Test Bank for Dewit’s Fundamental Concepts and Skills for Nursing 6th Edition Williams Complete Guide ISBN 9780323694766 Nursing Exam Prep PDF

b




Test Bank For:
b b




Dewits-Fundamental-Concepts-And-Skills-For-
Nursing-6th-Edition-By-Williamsisbn-No-10-
0323694764isbn-No-15-978-0323694766complete-
Guide-A

,Test Bank For Dewits Fundamental Concepts And Skills For Nursing 6th Edition By Williams
b b b b b b b b b b b b b




Chapter 01: Nursing and the Health Care System
b b b b b b b b




MULTIPLE CHOICE b




1. Florence Nightingale‘s contributions to nursing practice and education: b b b b b b b




a. arehistorically important but have no validityfor nursing today.
b b b b b b b b b




b. were neither recognized nor appreciated in her own time.
b b b b b b b b




c. were a major factor in reducing the death rate in the Crimean War.
b b b b b b b b b b b b




d. were limited onlyto the care of severe traumatic wounds.ANS: C
b b b b b b b b b b




By improving sanitation, nutrition ventilation, and handwashing techniques, Florence Nightingale‘s
b b b b b b b b b




nurses dramaticallyreduced the death rate from injuries in the Crimean War.
b b b b b b b b b b b b




DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory#1 TOP: Nursing History b b b b b b b b b b




KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
b b b b b b b b




2. Earlynursing education and care in the United States:
b b b b b b b b




a. were directed at communityhealth. b b b b




b. provided independence for women through education and employment. b b b b b b b




c. were an educational model based in institutions ofhigher learning.
b b b b b b b b b




d. have continued to be entirely focused on hospital nursing.ANS: B
b b b b b b b b b




Because of the influence of earlynNuUrRsiSnIgNGleTaBd.eCrOs,Mnursing education became more
b b b b b b b b b




formalized through apprenticeships in Nightingale schools that offered independence to women
b b b b b b b b b b b




through education and employment.
b b b b




DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory#4 TOP: Nursing History b b b b b b b b b b




KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
b b b b b b b b




3. In orderto fulfill the common goals defined bynursing theorists (promote wellness,
b b b b b b b b b b b b




prevent illness, facilitate coping, and restore health), the LPN must take on the roles of:
b b b b b b b b b b b b b b b




a. caregiver, educator, and collaborator. b b b




b. nursing assistant, delegator, and environmental specialist. b b b b b




c. medication dispenser, collaborator, and transporter. b b b b




d. dietitian, manager, and housekeeper. ANS: A b b b b b




In order for the LPN to applythe common goals of nursing, he or she must assume the roles of
b b b b b b b b b b b b b b b b b b b




caregiver, educator, collaborator, manager, and advocate.
b b b b b b




DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: Theory#2 TOP: Art and b b b b b b b b b




Science of Nursing
b KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
b b b b b b b b b




4. Although nursing theories differ in their attempts to define nursing, all ofthembase their b b b b b b b b b b b b b b




beliefs on common concepts concerning:
b b b b b




a. self-actualization, fundamental needs, and belonging. b b b b

,b. stress reduction, self-care, and a systems model. b b b b b b




c. curative care, restorative care, and terminal care. b b b b b b




d. humanrelationships,theenvironment, and health. b b b b b




ANS: D
b b




Although nursing theories differ, theyall base their beliefs on human relationships, the
b b b b b b b b b b b b




environment, and health.
b b b




DIF: Cognitive Level: Comprehension REF: p. 4 OBJ: Theory#2TOP:Nursing b b b b b b b b




Theories
b KEY: Nursing Process Step: N/A MSC: NCLEX: N/A b b b b b b b




5. Standards of care for the nursing practice of the LPN are established bythe: b b b b b b b b b b b b b




a. Boards of Nursing Examiners in each state. b b b b b b




b. National Council of States Boards of Nursing (NCSBN). b b b b b b b




c. American Nurses Association (ANA). b b b




d. National Federation ofLicensed Practical Nurses. b b b b b




ANS: D
b b




The National Federation of Licensed Practical Nurses modified the standards published by the ANA in
b b b b b b b b b b b b b b




2015 to better fit the roleofthe LPN. In 2015 the American Nurses Association (ANA) revised the
b b b b b b b b b b b b b b b b b b




Standards of Nursing Practice which contained 17 standards of national practice of nursing, describing
b b b b b b b b b b b b b b




all facets of nursing practice: who, what, when, where, how.
b b b b b b b b b b




DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory#2 TOP: Standards of b b b b b b b b b




