FundamentalgConceptsgandgSkillsgforgNursingg6thgEditiongTestg
Bank
g g g
g
, FundamentalgConceptsgandgSkillsgforgNursingg6thgEditiongTestg
Bank
Chapterg01:gNursinggandgthegHealthgCaregSystem
MULTIPLEgCHOICE
1. FlorencegNightingale’sgcontributionsgtognursinggpracticegandgeducation:
a. areghistoricallygimportantgbutghavegnogvaliditygforgnursinggtoday.
b. weregneithergrecognizedgnorgappreciatedginghergowngtime.
c. weregagmajorgfactorgingreducinggthegdeathgrategingthegCrimeangWar.
d. wereglimitedgonlygtogthegcaregofgseveregtraumaticgwounds.
ANS:g C
Bygimprovinggsanitation,gnutritiongventilation,gandghandwashinggtechniques,gFlorence
Nightingale’sgnursesgdramaticallygreducedgthegdeathgrategfromginjuriesgingthegCrimeangWar.
DIF: CognitivegLevel:gKnowledg REF:g g p.g OBJ:gTheoryg#1
e 2
TOP:g NursinggHistory KEY:g NursinggProcessgStep:gN/A
gMSC:g NCLEX:gN/A
2. EarlygnursinggeducationgandgcaregingthegUnitedgStates:
a. weregdirectedgatgcommunityghealth.
b. providedgindependencegforgwomengthroughgeducationgandgemployment.
c. weregangeducationalgmodelgbasedginginstitutionsgofghigherglearning.
d. havegcontinuedgtogbegentirelygfocusedgonghospitalgnursing.
ANS:g B
Becausegofgtheginfluencegofgearlygnursingglead.ers,gnursinggeducationgbecamegmoregformalize
dgthroughgapprenticeshipsgingNightingalegschoolsgthatgofferedgindependencegtogwomengthrou
ghgeducationgandgemployment.
DIF: CognitivegLevel:gKnowledg REF:g g p.g OBJ:gTheoryg#4
e 2
TOP:g NursinggHistory KEY:g NursinggProcessgStep:gN/A
gMSC:g NCLEX:gN/A
3. Ingordergtogfulfillgthegcommonggoalsgdefinedgbygnursinggtheoristsg(promotegwellness,gpreve
ntgillness,gfacilitategcoping,gandgrestoreghealth),gthegLPNgmustgtakegongthegrolesgof:
a. caregiver,geducator,gandgcollaborator.
b. nursinggassistant,gdelegator,gandgenvironmentalgspecialist.
c. medicationgdispenser,gcollaborator,gandgtransporter.
d. dietitian,gmanager,gandghousekeeper.
ANS:g A
IngordergforgthegLPNgtogapplygthegcommonggoalsgofgnursing,ghegorgshegmustgassumegthegrole
sgofgcaregiver,geducator,gcollaborator,gmanager,gandgadvocate.
DIF: CognitivegLevel:gComprehension REF:g g p.g OBJ:gTheoryg#2
3
TOP:g ArtgandgSciencegofgNursin KEY:g NursinggProcessgStep:gN/A
ggMSC:g NCLEX:gN/A
4. Althoughgnursinggtheoriesgdiffergingtheirgattemptsgtogdefinegnursing,gallgofgthemgbasegthe
irgbeliefsgongcommongconceptsgconcerning:
, FundamentalgConceptsgandgSkillsgforgNursingg6thgEditiongTestg
Bank
a. self-actualization,gfundamentalgneeds,gandgbelonging.
b. stressgreduction,gself-care,gandgagsystemsgmodel.
c. curativegcare,grestorativegcare,gandgterminalgcare.
d. humangrelationships,gthegenvironment,gandghealth.
ANS:g D
Althoughgnursinggtheoriesgdiffer,gtheygallgbasegtheirgbeliefsgonghumangrelationships,gthegenviro
nment,gandghealth.
