FundamentalkConceptskandkSkillskforkNursingk6thkEditionkTestkBan
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, FundamentalkConceptskandkSkillskforkNursingk6thkEditionkTestkBan
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Chapter 01: Nursing and the Health Care System
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MULTIPLEkCHOICE
1. FlorencekNightingale’skcontributionsktoknursingkpracticekandkeducation:
a. arekhistoricallykimportantkbutkhaveknokvaliditykforknursingktoday.
b. werekneitherkrecognizedknorkappreciatedkinkherkownktime.
c. werekakmajorkfactorkinkreducingkthekdeathkratekinkthekCrimeankWar.
d. wereklimitedkonlyktokthekcarekofkseverektraumatickwounds.
ANS:k C
Bykimprovingksanitation,knutritionkventilation,kandkhandwashingktechniques,kFlorence
Nightingale’sknurseskdramaticallykreducedkthekdeathkratekfromkinjurieskinkthekCrimeankWar.
DIF: CognitivekLevel:kKnowledge REF:k k p.k2 OBJ:k Theoryk#1
TOP:k NursingkHistoryk KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
2. EarlyknursingkeducationkandkcarekinkthekUnitedkStates:
a. werekdirectedkatkcommunitykhealth.
b. providedkindependencekforkwomenkthroughkeducationkandkemployment.
c. werekankeducationalkmodelkbasedkinkinstitutionskofkhigherklearning.
d. havekcontinuedktokbekentirelykfocusedkonkhospitalknursing.
ANS:k B
Becausekofkthekinfluencekofkearlyknursingklead.ers,knursingkeducationkbecamekmorekformalizedkt
hroughkapprenticeshipskinkNightingalekschoolskthatkofferedkindependencektokwomenkthroughke
ducationkandkemployment.
DIF: CognitivekLevel:kKnowledge REF:k k p.k2 OBJ:k Theoryk#4
TOP:k NursingkHistoryk KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
3. Inkorderktokfulfillkthekcommonkgoalskdefinedkbyknursingktheoristsk(promotekwellness,kpreventki
llness,kfacilitatekcoping,kandkrestorekhealth),kthekLPNkmustktakekonkthekroleskof:
a. caregiver,keducator,kandkcollaborator.
b. nursingkassistant,kdelegator,kandkenvironmentalkspecialist.
c. medicationkdispenser,kcollaborator,kandktransporter.
d. dietitian,kmanager,kandkhousekeeper.
ANS:k A
InkorderkforkthekLPNktokapplykthekcommonkgoalskofknursing,khekorkshekmustkassumekthekroleskof
kcaregiver,keducator,kcollaborator,kmanager,kandkadvocate.
DIF: CognitivekLevel:kComprehension REF:k k p.k3 OBJ:kTheoryk#2
TOP:k ArtkandkSciencekofkNursingk KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
4. Althoughknursingktheorieskdifferkinktheirkattemptsktokdefineknursing,kallkofkthemkbasektheirkb
eliefskonkcommonkconceptskconcerning:
, FundamentalkConceptskandkSkillskforkNursingk6thkEditionkTestkBan
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a. self-actualization,kfundamentalkneeds,kandkbelonging.
b. stresskreduction,kself-care,kandkaksystemskmodel.
c. curativekcare,krestorativekcare,kandkterminalkcare.
d. humankrelationships,kthekenvironment,kandkhealth.
ANS:k D
Althoughknursingktheorieskdiffer,ktheykallkbasektheirkbeliefskonkhumankrelationships,kthekenviron
ment,kandkhealth.
DIF: CognitivekLevel:kComprehension REF:k k p.k4 OBJ:kTheoryk#2
TOP:k NursingkTheoriesk KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
5. StandardskofkcarekforktheknursingkpracticekofkthekLPNkarekestablishedkbykthe:
a. BoardskofkNursingkExaminerskinkeachkstate.
b. NationalkCouncilkofkStateskBoardskofkNursingk(NCSBN).
c. AmericankNurseskAssociationk(ANA).
d. NationalkFederationkofkLicensedkPracticalkNurses.
ANS:k D
ThekNationalkFederationkofkLicensedkPracticalkNurseskmodifiedkthekstandardskpublishedkbykthekA
NAkink2015ktokbetterkfitkthekrolekofkthekLPN.kInk2015kthekAmericankNurseskAssociationk(ANA)kre
visedkthekStandardskofkNursingkPracticekwhichkcontainedk17kstandardskofknationalkpracticekofknu
rsing,kdescribingkallkfacetskofknursingkpractice:kwho,kwhat,kwhen,kwhere,khow.
