Stuvia.com - The Marketplace to Buy and Sell your Study
ss ss ss ss ss ss ss ss ss
Material
Chapter 01: Nursing and the Health Care System
ss ss ss s ss ss ss
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
ss ss ss ss ss ss ss ss ss
MULTIPLE CHOICE ss
1. Florence Nightingale‘s contributions to nursing practice and education:
ss ss ss ss s ss ss
a. are historically important but have no validity for nursing today.
ss ss ss ss ss ss ss ss ss
b. were neither recognized nor appreciated in her own time.
ss ss ss ss ss ss ss ss
c. were a major factor in reducing the death rate in the Crimean War.
ss ss ss ss ss ss ss ss ss ss ss ss
d. were limited only to the care of severe traumatic wounds.
ss ss ss ss ss ss ss ss ss
ANS: C ss
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence
ss ss ss ss ss ss ss ss
Nightingale‘s nurses dramatically reduced the death rate from injuries in the Crimean War.
ss ss ss ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Knowledge ss ss REF: p. 2 OBJ: Theory #1
s s ss ss ss
TOP: Nursing History
ss s s ss KEY: Nursing Process Step: N/Ass ss ss ss
MSC: NCLEX: N/A
ss s s ss
2. Early nursing education and care in the United States:
ss s ss ss ss ss ss ss
a. were directed at community health. ss ss ss ss
b. provided independence for women through education and employment.
ss ss ss ss ss ss ss
c. were an educational model based in institutions of higher learning.
ss ss ss ss ss ss ss ss ss
d. have continued to be entirely focused on hospital nursing.
ss ss ss ss ss ss ss ss
ANS: B ss
Because of the influence of early nNuUrRs iSnI gN Gl eTaBd.eCrOs ,Mn ursing education became more
ss ss ss ss ss ss ss
ss ss
ss ss ss ss ss ss
formalized through apprenticeships in Nightingale schools that offered independence to
ss ss ss ss ss ss ss ss ss ss
women through education and employment.
ss ss ss ss ss
DIF: Cognitive Level: Knowledge ss ss REF: p. 2 OBJ: Theory #4
s s ss ss ss
TOP: Nursing History
ss s s ss KEY: Nursing Process Step: N/Ass ss ss ss
MSC: NCLEX: N/A
ss s s ss
, Stuvia.com - The Marketplace to Buy and Sell your Study
ss ss ss ss ss ss ss ss ss
Material
3. In order to fulfill the common goals defined by nursing theorists (promote wellness, prevent
ss ss ss ss ss ss ss ss ss s ss ss ss
ss illness, facilitate coping, and restore health), the LPN must take on the roles of:
ss ss ss ss ss ss ss ss ss ss ss ss ss
a. caregiver, educator, and collaborator. ss ss ss
b. nursingassistant, delegator, and environmental specialist.
s ss ss ss ss
c. medication dispenser, collaborator, and transporter. ss ss ss ss
d. dietitian, manager, and housekeeper. ss ss ss
ANS: A ss
In order for the LPN to apply the common goals of nursing, he or she must assume the roles of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
caregiver, educator, collaborator, manager, and advocate.
ss ss ss ss ss ss
DIF: Cognitive Level: Comprehension ss ss REF: p. 3 OBJ: Theory #2
s s ss ss ss
TOP: Art and Science of Nursing
ss s s ss ss ss ss KEY: Nursing Process Step: N/A
ss ss ss ss
MSC: NCLEX: N/A
ss s s ss
4. Although nursing theories differ in their attempts to define nursing, all of them base their
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss beliefs on common concepts concerning:
ss ss ss ss
, Stuvia.com - The Marketplace to Buy and Sell your Study ss ss ss ss ss ss ss ss ss
Material
a. self-actualization, fundamental needs, and belonging. ss ss ss ss
b. stress reduction, self-care, and a systems model.
ss ss ss ss ss ss
c. curative care, restorative care, and terminal care. ss ss ss ss ss ss
d. human relationships, the environment, and health.
ss ss ss ss ss
ANS: D ss
Although nursing theories differ, they all base their beliefs on human relationships, the
ss ss ss ss ss ss ss ss ss ss ss ss
environment, and health.
