COMPLETE TEST BANK:
Timby's Fundamental Nursing Skills and Concepts 12th
Edition
by Loretta A Donnelly-Moreno Latest Update.
,CHAPTER 1 NURSING FOUNDATIONS
MULTIPLE CHOICE
1. FLORENCE NIGHTINGALES CONTRIBUTIONS TO NURSING PRACTICE AND EDUCATION:
a. ARE HISTORICALLY IMPORTANT BUT HAVE NO VALIDITY FOR NURSING TODAY.
b. WERE NEITHER RECOGNIZED NOR APPRECIATED IN HER OWN TIME.
c. WERE A MAJOR FACTOR IN REDUCING THE DEATH RATE IN THE CRIMEAN WAR.
d. WERE LIMITED ONLY TO THE CARE OF SEVERE
TRAUMATIC WOUNDS. ANS: C
BY IMPROVING SANITATION, NUTRITION VENTILATION, AND HANDWASHING
TECHNIQUES, FLORENCE
NIGHTINGALES NURSES DRAMATICALLY REDUCED THE DEATH RATE FROM
INJURIES IN THE CRIMEAN WAR. DIF: COGNITIVE LEVEL: KNOWLEDGE REF:
DM 2 OBJ: THEORY #1
TOP: NURSING HISTORY KEY: NURSING PROCESS
STEP: N/A MSC: NCLEX: N/A
2. EARLY NURSING EDUCATION AND CARE IN THE UNITED STATES:
a. WERE DIRECTED AT COMMUNITY HEALTH.
b. PROVIDED INDEPENDENCE FOR WOMEN THROUGH EDUCATION AND
EMPLOYMENT.
c. WERE AN EDUCATIONAL MODEL BASED IN INSTITUTIONS OF HIGHER
LEARNING.
d. HAVE CONTINUED TO BE ENTIRELY FOCUSED
ON HOSPITAL NURSING. ANS: B
BECAUSE OF THE INFLUENCE OF EARLY NURSING LEADERS, NURSING EDUCATION
BECAME MORE FORMALIZED
THROUGH APPRENTICESHIPS IN NIGHTINGALE SCHOOLS THAT OFFERED
INDEPENDENCE TO WOMEN THROUGH EDUCATION AND EMPLOYMENT.
DIF: COGNITIVE LEVEL: KNOWLEDGE REF: DM 2
OBJ: THEORY #4 TOP: NURSING HISTORY KEY:
NURSING PROCESS STEP: N/A MSC: NCLEX: N/A
3. IN ORDER TO FULFILL THE COMMON GOALS DEFINED BY NURSING THEORISTS
(PROMOTE WELLNESS, PREVENT
ILLNESS, FACILITATE COPING, AND RESTORE HEALTH), THE LPN MUST TAKE ON THE
ROLES OF:
a. CAREGIVER, EDUCATOR, AND COLLABORATOR.
b. NURSING ASSISTANT, DELEGATOR, AND ENVIRONMENTAL SPECIALIST.
c. MEDICATION DISPENSER, COLLABORATOR, AND TRANSPORTER.
d. DIETITIAN, MANAGER, AND
HOUSEKEEPER. ANS: A
IN ORDER FOR THE LPN TO APPLY THE COMMON GOALS OF NURSING, HE OR SHE MUST
ASSUME THE ROLES OF
CAREGIVER, EDUCATOR, COLLABORATOR, MANAGER, AND ADVOCATE.
DIF: COGNITIVE LEVEL: COMPREHENSION REF: DM 4
OBJ: THEORY #2 TOP: ART AND SCIENCE OF NURSING
KEY: NURSING PROCESS STEP: N/A MSC: NCLEX: N/A
,4. ALTHOUGH NURSING THEORIES DIFFER IN THEIR ATTEMPTS TO DEFINE
NURSING, ALL OF THEM BASE THEIR BELIEFS ON COMMON CONCEPTS
CONCERNING:
a. SELF-ACTUALIZATION, FUNDAMENTAL NEEDS, AND BELONGING.
b. STRESS REDUCTION, SELF-CARE, AND A SYSTEMS MODEL.
c. CURATIVE CARE, RESTORATIVE CARE, AND TERMINAL CARE.
d. HUMAN RELATIONSHIPS, THE
ENVIRONMENT, AND HEALTH. ANS: D
ALTHOUGH NURSING THEORIES DIFFER, THEY ALL BASE THEIR BELIEFS ON HUMAN
RELATIONSHIPS, THE
ENVIRONMENT, AND HEALTH.
