FundamentalfConceptsfandfSkillsfforfNursingf6thfEditionfTestfBank
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f
, FundamentalfConceptsfandfSkillsfforfNursingf6thfEditionfTestfBank
Chapter 01: Nursing and the Health Care System
f f f f f f f
MULTIPLEfCHOICE
1. FlorencefNightingale’sfcontributionsftofnursingfpracticefandfeducation:
a. arefhistoricallyfimportantfbutfhavefnofvalidityfforfnursingftoday.
b. werefneitherfrecognizedfnorfappreciatedfinfherfownftime.
c. werefafmajorffactorfinfreducingfthefdeathfratefinfthefCrimeanfWar.
d. wereflimitedfonlyftofthefcarefoffsevereftraumaticfwounds.
ANS:f C
Byfimprovingfsanitation,fnutritionfventilation,fandfhandwashingftechniques,fFlorence
Nightingale’sfnursesfdramaticallyfreducedfthefdeathfrateffromfinjuriesfinfthefCrimeanfWar.
DIF: CognitivefLevel:fKnowledge REF:f f p.f2 OBJ:fTheoryf#1
TOP:f NursingfHistoryf KEY:f NursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
2. EarlyfnursingfeducationfandfcarefinfthefUnitedfStates:
a. werefdirectedfatfcommunityfhealth.
b. providedfindependencefforfwomenfthroughfeducationfandfemployment.
c. werefanfeducationalfmodelfbasedfinfinstitutionsfoffhigherflearning.
d. havefcontinuedftofbefentirelyffocusedfonfhospitalfnursing.
ANS:f B
Becausefoffthefinfluencefoffearlyfnursingflead.ers,fnursingfeducationfbecamefmorefformalizedfthr
oughfapprenticeshipsfinfNightingalefschoolsfthatfofferedfindependenceftofwomenfthroughfeduc
ationfandfemployment.
DIF: CognitivefLevel:fKnowledge REF:f f p.f2 OBJ:fTheoryf#4
TOP:f NursingfHistoryf KEY:f NursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
3. Inforderftoffulfillfthefcommonfgoalsfdefinedfbyfnursingftheoristsf(promotefwellness,fpreventfilln
ess,ffacilitatefcoping,fandfrestorefhealth),fthefLPNfmustftakefonfthefrolesfof:
a. caregiver,feducator,fandfcollaborator.
b. nursingfassistant,fdelegator,fandfenvironmentalfspecialist.
c. medicationfdispenser,fcollaborator,fandftransporter.
d. dietitian,fmanager,fandfhousekeeper.
ANS:f A
InforderfforfthefLPNftofapplyfthefcommonfgoalsfoffnursing,fheforfshefmustfassumefthefrolesfoffcar
egiver,feducator,fcollaborator,fmanager,fandfadvocate.
DIF: CognitivefLevel:fComprehension REF:f f p.f3 OBJ:fTheoryf#2
TOP:f ArtfandfSciencefoffNursingf KEY:f NursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
4. Althoughfnursingftheoriesfdifferfinftheirfattemptsftofdefinefnursing,fallfoffthemfbaseftheirfbeli
efsfonfcommonfconceptsfconcerning:
, FundamentalfConceptsfandfSkillsfforfNursingf6thfEditionfTestfBank
a. self-actualization,ffundamentalfneeds,fandfbelonging.
b. stressfreduction,fself-care,fandfafsystemsfmodel.
c. curativefcare,frestorativefcare,fandfterminalfcare.
d. humanfrelationships,fthefenvironment,fandfhealth.
ANS:f D
Althoughfnursingftheoriesfdiffer,ftheyfallfbaseftheirfbeliefsfonfhumanfrelationships,fthefenvironme
nt,fandfhealth.
DIF: CognitivefLevel:fComprehension REF:f f p.f4 OBJ:fTheoryf#2
TOP:f NursingfTheoriesf KEY:f NursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
5. StandardsfoffcarefforfthefnursingfpracticefoffthefLPNfarefestablishedfbyfthe:
a. BoardsfoffNursingfExaminersfinfeachfstate.
b. NationalfCouncilfoffStatesfBoardsfoffNursingf(NCSBN).
c. AmericanfNursesfAssociationf(ANA).
d. NationalfFederationfoffLicensedfPracticalfNurses.
ANS:f D
ThefNationalfFederationfoffLicensedfPracticalfNursesfmodifiedfthefstandardsfpublishedfbyfthefAN
Afinf2015ftofbetterffitfthefrolefoffthefLPN.fInf2015fthefAmericanfNursesfAssociationf(ANA)frevise
dfthefStandardsfoffNursingfPracticefwhichfcontainedf17fstandardsfoffnationalfpracticefoffnursing,f
describingfallffacetsfoffnursingfpractice:fwho,fwhat,fwhen,fwhere,fhow.