ss ss ss
DIF: Cognitive Level: Comprehension ss ss REF: p. 4 OBJ: Theory #2 s s ss ss ss
TOP: Nursing Theories
ss s s ss KEY: Nursing Process Step: N/A ss ss ss ss
MSC: NCLEX: N/A
ss s s ss
5. Standards of care for the nursing practice of the LPN are established by the:
ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Boards of Nursing Examiners in each state. ss ss ss ss ss ss
b. National Council of States Boards of Nursing (NCSBN). ss ss ss ss ss ss ss
c. American Nurses Association (ANA). ss ss ss
d. National Federation of Licensed Practical Nurses. ss ss ss ss ss
ANS: D ss
The National Federation of Licensed Practical Nurses modified the standards published by the
ss ss ss ss ss ss ss ss ss ss ss ss
ANA in 2015 to better fit the role of the LPN. In 2015 the American Nurses Association
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
(ANA) revised the Standards of Nursing Practice which contained 17 standards of national
ss ss ss ss ss ss ss ss ss ss ss ss ss
practice of nursing, describing all facets of nursing practice: who, what, when, where, how.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory #2 ss ss s s ss ss ss
TOP: Standards of Care
ss s s KEY: Nursing Process Step: N/A ss ss ss ss ss ss
MSC: NCLEX: N/A
ss s s VERIFIED-TEST BANK ss ss
6. The LPN demonstrates an evidence-based practice by:
ss ss ss ss ss ss
a. using a drug manual to check compatibility of drugs.
s ss ss ss ss ss ss ss
b. using scientific information to guide decision making.
ss ss ss ss ss ss
c. using medical history of a patient to direct nursing interventions.
ss ss ss ss ss ss ss ss ss
d. basing nursing care on advice from an experienced nurse.
s ss ss ss ss ss ss ss
ANS: B ss
The use of scientific information from high-quality research to guide nursingdecisions is
ss ss ss ss ss ss ss ss ss ss s ss
reflective of the application of evidence-based practice.
ss ss ss ss ss ss ss
DIF: Cognitive Level: Knowledge ss ss REF: p. 7 OBJ: Theory #3 s s ss ss ss
TOP: Evidence-Based Practice
ss s s ss KEY: Nursing Process Step: N/A ss ss ss ss
MSC: NCLEX: N/A
ss s s ss
7. Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New York
ss ss ss ss ss ss ss ss ss ss ss ss ss
in 1893 in order to:
ss ss ss ss ss
a. offer a shelter to injured war veterans.
ss ss ss ss ss ss
b. found a nursing apprenticeship. ss ss ss
c. provide health care to poor persons living in tenements. ss ss ss ss ss ss ss ss
d. offer better housing to low-income families.
ss ss s ss ss
ANS: C ss
, Stuvia.com - The Marketplace to Buy and Sell your Study ss ss ss ss ss ss ss ss ss
Material
Henry Street Settlement Service brought the provision of community health care to the poor
ss ss ss ss ss ss ss ss ss ss ss ss ss
people living in tenements.
ss ss ss ss
DIF: Cognitive Level: Comprehension ss ss REF: p. 2 OBJ: Theory #4s s ss ss ss
TOP: Growth of Nursing
ss s s ss ss KEY: Nursing Process Step: N/A ss ss ss ss
MSC: NCLEX: N/A
ss s s ss
8. An educational pathway for an LPN/LVN refers to an LPN/LVN:
ss ss ss ss ss ss ss ss ss
a. learning on the job and being promoted to a higher level of responsibility.
s ss ss ss ss ss ss ss ss ss ss ss
b. moving from a maternity unit to a more complicated surgical unit.
ss ss ss ss ss ss ss ss ss ss
c. obtainingadditional education to move from one level of nursing to another.
s ss ss ss ss ss ss ss ss ss ss
d. learning that advancement requires consistent work and commitment.
s ss ss ss ss ss ss
ANS: C ss
By broadening the educational base, an LPN/LVN may advance and build a nursing career.
ss ss ss ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Knowledge ss ss REF: p. 7 OBJ: Theory #7s s ss ss ss
TOP: Nursing Education Pathways
ss s s ss ss KEY: Nursing Process Step: N/A ss ss ss ss
MSC: NCLEX: N/A
ss s s ss
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose
ss ss ss ss ss ss ss ss ss ss ss
was to:
ss ss
a. put patients with the same diagnosis on the same unit.