DIF: COGNITIVE LEVEL: COMPREHENSION REF: DM 4
OBJ: THEORY #2 TOP: NURSING THEORIES KEY:
NURSING PROCESS STEP: N/A
MSC: NCLEX: N/A
5. STANDARDS OF CARE FOR THE NURSING PRACTICE OF THE LPN ARE ESTABLISHED BY
THE:
a. BOARDS OF NURSING EXAMINERS IN EACH STATE.
b. NATIONAL COUNCIL OF STATES BOARDS OF NURSING (NCSBN).
c. AMERICAN NURSES ASSOCIATION (ANA).
d. NATIONAL FEDERATION OF LICENSED
PRACTICAL NURSES. ANS: D
THE NATIONAL FEDERATION OF LICENSED PRACTICAL NURSES MODIFIED THE
STANDARDS PUBLISHED BY THE
ANA IN 2004 TO BETTER FIT THE ROLE OF THE LPN.
DIF: COGNITIVE LEVEL: COMPREHENSION REF: DM 5
OBJ: THEORY #2 TOP: STANDARDS OF CARE KEY:
NURSING PROCESS STEP: N/A
MSC: NCLEX: N/A
6. THE LPN DEMONSTRATES AN EVIDENCE-BASED PRACTICE BY:
a. USING A DRUG MANUAL TO CHECK COMPATIBILITY OF DRUGS.
b. USING SCIENTIFIC INFORMATION TO GUIDE DECISION MAKING.
c. USING MEDICAL HISTORY OF A PATIENT TO DIRECT NURSING INTERVENTIONS.
d. BASING NURSING CARE ON ADVICE FROM AN
EXPERIENCED NURSE. ANS: B
THE USE OF SCIENTIFIC INFORMATION FROM HIGH-QUALITY RESEARCH TO GUIDE
NURSING DECISIONS IS
REFLECTIVE OF THE APPLICATION OF EVIDENCE-BASED PRACTICE.
DIF: COGNITIVE LEVEL: KNOWLEDGE REF: DM 5 OBJ:
THEORY #3 TOP: EVIDENCE BASED PRACTICE KEY:
NURSING PROCESS STEP: N/A MSC: NCLEX: N/A
7. LILLIAN WALD AND MARY BREWSTER ESTABLISHED THE HENRY STREET
SETTLEMENT SERVICE IN NEW YORK IN 1893 IN ORDER TO:
a. OFFER A SHELTER TO INJURED WAR VETERANS.
b. FOUND A NURSING APPRENTICESHIP.
c. PROVIDE HEALTH CARE TO POOR PERSONS LIVING IN TENEMENTS.
d. OFFER BETTER HOUSING TO LOW-INCOME FAMILIES.
, ANS: C
HENRY STREET SETTLEMENT SERVICE BROUGHT THE PROVISION OF
COMMUNITY HEALTH CARE TO THE POOR PEOPLE LIVING IN TENEMENTS.
DIF: COGNITIVE LEVEL: COMPREHENSION REF: DM 2
OBJ: THEORY #4 TOP: GROWTH OF NURSING KEY:
NURSING PROCESS STEP: N/A
MSC: NCLEX: N/A
8. AN EDUCATIONAL PATHWAY FOR AN LPN REFERS TO AN LPN:
a. LEARNING ON THE JOB AND BEING PROMOTED TO A HIGHER LEVEL OF
RESPONSIBILITY.
b. MOVING FROM A MATERNITY UNIT TO A MORE COMPLICATED SURGICAL UNIT.
c. OBTAINING ADDITIONAL EDUCATION TO MOVE FROM ONE LEVEL OF NURSING
TO ANOTHER.
d. LEARNING THAT ADVANCEMENT REQUIRES CONSISTENT
WORK AND COMMITMENT. ANS: C
BY BROADENING THE EDUCATIONAL BASE, AN LPN MAY ADVANCE AND BUILD A
NURSING CAREER.
