,Chapterj01:j Nursingj andj thejHealthj Carej System
Williams:j deWit'sj FundamentaljConceptsj andjSkillsjforjNursing,j 7thj Edition
MULTIPLEjCHOICE
1. FlorencejNightingale‗sjcontributionsjtojnursingjpracticejandjeducation:
a. arejhistoricallyjimportantj butjhavejnojvalidityjforjnursingjtoday.
b. werejneitherjrecognizedj norjappreciatedj injherjownjtime.
c. werejajmajorj factorjinjreducingjthejdeathjratej injthejCrimeanjWar.
d. werej limitedjonlyjtojthejcarejofjseverejtraumaticjwounds
. ANS:jC
5r
Byjimprovingjsanitation,jnutritionjventilation,jandjhandwashingjtechniques,jFlorencejNightinjgal
e‗sjnursesjdramaticallyjreducedjthejdeathjratejfromjinjuriesjinjthejCrimeanjWar.
DIF: CognitivejLevel:j Knowledgej REF: p.j2
OBJ:jTheoryj#1jTOP:jNursingjHistor
yKEY:jNursingjProcessj Step:jN/AjMSC:jNCLEX:j N/A
2. Earlyjnursingjeducationjandjcarej injthejUnitedjStates:
a. werejdirectedjatjcommunityjhealth.
b. providedjindependencej forjwomenjthroughjeducationjandjemployment.
c. werejanjeducationaljmodeljbasedj injinstitutionsjofjhigherj learning.
d. havejcontinuedjtoj bejentirelyjfocusedjonjhospitaljnursing
. ANS:jB
5r
BecausejofjthejinfluencejofjearlyjnNuUrRsiSnIgNGleTaBd.eCrOs,Mnursingjeducationjbecame mjo 5r
rejformalizedjthroughjapprenticeshipsjinjNightingalejschoolsjthatjofferedjindependencejtojwomjenjt
hroughjeducationjandjemployment.
DIF: CognitivejLevel:j Knowledgej REF: p.j2
OBJ:jTheoryj#4jTOP:jNursingjHistor
yKEY:jNursingjProcessjStep:jN/AjMSC:j NCLEX:j N/A
3. Injorderjtoj fulfilljthejcommonjgoalsjdefinedjbyjnursingjtheoristsj(promotejwellness
, preventjillness,j facilitatejcoping,jandjrestorejhealth),jthejLPNjmustj takejonjthejrolesjof:
5r
a. caregiver,jeducator,jandjcollaborator.
b. nursingjassistant,j delegator,jandjenvironmentaljspecialist.
c. medicationjdispenser,jcollaborator,jandjtransporter.
d. dietitian,jmanager,jandjhousekeeper.j
ANS:jA
InjorderjforjthejLPNjtojapplyjthejcommonjgoalsjofjnursing,jhejorjshejmustjassumejthejrolesjojf caregiver,
5r
jeducator,jcollaborator,jmanager,jandjadvocate.
, DIF: CognitivejLevel:jComprehension REF:
p.j3jOBJ:jTh
eoryj#2jTOP:jArtjand SciencejofjNursing
5r
KEY:jNursingjProcessjStep:jN/AjMSC:jNCLEX:j N/A
4. Althoughjnursingjtheoriesjdifferjinjtheirjattemptsjtojdefinejnursing,j alljofjthemjbasejtheijrbe
liefsjonjcommonjconceptsjconcerning:
a. self-actualization,jfundamentaljneeds,jandjbelonging.
b. stressjreduction,jself-care,jandjajsystemsjmodel.
c. curativejcare,jrestorativejcare,j andjterminaljcare.
d. humanjrelationships,jthejenvironment,jandjhealth. j 5r
ANS:jD
Althoughjnursingjtheoriesjdiffer,jtheyjalljbasejtheirjbeliefsjonjhuman relationships,jthe environjme
5r 5r
nt,jandjhealth.
DIF: CognitivejLevel:jComprehension REF:
p.j4jOBJ:jT
heoryj#2jTOP:jNursing Theories
5r
KEY:jNursingjProcessjStep:jN/AjMSC:j NCLEX:j N/A
5. StandardsjofjcarejforjthejnursingjpracticejofjthejLPNjarejestablishedj byjthe:
a. BoardsjofjNursingj Examinersj injeachjstate.
b. NationaljCounciljofjStatesjBoardsjofjNursingj (NCSBN).
c. AmericanjNursesjAssociationj(ANA).
d. NationaljFederationjofjLicensedjPracticaljNurses. j5r
ANS:jD
ThejNationaljFederationjofjLicensedjPracticaljNursesjmodifiedjthejstandardsjpublishedjbyjthejAjNAj
inj2015jtojbetterjfitjthejrolejofjthejLPN.jInj2015jthejAmericanjNursesjAssociationj(ANA) revijsedjthej
5r
StandardsjofjNursingjPracticejwhichjcontainedj17jstandardsjofjnationaljpracticejofjnursinjg,jdescribi
ngjalljfacetsjofjnursingjpractice:jwho,jwhat,jwhen,jwhere,jhow.
DIF: CognitivejLevel:jComprehension REF:
p.j6jOBJ:jT
heoryj#2jTOP:jStandardsjofCare
KEY:jNursingjProcessjStep:jN/AjMSC:j NCLEX:j N/A