,Chapter 01: The Evolution of Nursing Coope
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r: Foundation of Nursing, 9th Edition
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MULTIPLE CHOICE cq
1. What is a nursing program considered when certified by a state agency?
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a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B c q
Approved means certified by a state agency for having met minimum standards; accredited mea
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ns certified by the NLN for having met more complex standards. Provisional and exemplified
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are not terms used in regard to nursing program certification.
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DIF: Cognitive Level: Knowledge REF: p. 10 cq cq c q cq
OBJ: 5 TOP: Nursing programs cq cq c q cq
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
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2. Which of the following must the nurse recognize regarding the health care deliverysystem?
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a. It includes all states. cq cq cq
b. It affects the illness of patients.
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c. Insurance companies are not involved. cq cq cq cq
d. The major goal is to achieve optimal levels of health care.
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ANS: D cq
The nurse must recognize that in the health care delivery system, the major goal is to achieve o
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ptimal levels of health care. The health care system consists of a network of agencies, facilities
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, and providers involved with health care in a specified geographic area. Insurance companies
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do have involvement in the health care system. The illness of patients is not necessarily affecte
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d by the health care system.
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DIF: Cognitive Level: Comprehension REF: p. 12 cq cq c q cq
OBJ: 7 TOP: Healthcare systemscq cq c q cq
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
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3. What is required by the health care team to identify the needs of a patient and to design care to
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meet those needs? cq cq
a.The Kardex cq
b.The health care provider’s order sheet cq cq cq cq cq
c.An individualized care plan cq cq cq
d.The nurse’s notes cq cq
ANS: C cq
An individualized care plan involves all health care workers and outlines care to meet the need
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s of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes do
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not identify the needs of the patient nor are they designed to assist all members of the health ca
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re team to meet those needs.
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DIF: Cognitive Level: Comprehension cq cq REF: p. 13 cq cq cq OBJ: 8 | 9 cq cq cq
, TOP: c q Care plan cq KEY: Nursing Process Step: Planning c q cq cq cq MSC: NCLEX: N/A cq cq
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
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a. increased education concerning causes of illness. cq cq cq cq cq
b. improved insurance payments. cq cq
c. decentralized care centers. cq cq
d. increased number of health care givers. cq cq cq cq cq
ANS: A cq
The acute awareness of preventive medicine has resulted in today’s emphasis on education ab
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out issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
health and wellness promotion activities. This preventive education has resulted in an emphasis
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on wellness, rather than illness. Improved insurance payments, decentralized care centers, and
q cq cq cq cq cq cq cq cq cq cq cq c
increased numbers of health care givers did not influence an emphasis on wellness.
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DIF: Cognitive Level: Comprehension REF: p. 12 cq cq cq cq cq OBJ: 4 | 8 cq cq cq
TOP: Wellness KEY: Nursing Process Step: N/A
c q c q cq cq cq MSC: NCLEX: N/A cq cq
5. What is the most effective process to ensure that the care plan is meeting the needs of the p
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atient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B cq
Communication is the primary essential component among the health care team to evaluate an cq cq cq cq cq cq cq cq cq cq cq cq cq
d modify the care plan. Documentation, evaluation, and planning are not primary essential com
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ponents to ensure the care plan is meeting the needs of the patient.
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DIF: Cognitive Level: Comprehension REF: p. 17 cq cq c q cq
OBJ: 8 TOP: Communication cq cq c q
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
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6. How does an interdisciplinary approach to patient treatment enhance care?
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a. By improving efficiency of care
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b. By reducing the number of caregivers
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c. By preventing the fragmentation of patient care
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d. By shortening hospital stay cq cq cq
ANS: C cq
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
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does not improve the efficiency of care, reduce the number of caregivers, or shorten hospital
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stay.
DIF: Cognitive Level: Comprehension REF: p. 16
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OBJ: 8 | 9 TOP: Interdisciplinary cq cq cq cq c q c
approach
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KEY: Nursing Process Step: N/A cq cq cq cq cq
MSC: NCLEX: N/A cq cq
7. How may a newly licensed LPN/LVN practice?
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a. Independently in a hospital setting cq cq cq cq
, b. With an experienced LPN/LVN cq cq cq
c. Under the supervision of a health care provider or RN cq cq cq cq cq cq cq cq cq
d. As a sole health care provider in a clinic setting
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ANS: C cq
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
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DIF: Cognitive Level: Knowledge REF: p. 11 cq cq c q cq
OBJ: 11 TOP: Vocational nursing cq cq c q cq
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
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8. Whose influence on nursing practice in the 19th century was related to improvement of patient e
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nvironment as a method of health promotion? cq cq cq cq cq cq
a. Clara Barton cq
b. Linda Richards cq
c. Dorothea Dix cq
d. Florence Nightingale cq
ANS: D cq
The influence of Florence Nightingale was highly significant in the 19th century as she fought
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for sanitary conditions, fresh air, and general improvement in the patient environment. Clara B
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arton developed the American Red Cross in 1881. Linda Richards is known as the first trained
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nurse in America, was responsible for the development of the first nursing and hospital records,
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and is credited with the development of our present-day documentation system.
