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kThekMarketplacektokBuykandkSellkyourkStudykMaterial
TESTBANKFOR k k
DEWITS FUNDAMENTAL CONCEPTS A
k k k
ND SKILLS FOR NURSING 5TH EDITION
k k k k k k
BY WILLIAMS
k
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2@
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Chapter 01: Nursing and the Health Care System
k k k k k k k
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
k k k k k k k k k
MULTIPLEkCHOICE
1. FlorencekNightingale’skcontributionsktoknursingkpracticekandkeducation:
a. arekhistoricallykimportantkbutkhaveknokvaliditykforknursingktoday.
b. werekneitherkrecognizedknorkappreciatedkinkherkownktime.
c. werekakmajorkfactorkinkreducingkthekdeathkratekinkthekCrimeankWar.
d. wereklimitedkonlyktokthekcarekofkseverektraumatickwounds.
ANS:k C
Bykimprovingksanitation,knutritionkventilation,kandkhandwashingktechniques,kFlorence
Nightingale’sknurseskdramaticallykreducedkthekdeathkratekfromkinjurieskinkthekCrimeankWar.
DIF: CognitivekLevel:kKnowledge REF:k p.k2
OBJ:k Theoryk#1kTOP:k NursingkHistory
KEY:k NursingkProcesskStep:kN/AkMSC:k NCLEX:kN/A
2. EarlyknursingkeducationkandkcarekinkthekUnitedkStates:
a. werekdirectedkatkcommunitykhealth.
b. providedkindependencekforkwomenkthroughkeducationkandkemployment.
c. werekankeducationalkmodelkbasedkinkinstitutionskofkhigherklearning.
d. havekcontinuedktokbekentirelykfocusedkonkhospitalknursing.
ANS:k B
Becausekofk thekinfluencek ofk earlyk nNuUrRs iSnI gN Gl eTaBd.eCrOs ,Mn u r s i n g k educationk becamekmorek formalizedkthro
ughkapprenticeshipskinkNightingalekschoolskthatkofferedkindependencektokwomenkthroughkeducati
onkandkemployment.
DIF: CognitivekLevel:kKnowledge REF:k p.k2
OBJ:k Theoryk#4kTOP:k NursingkHistory
KEY:k NursingkProcesskStep:kN/AkMSC:k NCLEX:kN/A
3. Inkorderktokfulfillkthekcommonkgoalskdefinedkbyknursingktheoristsk(promotekwellness,kpreventki
llness,kfacilitatekcoping,kandkrestorekhealth),kthekLPNkmustktakekonkthekroleskof:
a. caregiver,keducator,kandkcollaborator.
b. nursingkassistant,kdelegator,kandkenvironmentalkspecialist.
c. medicationkdispenser,kcollaborator,kandktransporter.
d. dietitian,kmanager,kandkhousekeeper.
ANS:k A
InkorderkforkthekLPNktokapplykthekcommonkgoalskofknursing,khekorkshekmustkassumekthekroleskof
kcaregiver,keducator,kcollaborator,kmanager,kandkadvocate.
DIF: CognitivekLevel:kComprehension REF:k p.k3
OBJ:k Theoryk#2kTOP:k ArtkandkSciencekofkNursing
KEY:k NursingkProcesskStep:kN/AkMSC:k NCLEX:kN/A
4. Althoughknursingktheorieskdifferkinktheirkattemptsktokdefineknursing,kallkofkthemkbasektheirkb
eliefskonkcommonkconceptskconcerning:
NURSINGTB.COM
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a. self-actualization,kfundamentalkneeds,kandkbelonging.
b. stresskreduction,kself-care,kandkaksystemskmodel.
c. curativekcare,krestorativekcare,kandkterminalkcare.
d. humankrelationships,kthekenvironment,kandkhealth.
ANS:k D
Althoughknursingktheorieskdiffer,ktheykallkbasektheirkbeliefskonkhumankrelationships,kthekenvironm
ent,kandkhealth.
DIF: CognitivekLevel:kComprehension REF:k p.k4
OBJ:k Theoryk#2kTOP:k NursingkTheories
KEY:k NursingkProcesskStep:kN/AkMSC:k NCLEX:kN/A
5. StandardskofkcarekforktheknursingkpracticekofkthekLPNkarekestablishedkbykthe:
a. BoardskofkNursingkExaminerskinkeachkstate.
b. NationalkCouncilkofkStateskBoardskofkNursingk(NCSBN).
c. AmericankNurseskAssociationk(ANA).
d. NationalkFederationkofkLicensedkPracticalkNurses.
