n n n nn
NTAL CONCEPTS AND SKILLS FOR N
n n n n n
URSING 5TH EDITION BY MILES DUK
n n nn n n
E
,Chaptern01:nNursingnandnthenHealthnCarenSystem
MULTIPLEn CHOICE
1. FlorencenNightingale‘sncontributionsn ton nursingn practicen and n education:
a. arenhistoricallyn important n but n haven non validitynforn nursingn today.
b. weren neithern recognized n norn appreciated n innhern ownn time.
c. weren an majorn factorn inn reducingn then deathn raten inn then Crimeann War.
d. weren limited n onlynton then caren of nseveren traumaticn wounds.ANS:n C
Byn improvingn sanitation,n nutritionn ventilation,n andn handwashingn techniques,n Florencen Nightingale‘sn nursesnd
ramaticallyn reduced n then deathn raten fromn injuriesn inn then Crimeann War.
DIF: Cognitiven Level:n Knowledgen REF:n p.n 2
OBJ:nTheoryn#1nTOP:nNursingnHistoryKEY:n
Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
2. Earlyn nursingn educationn and n caren inn then United n States:
a. werendirected n at n communityn health.
b. provided n independencen forn womennthroughneducationn and n employment.
c. werenann educationaln modeln based n inn institutionsn of nhighern learning.
d. haven continued n ton ben entirelyn focused n onnhospitaln nursing.ANS:n B
Becausen of n then influencen ofn earlyn nNuUrRsiSnIgNGleTaBd.eCrOs,Mnursingn educationnbecamemoren formal
ized n throughn apprenticeshipsn inn Nightingalen schoolsn thatn offered nindependencenton womenn throughn educationn
and n employment.
DIF: Cognitiven Level:n Knowledgen REF:n p.n 2
OBJ:nTheoryn#4nTOP:nNursingnHistoryKEY:n
Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
3. Innordernton fulfilln thencommonngoalsn definedn bynnursingn theoristsn (promotenwellness,prevent n i
llness,n facilitaten coping,n and n restoren health),n then LPN n must n taken onn then rolesn of:
a. caregiver,n educator,n and n collaborator.
b. nursingnassistant,n delegator,n and n environmentalnspecialist.
c. medicationndispenser,n collaborator,n and ntransporter.
d. dietitian,n manager,nand n housekeeper.ANS:n A
Inn ordern fornthenLPNntonapplynthencommonn goalsn ofnnursing,n hen ornshenmust n assumen thenrolesn ofcaregiver,n educ
ator,n collaborator,n manager,n and n advocate.
,DIF: Cognitiven Level:n Comprehension REF:n p.n 3
OBJ:nTheoryn#2nTOP:nArt n and n Sciencen of n Nursing
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
4. Althoughnnursingn theoriesndiffern inntheirn attemptsntondefinen nursing,n allnof nthemnbasen theirn b
eliefsn onn commonn conceptsn concerning:
a. self-actualization,n fundamentalnneeds,n and n belonging.
b. stressnreduction,n self-care,n and n an systemsn model.
c. curativen care,n restorativen care,n and n terminalncare.
d. humannrelationships,nthenenvironment,nand nhealth.n
ANS:n D
Althoughnnursingn theoriesn differ,ntheynalln basen theirn beliefsn onnhumannrelationships,n then envir
onment,n and n health.
DIF: Cognitiven Level:n Comprehension REF:n p.n 4
OBJ:nTheoryn#2nTOP:nNursingn Theories
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
5. Standardsn of ncaren forn then nursingn practicen of nthen LPN n aren established n bynthe:
a. Boardsnof n Nursingn Examinersn inn eachn state.
b. Nationaln Counciln of nStatesn Boardsn of nNursingn (NCSBN).
c. AmericannNursesn Associationn(ANA).
d. NationalnFederationnof nLicensed nPracticalnNurses.n
ANS:n D
Then Nationaln Federationn of n Licensed nPracticaln Nursesn modified n then standardsn published n byn then A
NAn inn2015n tonbetternfit nthen rolenof nthenLPN.nInn2015nthenAmericann Nursesn Associationn(ANA)n revis
ed n then Standardsn ofnNursingn Practicen whichn contained n17n standardsnof nnationaln practicen ofn nursing,
n describingn alln facetsn of n nursingn practice:n who,n what,n when,n where,n how.
DIF: Cognitiven Level:n Comprehension REF:n p.n 6
OBJ:nTheoryn#2nTOP:nStandardsnof n Care
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
6. Then LPN n demonstratesn annevidence-based n practicen by:
a. usingn an drugn manualnton checkn compatibilityn of ndrugs.
, b. usingn scientificn informationn ton guiden decisionn making.
c. usingn medicaln historynof nan patient n ton direct n nursingn interventions.
d. basingn nursingncarenonnadvicen fromnannexperienced n nurse.n
ANS:n B
Then usen of nscientificn informationn fromnhigh-
qualityn researchnton guiden nursingn decisionsn isn reflectiven of n then applicationn of n evidence-
based n practice.
DIF: Cognitiven Level:n Knowledgen REF:n p.n 7 OBJ:nTheoryn#3nTOP:nEvidence-
Based n Practice KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
7. Lilliann Wald n and n MarynBrewsternestablished nthenHenrynStreet n Settlement n Servicen innNew n
Yorkn inn 1893n inn ordern to:
a. offern an sheltern ton injured n warn veterans.
b. found n an nursingn apprenticeship.
c. providen healthn caren ton poorn personsn livingn inn tenements.
d. offernbetternhousingntonlow-
incomenfamilies.n ANS:n C
Henryn Street n Settlement n Servicen brought nthenprovisionn of ncommunityn healthncarenton then poorn peopl
en livingn inn tenements.
DIF: Cognitiven Level:n Comprehension REF:n p.n 2
OBJ:nTheoryn#4nTOP:nGrowthnof n Nursing
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
8. Anneducationaln pathwayn forn ann LPN/LVN n refersn ton ann LPN/LVN:
a. learningn onnthen jobnand n beingn promoted n ton an highern levelnof nresponsibility.
b. movingn fromnan maternitynunit n ton an moren complicated n surgicalnunit.
c. obtainingn additionaln educationnton moven fromnonen leveln of n nursingn ton another.
d. learningnthat n advancement n requiresnconsistent n worknand ncommitment.n
ANS:n C
Bynbroadeningn then educationaln base,n annLPN/LVN n maynadvancen and n build n an nursingn career.