TEST BANK FOR DEWITS FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING 5TH EDITION BY WILLIAMS
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
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: 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.
ANS: D
Although nursing theories differ, they all base their beliefs on human relationships, the
environment, 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 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: 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.
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.
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
Chapter 02: Concepts of Health, Illness, Stress, and Health Promotion
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
MULTIPLE CHOICE
1. The nurse is aware that any description of health would include the concept that:
a. health is the absence of illness, and illness is the presence of chronic disease.
b. culture, education, and socioeconomic status influence one’s definition of health or
illness.
c. illness is a biological malfunction, and health is biological soundness.
d. lifestyle factors are the major determinants of health or illness.
ANS: B
The concept of health is influenced by culture, education, and socioeconomic factors.
DIF: Cognitive Level: Comprehension REF: p. 15
OBJ: Theory #1
TOP: Views of Health and Illness
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Detection of Disease
2. The nurse takes into consideration that the patient with an admitting diagnosis of Type 2
diabetes mellitus and influenza is described as having:
a. two chronic illnesses.
b. two acute illnesses.
c. one chronic and one acute illness.
d. one acute and one infectious illness.
ANS: C
Chronic illnesses can be controlled but not cured, and are long-lasting. Acute illnesses
develop suddenly and resolve in a short time. Type 2 diabetes mellitus would be considered
chronic, whereas influenza would be considered acute.
DIF: Cognitive Level: Application
REF: p. 15
OBJ: Theory #1
TOP: Classification of Illnesses
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Detection of Disease
3. The nurse explains that an idiopathic disease is one that:
a. is caused by inherited characteristics.
b. develops suddenly, related to new viruses.
c. results from injury during labor or delivery.
d. has an unknown cause.
ANS: D
Idiopathic disease is defined as disease whose cause is unknown.
DIF: Cognitive Level: Knowledge
REF: p. 15
OBJ: Theory #1
TOP: Classification of Illnesses
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Detection of Disease
4. The nurse assesses a terminal illness in:
a. a 76-year-old admitted to a nursing home with Alzheimer disease who is pacing
and asking to go home.
Chapter 03: Legal and Ethical Aspects of Nursing
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
MULTIPLE CHOICE
1. A student nurse who is not yet licensed:
a. may not perform nursing actions until he or she has passed the licensing
examination.
b. is not responsible for his or her actions as a student under the state licensing law.
c. are held to the same standards as a licensed nurse.
d. must apply for a temporary student nurse permit to practice as a student.
ANS: C
Student nurses are held to the same standards as a licensed nurse. This means that
although a student nurse may not perform a task as quickly or as smoothly as the licensed
nurse would, the student is expected to perform it as effectively. In other words, she must
achieve the same outcome without harm to the patient. The student is legally responsible for
her own actions or inaction, and many schools require the student to carry malpractice
insurance.
DIF: Cognitive Level: Knowledge
REF: p. 32
OBJ: Theory #1
TOP: Practice Regulations for the Student Nurse
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. During an employment interview, the interviewer asks the nurse applicant about HIV status.
The nurse applicant can legally re
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a. “No,” even though he or she has a positive HIV test.
b. “I don’t know, but I would be willing to be tested.”
c. “I don’t know, and I refuse to be tested.”
d. “You do not have a right to ask me that question.”
ANS: D
In employment practice, it is illegal to discriminate against people with certain diseases or
conditions. Asking a question about health status, especially HIV or AIDS infection, is illegal.
DIF: Cognitive Level: Application
REF: p. 34
OBJ: Clinical Practice #1
TOP: Discrimination KEY:
Nursing Process Step: N/A
MSC: NCLEX: N/A
3. An example of a violation of criminal law by a nurse is:
a. taking a controlled substance from agency supply for personal use.
b. accidentally administering a drug to the wrong patient, who then has a serious
reaction.
c. advising a patient to sue the doctor for a supposed mistake the doctor made.
d. writing a letter to the newspaper outlining questionable or unsafe hospital
practices.
ANS: A
Theft of a controlled substance is a federal crime and consequently a crime against society.
DIF: Cognitive Level: Application
REF: p. 32
OBJ: Theory #2
Chapter 15: Loss, Grief, and End-of-Life Care
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
MULTIPLE CHOICE
1. A 33-year-old patient has been told that her disease is terminal. The patient is crying and
states, “I will just be a dependent drain on my family. I hate being a burden to them.” The
nurse can best respond:
a. “Is there any reason to tell your family about this now? You still have some time in
which you can enjoy life.”
b. “You have heard some very bad news today. Can you describe what you mean by
burden?”
c. “I doubt that your loving family will view your terminal care as a burden.”
d. “I know. I would feel terrible if I had been told I was dying.”
ANS: B
A person’s reaction to a loss is influenced by the importance of what that person perceives the
loss entails. To help the patient validate what the loss means is therapeutic.
DIF: Cognitive Level: Application
REF: p. 200
OBJ: Clinical Practice #2
TOP: Value and Loss
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
2. A patient tells the nurse during an admission interview that his wife “went on to her reward.”
The nurse assesses that this statement is an indication that the patient:
a. has a strong religious belief sy
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b. has dysfunctional grieving and is unable to address his wife’s death.
c. is uncomfortable with the term “death” and is using a euphemism.
d. is no longer grieving the death of his wife.
ANS: C
In many societies there is avoidance of using words such as “died” or “death,” and
euphemisms are commonly used.
DIF: Cognitive Level: Analysis
REF: p. 199
OBJ: Theory #1
TOP: Societal Views of Death
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
3. A neighbor who was widowed 2 months ago gives the nurse his wife Helen’s gardening books
“because the two of you loved flowers.” He tries to hold back tears, but begins to cry. To
decrease his discomfort, the nurse should say:
a. “We certainly did, and I’m going to miss her help—she was a real expert.”
b. “Helen wouldn’t want to see you crying—she would rather you smile and
remember the good times,” and give him a hug.
c. “Things will get easier with time. Time has a way of healing even the most painful
losses.”
d. “Helen is in a better place; you should be glad she isn’t suffering anymore.”
ANS: A
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