FULL TEST BANK FOR
DEWIT’S FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING, 5TH EDITION BY WILLIAMS
,TABLE OF CONTENTS
CHAPTER 01: NURSING AND THE HEALTH CARE SYSTEM ......................................................................... 4
CHAPTER 02: CONCEPTS OF HEALTH, ILLNESS, STRESS, AND HEALTH PROMOTION ............................. 19
CHAPTER 03: LEGAL AND ETHICAL ASPECTS OF NURSING ..................................................................... 35
CHAPTER 04: THE NURSING PROCESS AND CRITICAL THINKING ............................................................ 56
CHAPTER 05: ASSESSMENT, NURSING DIAGNOSIS, AND PLANNING ..................................................... 67
CHAPTER 06: IMPLEMENTATION AND EVALUATION .............................................................................. 83
CHAPTER 07: DOCUMENTATION OF NURSING CARE ............................................................................. 97
CHAPTER 08: COMMUNICATION AND THE NURSE-PATIENT RELATIONSHIP ....................................... 112
CHAPTER 09: PATIENT TEACHING FOR HEALTH PROMOTION .............................................................. 143
CHAPTER 10: DELEGATION, LEADERSHIP, AND MANAGEMENT ........................................................... 162
CHAPTER 11: GROWTH AND DEVELOPMENT: INFANCY THROUGH ADOLESCENCE ............................. 182
CHAPTER 12: ADULTHOOD AND THE FAMILY ....................................................................................... 224
CHAPTER 13: PROMOTING HEALTHY TO AGING .................................................................................. 243
CHAPTER 14: CULTURAL AND SPIRITUAL ASPECTS OF PATIENT CARE ................................................. 261
CHAPTER 16: INFECTION PREVENTION AND CONTROL: PROTECTIVE MECHANISMS AND ASEPSIS .... 305
CHAPTER 17: INFECTION PREVENTION AND CONTROL IN THE HOSPITAL AND HOME ........................ 329
CHAPTER 18: LIFTING, MOVING, AND POSITIONING PATIENTS TEST BANK ......................................... 350
CHAPTER 19: ASSISTING WITH HYGIENE, PERSONAL CARE, SKIN CARE, AND THE PREVENTION OF
PRESSURE ULCERS ................................................................................................................................. 364
CHAPTER 20: PATIENT ENVIRONMENT AND SAFETY ............................................................................ 382
CHAPTER 21: MEASURING VITAL SIGNS ............................................................................................... 398
CHAPTER 22: ASSESSING HEALTH STATUS ............................................................................................ 416
CHAPTER 23: ADMITTING, TRANSFERRING, AND DISCHARGING PATIENTS ......................................... 435
CHAPTER 24: DIAGNOSTIC TESTS AND SPECIMEN COLLECTION .......................................................... 451
CHAPTER 25: FLUID, ELECTROLYTE, AND ACID-BASE BALANCE............................................................ 468
CHAPTER 26: CONCEPTS OF BASIC NUTRITION AND CULTURAL CONSIDERATIONS ............................ 483
CHAPTER 27: NUTRITIONAL THERAPY AND ASSISTED FEEDING ........................................................... 500
CHAPTER 28: ASSISTING WITH RESPIRATION AND OXYGEN DELIVERY ................................................ 518
CHAPTER 29: PROMOTING URINARY ELIMINATION ............................................................................. 533
CHAPTER 30: PROMOTING BOWEL ELIMINATION ................................................................................ 548
CHAPTER 31: PAIN, COMFORT, AND SLEEP .......................................................................................... 566
CHAPTER 32: COMPLEMENTARY AND ALTERNATIVE THERAPIES......................................................... 583
CHAPTER 33: PHARMACOLOGY AND PREPARATION FOR DRUG ADMINISTRATION ............................ 600
,CHAPTER 34: ADMINISTERING ORAL, TOPICAL, AND INHALANT MEDICATIONS ................................. 616
CHAPTER 35: ADMINISTERING INTRADERMAL, SUBCUTANEOUS, AND INTRAMUSCULAR INJECTIONS
.............................................................................................................................................................. 632
CHAPTER 36: ADMINISTERING INTRAVENOUS SOLUTIONS AND MEDICATIONS ................................. 648
CHAPTER 37: CARE OF THE SURGICAL PATIENT.................................................................................... 663
CHAPTER 38: PROVIDING WOUND CARE AND TREATING PRESSURE ULCERS...................................... 677
CHAPTER 39: PROMOTING MUSCULOSKELETAL FUNCTION ................................................................ 691
CHAPTER 40: COMMON PHYSICAL CARE PROBLEMS OF THE OLDER ADULT ....................................... 705
CHAPTER 41: COMMON PSYCHOSOCIAL CARE PROBLEMS OF OLDER ADULTS ................................... 718
,CHAPTER 01: NURSING AND THE HEALTH CARE SYSTEM
WILLIAMS: DEWIT'S FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING, 5TH EDITION