ANS:k D
ThekNationalkFederationkofkLicensedkPracticalkNurseskmodifiedkthekstandardskpublishedkbykthek
ANAkink2015ktokbetterkfitkthekrolekofkthekLPN.kInk2015kthekAmericankNurseskAssociationk(ANA)
krevisedkthekStandardskofkNursingkPracticekwhichkcontainedk17kstandardskofknationalkpracticekofk
nursing,kdescribingkallkfacetskofknursingkpractice:kwho,kwhat,kwhen,kwhere,khow.
DIF: CognitivekLevel:kComprehension REF:k p.k6
OBJ:k Theoryk#2kTOP:k StandardskofkCare
KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A NURSINGTB.COM
6. ThekLPNkdemonstrateskankevidence-basedkpracticekby:
a. usingkakdrugkmanualktokcheckkcompatibilitykofkdrugs.
b. usingkscientifickinformationktokguidekdecisionkmaking.
c. usingkmedicalkhistorykofkakpatientktokdirectknursingkinterventions.
d. basingknursingkcarekonkadvicekfromkankexperiencedknurse.
ANS:k B
Thekusekofkscientifickinformationkfromkhigh-
qualitykresearchktokguideknursingkdecisionskiskreflectivekofkthekapplicationkofkevidence-
basedkpractice.
DIF: CognitivekLevel:kKnowledge REF:k p.k7
OBJ:k Theoryk#3kTOP:k Evidence-BasedkPractice
KEY:k NursingkProcesskStep:kN/AkMSC:k NCLEX:kN/A
7. LilliankWaldkandkMarykBrewsterkestablishedkthekHenrykStreetkSettlementkServicekinkNewkYorkki
nk1893kinkorderkto:
a. offerkakshelterktokinjuredkwarkveterans.
b. foundkaknursingkapprenticeship.
c. providekhealthkcarektokpoorkpersonsklivingkinktenements.
d. offerkbetterkhousingktoklow-incomekfamilies.
ANS:k C
DoDwonwlonalodaeddNURSINGTB.COM
edbyb:yS:kuApreiarhAk|kaabbbieiekcalyin1@
2@
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gmaila.cilo
.cm
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erIiaTl ION kWILLIAMSkTESTkBANK
HenrykStreetkSettlementkServicekbroughtkthekprovisionkofkcommunitykhealthkcarektokthekpoorkpeop
leklivingkinktenements.
DIF: CognitivekLevel:kComprehension REF:k p.k2
OBJ:k Theoryk#4kTOP:k GrowthkofkNursing
KEY:k NursingkProcesskStep:kN/AkMSC:k NCLEX:kN/A
8. AnkeducationalkpathwaykforkankLPN/LVNkrefersktokankLPN/LVN:
a. learningkonkthekjobkandkbeingkpromotedktokakhigherklevelkofkresponsibility.
b. movingkfromkakmaternitykunitktokakmorekcomplicatedksurgicalkunit.
c. obtainingkadditionalkeducationktokmovekfromkoneklevelkofknursingktokanother.
d. learningkthatkadvancementkrequireskconsistentkworkkandkcommitment.
ANS:k C
Bykbroadeningkthekeducationalkbase,kankLPN/LVNkmaykadvancekandkbuildkaknursingkcareer.
DIF: CognitivekLevel:kKnowledge REF:k p.k7
OBJ:k Theoryk#7kTOP:k NursingkEducationkPathways
KEY:k NursingkProcesskStep:kN/AkMSC:k NCLEX:kN/A
9. Whenkdiagnosis-
relatedkgroupsk(DRGs)kwerekestablishedkbykMedicarekink1983,kthekpurposekwaskto:
a. putkpatientskwithktheksamekdiagnosiskonktheksamekunit.
b. attemptktokcontainkthekcostskofkhealthkcare.
c. increasekthekavailabilitykofkmedicalkcarektokolderkadults.
d. identifykakpatient’skconditionkmorekquickly.
