Chapter1
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.
Test Bank for d. were limited only to the care of severe traumatic wounds.
Fundamental ANS: C
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence
Concepts & Skills for Nightingale’s nurses dramatically reduced the death rate from injuries in the Crimean War.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #1
Nursing 4th Edition
TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. Early nursing education and care in the United States:
by deWit 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.
, 4. Although nursing theories differ in their attempts to define nursing, all of them base their
d. have continued to be entirely focused on hospital nursing.
beliefs on common concepts concerning:
ANS: B a. self-actualization, fundamental needs, and belonging.
Because of the influence of early nursing leaders, nursing education became more formalized
through apprenticeships in Nightingale schools that offered independence to women through b. stress reduction, self-care, and a systems model.
education and employment.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #4
c. curative care, restorative care, and terminal care.
TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
d. human relationships, the environment, and health.
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:
ANS: D
a. caregiver, educator, and collaborator. Although nursing theories differ, they all base their beliefs on human relationships, the
environment, and health.
DIF: Cognitive Level: Comprehension REF: p. 4 OBJ: Theory #2
b. nursing assistant, delegator, and environmental specialist.
TOP: Nursing Theories KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
c. medication dispenser, collaborator, and transporter.
5. Standards of care for the nursing practice of the LPN are established by the:
d. dietitian, manager, and housekeeper.
a. Boards of Nursing Examiners in each state.
ANS: A
b. National Council of States Boards of Nursing (NCSBN).
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: Comprehension REF: p. 4 OBJ: Theory #2 c. American Nurses Association (ANA).
TOP: Art and Science of Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A d. National Federation of Licensed Practical Nurses.
,ANS: D
b. found a nursing apprenticeship.
The National Federation of Licensed Practical Nurses modified the standards published by the
ANA in 2004 to better fit the role of the LPN.
DIF: Cognitive Level: Comprehension REF: p. 5 OBJ: Theory #2 c. provide health care to poor persons living in tenements.
TOP: Standards of Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A d. offer better housing to low-income families.
6. The LPN demonstrates an evidence-based practice by:
ANS: C
a. using a drug manual to check compatibility of drugs. Henry Street Settlement Service brought the provision of community health care to the poor
people living in tenements.
DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: Theory #4
b. using scientific information to guide decision making.
TOP: Growth of Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
c. using medical history of a patient to direct nursing interventions.
8. An educational pathway for an LPN refers to an LPN:
d. basing nursing care on advice from an experienced nurse.
a. learning on the job and being promoted to a higher level of responsibility.
ANS: B
b. moving from a maternity unit to a more complicated surgical unit.
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. 5 OBJ: Theory #3 c. obtaining additional education to move from one level of nursing to another.
TOP: Evidence Based Practice KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A d. learning that advancement requires consistent work and commitment.
7. Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New York
in 1893 in order to:
ANS: C
By broadening the educational base, an LPN may advance and build a nursing career.
a. offer a shelter to injured war veterans.
DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: Theory #7
, TOP: Nursing Education Pathways KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose
was to: d. acquire cross-training to make staffing more flexible.
a. put patients with the same diagnosis on the same unit. ANS: A
DRGs required that nurses provide more supportive documentation of their assessments and
identified patient needs to qualify the facility for Medicare reimbursement. Observant assessment
b. attempt to contain the costs of health care.
might also indicate another DRG classification and consequently more reimbursement for the
facility.
c. increase availability of medical care to the elderly. DIF: Cognitive Level: Comprehension REF: p. 8 OBJ: Theory #10
TOP: Managed Care KEY: Nursing Process Step: N/A
d. identify a patient’s condition more quickly. MSC: NCLEX: N/A
11. If a member of a health maintenance organization (HMO) is having respiratory problems such
ANS: B as fever, cough, and fatigue for several days and wants to see a specialist, the person is required
to go:
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
DIF: Cognitive Level: Knowledge REF: p. 8 OBJ: Theory #10 a. directly to an emergency room for treatment.
TOP: Health Care Delivery KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A b. to any general practitioner of choice.
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care
agencies:
c. directly to a respiratory specialist.
record supportive documentation to confirm a patient’s need for care in order to qualify for
a. reimbursement. d. to a primary care physician for a referral.
ANS: D
b. use the DRG rather than their own observations for patient assessment.
Participants in an HMO must see their primary physician to receive a referral for a specialist in
order for the HMO to pay for the care.
c. be aware of the specific drugs related to the diagnosis.
DIF: Cognitive Level: Comprehension REF: p. 9 OBJ: Theory #11
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.