MULTIPLE CHOICE
1. FLORENCE NIGHTINGALE’S CONTRIBUTIONS TO NURSING PRACTICE AND EDUCATION:
A. ARE HISTORICALLY IMPORTANT BUT HAVE NO VALIDITY FOR NURSING TODAY.
B. WERE NEITHER RECOGNIZED NOR APPRECIATED IN HER OWN TIME.
C. WERE A MAJOR FACTOR IN REDUCING THE DEATH RATE IN THE CRIMEAN WAR.
D. WERE LIMITED ONLY TO THE CARE OF SEVERE TRAUMATIC WOUNDS.
ANSWER:C
BY IMPROVING SANITATION, NUTRITION VENTILATION, AND HANDWASHING TECHNIQUES, FLORENCE
NIGHTINGALE’S
NURSES DRAMATICALLY REDUCED THE DEATH RATE FROM INJURIES IN THE CRIMEAN WAR.
2. EARLY NURSING EDUCATION AND CARE IN THE UNITED STATES:
A. WAS DIRECTED AT COMMUNITY HEALTH.
B. PROVIDED INDEPENDENCE FOR WOMEN THROUGH EDUCATION AND EMPLOYMENT.
C. WAS AN EDUCATIONAL MODEL BASED IN INSTITUTIONS OF HIGHER LEARNING.
D. HAS CONTINUED TO BE ENTIRELY FOCUSED ON HOSPITAL NURSING.
ANSWER:B
BECAUSE OF THE INFLUENCE OF EARLY NURSING NGLETABD.ECROS,M NURSING EDUCATION BECAME
MORE FORMALIZED THROUGH APPRENTICESHIPS IN NIGHTINGALE SCHOOLS THAT OFFERED
INDEPENDENCE TO WOMEN THROUGH EDUCATION AND EMPLOYMENT.
3. IN ORDER TO FULFIL THE COMMON GOALS DEFINED BY NURSING THEORISTS (PROMOTE
WELLNESS, PREVENT ILLNESS, FACILITATE COPING, AND RESTORE HEALTH), THE LPN MUST TAKE ON THE
ROLES OF:
A. CAREGIVER, EDUCATOR, AND COLLABORATOR.
B. NURSING ASSISTANT, DELEGATOR, AND ENVIRONMENTAL SPECIALIST.
,C. MEDICATION DISPENSER, COLLABORATOR, AND TRANSPORTER.
D. DIETITIAN, MANAGER, AND HOUSEKEEPER.
ANSWER:A
IN ORDER FOR THE LPN TO APPLY THE COMMON GOALS OF NURSING, HE OR SHE MUST ASSUME THE
ROLES OF CAREGIVER, EDUCATOR, COLLABORATOR, MANAGER, AND ADVOCATE.
4. ALTHOUGH NURSING THEORIES DIFFER IN THEIR ATTEMPTS TO DEFINE NURSING, ALL OF THEM
BASE THEIR BELIEFS ON COMMON CONCEPTS CONCERNING:
A. SELF-ACTUALIZATION, FUNDAMENTAL NEEDS, AND BELONGING.
B. STRESS REDUCTION, SELF-CARE, AND A SYSTEMS MODEL.
C. CURATIVE CARE, RESTORATIVE CARE, AND TERMINAL CARE.
D. HUMAN RELATIONSHIPS, THE ENVIRONMENT, AND HEALTH.
ANSWER:D
ALTHOUGH NURSING THEORIES DIFFER, THEY ALL BASE THEIR BELIEFS ON HUMAN RELATIONSHIPS, THE
ENVIRONMENT, AND HEALTH.
