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TESTBANKFOR y y
DEWITS FUNDAMENTAL CONCEPTS A
y y y
ND SKILLS FOR NURSING 5TH EDITION
y y y y y
BY WILLIAMS
y y
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Chapter 01: Nursing and the Health Care System
y y y y y y y
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
y y y y y y y y y
MULTIPLEyCHOICE
1. FlorenceyNightingale’sycontributionsytoynursingypracticeyandyeducation:
a. areyhistoricallyyimportantybutyhaveynoyvalidityyforynursingytoday.
b. wereyneitheryrecognizedynoryappreciatedyinyheryownytime.
c. wereyaymajoryfactoryinyreducingytheydeathyrateyinytheyCrimeanyWar.
d. wereylimitedyonlyytoytheycareyofysevereytraumaticywounds.
ANS:y C
Byyimprovingysanitation,ynutritionyventilation,yandyhandwashingytechniques,yFlorence
Nightingale’synursesydramaticallyyreducedytheydeathyrateyfromyinjuriesyinytheyCrimeanyWar.
DIF: CognitiveyLevel:yKnowledge REF:y p.y2
OBJ:y Theoryy#1yTOP:y NursingyHistory
KEY:y NursingyProcessyStep:yN/AyMSC:y NCLEX:yN/A
2. EarlyynursingyeducationyandycareyinytheyUnitedyStates:
a. wereydirectedyatycommunityyhealth.
b. providedyindependenceyforywomenythroughyeducationyandyemployment.
c. wereyanyeducationalymodelybasedyinyinstitutionsyofyhigherylearning.
d. haveycontinuedytoybeyentirelyyfocusedyonyhospitalynursing.
ANS:y B
BecauseyofytheyinfluenceyofyearlyynNuUrRs iSnI gN Gl eTaBd.eCrOs ,Mn u r s i n g y educationy becameymorey formalizedythr
oughyapprenticeshipsyinyNightingaleyschoolsythatyofferedyindependenceytoywomenythroughyeduc
ationyandyemployment.
DIF: CognitiveyLevel:yKnowledge REF:y p.y2
OBJ:y Theoryy#4yTOP:y NursingyHistory
KEY:y NursingyProcessyStep:yN/AyMSC:y NCLEX:yN/A
3. Inyorderytoyfulfillytheycommonygoalsydefinedybyynursingytheoristsy(promoteywellness,ypreventyi
llness,yfacilitateycoping,yandyrestoreyhealth),ytheyLPNymustytakeyonytheyrolesyof:
a. caregiver,yeducator,yandycollaborator.
b. nursingyassistant,ydelegator,yandyenvironmentalyspecialist.
c. medicationydispenser,ycollaborator,yandytransporter.
d. dietitian,ymanager,yandyhousekeeper.
ANS:y A
InyorderyforytheyLPNytoyapplyytheycommonygoalsyofynursing,yheyorysheymustyassumeytheyrolesyof
ycaregiver,yeducator,ycollaborator,ymanager,yandyadvocate.
DIF: CognitiveyLevel:yComprehension REF:y p.y3
OBJ:y Theoryy#2yTOP:y ArtyandyScienceyofyNursing
KEY:y NursingyProcessyStep:yN/AyMSC:y NCLEX:yN/A
4. Althoughynursingytheoriesydifferyinytheiryattemptsytoydefineynursing,yallyofythemybaseytheiryb
eliefsyonycommonyconceptsyconcerning:
NURSINGTB.COM
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a. self-actualization,yfundamentalyneeds,yandybelonging.
b. stressyreduction,yself-care,yandyaysystemsymodel.
c. curativeycare,yrestorativeycare,yandyterminalycare.
d. humanyrelationships,ytheyenvironment,yandyhealth.
ANS:y D
Althoughynursingytheoriesydiffer,ytheyyallybaseytheirybeliefsyonyhumanyrelationships,ytheyenviron
ment,yandyhealth.
DIF: CognitiveyLevel:yComprehension REF:y p.y4
OBJ:y Theoryy#2yTOP:y NursingyTheories
KEY:y NursingyProcessyStep:yN/AyMSC:y NCLEX:yN/A
5. StandardsyofycareyforytheynursingypracticeyofytheyLPNyareyestablishedybyythe:
a. BoardsyofyNursingyExaminersyinyeachystate.
b. NationalyCouncilyofyStatesyBoardsyofyNursingy(NCSBN).
c. AmericanyNursesyAssociationy(ANA).
d. NationalyFederationyofyLicensedyPracticalyNurses.
ANS:y D
TheyNationalyFederationyofyLicensedyPracticalyNursesymodifiedytheystandardsypublishedybyytheyA
NAyiny2015ytoybetteryfitytheyroleyofytheyLPN.yIny2015ytheyAmericanyNursesyAssociationy(ANA)yre
visedytheyStandardsyofyNursingyPracticeywhichycontainedy17ystandardsyofynationalypracticeyofynu
rsing,ydescribingyallyfacetsyofynursingypractice:ywho,ywhat,ywhen,ywhere,yhow.
