Test bank For Fundamental Concepts and Skills for Nursing, 6th Edition, Patricia Williams, 9780323884211

TEST BANK
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Fundamental Concepts and Skills for Nursing 6/E Patricia Williams
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Chapter 1. Nursing and the Health Care System
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Williams: Fundamental Concepts and Skills for Nursing, 6th Edition
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MULTIPLECCHOICE

1. FlorenceCNightingale’sCcontributionsCtoCnursingCpracticeCandCeducation:
a. areChistoricallyCimportantCbutChaveCnoCvalidityCforCnursingCtoday.
b. wereCneitherCrecognizedCnorCappreciatedCinCherCownCtime.
c. wereCaCmajorCfactorCinCreducingCtheCdeathCrateCinCtheCCrimeanCWar.
d. wereClimitedConlyCtoCtheCcareCofCsevereCtraumaticCwounds.
ANS:C C
ByCimprovingCsanitation,CnutritionCventilation,CandChandwashingCtechniques,CFlorenceCNigh
tingale’sCnursesCdramaticallyCreducedCtheCdeathCrateCfromCinjuriesCinCtheCCrimeanCWar.

DIF: CognitiveCLevel:CKnowledge REF: p.C2 OBJ:
TheoryC#1CTOP: NursingCHistory
KEY:CCCNursingCProcessCStep:CN/ACMSC:C NCLEX:CN/A

2. EarlyCnursingCeducationCandCcareCinCtheCUnitedCStates:
a. wereCdirectedCatCcommunityChealth.
b. providedCindependenceCforCwomenCthroughCeducationCandCemployment.
c. wereCanCeducationalCmodelCbasedCinCinstitutionsCofChigherClearning.
d. haveCcontinuedCtoCbeCentirelyCfocusedConChospitalCnursing.
ANS:C B
BecauseCofCtheCinfluenceCofCearlyCnursingCleaders,CnursingCeducationCbecameCmoreCformaliz
edCthroughCapprenticeshipsCinCNightingaleCschoolsCthatCofferedCindependenceCtoCwomenCthro
ughCeducationCandCemployment.

DIF: CognitiveCLevel:CKnowledge REF: p.C2 OBJ:
TheoryC#4CTOP: NursingCHistory
KEY:CCCNursingCProcessCStep:CN/ACMSC:C NCLEX:CN/A

3. InCorderCtoCfulfillCtheCcommonCgoalsCdefinedCbyCnursingCtheoristsC(promoteCwellness,Cpreven
tCillness,CfacilitateCcoping,CandCrestoreChealth),CtheCLPNCmustCtakeConCtheCrolesCof:
a. caregiver,Ceducator,CandCcollaborator.
b. nursingCassistant,Cdelegator,CandCenvironmentalCspecialist.
c. medicationCdispenser,Ccollaborator,CandCtransporter.
d. dietitian,Cmanager,CandChousekeeper.
ANS:C A
InCorderCforCtheCLPNCtoCapplyCtheCcommonCgoalsCofCnursing,CheCorCsheCmustCassumeCtheCrol
esCofCcaregiver,Ceducator,Ccollaborator,Cmanager,CandCadvocate.

DIF: CognitiveCLevel:CComprehension REF: p.C3 OBJ:
TheoryC#2CTOP: ArtCandCScienceCofCNursing
KEY:CCCNursingCProcessCStep:CN/ACMSC:C NCLEX:CN/A

,4. AlthoughCnursingCtheoriesCdifferCinCtheirCattemptsCtoCdefineCnursing,CallCofCthemCbaseCthei
rCbeliefsConCcommonCconceptsCconcerning:
a. self-actualization,CfundamentalCneeds,CandCbelonging.
b. stressCreduction,Cself-care,CandCaCsystemsCmodel.
c. curativeCcare,CrestorativeCcare,CandCterminalCcare.
d. humanCrelationships,CtheCenvironment,CandChealth.
ANS:C D
AlthoughCnursingCtheoriesCdiffer,CtheyCallCbaseCtheirCbeliefsConChumanCrelationships,CtheCenvir
onment,CandChealth.

