TESTsBANK
FundamentalsConceptssandsSkillssforsNursings6th EditionsPatricia
s
Williams
Chapters1.sNursingsandsthesHealthsCaresSystem
Williams:sFundamentalsConceptssandsSkillssforsNursing,s6thsEdition
MULTIPLEsCHOICE
1. FlorencesNightingale’sscontributionsstosnursingspracticesandseducation:
a. areshistoricallysimportantsbutshavesnosvaliditysforsnursingstoday.
b. weresneithersrecognizedsnorsappreciatedsinshersownstime.
c. weresasmajorsfactorsinsreducingsthesdeathsratesinsthesCrimeansWar.
d. wereslimitedsonlystosthescaresofsseverestraumaticswounds.
ANS:s C
Bysimprovingssanitation,snutritionsventilation,sandshandwashingstechniques,sFlorencesNi
ghtingale’ssnursessdramaticallysreducedsthesdeathsratesfromsinjuriessinsthesCrimeansWar.
DIF: CognitivesLevel:sKnowledge REF: p.s2 OBJ:
Theorys#1sTOP: NursingsHistory
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
2. EarlysnursingseducationsandscaresinsthesUnitedsStates:
a. weresdirectedsatscommunityshealth.
b. providedsindependencesforswomensthroughseducationsandsemployment.
c. weresanseducationalsmodelsbasedsinsinstitutionssofshigherslearning.
d. havescontinuedstosbesentirelysfocusedsonshospitalsnursing.
ANS:s B
Becausesofsthesinfluencesofsearlysnursingsleaders,snursingseducationsbecamesmoresform
alizedsthroughsapprenticeshipssinsNightingalesschoolssthatsofferedsindependencestoswom
ensthroughseducationsandsemployment.
DIF: CognitivesLevel:sKnowledge REF: p.s2 OBJ:
Theorys#4sTOP: NursingsHistory
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
3. Insorderstosfulfillsthescommonsgoalssdefinedsbysnursingstheoristss(promoteswellness,spre
ventsillness,sfacilitatescoping,sandsrestoreshealth),sthesLPNsmuststakesonsthesrolessof:
a. caregiver,seducator,sandscollaborator.
b. nursingsassistant,sdelegator,sandsenvironmentalsspecialist.
c. medicationsdispenser,scollaborator,sandstransporter.
d. dietitian,smanager,sandshousekeeper.
ANS:s A
InsordersforsthesLPNstosapplysthescommonsgoalssofsnursing,shesorsshesmustsassumesth
esrolessofscaregiver,seducator,scollaborator,smanager,sandsadvocate.
DIF: CognitivesLevel:sComprehension REF: p.s3 OBJ:
,Theorys#2sTOP: ArtsandsSciencesofsNursing
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
,4. Althoughsnursingstheoriessdiffersinstheirsattemptsstosdefinesnursing,sallsofsthemsbase
stheirsbeliefssonscommonsconceptssconcerning:
a. self-actualization,sfundamentalsneeds,sandsbelonging.
b. stresssreduction,sself-care,sandsassystemssmodel.
c. curativescare,srestorativescare,sandsterminalscare.
d. humansrelationships,sthesenvironment,sandshealth.
ANS:s D
Althoughsnursingstheoriessdiffer,stheysallsbasestheirsbeliefssonshumansrelationships,sthese
nvironment,sandshealth.
DIF: CognitivesLevel:sComprehension REF: p.s4 OBJ:
Theorys#2sTOP: NursingsTheories
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
5. StandardssofscaresforsthesnursingspracticesofsthesLPNsaresestablishedsbysthe:
a. BoardssofsNursingsExaminerssinseachsstate.
b. NationalsCouncilsofsStatessBoardssofsNursings(NCSBN).
c. AmericansNursessAssociations(ANA).
d. NationalsAssociationsofsLicensedsPracticalsNurses.
