TEST BANK Foundations and Adult Health Nursing 9/E Kim Cooper
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Chapter 1. The Evolution of Nursing
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Cooper: Foundations and Adult Health Nursing, 9th Edition
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MULTIPLE CHOICE FT L
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: F T L B
Approved means certified by a state agency for having met minimum standards; accredited FT L FT L L
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means certified by the NLN for having met more complex standards. Provisional and
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exemplified are not terms used in regard to nursing program certification.
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DIF: Cognitive Level: Knowledge FT L FT L REF: F T L p. 10 OBJ: L
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N/A MSC: NCLEX: N/A
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2. Which of the following must the nurse recognize regarding the health care delivery system?
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a. It includes all states. FT L FT L L
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b. It affects the illness of patients.
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c. Insurance companies are not involved. L
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d. The major goal is to achieve optimal levels of health care. FT L L
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ANS: F T L D
The nurse must recognize that in the health care delivery system, the major goal is to achieve
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optimal levels of health care. The health care system consists of a network of agencies,
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facilities, and providers involved with health care in a specified geographic area. Insurance
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companies do have involvement in the health care system. The illness of patients is not
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necessarily affected by the health care system.
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DIF: Cognitive Level: Comprehension FT L FT L REF: F T L p. 12 OBJ: L
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TOP:
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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?
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a. The Kardex FT L
b. The health care provider’s order sheet L
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c. An individualized care plan L
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d. The nurse’s notes L
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ANS: F T L C
An individualized care plan involves all health care workers and outlines care to meet the
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needs of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s
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notes do not identify the needs of the patient nor are they designed to assist all members of the
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health care team to meet those needs.
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DIF: Cognitive Level: Comprehension L
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, TOP: F T L Care plan FTL KEY: F T L Nursing Process Step: Planning L
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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. L
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b. improved insurance payments. FT L L
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c. decentralized care centers. L
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d. increased number of health care givers. FT L FT L FT L L
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ANS: F T L A
The acute awareness of preventive medicine has resulted in today’s emphasis on education
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about issues such as smoking, heart disease, drug and alcohol abuse, weight control, and
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mental health and wellness promotion activities. This preventive education has resulted in an
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emphasis on wellness, rather than illness. Improved insurance payments, decentralized care
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centers, and increased numbers of health care givers did not influence an emphasis on
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wellness.
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DIF: Cognitive Level: Comprehension REF: p. 12 FT L L
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TOP: Wellness KEY: Nursing Process Step: N/A
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5. What is the most effective process to ensure that the care plan is meeting the needs of the
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FT Lpatient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: F T L B
Communication is the primary essential component among the health care team to evaluate FT L FT L L
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and modify the care plan. Documentation, evaluation, and planning are not primary essential
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components to ensure the care plan is meeting the needs of the patient.
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DIF: Cognitive Level: Comprehension L
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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 L
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b. By reducing the number of caregivers FT L FT L L
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c. By preventing the fragmentation of patient care
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d. By shortening hospital stay FT L L
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ANS: F T L C
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.
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DIF: Cognitive Level: Comprehension
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7. How may a newly licensed LPN/LVN practice?
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a. Independently in a hospital setting L
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, b. With an experienced LPN/LVN L
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c. Under the supervision of a health care provider or RN L
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d. As a sole health care provider in a clinic setting L
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ANS: F T L C
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
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DIF: Cognitive Level: Knowledge FT L FT L REF: F T L p. 11 OBJ:L
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F 11 TOP:
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8. Whose influence on nursing practice in the 19th century was related to improvement of patient
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environment as a method of health promotion?
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a. Clara Barton L
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b. Linda Richards FT L
c. Dorothea Dix L
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d. Florence Nightingale FT L
ANS: F T L D
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
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Barton developed the American Red Cross in 1881. Linda Richards is known as the first
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trained nurse in America, was responsible for the development of the first nursing and hospital
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records, 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 FT L L
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superintendent of female nurses of the Union Army.
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DIF: Cognitive Level: Knowledge F T L FT L FT L REF: F T L p. 17 OBJ: 2 | 4
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9. What document identifies the roles and responsibilities of the LPN/LVN?
