Dewits Fundamental Concepts And Skills For Nursing 5th Edition Williams Test Bank

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