ANS:s D
ThespracticalsnursesfollowssstandardsswrittensbysthesNationalsAssociationsofsLicensedsPr
acticalsNursesstosdeliverssafe,sknowledgeablesnursingscares(Boxs1.1,sAppendixsD)
DIF: CognitivesLevel:sComprehension REF: p.s6 OBJ:
Theorys#2sTOP: StandardssofsCare
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
6. ThesLPNsdemonstratessansevidence-basedspracticesby:
a. usingsasdrugsmanualstoscheckscompatibilitysofsdrugs.
b. usingsscientificsinformationstosguidesdecisionsmaking.
c. usingsmedicalshistorysofsaspatientstosdirectsnursingsinterventions.
d. basingsnursingscaresonsadvicesfromsansexperiencedsnurse.
ANS:s B
Thesusesofsscientificsinformationsfromshigh-
qualitysresearchstosguidesnursingsdecisionssissreflectivesofsthesapplicationsofsevidence
-basedspractice.
DIF: CognitivesLevel:sKnowledge REF: p.s4 OBJ:
Theorys#3sTOP: Evidence-BasedsPractice
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
7. LilliansWaldsandsMarysBrewstersestablishedsthesHenrysStreetsSettlementsServicesins
NewsYorksins1893sinsordersto:
a. offersasshelterstosinjuredswarsveterans.
b. foundsasnursingsapprenticeship.
c. provideshealthscarestospoorspersonsslivingsinstenements.
d. offersbettershousingstoslow-
incomesfamilies.sANS:s C
, HenrysStreetsSettlementsServicesbroughtsthesprovisionsofscommunityshealthscarestosthes
poorspeopleslivingsinstenements.
DIF: CognitivesLevel:sComprehension REF: p.s2 OBJ:
Theorys#4sTOP: GrowthsofsNursing
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
8. AnseducationalspathwaysforsansLPN/LVNsrefersstosansLPN/LVN:
a. learningsonsthesjobsandsbeingspromotedstosashigherslevelsofsresponsibility.
b. movingsfromsasmaternitysunitstosasmorescomplicatedssurgicalsunit.
c. obtainingsadditionalseducationstosmovesfromsoneslevelsofsnursingstosanother.
d. learningsthatsadvancementsrequiressconsistentsworksandscommitment.
ANS:s C
Bysbroadeningstheseducationalsbase,sansLPN/LVNsmaysadvancesandsbuildsasnursingscareer.
DIF: CognitivesLevel:sKnowledge REF: p.s7 OBJ:
Theorys#7sTOP: NursingsEducationsPathways
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
9. Whensdiagnosis-
relatedsgroupss(DRGs)sweresestablishedsbysMedicaresins1983,sthespurposeswassto:
a. putspatientsswithsthessamesdiagnosissonsthessamesunit.
b. attemptstoscontainsthescostssofshealthscare.
c. increasesthesavailabilitysofsmedicalscarestosoldersadults.
d. identifysaspatient’ssconditionsmoresquickly.
ANS:s B
ThespurposesofsinstitutingsDRGsswasstoscontainsskyrocketingscostssofshealthscare.
DIF: CognitivesLevel:sKnowledge REF: p.s10 OBJ:
Theorys#10sTOP: HealthsCaresDelivery
KEY:ssNursingsProcesssStep:sN/A
MSC:s NCLEX:sN/A
10. Thesadventsofsdiagnosis-
relatedsgroupss(DRGs)srequiredsthatsnursessworkingsinshealthscaresagencies:
a. recordssupportivesdocumentationstosconfirmsaspatient’ssneedsforscaresinsord
erstosqualifysforsreimbursement.
b. usesthesDRGsrathersthanstheirsownsobservationssforspatientsassessment.
c. besawaresofsthesspecificsdrugssrelatedstosthesdiagnosis.
d. acquirescross-trainingstosmakesstaffingsmoresflexible.
ANS:s A
DRGssrequiredsthatsnursessprovidesmoressupportivesdocumentationsofstheirsassessments
sandsidentifiedspatient’ssneedsstosqualifysthesfacilitysforsMedicaresreimbursement.sObser
vantsassessmentsmightsalsosindicatesanothersDRGsclassificationsandsconsequentlysmores
reimbursementsforsthesfacility.
