Skills and Concepts, 13th Edition by Loretta A
Donnelly-Moreno, Barbara K. Timby
VERIFIED ANSWERS WITH RATIONALES|
CHAPTER 1-38
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, 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. CORRECT ANSWER>> C
By improving sanitation, nutrition ventilation, and hand-washing 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:
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a. were directed at community health.
b. provided independence for women through education and employment.
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c. were an educational model based in institutions of higher learning.
d. have continued to be entirely focused on hospital nursing. CORRECT ANSWER>> B
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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. CORRECT ANSWER>> 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.
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,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. CORRECT ANSWER>> 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
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5. Standards of care for the nursing practice of the LPN are established by the:
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a. Boards of Nursing Examiners in each state.
b. National Council of States Boards of Nursing (NCSBN).
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c. American Nurses Association (ANA).
d. National Federation of Licensed Practical Nurses. CORRECT ANSWER>> 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.
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, d. basing nursing care on advice from an experienced nurse. CORRECT ANSWER>> 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.
CORRECT ANSWER>> C
Henry Street Settlement Service brought the provision of community health care to the poor people
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living in tenements.
DIF: Cognitive Level: Comprehension REF: dm 2 OBJ: Theory #4 TOP: Growth of Nursing KEY:
Nursing Process Step: N/A
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MSC: NCLEX: N/A
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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. CORRECT
ANSWER>> 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
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