WILLIAMS- DEWIT'S

FUNDAMENTAL CONCEPTS AND

SKILLS FOR NURSING, 5TH

EDITION

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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.

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.

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.

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.

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.

DIF: Cognitive Level: ComprehensionREF: 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.

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: ComprehensionREF: 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 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.

DIF: Cognitive Level: ComprehensionREF: 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 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.

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 veterans.

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