DIF: CognitivesLevel:sComprehension REF: p.s10 OBJ:
Theorys#10sTOP: ManagedsCare
KEY:ssNursingsProcesssStep:sN/A
FundamentalsConceptssandsSkillssforsNursings6th EditionsPatricia
s
Williams
Chapters1.sNursingsandsthesHealthsCaresSystem
Williams:sFundamentalsConceptssandsSkillssforsNursing,s6thsEdition
MULTIPLEsCHOICE
1. FlorencesNightingale’sscontributionsstosnursingspracticesandseducation:
a. areshistoricallysimportantsbutshavesnosvaliditysforsnursingstoday.
b. weresneithersrecognizedsnorsappreciatedsinshersownstime.
c. weresasmajorsfactorsinsreducingsthesdeathsratesinsthesCrimeansWar.
d. wereslimitedsonlystosthescaresofsseverestraumaticswounds.
ANS:s C
Bysimprovingssanitation,snutritionsventilation,sandshandwashingstechniques,sFlorencesNi
ghtingale’ssnursessdramaticallysreducedsthesdeathsratesfromsinjuriessinsthesCrimeansWar.
DIF: CognitivesLevel:sKnowledge REF: p.s2 OBJ:
Theorys#1sTOP: NursingsHistory
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
2. EarlysnursingseducationsandscaresinsthesUnitedsStates:
a. weresdirectedsatscommunityshealth.
b. providedsindependencesforswomensthroughseducationsandsemployment.
c. weresanseducationalsmodelsbasedsinsinstitutionssofshigherslearning.
d. havescontinuedstosbesentirelysfocusedsonshospitalsnursing.
ANS:s B
Becausesofsthesinfluencesofsearlysnursingsleaders,snursingseducationsbecamesmoresform
alizedsthroughsapprenticeshipssinsNightingalesschoolssthatsofferedsindependencestoswom
ensthroughseducationsandsemployment.
DIF: CognitivesLevel:sKnowledge REF: p.s2 OBJ:
Theorys#4sTOP: NursingsHistory
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
3. Insorderstosfulfillsthescommonsgoalssdefinedsbysnursingstheoristss(promoteswellness,spre
ventsillness,sfacilitatescoping,sandsrestoreshealth),sthesLPNsmuststakesonsthesrolessof:
a. caregiver,seducator,sandscollaborator.
b. nursingsassistant,sdelegator,sandsenvironmentalsspecialist.
c. medicationsdispenser,scollaborator,sandstransporter.
d. dietitian,smanager,sandshousekeeper.
ANS:s A
InsordersforsthesLPNstosapplysthescommonsgoalssofsnursing,shesorsshesmustsassumesth
esrolessofscaregiver,seducator,scollaborator,smanager,sandsadvocate.
DIF: CognitivesLevel:sComprehension REF: p.s3 OBJ:
,Theorys#2sTOP: ArtsandsSciencesofsNursing
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
,4. Althoughsnursingstheoriessdiffersinstheirsattemptsstosdefinesnursing,sallsofsthemsbase
stheirsbeliefssonscommonsconceptssconcerning:
a. self-actualization,sfundamentalsneeds,sandsbelonging.
b. stresssreduction,sself-care,sandsassystemssmodel.
c. curativescare,srestorativescare,sandsterminalscare.
d. humansrelationships,sthesenvironment,sandshealth.
ANS:s D
Althoughsnursingstheoriessdiffer,stheysallsbasestheirsbeliefssonshumansrelationships,sthese
nvironment,sandshealth.
DIF: CognitivesLevel:sComprehension REF: p.s4 OBJ:
Theorys#2sTOP: NursingsTheories
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
5. StandardssofscaresforsthesnursingspracticesofsthesLPNsaresestablishedsbysthe:
a. BoardssofsNursingsExaminerssinseachsstate.
b. NationalsCouncilsofsStatessBoardssofsNursings(NCSBN).
c. AmericansNursessAssociations(ANA).
d. NationalsAssociationsofsLicensedsPracticalsNurses.
