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DEWITS FUNDAMENTAL CONCEPTS A
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ND SKILLS FOR NURSING 5TH EDITIO
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N 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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MULTIPLEpCHOICE
1. FlorencepNightingale’spcontributionsptopnursingppracticepandpeducation:
a. arephistoricallypimportantpbutphavepnopvaliditypforpnursingptoday.
b. werepneitherprecognizedpnorpappreciatedpinpherpownptime.
c. werepapmajorpfactorpinpreducingpthepdeathpratepinpthepCrimeanpWar.
d. wereplimitedponlyptopthepcarepofpsevereptraumaticpwounds.
ANS:p C
Bypimprovingpsanitation,pnutritionpventilation,pandphandwashingptechniques,pFlorence
Nightingale’spnursespdramaticallypreducedpthepdeathpratepfrompinjuriespinpthepCrimeanpWar.
DIF: CognitivepLevel:pKnowledge REF:p p.p2
OBJ:p Theoryp#1pTOP:p NursingpHistory
KEY:p NursingpProcesspStep:pN/ApMSC:p NCLEX:pN/A
2. EarlypnursingpeducationpandpcarepinpthepUnitedpStates:
a. werepdirectedpatpcommunityphealth.
b. providedpindependencepforpwomenpthroughpeducationpandpemployment.
c. werepanpeducationalpmodelpbasedpinpinstitutionspofphigherplearning.
d. havepcontinuedptopbepentirelypfocusedponphospitalpnursing.
ANS:p B
Becausepofp thepinfluencep ofp earlyp nNuUrRs iSnI gN Gl eTaBd.eCrOs ,Mn u r s i n g p educationp becamepmorep formalizedpthr
oughpapprenticeshipspinpNightingalepschoolspthatpofferedpindependenceptopwomenpthroughpeduc
ationpandpemployment.
DIF: CognitivepLevel:pKnowledge REF:p p.p2
OBJ:p Theoryp#4pTOP:p NursingpHistory
KEY:p NursingpProcesspStep:pN/ApMSC:p NCLEX:pN/A
3. Inporderptopfulfillpthepcommonpgoalspdefinedpbypnursingptheoristsp(promotepwellness,ppreventpi
llness,pfacilitatepcoping,pandprestorephealth),pthepLPNpmustptakeponptheprolespof:
a. caregiver,peducator,pandpcollaborator.
b. nursingpassistant,pdelegator,pandpenvironmentalpspecialist.
c. medicationpdispenser,pcollaborator,pandptransporter.
d. dietitian,pmanager,pandphousekeeper.
ANS:p A
InporderpforpthepLPNptopapplypthepcommonpgoalspofpnursing,pheporpshepmustpassumeptheprolespof
pcaregiver,peducator,pcollaborator,pmanager,pandpadvocate.
DIF: CognitivepLevel:pComprehension REF:p p.p3
OBJ:p Theoryp#2pTOP:p ArtpandpSciencepofpNursing
KEY:p NursingpProcesspStep:pN/ApMSC:p NCLEX:pN/A
4. Althoughpnursingptheoriespdifferpinptheirpattemptsptopdefinepnursing,pallpofpthempbaseptheirpb
eliefsponpcommonpconceptspconcerning:
NURSINGTB.COM
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a. self-actualization,pfundamentalpneeds,pandpbelonging.
b. stresspreduction,pself-care,pandpapsystemspmodel.
c. curativepcare,prestorativepcare,pandpterminalpcare.
d. humanprelationships,pthepenvironment,pandphealth.
ANS:p D
Althoughpnursingptheoriespdiffer,ptheypallpbaseptheirpbeliefsponphumanprelationships,pthepenviron
ment,pandphealth.
DIF: CognitivepLevel:pComprehension REF:p p.p4
OBJ:p Theoryp#2pTOP:p NursingpTheories
KEY:p NursingpProcesspStep:pN/ApMSC:p NCLEX:pN/A
5. StandardspofpcarepforpthepnursingppracticepofpthepLPNparepestablishedpbypthe:
a. BoardspofpNursingpExaminerspinpeachpstate.
b. NationalpCouncilpofpStatespBoardspofpNursingp(NCSBN).
c. AmericanpNursespAssociationp(ANA).
d. NationalpFederationpofpLicensedpPracticalpNurses.
ANS:p D
ThepNationalpFederationpofpLicensedpPracticalpNursespmodifiedpthepstandardsppublishedpbypthepA
NApinp2015ptopbetterpfitptheprolepofpthepLPN.pInp2015pthepAmericanpNursespAssociationp(ANA)pre
visedpthepStandardspofpNursingpPracticepwhichpcontainedp17pstandardspofpnationalppracticepofpnu
rsing,pdescribingpallpfacetspofpnursingppractice:pwho,pwhat,pwhen,pwhere,phow.