Care
b KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
b b b b b b b




6. The LPN demonstrates anevidence-based practice by:
b b b b b b




a. using a drug manual to check compatibility of drugs.
b b b b b b b b




Test Bank For Dewits Fundamental Concepts And Skills For Nursing 5th Edition ByWilliams 4
b b b b b b b b b b b b b b




b. using scientific information to guide decision making. b b b b b b




c. using medical historyof a patient to direct nursing interventions.
b b b b b b b b b




d. basing nursingcareon advice from an experienced nurse. b b b b b b b b




ANS: B
b b




The use of scientific information from high-quality research to guide nursing decisions is
b b b b b b b b b b b b




reflective of the application of evidence-based practice.
b b b b b b b




DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory#3TOP:Evidence-Based b b b b b b b b b




Practice
b KEY: Nursing Process Step: N/A MSC: NCLEX: N/A b b b b b b b




7. LillianWald and MaryBrewster established the HenryStreet Settlement Service inNew
b b b b b b b b b b b b




York in 1893 in order to:
b b b b b b




a. offer a shelter to injured war veterans. b b b b b b




b. found a nursing apprenticeship. b b b




c. provide health care to poor persons living in tenements. b b b b b b b b




d. offerbetterhousing tolow-incomefamilies. b b b b b




ANS: C
b b




HenryStreet Settlement Service brought the provision of community health care to the poor
b b b b b b b b b b b b b

, people living in tenements. b b b




DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: Theory#4 TOP: Growth of b b b b b b b b b




Nursing
b KEY: Nursing Process Step: N/A MSC: NCLEX: N/A b b b b b b b




8. Aneducational pathway for an LPN/LVN refers to an LPN/LVN:
b b b b b b b b b




a. learning on the job and being promoted to a higher level of responsibility. b b b b b b b b b b b b




b. moving from a maternity unit to a more complicated surgical unit. b b b b b b b b b b




c. obtaining additional education to move from one level of nursing to another. b b b b b b b b b b b




d. learningthat advancement requires consistent work and commitment. b b b b b b b




ANS: C
b b




Bybroadening the educational base, an LPN/LVN mayadvance and build a nursing career.
b b b b b b b b b b b b b




Test Bank For Dewits Fundamental Concepts And Skills For Nursing 5th Edition ByWilliams 5
b b b b b b b b b b b b b b




DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory#7 TOP: Nursing Education b b b b b b b b b b




Pathways
b KEY: Nursing Process Step: N/A MSC: NCLEX: N/A b b b b b b b




9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the
b b b b b b b b b b




purpose was to:
b b b




a. put patients with the same diagnosis on the same unit.
b b b b b b b b b




b. attempt to contain the costs ofhealth care. b b b b b b b




c. increase the availabilityof medical care to older adults. b b b b b b b b




d. identifyapatient‘s condition morequickly. b b b b b




ANS: B
b b




The purpose of instituting DRGs was to contain skyrocketing costs of health care.
b b b b b b b b b b b b




DIF: Cognitive Level: Knowledge REF: p. 9 OBJ: Theory#10TOP: Health Care b b b b b b b b b b




Delivery
b KEY: Nursing Process Step: N/A MSC: NCLEX: N/A b b b b b b b




10. The advent ofdiagnosis-related groups (DRGs) required that nurses working inhealth care
b b b b b b b b b b b b




agencies:
b




a. record supportive documentation to confirm apatient‘s need for care in orderto qualify for
b b b b b b b b b b b b b b




reimbursement.
b




b. use the DRG rather than their own observations for patient assessment.
b b b b b b b b b b




c. be aware of the specific drugs related to the diagnosis.
b b b b b b b b b




d. acquirecross-training tomakestaffingmoreflexible. b b b b b b




ANS: A
b b




DRGs required that nurses provide more supportive documentation of their assessments and
b b b b b b b b b b b




identified patient‘s needs to qualify the facility for Medicare reimbursement. Observant
b b b b b b b b b b b




assessment might also indicate another DRG classification and consequently more reimbursement
b b b b b b b b b b b




for the facility.
b b b




DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory#10TOP:Managed
b b b b b b b b




Care
b KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
b b b b b b b




Test Bank For Dewits Fundamental Concepts And Skills For Nursing 5th Edition ByWilliams 6
b b b b b b b b b b b b b b