5. STANDARDS OF CARE FOR THE NURSING PRACTICE OF THE LPN ARE ESTABLISHED BY THE:
A. BOARDS OF NURSING EXAMINERS IN EACH STATE.
B. NATIONAL COUNCIL OF STATES BOARDS OF NURSING (NCSBN).
C. AMERICAN NURSES ASSOCIATION (ANA).
D. NATIONAL FEDERATION OF LICENSED PRACTICAL NURSES.
ANSWER:D
THE NATIONAL FEDERATION OF LICENSED PRACTICAL NURSES MODIFIED THE STANDARDS PUBLISHED
BY THE ANA IN 2015 TO BETTER FIT THE ROLE OF THE LPN. IN 2015 THE AMERICAN NURSES
ASSOCIATION (ANA) REVISED THE STANDARDS OF NURSING PRACTICE WHICH CONTAINED 17
STANDARDS OF NATIONAL PRACTICE OF NURSING, DESCRIBING ALL FACETS OF NURSING PRACTICE:
WHO, WHAT, WHEN, WHERE, HOW.
, 6. THE LPN DEMONSTRATES AN EVIDENCE-BASED PRACTICE BY:
A. USING A DRUG MANUAL TO CHECK COMPATIBILITY OF DRUGS.
B. USING SCIENTIFIC INFORMATION TO GUIDE DECISION MAKING.
C. USING MEDICAL HISTORY OF A PATIENT TO DIRECT NURSING INTERVENTIONS.
D. BASING NURSING CARE ON ADVICE FROM AN EXPERIENCED NURSE.
ANSWER:B
THE USE OF SCIENTIFIC INFORMATION FROM HIGH-QUALITY RESEARCH TO GUIDE NURSING DECISIONS
IS REFLECTIVE OF THE APPLICATION OF EVIDENCE-BASED PRACTICE.
DIF: COGNITIVE LEVEL: KNOWLEDGE REF: P. 7 OBJ: THEORY #3 TOP: EVIDENCE-BASED
PRACTICE KEY: NURSING PROCESS STEP: N/A MSC: NCLEX: N/A
7. LILLIAN WALD AND MARY BREWSTER ESTABLISHED THE HENRY STREET SETTLEMENT SERVICE IN
NEW YORK IN 1893 IN ORDER TO:
A. OFFER A SHELTER TO INJURED WAR VETERANS.
B. FOUND A NURSING APPRENTICESHIP.
C. PROVIDE HEALTH CARE TO POOR PERSONS LIVING IN TENEMENTS.
D. OFFER BETTER HOUSING TO LOW-INCOME FAMILIES.
ANSWER:C
HENRY STREET SETTLEMENT SERVICE BROUGHT THE PROVISION OF COMMUNITY HEALTH CARE TO THE
POOR PEOPLE LIVING IN TENEMENTS.