DIF: CognitiveCLevel:CComprehension REF: p.C4 OBJ:
TheoryC#2CTOP: NursingCTheories
KEY:CCCNursingCProcessCStep:CN/ACMSC:C NCLEX:CN/A

5. StandardsCofCcareCforCtheCnursingCpracticeCofCtheCLPNCareCestablishedCbyCthe:
a. BoardsCofCNursingCExaminersCinCeachCstate.
b. NationalCCouncilCofCStatesCBoardsCofCNursingC(NCSBN).
c. AmericanCNursesCAssociationC(ANA).
d. NationalCAssociationCofCLicensedCPracticalCNurses.
ANS:C D
TheCpracticalCnurseCfollowsCstandardsCwrittenCbyCtheCNationalCAssociationCofCLicensedCPracti
calCNursesCtoCdeliverCsafe,CknowledgeableCnursingCcareC(BoxC1.1,CAppendixCD)

DIF: CognitiveCLevel:CComprehension REF: p.C6 OBJ:
TheoryC#2CTOP: StandardsCofCCare
KEY:CCCNursingCProcessCStep:CN/ACMSC:C NCLEX:CN/A

6. TheCLPNCdemonstratesCanCevidence-basedCpracticeCby:
a. usingCaCdrugCmanualCtoCcheckCcompatibilityCofCdrugs.
b. usingCscientificCinformationCtoCguideCdecisionCmaking.
c. usingCmedicalChistoryCofCaCpatientCtoCdirectCnursingCinterventions.
d. basingCnursingCcareConCadviceCfromCanCexperiencedCnurse.
ANS:C B
TheCuseCofCscientificCinformationCfromChigh-
qualityCresearchCtoCguideCnursingCdecisionsCisCreflectiveCofCtheCapplicationCofCevidence-
basedCpractice.

DIF: CognitiveCLevel:CKnowledge REF: p.C4 OBJ:
TheoryC#3CTOP: Evidence-BasedCPractice
KEY:CCCNursingCProcessCStep:CN/ACMSC:C NCLEX:CN/A

7. LillianCWaldCandCMaryCBrewsterCestablishedCtheCHenryCStreetCSettlementCServiceCinCNe
wCYorkCinC1893CinCorderCto:
a. offerCaCshelterCtoCinjuredCwarCveterans.
b. foundCaCnursingCapprenticeship.
c. provideChealthCcareCtoCpoorCpersonsClivingCinCtenements.
d. offerCbetterChousingCtoClow-
incomeCfamilies.CANS:C C

, HenryCStreetCSettlementCServiceCbroughtCtheCprovisionCofCcommunityChealthCcareCtoCtheCpoo
rCpeopleClivingCinCtenements.

DIF: CognitiveCLevel:CComprehension REF: p.C2 OBJ:
TheoryC#4CTOP: GrowthCofCNursing
KEY:CCCNursingCProcessCStep:CN/ACMSC:C NCLEX:CN/A

8. AnCeducationalCpathwayCforCanCLPN/LVNCrefersCtoCanCLPN/LVN:
a. learningConCtheCjobCandCbeingCpromotedCtoCaChigherClevelCofCresponsibility.
b. movingCfromCaCmaternityCunitCtoCaCmoreCcomplicatedCsurgicalCunit.
c. obtainingCadditionalCeducationCtoCmoveCfromConeClevelCofCnursingCtoCanother.
d. learningCthatCadvancementCrequiresCconsistentCworkCandCcommitment.
ANS:C C
ByCbroadeningCtheCeducationalCbase,CanCLPN/LVNCmayCadvanceCandCbuildCaCnursingCcareer.

DIF: CognitiveCLevel:CKnowledge REF: p.C7 OBJ:
TheoryC#7CTOP: NursingCEducationCPathways
KEY:CCCNursingCProcessCStep:CN/ACMSC:C NCLEX:CN/A

9. WhenCdiagnosis-
relatedCgroupsC(DRGs)CwereCestablishedCbyCMedicareCinC1983,CtheCpurposeCwasCto:
a. putCpatientsCwithCtheCsameCdiagnosisConCtheCsameCunit.
b. attemptCtoCcontainCtheCcostsCofChealthCcare.
c. increaseCtheCavailabilityCofCmedicalCcareCtoColderCadults.
d. identifyCaCpatient’sCconditionCmoreCquickly.
ANS:C B
TheCpurposeCofCinstitutingCDRGsCwasCtoCcontainCskyrocketingCcostsCofChealthCcare.