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Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and
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superintendent of female nurses of the Union Army.
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DIF: Cognitive Level: Knowledge
c q cq cq REF: p. 17 c q cq
OBJ: 2 | 4 TOP: Nursing leaders
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KEY: Nursing Process Step: N/A cq cq cq cq cq
MSC: NCLEX: N/A cq cq
9. What document identifies the roles and responsibilities of the LPN/LVN?
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a. NLN Accreditation Standards cq cq
b. Nurse Practice Act cq cq
c. NAPNE Code cq
d. American Nurses’ AssociationCode cq cq cq
ANS: B cq
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the
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NAPNE Code, and the American Nurses’ Association Code do not identify the roles and
cq cq cq cq cq cq cq cq cq cq cq cq cq cq
responsibilities of the LPN/LVN. cq cq cq
DIF: Cognitive Level: Knowledge REF: p. 12 |p. 14 cq cq c q cq cq cq
OBJ: 11 TOP: Rolesand responsibilities
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KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
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10. What is a cost- cq cq cq
effective delivery of care used by many hospitals that allows the LPN/LVN to work with the R
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N to meet the needs of patients?
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a. Focused nursing cq
b. Team nursing cq
c. Case management cq
d. Primary nursing cq
cq cq cq cq cq cq
r: Foundation of Nursing, 9th Edition
cq cq cq cq cq
MULTIPLE CHOICE cq
1. What is a nursing program considered when certified by a state agency?
cq cq cq cq cq cq cq cq cq cq cq
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B c q
Approved means certified by a state agency for having met minimum standards; accredited mea
cq cq cq cq cq cq cq cq cq cq cq cq cq
ns certified by the NLN for having met more complex standards. Provisional and exemplified
cq cq cq cq cq cq cq cq cq cq cq cq cq cq
are not terms used in regard to nursing program certification.
cq cq cq cq cq cq cq cq cq
DIF: Cognitive Level: Knowledge REF: p. 10 cq cq c q cq
OBJ: 5 TOP: Nursing programs cq cq c q cq
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
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2. Which of the following must the nurse recognize regarding the health care deliverysystem?
cq cq cq cq cq cq cq cq cq cq cq cq
a. It includes all states. cq cq cq
b. It affects the illness of patients.
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c. Insurance companies are not involved. cq cq cq cq
d. The major goal is to achieve optimal levels of health care.
cq cq cq cq cq cq cq cq cq cq
ANS: D cq
The nurse must recognize that in the health care delivery system, the major goal is to achieve o
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
ptimal levels of health care. The health care system consists of a network of agencies, facilities
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
, and providers involved with health care in a specified geographic area. Insurance companies
cq cq cq cq cq cq cq cq cq cq cq cq cq cq
do have involvement in the health care system. The illness of patients is not necessarily affecte
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
d by the health care system.
cq cq cq cq cq
DIF: Cognitive Level: Comprehension REF: p. 12 cq cq c q cq
OBJ: 7 TOP: Healthcare systemscq cq c q cq
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
cq cq cq cq cq cq cq
3. What is required by the health care team to identify the needs of a patient and to design care to
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
meet those needs? cq cq
a.The Kardex cq
b.The health care provider’s order sheet cq cq cq cq cq
c.An individualized care plan cq cq cq
d.The nurse’s notes cq cq
ANS: C cq
An individualized care plan involves all health care workers and outlines care to meet the need
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
s of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes do
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
not identify the needs of the patient nor are they designed to assist all members of the health ca
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
re team to meet those needs.
cq cq cq cq cq
DIF: Cognitive Level: Comprehension cq cq REF: p. 13 cq cq cq OBJ: 8 | 9 cq cq cq
, TOP: c q Care plan cq KEY: Nursing Process Step: Planning c q cq cq cq MSC: NCLEX: N/A cq cq
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
cq cq cq cq cq cq cq cq cq cq cq cq
a. increased education concerning causes of illness. cq cq cq cq cq
b. improved insurance payments. cq cq
c. decentralized care centers. cq cq
d. increased number of health care givers. cq cq cq cq cq
ANS: A cq
The acute awareness of preventive medicine has resulted in today’s emphasis on education ab
cq cq cq cq cq cq cq cq cq cq cq cq cq
out issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
health and wellness promotion activities. This preventive education has resulted in an emphasis
cq cq cq cq cq cq cq cq cq cq cq cq c
on wellness, rather than illness. Improved insurance payments, decentralized care centers, and
q cq cq cq cq cq cq cq cq cq cq cq c
increased numbers of health care givers did not influence an emphasis on wellness.