ss ss ss ss ss ss ss ss ss
b. attempt to contain the costs of health care. ss ss ss ss ss ss ss
c. increase the availability of medical care to older adults.
ss ss ss ss ss ss ss ss
d. identify a patient‘s condition more quickly. ss ss ss ss ss
ANS: s s B VERIFIED-TEST BANK ss
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
ss ss ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Knowledge ss ss REF: p. 9 OBJ: Theory #10
s s ss ss ss
TOP: Health Care Delivery
ss s s ss ss KEY: Nursing Process Step: N/A ss ss ss ss
MSC: NCLEX: N/A
ss s s ss
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care
ss ss ss ss ss ss ss ss ss ss ss ss
agencies:
ss
a. record supportive documentation to confirm a patient‘s need for care in order to
ss ss ss ss ss ss ss ss ss ss ss ss
qualify for reimbursement.
ss ss ss
b. use the DRG rather than their own observations for patient assessment.
ss ss ss ss ss ss ss ss ss ss
c. be aware of the specific drugs related to the diagnosis.
ss ss ss ss ss ss ss ss ss
d. acquire cross-training to make staffing more flexible.
ss ss ss ss ss ss
ANS: A ss
DRGs required that nurses provide more supportive documentation of their assessments and
ss ss ss ss ss ss ss ss ss ss ss
identified patient‘s needs to qualify the facility for Medicare reimbursement. Observant
ss ss ss ss ss ss ss ss ss ss ss
assessment might also indicate another DRG classification and consequently more
ss ss ss ss ss ss ss ss ss ss
reimbursement for the facility.
ss ss ss ss
DIF: Cognitive Level: Comprehension ss ss REF: p. 10 OBJ: Theory #10
s s ss ss ss
TOP: Managed Care
ss s s ss KEY: Nursing Process Step: N/A ss ss ss ss
MSC: NCLEX: N/A
ss s s ss
ss ss ss ss ss ss ss ss ss
Material
Chapter 01: Nursing and the Health Care System
ss ss ss s ss ss ss
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
ss ss ss ss ss ss ss ss ss
MULTIPLE CHOICE ss
1. Florence Nightingale‘s contributions to nursing practice and education:
ss ss ss ss s ss ss
a. are historically important but have no validity for nursing today.
ss ss ss ss ss ss ss ss ss
b. were neither recognized nor appreciated in her own time.
ss ss ss ss ss ss ss ss
c. were a major factor in reducing the death rate in the Crimean War.
ss ss ss ss ss ss ss ss ss ss ss ss
d. were limited only to the care of severe traumatic wounds.
ss ss ss ss ss ss ss ss ss
ANS: C ss
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence
ss ss ss ss ss ss ss ss
Nightingale‘s nurses dramatically reduced the death rate from injuries in the Crimean War.
ss ss ss ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Knowledge ss ss REF: p. 2 OBJ: Theory #1
s s ss ss ss
TOP: Nursing History
ss s s ss KEY: Nursing Process Step: N/Ass ss ss ss
MSC: NCLEX: N/A
ss s s ss
2. Early nursing education and care in the United States:
ss s ss ss ss ss ss ss
a. were directed at community health. ss ss ss ss
b. provided independence for women through education and employment.
ss ss ss ss ss ss ss
c. were an educational model based in institutions of higher learning.
ss ss ss ss ss ss ss ss ss
d. have continued to be entirely focused on hospital nursing.
ss ss ss ss ss ss ss ss
ANS: B ss
Because of the influence of early nNuUrRs iSnI gN Gl eTaBd.eCrOs ,Mn ursing education became more
ss ss ss ss ss ss ss
ss ss
ss ss ss ss ss ss
formalized through apprenticeships in Nightingale schools that offered independence to
ss ss ss ss ss ss ss ss ss ss
women through education and employment.