DIF: CognitivegLevel:gComprehension REF:g g p.g OBJ:gTheoryg#2
4
TOP:g NursinggTheories KEY:g NursinggProcessgStep:gN/A
gMSC:g NCLEX:gN/A
5. StandardsgofgcaregforgthegnursinggpracticegofgthegLPNgaregestablishedgbygthe:
a. BoardsgofgNursinggExaminersgingeachgstate.
b. NationalgCouncilgofgStatesgBoardsgofgNursingg(NCSBN).
c. AmericangNursesgAssociationg(ANA).
d. NationalgFederationgofgLicensedgPracticalgNurses.
ANS:g D
ThegNationalgFederationgofgLicensedgPracticalgNursesgmodifiedgthegstandardsgpublishedgbygthe
gANAging2015gtogbettergfitgthegrolegofgthegLPN.gIng2015gthegAmericangNursesgAssociationg(A
NA)grevisedgthegStandardsgofgNursinggPracticegwhichgcontainedg17gstandardsgofgnationalgprac
ticegofgnursing,gdescribinggallgfacetsgofgnursinggpractice:gwho,gwhat,gwhen,gwhere,ghow.
DIF: CognitivegLevel:gComprehension REF:g g p.g OBJ:gTheoryg#2
6
TOP:g StandardsgofgCar KEY:gNursinggProcessgStep:gN/A
egMSC:g NCLEX:gN/A
6. ThegLPNgdemonstratesgangevidence-basedgpracticegby:
a. usinggagdruggmanualgtogcheckgcompatibilitygofgdrugs.
b. usinggscientificginformationgtogguidegdecisiongmaking.
c. usinggmedicalghistorygofgagpatientgtogdirectgnursingginterventions.
d. basinggnursinggcaregongadvicegfromgangexperiencedgnurse.
ANS:g B
Thegusegofgscientificginformationgfromghigh-
qualitygresearchgtogguidegnursinggdecisionsgisgreflectivegofgthegapplicationgofgevidence-
basedgpractice.
DIF: CognitivegLevel:gKnowledg REF:g g p.g OBJ:gTheoryg#3
e 7
TOP:g Evidence- KEY:g NursinggProcessgStep:gN/A
BasedgPracticegMSC:g NCLEX:
gN/A
7. LilliangWaldgandgMarygBrewstergestablishedgthegHenrygStreetgSettlementgServicegingNewgYor
kging1893gingordergto:
a. offergagsheltergtoginjuredgwargveterans.
b. foundgagnursinggapprenticeship.
c. provideghealthgcaregtogpoorgpersonsglivinggingtenements.
d. offergbetterghousinggtoglow-incomegfamilies.
ANS:g C
, FundamentalgConceptsgandgSkillsgforgNursingg6thgEditiongTestg
Bank
HenrygStreetgSettlementgServicegbroughtgthegprovisiongofgcommunityghealthgcaregtogthegpoorgp
eopleglivinggingtenements.
DIF: CognitivegLevel:gComprehension REF:g g p.g OBJ:gTheoryg#4
2
TOP:g GrowthgofgNursin KEY:g NursinggProcessgStep:gN/A
ggMSC:g NCLEX:gN/A
8. AngeducationalgpathwaygforgangLPN/LVNgrefersgtogangLPN/LVN:
a. learninggongthegjobgandgbeinggpromotedgtogaghigherglevelgofgresponsibility.
b. movinggfromgagmaternitygunitgtogagmoregcomplicatedgsurgicalgunit.
c. obtaininggadditionalgeducationgtogmovegfromgoneglevelgofgnursinggtoganother.
d. learninggthatgadvancementgrequiresgconsistentgworkgandgcommitment.
ANS:g C
Bygbroadeninggthegeducationalgbase,gangLPN/LVNgmaygadvancegandgbuildgagnursinggcareer.