DIF: COGNITIVE LEVEL: COMPREHENSIONREF: P. 2 OBJ: THEORY #4 TOP: GROWTH OF NURSING
KEY: NURSING PROCESS STEP: N/A MSC: NCLEX: N/A
8. AN EDUCATIONAL PATHWAY FOR AN LPN/LVN REFERS TO AN LPN/LVN:
A. LEARNING ON THE JOB AND BEING PROMOTED TO A HIGHER LEVEL OF RESPONSIBILITY.
B. MOVING FROM A MATERNITY UNIT TO A MORE COMPLICATED SURGICAL UNIT.
C. OBTAINING ADDITIONAL EDUCATION TO MOVE FROM ONE LEVEL OF NURSING TO ANOTHER.
D. LEARNING THAT ADVANCEMENT REQUIRES CONSISTENT WORK AND COMMITMENT.
DEWIT’S FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING, 5TH EDITION BY WILLIAMS
,TABLE OF CONTENTS
CHAPTER 01: NURSING AND THE HEALTH CARE SYSTEM ......................................................................... 4
CHAPTER 02: CONCEPTS OF HEALTH, ILLNESS, STRESS, AND HEALTH PROMOTION ............................. 19
CHAPTER 03: LEGAL AND ETHICAL ASPECTS OF NURSING ..................................................................... 35
CHAPTER 04: THE NURSING PROCESS AND CRITICAL THINKING ............................................................ 56
CHAPTER 05: ASSESSMENT, NURSING DIAGNOSIS, AND PLANNING ..................................................... 67
CHAPTER 06: IMPLEMENTATION AND EVALUATION .............................................................................. 83
CHAPTER 07: DOCUMENTATION OF NURSING CARE ............................................................................. 97
CHAPTER 08: COMMUNICATION AND THE NURSE-PATIENT RELATIONSHIP ....................................... 112
CHAPTER 09: PATIENT TEACHING FOR HEALTH PROMOTION .............................................................. 143
CHAPTER 10: DELEGATION, LEADERSHIP, AND MANAGEMENT ........................................................... 162
CHAPTER 11: GROWTH AND DEVELOPMENT: INFANCY THROUGH ADOLESCENCE ............................. 182
CHAPTER 12: ADULTHOOD AND THE FAMILY ....................................................................................... 224
CHAPTER 13: PROMOTING HEALTHY TO AGING .................................................................................. 243
CHAPTER 14: CULTURAL AND SPIRITUAL ASPECTS OF PATIENT CARE ................................................. 261
CHAPTER 16: INFECTION PREVENTION AND CONTROL: PROTECTIVE MECHANISMS AND ASEPSIS .... 305
CHAPTER 17: INFECTION PREVENTION AND CONTROL IN THE HOSPITAL AND HOME ........................ 329
CHAPTER 18: LIFTING, MOVING, AND POSITIONING PATIENTS TEST BANK ......................................... 350
CHAPTER 19: ASSISTING WITH HYGIENE, PERSONAL CARE, SKIN CARE, AND THE PREVENTION OF
PRESSURE ULCERS ................................................................................................................................. 364
CHAPTER 20: PATIENT ENVIRONMENT AND SAFETY ............................................................................ 382
CHAPTER 21: MEASURING VITAL SIGNS ............................................................................................... 398
CHAPTER 22: ASSESSING HEALTH STATUS ............................................................................................ 416
CHAPTER 23: ADMITTING, TRANSFERRING, AND DISCHARGING PATIENTS ......................................... 435
CHAPTER 24: DIAGNOSTIC TESTS AND SPECIMEN COLLECTION .......................................................... 451
CHAPTER 25: FLUID, ELECTROLYTE, AND ACID-BASE BALANCE............................................................ 468
CHAPTER 26: CONCEPTS OF BASIC NUTRITION AND CULTURAL CONSIDERATIONS ............................ 483
CHAPTER 27: NUTRITIONAL THERAPY AND ASSISTED FEEDING ........................................................... 500
CHAPTER 28: ASSISTING WITH RESPIRATION AND OXYGEN DELIVERY ................................................ 518
CHAPTER 29: PROMOTING URINARY ELIMINATION ............................................................................. 533
CHAPTER 30: PROMOTING BOWEL ELIMINATION ................................................................................ 548
CHAPTER 31: PAIN, COMFORT, AND SLEEP .......................................................................................... 566
CHAPTER 32: COMPLEMENTARY AND ALTERNATIVE THERAPIES......................................................... 583
CHAPTER 33: PHARMACOLOGY AND PREPARATION FOR DRUG ADMINISTRATION ............................ 600
,CHAPTER 34: ADMINISTERING ORAL, TOPICAL, AND INHALANT MEDICATIONS ................................. 616
CHAPTER 35: ADMINISTERING INTRADERMAL, SUBCUTANEOUS, AND INTRAMUSCULAR INJECTIONS
.............................................................................................................................................................. 632
CHAPTER 36: ADMINISTERING INTRAVENOUS SOLUTIONS AND MEDICATIONS ................................. 648
CHAPTER 37: CARE OF THE SURGICAL PATIENT.................................................................................... 663
CHAPTER 38: PROVIDING WOUND CARE AND TREATING PRESSURE ULCERS...................................... 677
CHAPTER 39: PROMOTING MUSCULOSKELETAL FUNCTION ................................................................ 691
CHAPTER 40: COMMON PHYSICAL CARE PROBLEMS OF THE OLDER ADULT ....................................... 705
CHAPTER 41: COMMON PSYCHOSOCIAL CARE PROBLEMS OF OLDER ADULTS ................................... 718
,CHAPTER 01: NURSING AND THE HEALTH CARE SYSTEM
WILLIAMS: DEWIT'S FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING, 5TH EDITION