ss ss ss ss ss
DIF: Cognitive Level: Knowledge ss ss REF: p. 2 OBJ: Theory #4
s s ss ss ss
TOP: Nursing History
ss s s ss KEY: Nursing Process Step: N/Ass ss ss ss
MSC: NCLEX: N/A
ss s s ss
, Stuvia.com - The Marketplace to Buy and Sell your Study
ss ss ss ss ss ss ss ss ss
Material
3. In order to fulfill the common goals defined by nursing theorists (promote wellness, prevent
ss ss ss ss ss ss ss ss ss s ss ss ss
ss illness, facilitate coping, and restore health), the LPN must take on the roles of:
ss ss ss ss ss ss ss ss ss ss ss ss ss
a. caregiver, educator, and collaborator. ss ss ss
b. nursingassistant, delegator, and environmental specialist.
s ss ss ss ss
c. medication dispenser, collaborator, and transporter. ss ss ss ss
d. dietitian, manager, and housekeeper. ss ss ss
ANS: A ss
In order for the LPN to apply the common goals of nursing, he or she must assume the roles of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
caregiver, educator, collaborator, manager, and advocate.
ss ss ss ss ss ss
DIF: Cognitive Level: Comprehension ss ss REF: p. 3 OBJ: Theory #2
s s ss ss ss
TOP: Art and Science of Nursing
ss s s ss ss ss ss KEY: Nursing Process Step: N/A
ss ss ss ss
MSC: NCLEX: N/A
ss s s ss
4. Although nursing theories differ in their attempts to define nursing, all of them base their
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss beliefs on common concepts concerning:
ss ss ss ss
, Stuvia.com - The Marketplace to Buy and Sell your Study ss ss ss ss ss ss ss ss ss
Material
a. self-actualization, fundamental needs, and belonging. ss ss ss ss
b. stress reduction, self-care, and a systems model.
ss ss ss ss ss ss
c. curative care, restorative care, and terminal care. ss ss ss ss ss ss
d. human relationships, the environment, and health.
ss ss ss ss ss
ANS: D ss
Although nursing theories differ, they all base their beliefs on human relationships, the
ss ss ss ss ss ss ss ss ss ss ss ss
environment, and health.
ss ss ss
DIF: Cognitive Level: Comprehension ss ss REF: p. 4 OBJ: Theory #2 s s ss ss ss
TOP: Nursing Theories
ss s s ss KEY: Nursing Process Step: N/A ss ss ss ss
MSC: NCLEX: N/A
ss s s ss
5. Standards of care for the nursing practice of the LPN are established by the:
ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Boards of Nursing Examiners in each state. ss ss ss ss ss ss
b. National Council of States Boards of Nursing (NCSBN). ss ss ss ss ss ss ss
c. American Nurses Association (ANA). ss ss ss
d. National Federation of Licensed Practical Nurses. ss ss ss ss ss
ANS: D ss
The National Federation of Licensed Practical Nurses modified the standards published by the
ss ss ss ss ss ss ss ss ss ss ss ss
ANA in 2015 to better fit the role of the LPN. In 2015 the American Nurses Association
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
(ANA) revised the Standards of Nursing Practice which contained 17 standards of national
ss ss ss ss ss ss ss ss ss ss ss ss ss
practice of nursing, describing all facets of nursing practice: who, what, when, where, how.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory #2 ss ss s s ss ss ss
TOP: Standards of Care
ss s s KEY: Nursing Process Step: N/A ss ss ss ss ss ss
MSC: NCLEX: N/A
ss s s VERIFIED-TEST BANK ss ss
6. The LPN demonstrates an evidence-based practice by:
ss ss ss ss ss ss
a. using a drug manual to check compatibility of drugs.
s ss ss ss ss ss ss ss
b. using scientific information to guide decision making.
ss ss ss ss ss ss
c. using medical history of a patient to direct nursing interventions.
ss ss ss ss ss ss ss ss ss
d. basing nursing care on advice from an experienced nurse.
s ss ss ss ss ss ss ss
ANS: B ss
The use of scientific information from high-quality research to guide nursingdecisions is
ss ss ss ss ss ss ss ss ss ss s ss
reflective of the application of evidence-based practice.
