF: CognitivekjLevel:kjKnowledge REF:k j p.kj2
OBJ:kjTheorykj#1kjTOP:k j NursingkjHistory
KEY:kjNursingkjProcesskjStep:kjN/AkjMSC:k j NCLEX:kjN/A
2. EarlykjnursingkjeducationkjandkjcarekjinkjthekjUnitedkjStates:
a. werekjdirectedkjatkjcommunitykjhealth.
b. providedkjindependencekjforkjwomenkjthroughkjeducationkjandkjemployment.
c. werekjankjeducationalkjmodelkjbasedkjinkjinstitutionskjofkjhigherkjlearning.
d. havekjcontinuedkjtokjbekjentirelykjfocusedkjonkjhospitalkjnursing.
ANS:k j B
Becausekjofkjthekjinfluencekjofkjearlykjnursingkjleaders,kjnursingkjeducationkjbecamekjmorekjformalize
dkjthroughkjapprenticeshipskjinkjNightingalekjschoolskjthatkjofferedkjindependencekjtokjwomenkjthro
ughkjeducationkjandkjemployment.
DIF: CognitivekjLevel:kjKnowledge REF:k j p.kj2
OBJ:kjTheorykj#4kjTOP:k j NursingkjHistory
KEY:kjNursingkjProcesskjStep:kjN/AkjMSC:k j NCLEX:kjN/A
3. Inkjorderkjtokjfulfillkjthekjcommonkjgoalskjdefinedkjbykjnursingkjtheoristskj(promotekjwellness,kj
preventkjillness,kjfacilitatekjcoping,kjandkjrestorekjhealth),kjthekjLPNkjmustkjtakekjonkjthekjroleskjo
f:
a. caregiver,kjeducator,kjandkjcollaborator.
b. nursingkjassistant,kjdelegator,kjandkjenvironmentalkjspecialist.
c. medicationkjdispenser,kjcollaborator,kjandkjtransporter.
d. dietitian,kjmanager,kjandkjhousekeeper.
ANS:k j A
InkjorderkjforkjthekjLPNkjtokjapplykjthekjcommonkjgoalskjofkjnursing,kjhekjorkjshekjmustkjassumekjthek j rol
eskjofkjcaregiver,kjeducator,kjcollaborator,kjmanager,kjandkjadvocate.
DIF: CognitivekjLevel:kjComprehension REF:k j p.kj3
OBJ:kjTheorykj#2kjTOP:k j ArtkjandkjSciencekjofkjNursing
KEY:kjNursingkjProcesskjStep:kjN/AkjMSC:k j NCLEX
,4. Althoughkjnursingkjtheorieskjdifferkjinkjtheirkjattemptskjtokjdefinekjnursing,kjallkjofkjthemkjbasekjthe
irkjbeliefskjonkjcommonkjconceptskjconcerning:
a. self-actualization,kjfundamentalkjneeds,kjandkjbelonging.
b. stresskjreduction,kjself-care,kjandkjakjsystemskjmodel.
c. curativekjcare,kjrestorativekjcare,kjandkjterminalkjcare.
d. humankjrelationships,kjthekjenvironment,kjandkjhealth.
ANS:k j D
Althoughkjnursingkjtheorieskjdiffer,kjtheykjallkjbasekjtheirkjbeliefskjonkjhumankjrelationships,kjthekjenviro
nment,kjandkjhealth.
DIF: CognitivekjLevel:kjComprehension REF:k j p.kj4
OBJ:kjTheorykj#2kjTOP:k j NursingkjTheories
KEY:kjNursingkjProcesskjStep:kjN/AkjMSC:k j NCLEX:kjN/A
5. StandardskjofkjcarekjforkjthekjnursingkjpracticekjofkjthekjLPNkjarekjestablishedkjbykjthe:
a. BoardskjofkjNursingkjExaminerskjinkjeachkjstate.
b. NationalkjCouncilkjofkjStateskjBoardskjofkjNursingkj(NCSBN).
c. AmericankjNurseskjAssociationkj(ANA).
d. NationalkjFederationkjofkjLicensedkjPracticalkjNurses.
ANS:k j D
ThekjNationalkjFederationkjofkjLicensedkjPracticalkjNurseskjmodifiedkjthekjstandardskjpublishedkjbykjthe
kjANAkjinkj2015kjtokjbetterkjfitkjthekjrolekjofkjthekjLPN.kjInkj2015kjthekjAmericankjNurseskjAssociationkj(
ANA)kjrevisedkjthekjStandardskjofkjNursingkjPracticekjwhichkjcontainedkj17kjstandardskjofkjnationalkjp
racticekjofkjnursing,kjdescribingkjallkjfacetskjofkjnursingkjpractice:kjwho,kjwhat,kjwhen,kjwhere,kjhow.
DIF: CognitivekjLevel:kjComprehension REF:k j p.kj6
OBJ:kjTheorykj#2kjTOP:k j StandardskjofkjCare
KEY:kjNursingkjProcesskjStep:kjN/AkjMSC:k j NCLEX:kjN/A
6. ThekjLPNkjdemonstrateskjankjevidence-basedkjpracticekjby:
a. usingkjakjdrugkjmanualkjtokjcheckkjcompatibilitykjofkjdrugs.
b. usingkjscientifickjinformationkjtokjguidekjdecisionkjmaking.
c. usingkjmedicalkjhistorykjofkjakjpatientkjtokjdirectkjnursingkjinterventions.
d. basingkjnursingkjcarekjonkjadvicekjfromkjankjexperiencedkjnurse.
