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TEST BANK FOR DEWITS
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FUNDAMENTAL CONCEPTS AND || || ||
SKILLS FOR NURSING 5TH EDITION
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BY MILES DUKE
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Chapter ||01: ||Nursing ||and ||the ||Health ||Care ||System ||
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MULTIPLE ||CHOICE ||
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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. ||ANS: ||C ||
By ||improving ||sanitation, ||nutrition ||ventilation, ||and ||handwashing ||techniques, ||Florence ||Nightingale‘s
||nurses ||dramatically ||reduced ||the ||death ||rate ||from ||injuries ||in ||the ||Crimean ||War. ||
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DIF: || Cognitive ||Level: ||Knowledge ||REF: ||p. ||2 || OBJ: ||Theory ||#1 ||TOP: ||Nursing ||History ||KEY: ||Nursing
||Process ||Step: ||N/A ||MSC: ||NCLEX: ||N/A ||
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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. ||ANS: ||B ||
Because ||of ||the ||influence ||of ||early ||nNuUrRsiSnIgNGleTaBd.eCrOs,Mnursing ||education ||became ||more
||formalized ||through ||apprenticeships ||in ||Nightingale ||schools ||that ||offered ||independence ||to ||women
||through ||education ||and ||employment. ||
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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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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 ||transporter. ||
d. dietitian, ||manager, ||and ||housekeeper. ||ANS: ||A ||
In ||order ||for ||the ||LPN ||to ||apply ||the ||common ||goals ||of ||nursing, ||he ||or ||she ||must ||assume ||the ||roles ||of ||caregiver,
||educator, ||collaborator, ||manager, ||and ||advocate. ||
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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 ||
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4. || Although ||nursing ||theories ||differ ||in ||their ||attempts ||to ||define ||nursing, ||all ||of ||them ||base ||their
||beliefs ||on ||common ||concepts ||concerning: ||
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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. ||
ANS: ||D ||
Although ||nursing ||theories ||differ, ||they ||all ||base ||their ||beliefs ||on ||human ||relationships, ||the
||environment, ||and ||health. ||
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DIF: || Cognitive ||Level: ||Comprehension || REF: || || ||p. ||4 || OBJ: ||Theory ||#2 ||TOP: ||Nursing ||Theories
|| KEY: ||Nursing ||Process ||Step: ||N/A ||MSC: ||NCLEX: ||N/A ||
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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 ||Nurses ||Association ||(ANA). ||
, d. National ||Federation ||of ||Licensed ||Practical ||Nurses. ||
ANS: ||D ||
The ||National ||Federation ||of ||Licensed ||Practical ||Nurses ||modified ||the ||standards ||published ||by ||the
||ANA ||in ||2015 ||to ||better ||fit ||the ||role ||of ||the || LPN. || In ||2015 ||the ||American ||Nurses ||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. ||
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DIF: || Cognitive ||Level: ||Comprehension || REF: || || ||p. ||6 || OBJ: ||Theory ||#2 ||TOP: ||Standards ||of
||Care || KEY: ||Nursing ||Process ||Step: ||N/A ||MSC: ||NCLEX: ||N/A ||
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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 ||patient ||to ||direct ||nursing ||interventions. ||
d. basing ||nursing ||care ||on ||advice ||from ||an ||experienced ||nurse. ||
ANS: ||B ||
The ||use ||of ||scientific ||information ||from ||high-quality ||research ||to ||guide ||nursing ||decisions ||is
||reflective ||of ||the ||application ||of ||evidence-based ||practice. ||
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DIF: || Cognitive ||Level: ||Knowledge ||REF: ||p. ||7 || OBJ: ||Theory ||#3 ||TOP: ||Evidence-Based
||Practice || KEY: ||Nursing ||Process ||Step: ||N/A ||MSC: ||NCLEX: ||N/A ||
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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 ||veterans. ||
b. found ||a ||nursing ||apprenticeship. ||
c. provide ||health ||care ||to ||poor ||persons ||living ||in ||tenements. ||
d. offer ||better ||housing ||to ||low-income ||families. ||ANS: ||C ||
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Henry ||Street ||Settlement ||Service ||brought ||the ||provision ||of ||community ||health ||care ||to ||the ||poor
||people ||living ||in ||tenements. ||
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DIF: || Cognitive ||Level: ||Comprehension || REF: || || ||p. ||2 || OBJ: ||Theory ||#4 ||TOP: ||Growth ||of
||Nursing || KEY: ||Nursing ||Process ||Step: ||N/A ||MSC: ||NCLEX: ||N/A ||
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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. ||ANS: ||C ||
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 ||
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