TEST BANK
n
Fundamental Concepts and Skills for Nursing 6/E Patricia Williams
n n n n n n n n
Chapter n1.nNursing nandnthenHealthnCarenSystem
Williams:nFundamentalnConcepts nandnSkillsnfor nNursing,n6thnEdition
MULTIPLEnCHOICE
1. FlorencenNightingale’sn contributionsn ton nursingn practicen and n education:
a. aren historicallyn important n but n haven non validityn forn nursingn today.
b. weren neithern recognized n norn appreciated n inn hern ownn time.
c. weren an majorn factorn inn reducingn then deathn raten inn then Crimeann War.
d. weren limited n onlyn ton then caren of n severen traumaticn wounds.
ANS:n n C
Byn improvingn sanitation,n nutritionn ventilation,n and n handwashingn techniques,n Florencen Nighti
ngale’snnursesndramaticallynreduced n thendeathnratenfromninjuriesninn thenCrimeannWar.
DIF: Cognitiven Level:n Knowledge REF: p.n 2 OBJ:
Theoryn#1n TOP: Nursingn History
KEY: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. weren directed n at n communityn health.
b. provided n independencen forn womenn throughn educationn and n employment.
c. weren ann educationaln modeln based n inn institutionsn of n highern learning.
d. haven continued n ton ben entirelyn focused n onn hospitaln nursing.
ANS:n n B
Becausen of n then influencen of n earlyn nursingn leaders,n nursingn educationn becamen moren formalize
d n throughn apprenticeshipsn inn Nightingalen schoolsn thatnofferednindependencenton womenn throug
hn educationn and n employment.
DIF: Cognitiven Level:n Knowledge REF: p.n 2 OBJ:
Theoryn#4n TOP: Nursingn History
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
3. Inn ordern tonfulfilln thencommonn goalsn defined nbynnursingn theoristsn (promoten wellness,n 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,neducator,nand ncollaborator.
b. nursingnassistant,n delegator,n and n environmentaln specialist.
c. medicationndispenser,ncollaborator,nand ntransporter.
d. dietitian,n manager,n and n housekeeper.
ANS:n n A
Inn ordern fornthenLPNntonapplyn thencommonn goalsn of nnursing,n henorn shen must n assumen then rolesn o
f n caregiver,n educator,n collaborator,n manager,n and n advocate.
DIF: Cognitiven Level:n Comprehension REF: p.n 3 OBJ:
Theoryn#2n TOP: Art n and n Sciencen of n Nursing
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
,4. Althoughn nursingn theoriesn differninn theirn attemptsntondefinen nursing,n alln of nthemn basentheirnb
eliefsn onn commonn conceptsn concerning:
a. self-actualization,n fundamentaln needs,n and n belonging.
b. stressn reduction,n self-care,n and n an systemsn model.
c. curativen care,n restorativen care,n and n terminaln care.
d. humann relationships,n then environment,n and n health.
ANS:n n D
Althoughn nursingn theoriesn differ,n theyn alln basen theirn beliefsn onn humann relationships,n then enviro
nment,n and n health.
DIF: Cognitiven Level:n Comprehension REF: p.n 4 OBJ:
Theoryn#2n TOP: Nursingn Theories
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
5. Standardsn of n caren forn then nursingn practicen of n then LPN n aren established n byn the:
a. Boardsn of n Nursingn Examinersn inn eachn state.
b. Nationaln Counciln of n Statesn Boardsn of n Nursingn (NCSBN).
c. Americann NursesnAssociationn (ANA).
d. NationalnAssociationn of n Licensed n Practicaln Nurses.
ANS:n n D
Then practicaln nursen followsn standardsnwrittenn bynthenNationalnAssociationn of nLicensed n Practica
ln Nursesn ton delivern safe,n knowledgeablen nursingn caren (Boxn 1.1,n Appendixn D)
DIF: Cognitiven Level:n Comprehension REF: p.n 6 OBJ:
Theoryn#2n TOP: Standardsn of n Care
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
6. Then LPN n demonstratesn ann evidence-based n practicen by:
a. usingn an drugn manualn ton checkn compatibilityn of n drugs.
b. usingn scientificn informationn ton guiden decisionn making.
c. usingn medicaln historyn of n an patient n ton direct n nursingn interventions.
d. basingn nursingn caren onn advicen fromn ann experienced n nurse.