DIF: CognitivekLevel:kComprehension REF:k k p.k6 OBJ:kTheoryk#2
TOP:k StandardskofkCarek KEY:kNursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
6. ThekLPNkdemonstrateskankevidence-basedkpracticekby:
a. usingkakdrugkmanualktokcheckkcompatibilitykofkdrugs.
b. usingkscientifickinformationktokguidekdecisionkmaking.
c. usingkmedicalkhistorykofkakpatientktokdirectknursingkinterventions.
d. basingknursingkcarekonkadvicekfromkankexperiencedknurse.
ANS:k B
Thekusekofkscientifickinformationkfromkhigh-
qualitykresearchktokguideknursingkdecisionskiskreflectivekofkthekapplicationkofkevidence-
basedkpractice.
DIF: CognitivekLevel:kKnowledge REF:k k p.k7 OBJ:k Theoryk#3
TOP:k Evidence- KEY:k NursingkProcesskStep:kN/A
BasedkPracticekMSC:k NCLEX:k
N/A
7. LilliankWaldkandkMarykBrewsterkestablishedkthekHenrykStreetkSettlementkServicekinkNewkYorkki
nk1893kinkorderkto:
a. offerkakshelterktokinjuredkwarkveterans.
b. foundkaknursingkapprenticeship.
c. providekhealthkcarektokpoorkpersonsklivingkinktenements.
d. offerkbetterkhousingktoklow-incomekfamilies.
ANS:k C
, FundamentalkConceptskandkSkillskforkNursingk6thkEditionkTestkBan
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HenrykStreetkSettlementkServicekbroughtkthekprovisionkofkcommunitykhealthkcarektokthekpoorkpeo
pleklivingkinktenements.
DIF: CognitivekLevel:kComprehension REF:k k p.k2 OBJ:kTheoryk#4
TOP:k GrowthkofkNursingk KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
8. AnkeducationalkpathwaykforkankLPN/LVNkrefersktokankLPN/LVN:
a. learningkonkthekjobkandkbeingkpromotedktokakhigherklevelkofkresponsibility.
b. movingkfromkakmaternitykunitktokakmorekcomplicatedksurgicalkunit.
c. obtainingkadditionalkeducationktokmovekfromkoneklevelkofknursingktokanother.
d. learningkthatkadvancementkrequireskconsistentkworkkandkcommitment.
ANS:k C
Bykbroadeningkthekeducationalkbase,kankLPN/LVNkmaykadvancekandkbuildkaknursingkcareer.
DIF: CognitivekLevel:kKnowledge REF:k k p.k7 OBJ:kTheoryk#7
TOP:k NursingkEducationkPathwaysk KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
9. Whenkdiagnosis-
relatedkgroupsk(DRGs)kwerekestablishedkbykMedicarekink1983,kthekpurposekwaskto:
a. putkpatientskwithktheksamekdiagnosiskonktheksamekunit.
b. attemptktokcontainkthekcostskofkhealthkcare.
c. increasekthekavailabilitykofkmedicalkcarektokolderkadults.
d. identifykakpatient’skconditionkmorekquickly.
ANS:k B
ThekpurposekofkinstitutingkDRGskwasktokcontainkskyrocketingkcostskofkhealthkcare.
DIF: CognitivekLevel:kKnowledge REF:k k p.k9 OBJ:k Theoryk#10
TOP:k HealthkCarekDeliveryk KEY:kNursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
10. Thekadventkofkdiagnosis-
relatedkgroupsk(DRGs)krequiredkthatknurseskworkingkinkhealthkcarekagencies:
a. recordksupportivekdocumentationktokconfirmkakpatient’skneedkforkcarekinkorderkto
qualifykforkreimbursement.
b. usekthekDRGkratherkthanktheirkownkobservationskforkpatientkassessment.
c. bekawarekofkthekspecifickdrugskrelatedktokthekdiagnosis.
d. acquirekcross-trainingktokmakekstaffingkmorekflexible.
ANS:k A
DRGskrequiredkthatknurseskprovidekmoreksupportivekdocumentationkofktheirkassessmentskandkide
ntifiedkpatient’skneedsktokqualifykthekfacilitykforkMedicarekreimbursement.kObservantkassessment
kmightkalsokindicatekanotherkDRGkclassificationkandkconsequentlykmorekreimbursementkforkthekf
acility.
