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Test Bank DEWIT'S FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING, 5TH EDITION by Williams

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WILLIAMS- DEWIT'S FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING, 5TH EDITION 1 / 4 FOR THIS AND MORE MATERIALS- Chapter 01: Nursing and the Health Care System Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition 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. ANS: 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. ANS: B Because of the influence of early nNuUrRsiSnIgNGleTaBd.eCrOs,Mnursing 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 2 / 4 FOR THIS AND MORE MATERIALS- 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. ANS: 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: ComprehensionREF: 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. ANS: D Although nursing theories differ, they all base their beliefs on human relationships, the environment, and health. 3 / 4 FOR THIS AND MORE MATERIALS- DIF: Cognitive Level: ComprehensionREF: 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. ANS: 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: ComprehensionREF: 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. ANS: 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.

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DeWit’s Fundamental Concepts

Chapter 03: Legal and Ethical Aspects of Nursing
Williams: deWit’s Fundamental Concepts and Skills for Nursing, 5th Edition


MULTIPLE CHOICE


1. A student nurse who is not yet licensed:
a. may not perform nursing actions until he or she has passed the licensing examination.


b. is not responsible for his or her actions as a student under the state licensing law.


c. are held to the same standards as a licensed nurse.


d. must apply for a temporary student nurse permit to practice as a student.




ANS: C

,Student nurses are held to the same standards as a licensed nurse. This means
that although a student nurse may not perform a task as quickly or as smoothly as the
licensed nurse would, the student is expected to perform it as effectively. In other
words, she must achieve the same outcome without harm to the patient. The student is
legally responsible for her own actions or inaction, and many schools require the
student to carry malpractice insurance.


DIF: Cognitive Level: Knowledge REF: p. 32 OBJ: Theory #1

TOP: Practice Regulations for the Student Nurse KEY: Nursing
Process Step: N/A

MSC: NCLEX: N/A




2. During an employment interview, the interviewer asks the nurse applicant about
HIV status. The nurse applicant can legally respond:
a. “No,” even though he or she has a positive HIV test.


b. “I don’t know, but I would be willing to be tested.”


c. “I don’t know, and I refuse to be tested.”


d. “You do not have a right to ask me that question.”




ANS: D

In employment practice, it is illegal to discriminate against people with certain diseases
or conditions. Asking a question about health status, especially HIV or AIDS infection, is
illegal.




DIF: Cognitive Level: Application REF: p. 34 OBJ: Clinical Practice #1

TOP: Discrimination KEY: Nursing Process Step: N/A

MSC: NCLEX: N/A

,3. An example of a violation of criminal law by a nurse is:
a. taking a controlled substance from agency supply for personal use.


b. accidentally administering a drug to the wrong patient, who then has a serious reaction.


c. advising a patient to sue the doctor for a supposed mistake the doctor made.


d. writing a letter to the newspaper outlining questionable or unsafe hospital practices.




ANS: A

Theft of a controlled substance is a federal crime and consequently a crime against
society.




DIF: Cognitive Level: Application REF: p. 32 OBJ: Theory #2

TOP: Criminal Law KEY: Nursing Process Step: N/A

MSC: NCLEX: N/A




4. The LPN (LVN) assigns part of the care for her patients to a nursing assistant. The
LPN is legally required to perform which of the following for the residents assigned to
the assistant?
a. Toilet the residents every 2 hours and as needed.


b. Feed breakfast to one of the residents who needs assistance.


c. Give medications to the residents at the prescribed times.


d. Transport the residents to the physical therapy department.

, ANS: C

Toileting, feeding, and transporting residents or patients are tasks that can be legally
assigned to a nurse’s aide. Administering medications is a nursing act that can be
performed only by a licensed nurse or by a student nurse under the supervision of a
licensed nurse.




DIF: Cognitive Level: Application REF: p. 33 OBJ: Theory #3

TOP: Delegation KEY: Nursing Process Step: Implementation

MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care




5. If a nurse is reported to a state board of nursing for repeatedly making
medication errors, it is most likely that:
a. the nurse will immediately have his or her license revoked.


b. the nurse will have to take the licensing examination again.


c. a course in legal aspects of nursing care will be required.


d. there will be a hearing to determine whether the charges are true.




ANS: D

The nurse may have his or her license revoked or be required to take a refresher course,
but this would be based on the evidence presented at a hearing. The licensing
examination is not usually required as a correction of the situation as described.




DIF: Cognitive Level: Knowledge REF: p. 33 OBJ: Theory #3

TOP: Professional Discipline KEY: Nursing Process Step: N/A

MSC: NCLEX: N/A

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