ANS:n n B
Then usen of n scientificn informationn fromn high-
qualityn researchn ton guiden nursingn decisionsn isn reflectiven of n then applicationn of n evidence-
based n practice.
DIF: Cognitiven Level:n Knowledge REF: p.n 4 OBJ:
Theoryn#3n TOP: Evidence-Based n Practice
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
7. LilliannWald n and n Maryn Brewsternestablished n thenHenrynStreet n Settlement n Servicen inn New 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 healthncaren ton then poorn p
eoplen livingn inn tenements.
DIF: Cognitiven Level:n Comprehension REF: p.n 2 OBJ:
Theoryn#4n TOP: Growthn of 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 onn then jobn and n beingn promoted n ton an highern leveln of n responsibility.
b. movingn fromn an maternityn unit n ton an moren complicated n surgicaln unit.
c. obtainingn additionaln educationn ton moven fromn onen leveln of n nursingn ton another.
d. learningn that n advancement n requiresn consistent n workn and n commitment.
ANS:n n C
Byn broadeningn then educationaln base,n ann LPN/LVN n mayn advancen and n build n an nursingn career.
DIF: Cognitiven Level:n Knowledge REF: p.n 7 OBJ:
Theoryn#7n TOP: Nursingn Educationn Pathways
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
9. Whenn diagnosis-
related n groupsn (DRGs)n weren established n byn Medicaren inn 1983,n then purposen wasn to:
a. put n patientsn withn then samen diagnosisn onn then samen unit.
b. attempt n ton containn then costsn of n healthn care.
c. increasen then availabilityn of n medicaln caren ton oldern adults.
d. identifyn an patient’sn conditionn moren quickly.
ANS:n n B
Then purposen of n institutingn DRGsn wasn ton containn skyrocketingn costsn of n healthn care.
DIF: Cognitiven Level:n Knowledge REF: p.n 10 OBJ:
Theoryn#10n TOP: Healthn Caren Delivery
KEY:n Nursingn Processn Step:n N/A
MSC:n NCLEX:n N/A
10. Then advent n of n diagnosis-
related n groupsn (DRGs)n required n that n nursesn workingn inn healthn caren agencies:
a. record n supportiven documentationn tonconfirmn anpatient’sn neednforn caren inn ordern ton
qualifyn forn reimbursement.
b. usen then DRG n rathern thann theirn ownn observationsn forn patient n assessment.
c. ben awaren of n then specificn drugsn related n ton then diagnosis.
d. acquiren cross-trainingn ton maken staffingn moren flexible.
ANS:n n A
DRGsn required n thatnnursesn providenmoren supportiven documentationn of n theirn assessmentsn and n i
dentified n patient’sn needsntonqualifyn then facilityn forn Medicaren reimbursement.n Observant n assess
ment n might n alson indicaten anothern DRGn classificationn and n consequentlyn moren reimbursement n f
orn then facility.
DIF: Cognitiven Level:n Comprehension REF: p.n 10 OBJ:
Theoryn#10n TOP: Managed n Care
KEY:n Nursingn Processn Step:n N/A
, MSC:n NCLEX:n N/A
11. If n an membern of n anhealthn maintenancen organizationn (HMO)n isn havingn respiratoryn problemsn suc
hn asn fever,n cough,n andnfatiguen forn severaln daysnandn wantsntonseenan specialist,n then personn isn requ
ired n ton go:
a. directlyn ton ann emergencyn roomn forn treatment.
b. ton anyn generaln practitionern of n choice.
c. directlyn ton an respiratoryn specialist.
d. ton an primaryn caren providern forn an referral.
ANS:n n D
Participantsn inn ann HMOn must nseentheirn primaryn providern ton receiven anreferraln forn an specialist n in
n ordern forn then HMO n ton payn forn then care.