DIF: CognitivegLevel:gKnowledge REF:g g p.g OBJ:gTheoryg#7
7
TOP:g NursinggEducationgPathway KEY:g NursinggProcessgStep:gN/A
sgMSC:g NCLEX:gN/A
9. Whengdiagnosis-
relatedggroupsg(DRGs)gweregestablishedgbygMedicareging1983,gthegpurposegwasgto:
a. putgpatientsgwithgthegsamegdiagnosisgongthegsamegunit.
b. attemptgtogcontaingthegcostsgofghealthgcare.
c. increasegthegavailabilitygofgmedicalgcaregtogoldergadults.
d. identifygagpatient’sgconditiongmoregquickly.
ANS:g B
ThegpurposegofginstitutinggDRGsgwasgtogcontaingskyrocketinggcostsgofghealthgcare.
DIF: CognitivegLevel:gKnowledg REF:g g p.g OBJ:gTheoryg#10
e 9
TOP:g HealthgCaregDeliver KEY:gNursinggProcessgStep:gN/A
ygMSC:g NCLEX:gN/A
10. Thegadventgofgdiagnosis-
relatedggroupsg(DRGs)grequiredgthatgnursesgworkingginghealthgcaregagencies:
a. recordgsupportivegdocumentationgtogconfirmgagpatient’sgneedgforgcaregingordergto
qualifygforgreimbursement.
b. usegthegDRGgrathergthangtheirgowngobservationsgforgpatientgassessment.
c. begawaregofgthegspecificgdrugsgrelatedgtogthegdiagnosis.
d. acquiregcross-traininggtogmakegstaffinggmoregflexible.
ANS:g A
DRGsgrequiredgthatgnursesgprovidegmoregsupportivegdocumentationgofgtheirgassessmentsgandgi
dentifiedgpatient’sgneedsgtogqualifygthegfacilitygforgMedicaregreimbursement.gObservantgassess
mentgmightgalsogindicateganothergDRGgclassificationgandgconsequentlygmoregreimbursementgf
orgthegfacility.
DIF: CognitivegLevel:gComprehension REF:g g p.g1 OBJ:gTheoryg#10
0
TOP:g ManagedgCare KEY:gNursinggProcessgStep:gN/A
gMSC:g NCLEX:gN/A
Bank
g g g
g
, FundamentalgConceptsgandgSkillsgforgNursingg6thgEditiongTestg
Bank
Chapterg01:gNursinggandgthegHealthgCaregSystem
MULTIPLEgCHOICE
1. FlorencegNightingale’sgcontributionsgtognursinggpracticegandgeducation:
a. areghistoricallygimportantgbutghavegnogvaliditygforgnursinggtoday.
b. weregneithergrecognizedgnorgappreciatedginghergowngtime.
c. weregagmajorgfactorgingreducinggthegdeathgrategingthegCrimeangWar.
d. wereglimitedgonlygtogthegcaregofgseveregtraumaticgwounds.
ANS:g C
Bygimprovinggsanitation,gnutritiongventilation,gandghandwashinggtechniques,gFlorence
Nightingale’sgnursesgdramaticallygreducedgthegdeathgrategfromginjuriesgingthegCrimeangWar.
DIF: CognitivegLevel:gKnowledg REF:g g p.g OBJ:gTheoryg#1
e 2
TOP:g NursinggHistory KEY:g NursinggProcessgStep:gN/A
gMSC:g NCLEX:gN/A
2. EarlygnursinggeducationgandgcaregingthegUnitedgStates:
a. weregdirectedgatgcommunityghealth.
b. providedgindependencegforgwomengthroughgeducationgandgemployment.
c. weregangeducationalgmodelgbasedginginstitutionsgofghigherglearning.
d. havegcontinuedgtogbegentirelygfocusedgonghospitalgnursing.
ANS:g B
Becausegofgtheginfluencegofgearlygnursingglead.ers,gnursinggeducationgbecamegmoregformalize
dgthroughgapprenticeshipsgingNightingalegschoolsgthatgofferedgindependencegtogwomengthrou
ghgeducationgandgemployment.
