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DEWITS FUNDAMENTAL CONCEPTS
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AND SKILLS FOR NURSING 5TH EDIT
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ION BY WILLIAMS
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Chapter 01: Nursing and the Health Care System
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Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
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MULTIPLEmCHOICE
1. FlorencemNightingale’smcontributionsmtomnursingmpracticemandmeducation:
a. aremhistoricallymimportantmbutmhavemnomvaliditymformnursingmtoday.
b. weremneithermrecognizedmnormappreciatedminmhermownmtime.
c. weremammajormfactorminmreducingmthemdeathmrateminmthemCrimeanmWar.
d. weremlimitedmonlymtomthemcaremofmseveremtraumaticmwounds.
ANS:m C
Bymimprovingmsanitation,mnutritionmventilation,mandmhandwashingmtechniques,mFlorencemNightin
gale’smnursesmdramaticallymreducedmthemdeathmratemfromminjuriesminmthemCrimeanmWar.
DIF: CognitivemLevel:mKnowledge REF:mmmp.m2
OBJ:m Theorym#1mTOP:m NursingmHistory
KEY:m NursingmProcessmStep:mN/AmMSC:m NCLEX:mN/A
2. EarlymnursingmeducationmandmcareminmthemUnitedmStates:
a. weremdirectedmatmcommunitymhealth.
b. providedmindependencemformwomenmthroughmeducationmandmemployment.
c. weremanmeducationalmmodelmbasedminminstitutionsmofmhighermlearning.
d. havemcontinuedmtombementirelymfocusedmonmhospitalmnursing.
ANS:m B
BecausemofmtheminfluencemofmearlymnNuUrRsiSnIgNGleTaBd.eCrOs,Mnursingmeducationmbecamemmoremformalizedm
throughmapprenticeshipsminmNightingalemschoolsmthatmofferedmindependencemtomwomenmthroughm
educationmandmemployment.
DIF: CognitivemLevel:mKnowledge REF:mmmp.m2
OBJ:m Theorym#4mTOP:m NursingmHistory
KEY:m NursingmProcessmStep:mN/AmMSC:m NCLEX:mN/A
3. Inmordermtomfulfillmthemcommonmgoalsmdefinedmbymnursingmtheoristsm(promotemwellness,mprev
entmillness,mfacilitatemcoping,mandmrestoremhealth),mthemLPNmmustmtakemonmthemrolesmof:
a. caregiver,meducator,mandmcollaborator.
b. nursingmassistant,mdelegator,mandmenvironmentalmspecialist.
c. medicationmdispenser,mcollaborator,mandmtransporter.
d. dietitian,mmanager,mandmhousekeeper.
ANS:m A
InmordermformthemLPNmtomapplymthemcommonmgoalsmofmnursing,mhemormshemmustmassumemthemr
olesmofmcaregiver,meducator,mcollaborator,mmanager,mandmadvocate.
DIF: CognitivemLevel:mComprehension REF:mmmp.m3
OBJ:m Theorym#2mTOP:m ArtmandmSciencemofmNursing
KEY:m NursingmProcessmStep:mN/AmMSC:m NCLEX:mN/A
4. Althoughmnursingmtheoriesmdifferminmtheirmattemptsmtomdefinemnursing,mallmofmthemmbasemth
eirmbeliefsmonmcommonmconceptsmconcerning:
NURSINGTB.COM
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a. self-actualization,mfundamentalmneeds,mandmbelonging.
b. stressmreduction,mself-care,mandmamsystemsmmodel.
c. curativemcare,mrestorativemcare,mandmterminalmcare.
d. humanmrelationships,mthemenvironment,mandmhealth.
ANS:m D
Althoughmnursingmtheoriesmdiffer,mtheymallmbasemtheirmbeliefsmonmhumanmrelationships,mt
hemenvironment,mandmhealth.
DIF: CognitivemLevel:mComprehension REF:mmmp.m4
OBJ:m Theorym#2mTOP:m NursingmTheories
KEY:m NursingmProcessmStep:mN/AmMSC:m NCLEX:mN/A
5. StandardsmofmcaremformthemnursingmpracticemofmthemLPNmaremestablishedmbymthe:
a. BoardsmofmNursingmExaminersminmeachmstate.
b. NationalmCouncilmofmStatesmBoardsmofmNursingm(NCSBN).
c. AmericanmNursesmAssociationm(ANA).
d. NationalmFederationmofmLicensedmPracticalmNurses.
ANS:m D
ThemNationalmFederationmofmLicensedmPracticalmNursesmmodifiedmthemstandardsmpublishedmbymt
hemANAminm2015mtombettermfitmthemrolemofmthemLPN.mInm2015mthemAmericanmNursesmAssociation
m(ANA)mrevisedmthemStandardsmofmNursingmPracticemwhichmcontainedm17mstandardsmofmnational
mpracticemofmnursing,mdescribingmallmfacetsmofmnursingmpractice:mwho,mwhat,mwhen,mwhere,mhow.
DIF: CognitivemLevel:mComprehension REF:mmmp.m6
OBJ:m Theorym#2mTOP:m StandardsmofmCare
KEY:m NursingmProcessmStep:mN/A
MSC:m NCLEX:mN/ NURSINGTB.COM
A
6. ThemLPNmdemonstratesmanmevidence-basedmpracticemby:
a. usingmamdrugmmanualmtomcheckmcompatibilitymofmdrugs.
b. usingmscientificminformationmtomguidemdecisionmmaking.
c. usingmmedicalmhistorymofmampatientmtomdirectmnursingminterventions.
d. basingmnursingmcaremonmadvicemfrommanmexperiencedmnurse.
ANS:m B
Themusemofmscientificminformationmfrommhigh-
qualitymresearchmtomguidemnursingmdecisionsmismreflectivemofmthemapplicationmofmevidence-
basedmpractice.
DIF: CognitivemLevel:mKnowledge REF:mmmp.m7
OBJ:m Theorym#3mTOP:m Evidence-BasedmPractice
KEY:m NursingmProcessmStep:mN/AmMSC:m NCLEX:mN/A
7. LillianmWaldmandmMarymBrewstermestablishedmthemHenrymStreetmSettlementmServiceminmNewmY
orkminm1893minmordermto:
a. offermamsheltermtominjuredmwarmveterans.
b. foundmamnursingmapprenticeship.
c. providemhealthmcaremtompoormpersonsmlivingminmtenements.
d. offermbettermhousingmtomlow-incomemfamilies.
ANS:m C
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NURSINGTB.COM
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