DIF: Cognitiven Level:n Comprehension REF: p.n 10 OBJ:
Theoryn#11n TOP: Managed n Care
KEY:n Nursingn Processn Step:n N/A
MSC:n NCLEX:n N/A
12. Ann advantagen of n preferred n providern organizationsn (PPOs)n isn that:
a. theyn maken insurancen coveragen of n employeesn lessn expensiven ton employers.
b. theren aren fewern physiciansn ton choosen fromn thann inn ann HMO.
c. long-termn relationshipsn withn physiciansn aren moren likely.
d. patientsn mayn gon directlyn ton an specialist n forn care.
ANS:n n A
Then usen of n PPOsnallowsn insurancen companiesn ton keepntheirn premiumsn lown and n inn turnn makesn i
nsurancen coveragen lessn expensiven forn then employers.n Theren aren usuallyn moren physiciansn from
n whichn ton choosen thann fromn ann HMO,n but n long-
termn relationshipsn betweenn physiciann and n patient n cannot n ben established n easily.n Patientsn stilln
must n seen theirn primaryn physiciann beforen beingn referred n ton othern specialties.
DIF: Cognitiven Level:n Knowledge REF: p.n 11 OBJ:
Theoryn#11n TOP: Preferred n Providern Organizations
KEY:n Nursingn Processn Step:n N/A
MSC:n NCLEX:n N/A
13. Aftern passingn thenNationalnCounciln Licensuren Examinationn forn Practicaln Nursesn (NCLEX n
PN),n then nursen isn qualified n ton taken ann additionaln certificationn inn then field n of:
a. pharmacology.
b. caren of n infantsn and n children.
c. operatingn roomn technology.
d. communityn health.
ANS:n n A
Aftern becomingn ann LPN,nthennursenmayn applynfornadditionaln certificationn inn pharmacology,n l
ong-termn care,n and/orn IVn therapy.
DIF: Cognitiven Level:n Knowledge REF: p.n 7 OBJ:
Theoryn#6n TOP: Educationaln Opportunities
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
n
Fundamental Concepts and Skills for Nursing 6/E Patricia Williams
n n n n n n n n
Chapter n1.nNursing nandnthenHealthnCarenSystem
Williams:nFundamentalnConcepts nandnSkillsnfor nNursing,n6thnEdition
MULTIPLEnCHOICE
1. FlorencenNightingale’sn contributionsn ton nursingn practicen and n education:
a. aren historicallyn important n but n haven non validityn forn nursingn today.
b. weren neithern recognized n norn appreciated n inn hern ownn time.
c. weren an majorn factorn inn reducingn then deathn raten inn then Crimeann War.
d. weren limited n onlyn ton then caren of n severen traumaticn wounds.
ANS:n n C
Byn improvingn sanitation,n nutritionn ventilation,n and n handwashingn techniques,n Florencen Nighti
ngale’snnursesndramaticallynreduced n thendeathnratenfromninjuriesninn thenCrimeannWar.
DIF: Cognitiven Level:n Knowledge REF: p.n 2 OBJ:
Theoryn#1n TOP: Nursingn History
KEY: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. weren directed n at n communityn health.
b. provided n independencen forn womenn throughn educationn and n employment.
c. weren ann educationaln modeln based n inn institutionsn of n highern learning.
d. haven continued n ton ben entirelyn focused n onn hospitaln nursing.
ANS:n n B
Becausen of n then influencen of n earlyn nursingn leaders,n nursingn educationn becamen moren formalize
d n throughn apprenticeshipsn inn Nightingalen schoolsn thatnofferednindependencenton womenn throug
hn educationn and n employment.
DIF: Cognitiven Level:n Knowledge REF: p.n 2 OBJ:
Theoryn#4n TOP: Nursingn History
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
3. Inn ordern tonfulfilln thencommonn goalsn defined nbynnursingn theoristsn (promoten wellness,n 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,neducator,nand ncollaborator.
b. nursingnassistant,n delegator,n and n environmentaln specialist.
c. medicationndispenser,ncollaborator,nand ntransporter.
d. dietitian,n manager,n and n housekeeper.
