TEST BANK FOR
FUNDAMENTAL
CONCEPT AND SKILLS
FOR NURSING 6TH
EDITION BY WILLIAMS
Chapter 01: Nursing and the Health Care System
MULTIPLE CHOICE
• Florence Nightingale’s contributions to nursing practice and education:
• are historically important but have no validity for nursing today.
• were neither recognized nor appreciated in her own time.
, • were a major factor in reducing the death rate in the Crimean War.
• were limited only to the care of severe traumatic wounds.
ANS: C
By improving sanitation, nutrition ventilation, and handwashing
techniques, Florence Nightingale’s nurses dramatically reduced the
death rate from injuries in the Crimean War.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #1TOP: Nursin
• Early nursing education and care in the United States:
• were directed at community health.
• provided independence for women through education and employment.
• were an educational model based in institutions of higher learning.
• have continued to be entirely focused on hospital nursing.
ANS: B
Because of the influence of early
nNuUrRsiSnIgNGleTaBd. eCrOs,M nursing education became more
formalized through apprenticeships in Nightingale schools that
offered independence towomen through education and employment.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #4TOP: Nursin
• 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.
• nursing assistant, delegator, and environmental specialist.
• medication dispenser, collaborator, and transporter.
• 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: p. 3 OBJ: Theory #2 TOP: Art an
• Although nursing theories differ in their attempts to define
nursing, all of them base their beliefs on common concepts
concerning:
, • self-actualization, fundamental needs, and belonging.
• stress reduction, self-care, and a systems model.
• curative care, restorative care, and terminal care.
• human relationships, the environment, and health.
ANS: D
Although nursing theories differ, they all base their beliefs on
human relationships, theenvironment, and health.
DIF: Cognitive Level: Comprehension REF: p. 4 OBJ: Theory #2TOP: Nursin
• Standards of care for the nursing practice of the LPN are established by the:
• Boards of Nursing Examiners in each state.
• National Council of States Boards of Nursing (NCSBN).
• American Nurses Association (ANA).
• National Federation of Licensed Practical Nurses.
ANS: D
The National Federation of Licensed Practical Nurses modified the
standards published by theANA in 2015 to better fit the role of the
LPN. In 2015 the American Nurses Association (ANA) revised the
Standards of Nursing Practice which contained 17 standards of
national practice of nursing, describing all facets of nursing practice:
who, what, when, where, how.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory #2TOP: Standa
• The LPN demonstrates an evidence-based practice by:
• using a drug manual to check compatibility of drugs.
• using scientific information to guide decision making.
• using medical history of a client to direct nursing interventions.
• basing nursing care on advice from an experienced nurse.
ANS: B
The use of scientific information from high-quality research to
guide nursing decisions isreflective of the application of
evidence-based practice.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #3TOP: Eviden
• Lillian Wald and Mary Brewster established the Henry Street
Settlement Service in NewYork in 1893 in order to:
• offer a shelter to injured war veterans.
• found a nursing apprenticeship.
, • provide health care to poor persons living in tenements.
• 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: p. 2 OBJ: Theory #4TOP: Growt
• An educational pathway for an LPN/LVN refers to an LPN/LVN:
• learning on the job and being promoted to a higher level of
responsibility.
• moving from a maternity unit to a more complicated surgical unit.
• obtaining additional education to move from one level of nursing to
another.
• learning that advancement requires consistent work and commitment.
ANS: C
By broadening the educational base, an LPN/LVN may advance and build a
nursing career.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #7TOP: Nursin
• When diagnosis-related groups (DRGs) were established by
Medicare in 1983, the purpose was to:
• put clients with the same diagnosis on the same unit.
• attempt to contain the costs of health care.
• increase the availability of medical care to older adults.
• identify a client's condition more quickly.
ANS: B
The purpose of instituting DRGs was to contain skyrocketing costs of
health care.
DIF: Cognitive Level: Knowledge REF: p. 9 OBJ: Theory #10TOP: Healt
• The advent of diagnosis-related groups (DRGs) required that
nurses working in health care agencies:
• record supportive documentation to confirm a client's need for
care in order to qualify for reimbursement.
• use the DRG rather than their own observations for client assessment.
• be aware of the specific drugs related to the diagnosis.
