Test Bank for Fundamental Concepts and Skills for Nursing, 3rd Edition: Susan C.

deWit

Test Bank for Fundamental Concepts

and Skills for Nursing, 3rd Edition: Su-
san C. deWit

Full download chapter at: https://testbankbell.com/product/test-

bank-for-fundamental-concepts-and-skills-for-nursing-3rd-edi-
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deWit: Fundamental Concepts and Skills for Nursing, 3rd edition

Test Bank

Chapter 1: Nursing and the Health Care System

MULTIPLE CHOICE

1. Florence Nightingale’s contributions to nursing practice and education

1. are historically important but have no validity for nursing today.
2. were neither recognized nor appreciated in her own time.
3. were a major factor in reducing the death rate in the Crimean War.
4. were continued in the United States in the same model.
ANS: 3
It is important for the nurse to have an understanding of the history of nursing. The
nurse should have knowledge of Florence Nightingale and her contributions to the
nursing profession.

DIF: Cognitive Level: Knowledge REF: Pages 1-2 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

1. were excellent during the Civil War and resulted in reduced death rates.
2. provided independence for women through education and employment.
3. were an educational model based in institutions of higher learning.
4. have continued to be entirely focused on hospital nursing.
ANS: 2
The nurse needs to know of the historical importance of the impact of nursing
education to women.

Visit TestBankBell.com to get complete for all chapters

 Test Bank 1-2

DIF: Cognitive Level: Knowledge REF: Pages 2-3 OBJ: Theory #4

TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A

3. The best description of the role that a student practical nurse must learn to function
as an LPN includes
1. caregiver, educator, and collaborator.
2. nursing assistant, delegator, and environmental specialist.
3. medication dispenser, collaborator, and transporter.
4. dietitian, educator, and housekeeper.
ANS: 1
The nurse needs an understanding of the various roles that she must perform in her
nursing practice.

DIF: Cognitive Level: Knowledge REF: Page 3 OBJ: Theory #8

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
express the relationships among nursing concepts. Which of the following nursing
concepts express the attempts of theorists to define nursing?
1. Self-actualization, fundamental needs, and belonging
2. Stress reduction, self-care, and a systems model
3. Curative care, restorative care, and terminal care
4. Human relationships, the environment, and health
ANS: 4
The nurse needs to be knowledgeable about the various similarities and differences
of nursing theories.

DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: Theory #4

TOP: Nursing Theories KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A

5. Standards of care and clinical nursing practice are established by

1. the individual nurse.
2. the licensing board in each state.
3. professional organizations such as the American Nurses Association.
4. hospitals, nursing homes, or other agencies that employ nurses.
ANS: 3
The nurse needs an understanding of the contributions that professional nursing
organizations make to the nursing profession.

DIF: Cognitive Level: Knowledge REF: Page 5 OBJ: Theory #4

TOP: Nursing Practice KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
 Test Bank 1-3

6. A common goal that is found in many definitions of nursing is to

1. cure illness and prevent death.
2. establish lifelong friendships based on caring.
3. facilitate coping skills and behaviors.
4. choose the best treatments for the patient.
ANS: 3
A nursing goal is to encourage wellness so the patient can be self-reliant to the best
of their ability.

DIF: Cognitive Level: Knowledge REF: Page 4

OBJ: Clinical Practice #1 TOP: Art and Science of Nursing
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A

7. An example of collaboration in a health care agency includes

1. discussing with the dietitian how to best provide additional calories for a patient
in the nursing home who has lost 3 pounds in the last month.
2. assigning a particular nursing assistant to a patient who needs gentle, unhurried
care because the LPN knows the assistant is especially good in this way.
3. reviewing with a patient the medications he will need to take at home to ensure
he knows the correct dosage and timing, as well as side effects.
4. calling a physician to indicate that the terminally ill patient admitted earlier in
the week has died.
ANS: 1
The nurse needs to be able to understand the concept and role of collaboration in the
nursing profession to provide continuity of care.

DIF: Cognitive Level: Comprehension REF: Page 4 OBJ: Theory

#10
TOP: Art and Science of Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A

8. An educational career ladder in health care usually refers to

1. the ability of a nurse to learn on the job and be promoted to a higher or different
level of responsibility.
2. a nurse who works in one department of a hospital and transfers to another, for
example, moving from a surgical unit to a maternity unit.
3. a person obtaining additional education to move from one level of nursing to
another; for example, from nurses’ aide to practical nurse.
4. learning that increasing income from work in health care comes from
experience, time, and commitment.
ANS: 3
 Another random document
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Finally, scrambling out at the top, we found ourselves on a great mound of
tumbled blocks, with the curved walls of higher stonework rising westward,
and the brooding peaks of the great mountains showing beyond the more
crumbled structures toward the east.
The sky above was a churning and opalescent mass of tenuous ice vapors,
and the cold clutched at our vitals.
In less than a quarter of an hour we had found the steep grade to the
foothills—the probable ancient terrace—by which we had descended, and
could see the dark bulk of our great plane amidst the sparse ruins on the
rising slope ahead.
Halfway uphill toward our goal we paused for a momentary breathing spell,
and turned to look again at the fantastic tangle of incredible stone shapes
below us—once more outlined mystically against an unknown west. As we
did so we saw that the sky beyond had lost its morning haziness; the restless
ice vapors having moved up to the zenith, where their mocking outlines
seemed on the point of settling into some bizarre pattern which they feared
to make quite definite or conclusive.