ANS:n n A
Inn ordern fornthenLPNntonapplyn thencommonn goalsn of nnursing,n henorn shen must n assumen then rolesn o
f n caregiver,n educator,n collaborator,n manager,n and n advocate.
DIF: Cognitiven Level:n Comprehension REF: p.n 3 OBJ:
Theoryn#2n TOP: Art n and n Sciencen of n Nursing
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
,4. Althoughn nursingn theoriesn differninn theirn attemptsntondefinen nursing,n alln of nthemn basentheirnb
eliefsn onn commonn conceptsn concerning:
a. self-actualization,n fundamentaln needs,n and n belonging.
b. stressn reduction,n self-care,n and n an systemsn model.
c. curativen care,n restorativen care,n and n terminaln care.
d. humann relationships,n then environment,n and n health.
ANS:n n D
Althoughn nursingn theoriesn differ,n theyn alln basen theirn beliefsn onn humann relationships,n then enviro
nment,n and n health.
DIF: Cognitiven Level:n Comprehension REF: p.n 4 OBJ:
Theoryn#2n TOP: Nursingn Theories
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
5. Standardsn of n caren forn then nursingn practicen of n then LPN n aren established n byn the:
a. Boardsn of n Nursingn Examinersn inn eachn state.
b. Nationaln Counciln of n Statesn Boardsn of n Nursingn (NCSBN).
c. Americann NursesnAssociationn (ANA).
d. NationalnAssociationn of n Licensed n Practicaln Nurses.
ANS:n n D
Then practicaln nursen followsn standardsnwrittenn bynthenNationalnAssociationn of nLicensed n Practica
ln Nursesn ton delivern safe,n knowledgeablen nursingn caren (Boxn 1.1,n Appendixn D)
DIF: Cognitiven Level:n Comprehension REF: p.n 6 OBJ:
Theoryn#2n TOP: Standardsn of n Care
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
6. Then LPN n demonstratesn ann evidence-based n practicen by:
a. usingn an drugn manualn ton checkn compatibilityn of n drugs.
b. usingn scientificn informationn ton guiden decisionn making.
c. usingn medicaln historyn of n an patient n ton direct n nursingn interventions.
d. basingn nursingn caren onn advicen fromn ann experienced n nurse.
ANS:n n B
Then usen of n scientificn informationn fromn high-
qualityn researchn ton guiden nursingn decisionsn isn reflectiven of n then applicationn of n evidence-
based n practice.
DIF: Cognitiven Level:n Knowledge REF: p.n 4 OBJ:
Theoryn#3n TOP: Evidence-Based n Practice
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
7. LilliannWald n and n Maryn Brewsternestablished n thenHenrynStreet n Settlement n Servicen inn New 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 healthncaren ton then poorn p
eoplen livingn inn tenements.
DIF: Cognitiven Level:n Comprehension REF: p.n 2 OBJ:
Theoryn#4n TOP: Growthn of 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 onn then jobn and n beingn promoted n ton an highern leveln of n responsibility.
b. movingn fromn an maternityn unit n ton an moren complicated n surgicaln unit.
c. obtainingn additionaln educationn ton moven fromn onen leveln of n nursingn ton another.
d. learningn that n advancement n requiresn consistent n workn and n commitment.
ANS:n n C
Byn broadeningn then educationaln base,n ann LPN/LVN n mayn advancen and n build n an nursingn career.
DIF: Cognitiven Level:n Knowledge REF: p.n 7 OBJ:
Theoryn#7n TOP: Nursingn Educationn Pathways
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
9. Whenn diagnosis-
related n groupsn (DRGs)n weren established n byn Medicaren inn 1983,n then purposen wasn to:
a. put n patientsn withn then samen diagnosisn onn then samen unit.
b. attempt n ton containn then costsn of n healthn care.
c. increasen then availabilityn of n medicaln caren ton oldern adults.
d. identifyn an patient’sn conditionn moren quickly.
ANS:n n B
Then purposen of n institutingn DRGsn wasn ton containn skyrocketingn costsn of n healthn care.