FUNDAMENTAL
CONCEPT AND SKILLS
FOR NURSING 6TH
EDITION BY WILLIAMS
Chapter 01: Nursing and the Health Care System
MULTIPLE CHOICE
• Florence Nightingale’s contributions to nursing practice and education:
• are historically important but have no validity for nursing today.
• were neither recognized nor appreciated in her own time.
, • were a major factor in reducing the death rate in the Crimean War.
• were limited only to the care of severe traumatic wounds.
ANS: C
By improving sanitation, nutrition ventilation, and handwashing
techniques, Florence Nightingale’s nurses dramatically reduced the
death rate from injuries in the Crimean War.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #1TOP: Nursin
• Early nursing education and care in the United States:
• were directed at community health.
• provided independence for women through education and employment.
• were an educational model based in institutions of higher learning.
• have continued to be entirely focused on hospital nursing.
ANS: B
Because of the influence of early
nNuUrRsiSnIgNGleTaBd. eCrOs,M nursing education became more
formalized through apprenticeships in Nightingale schools that
offered independence towomen through education and employment.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #4TOP: Nursin
• 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.
• nursing assistant, delegator, and environmental specialist.
• medication dispenser, collaborator, and transporter.
• 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: p. 3 OBJ: Theory #2 TOP: Art an
• Although nursing theories differ in their attempts to define
nursing, all of them base their beliefs on common concepts
concerning:
, • self-actualization, fundamental needs, and belonging.
• stress reduction, self-care, and a systems model.
• curative care, restorative care, and terminal care.
• human relationships, the environment, and health.
ANS: D
Although nursing theories differ, they all base their beliefs on
human relationships, theenvironment, and health.
DIF: Cognitive Level: Comprehension REF: p. 4 OBJ: Theory #2TOP: Nursin
• Standards of care for the nursing practice of the LPN are established by the:
• Boards of Nursing Examiners in each state.
• National Council of States Boards of Nursing (NCSBN).
• American Nurses Association (ANA).
• National Federation of Licensed Practical Nurses.
ANS: D
The National Federation of Licensed Practical Nurses modified the
standards published by theANA in 2015 to better fit the role of the
LPN. In 2015 the American Nurses Association (ANA) revised the
Standards of Nursing Practice which contained 17 standards of
national practice of nursing, describing all facets of nursing practice:
who, what, when, where, how.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory #2TOP: Standa
• The LPN demonstrates an evidence-based practice by:
• using a drug manual to check compatibility of drugs.
• using scientific information to guide decision making.
• using medical history of a client to direct nursing interventions.
• basing nursing care on advice from an experienced nurse.
ANS: B
The use of scientific information from high-quality research to
guide nursing decisions isreflective of the application of
evidence-based practice.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #3TOP: Eviden
• Lillian Wald and Mary Brewster established the Henry Street
Settlement Service in NewYork in 1893 in order to:
• offer a shelter to injured war veterans.
• found a nursing apprenticeship.
, • provide health care to poor persons living in tenements.
• 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: p. 2 OBJ: Theory #4TOP: Growt
• An educational pathway for an LPN/LVN refers to an LPN/LVN:
• learning on the job and being promoted to a higher level of
responsibility.
• moving from a maternity unit to a more complicated surgical unit.
• obtaining additional education to move from one level of nursing to
another.
• learning that advancement requires consistent work and commitment.
ANS: C
By broadening the educational base, an LPN/LVN may advance and build a
nursing career.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #7TOP: Nursin
• When diagnosis-related groups (DRGs) were established by
Medicare in 1983, the purpose was to:
• put clients with the same diagnosis on the same unit.
• attempt to contain the costs of health care.
• increase the availability of medical care to older adults.
• identify a client's condition more quickly.
ANS: B
The purpose of instituting DRGs was to contain skyrocketing costs of
health care.
DIF: Cognitive Level: Knowledge REF: p. 9 OBJ: Theory #10TOP: Healt
• The advent of diagnosis-related groups (DRGs) required that
nurses working in health care agencies:
• record supportive documentation to confirm a client's need for
care in order to qualify for reimbursement.
• use the DRG rather than their own observations for client assessment.
• be aware of the specific drugs related to the diagnosis.