q cq cq cq cq cq cq cq cq cq cq cq cq
DIF: Cognitive Level: Comprehension REF: p. 12 cq cq cq cq cq OBJ: 4 | 8 cq cq cq
TOP: Wellness KEY: Nursing Process Step: N/A
c q c q cq cq cq MSC: NCLEX: N/A cq cq
5. What is the most effective process to ensure that the care plan is meeting the needs of the p
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
atient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B cq
Communication is the primary essential component among the health care team to evaluate an cq cq cq cq cq cq cq cq cq cq cq cq cq
d modify the care plan. Documentation, evaluation, and planning are not primary essential com
cq cq cq cq cq cq cq cq cq cq cq cq cq
ponents to ensure the care plan is meeting the needs of the patient.
cq cq cq cq cq cq cq cq cq cq cq cq
DIF: Cognitive Level: Comprehension REF: p. 17 cq cq c q cq
OBJ: 8 TOP: Communication cq cq c q
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
cq cq cq cq cq cq cq
6. How does an interdisciplinary approach to patient treatment enhance care?
cq cq cq cq cq cq cq cq cq
a. By improving efficiency of care
cq cq cq cq
b. By reducing the number of caregivers
cq cq cq cq cq
c. By preventing the fragmentation of patient care
cq cq cq cq cq cq
d. By shortening hospital stay cq cq cq
ANS: C cq
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
cq cq cq cq cq cq cq cq cq cq
does not improve the efficiency of care, reduce the number of caregivers, or shorten hospital
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
stay.
DIF: Cognitive Level: Comprehension REF: p. 16
c q cq cq c q cq cq
OBJ: 8 | 9 TOP: Interdisciplinary cq cq cq cq c q c
approach
q
KEY: Nursing Process Step: N/A cq cq cq cq cq
MSC: NCLEX: N/A cq cq
7. How may a newly licensed LPN/LVN practice?
cq cq cq cq cq cq
a. Independently in a hospital setting cq cq cq cq
, b. With an experienced LPN/LVN cq cq cq
c. Under the supervision of a health care provider or RN cq cq cq cq cq cq cq cq cq
d. As a sole health care provider in a clinic setting
cq cq cq cq cq cq cq cq cq
ANS: C cq
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
cq cq cq cq cq cq cq cq cq cq cq cq cq cq
DIF: Cognitive Level: Knowledge REF: p. 11 cq cq c q cq
OBJ: 11 TOP: Vocational nursing cq cq c q cq
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
cq cq cq cq cq cq cq
8. Whose influence on nursing practice in the 19th century was related to improvement of patient e
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
nvironment as a method of health promotion? cq cq cq cq cq cq
a. Clara Barton cq
b. Linda Richards cq
c. Dorothea Dix cq
d. Florence Nightingale cq
ANS: D cq
The influence of Florence Nightingale was highly significant in the 19th century as she fought
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
for sanitary conditions, fresh air, and general improvement in the patient environment. Clara B
cq cq cq cq cq cq cq cq cq cq cq cq cq
arton developed the American Red Cross in 1881. Linda Richards is known as the first trained
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
nurse in America, was responsible for the development of the first nursing and hospital records,
cq cq cq cq cq cq cq cq cq cq cq cq cq cq c
and is credited with the development of our present-day documentation system.
q cq cq cq cq cq cq cq cq cq cq
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
superintendent of female nurses of the Union Army.
cq cq cq cq cq cq cq cq
DIF: Cognitive Level: Knowledge
c q cq cq REF: p. 17 c q cq
OBJ: 2 | 4 TOP: Nursing leaders
cq cq cq cq c q cq
KEY: Nursing Process Step: N/A cq cq cq cq cq
MSC: NCLEX: N/A cq cq
9. What document identifies the roles and responsibilities of the LPN/LVN?
cq cq cq cq cq cq cq cq cq
a. NLN Accreditation Standards cq cq
b. Nurse Practice Act cq cq
c. NAPNE Code cq
d. American Nurses’ AssociationCode cq cq cq
ANS: B cq
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the
cq cq cq cq cq cq cq cq cq cq cq cq
NAPNE Code, and the American Nurses’ Association Code do not identify the roles and
cq cq cq cq cq cq cq cq cq cq cq cq cq cq
responsibilities of the LPN/LVN. cq cq cq
DIF: Cognitive Level: Knowledge REF: p. 12 |p. 14 cq cq c q cq cq cq
OBJ: 11 TOP: Rolesand responsibilities
cq cq c q cq
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
cq cq cq cq cq cq cq
10. What is a cost- cq cq cq
effective delivery of care used by many hospitals that allows the LPN/LVN to work with the R
cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq cq
N to meet the needs of patients?
cq cq cq cq cq cq
a. Focused nursing cq
b. Team nursing cq
c. Case management cq
d. Primary nursing cq