DIF: Cognitiven Level:n Knowledge REF: p.n 10 OBJ:
Theoryn#10n TOP: Healthn Caren Delivery
KEY:n Nursingn Processn Step:n N/A
MSC:n NCLEX:n N/A
10. Then advent n of n diagnosis-
related n groupsn (DRGs)n required n that n nursesn workingn inn healthn caren agencies:
a. record n supportiven documentationn tonconfirmn anpatient’sn neednforn caren inn ordern ton
qualifyn forn reimbursement.
b. usen then DRG n rathern thann theirn ownn observationsn forn patient n assessment.
c. ben awaren of n then specificn drugsn related n ton then diagnosis.
d. acquiren cross-trainingn ton maken staffingn moren flexible.
ANS:n n A
DRGsn required n thatnnursesn providenmoren supportiven documentationn of n theirn assessmentsn and n i
dentified n patient’sn needsntonqualifyn then facilityn forn Medicaren reimbursement.n Observant n assess
ment n might n alson indicaten anothern DRGn classificationn and n consequentlyn moren reimbursement n f
orn then facility.
DIF: Cognitiven Level:n Comprehension REF: p.n 10 OBJ:
Theoryn#10n TOP: Managed n Care
KEY:n Nursingn Processn Step:n N/A
, MSC:n NCLEX:n N/A
11. If n an membern of n anhealthn maintenancen organizationn (HMO)n isn havingn respiratoryn problemsn suc
hn asn fever,n cough,n andnfatiguen forn severaln daysnandn wantsntonseenan specialist,n then personn isn requ
ired n ton go:
a. directlyn ton ann emergencyn roomn forn treatment.
b. ton anyn generaln practitionern of n choice.
c. directlyn ton an respiratoryn specialist.
d. ton an primaryn caren providern forn an referral.
ANS:n n D
Participantsn inn ann HMOn must nseentheirn primaryn providern ton receiven anreferraln forn an specialist n in
n ordern forn then HMO n ton payn forn then care.
DIF: Cognitiven Level:n Comprehension REF: p.n 10 OBJ:
Theoryn#11n TOP: Managed n Care
KEY:n Nursingn Processn Step:n N/A
MSC:n NCLEX:n N/A
12. Ann advantagen of n preferred n providern organizationsn (PPOs)n isn that:
a. theyn maken insurancen coveragen of n employeesn lessn expensiven ton employers.
b. theren aren fewern physiciansn ton choosen fromn thann inn ann HMO.
c. long-termn relationshipsn withn physiciansn aren moren likely.
d. patientsn mayn gon directlyn ton an specialist n forn care.
ANS:n n A
Then usen of n PPOsnallowsn insurancen companiesn ton keepntheirn premiumsn lown and n inn turnn makesn i
nsurancen coveragen lessn expensiven forn then employers.n Theren aren usuallyn moren physiciansn from
n whichn ton choosen thann fromn ann HMO,n but n long-
termn relationshipsn betweenn physiciann and n patient n cannot n ben established n easily.n Patientsn stilln
must n seen theirn primaryn physiciann beforen beingn referred n ton othern specialties.
DIF: Cognitiven Level:n Knowledge REF: p.n 11 OBJ:
Theoryn#11n TOP: Preferred n Providern Organizations
KEY:n Nursingn Processn Step:n N/A
MSC:n NCLEX:n N/A
13. Aftern passingn thenNationalnCounciln Licensuren Examinationn forn Practicaln Nursesn (NCLEX n
PN),n then nursen isn qualified n ton taken ann additionaln certificationn inn then field n of:
a. pharmacology.
b. caren of n infantsn and n children.
c. operatingn roomn technology.
d. communityn health.
ANS:n n A
Aftern becomingn ann LPN,nthennursenmayn applynfornadditionaln certificationn inn pharmacology,n l
ong-termn care,n and/orn IVn therapy.
DIF: Cognitiven Level:n Knowledge REF: p.n 7 OBJ:
Theoryn#6n TOP: Educationaln Opportunities
KEY:n Nursingn Processn Step:n N/A n MSC:n NCLEX:n N/A
