Fundamental Concepts and Skills for Nursing 6th Edition Williams TEST BANK
Table of Contents
1 Unit I: Introduction to Nursing and the Health Care System
1. Nursing and the Health Care System
2. Concepts of Health, Illness, Stress, and Health Promotion
3. Legal and Ethical Aspects of Nursing
Unit II: The Nursing Process
4. The Nursing Process and Critical Thinking
5. Assessment, Nursing Diagnosis/Problem Identification, and Planning
6. Implementation and Evaluation
Unit III: Communication in Nursing
7. Documentation of Nursing Care
8. Communication and the Nurse-Patient Relationship
9. Patient Education and Health Promotion
10. Delegation, Leadership, and Management
Unit IV: Developmental, Psychosocial, and Cultural
Considerations
11. Growth and Development: Infancy Through Adolescence
12. Adulthood and the Family
13. Promoting Healthy Adaptation to Aging
14. Cultural and Spiritual Aspects of Patient Care
15. Loss, Grief, and End-of-Life Care
Unit V: Basic Nursing Skills
16. Infection Prevention and Control: Protective Mechanisms and Asepsis
17. Infection Prevention and Control in the Hospital and Home
18. Safely Lifting, Moving, and Positioning Patients
19. Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Injuries
20. Patient Environment and Safety
21. Measuring Vital Signs
22. Assessing Health Status
23. Admitting, Transferring, and Discharging Patients
24. Diagnostic Tests and Specimen Collection
Unit VI: Meeting Basic Physiologic Needs
25. Fluid, Electrolyte, and Acid-Base Balance
26. Concepts of Basic Nutrition and Cultural Considerations
27. Nutritional Therapy and Assisted Feeding
28. Assisting with Respiration and Oxygen Delivery
29. Promoting Urinary Elimination
30. Promoting Bowel Elimination
31. Pain, Comfort and Sleep
32. Complementary Health Approaches
Unit VII: Medication Administration
33. Pharmacology and Preparation for Drug Administration
34. Administering Oral, Topical, and Inhalant Medications
35. Administering Intradermal, Subcutaneous, and Intramuscular Injections
36. Administering Intravenous Solutions and Medications
Unit VIII: Care of the Surgical and Immobile Patient
37. Care of the Surgical Patient
38. Providing Wound Care and Treating Pressure Injuries
39. Promoting Musculoskeletal Function
Unit IX: Caring for Older Adults
40. Common Physical Care Problems of the Older Adult
41. Common Psychosocial Care Problems of the Older Adult
, Fundamental Concepts and Skills for Nursing 6th Edition Williams TEST BANK
Chapter 01: Nursing and the Health Care System
Williams: Fundamental Concepts and Skills for Nursing, 6th 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.
ANS: C
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence
Nightingale’s nurses dramatically reduced the death rate from injuries in the Crimean War.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #1
TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. Early nursing education and care in the United States:
a. were directed at community health.
b. provided independence for women through education and employment.
c. were an educational model based in institutions of higher learning.
d. have continued to be entirely focused on hospital nursing.
ANS: B
Because of the influence of early NURSINGTB.COM
nursing leaders, nursing education became more formalized
through apprenticeships in Nightingale schools that offered independence to women through
education and employment.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #4
TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
3. In order to fulfill 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.
ANS: 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.
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: Theory #2
TOP: Art and Science of Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
4. Although nursing theories differ in their attempts to define nursing, all of them base their
beliefs on common concepts concerning:
, Fundamental Concepts and Skills for Nursing 6th Edition Williams TEST BANK
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.
ANS: D
Although nursing theories differ, they all base their beliefs on human relationships, the
environment, and health.
DIF: Cognitive Level: Comprehension REF: p. 4 OBJ: Theory #2
TOP: Nursing Theories KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
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.
ANS: 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.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory #2
TOP: Standards of Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
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.
ANS: 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.
ANS: C
, Fundamental Concepts and Skills for Nursing 6th Edition Williams TEST BANK
Henry Street Settlement Service brought the provision of community health care to the poor
people living in tenements.
DIF: Cognitive Level: Comprehension REF: 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.
ANS: C
By broadening the educational base, an LPN/LVN may advance and build a nursing career.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #7
TOP: Nursing Education Pathways KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose
was to:
a. put patients with the same diagnosis on the same unit.
b. attempt to contain the costs of health care.
c. increase the availability of medical care to older adults.
d. identify a patient’s condition more quickly.
ANS: B
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
DIF: Cognitive Level: Knowledge REF: p. 9 OBJ: Theory #10
TOP: Health Care Delivery KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care
agencies:
a. record supportive documentation to confirm a patient’s need for care in order to
qualify for reimbursement.
b. use the DRG rather than their own observations for patient assessment.
c. be aware of the specific drugs related to the diagnosis.
d. acquire cross-training to make staffing more flexible.
ANS: A
DRGs required that nurses provide more supportive documentation of their assessments and
identified patient’s needs to qualify the facility for Medicare reimbursement. Observant
assessment might also indicate another DRG classification and consequently more
reimbursement for the facility.
DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory #10
TOP: Managed Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
Table of Contents
1 Unit I: Introduction to Nursing and the Health Care System
1. Nursing and the Health Care System
2. Concepts of Health, Illness, Stress, and Health Promotion
3. Legal and Ethical Aspects of Nursing
Unit II: The Nursing Process
4. The Nursing Process and Critical Thinking
5. Assessment, Nursing Diagnosis/Problem Identification, and Planning
6. Implementation and Evaluation
Unit III: Communication in Nursing
7. Documentation of Nursing Care
8. Communication and the Nurse-Patient Relationship
9. Patient Education and Health Promotion
10. Delegation, Leadership, and Management
Unit IV: Developmental, Psychosocial, and Cultural
Considerations
11. Growth and Development: Infancy Through Adolescence
12. Adulthood and the Family
13. Promoting Healthy Adaptation to Aging
14. Cultural and Spiritual Aspects of Patient Care
15. Loss, Grief, and End-of-Life Care
Unit V: Basic Nursing Skills
16. Infection Prevention and Control: Protective Mechanisms and Asepsis
17. Infection Prevention and Control in the Hospital and Home
18. Safely Lifting, Moving, and Positioning Patients
19. Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Injuries
20. Patient Environment and Safety
21. Measuring Vital Signs
22. Assessing Health Status
23. Admitting, Transferring, and Discharging Patients
24. Diagnostic Tests and Specimen Collection
Unit VI: Meeting Basic Physiologic Needs
25. Fluid, Electrolyte, and Acid-Base Balance
26. Concepts of Basic Nutrition and Cultural Considerations
27. Nutritional Therapy and Assisted Feeding
28. Assisting with Respiration and Oxygen Delivery
29. Promoting Urinary Elimination
30. Promoting Bowel Elimination
31. Pain, Comfort and Sleep
32. Complementary Health Approaches
Unit VII: Medication Administration
33. Pharmacology and Preparation for Drug Administration
34. Administering Oral, Topical, and Inhalant Medications
35. Administering Intradermal, Subcutaneous, and Intramuscular Injections
36. Administering Intravenous Solutions and Medications
Unit VIII: Care of the Surgical and Immobile Patient
37. Care of the Surgical Patient
38. Providing Wound Care and Treating Pressure Injuries
39. Promoting Musculoskeletal Function
Unit IX: Caring for Older Adults
40. Common Physical Care Problems of the Older Adult
41. Common Psychosocial Care Problems of the Older Adult
, Fundamental Concepts and Skills for Nursing 6th Edition Williams TEST BANK
Chapter 01: Nursing and the Health Care System
Williams: Fundamental Concepts and Skills for Nursing, 6th 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.
ANS: C
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence
Nightingale’s nurses dramatically reduced the death rate from injuries in the Crimean War.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #1
TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. Early nursing education and care in the United States:
a. were directed at community health.
b. provided independence for women through education and employment.
c. were an educational model based in institutions of higher learning.
d. have continued to be entirely focused on hospital nursing.
ANS: B
Because of the influence of early NURSINGTB.COM
nursing leaders, nursing education became more formalized
through apprenticeships in Nightingale schools that offered independence to women through
education and employment.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #4
TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
3. In order to fulfill 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.
ANS: 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.
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: Theory #2
TOP: Art and Science of Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
4. Although nursing theories differ in their attempts to define nursing, all of them base their
beliefs on common concepts concerning:
, Fundamental Concepts and Skills for Nursing 6th Edition Williams TEST BANK
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.
ANS: D
Although nursing theories differ, they all base their beliefs on human relationships, the
environment, and health.
DIF: Cognitive Level: Comprehension REF: p. 4 OBJ: Theory #2
TOP: Nursing Theories KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
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.
ANS: 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.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory #2
TOP: Standards of Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
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.
ANS: 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.
ANS: C
, Fundamental Concepts and Skills for Nursing 6th Edition Williams TEST BANK
Henry Street Settlement Service brought the provision of community health care to the poor
people living in tenements.
DIF: Cognitive Level: Comprehension REF: 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.
ANS: C
By broadening the educational base, an LPN/LVN may advance and build a nursing career.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #7
TOP: Nursing Education Pathways KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose
was to:
a. put patients with the same diagnosis on the same unit.
b. attempt to contain the costs of health care.
c. increase the availability of medical care to older adults.
d. identify a patient’s condition more quickly.
ANS: B
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
DIF: Cognitive Level: Knowledge REF: p. 9 OBJ: Theory #10
TOP: Health Care Delivery KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care
agencies:
a. record supportive documentation to confirm a patient’s need for care in order to
qualify for reimbursement.
b. use the DRG rather than their own observations for patient assessment.
c. be aware of the specific drugs related to the diagnosis.
d. acquire cross-training to make staffing more flexible.
ANS: A
DRGs required that nurses provide more supportive documentation of their assessments and
identified patient’s needs to qualify the facility for Medicare reimbursement. Observant
assessment might also indicate another DRG classification and consequently more
reimbursement for the facility.
DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory #10
TOP: Managed Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
