,Chapter 01: Nursing and the Health Care System
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Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
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MULTIPLE CHOICE j
1. Florence Nightingale’s contributions to nursing practice and education:
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a. are historically important but have no validity for nursing today.
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b. were neither recognized nor appreciated in her own time.
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c. were a major factor in reducing the death rate in the Crimean War.
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d. were limited only to the care of severe traumatic wounds.
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ANS: C j
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence
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Nightingale’s nurses dramatically reduced the death rate from injuries in the Crimean War.
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DIF: Cognitive Level: Knowledge j j REF: p. 2 OBJ: Theory #1
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TOP: Nursing History
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MSC: NCLEX: N/A
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2. Early nursing education and care in the United States:
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a. were directed at community health. j j j j
b. provided independence for women through education and employment.
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c. were an educational model based in institutions of higher learning.
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d. have continued to be entirely focused on hospital nursing.
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ANS: B j
Because of the influence of early nNuUrRs iSnI gN Gl eTaBd.eCrOs ,Mnu rs i n g education became more formalized
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through apprenticeships in Nightingale schools that offered independence to women through
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education and employment.
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DIF: Cognitive Level: Knowledge j j REF: p. 2 OBJ: Theory #4
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TOP: Nursing History
j j j KEY: Nursing Process Step: N/A j j j j
MSC: NCLEX: N/A
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,3. In order to fulfill the common goals defined by nursing theorists (promote wellness, prevent
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illness, facilitate coping, and restore health), the LPN must take on the roles of:
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a. caregiver, educator, and collaborator. j j j
b. nursing assistant, delegator, and environmental specialist.
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c. medication dispenser, collaborator, and transporter. j j j j
d. dietitian, manager, and housekeeper. j j j
ANS: A j
In order for the LPN to apply the common goals of nursing, he or she must assume the roles of
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caregiver, educator, collaborator, manager, and advocate.
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DIF: Cognitive Level: Comprehension j j REF: p. 3 OBJ: Theory #2
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TOP: Art and Science of Nursing
j j j j j j KEY: Nursing Process Step: N/A
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MSC: NCLEX: N/A
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4. Although nursing theories differ in their attempts to define nursing, all of them base their
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jbeliefs on common concepts concerning:
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VERIFIED-TEST
, a. self-actualization, fundamental needs, and belonging. j j j j
b. stress reduction, self-care, and a systems model.
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c. curative care, restorative care, and terminal care. j j j j j j
d. human relationships, the environment, and health. j j j j j
ANS: D j
Although nursing theories differ, they all base their beliefs on human relationships, the
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environment, and health.
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DIF: Cognitive Level: Comprehension j j REF: p. 4 OBJ: Theory #2 j j j j
TOP: Nursing Theories
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MSC: NCLEX: N/A
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5. Standards of care for the nursing practice of the LPN are established by the:
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a. Boards of Nursing Examiners in each state. j j j j j j
b. National Council of States Boards of Nursing (NCSBN). j j j j j j j
c. American Nurses Association (ANA). j j j
d. National Federation of Licensed Practical Nurses. j j j j j
ANS: D j
The National Federation of Licensed Practical Nurses modified the standards published by the
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ANA in 2015 to better fit the role of the LPN. In 2015 the American Nurses Association (ANA)
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revised the Standards of Nursing Practice which contained 17 standards of national practice of
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nursing, describing all facets of nursing practice: who, what, when, where, how.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory #2 j j j j j j
TOP: Standards of Care
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MSC: NCLEX: N/A
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6. The LPN demonstrates an evidence-based practice by:
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a. using a drug manual to check compatibility of drugs.
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b. using scientific information to guide decision making.
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c. using medical history of a patient to direct nursing interventions.
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d. basing nursing care on advice from an experienced nurse.
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ANS: B j
The use of scientific information from high-quality research to guide nursing decisions is reflective
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of the application of evidence-based practice.
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DIF: Cognitive Level: Knowledge j j REF: p. 7 OBJ: Theory #3 j j j j
TOP: Evidence-Based Practice
j j j KEY: Nursing Process Step: N/A j j j j
MSC: NCLEX: N/A
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7. Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New York in
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1893 in order to:
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a. offer a shelter to injured war veterans.
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b. found a nursing apprenticeship. j j j
c. provide health care to poor persons living in tenements. j j j j j j j j
d. offer better housing to low-income families.
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ANS: C j