DIF: CognitivefLevel:fComprehension REF:f f p.f6 OBJ:fTheoryf#2
TOP:f StandardsfoffCaref KEY:fNursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
6. ThefLPNfdemonstratesfanfevidence-basedfpracticefby:
a. usingfafdrugfmanualftofcheckfcompatibilityfoffdrugs.
b. usingfscientificfinformationftofguidefdecisionfmaking.
c. usingfmedicalfhistoryfoffafpatientftofdirectfnursingfinterventions.
d. basingfnursingfcarefonfadviceffromfanfexperiencedfnurse.
ANS:f B
Thefusefoffscientificfinformationffromfhigh-
qualityfresearchftofguidefnursingfdecisionsfisfreflectivefoffthefapplicationfoffevidence-
basedfpractice.
DIF: CognitivefLevel:fKnowledge REF:f f p.f7 OBJ:fTheoryf#3
TOP:f Evidence- KEY:f NursingfProcessfStep:fN/A
BasedfPracticefMSC:f NCLEX:f
N/A
7. LillianfWaldfandfMaryfBrewsterfestablishedfthefHenryfStreetfSettlementfServicefinfNewfYorkfinf1
893finforderfto:
a. offerfafshelterftofinjuredfwarfveterans.
b. foundfafnursingfapprenticeship.
c. providefhealthfcareftofpoorfpersonsflivingfinftenements.
d. offerfbetterfhousingftoflow-incomeffamilies.
ANS:f C
, FundamentalfConceptsfandfSkillsfforfNursingf6thfEditionfTestfBank
HenryfStreetfSettlementfServicefbroughtfthefprovisionfoffcommunityfhealthfcareftofthefpoorfpeople
flivingfinftenements.
DIF: CognitivefLevel:fComprehension REF:f f p.f2 OBJ:fTheoryf#4
TOP:f GrowthfoffNursingf KEY:f NursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
8. AnfeducationalfpathwayfforfanfLPN/LVNfrefersftofanfLPN/LVN:
a. learningfonfthefjobfandfbeingfpromotedftofafhigherflevelfoffresponsibility.
b. movingffromfafmaternityfunitftofafmorefcomplicatedfsurgicalfunit.
c. obtainingfadditionalfeducationftofmoveffromfoneflevelfoffnursingftofanother.
d. learningfthatfadvancementfrequiresfconsistentfworkfandfcommitment.
ANS:f C
Byfbroadeningfthefeducationalfbase,fanfLPN/LVNfmayfadvancefandfbuildfafnursingfcareer.
DIF: CognitivefLevel:fKnowledge REF:f f p.f7 OBJ:fTheoryf#7
TOP:f NursingfEducationfPathwaysf KEY:f NursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
9. Whenfdiagnosis-
relatedfgroupsf(DRGs)fwerefestablishedfbyfMedicarefinf1983,fthefpurposefwasfto:
a. putfpatientsfwithfthefsamefdiagnosisfonfthefsamefunit.
b. attemptftofcontainfthefcostsfoffhealthfcare.
c. increasefthefavailabilityfoffmedicalfcareftofolderfadults.
d. identifyfafpatient’sfconditionfmorefquickly.
ANS:f B
ThefpurposefoffinstitutingfDRGsfwasftofcontainfskyrocketingfcostsfoffhealthfcare.
DIF: CognitivefLevel:fKnowledge REF:f f p.f9 OBJ:fTheoryf#10
TOP:f HealthfCarefDeliveryf KEY:fNursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
10. Thefadventfoffdiagnosis-
relatedfgroupsf(DRGs)frequiredfthatfnursesfworkingfinfhealthfcarefagencies:
a. recordfsupportivefdocumentationftofconfirmfafpatient’sfneedfforfcarefinforderfto
qualifyfforfreimbursement.
b. usefthefDRGfratherfthanftheirfownfobservationsfforfpatientfassessment.
c. befawarefoffthefspecificfdrugsfrelatedftofthefdiagnosis.
d. acquirefcross-trainingftofmakefstaffingfmorefflexible.
ANS:f A
DRGsfrequiredfthatfnursesfprovidefmorefsupportivefdocumentationfofftheirfassessmentsfandfidenti
fiedfpatient’sfneedsftofqualifyftheffacilityfforfMedicarefreimbursement.fObservantfassessmentfmig
htfalsofindicatefanotherfDRGfclassificationfandfconsequentlyfmorefreimbursementfforftheffacility.
DIF: CognitivefLevel:fComprehension REF:f f p.f10 OBJ:fTheoryf#10
TOP:f ManagedfCaref KEY:fNursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
f f f
f
, FundamentalfConceptsfandfSkillsfforfNursingf6thfEditionfTestfBank
Chapter 01: Nursing and the Health Care System
f f f f f f f
MULTIPLEfCHOICE
1. FlorencefNightingale’sfcontributionsftofnursingfpracticefandfeducation:
a. arefhistoricallyfimportantfbutfhavefnofvalidityfforfnursingftoday.
b. werefneitherfrecognizedfnorfappreciatedfinfherfownftime.
c. werefafmajorffactorfinfreducingfthefdeathfratefinfthefCrimeanfWar.
d. wereflimitedfonlyftofthefcarefoffsevereftraumaticfwounds.
ANS:f C
Byfimprovingfsanitation,fnutritionfventilation,fandfhandwashingftechniques,fFlorence
Nightingale’sfnursesfdramaticallyfreducedfthefdeathfrateffromfinjuriesfinfthefCrimeanfWar.
DIF: CognitivefLevel:fKnowledge REF:f f p.f2 OBJ:fTheoryf#1
TOP:f NursingfHistoryf KEY:f NursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
2. EarlyfnursingfeducationfandfcarefinfthefUnitedfStates:
a. werefdirectedfatfcommunityfhealth.
b. providedfindependencefforfwomenfthroughfeducationfandfemployment.
c. werefanfeducationalfmodelfbasedfinfinstitutionsfoffhigherflearning.
d. havefcontinuedftofbefentirelyffocusedfonfhospitalfnursing.
ANS:f B
Becausefoffthefinfluencefoffearlyfnursingflead.ers,fnursingfeducationfbecamefmorefformalizedfthr
oughfapprenticeshipsfinfNightingalefschoolsfthatfofferedfindependenceftofwomenfthroughfeduc
ationfandfemployment.
DIF: CognitivefLevel:fKnowledge REF:f f p.f2 OBJ:fTheoryf#4
TOP:f NursingfHistoryf KEY:f NursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
3. Inforderftoffulfillfthefcommonfgoalsfdefinedfbyfnursingftheoristsf(promotefwellness,fpreventfilln
ess,ffacilitatefcoping,fandfrestorefhealth),fthefLPNfmustftakefonfthefrolesfof:
a. caregiver,feducator,fandfcollaborator.
b. nursingfassistant,fdelegator,fandfenvironmentalfspecialist.
c. medicationfdispenser,fcollaborator,fandftransporter.
d. dietitian,fmanager,fandfhousekeeper.
ANS:f A
InforderfforfthefLPNftofapplyfthefcommonfgoalsfoffnursing,fheforfshefmustfassumefthefrolesfoffcar
egiver,feducator,fcollaborator,fmanager,fandfadvocate.
DIF: CognitivefLevel:fComprehension REF:f f p.f3 OBJ:fTheoryf#2
TOP:f ArtfandfSciencefoffNursingf KEY:f NursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
4. Althoughfnursingftheoriesfdifferfinftheirfattemptsftofdefinefnursing,fallfoffthemfbaseftheirfbeli
efsfonfcommonfconceptsfconcerning:
, FundamentalfConceptsfandfSkillsfforfNursingf6thfEditionfTestfBank
a. self-actualization,ffundamentalfneeds,fandfbelonging.
b. stressfreduction,fself-care,fandfafsystemsfmodel.
c. curativefcare,frestorativefcare,fandfterminalfcare.
d. humanfrelationships,fthefenvironment,fandfhealth.
ANS:f D
Althoughfnursingftheoriesfdiffer,ftheyfallfbaseftheirfbeliefsfonfhumanfrelationships,fthefenvironme
nt,fandfhealth.
DIF: CognitivefLevel:fComprehension REF:f f p.f4 OBJ:fTheoryf#2
TOP:f NursingfTheoriesf KEY:f NursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
5. StandardsfoffcarefforfthefnursingfpracticefoffthefLPNfarefestablishedfbyfthe:
a. BoardsfoffNursingfExaminersfinfeachfstate.
b. NationalfCouncilfoffStatesfBoardsfoffNursingf(NCSBN).
c. AmericanfNursesfAssociationf(ANA).
d. NationalfFederationfoffLicensedfPracticalfNurses.
ANS:f D
ThefNationalfFederationfoffLicensedfPracticalfNursesfmodifiedfthefstandardsfpublishedfbyfthefAN
Afinf2015ftofbetterffitfthefrolefoffthefLPN.fInf2015fthefAmericanfNursesfAssociationf(ANA)frevise
dfthefStandardsfoffNursingfPracticefwhichfcontainedf17fstandardsfoffnationalfpracticefoffnursing,f
describingfallffacetsfoffnursingfpractice:fwho,fwhat,fwhen,fwhere,fhow.
DIF: CognitivefLevel:fComprehension REF:f f p.f6 OBJ:fTheoryf#2
TOP:f StandardsfoffCaref KEY:fNursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
6. ThefLPNfdemonstratesfanfevidence-basedfpracticefby:
a. usingfafdrugfmanualftofcheckfcompatibilityfoffdrugs.
b. usingfscientificfinformationftofguidefdecisionfmaking.
c. usingfmedicalfhistoryfoffafpatientftofdirectfnursingfinterventions.
d. basingfnursingfcarefonfadviceffromfanfexperiencedfnurse.
ANS:f B
Thefusefoffscientificfinformationffromfhigh-
qualityfresearchftofguidefnursingfdecisionsfisfreflectivefoffthefapplicationfoffevidence-
basedfpractice.
DIF: CognitivefLevel:fKnowledge REF:f f p.f7 OBJ:fTheoryf#3
TOP:f Evidence- KEY:f NursingfProcessfStep:fN/A
BasedfPracticefMSC:f NCLEX:f
N/A
7. LillianfWaldfandfMaryfBrewsterfestablishedfthefHenryfStreetfSettlementfServicefinfNewfYorkfinf1
893finforderfto:
a. offerfafshelterftofinjuredfwarfveterans.
b. foundfafnursingfapprenticeship.
c. providefhealthfcareftofpoorfpersonsflivingfinftenements.
d. offerfbetterfhousingftoflow-incomeffamilies.
ANS:f C
, FundamentalfConceptsfandfSkillsfforfNursingf6thfEditionfTestfBank
HenryfStreetfSettlementfServicefbroughtfthefprovisionfoffcommunityfhealthfcareftofthefpoorfpeople
flivingfinftenements.
DIF: CognitivefLevel:fComprehension REF:f f p.f2 OBJ:fTheoryf#4
TOP:f GrowthfoffNursingf KEY:f NursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
8. AnfeducationalfpathwayfforfanfLPN/LVNfrefersftofanfLPN/LVN:
a. learningfonfthefjobfandfbeingfpromotedftofafhigherflevelfoffresponsibility.
b. movingffromfafmaternityfunitftofafmorefcomplicatedfsurgicalfunit.
c. obtainingfadditionalfeducationftofmoveffromfoneflevelfoffnursingftofanother.
d. learningfthatfadvancementfrequiresfconsistentfworkfandfcommitment.
ANS:f C
Byfbroadeningfthefeducationalfbase,fanfLPN/LVNfmayfadvancefandfbuildfafnursingfcareer.
DIF: CognitivefLevel:fKnowledge REF:f f p.f7 OBJ:fTheoryf#7
TOP:f NursingfEducationfPathwaysf KEY:f NursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
9. Whenfdiagnosis-
relatedfgroupsf(DRGs)fwerefestablishedfbyfMedicarefinf1983,fthefpurposefwasfto:
a. putfpatientsfwithfthefsamefdiagnosisfonfthefsamefunit.
b. attemptftofcontainfthefcostsfoffhealthfcare.
c. increasefthefavailabilityfoffmedicalfcareftofolderfadults.
d. identifyfafpatient’sfconditionfmorefquickly.
ANS:f B
ThefpurposefoffinstitutingfDRGsfwasftofcontainfskyrocketingfcostsfoffhealthfcare.
DIF: CognitivefLevel:fKnowledge REF:f f p.f9 OBJ:fTheoryf#10
TOP:f HealthfCarefDeliveryf KEY:fNursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
10. Thefadventfoffdiagnosis-
relatedfgroupsf(DRGs)frequiredfthatfnursesfworkingfinfhealthfcarefagencies:
a. recordfsupportivefdocumentationftofconfirmfafpatient’sfneedfforfcarefinforderfto
qualifyfforfreimbursement.
b. usefthefDRGfratherfthanftheirfownfobservationsfforfpatientfassessment.
c. befawarefoffthefspecificfdrugsfrelatedftofthefdiagnosis.
d. acquirefcross-trainingftofmakefstaffingfmorefflexible.
ANS:f A
DRGsfrequiredfthatfnursesfprovidefmorefsupportivefdocumentationfofftheirfassessmentsfandfidenti
fiedfpatient’sfneedsftofqualifyftheffacilityfforfMedicarefreimbursement.fObservantfassessmentfmig
htfalsofindicatefanotherfDRGfclassificationfandfconsequentlyfmorefreimbursementfforftheffacility.
DIF: CognitivefLevel:fComprehension REF:f f p.f10 OBJ:fTheoryf#10
TOP:f ManagedfCaref KEY:fNursingfProcessfStep:fN/A
MSC:f NCLEX:fN/A