ANS:k B NURSINGTB.COM
ThekpurposekofkinstitutingkDRGskwasktokcontainkskyrocketingkcostskofkhealthkcare.
DIF: CognitivekLevel:kKnowledge REF:k p.k9
OBJ:k Theoryk#10kTOP:k HealthkCarekDelivery
KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
10. Thekadventkofkdiagnosis-
relatedkgroupsk(DRGs)krequiredkthatknurseskworkingkinkhealthkcarekagencies:
a. recordksupportivekdocumentationktokconfirmkakpatient’skneedkforkcarekinkorderktok
qualifykforkreimbursement.
b. usekthekDRGkratherkthanktheirkownkobservationskforkpatientkassessment.
c. bekawarekofkthekspecifickdrugskrelatedktokthekdiagnosis.
d. acquirekcross-trainingktokmakekstaffingkmorekflexible.
ANS:k A
DRGskrequiredkthatknurseskprovidekmoreksupportivekdocumentationkofktheirkassessmentskandkident
ifiedkpatient’skneedsktokqualifykthekfacilitykforkMedicarekreimbursement.kObservantkassessmentkm
ightkalsokindicatekanotherkDRGkclassificationkandkconsequentlykmorekreimbursementkforkthekfacili
ty.
DIF: CognitivekLevel:kComprehension REF:k p.k10
OBJ:k Theoryk#10kTOP:k ManagedkCare
KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
NURSINGTB.COM
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2@
gm
gmaila.cilo
.cm
om
Distributionkofkthiskdocumentkiskillegal
Stuvia.com
kThekMarketplacektokBuykandkSellkyourkStudykMaterial
TESTBANKFOR k k
DEWITS FUNDAMENTAL CONCEPTS A
k k k
ND SKILLS FOR NURSING 5TH EDITION
k k k k k k
BY WILLIAMS
k
DoDwonwlonalodaeddedbyb:yS:kuApreiarhAk|kaabbbieiekcalyin1@
2@
gm
gmaila.cilo
.cm
om
Distributionkofkthiskdocumentkiskillegal
,DEWITSkFUNDAMENTALStC
uvO
iaN
.cC
omEP-kT
ThSeA
MNarD
ketSpK
laIcL
ekL
toSBFuO
ykaRndNSUeR
llkS
y oI uNr G
Stu5dTyHME
atD
erIiaTl ION kWILLIAMSkTESTkBANK
Chapter 01: Nursing and the Health Care System
k k k k k k k
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
k k k k k k k k k
MULTIPLEkCHOICE
1. FlorencekNightingale’skcontributionsktoknursingkpracticekandkeducation:
a. arekhistoricallykimportantkbutkhaveknokvaliditykforknursingktoday.
b. werekneitherkrecognizedknorkappreciatedkinkherkownktime.
c. werekakmajorkfactorkinkreducingkthekdeathkratekinkthekCrimeankWar.
d. wereklimitedkonlyktokthekcarekofkseverektraumatickwounds.
ANS:k C
Bykimprovingksanitation,knutritionkventilation,kandkhandwashingktechniques,kFlorence
Nightingale’sknurseskdramaticallykreducedkthekdeathkratekfromkinjurieskinkthekCrimeankWar.
DIF: CognitivekLevel:kKnowledge REF:k p.k2
OBJ:k Theoryk#1kTOP:k NursingkHistory
KEY:k NursingkProcesskStep:kN/AkMSC:k NCLEX:kN/A
2. EarlyknursingkeducationkandkcarekinkthekUnitedkStates:
a. werekdirectedkatkcommunitykhealth.
b. providedkindependencekforkwomenkthroughkeducationkandkemployment.
c. werekankeducationalkmodelkbasedkinkinstitutionskofkhigherklearning.
d. havekcontinuedktokbekentirelykfocusedkonkhospitalknursing.
ANS:k B
Becausekofk thekinfluencek ofk earlyk nNuUrRs iSnI gN Gl eTaBd.eCrOs ,Mn u r s i n g k educationk becamekmorek formalizedkthro
ughkapprenticeshipskinkNightingalekschoolskthatkofferedkindependencektokwomenkthroughkeducati
onkandkemployment.
