Test Bank For Dewits undamental Concepts skills for Nursing 6TH Edition by Williams
,Chapter 01 : Nursing & The
Health Care Systems
MULTIPLE CHOICE
1. Florence Nightingale’s 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.
Answer: C
By improving sanitation, nutrition ventilation, and handwashing techniques,
Florence
Nightingale’s nurses dramatically reduced the death rate from injuries in the
Crimean War.
DIF: Cognitive Level: Knowledge REF: p. 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.
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: p. 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.
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.
DIF: Cognitive Level: Comprehension REF: p. 3 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.
Answer: D
Although nursing theories differ, they all base their beliefs on human relationships, the
environment, and health.
DIF: Cognitive Level: Comprehension REF: p. 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.
Answer: D
The National Federation of Licensed Practical Nurses modified the standards published
by the ANA in 2015 to better fit the role of the LPN. In 2015 the American Nurses
Association (ANA) revised the Standards of Nursing Practice which contained 17
standards of national practice of nursing, describing all facets of nursing practice: who,
what, when, where, how.
DIF: Cognitive Level: Comprehension REF: p. 6 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.
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: p. 7 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.
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: p. 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/LVN refers to an LPN/LVN:
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.
Answer: C
By broadening the educational base, an LPN/LVN may advance and build a nursing
career.
DIF: Cognitive Level: Knowledge REF: p. 7 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 the availability of medical care to older adults.
d. identify a patient’s condition more quickly.
Answer: B
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
DIF: Cognitive Level: Knowledge REF: p. 9 OBJ: Theory #10
TOP: Health Care Delivery KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
10. The advent of diagnosis-related groups (DRGs) required that nurses working in
health care agencies:
a. record supportive documentation to confirm a patient’s need for care in
order to qualify for reimbursement.
b. use the DRG rather than their own observations for patient assessment.
c. be aware of the specific drugs related to the diagnosis.
d. acquire cross-training to make staffing more flexible.
Answer: A
DRGs required that nurses provide more supportive documentation of their assessments
and identified patient’s needs to qualify the facility for Medicare reimbursement.
Observant assessment might also indicate another DRG classification and consequently
more reimbursement for the facility.
DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory #10
TOP: Managed Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
,Chapter 01 : Nursing & The
Health Care Systems
MULTIPLE CHOICE
1. Florence Nightingale’s 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.
Answer: C
By improving sanitation, nutrition ventilation, and handwashing techniques,
Florence
Nightingale’s nurses dramatically reduced the death rate from injuries in the
Crimean War.
DIF: Cognitive Level: Knowledge REF: p. 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.
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: p. 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.
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.
DIF: Cognitive Level: Comprehension REF: p. 3 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.
Answer: D
Although nursing theories differ, they all base their beliefs on human relationships, the
environment, and health.
DIF: Cognitive Level: Comprehension REF: p. 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.
Answer: D
The National Federation of Licensed Practical Nurses modified the standards published
by the ANA in 2015 to better fit the role of the LPN. In 2015 the American Nurses
Association (ANA) revised the Standards of Nursing Practice which contained 17
standards of national practice of nursing, describing all facets of nursing practice: who,
what, when, where, how.
DIF: Cognitive Level: Comprehension REF: p. 6 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.
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: p. 7 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.
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: p. 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/LVN refers to an LPN/LVN:
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.
Answer: C
By broadening the educational base, an LPN/LVN may advance and build a nursing
career.
DIF: Cognitive Level: Knowledge REF: p. 7 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 the availability of medical care to older adults.
d. identify a patient’s condition more quickly.
Answer: B
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
DIF: Cognitive Level: Knowledge REF: p. 9 OBJ: Theory #10
TOP: Health Care Delivery KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
10. The advent of diagnosis-related groups (DRGs) required that nurses working in
health care agencies:
a. record supportive documentation to confirm a patient’s need for care in
order to qualify for reimbursement.
b. use the DRG rather than their own observations for patient assessment.
c. be aware of the specific drugs related to the diagnosis.
d. acquire cross-training to make staffing more flexible.
Answer: A
DRGs required that nurses provide more supportive documentation of their assessments
and identified patient’s needs to qualify the facility for Medicare reimbursement.
Observant assessment might also indicate another DRG classification and consequently
more reimbursement for the facility.
DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory #10
TOP: Managed Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