Test Bank for d. were limited only to the care of severe traumatic wounds.
Fundamental ANS: C
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence
Concepts & Skills for Nightingale’s nurses dramatically reduced the death rate from injuries in the Crimean War.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #1
Nursing 4th Edition
TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. Early nursing education and care in the United States:
by deWit 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.
, 4. Although nursing theories differ in their attempts to define nursing, all of them base their
d. have continued to be entirely focused on hospital nursing.
beliefs on common concepts concerning:
ANS: B a. self-actualization, fundamental needs, and belonging.
Because of the influence of early nursing leaders, nursing education became more formalized
through apprenticeships in Nightingale schools that offered independence to women through b. stress reduction, self-care, and a systems model.
education and employment.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #4
c. curative care, restorative care, and terminal care.
TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
d. human relationships, the environment, and health.
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:
ANS: D
a. caregiver, educator, and collaborator. Although nursing theories differ, they all base their beliefs on human relationships, the
environment, and health.
DIF: Cognitive Level: Comprehension REF: p. 4 OBJ: Theory #2
b. nursing assistant, delegator, and environmental specialist.
TOP: Nursing Theories KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
c. medication dispenser, collaborator, and transporter.
5. Standards of care for the nursing practice of the LPN are established by the:
d. dietitian, manager, and housekeeper.
a. Boards of Nursing Examiners in each state.
ANS: A
b. National Council of States Boards of Nursing (NCSBN).
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: Comprehension REF: p. 4 OBJ: Theory #2 c. American Nurses Association (ANA).
TOP: Art and Science of Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A d. National Federation of Licensed Practical Nurses.
,ANS: D
b. found a nursing apprenticeship.
The National Federation of Licensed Practical Nurses modified the standards published by the
ANA in 2004 to better fit the role of the LPN.
DIF: Cognitive Level: Comprehension REF: p. 5 OBJ: Theory #2 c. provide health care to poor persons living in tenements.
TOP: Standards of Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A d. offer better housing to low-income families.
6. The LPN demonstrates an evidence-based practice by:
ANS: C
a. using a drug manual to check compatibility of drugs. Henry Street Settlement Service brought the provision of community health care to the poor
people living in tenements.
DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: Theory #4
b. using scientific information to guide decision making.
TOP: Growth of Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
c. using medical history of a patient to direct nursing interventions.
8. An educational pathway for an LPN refers to an LPN:
d. basing nursing care on advice from an experienced nurse.
a. learning on the job and being promoted to a higher level of responsibility.
ANS: B
b. moving from a maternity unit to a more complicated surgical unit.
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. 5 OBJ: Theory #3 c. obtaining additional education to move from one level of nursing to another.
TOP: Evidence Based Practice KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A d. learning that advancement requires consistent work and commitment.
7. Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New York
in 1893 in order to:
ANS: C
By broadening the educational base, an LPN may advance and build a nursing career.
a. offer a shelter to injured war veterans.
DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: Theory #7
, TOP: Nursing Education Pathways KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose
was to: d. acquire cross-training to make staffing more flexible.
a. put patients with the same diagnosis on the same unit. ANS: A
DRGs required that nurses provide more supportive documentation of their assessments and
identified patient needs to qualify the facility for Medicare reimbursement. Observant assessment
b. attempt to contain the costs of health care.
might also indicate another DRG classification and consequently more reimbursement for the
facility.
c. increase availability of medical care to the elderly. DIF: Cognitive Level: Comprehension REF: p. 8 OBJ: Theory #10
TOP: Managed Care KEY: Nursing Process Step: N/A
d. identify a patient’s condition more quickly. MSC: NCLEX: N/A
11. If a member of a health maintenance organization (HMO) is having respiratory problems such
ANS: B as fever, cough, and fatigue for several days and wants to see a specialist, the person is required
to go:
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
DIF: Cognitive Level: Knowledge REF: p. 8 OBJ: Theory #10 a. directly to an emergency room for treatment.
TOP: Health Care Delivery KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A b. to any general practitioner of choice.
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care
agencies:
c. directly to a respiratory specialist.
record supportive documentation to confirm a patient’s need for care in order to qualify for
a. reimbursement. d. to a primary care physician for a referral.
ANS: D
b. use the DRG rather than their own observations for patient assessment.
Participants in an HMO must see their primary physician to receive a referral for a specialist in
order for the HMO to pay for the care.
c. be aware of the specific drugs related to the diagnosis.
DIF: Cognitive Level: Comprehension REF: p. 9 OBJ: Theory #11