DIF: CognitivekLevel:kKnowledge REF:k p.k2
OBJ:k Theoryk#4kTOP:k NursingkHistory
KEY:k NursingkProcesskStep:kN/AkMSC:k NCLEX:kN/A
3. Inkorderktokfulfillkthekcommonkgoalskdefinedkbyknursingktheoristsk(promotekwellness,kpreventki
llness,kfacilitatekcoping,kandkrestorekhealth),kthekLPNkmustktakekonkthekroleskof:
a. caregiver,keducator,kandkcollaborator.
b. nursingkassistant,kdelegator,kandkenvironmentalkspecialist.
c. medicationkdispenser,kcollaborator,kandktransporter.
d. dietitian,kmanager,kandkhousekeeper.
ANS:k A
InkorderkforkthekLPNktokapplykthekcommonkgoalskofknursing,khekorkshekmustkassumekthekroleskof
kcaregiver,keducator,kcollaborator,kmanager,kandkadvocate.
DIF: CognitivekLevel:kComprehension REF:k p.k3
OBJ:k Theoryk#2kTOP:k ArtkandkSciencekofkNursing
KEY:k NursingkProcesskStep:kN/AkMSC:k NCLEX:kN/A
4. Althoughknursingktheorieskdifferkinktheirkattemptsktokdefineknursing,kallkofkthemkbasektheirkb
eliefskonkcommonkconceptskconcerning:
NURSINGTB.COM
DoDwonwlonalodaeddedbyb:yS:kuApreiarhAk|kaabbbieiekcalyin1@
2@
gm
gmaila.cilo
.cm
om
Distributionkofkthiskdocumentkiskillegal
,DEWITSkFUNDAMENTALStC
uvO
iaN
.cC
omEP-kT
Th
hSeA
MNarD
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laIcL
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Stu5dTyHME
atD
erIiaTl ION kWILLIAMSkTESTkBANK
a. self-actualization,kfundamentalkneeds,kandkbelonging.
b. stresskreduction,kself-care,kandkaksystemskmodel.
c. curativekcare,krestorativekcare,kandkterminalkcare.
d. humankrelationships,kthekenvironment,kandkhealth.
ANS:k D
Althoughknursingktheorieskdiffer,ktheykallkbasektheirkbeliefskonkhumankrelationships,kthekenvironm
ent,kandkhealth.
DIF: CognitivekLevel:kComprehension REF:k p.k4
OBJ:k Theoryk#2kTOP:k NursingkTheories
KEY:k NursingkProcesskStep:kN/AkMSC:k NCLEX:kN/A
5. StandardskofkcarekforktheknursingkpracticekofkthekLPNkarekestablishedkbykthe:
a. BoardskofkNursingkExaminerskinkeachkstate.
b. NationalkCouncilkofkStateskBoardskofkNursingk(NCSBN).
c. AmericankNurseskAssociationk(ANA).
d. NationalkFederationkofkLicensedkPracticalkNurses.
ANS:k D
ThekNationalkFederationkofkLicensedkPracticalkNurseskmodifiedkthekstandardskpublishedkbykthek
ANAkink2015ktokbetterkfitkthekrolekofkthekLPN.kInk2015kthekAmericankNurseskAssociationk(ANA)
krevisedkthekStandardskofkNursingkPracticekwhichkcontainedk17kstandardskofknationalkpracticekofk
nursing,kdescribingkallkfacetskofknursingkpractice:kwho,kwhat,kwhen,kwhere,khow.
DIF: CognitivekLevel:kComprehension REF:k p.k6
OBJ:k Theoryk#2kTOP:k StandardskofkCare
KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A NURSINGTB.COM
6. ThekLPNkdemonstrateskankevidence-basedkpracticekby:
a. usingkakdrugkmanualktokcheckkcompatibilitykofkdrugs.
b. usingkscientifickinformationktokguidekdecisionkmaking.
c. usingkmedicalkhistorykofkakpatientktokdirectknursingkinterventions.
d. basingknursingkcarekonkadvicekfromkankexperiencedknurse.
ANS:k B
Thekusekofkscientifickinformationkfromkhigh-
qualitykresearchktokguideknursingkdecisionskiskreflectivekofkthekapplicationkofkevidence-
basedkpractice.