DIF: COGNITIVE LEVEL: KNOWLEDGE REF: DM 6 OBJ: THEORY #7
TOP: NURSING EDUCATION PATHWAYS KEY: NURSING
PROCESS STEP: N/A MSC: NCLEX: N/A
9. WHEN DIAGNOSIS-RELATED GROUPS (DRGS) WERE ESTABLISHED BY MEDICARE IN 1983,
THE PURPOSE
WAS TO:
a. PUT PATIENTS WITH THE SAME DIAGNOSIS ON THE SAME UNIT.
b. ATTEMPT TO CONTAIN THE COSTS OF HEALTH CARE.
c. INCREASE AVAILABILITY OF MEDICAL CARE TO THE ELDERLY.
d. IDENTIFY A PATIENTS CONDITION
MORE QUICKLY. ANS: B
THE PURPOSE OF INSTITUTING DRGS WAS TO CONTAIN SKYROCKETING COSTS OF HEALTH
CARE.
DIF: COGNITIVE LEVEL: KNOWLEDGE REF: DM 8 OBJ:
THEORY #10 TOP: HEALTH CARE DELIVERY KEY:
NURSING PROCESS STEP: N/A MSC: NCLEX: N/A
10. THE ADVENT OF DIAGNOSIS-RELATED GROUPS (DRGS) REQUIRED THAT
NURSES WORKING IN HEALTH CARE AGENCIES:
a. RECORD SUPPORTIVE DOCUMENTATION TO CONFIRM A PATIENTS NEED FOR
CARE IN ORDER TO QUALIFY FOR REIMB
b. USE THE DRG RATHER THAN THEIR OWN OBSERVATIONS FOR PATIENT
ASSESSMENT.
c. BE AWARE OF THE SPECIFIC DRUGS RELATED TO THE DIAGNOSIS.
d. ACQUIRE CROSS-TRAINING TO MAKE
STAFFING MORE FLEXIBLE. ANS: A
DRGS REQUIRED THAT NURSES PROVIDE MORE SUPPORTIVE DOCUMENTATION OF THEIR
ASSESSMENTS AND
IDENTIFIED PATIENT NEEDS TO QUALIFY THE FACILITY FOR MEDICARE
REIMBURSEMENT. OBSERVANT ASSESSMENT MIGHT ALSO INDICATE ANOTHER
DRG CLASSIFICATION AND CONSEQUENTLY MORE REIMBURSEMENT FOR THE
FACILITY.
DIF: COGNITIVE LEVEL: COMPREHENSION REF: DM 8 OBJ:
Timby's Fundamental Nursing Skills and Concepts 12th
Edition
by Loretta A Donnelly-Moreno Latest Update.
,CHAPTER 1 NURSING FOUNDATIONS
MULTIPLE CHOICE
1. FLORENCE NIGHTINGALES CONTRIBUTIONS TO NURSING PRACTICE AND EDUCATION:
a. ARE HISTORICALLY IMPORTANT BUT HAVE NO VALIDITY FOR NURSING TODAY.
b. WERE NEITHER RECOGNIZED NOR APPRECIATED IN HER OWN TIME.
c. WERE A MAJOR FACTOR IN REDUCING THE DEATH RATE IN THE CRIMEAN WAR.
d. WERE LIMITED ONLY TO THE CARE OF SEVERE
TRAUMATIC WOUNDS. ANS: C
BY IMPROVING SANITATION, NUTRITION VENTILATION, AND HANDWASHING
TECHNIQUES, FLORENCE
NIGHTINGALES NURSES DRAMATICALLY REDUCED THE DEATH RATE FROM
INJURIES IN THE CRIMEAN WAR. DIF: COGNITIVE LEVEL: KNOWLEDGE REF:
DM 2 OBJ: THEORY #1
TOP: NURSING HISTORY KEY: NURSING PROCESS
STEP: N/A MSC: NCLEX: N/A
2. EARLY NURSING EDUCATION AND CARE IN THE UNITED STATES:
a. WERE DIRECTED AT COMMUNITY HEALTH.
b. PROVIDED INDEPENDENCE FOR WOMEN THROUGH EDUCATION AND
EMPLOYMENT.
c. WERE AN EDUCATIONAL MODEL BASED IN INSTITUTIONS OF HIGHER
LEARNING.
d. HAVE CONTINUED TO BE ENTIRELY FOCUSED
ON HOSPITAL NURSING. ANS: B
BECAUSE OF THE INFLUENCE OF EARLY NURSING LEADERS, NURSING EDUCATION
BECAME MORE FORMALIZED
THROUGH APPRENTICESHIPS IN NIGHTINGALE SCHOOLS THAT OFFERED
INDEPENDENCE TO WOMEN THROUGH EDUCATION AND EMPLOYMENT.
