TEST BANK FOR FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING 4TH EDITION BY DEWIT

Chapter 01: Nursing and the Health Care System 1. Florence Nightingale’s 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. 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. 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. 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. 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. 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. TEST BANK FOR FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING 4TH EDITION BY DEWIT. 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. 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. 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 patient’s condition more quickly. 10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care agencies: a. record supportive documentation to confirm a patient’s need for care in order to qualify for reimbursement. 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. Chapter 02: Concepts of Health, Illness, Stress, and Health Promotion 1. The nurse is aware that any description of health would include the concept that: a. health is the absence of illness, and illness is the presence of chronic disease. b. culture, education, and socioeconomic status influence one’s definition of health or illness. c. illness is a biologic malfunction, and health is biologic soundness. d. lifestyle factors are the major determinant of health or illness. 2. The nurse takes into consideration that the patient with an admitting diagnosis of type 2 diabetes mellitus and influenza is described as having: a. two chronic illnesses. b. two acute illnesses. c. one chronic and one acute illness. d. one acute and one infectious illness. 3. The nurse explains that an idiopathic disease is one that: a. is caused by inherited characteristics. b. develops suddenly, related to new viruses. c. results from injury during labor or delivery. d. has an unknown cause. 4. The nurse assesses a terminal illness in a: a. 76 year old admitted to a nursing home with Alzheimer’s disease who is pacing and asking to go home. b. 43 year old with Lou Gehrig’s disease who is refusing food and fluid. c. 2 year old child who burned her esophagus by drinking drain cleaner and who is being fed by a tube. d. 52 year old diagnosed with lung cancer who had part of one lung removed and has a closed chest drainage device in place. 5. The nurse clarifies to a patient who now has an abscess following a ruptured appendix that the abscess is considered to be: a. a secondary illness. b. a life threatening complication. c. an expected event following any surgery. d. a disorder easily treated with antibiotics. 6. The nurse uses a diagram to demonstrate how Dunn’s theory of health and illness can be compared with a: a. plant that grows from a seed, blossoms, wilts, and dies. b. continuum, with peak wellness and death at opposite ends; the person moves back and forth in a dynamic state of change. c. ladder; from birth to death the individual moves progressively downward a ladder to eventual death. d. state of mind dependent on the individual perception of their own health or illness. 7. A patient has been advised by the physician to take medication for high cholesterol and to change eating habits after discharge home. The home health nurse discovered that the patient refused to follow the medical and nutritional directions. The nurse’s best initial response to this situation is to: a. emphasize to the patient how important it is to follow the doctor’s advice. b. determine whether any cultural, socioeconomic, or religious values conflict, thus interfering with the patient’s compliance. c. explain that without diet and medication the condition will worsen and serious problems will develop. d. inform the physician that the patient is unable to understand the instructions. 8. A nurse practicing a holistic approach to nursing care must: a. recognize that a change in one aspect of the person’s life can alter the whole of that person’s life. b. take responsibility for health care decisions. c. promote state of the art technology. d. discourage the use of more natural remedies and alternative methods of health care. 9. According to Maslow’s hierarchy, physiological needs are those that: a. nurture intimacy. b. foster independence. c. encourage social interaction. d. are essential to human life. 10. The factors involved in assessing the importance the patient attaches to the relief of a particular deficit include