DIF: CognitiveCLevel:CKnowledge REF: p.C10 OBJ:
TheoryC#10CTOP: HealthCCareCDelivery
KEY:CCNursingCProcessCStep:CN/A
MSC:C NCLEX:CN/A

10. TheCadventCofCdiagnosis-
relatedCgroupsC(DRGs)CrequiredCthatCnursesCworkingCinChealthCcareCagencies:
a. recordCsupportiveCdocumentationCtoCconfirmCaCpatient’sCneedCforCcareCinCorderCt
oCqualifyCforCreimbursement.
b. useCtheCDRGCratherCthanCtheirCownCobservationsCforCpatientCassessment.
c. beCawareCofCtheCspecificCdrugsCrelatedCtoCtheCdiagnosis.
d. acquireCcross-trainingCtoCmakeCstaffingCmoreCflexible.
ANS:C A
DRGsCrequiredCthatCnursesCprovideCmoreCsupportiveCdocumentationCofCtheirCassessmentsCan
dCidentifiedCpatient’sCneedsCtoCqualifyCtheCfacilityCforCMedicareCreimbursement.CObservantCa
ssessmentCmightCalsoCindicateCanotherCDRGCclassificationCandCconsequentlyCmoreCreimburs
ementCforCtheCfacility.

DIF: CognitiveCLevel:CComprehension REF: p.C10 OBJ:
TheoryC#10CTOP: ManagedCCare
KEY:CCNursingCProcessCStep:CN/A

, MSC:C NCLEX:CN/A

11. IfCaCmemberCofCaChealthCmaintenanceCorganizationC(HMO)CisChavingCrespiratoryCproblemsCs
uchCasCfever,Ccough,CandCfatigueCforCseveralCdaysCandCwantsCtoCseeCaCspecialist,CtheCpersonCis
CrequiredCtoCgo:
a. directlyCtoCanCemergencyCroomCforCtreatment.
b. toCanyCgeneralCpractitionerCofCchoice.
c. directlyCtoCaCrespiratoryCspecialist.
d. toCaCprimaryCcareCproviderCforCaCreferral.
ANS:C D
ParticipantsCinCanCHMOCmustCseeCtheirCprimaryCproviderCtoCreceiveCaCreferralCforCaCspecialistC
inCorderCforCtheCHMOCtoCpayCforCtheCcare.

DIF: CognitiveCLevel:CComprehension REF: p.C10 OBJ:
TheoryC#11CTOP: ManagedCCare
KEY:CCNursingCProcessCStep:CN/A
MSC:C NCLEX:CN/A

12. AnCadvantageCofCpreferredCproviderCorganizationsC(PPOs)CisCthat:
a. theyCmakeCinsuranceCcoverageCofCemployeesClessCexpensiveCtoCemployers.
b. thereCareCfewerCphysiciansCtoCchooseCfromCthanCinCanCHMO.
c. long-termCrelationshipsCwithCphysiciansCareCmoreClikely.
d. patientsCmayCgoCdirectlyCtoCaCspecialistCforCcare.
ANS:C A
TheCuseCofCPPOsCallowsCinsuranceCcompaniesCtoCkeepCtheirCpremiumsClowCandCinCturnCmake
sCinsuranceCcoverageClessCexpensiveCforCtheCemployers.CThereCareCusuallyCmoreCphysiciansCf
romCwhichCtoCchooseCthanCfromCanCHMO,CbutClong-
termCrelationshipsCbetweenCphysicianCandCpatientCcannotCbeCestablishedCeasily.CPatientsCstill
CmustCseeCtheirCprimaryCphysicianCbeforeCbeingCreferredCtoCotherCspecialties.




DIF: CognitiveCLevel:CKnowledge REF: p.C11 OBJ:
TheoryC#11CTOP: PreferredCProviderCOrganizations
KEY:CCNursingCProcessCStep:CN/A
MSC:C NCLEX:CN/A

13. AfterCpassingCtheCNationalCCouncilCLicensureCExaminationCforCPracticalCNursesC(NCLE
XCPN),CtheCnurseCisCqualifiedCtoCtakeCanCadditionalCcertificationCinCtheCfieldCof:
a. pharmacology.
b. careCofCinfantsCandCchildren.
c. operatingCroomCtechnology.
d. communityChealth.
ANS:C A
AfterCbecomingCanCLPN,CtheCnurseCmayCapplyCforCadditionalCcertificationCinCpharmacology
,Clong-termCcare,Cand/orCIVCtherapy.

DIF: CognitiveCLevel:CKnowledge REF: p.C7 OBJ:
TheoryC#6CTOP: EducationalCOpportunities
KEY:CCCNursingCProcessCStep:CN/ACMSC:C NCLEX:CN/A