MULTIPLE CHOICE
1. FLORENCE NIGHTINGALE’S CONTRIBUTIONS TO NURSING PRACTICE AND EDUCATION:
A. ARE HISTORICALLY IMPORTANT BUT HAVE NO VALIDITY FOR NURSING TODAY.
B. WERE NEITHER RECOGNIZED NOR APPRECIATED IN HER OWN TIME.
C. WERE A MAJOR FACTOR IN REDUCING THE DEATH RATE IN THE CRIMEAN WAR.
D. WERE LIMITED ONLY TO THE CARE OF SEVERE TRAUMATIC WOUNDS.
ANSWER:C
BY IMPROVING SANITATION, NUTRITION VENTILATION, AND HANDWASHING TECHNIQUES, FLORENCE
NIGHTINGALE’S
NURSES DRAMATICALLY REDUCED THE DEATH RATE FROM INJURIES IN THE CRIMEAN WAR.
2. EARLY NURSING EDUCATION AND CARE IN THE UNITED STATES:
A. WAS DIRECTED AT COMMUNITY HEALTH.
B. PROVIDED INDEPENDENCE FOR WOMEN THROUGH EDUCATION AND EMPLOYMENT.
C. WAS AN EDUCATIONAL MODEL BASED IN INSTITUTIONS OF HIGHER LEARNING.
D. HAS CONTINUED TO BE ENTIRELY FOCUSED ON HOSPITAL NURSING.
ANSWER:B
BECAUSE OF THE INFLUENCE OF EARLY NURSING NGLETABD.ECROS,M NURSING EDUCATION BECAME
MORE FORMALIZED THROUGH APPRENTICESHIPS IN NIGHTINGALE SCHOOLS THAT OFFERED
INDEPENDENCE TO WOMEN THROUGH EDUCATION AND EMPLOYMENT.
3. IN ORDER TO FULFIL THE COMMON GOALS DEFINED BY NURSING THEORISTS (PROMOTE
WELLNESS, PREVENT ILLNESS, FACILITATE COPING, AND RESTORE HEALTH), THE LPN MUST TAKE ON THE
ROLES OF:
A. CAREGIVER, EDUCATOR, AND COLLABORATOR.
B. NURSING ASSISTANT, DELEGATOR, AND ENVIRONMENTAL SPECIALIST.
,C. MEDICATION DISPENSER, COLLABORATOR, AND TRANSPORTER.
D. DIETITIAN, MANAGER, AND HOUSEKEEPER.
ANSWER:A
IN ORDER FOR THE LPN TO APPLY THE COMMON GOALS OF NURSING, HE OR SHE MUST ASSUME THE
ROLES OF CAREGIVER, EDUCATOR, COLLABORATOR, MANAGER, AND ADVOCATE.
4. ALTHOUGH NURSING THEORIES DIFFER IN THEIR ATTEMPTS TO DEFINE NURSING, ALL OF THEM
BASE THEIR BELIEFS ON COMMON CONCEPTS CONCERNING:
A. SELF-ACTUALIZATION, FUNDAMENTAL NEEDS, AND BELONGING.
B. STRESS REDUCTION, SELF-CARE, AND A SYSTEMS MODEL.
C. CURATIVE CARE, RESTORATIVE CARE, AND TERMINAL CARE.
D. HUMAN RELATIONSHIPS, THE ENVIRONMENT, AND HEALTH.
ANSWER:D
ALTHOUGH NURSING THEORIES DIFFER, THEY ALL BASE THEIR BELIEFS ON HUMAN RELATIONSHIPS, THE
ENVIRONMENT, AND HEALTH.