There now lay revealed on the ultimate white horizon behind the grotesque
city a dim, elfin line of pinnacled violet whose needle-pointed heights
loomed dreamlike against the beckoning rose color of the western sky. Up
toward this shimmering rim sloped the ancient table-land, the depressed
course of the bygone river traversing it as an irregular ribbon of shadow.
For a second we gasped in admiration of the scene's unearthly cosmic
beauty, and then vague horror began to creep into our souls. For this far
violet line could be nothing else than the terrible mountains of the forbidden
land—highest of earth's peaks and focus of earth's evil; harborers of
nameless horrors and Archæan secrets; shunned and prayed to by those who
feared to carve their meaning; untrodden by any living thing of earth, but
visited by the sinister lightnings and sending strange beams across the
plains in the polar night.
If the sculptured maps and pictures in that prehuman city had told truly,
these cryptic violet mountains could not be much less than three hundred
miles away; yet none the less sharply did their dim elfin essence jut above
that remote and snowy rim, like the serrated edge of a monstrous alien
planet about to rise into unaccustomed heavens.
Looking at them, I thought nervously of certain sculptured hints of what the
great bygone river had washed down into the city from their accursed
sloping—and wondered how much sense and how much folly had lain in
the fears of those Old Ones who carved them so reticently.
I recalled how their northerly end must come near the coast at Queen Mary
Land, where even at that moment Sir Douglas Mawson's expedition was
doubtless working less than a thousand miles away; and hoped that no evil
fate would give Sir Douglas and his men a glimpse of what might lie
beyond the protecting coastal range. Such thoughts formed a measure of my
overwrought condition at the time—and Danforth seemed to be even worse.
Yet before we had passed the great star-shaped ruin and reached our plane
our fears had become transferred to the lesser, but vast enough, range whose
re-crossing lay ahead of us.
From these foothills the black, ruin-crusted slopes reared up starkly and
hideously against the east, again reminding us of those strange Asian
paintings of Nicholas Roerich; and when we thought of the damnable
honeycombings inside them, and of the frightful amorphous entities that
might have pushed their fetidly squirming sway even to the topmost hollow
pinnacles, we could not face without panic the prospect of again sailing by
those suggestive skyward cave mouths where the wind made sounds like an
evil musical piping over a wide range.
To make matters worse, we saw distinct traces of local mist around several
of the summits—as poor Lake must have done when he made that early
mistake about volcanism—and thought shiveringly of that kindred mist
from which we had just escaped—of that, and of the blasphemous, horror-
fostering abyss whence all such vapors came.
All was well with the plane, and we clumsily hauled on our heavy flying
furs. Danforth got the engine started without trouble, and we made a very
smooth take-off over the nightmare city.
At a very high level there must have been great disturbance, since the ice-
dust clouds of the zenith were doing all sorts of fantastic things; but at
twenty-four thousand feet, the height we needed for the pass, we found
navigation quite practicable.
As we drew close to the jutting peaks the wind's strange piping again
became manifest, and I could see Danforth's hands trembling at the
controls. Rank amateur though I was, I thought at that moment that I might
be a better navigator than he in effecting the dangerous crossing between
pinnacles; and when I made motions to change seats and take over his
duties he did not protest.
I tried to keep all my skill and self-possession about me, and stared at the
sector of reddish farther sky betwixt the walls of the pass.
But Danforth, released from his piloting and keyed up to a dangerous
nervous pitch, could not keep quiet. I felt him turning and wriggling about
as he looked back at the terrible receding city, ahead at the cave-riddled,
cube-barnacled peaks, sidewise at the bleak sea of snowy, rampart-strown
foothills, and upward at the seething, grotesquely clouded sky.
It was then, just as I was trying to steer safely through the pass, that his mad
shrieking brought us so close to disaster, by shattering my tight hold on
myself and causing me to fumble helplessly with the controls for a moment.
A second afterward my resolution triumphed and we made the crossing
safely——Yet I am afraid that Danforth will never be the same again.
I have said that Danforth refused to tell me what final horror made him
scream out so insanely—a horror which, I feel sadly sure, is mainly
responsible for his present breakdown. We had snatches of shouted
conversation above the wind's piping and the engine's buzzing as we
reached the safe side of the range and swooped slowly down toward the
camp, but that had mostly to do with the pledges of secrecy we had made as
we prepared to leave the nightmare city.
All that Danforth has ever hinted is that the final horror was a mirage. It
was not, he declares, anything connected with the cubes and caves of those
echoing, vaporous, wormily honeycombed mountains of madness which we
crossed; but a single fantastic, demonic glimpse, among the churning
westward zenith clouds, of what lay back of those other violet westward
mountains which the Old Ones had shunned and feared.
He has on rare occasions whispered disjointed and irresponsible things
about "the black pit," "the carven rim," "the proto-Shoggoths," "the
windowless solids with five dimensions," "the nameless cylinders," "the
elder pharos," "Yog-Sothoth," "the primal white jelly," "the color out of
space," "the wings," "the eyes in darkness," "the moon-ladder," "the
original, the eternal, the undying," and other bizarre conceptions; but when
he is fully himself he repudiates all this and attributes it to his curious and
macabre reading of earlier years. Danforth, indeed, is known to be among
the few who have ever dared go completely through that worm-riddled copy
of the Necronomicon kept under lock and key in the college library.
The higher sky, as we crossed the range, was surely vaporous and disturbed
enough; and although I did not see the zenith I can well imagine that its
swirls of ice dust may have taken strange forms. Imagination, knowing how
vividly distant scenes can sometimes be reflected, refracted, and magnified
by such layers of restless cloud, might easily have supplied the rest—and,
of course, Danforth did not hint any of these specific horrors till after his
memory had had a chance to draw on his bygone reading. He could never
have seen so much in one instantaneous glance.
At the time, his shrieks were confined to the repetition of a single, mad
word of all too obvious source: "Tekeli-li! Tekeli-li!"
THE END
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