DIF: CognitivegLevel:gKnowledg REF:g g p.g OBJ:gTheoryg#4
e 2
TOP:g NursinggHistory KEY:g NursinggProcessgStep:gN/A
gMSC:g NCLEX:gN/A
3. Ingordergtogfulfillgthegcommonggoalsgdefinedgbygnursinggtheoristsg(promotegwellness,gpreve
ntgillness,gfacilitategcoping,gandgrestoreghealth),gthegLPNgmustgtakegongthegrolesgof:
a. caregiver,geducator,gandgcollaborator.
b. nursinggassistant,gdelegator,gandgenvironmentalgspecialist.
c. medicationgdispenser,gcollaborator,gandgtransporter.
d. dietitian,gmanager,gandghousekeeper.
ANS:g A
IngordergforgthegLPNgtogapplygthegcommonggoalsgofgnursing,ghegorgshegmustgassumegthegrole
sgofgcaregiver,geducator,gcollaborator,gmanager,gandgadvocate.
DIF: CognitivegLevel:gComprehension REF:g g p.g OBJ:gTheoryg#2
3
TOP:g ArtgandgSciencegofgNursin KEY:g NursinggProcessgStep:gN/A
ggMSC:g NCLEX:gN/A
4. Althoughgnursinggtheoriesgdiffergingtheirgattemptsgtogdefinegnursing,gallgofgthemgbasegthe
irgbeliefsgongcommongconceptsgconcerning:
, FundamentalgConceptsgandgSkillsgforgNursingg6thgEditiongTestg
Bank
a. self-actualization,gfundamentalgneeds,gandgbelonging.
b. stressgreduction,gself-care,gandgagsystemsgmodel.
c. curativegcare,grestorativegcare,gandgterminalgcare.
d. humangrelationships,gthegenvironment,gandghealth.
ANS:g D
Althoughgnursinggtheoriesgdiffer,gtheygallgbasegtheirgbeliefsgonghumangrelationships,gthegenviro
nment,gandghealth.
DIF: CognitivegLevel:gComprehension REF:g g p.g OBJ:gTheoryg#2
4
TOP:g NursinggTheories KEY:g NursinggProcessgStep:gN/A
gMSC:g NCLEX:gN/A
5. StandardsgofgcaregforgthegnursinggpracticegofgthegLPNgaregestablishedgbygthe:
a. BoardsgofgNursinggExaminersgingeachgstate.
b. NationalgCouncilgofgStatesgBoardsgofgNursingg(NCSBN).
c. AmericangNursesgAssociationg(ANA).
d. NationalgFederationgofgLicensedgPracticalgNurses.
ANS:g D
ThegNationalgFederationgofgLicensedgPracticalgNursesgmodifiedgthegstandardsgpublishedgbygthe
gANAging2015gtogbettergfitgthegrolegofgthegLPN.gIng2015gthegAmericangNursesgAssociationg(A
NA)grevisedgthegStandardsgofgNursinggPracticegwhichgcontainedg17gstandardsgofgnationalgprac
ticegofgnursing,gdescribinggallgfacetsgofgnursinggpractice:gwho,gwhat,gwhen,gwhere,ghow.
DIF: CognitivegLevel:gComprehension REF:g g p.g OBJ:gTheoryg#2
6
TOP:g StandardsgofgCar KEY:gNursinggProcessgStep:gN/A
egMSC:g NCLEX:gN/A
6. ThegLPNgdemonstratesgangevidence-basedgpracticegby:
a. usinggagdruggmanualgtogcheckgcompatibilitygofgdrugs.
b. usinggscientificginformationgtogguidegdecisiongmaking.
c. usinggmedicalghistorygofgagpatientgtogdirectgnursingginterventions.
d. basinggnursinggcaregongadvicegfromgangexperiencedgnurse.
ANS:g B
Thegusegofgscientificginformationgfromghigh-
qualitygresearchgtogguidegnursinggdecisionsgisgreflectivegofgthegapplicationgofgevidence-
basedgpractice.