ANS:k j B
Thekjusekjofkjscientifickjinformationkjfromkjhigh-
qualitykjresearchkjtokjguidekjnursingkjdecisionskjiskjreflectivekjofkjthekjapplicationkjofkjevidence-
basedkjpractice.
DIF: CognitivekjLevel:kjKnowledge REF:k j p.kj7
OBJ:kjTheorykj#3kjTOP:k j Evidence-BasedkjPractice
KEY:kjNursingkjProcesskjStep:kjN/AkjMSC:k j NCLEX:kjN/A
7. LilliankjWaldkjandkjMarykjBrewsterkjestablishedkjthekjHenrykjStreetkjSettlementkjServicekjinkjNewkjYor
kkjinkj1893kjinkjorderkjto:
a. offerkjakjshelterkjtokjinjuredkjwarkjveterans.
b. foundkjakjnursingkjapprenticeship.
c. providekjhealthkjcarekjtokjpoorkjpersonskjlivingkjinkjtenements.
d. offerkjbetterkjhousingkjtokjlow-incomekjfamilies.
ANS:k j C
, HenrykjStreetkjSettlementkjServicekjbroughtkjthekjprovisionkjofkjcommunitykjhealthkjcarekjtokjthekjpoorkjp
eoplekjlivingkjinkjtenements.
DIF: CognitivekjLevel:kjComprehension REF:k j p.kj2
OBJ:kjTheorykj#4kjTOP:k j GrowthkjofkjNursing
KEY:kjNursingkjProcesskjStep:kjN/AkjMSC:k j NCLEX:kjN/A
8. AnkjeducationalkjpathwaykjforkjankjLPN/LVNkjreferskjtokjankjLPN/LVN:
a. learningkjonkjthekjjobkjandkjbeingkjpromotedkjtokjakjhigherkjlevelkjofkjresponsibility.
b. movingkjfromkjakjmaternitykjunitkjtokjakjmorekjcomplicatedkjsurgicalkjunit.
c. obtainingkjadditionalkjeducationkjtokjmovekjfromkjonekjlevelkjofkjnursingkjtokjanother.
d. learningkjthatkjadvancementkjrequireskjconsistentkjworkkjandkjcommitment.
ANS:k j C
Bykjbroadeningkjthekjeducationalkjbase,kjankjLPN/LVNkjmaykjadvancekjandkjbuildkjakjnursingkjcareer.
DIF: CognitivekjLevel:kjKnowledge REF:k j p.kj7
OBJ:kjTheorykj#7kjTOP:k j NursingkjEducationkjPathways
KEY:kjNursingkjProcesskjStep:kjN/AkjMSC:k j NCLEX:kjN/A
9. Whenkjdiagnosis-
relatedkjgroupskj(DRGs)kjwerekjestablishedkjbykjMedicarekjinkj1983,kjthekjpurposekjwaskjto:
a. putkjpatientskjwithkjthekjsamekjdiagnosiskjonkjthekjsamekjunit.
b. attemptkjtokjcontainkjthekjcostskjofkjhealthkjcare.
c. increasekjthekjavailabilitykjofkjmedicalkjcarekjtokjolderkjadults.
d. identifykjakjpatient’skjconditionkjmorekjquickly.
ANS:k j B
ThekjpurposekjofkjinstitutingkjDRGskjwaskjtokjcontainkjskyrocketingkjcostskjofkjhealthkjcare.
DIF: CognitivekjLevel:kjKnowledge REF:k j p.kj9
OBJ:kjTheorykj#10kjTOP:k j HealthkjCarekjDelivery
KEY:kjNursingkjProcesskjStep:kjN/AkjMSC:k j NCLEX:kjN/A
10. Thekjadventkjofkjdiagnosis-
relatedkjgroupskj(DRGs)kjrequiredkjthatkjnurseskjworkingkjinkjhealthkjcarekjagencies:
a. recordkjsupportivekjdocumentationkjtokjconfirmkjakjpatient’skjneedkjforkjcarekjinkjorderkjt
okjqualifykjforkjreimbursement.
b. usekjthekjDRGkjratherkjthankjtheirkjownkjobservationskjforkjpatientkjassessment.
c. bekjawarekjofkjthekjspecifickjdrugskjrelatedkjtokjthekjdiagnosis.
d. acquirekjcross-trainingkjtokjmakekjstaffingkjmorekjflexible.
ANS:k j A
DRGskjrequiredkjthatkjnurseskjprovidekjmorekjsupportivekjdocumentationkjofkjtheirkjassessmentskjandkji
dentifiedkjpatient’skjneedskjtokjqualifykjthekjfacilitykjforkjMedicarekjreimbursement.kjObservantkjasses
smentkjmightkjalsokjindicatekjanotherkjDRGkjclassificationkjandkjconsequentlykjmorekjreimbursement
kjforkjthekjfacility.
DIF: CognitivekjLevel:kjComprehension REF:k j p.kj10
OBJ:kjTheorykj#10kjTOP:k j ManagedkjCare
KEY:kjNursingkjProcesskjStep:kjN/AkjMSC:k j NCLEX:kjN/A