TEST BANK for Timby's Fundamental Nursing
Skills and Concepts, 13th Edition by Loretta A
Donnelly-Moreno, Barbara K. Timby
ALL CHAPTERS 1-38 INCLUDED | EXPERT
VERIFIED QUESTIONS AND ACCURATE
ANSWERS
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Page | 1
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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. ACCURATE 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:
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. ACCURATE ANSWER: B
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. ACCURATE 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.
Ar
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
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Page | 2
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,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. ACCURATE 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
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. ACCURATE 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.
d. basing nursing care on advice from an experienced nurse. ACCURATE 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
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Process Step: N/A MSC: NCLEX: N/A
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Do
Page | 3
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, 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.
ACCURATE ANSWER: C
Henry Street Settlement Service brought the provision of community health care to the poor people living in
tenements.
DIF: Cognitive Level: Comprehension REF: dm 2 OBJ: Theory #4 TOP: Growth of Nursing KEY: Nursing Process
Step: N/A
MSC: NCLEX: N/A
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. ACCURATE 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
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 patients condition more quickly. ACCURATE ANSWER: B
The purpose of instituting DRGs was to contain skyrocketing costs of health care. DIF: Cognitive Level: Knowledge
REF: dm 8 OBJ: Theory #10
TOP: Health Care Delivery KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
Ar
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care agencies:
ch
a. record supportive documentation to confirm a patients need for care in order to qualify for reimburs
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Page | 4
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Skills and Concepts, 13th Edition by Loretta A
Donnelly-Moreno, Barbara K. Timby
ALL CHAPTERS 1-38 INCLUDED | EXPERT
VERIFIED QUESTIONS AND ACCURATE
ANSWERS
Ar
ch
Do
Page | 1
c
, 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. ACCURATE 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:
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. ACCURATE ANSWER: B
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. ACCURATE 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.
Ar
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
ch
Do
Page | 2
c
,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. ACCURATE 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
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. ACCURATE 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.
d. basing nursing care on advice from an experienced nurse. ACCURATE 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
Ar
Process Step: N/A MSC: NCLEX: N/A
ch
Do
Page | 3
c
, 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.
ACCURATE ANSWER: C
Henry Street Settlement Service brought the provision of community health care to the poor people living in
tenements.
DIF: Cognitive Level: Comprehension REF: dm 2 OBJ: Theory #4 TOP: Growth of Nursing KEY: Nursing Process
Step: N/A
MSC: NCLEX: N/A
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. ACCURATE 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
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 patients condition more quickly. ACCURATE ANSWER: B
The purpose of instituting DRGs was to contain skyrocketing costs of health care. DIF: Cognitive Level: Knowledge
REF: dm 8 OBJ: Theory #10
TOP: Health Care Delivery KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
Ar
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care agencies:
ch
a. record supportive documentation to confirm a patients need for care in order to qualify for reimburs
Do
Page | 4
c