DIF: CognitivekLevel:kKnowledge REF:k p.k7
OBJ:k Theoryk#3kTOP:k Evidence-BasedkPractice
KEY:k NursingkProcesskStep:kN/AkMSC:k NCLEX:kN/A
7. LilliankWaldkandkMarykBrewsterkestablishedkthekHenrykStreetkSettlementkServicekinkNewkYorkki
nk1893kinkorderkto:
a. offerkakshelterktokinjuredkwarkveterans.
b. foundkaknursingkapprenticeship.
c. providekhealthkcarektokpoorkpersonsklivingkinktenements.
d. offerkbetterkhousingktoklow-incomekfamilies.
ANS:k C
DoDwonwlonalodaeddNURSINGTB.COM
edbyb:yS:kuApreiarhAk|kaabbbieiekcalyin1@
2@
gm
gmaila.cilo
.cm
om
Distributionkofkthiskdocumentkiskillegal
, DEWITSkFUNDAMENTALStC
uvO
iaN
.cC
omEP-kT
Th
hSeA
MNarD
ketSpK
laIcL
ekL
to
oSBFuO
ykaRndNSUeR
llkS
y oI uNr G
Stu5dTyHME
atD
erIiaTl ION kWILLIAMSkTESTkBANK
HenrykStreetkSettlementkServicekbroughtkthekprovisionkofkcommunitykhealthkcarektokthekpoorkpeop
leklivingkinktenements.
DIF: CognitivekLevel:kComprehension REF:k p.k2
OBJ:k Theoryk#4kTOP:k GrowthkofkNursing
KEY:k NursingkProcesskStep:kN/AkMSC:k NCLEX:kN/A
8. AnkeducationalkpathwaykforkankLPN/LVNkrefersktokankLPN/LVN:
a. learningkonkthekjobkandkbeingkpromotedktokakhigherklevelkofkresponsibility.
b. movingkfromkakmaternitykunitktokakmorekcomplicatedksurgicalkunit.
c. obtainingkadditionalkeducationktokmovekfromkoneklevelkofknursingktokanother.
d. learningkthatkadvancementkrequireskconsistentkworkkandkcommitment.
ANS:k C
Bykbroadeningkthekeducationalkbase,kankLPN/LVNkmaykadvancekandkbuildkaknursingkcareer.
DIF: CognitivekLevel:kKnowledge REF:k p.k7
OBJ:k Theoryk#7kTOP:k NursingkEducationkPathways
KEY:k NursingkProcesskStep:kN/AkMSC:k NCLEX:kN/A
9. Whenkdiagnosis-
relatedkgroupsk(DRGs)kwerekestablishedkbykMedicarekink1983,kthekpurposekwaskto:
a. putkpatientskwithktheksamekdiagnosiskonktheksamekunit.
b. attemptktokcontainkthekcostskofkhealthkcare.
c. increasekthekavailabilitykofkmedicalkcarektokolderkadults.
d. identifykakpatient’skconditionkmorekquickly.
ANS:k B NURSINGTB.COM
ThekpurposekofkinstitutingkDRGskwasktokcontainkskyrocketingkcostskofkhealthkcare.
DIF: CognitivekLevel:kKnowledge REF:k p.k9
OBJ:k Theoryk#10kTOP:k HealthkCarekDelivery
KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
10. Thekadventkofkdiagnosis-
relatedkgroupsk(DRGs)krequiredkthatknurseskworkingkinkhealthkcarekagencies:
a. recordksupportivekdocumentationktokconfirmkakpatient’skneedkforkcarekinkorderktok
qualifykforkreimbursement.
b. usekthekDRGkratherkthanktheirkownkobservationskforkpatientkassessment.
c. bekawarekofkthekspecifickdrugskrelatedktokthekdiagnosis.
d. acquirekcross-trainingktokmakekstaffingkmorekflexible.
ANS:k A
DRGskrequiredkthatknurseskprovidekmoreksupportivekdocumentationkofktheirkassessmentskandkident
ifiedkpatient’skneedsktokqualifykthekfacilitykforkMedicarekreimbursement.kObservantkassessmentkm
ightkalsokindicatekanotherkDRGkclassificationkandkconsequentlykmorekreimbursementkforkthekfacili
ty.
DIF: CognitivekLevel:kComprehension REF:k p.k10
OBJ:k Theoryk#10kTOP:k ManagedkCare
KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
NURSINGTB.COM
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