j j j j
TAL CONCEPTS AND SKILLS FOR NU
j j j j j
RSING 5TH EDITIONBY MILES DUKE
j j j j j
,Chapterj01:jNursingjandjthejHealthjCarejSystem
MULTIPLEjCHOICE
1. FlorencejNightingale‘sjcontributionsjtojnursingjpracticejandjeducation:
a. arejhistoricallyjimportantjbutjhavejnojvalidityjforjnursingjtoday.
b. werejneitherjrecognizedjnorjappreciatedjinjherjownjtime.
c. werejajmajorjfactorjinjreducingjthejdeathjratejinjthejCrimeanjWar.
d. werejlimitedjonlyjtojthejcarejofjseverejtraumaticjwounds.ANS:jC
Byjimprovingjsanitation,jnutritionjventilation,jandjhandwashingjtechniques,jFlorencejNightingale‘sjnursesjdra
maticallyjreducedjthejdeathjratejfromjinjuriesjinjthejCrimeanjWar.
DIF: CognitivejLevel:jKnowledgej REF:j p.j2
OBJ:jTheoryj#1jTOP:jNursingjHistoryKEY:j
NursingjProcessjStep:jN/AjMSC:jNCLEX:jN/A
2. EarlyjnursingjeducationjandjcarejinjthejUnitedjStates:
a. werejdirectedjatjcommunityjhealth.
b. providedjindependencejforjwomenjthroughjeducationjandjemployment.
c. werejanjeducationaljmodeljbasedjinjinstitutionsjofjhigherjlearning.
d. havejcontinuedjtojbejentirelyjfocusedjonjhospitaljnursing.ANS:jB
BecausejofjthejinfluencejofjearlyjnNuUrRsiSnIgNGleTaBd.eCrOs,Mnursingjeducationjbecamemorejforma
lizedjthroughjapprenticeshipsjinjNightingalejschoolsjthatjofferedjindependencejtojwomenjthroughjeducation
jandj employment.
DIF: CognitivejLevel:jKnowledgej REF:j p.j2
OBJ:jTheoryj#4jTOP:jNursingjHistoryKEY:j
NursingjProcessjStep:jN/AjMSC:jNCLEX:jN/A
3. Injorderjtojfulfilljthejcommonjgoalsjdefinedjbyjnursingjtheoristsj(promotejwellness,preventjilln
ess,jfacilitatejcoping,jandjrestorejhealth),jthejLPNjmustjtakejonjthejrolesjof:
a. caregiver,jeducator,jandjcollaborator.
b. nursingjassistant,jdelegator,jandjenvironmentaljspecialist.
c. medicationjdispenser,jcollaborator,jandjtransporter.
d. dietitian,jmanager,jandjhousekeeper.ANS:jA
InjorderjforjthejLPNjtojapplyjthejcommonjgoalsjofjnursing,jhejorjshejmustjassumejthejrolesjofcaregiver,jeducator,j
collaborator,jmanager,j andjadvocate.
,DIF: CognitivejLevel:jComprehension REF:jjjp.j3
OBJ:jTheoryj#2jTOP:jArtjandjSciencejofjNursing
KEY:jNursingjProcessjStep:jN/AjMSC:jNCLEX:jN/A
4. Althoughjnursingjtheoriesjdifferjinjtheirjattemptsjtojdefinejnursing,j alljofjthemjbasejtheirjbeli
efsjonjcommonjconceptsjconcerning:
a. self-actualization,jfundamentaljneeds,jandjbelonging.
b. stressjreduction,jself-care,jandjajsystemsjmodel.
c. curativejcare,jrestorativejcare,jandjterminaljcare.
d. humanjrelationships,jthejenvironment,jandjhealth.jA
NS:jD
Althoughjnursingjtheoriesjdiffer,jtheyjalljbasejtheirjbeliefsjonjhumanjrelationships,jthejenv
ironment,jandjhealth.
DIF: CognitivejLevel:jComprehension REF:jjjp.j4
OBJ:jTheoryj#2jTOP:jNursingjTheories
KEY:jNursingjProcessjStep:jN/AjMSC:jNCLEX:jN/A
5. StandardsjofjcarejforjthejnursingjpracticejofjthejLPNjarejestablishedjbyjthe:
a. BoardsjofjNursingjExaminersjinjeachjstate.
b. NationaljCounciljofjStatesjBoardsjofjNursingj(NCSBN).
c. AmericanjNursesjAssociationj(ANA).
d. NationaljFederationjofjLicensedjPracticaljNurses.j
ANS:jD
ThejNationaljFederationjofjLicensedjPracticaljNursesjmodifiedjthejstandardsjpublishedjbyjthejAN
Ajinj2015jtojbetterjfitjthejrolejofjthejLPN.jInj2015jthejAmericanjNursesjAssociationj(ANA)jrevisedjth
ejStandardsjofjNursingjPracticejwhichjcontainedj17jstandardsjofjnationaljpracticejofjnursing,jdescri
bingjalljfacetsjofjnursingjpractice:jwho,jwhat,jwhen,jwhere,jhow.
DIF: CognitivejLevel:jComprehension REF:jjjp.j6
OBJ:jTheoryj#2jTOP:jStandardsjofjCare
KEY:jNursingjProcessjStep:jN/AjMSC:jNCLEX:jN/A
6. ThejLPNjdemonstratesjanjevidence-basedjpracticejby:
a. usingjajdrugjmanualjtojcheckjcompatibilityjofjdrugs.
, b. usingjscientificjinformationjtojguidejdecisionjmaking.
c. usingjmedicaljhistoryjofjajpatientjtojdirectjnursingjinterventions.
d. basingjnursingjcarejonjadvicejfromjanjexperiencedjnurse.jA
NS:jB
Thejusejofjscientificjinformationjfromjhigh-
qualityjresearchjtojguidejnursingjdecisionsjisjreflectivejofjthejapplicationjofjevidence-
basedjpractice.
DIF: CognitivejLevel:jKnowledgej REF:j p.j7 OBJ:jTheoryj#3jTOP:jEvidence-
BasedjPractice KEY:jNursingjProcessjStep:jN/AjMSC:jNCLEX:jN/A
7. LillianjWaldjandjMaryjBrewsterjestablishedjthejHenryjStreetjSettlementjServicejinjNewjYor
kjinj1893jinjorderjto:
a. offerjajshelterjtojinjuredjwarjveterans.
b. foundjajnursingjapprenticeship.
c. providejhealthjcarejtojpoorjpersonsjlivingjinjtenements.
d. offerjbetterjhousingjtojlow-
incomejfamilies.jANS:jC
HenryjStreetjSettlementjServicejbroughtjthejprovisionjofjcommunityjhealthjcarejtojthejpoorjpeo
plejlivingjinjtenements.
DIF: CognitivejLevel:jComprehension REF:jjjp.j2
OBJ:jTheoryj#4jTOP:jGrowthjofjNursing
KEY:jNursingjProcessjStep:jN/AjMSC:jNCLEX:jN/A
8. AnjeducationaljpathwayjforjanjLPN/LVNjrefersjtojanjLPN/LVN:
a. learningjonjthejjobjandjbeingjpromotedjtojajhigherjleveljofjresponsibility.
b. movingjfromjajmaternityjunitjtojajmorejcomplicatedjsurgicaljunit.
c. obtainingjadditionaljeducationjtojmovejfromjonejleveljofjnursingjtojanother.
d. learningjthatjadvancementjrequiresjconsistentjworkjandjcommitment.jA
NS:jC
Byjbroadeningjthejeducationaljbase,janjLPN/LVNjmayjadvancejandjbuildjajnursingjcareer.