ANS:s D
ThespracticalsnursesfollowssstandardsswrittensbysthesNationalsAssociationsofsLicensedsPr
acticalsNursesstosdeliverssafe,sknowledgeablesnursingscares(Boxs1.1,sAppendixsD)
DIF: CognitivesLevel:sComprehension REF: p.s6 OBJ:
Theorys#2sTOP: StandardssofsCare
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
6. ThesLPNsdemonstratessansevidence-basedspracticesby:
a. usingsasdrugsmanualstoscheckscompatibilitysofsdrugs.
b. usingsscientificsinformationstosguidesdecisionsmaking.
c. usingsmedicalshistorysofsaspatientstosdirectsnursingsinterventions.
d. basingsnursingscaresonsadvicesfromsansexperiencedsnurse.
ANS:s B
Thesusesofsscientificsinformationsfromshigh-
qualitysresearchstosguidesnursingsdecisionssissreflectivesofsthesapplicationsofsevidence
-basedspractice.
DIF: CognitivesLevel:sKnowledge REF: p.s4 OBJ:
Theorys#3sTOP: Evidence-BasedsPractice
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
7. LilliansWaldsandsMarysBrewstersestablishedsthesHenrysStreetsSettlementsServicesins
NewsYorksins1893sinsordersto:
a. offersasshelterstosinjuredswarsveterans.
b. foundsasnursingsapprenticeship.
c. provideshealthscarestospoorspersonsslivingsinstenements.
d. offersbettershousingstoslow-
incomesfamilies.sANS:s C
, HenrysStreetsSettlementsServicesbroughtsthesprovisionsofscommunityshealthscarestosthes
poorspeopleslivingsinstenements.
DIF: CognitivesLevel:sComprehension REF: p.s2 OBJ:
Theorys#4sTOP: GrowthsofsNursing
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
8. AnseducationalspathwaysforsansLPN/LVNsrefersstosansLPN/LVN:
a. learningsonsthesjobsandsbeingspromotedstosashigherslevelsofsresponsibility.
b. movingsfromsasmaternitysunitstosasmorescomplicatedssurgicalsunit.
c. obtainingsadditionalseducationstosmovesfromsoneslevelsofsnursingstosanother.
d. learningsthatsadvancementsrequiressconsistentsworksandscommitment.
ANS:s C
Bysbroadeningstheseducationalsbase,sansLPN/LVNsmaysadvancesandsbuildsasnursingscareer.
DIF: CognitivesLevel:sKnowledge REF: p.s7 OBJ:
Theorys#7sTOP: NursingsEducationsPathways
KEY:sssNursingsProcesssStep:sN/AsMSC:s NCLEX:sN/A
9. Whensdiagnosis-
relatedsgroupss(DRGs)sweresestablishedsbysMedicaresins1983,sthespurposeswassto:
a. putspatientsswithsthessamesdiagnosissonsthessamesunit.
b. attemptstoscontainsthescostssofshealthscare.
c. increasesthesavailabilitysofsmedicalscarestosoldersadults.
d. identifysaspatient’ssconditionsmoresquickly.
ANS:s B
ThespurposesofsinstitutingsDRGsswasstoscontainsskyrocketingscostssofshealthscare.
DIF: CognitivesLevel:sKnowledge REF: p.s10 OBJ:
Theorys#10sTOP: HealthsCaresDelivery
KEY:ssNursingsProcesssStep:sN/A
MSC:s NCLEX:sN/A
10. Thesadventsofsdiagnosis-
relatedsgroupss(DRGs)srequiredsthatsnursessworkingsinshealthscaresagencies:
a. recordssupportivesdocumentationstosconfirmsaspatient’ssneedsforscaresinsord
erstosqualifysforsreimbursement.
b. usesthesDRGsrathersthanstheirsownsobservationssforspatientsassessment.
c. besawaresofsthesspecificsdrugssrelatedstosthesdiagnosis.
d. acquirescross-trainingstosmakesstaffingsmoresflexible.
ANS:s A
DRGssrequiredsthatsnursessprovidesmoressupportivesdocumentationsofstheirsassessments
sandsidentifiedspatient’ssneedsstosqualifysthesfacilitysforsMedicaresreimbursement.sObser
vantsassessmentsmightsalsosindicatesanothersDRGsclassificationsandsconsequentlysmores
reimbursementsforsthesfacility.
DIF: CognitivesLevel:sComprehension REF: p.s10 OBJ:
Theorys#10sTOP: ManagedsCare
KEY:ssNursingsProcesssStep:sN/A