DIF: CognitivegLevel:gKnowledg REF:g g p.g OBJ:gTheoryg#3
e 7
TOP:g Evidence- KEY:g NursinggProcessgStep:gN/A
BasedgPracticegMSC:g NCLEX:
gN/A
7. LilliangWaldgandgMarygBrewstergestablishedgthegHenrygStreetgSettlementgServicegingNewgYor
kging1893gingordergto:
a. offergagsheltergtoginjuredgwargveterans.
b. foundgagnursinggapprenticeship.
c. provideghealthgcaregtogpoorgpersonsglivinggingtenements.
d. offergbetterghousinggtoglow-incomegfamilies.
ANS:g C
, FundamentalgConceptsgandgSkillsgforgNursingg6thgEditiongTestg
Bank
HenrygStreetgSettlementgServicegbroughtgthegprovisiongofgcommunityghealthgcaregtogthegpoorgp
eopleglivinggingtenements.
DIF: CognitivegLevel:gComprehension REF:g g p.g OBJ:gTheoryg#4
2
TOP:g GrowthgofgNursin KEY:g NursinggProcessgStep:gN/A
ggMSC:g NCLEX:gN/A
8. AngeducationalgpathwaygforgangLPN/LVNgrefersgtogangLPN/LVN:
a. learninggongthegjobgandgbeinggpromotedgtogaghigherglevelgofgresponsibility.
b. movinggfromgagmaternitygunitgtogagmoregcomplicatedgsurgicalgunit.
c. obtaininggadditionalgeducationgtogmovegfromgoneglevelgofgnursinggtoganother.
d. learninggthatgadvancementgrequiresgconsistentgworkgandgcommitment.
ANS:g C
Bygbroadeninggthegeducationalgbase,gangLPN/LVNgmaygadvancegandgbuildgagnursinggcareer.
DIF: CognitivegLevel:gKnowledge REF:g g p.g OBJ:gTheoryg#7
7
TOP:g NursinggEducationgPathway KEY:g NursinggProcessgStep:gN/A
sgMSC:g NCLEX:gN/A
9. Whengdiagnosis-
relatedggroupsg(DRGs)gweregestablishedgbygMedicareging1983,gthegpurposegwasgto:
a. putgpatientsgwithgthegsamegdiagnosisgongthegsamegunit.
b. attemptgtogcontaingthegcostsgofghealthgcare.
c. increasegthegavailabilitygofgmedicalgcaregtogoldergadults.
d. identifygagpatient’sgconditiongmoregquickly.
ANS:g B
ThegpurposegofginstitutinggDRGsgwasgtogcontaingskyrocketinggcostsgofghealthgcare.
DIF: CognitivegLevel:gKnowledg REF:g g p.g OBJ:gTheoryg#10
e 9
TOP:g HealthgCaregDeliver KEY:gNursinggProcessgStep:gN/A
ygMSC:g NCLEX:gN/A
10. Thegadventgofgdiagnosis-
relatedggroupsg(DRGs)grequiredgthatgnursesgworkingginghealthgcaregagencies:
a. recordgsupportivegdocumentationgtogconfirmgagpatient’sgneedgforgcaregingordergto
qualifygforgreimbursement.
b. usegthegDRGgrathergthangtheirgowngobservationsgforgpatientgassessment.
c. begawaregofgthegspecificgdrugsgrelatedgtogthegdiagnosis.
d. acquiregcross-traininggtogmakegstaffinggmoregflexible.
ANS:g A
DRGsgrequiredgthatgnursesgprovidegmoregsupportivegdocumentationgofgtheirgassessmentsgandgi
dentifiedgpatient’sgneedsgtogqualifygthegfacilitygforgMedicaregreimbursement.gObservantgassess
mentgmightgalsogindicateganothergDRGgclassificationgandgconsequentlygmoregreimbursementgf
orgthegfacility.
DIF: CognitivegLevel:gComprehension REF:g g p.g1 OBJ:gTheoryg#10
0
TOP:g ManagedgCare KEY:gNursinggProcessgStep:gN/A
gMSC:g NCLEX:gN/A
