SKILLS FOR NURSING BY PATRICIA A. WILLIAMS
WITH 41CHAPTERS ALL COMPLETE WITH
QUESTIONS AND ANSWERS WITH RATIONALES
2026 NEW UPDATE
Nursing and the Health Care System: Chapter 01
1. If a member of a health maintenance organization (HMO) is having respiratory
problems such as fever, cough, and fatigue for several days and wants to see a specialist, the
person is required to go:
a. directly to an emergency room for treatment.
b. to any general practitioner of choice.
c. directly to a respiratory specialist.
d. to a primary care provider for a referral.
ANS: D
Participants in an HMO must see their primary provider to receive a referral for a specialist in
order for the HMO to pay for the care.
DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory #11
TOP: Managed Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. An advantage of preferred provider organizations (PPOs) is that:
a. they make insurance coverage of employees less expensive to employers.
b. there are fewer physicians to choose from than in an HMO.
c. long-term relationships with physicians are more likely.
d. patients may go directly to a specialist for care.
ANS: A
The use of PPOs allows insurance companies to keep their premiums low and in turn makes
insurance coverage less expensive for the employers. There are usually more physicians from
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,which to choose than from an HMO, but long-term relationships between physician and
patient cannot be established easily. Patients still must see their primary physician before
being referred to other specialties.
DIF: Cognitive Level: Knowledge REF: p. 11 OBJ: Theory #11
TOP: Preferred Provider Organizations KEY: Nursing Process Step: N/A MSC: NCLEX:
N/A
3. After passing the National Council Licensure Examination for Practical Nurses
(NCLEX PN), the nurse is qualified to take an additional certification in the field of: a.
pharmacology.
b. care of infants and children.
c. operating room technology.
d. community health.
ANS: A
After becoming an LPN, the nurse may apply for additional certification in pharmacology or
long-term care.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #6
TOP: Educational Opportunities KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
4. Nursing interventions are best defined as activities that:
a. are taken to improve the patient’s health.
b. involve researching methods to maintain asepsis.
c. include the family in nursing care.
d. review guidelines for handling infectious wastes.
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,ANS: A
Interventions are actions taken to improve, maintain, or restore health.
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: Theory #2
TOP: Art and Science of Nursing KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Detection of Disease
5. Nurse Practice Acts define the legal scope of an LPN’s practice, which are written
and enforced by:
a. American Nurses Association.
b. National Council Licensure Examiners.
c. each state.
d. each health care agency.
ANS: C
Each state writes and enforces the Nurse Practice Act, which defines the legal scope of
nursing practice.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory #3
TOP: Nurse Practice Act KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
6. Women volunteers were organized to give nursing care to the wounded soldiers
during the Civil War by:
a. Florence Nightingale.
b. Dorothea Dix.
c. Clara Barton.
d. Lillian Wald.
ANS: B
The Union government appointed Dorothea Dix, a social worker, to organize women
volunteers to provide nursing care for the soldiers during the Civil War.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #4
TOP: Nursing History KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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, 7. The nursing theory presented by Sister Calista Roy is based on:
a. reduction of stress.
b. achievement of maximum level of wellness.
c. relief of self-care deficit.
d. adaptation modes.
ANS: D
Adaptation modes (physiological, psychological, sociological, and independence) are the
basis of the nursing theory of Sister Calista Roy.
DIF: Cognitive Level: Knowledge REF: p. 5|Table 1-1
OBJ: Theory #2 TOP: Nursing Theory KEY: Nursing Process Step: N/A MSC: NCLEX:
N/A
8. The founding of the Red Cross is attributed to:
a. Lillian Wald.
b. Dorothea Dix.
c. Florence Nightingale.
d. Clara Barton.
ANS: D
Clara Barton founded the Red Cross.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #4
TOP: Nursing History KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
9. The nursing theorist whose practice framework is based on 14 fundamental needs is:
a. Dorothy Johnson.
b. Jean Watson.
c. Virginia Henderson.
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