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a. NLN Accreditation Standards L
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b. Nurse Practice Act L
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c. NAPNE Code FT L
d. American Nurses’ Association Code T
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ANS: F T L B
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
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responsibilities of the LPN/LVN.
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DIF: Cognitive Level: Knowledge REF: FT L FT L F T L p. 12 | p. 14 OBJ:
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10. What is a cost-effective delivery of care used by many hospitals that allows the LPN/LVN to
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work with the RN to meet the needs of patients?
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a. Focused nursing L
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b. Team nursing L
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c. Case management FT L
d. Primary nursing L
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, ANS: F T L C
Case management is a cost-effective method of care. Focused nursing, team nursing, and
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primary nursing are not cost-effective methods of delivering care that allow the LPN/LVN to
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work with the RN to meet patient needs.
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DIF: Cognitive Level: Comprehension F REF: p. 15 OBJ: 7 | 9
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N/A MSC: NCLEX: N/A
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11. What is the title of the American Hospital Association’s 1972 document that outlines the
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FT patient’s expectations to be treated with dignity and compassion?
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a. Code of Ethics FT L L
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b. Patient’s Bill of Rights L
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c. OBRA
d. Advance directives FT L
ANS: F T L B
Patient expectations are outlined by the Patient’s Bill of Rights. Patient expectations are not
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outlined in the Code of Ethics, OBRA, or advance directives.
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DIF: Cognitive Level: Knowledge FT L FT L REF: p. 16 OBJ: F T L FT L F T L 4
| 8 TOP:
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MSC: NCLEX: N/A F T L FT L
12. The relationships among nursing, patients, health, and the environment are the basis for:
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a. care plans. L
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b. nursing models. FT L
c. health care provider’s orders. FT L L
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d. evaluation of patient care. FT L L
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ANS: F T L B
Nursing models are theories based on the relationship between nursing, patients, health, and
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environment. Care plans, health care provider’s orders, and evaluation of patient care are not
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based on the relationships among nursing, patients, health, and environment.
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DIF: Cognitive Level: Comprehension FT L FT L REF: F T L p. 17 OBJ: FT1 L F T L
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13. What system reduces the number of employees but still provides quality care for patients?
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a. Team nursing L
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b. Cross-training
c. Use of critical pathways L
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d. Case management FT L
ANS: F T L B
Cross-training reduces the number of employees but does not alter the quality of patient care. L
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Team nursing, use of critical pathways, and case management do not reduce the number of
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employees while continuing to provide quality care for patients.
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DIF: Cognitive Level: Comprehension REF: p. 15 L
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TOP: Patient care KEY: Nursing Process Step: N/A
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Chapter 1. The Evolution of Nursing
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Cooper: Foundations and Adult Health Nursing, 9th Edition
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MULTIPLE CHOICE FT L
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: F T L B
Approved means certified by a state agency for having met minimum standards; accredited FT L FT L L
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means certified by the NLN for having met more complex standards. Provisional and
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exemplified are not terms used in regard to nursing program certification.
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DIF: Cognitive Level: Knowledge FT L FT L REF: F T L p. 10 OBJ: L
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TOP:
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N/A MSC: NCLEX: N/A
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2. Which of the following must the nurse recognize regarding the health care delivery system?
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a. It includes all states. FT L FT L L
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b. It affects the illness of patients.
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c. Insurance companies are not involved. L
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d. The major goal is to achieve optimal levels of health care. FT L L
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ANS: F T L D
The nurse must recognize that in the health care delivery system, the major goal is to achieve
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optimal levels of health care. The health care system consists of a network of agencies,
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facilities, and providers involved with health care in a specified geographic area. Insurance
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companies do have involvement in the health care system. The illness of patients is not
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necessarily affected by the health care system.
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DIF: Cognitive Level: Comprehension FT L FT L REF: F T L p. 12 OBJ: L
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TOP:
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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?