DIF: CognitiveyLevel:yComprehension REF:y p.y6
OBJ:y Theoryy#2yTOP:y StandardsyofyCare
KEY:y NursingyProcessyStep:yN/A
MSC:y NCLEX:yN/A NURSINGTB.COM
6. TheyLPNydemonstratesyanyevidence-basedypracticeyby:
a. usingyaydrugymanualytoycheckycompatibilityyofydrugs.
b. usingyscientificyinformationytoyguideydecisionymaking.
c. usingymedicalyhistoryyofyaypatientytoydirectynursingyinterventions.
d. basingynursingycareyonyadviceyfromyanyexperiencedynurse.
ANS:y B
Theyuseyofyscientificyinformationyfromyhigh-
qualityyresearchytoyguideynursingydecisionsyisyreflectiveyofytheyapplicationyofyevidence-
basedypractice.
DIF: CognitiveyLevel:yKnowledge REF:y p.y7
OBJ:y Theoryy#3yTOP:y Evidence-BasedyPractice
KEY:y NursingyProcessyStep:yN/AyMSC:y NCLEX:yN/A
7. LillianyWaldyandyMaryyBrewsteryestablishedytheyHenryyStreetySettlementyServiceyinyNewyYorkyi
ny1893yinyorderyto:
a. offeryayshelterytoyinjuredywaryveterans.
b. foundyaynursingyapprenticeship.
c. provideyhealthycareytoypoorypersonsylivingyinytenements.
d. offerybetteryhousingytoylow-incomeyfamilies.
ANS:y C
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HenryyStreetySettlementyServiceybroughtytheyprovisionyofycommunityyhealthycareytoytheypoorypeo
pleylivingyinytenements.
DIF: CognitiveyLevel:yComprehension REF:y p.y2
OBJ:y Theoryy#4yTOP:y GrowthyofyNursing
KEY:y NursingyProcessyStep:yN/AyMSC:y NCLEX:yN/A
8. AnyeducationalypathwayyforyanyLPN/LVNyrefersytoyanyLPN/LVN:
a. learningyonytheyjobyandybeingypromotedytoyayhigherylevelyofyresponsibility.
b. movingyfromyaymaternityyunitytoyaymoreycomplicatedysurgicalyunit.
c. obtainingyadditionalyeducationytoymoveyfromyoneylevelyofynursingytoyanother.
d. learningythatyadvancementyrequiresyconsistentyworkyandycommitment.
ANS:y C
Byybroadeningytheyeducationalybase,yanyLPN/LVNymayyadvanceyandybuildyaynursingycareer.
DIF: CognitiveyLevel:yKnowledge REF:y p.y7
OBJ:y Theoryy#7yTOP:y NursingyEducationyPathways
KEY:y NursingyProcessyStep:yN/AyMSC:y NCLEX:yN/A
9. Whenydiagnosis-
relatedygroupsy(DRGs)ywereyestablishedybyyMedicareyiny1983,ytheypurposeywasyto:
a. putypatientsywithytheysameydiagnosisyonytheysameyunit.
b. attemptytoycontainytheycostsyofyhealthycare.
c. increaseytheyavailabilityyofymedicalycareytoyolderyadults.
d. identifyyaypatient’syconditionymoreyquickly.
ANS:y B NURSINGTB.COM
TheypurposeyofyinstitutingyDRGsywasytoycontainyskyrocketingycostsyofyhealthycare.
DIF: CognitiveyLevel:yKnowledge REF:y p.y9
OBJ:y Theoryy#10yTOP:y HealthyCareyDelivery
KEY:y NursingyProcessyStep:yN/A
MSC:y NCLEX:yN/A
10. Theyadventyofydiagnosis-
relatedygroupsy(DRGs)yrequiredythatynursesyworkingyinyhealthycareyagencies:
a. recordysupportiveydocumentationytoyconfirmyaypatient’syneedyforycareyinyorderytoy
qualifyyforyreimbursement.
b. useytheyDRGyratherythanytheiryownyobservationsyforypatientyassessment.
c. beyawareyofytheyspecificydrugsyrelatedytoytheydiagnosis.
d. acquireycross-trainingytoymakeystaffingymoreyflexible.
ANS:y A
DRGsyrequiredythatynursesyprovideymoreysupportiveydocumentationyofytheiryassessmentsyandyide
ntifiedypatient’syneedsytoyqualifyytheyfacilityyforyMedicareyreimbursement.yObservantyassessment
ymight yalso yindicateyanotheryDRGyclassification yandyconsequentlyymoreyreimbursement yforytheyf
acility.
DIF: CognitiveyLevel:yComprehension REF:y p.y10
OBJ:y Theoryy#10yTOP:y ManagedyCare
KEY:y NursingyProcessyStep:yN/A
MSC:y NCLEX:yN/A
NURSINGTB.COM
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