po
Fundamental Concepts and Skills for Nursing 6/E Patricia Willia
po po po po po po po po
ms
Chapterpo1.poNursingpoandpothepoHealthpoCarepoSystem
Williams:poFundamentalpoConceptspoandpoSkillspoforpoNursing,po6thpoEdition
MULTIPLEpoCHOICE
1. FlorencepoNightingale‘spocontributionspotoponursingpopracticepoandpoeducation:
a. arepohistoricallypoimportantpobutpohaveponopovaliditypoforponursingpotoday.
b. wereponeitherporecognizedponorpoappreciatedpoinpoherpoownpotime.
c. werepoapomajorpofactorpoinporeducingpothepodeathporatepoinpothepoCrimeanpoWar.
d. werepolimitedpoonlypotopothepocarepoofposeverepotraumaticpowounds.
ANS:p o p o C
Bypoimprovingposanitation,ponutritionpoventilation,poandpohandwashingpotechniques,poFlorenc
, epoNightingale‘sponursespodramaticallyporeducedpothepodeathporatepofrompoinjuriespoinpothepoCrim
eanpoWar.
DIF: CognitivepoLevel:poKnowledge REF: p.po2 OBJ:
Theorypo#1poTOP: NursingpoHistory
KEY:p o NursingpoProcesspoStep:poN/ApoMSC:p o NCLEX:poN/A
2. EarlyponursingpoeducationpoandpocarepoinpothepoUnitedpoStates:
a. werepodirectedpoatpocommunitypohealth.
b. providedpoindependencepoforpowomenpothroughpoeducationpoandpoemployment.
c. werepoanpoeducationalpomodelpobasedpoinpoinstitutionspoofpohigherpolearning.
d. havepocontinuedpotopobepoentirelypofocusedpoonpohospitalponursing.
ANS:p o p o B
Becausepoofpothepoinfluencepoofpoearlyponursingpoleaders,ponursingpoeducationpobecamepomorep
oformalizedpothroughpoapprenticeshipspoinpoNightingaleposchoolspothatpoofferedpoindependence
potopowomenpothroughpoeducationpoandpoemployment.
DIF: CognitivepoLevel:poKnowledge REF: p.po2 OBJ:
Theorypo#4poTOP: NursingpoHistory
KEY:p o NursingpoProcesspoStep:poN/ApoMSC:p o NCLEX:poN/A
3. Inpoorderpotopofulfillpothepocommonpogoalspodefinedpobyponursingpotheoristspo(promotepowellnes
s,popreventpoillness,pofacilitatepocoping,poandporestorepohealth),pothepoLPNpomustpotakepoonpothe
porolespoof:
a. caregiver,poeducator,poandpocollaborator.
b. nursingpoassistant,podelegator,poandpoenvironmentalpospecialist.
c. medicationpodispenser,pocollaborator,poandpotransporter.
d. dietitian,pomanager,poandpohousekeeper.
ANS:p o p o A
InpoorderpoforpothepoLPNpotopoapplypothepocommonpogoalspoofponursing,pohepoorposhepomustpoass
umepotheporolespoofpocaregiver,poeducator,pocollaborator,pomanager,poandpoadvocate.
DIF: CognitivepoLevel:poComprehension REF: p.po3 OBJ:
Theorypo#2poTOP: ArtpoandpoSciencepoofpoNursing
KEY:p o NursingpoProcesspoStep:poN/ApoMSC:p o NCLEX:poN/A
,4. Althoughponursingpotheoriespodifferpoinpotheirpoattemptspotopodefineponursing,poallpoofpothemp
obasepotheirpobeliefspoonpocommonpoconceptspoconcerning:
a. self-actualization,pofundamentalponeeds,poandpobelonging.
b. stressporeduction,poself-care,poandpoaposystemspomodel.
c. curativepocare,porestorativepocare,poandpoterminalpocare.
d. humanporelationships,pothepoenvironment,poandpohealth.
ANS:p o p o D
Althoughponursingpotheoriespodiffer,potheypoallpobasepotheirpobeliefspoonpohumanporelationships,po
thepoenvironment,poandpohealth.
DIF: CognitivepoLevel:poComprehension REF: p.po4 OBJ:
Theorypo#2poTOP: NursingpoTheories
KEY:p o NursingpoProcesspoStep:poN/ApoMSC:p o NCLEX:poN/A
5. StandardspoofpocarepoforpotheponursingpopracticepoofpothepoLPNpoarepoestablishedpobypothe:
a. BoardspoofpoNursingpoExaminerspoinpoeachpostate.
b. NationalpoCouncilpoofpoStatespoBoardspoofpoNursingpo(NCSBN).
c. AmericanpoNursespoAssociationpo(ANA).
d. NationalpoAssociationpoofpoLicensedpoPracticalpoNurses.