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a. The Kardex FT L
b. The health care provider’s order sheet L
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c. An individualized care plan L
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d. The nurse’s notes L
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ANS: F T L C
An individualized care plan involves all health care workers and outlines care to meet the
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needs of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s
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notes do not identify the needs of the patient nor are they designed to assist all members of the
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health care team to meet those needs.
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DIF: Cognitive Level: Comprehension L
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FT REF: F T L F T L p. 13 L
FT OBJ: F T L F T L 8 |9 FT L L
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, TOP: F T L Care plan FTL KEY: F T L Nursing Process Step: Planning L
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FT MSC: F T L NCLEX: N/A FT L
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. L
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b. improved insurance payments. FT L L
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c. decentralized care centers. L
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d. increased number of health care givers. FT L FT L FT L L
FT FT L
ANS: F T L A
The acute awareness of preventive medicine has resulted in today’s emphasis on education
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about issues such as smoking, heart disease, drug and alcohol abuse, weight control, and
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mental health and wellness promotion activities. This preventive education has resulted in an
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emphasis on wellness, rather than illness. Improved insurance payments, decentralized care
FT L FT L FT L FT L FT L FT L FT L FT L FT L L
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FT
centers, and increased numbers of health care givers did not influence an emphasis on
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wellness.
FT L
DIF: Cognitive Level: Comprehension REF: p. 12 FT L L
FT F T L F T L FT L OBJ: F T L F T 4 |8
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TOP: Wellness KEY: Nursing Process Step: N/A
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5. What is the most effective process to ensure that the care plan is meeting the needs of the
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FT Lpatient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: F T L B
Communication is the primary essential component among the health care team to evaluate FT L FT L L
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and modify the care plan. Documentation, evaluation, and planning are not primary essential
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components to ensure the care plan is meeting the needs of the patient.
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DIF: Cognitive Level: Comprehension L
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TOP:
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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 L
FT FT L L
FT L
FT
b. By reducing the number of caregivers FT L FT L L
FT FT L FT L
c. By preventing the fragmentation of patient care
FT L FT L FT L L
FT L
FT L
FT
d. By shortening hospital stay FT L L
FT FT L
ANS: F T L C
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
L
FT FT L FT L FT L L
FT FT L L
T
F L
FT FT L
does not improve the efficiency of care, reduce the number of caregivers, or shorten hospital
FT L FT L L
FT L
FT FT L FT L L
FT L
FT FT L FT L FT L L
FT L
FT L
FT L
FT
stay.
FT L
DIF: Cognitive Level: Comprehension
F REF:
T p. 16 OBJ: 8 | 9
L FT L L
FT F T L F T L F T L L
FT F T L L
FT FT L
TOP:
FT L Interdisciplinary approach KEY: Nursing Process Step:
F T L L
FT F T L L
T
F L
FT
N/A MSC: NCLEX: N/A
L
T
F FT L F T L FT L
7. How may a newly licensed LPN/LVN practice?
FT L L
FT L
FT L
FT L
FT L
FT
a. Independently in a hospital setting L
FT L
FT L
FT FT L
, b. With an experienced LPN/LVN L
FT L
FT L
FT
c. Under the supervision of a health care provider or RN L
FT FT L FT L FT L L
FT L
FT L
FT L
FT FT L
d. As a sole health care provider in a clinic setting L
FT FT L FT L FT L L
FT FT L L
FT FT L L
FT
ANS: F T L C
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
L
FT FT L L
FT L
FT L
FT L
FT FT L L
FT FT L L
FT FT L L
FT L
FT FT L
DIF: Cognitive Level: Knowledge FT L FT L REF: F T L p. 11 OBJ:L
FT
F 11 TOP:
T LVocational nursing FT L F T L FT L KEY: F T L Nursing Process Step: L
T
F L
FT
N/A MSC: NCLEX: N/A
L
T
F FT L F T L FT L
8. Whose influence on nursing practice in the 19th century was related to improvement of patient
L
FT L
FT L
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FT FT L FT L FT L L
FT L
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FT FTL FT L L
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FT
environment as a method of health promotion?