DIF: COGNITIVE LEVEL: KNOWLEDGE REF: DM 2
OBJ: THEORY #4 TOP: NURSING HISTORY KEY:
NURSING PROCESS STEP: N/A MSC: NCLEX: N/A
3. IN ORDER TO FULFILL THE COMMON GOALS DEFINED BY NURSING THEORISTS
(PROMOTE WELLNESS, PREVENT
ILLNESS, FACILITATE COPING, AND RESTORE HEALTH), THE LPN MUST TAKE ON THE
ROLES OF:
a. CAREGIVER, EDUCATOR, AND COLLABORATOR.
b. NURSING ASSISTANT, DELEGATOR, AND ENVIRONMENTAL SPECIALIST.
c. MEDICATION DISPENSER, COLLABORATOR, AND TRANSPORTER.
d. DIETITIAN, MANAGER, AND
HOUSEKEEPER. ANS: A
IN ORDER FOR THE LPN TO APPLY THE COMMON GOALS OF NURSING, HE OR SHE MUST
ASSUME THE ROLES OF
CAREGIVER, EDUCATOR, COLLABORATOR, MANAGER, AND ADVOCATE.
DIF: COGNITIVE LEVEL: COMPREHENSION REF: DM 4
OBJ: THEORY #2 TOP: ART AND SCIENCE OF NURSING
KEY: NURSING PROCESS STEP: N/A MSC: NCLEX: N/A
,4. ALTHOUGH NURSING THEORIES DIFFER IN THEIR ATTEMPTS TO DEFINE
NURSING, ALL OF THEM BASE THEIR BELIEFS ON COMMON CONCEPTS
CONCERNING:
a. SELF-ACTUALIZATION, FUNDAMENTAL NEEDS, AND BELONGING.
b. STRESS REDUCTION, SELF-CARE, AND A SYSTEMS MODEL.
c. CURATIVE CARE, RESTORATIVE CARE, AND TERMINAL CARE.
d. HUMAN RELATIONSHIPS, THE
ENVIRONMENT, AND HEALTH. ANS: D
ALTHOUGH NURSING THEORIES DIFFER, THEY ALL BASE THEIR BELIEFS ON HUMAN
RELATIONSHIPS, THE
ENVIRONMENT, AND HEALTH.
DIF: COGNITIVE LEVEL: COMPREHENSION REF: DM 4
OBJ: THEORY #2 TOP: NURSING THEORIES KEY:
NURSING PROCESS STEP: N/A
MSC: NCLEX: N/A
5. STANDARDS OF CARE FOR THE NURSING PRACTICE OF THE LPN ARE ESTABLISHED BY
THE:
a. BOARDS OF NURSING EXAMINERS IN EACH STATE.
b. NATIONAL COUNCIL OF STATES BOARDS OF NURSING (NCSBN).
c. AMERICAN NURSES ASSOCIATION (ANA).
d. NATIONAL FEDERATION OF LICENSED
PRACTICAL NURSES. ANS: D
THE NATIONAL FEDERATION OF LICENSED PRACTICAL NURSES MODIFIED THE
STANDARDS PUBLISHED BY THE
ANA IN 2004 TO BETTER FIT THE ROLE OF THE LPN.
DIF: COGNITIVE LEVEL: COMPREHENSION REF: DM 5
OBJ: THEORY #2 TOP: STANDARDS OF CARE KEY:
NURSING PROCESS STEP: N/A
MSC: NCLEX: N/A
6. THE LPN DEMONSTRATES AN EVIDENCE-BASED PRACTICE BY:
a. USING A DRUG MANUAL TO CHECK COMPATIBILITY OF DRUGS.
b. USING SCIENTIFIC INFORMATION TO GUIDE DECISION MAKING.
c. USING MEDICAL HISTORY OF A PATIENT TO DIRECT NURSING INTERVENTIONS.
d. BASING NURSING CARE ON ADVICE FROM AN
EXPERIENCED NURSE. ANS: B
THE USE OF SCIENTIFIC INFORMATION FROM HIGH-QUALITY RESEARCH TO GUIDE
NURSING DECISIONS IS
REFLECTIVE OF THE APPLICATION OF EVIDENCE-BASED PRACTICE.