ANS:p o p o D
ThepopracticalponursepofollowspostandardspowrittenpobypothepoNationalpoAssociationpoofpoLicense
dpoPracticalpoNursespotopodeliverposafe,poknowledgeableponursingpocarepo(Boxpo1.1,poAppendixp
oD)
DIF: CognitivepoLevel:poComprehension REF: p.po6 OBJ:
Theorypo#2poTOP: StandardspoofpoCare
KEY:p o NursingpoProcesspoStep:poN/ApoMSC:p o NCLEX:poN/A
6. ThepoLPNpodemonstratespoanpoevidence-basedpopracticepoby:
a. usingpoapodrugpomanualpotopocheckpocompatibilitypoofpodrugs.
b. usingposcientificpoinformationpotopoguidepodecisionpomaking.
c. usingpomedicalpohistorypoofpoapopatientpotopodirectponursingpointerventions.
d. basingponursingpocarepoonpoadvicepofrompoanpoexperiencedponurse.
ANS:p o p o B
Thepousepoofposcientificpoinformationpofrompohigh-
qualityporesearchpotopoguideponursingpodecisionspoisporeflectivepoofpothepoapplicationpoofpoevide
nce-basedpopractice.
DIF: CognitivepoLevel:poKnowledge REF: p.po4 OBJ:
Theorypo#3poTOP: Evidence-BasedpoPractice
KEY:p o NursingpoProcesspoStep:poN/ApoMSC:p o NCLEX:poN/A
7. LillianpoWaldpoandpoMarypoBrewsterpoestablishedpothepoHenrypoStreetpoSettlementpoService
poinpoNewpoYorkpoinpo1893poinpoorderpoto:
a. offerpoaposhelterpotopoinjuredpowarpoveterans.
b. foundpoaponursingpoapprenticeship.
c. providepohealthpocarepotopopoorpopersonspolivingpoinpotenements.
d. offerpobetterpohousingpotopolow-
incomepofamilies.poANS:p o C
, HenrypoStreetpoSettlementpoServicepobroughtpothepoprovisionpoofpocommunitypohealthpocarepotopo
thepopoorpopeoplepolivingpoinpotenements.
DIF: CognitivepoLevel:poComprehension REF: p.po2 OBJ:
Theorypo#4poTOP: GrowthpoofpoNursing
KEY:p o NursingpoProcesspoStep:poN/ApoMSC:p o NCLEX:poN/A
8. AnpoeducationalpopathwaypoforpoanpoLPN/LVNporeferspotopoanpoLPN/LVN:
a. learningpoonpothepojobpoandpobeingpopromotedpotopoapohigherpolevelpoofporesponsibility.
b. movingpofrompoapomaternitypounitpotopoapomorepocomplicatedposurgicalpounit.
c. obtainingpoadditionalpoeducationpotopomovepofrompoonepolevelpoofponursingpotopoanother.
d. learningpothatpoadvancementporequirespoconsistentpoworkpoandpocommitment.
ANS:p o p o C
Bypobroadeningpothepoeducationalpobase,poanpoLPN/LVNpomaypoadvancepoandpobuildpoaponursingpocaree
r.
DIF: CognitivepoLevel:poKnowledge REF: p.po7 OBJ:
Theorypo#7poTOP: NursingpoEducationpoPathways
KEY:p o NursingpoProcesspoStep:poN/ApoMSC:p o NCLEX:poN/A
9. Whenpodiagnosis-
relatedpogroupspo(DRGs)powerepoestablishedpobypoMedicarepoinpo1983,pothepopurposepowaspoto
:
a. putpopatientspowithpotheposamepodiagnosispoonpotheposamepounit.
b. attemptpotopocontainpothepocostspoofpohealthpocare.
c. increasepothepoavailabilitypoofpomedicalpocarepotopoolderpoadults.
d. identifypoapopatient‘spoconditionpomorepoquickly.
ANS:p o p o B
ThepopurposepoofpoinstitutingpoDRGspowaspotopocontainposkyrocketingpocostspoofpohealthpocare.
DIF: CognitivepoLevel:poKnowledge REF: p.po10 OBJ:
Theorypo#10poTOP: HealthpoCarepoDelivery
KEY:p o NursingpoProcesspoStep:poN/A
MSC:p o NCLEX:poN/A
10. Thepoadventpoofpodiagnosis-
relatedpogroupspo(DRGs)porequiredpothatponursespoworkingpoinpohealthpocarepoagencies:
a. recordposupportivepodocumentationpotopoconfirmpoapopatient‘sponeedpoforpocarepoinp
oorderpotopoqualifypoforporeimbursement.
b. usepothepoDRGporatherpothanpotheirpoownpoobservationspoforpopatientpoassessment.
c. bepoawarepoofpothepospecificpodrugsporelatedpotopothepodiagnosis.
d. acquirepocross-trainingpotopomakepostaffingpomorepoflexible.
ANS:p o p o A
DRGsporequiredpothatponursespoprovidepomoreposupportivepodocumentationpoofpotheirpoassessme
ntspoandpoidentifiedpopatient‘sponeedspotopoqualifypothepofacilitypoforpoMedicareporeimbursemen
t.poObservantpoassessmentpomightpoalsopoindicatepoanotherpoDRGpoclassificationpoandpoconseq
uentlypomoreporeimbursementpoforpothepofacility.
DIF: CognitivepoLevel:poComprehension REF: p.po10 OBJ:
Theorypo#10poTOP: ManagedpoCare
KEY:p o NursingpoProcesspoStep:poN/A