DIF: CognitivekLevel:kComprehension REF:k k p.k10 OBJ:k Theoryk#10
TOP:k ManagedkCarek KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
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, FundamentalkConceptskandkSkillskforkNursingk6thkEditionkTestkBan
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Chapter 01: Nursing and the Health Care System
k k k k k k k
MULTIPLEkCHOICE
1. FlorencekNightingale’skcontributionsktoknursingkpracticekandkeducation:
a. arekhistoricallykimportantkbutkhaveknokvaliditykforknursingktoday.
b. werekneitherkrecognizedknorkappreciatedkinkherkownktime.
c. werekakmajorkfactorkinkreducingkthekdeathkratekinkthekCrimeankWar.
d. wereklimitedkonlyktokthekcarekofkseverektraumatickwounds.
ANS:k C
Bykimprovingksanitation,knutritionkventilation,kandkhandwashingktechniques,kFlorence
Nightingale’sknurseskdramaticallykreducedkthekdeathkratekfromkinjurieskinkthekCrimeankWar.
DIF: CognitivekLevel:kKnowledge REF:k k p.k2 OBJ:k Theoryk#1
TOP:k NursingkHistoryk KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
2. EarlyknursingkeducationkandkcarekinkthekUnitedkStates:
a. werekdirectedkatkcommunitykhealth.
b. providedkindependencekforkwomenkthroughkeducationkandkemployment.
c. werekankeducationalkmodelkbasedkinkinstitutionskofkhigherklearning.
d. havekcontinuedktokbekentirelykfocusedkonkhospitalknursing.
ANS:k B
Becausekofkthekinfluencekofkearlyknursingklead.ers,knursingkeducationkbecamekmorekformalizedkt
hroughkapprenticeshipskinkNightingalekschoolskthatkofferedkindependencektokwomenkthroughke
ducationkandkemployment.
DIF: CognitivekLevel:kKnowledge REF:k k p.k2 OBJ:k Theoryk#4
TOP:k NursingkHistoryk KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
3. Inkorderktokfulfillkthekcommonkgoalskdefinedkbyknursingktheoristsk(promotekwellness,kpreventki
llness,kfacilitatekcoping,kandkrestorekhealth),kthekLPNkmustktakekonkthekroleskof:
a. caregiver,keducator,kandkcollaborator.
b. nursingkassistant,kdelegator,kandkenvironmentalkspecialist.
c. medicationkdispenser,kcollaborator,kandktransporter.
d. dietitian,kmanager,kandkhousekeeper.
ANS:k A
InkorderkforkthekLPNktokapplykthekcommonkgoalskofknursing,khekorkshekmustkassumekthekroleskof
kcaregiver,keducator,kcollaborator,kmanager,kandkadvocate.
DIF: CognitivekLevel:kComprehension REF:k k p.k3 OBJ:kTheoryk#2
TOP:k ArtkandkSciencekofkNursingk KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
4. Althoughknursingktheorieskdifferkinktheirkattemptsktokdefineknursing,kallkofkthemkbasektheirkb
eliefskonkcommonkconceptskconcerning:
, FundamentalkConceptskandkSkillskforkNursingk6thkEditionkTestkBan
k
a. self-actualization,kfundamentalkneeds,kandkbelonging.
b. stresskreduction,kself-care,kandkaksystemskmodel.
c. curativekcare,krestorativekcare,kandkterminalkcare.
d. humankrelationships,kthekenvironment,kandkhealth.
ANS:k D
Althoughknursingktheorieskdiffer,ktheykallkbasektheirkbeliefskonkhumankrelationships,kthekenviron
ment,kandkhealth.
DIF: CognitivekLevel:kComprehension REF:k k p.k4 OBJ:kTheoryk#2
TOP:k NursingkTheoriesk KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
5. StandardskofkcarekforktheknursingkpracticekofkthekLPNkarekestablishedkbykthe:
a. BoardskofkNursingkExaminerskinkeachkstate.
b. NationalkCouncilkofkStateskBoardskofkNursingk(NCSBN).
c. AmericankNurseskAssociationk(ANA).
d. NationalkFederationkofkLicensedkPracticalkNurses.
ANS:k D
ThekNationalkFederationkofkLicensedkPracticalkNurseskmodifiedkthekstandardskpublishedkbykthekA
NAkink2015ktokbetterkfitkthekrolekofkthekLPN.kInk2015kthekAmericankNurseskAssociationk(ANA)kre
visedkthekStandardskofkNursingkPracticekwhichkcontainedk17kstandardskofknationalkpracticekofknu
rsing,kdescribingkallkfacetskofknursingkpractice:kwho,kwhat,kwhen,kwhere,khow.