DIF: COGNITIVE LEVEL: KNOWLEDGE REF: DM 5 OBJ:
THEORY #3 TOP: EVIDENCE BASED PRACTICE KEY:
NURSING PROCESS STEP: N/A MSC: NCLEX: N/A
7. LILLIAN WALD AND MARY BREWSTER ESTABLISHED THE HENRY STREET
SETTLEMENT SERVICE IN NEW YORK IN 1893 IN ORDER TO:
a. OFFER A SHELTER TO INJURED WAR VETERANS.
b. FOUND A NURSING APPRENTICESHIP.
c. PROVIDE HEALTH CARE TO POOR PERSONS LIVING IN TENEMENTS.
d. OFFER BETTER HOUSING TO LOW-INCOME FAMILIES.
, ANS: C
HENRY STREET SETTLEMENT SERVICE BROUGHT THE PROVISION OF
COMMUNITY HEALTH CARE TO THE POOR PEOPLE LIVING IN TENEMENTS.
DIF: COGNITIVE LEVEL: COMPREHENSION REF: DM 2
OBJ: THEORY #4 TOP: GROWTH OF NURSING KEY:
NURSING PROCESS STEP: N/A
MSC: NCLEX: N/A
8. AN EDUCATIONAL PATHWAY FOR AN LPN REFERS TO AN LPN:
a. LEARNING ON THE JOB AND BEING PROMOTED TO A HIGHER LEVEL OF
RESPONSIBILITY.
b. MOVING FROM A MATERNITY UNIT TO A MORE COMPLICATED SURGICAL UNIT.
c. OBTAINING ADDITIONAL EDUCATION TO MOVE FROM ONE LEVEL OF NURSING
TO ANOTHER.
d. LEARNING THAT ADVANCEMENT REQUIRES CONSISTENT
WORK AND COMMITMENT. ANS: C
BY BROADENING THE EDUCATIONAL BASE, AN LPN MAY ADVANCE AND BUILD A
NURSING CAREER.
DIF: COGNITIVE LEVEL: KNOWLEDGE REF: DM 6 OBJ: THEORY #7
TOP: NURSING EDUCATION PATHWAYS KEY: NURSING
PROCESS STEP: N/A MSC: NCLEX: N/A
9. WHEN DIAGNOSIS-RELATED GROUPS (DRGS) WERE ESTABLISHED BY MEDICARE IN 1983,
THE PURPOSE
WAS TO:
a. PUT PATIENTS WITH THE SAME DIAGNOSIS ON THE SAME UNIT.
b. ATTEMPT TO CONTAIN THE COSTS OF HEALTH CARE.
c. INCREASE AVAILABILITY OF MEDICAL CARE TO THE ELDERLY.
d. IDENTIFY A PATIENTS CONDITION
MORE QUICKLY. ANS: B
THE PURPOSE OF INSTITUTING DRGS WAS TO CONTAIN SKYROCKETING COSTS OF HEALTH
CARE.
DIF: COGNITIVE LEVEL: KNOWLEDGE REF: DM 8 OBJ:
THEORY #10 TOP: HEALTH CARE DELIVERY KEY:
NURSING PROCESS STEP: N/A MSC: NCLEX: N/A
10. THE ADVENT OF DIAGNOSIS-RELATED GROUPS (DRGS) REQUIRED THAT
NURSES WORKING IN HEALTH CARE AGENCIES:
a. RECORD SUPPORTIVE DOCUMENTATION TO CONFIRM A PATIENTS NEED FOR
CARE IN ORDER TO QUALIFY FOR REIMB
b. USE THE DRG RATHER THAN THEIR OWN OBSERVATIONS FOR PATIENT
ASSESSMENT.
c. BE AWARE OF THE SPECIFIC DRUGS RELATED TO THE DIAGNOSIS.
d. ACQUIRE CROSS-TRAINING TO MAKE
STAFFING MORE FLEXIBLE. ANS: A
DRGS REQUIRED THAT NURSES PROVIDE MORE SUPPORTIVE DOCUMENTATION OF THEIR
ASSESSMENTS AND
IDENTIFIED PATIENT NEEDS TO QUALIFY THE FACILITY FOR MEDICARE
REIMBURSEMENT. OBSERVANT ASSESSMENT MIGHT ALSO INDICATE ANOTHER
DRG CLASSIFICATION AND CONSEQUENTLY MORE REIMBURSEMENT FOR THE
FACILITY.
DIF: COGNITIVE LEVEL: COMPREHENSION REF: DM 8 OBJ:
