TEST BANK FOR FUNDAMENTAL CONCEPTS AND SKILLS FOR
NURSING 6TH EDITION BY PATRICIA
A. WILLIAMS CHAPTER 1- 41 COMPLETE GUIDE 2024
,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.
CORRECT ANSWER: C
RATIONALE:->>>By improving sanitation, nutrition ventilation, and handwashing
techniques, Florence Nightingale’s caregivers 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.
CORRECT ANSWER: B
RATIONALE:->>>Because of the influence of early nNuUrRsiSnIgNGleTaBd.eCrOs,Mnursing education
became more formalized through apprenticeships in Nightingale schools that offered
independence to women througheducation 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 trcorrect answerporter.
d. dietitian, manager, and housekeeper.
CORRECT ANSWER: A
RATIONALE:->>>In order for the LPN to apply the common goals of nursing, he or she
must assume the rolesof 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:
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.
CORRECT ANSWER: D
RATIONALE:->>>Although nursing theories differ, they all base their beliefs on
human relationships, theenvironment, 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 Caregivers Association (ANA).
d. National Federation of Licensed Practical Caregivers.
CORRECT ANSWER: D
RATIONALE:->>>The National Federation of Licensed Practical Caregivers modified the
standards published by the ANA in 2015 to better fit the role of the LPN. In 2015 the
American Caregivers 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 client to direct nursing interventions.
d. basing nursing care on advice from an experienced caregiver.
CORRECT ANSWER: B
RATIONALE:->>>The use of scientific information from high-quality research to guide
nursing decisions isreflective 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 vetercorrect answer.
b. found a nursing apprenticeship.
c. provide health care to poor persons living in tenements.
d. offer better housing to low-income families.
CORRECT ANSWER: C
RATIONALE:->>>Henry Street Settlement Service brought the provision of community
health care to the poorpeople 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.
CORRECT ANSWER: C
RATIONALE:->>>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 clients with the same diagnosis on the same unit.
OBJ: Theory #2 TOP: Nursing Theory KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