ss ss ss ss ss ss ss
DIF: Cognitive Level: Knowledge ss ss REF: p. 7 OBJ: Theory #3 s s ss ss ss
TOP: Evidence-Based Practice
ss s s ss KEY: Nursing Process Step: N/A ss ss ss ss
MSC: NCLEX: N/A
ss s s ss
7. Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New York
ss ss ss ss ss ss ss ss ss ss ss ss ss
in 1893 in order to:
ss ss ss ss ss
a. offer a shelter to injured war veterans.
ss ss ss ss ss ss
b. found a nursing apprenticeship. ss ss ss
c. provide health care to poor persons living in tenements. ss ss ss ss ss ss ss ss
d. offer better housing to low-income families.
ss ss s ss ss
ANS: C ss
, Stuvia.com - The Marketplace to Buy and Sell your Study ss ss ss ss ss ss ss ss ss
Material
Henry Street Settlement Service brought the provision of community health care to the poor
ss ss ss ss ss ss ss ss ss ss ss ss ss
people living in tenements.
ss ss ss ss
DIF: Cognitive Level: Comprehension ss ss REF: p. 2 OBJ: Theory #4s s ss ss ss
TOP: Growth of Nursing
ss s s ss ss KEY: Nursing Process Step: N/A ss ss ss ss
MSC: NCLEX: N/A
ss s s ss
8. An educational pathway for an LPN/LVN refers to an LPN/LVN:
ss ss ss ss ss ss ss ss ss
a. learning on the job and being promoted to a higher level of responsibility.
s ss ss ss ss ss ss ss ss ss ss ss
b. moving from a maternity unit to a more complicated surgical unit.
ss ss ss ss ss ss ss ss ss ss
c. obtainingadditional education to move from one level of nursing to another.
s ss ss ss ss ss ss ss ss ss ss
d. learning that advancement requires consistent work and commitment.
s ss ss ss ss ss ss
ANS: C ss
By broadening the educational base, an LPN/LVN may advance and build a nursing career.
ss ss ss ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Knowledge ss ss REF: p. 7 OBJ: Theory #7s s ss ss ss
TOP: Nursing Education Pathways
ss s s ss ss KEY: Nursing Process Step: N/A ss ss ss ss
MSC: NCLEX: N/A
ss s s ss
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose
ss ss ss ss ss ss ss ss ss ss ss
was to:
ss ss
a. put patients with the same diagnosis on the same unit.
ss ss ss ss ss ss ss ss ss
b. attempt to contain the costs of health care. ss ss ss ss ss ss ss
c. increase the availability of medical care to older adults.
ss ss ss ss ss ss ss ss
d. identify a patient‘s condition more quickly. ss ss ss ss ss
ANS: s s B VERIFIED-TEST BANK ss
The purpose of instituting DRGs was to contain skyrocketing costs of health care.
ss ss ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Knowledge ss ss REF: p. 9 OBJ: Theory #10
s s ss ss ss
TOP: Health Care Delivery
ss s s ss ss KEY: Nursing Process Step: N/A ss ss ss ss
MSC: NCLEX: N/A
ss s s ss
10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care
ss ss ss ss ss ss ss ss ss ss ss ss
agencies:
ss
a. record supportive documentation to confirm a patient‘s need for care in order to
ss ss ss ss ss ss ss ss ss ss ss ss
qualify for reimbursement.
ss ss ss
b. use the DRG rather than their own observations for patient assessment.
ss ss ss ss ss ss ss ss ss ss
c. be aware of the specific drugs related to the diagnosis.
ss ss ss ss ss ss ss ss ss
d. acquire cross-training to make staffing more flexible.
ss ss ss ss ss ss
ANS: A ss
DRGs required that nurses provide more supportive documentation of their assessments and
ss ss ss ss ss ss ss ss ss ss ss
identified patient‘s needs to qualify the facility for Medicare reimbursement. Observant
ss ss ss ss ss ss ss ss ss ss ss
assessment might also indicate another DRG classification and consequently more
ss ss ss ss ss ss ss ss ss ss
reimbursement for the facility.
ss ss ss ss
DIF: Cognitive Level: Comprehension ss ss REF: p. 10 OBJ: Theory #10
s s ss ss ss
TOP: Managed Care
ss s s ss KEY: Nursing Process Step: N/A ss ss ss ss
MSC: NCLEX: N/A
ss s s ss