5. STANDARDS OF CARE FOR THE NURSING PRACTICE OF THE LPN ARE ESTABLISHED BY THE:
A. BOARDS OF NURSING EXAMINERS IN EACH STATE.
B. NATIONAL COUNCIL OF STATES BOARDS OF NURSING (NCSBN).
C. AMERICAN NURSES ASSOCIATION (ANA).
D. NATIONAL FEDERATION OF LICENSED PRACTICAL NURSES.
ANSWER:D
THE NATIONAL FEDERATION OF LICENSED PRACTICAL NURSES MODIFIED THE STANDARDS PUBLISHED
BY THE ANA IN 2015 TO BETTER FIT THE ROLE OF THE LPN. IN 2015 THE AMERICAN NURSES
ASSOCIATION (ANA) REVISED THE STANDARDS OF NURSING PRACTICE WHICH CONTAINED 17
STANDARDS OF NATIONAL PRACTICE OF NURSING, DESCRIBING ALL FACETS OF NURSING PRACTICE:
WHO, WHAT, WHEN, WHERE, HOW.
, 6. THE LPN DEMONSTRATES AN EVIDENCE-BASED PRACTICE BY:
A. USING A DRUG MANUAL TO CHECK COMPATIBILITY OF DRUGS.
B. USING SCIENTIFIC INFORMATION TO GUIDE DECISION MAKING.
C. USING MEDICAL HISTORY OF A PATIENT TO DIRECT NURSING INTERVENTIONS.
D. BASING NURSING CARE ON ADVICE FROM AN EXPERIENCED NURSE.
ANSWER:B
THE USE OF SCIENTIFIC INFORMATION FROM HIGH-QUALITY RESEARCH TO GUIDE NURSING DECISIONS
IS REFLECTIVE OF THE APPLICATION OF EVIDENCE-BASED PRACTICE.
DIF: COGNITIVE LEVEL: KNOWLEDGE REF: P. 7 OBJ: THEORY #3 TOP: EVIDENCE-BASED
PRACTICE KEY: NURSING PROCESS STEP: N/A MSC: NCLEX: N/A
7. LILLIAN WALD AND MARY BREWSTER ESTABLISHED THE HENRY STREET SETTLEMENT SERVICE IN
NEW YORK IN 1893 IN ORDER TO:
A. OFFER A SHELTER TO INJURED WAR VETERANS.
B. FOUND A NURSING APPRENTICESHIP.
C. PROVIDE HEALTH CARE TO POOR PERSONS LIVING IN TENEMENTS.
D. OFFER BETTER HOUSING TO LOW-INCOME FAMILIES.
ANSWER:C
HENRY STREET SETTLEMENT SERVICE BROUGHT THE PROVISION OF COMMUNITY HEALTH CARE TO THE
POOR PEOPLE LIVING IN TENEMENTS.
DIF: COGNITIVE LEVEL: COMPREHENSIONREF: P. 2 OBJ: THEORY #4 TOP: GROWTH OF NURSING
KEY: NURSING PROCESS STEP: N/A MSC: NCLEX: N/A
8. AN EDUCATIONAL PATHWAY FOR AN LPN/LVN REFERS TO AN LPN/LVN:
A. LEARNING ON THE JOB AND BEING PROMOTED TO A HIGHER LEVEL OF RESPONSIBILITY.
B. MOVING FROM A MATERNITY UNIT TO A MORE COMPLICATED SURGICAL UNIT.
C. OBTAINING ADDITIONAL EDUCATION TO MOVE FROM ONE LEVEL OF NURSING TO ANOTHER.
D. LEARNING THAT ADVANCEMENT REQUIRES CONSISTENT WORK AND COMMITMENT.
