FUNDAMENTAL CONCEPTS AND
SKILLS FOR NURSING 5TH
EDITIONBY MILES DUKE
,Chapter 01: Nursing and the Health Care System
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MULTIPLE CHOICE WQ
1. Florence Nightingale‘s contributions to nursing practice and education:
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a. are historically important but have no validity for nursing today.
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b. were neither recognized nor appreciated in her own time.
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c. were a major factor in reducing the death rate in the Crimean War.
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d. were limited only to the care of severe traumatic wounds.ANS: C
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By improving sanitation, nutrition ventilation, and handwashing techniques, Florence Nightingale‘s nurses dra
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matically reduced the death rate from injuries in the Crimean War.
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DIF: Cognitive Level: Knowledge REF: p. 2 WQ WQ W Q W Q WQ
OBJ: Theory #1 TOP: Nursing HistoryKEY: WQ WQ WQ WQ WQ W
QNursing Process Step: N/A MSC: NCLEX: N/A WQ WQ WQ WQ WQ WQ
2. Early nursing education and care in the United States:
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a. were directed at community health. WQ WQ WQ WQ
b. provided independence for women through education and employment.
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c. were an educational model based in institutions of higher learning.
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d. have continued to be entirely focused on hospital nursing.ANS: B
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Because of the influence of early nNuUrRsiSnIgNGleTaBd.eCrOs,Mnursing education becamemore formaliz
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ed through apprenticeships in Nightingale schools that offered independence to women through education and
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employment.
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DIF: Cognitive Level: Knowledge REF: p. 2 WQ WQ W Q W Q WQ
OBJ: Theory #4 TOP: Nursing HistoryKEY: WQ WQ WQ WQ WQ W
QNursing Process Step: N/A MSC: NCLEX: N/A WQ WQ WQ WQ WQ WQ
3. In order to fulfill the common goals defined by nursing theorists (promote wellness,prevent
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illness, facilitate coping, and restore health), the LPN must take on the roles of:
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a. caregiver, educator, and collaborator. WQ WQ WQ
b. nursing assistant, delegator, and environmental specialist.
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c. medication dispenser, collaborator, and transporter. WQ WQ WQ WQ
d. dietitian, manager, and housekeeper.ANS: A WQ WQ WQ WQ
In order for the LPN to apply the common goals of nursing, he or she must assume the roles ofcaregiver, educa
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tor, collaborator, manager, and advocate.
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,DIF: Cognitive Level: Comprehension REF: p. 3 WQ WQ W Q WQ
OBJ: Theory #2 TOP: Art and Science of Nursing
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KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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4. Although nursing theories differ in their attempts to define nursing, all of them base their
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beliefs on common concepts concerning:
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a. self-actualization, fundamental needs, and belonging. WQ WQ WQ WQ
b. stress reduction, self-care, and a systems model.
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c. curative care, restorative care, and terminal care.WQ WQ WQ WQ WQ WQ
d. human relationships, the environment, and health.
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ANS: D WQ
Although nursing theories differ, they all base their beliefs on human relationships, the envi
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ronment, and health. WQ WQ
DIF: Cognitive Level: Comprehension REF: p. 4 WQ WQ W Q WQ
OBJ: Theory #2 TOP: Nursing Theories
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KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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5. The LPN demonstrates an evidence-based practice by:
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a. using a drug manual to check compatibility of drugs.
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b. using scientific information to guide decision making.
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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.
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ANS: B
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The use of scientific information from high-
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quality research to guide nursing decisions is reflective of the application of evidence-
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based practice.
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DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #3 TOP: Evidence-
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Based Practice KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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6. 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. WQ WQ WQ WQ WQ WQ
b. National Council of States Boards of Nursing (NCSBN).
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c. American Nurses Association (ANA). WQ WQ WQ
d. National Federation of Licensed Practical Nurses. WQ WQ WQ WQ WQ WQ
ANS: D WQ
The National Federation of Licensed Practical Nurses modified the standards published by the
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, ANA in 2015 to better fit the role of the LPN. In 2015 the American Nurses Association (ANA) r
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evised the Standards of Nursing Practice which contained 17 standards of national practice of
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