DIF: CognitivekLevel:kComprehension REF:k k p.k6 OBJ:kTheoryk#2
TOP:k StandardskofkCarek KEY:kNursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
6. ThekLPNkdemonstrateskankevidence-basedkpracticekby:
a. usingkakdrugkmanualktokcheckkcompatibilitykofkdrugs.
b. usingkscientifickinformationktokguidekdecisionkmaking.
c. usingkmedicalkhistorykofkakpatientktokdirectknursingkinterventions.
d. basingknursingkcarekonkadvicekfromkankexperiencedknurse.
ANS:k B
Thekusekofkscientifickinformationkfromkhigh-
qualitykresearchktokguideknursingkdecisionskiskreflectivekofkthekapplicationkofkevidence-
basedkpractice.
DIF: CognitivekLevel:kKnowledge REF:k k p.k7 OBJ:k Theoryk#3
TOP:k Evidence- KEY:k NursingkProcesskStep:kN/A
BasedkPracticekMSC:k NCLEX:k
N/A
7. LilliankWaldkandkMarykBrewsterkestablishedkthekHenrykStreetkSettlementkServicekinkNewkYorkki
nk1893kinkorderkto:
a. offerkakshelterktokinjuredkwarkveterans.
b. foundkaknursingkapprenticeship.
c. providekhealthkcarektokpoorkpersonsklivingkinktenements.
d. offerkbetterkhousingktoklow-incomekfamilies.
ANS:k C
, FundamentalkConceptskandkSkillskforkNursingk6thkEditionkTestkBan
k
HenrykStreetkSettlementkServicekbroughtkthekprovisionkofkcommunitykhealthkcarektokthekpoorkpeo
pleklivingkinktenements.
DIF: CognitivekLevel:kComprehension REF:k k p.k2 OBJ:kTheoryk#4
TOP:k GrowthkofkNursingk KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
8. AnkeducationalkpathwaykforkankLPN/LVNkrefersktokankLPN/LVN:
a. learningkonkthekjobkandkbeingkpromotedktokakhigherklevelkofkresponsibility.
b. movingkfromkakmaternitykunitktokakmorekcomplicatedksurgicalkunit.
c. obtainingkadditionalkeducationktokmovekfromkoneklevelkofknursingktokanother.
d. learningkthatkadvancementkrequireskconsistentkworkkandkcommitment.
ANS:k C
Bykbroadeningkthekeducationalkbase,kankLPN/LVNkmaykadvancekandkbuildkaknursingkcareer.
DIF: CognitivekLevel:kKnowledge REF:k k p.k7 OBJ:kTheoryk#7
TOP:k NursingkEducationkPathwaysk KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
9. Whenkdiagnosis-
relatedkgroupsk(DRGs)kwerekestablishedkbykMedicarekink1983,kthekpurposekwaskto:
a. putkpatientskwithktheksamekdiagnosiskonktheksamekunit.
b. attemptktokcontainkthekcostskofkhealthkcare.
c. increasekthekavailabilitykofkmedicalkcarektokolderkadults.
d. identifykakpatient’skconditionkmorekquickly.
ANS:k B
ThekpurposekofkinstitutingkDRGskwasktokcontainkskyrocketingkcostskofkhealthkcare.
DIF: CognitivekLevel:kKnowledge REF:k k p.k9 OBJ:k Theoryk#10
TOP:k HealthkCarekDeliveryk KEY:kNursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
10. Thekadventkofkdiagnosis-
relatedkgroupsk(DRGs)krequiredkthatknurseskworkingkinkhealthkcarekagencies:
a. recordksupportivekdocumentationktokconfirmkakpatient’skneedkforkcarekinkorderkto
qualifykforkreimbursement.
b. usekthekDRGkratherkthanktheirkownkobservationskforkpatientkassessment.
c. bekawarekofkthekspecifickdrugskrelatedktokthekdiagnosis.
d. acquirekcross-trainingktokmakekstaffingkmorekflexible.
ANS:k A
DRGskrequiredkthatknurseskprovidekmoreksupportivekdocumentationkofktheirkassessmentskandkide
ntifiedkpatient’skneedsktokqualifykthekfacilitykforkMedicarekreimbursement.kObservantkassessment
kmightkalsokindicatekanotherkDRGkclassificationkandkconsequentlykmorekreimbursementkforkthekf
acility.
DIF: CognitivekLevel:kComprehension REF:k k p.k10 OBJ:k Theoryk#10
TOP:k ManagedkCarek KEY:k NursingkProcesskStep:kN/A
MSC:k NCLEX:kN/A