DIF: CognitivepLevel:pComprehension REF:p p.p6
OBJ:p Theoryp#2pTOP:p StandardspofpCare
KEY:p NursingpProcesspStep:pN/A
MSC:p NCLEX:pN/A NURSINGTB.COM
6. ThepLPNpdemonstratespanpevidence-basedppracticepby:
a. usingpapdrugpmanualptopcheckpcompatibilitypofpdrugs.
b. usingpscientificpinformationptopguidepdecisionpmaking.
c. usingpmedicalphistorypofpappatientptopdirectpnursingpinterventions.
d. basingpnursingpcareponpadvicepfrompanpexperiencedpnurse.
ANS:p B
Thepusepofpscientificpinformationpfromphigh-
qualitypresearchptopguidepnursingpdecisionspispreflectivepofpthepapplicationpofpevidence-
basedppractice.
DIF: CognitivepLevel:pKnowledge REF:p p.p7
OBJ:p Theoryp#3pTOP:p Evidence-BasedpPractice
KEY:p NursingpProcesspStep:pN/ApMSC:p NCLEX:pN/A
7. LillianpWaldpandpMarypBrewsterpestablishedpthepHenrypStreetpSettlementpServicepinpNewpYorkpi
np1893pinporderpto:
a. offerpapshelterptopinjuredpwarpveterans.
b. foundpapnursingpapprenticeship.
c. providephealthpcareptoppoorppersonsplivingpinptenements.
d. offerpbetterphousingptoplow-incomepfamilies.
ANS:p C
DoDwonwlonalodaeddNURSINGTB.COM
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HenrypStreetpSettlementpServicepbroughtpthepprovisionpofpcommunityphealthpcareptoptheppoorppeo
pleplivingpinptenements.
DIF: CognitivepLevel:pComprehension REF:p p.p2
OBJ:p Theoryp#4pTOP:p GrowthpofpNursing
KEY:p NursingpProcesspStep:pN/ApMSC:p NCLEX:pN/A
8. AnpeducationalppathwaypforpanpLPN/LVNprefersptopanpLPN/LVN:
a. learningponpthepjobpandpbeingppromotedptopaphigherplevelpofpresponsibility.
b. movingpfrompapmaternitypunitptopapmorepcomplicatedpsurgicalpunit.
c. obtainingpadditionalpeducationptopmovepfromponeplevelpofpnursingptopanother.
d. learningpthatpadvancementprequirespconsistentpworkpandpcommitment.
ANS:p C
Bypbroadeningpthepeducationalpbase,panpLPN/LVNpmaypadvancepandpbuildpapnursingpcareer.
DIF: CognitivepLevel:pKnowledge REF:p p.p7
OBJ:p Theoryp#7pTOP:p NursingpEducationpPathways
KEY:p NursingpProcesspStep:pN/ApMSC:p NCLEX:pN/A
9. Whenpdiagnosis-
relatedpgroupsp(DRGs)pwerepestablishedpbypMedicarepinp1983,ptheppurposepwaspto:
a. putppatientspwithpthepsamepdiagnosisponpthepsamepunit.
b. attemptptopcontainpthepcostspofphealthpcare.
c. increasepthepavailabilitypofpmedicalpcareptopolderpadults.
d. identifypappatient’spconditionpmorepquickly.
ANS:p B NURSINGTB.COM
TheppurposepofpinstitutingpDRGspwasptopcontainpskyrocketingpcostspofphealthpcare.
DIF: CognitivepLevel:pKnowledge REF:p p.p9
OBJ:p Theoryp#10pTOP:p HealthpCarepDelivery
KEY:p NursingpProcesspStep:pN/A
MSC:p NCLEX:pN/A
10. Thepadventpofpdiagnosis-
relatedpgroupsp(DRGs)prequiredpthatpnursespworkingpinphealthpcarepagencies:
a. recordpsupportivepdocumentationptopconfirmpappatient’spneedpforpcarepinporderptop
qualifypforpreimbursement.
b. usepthepDRGpratherpthanptheirpownpobservationspforppatientpassessment.
c. bepawarepofpthepspecificpdrugsprelatedptopthepdiagnosis.
d. acquirepcross-trainingptopmakepstaffingpmorepflexible.
ANS:p A
DRGsprequiredpthatpnursespprovidepmorepsupportivepdocumentationpofptheirpassessmentspandpide
ntifiedppatient’spneedsptopqualifypthepfacilitypforpMedicarepreimbursement.pObservantpassessment
pmightpalsopindicatepanotherpDRGpclassificationpandpconsequentlypmorepreimbursementpforpthepf
acility.
DIF: CognitivepLevel:pComprehension REF:p p.p10
OBJ:p Theoryp#10pTOP:p ManagedpCare
KEY:p NursingpProcesspStep:pN/A
MSC:p NCLEX:pN/A
NURSINGTB.COM
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