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FT L
FT FT L
a. Clara Barton L
FT
b. Linda Richards FT L
c. Dorothea Dix L
FT
d. Florence Nightingale FT L
ANS: F T L D
The influence of Florence Nightingale was highly significant in the 19th century as she fought
FT L L
FT L
FT L
FT FT L FT L FT L L
FT FT L FT L L
FT L
FT L
FT L
FT
for sanitary conditions, fresh air, and general improvement in the patient environment. Clara
FT L L
FT FT L FT L FT L FT L L
FT FT L FT L FT L FT L FT L L
FT
Barton developed the American Red Cross in 1881. Linda Richards is known as the first
FT L FT L FT L FT L FT L FT L L
FT FT L L
FT FT L L
FT FT L FT L FT L FT L
trained nurse in America, was responsible for the development of the first nursing and hospital
FT L L
FT FT L T
F L FT L L
FT L
FT L
FT FT L L
FT L
FT L
FT FT L L
FT FT L
records, and is credited with the development of our present-day documentation system.
FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT FT L FT L
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and FT L L
FT L
FT FT L FT L FT L L
FT L
FT FT L L
FT FT L L
FT L
FT L
FT FT L L
FT
superintendent of female nurses of the Union Army.
FT L L
FT FT L FT L L
FT FT L FT L L
FT
DIF: Cognitive Level: Knowledge F T L FT L FT L REF: F T L p. 17 OBJ: 2 | 4
L
FT F T L L
FT FT L
TOP:
FT L Nursing leaders F T L L
FT KEY: F T L Nursing Process Step: L
T
F L
FT
N/A MSC: NCLEX: N/A
L
T
F FT L F T L FT L
9. What document identifies the roles and responsibilities of the LPN/LVN?
FT L L
FT L
FT L
FT FTL FT L L
FT L
FT L
FT
a. NLN Accreditation Standards L
T
F L
FT
b. Nurse Practice Act L
FT L
T
F
c. NAPNE Code FT L
d. American Nurses’ Association Code T
FL L
T
F FT L
ANS: F T L B
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the
L
T
F L
FT L
FT L
FT FT L FT L T
FL L
FT L
T
F L
FT L
FT
NAPNE Code, and the American Nurses’ Association Code do not identify the roles and
FT L FT L FT L FT L L
FT FT L T
FL L
FT L
FT FT L FT L L
FT FT L FT L
responsibilities of the LPN/LVN.
FT L FT L FT L FT L
DIF: Cognitive Level: Knowledge REF: FT L FT L F T L p. 12 | p. 14 OBJ:
L
FT FT L FT L FT L
F 11 TOP:
T LRoles and responsibilities KEY:FT L F T L FT L FT L F T L Nursing Process Step: L
T
F L
FT
N/A MSC: NCLEX: N/A
L
T
F FT L F T L FT L
10. What is a cost-effective delivery of care used by many hospitals that allows the LPN/LVN to
FT L FT L L
FT L
FT L
FT FT L L
FT L
FT FT L L
FT L
FT L
FT L
FT L
FT L
FT
work with the RN to meet the needs of patients?
FT L L
FT FT L FT L FT L FT L FT L FT L FT L FT L
a. Focused nursing L
FT
b. Team nursing L
T
F
c. Case management FT L
d. Primary nursing L
FT
, ANS: F T L C
Case management is a cost-effective method of care. Focused nursing, team nursing, and
FT L FT L FT L FT L FT L L
FT FT L FT L FT L FT L FT L FT L
primary nursing are not cost-effective methods of delivering care that allow the LPN/LVN to
FT L L
FT L
FT L
FT FT L L
FT L
FT L
FT FT L FT L L
FT L
FT FT L FT L
work with the RN to meet patient needs.
FT L L
FT FT L FT L FT L L
FT FT L L
FT
DIF: Cognitive Level: Comprehension F REF: p. 15 OBJ: 7 | 9
T L FT L L
FT F T L F T L F T L L
FT F T L L
FT FT L
TOP:
FT L Patient care delivery systems KEY: Nursing Process Step:
F T L FT L FT L FT L F T L L
T
F L
FT
N/A MSC: NCLEX: N/A
L
T
F FT L F T L FT L
11. What is the title of the American Hospital Association’s 1972 document that outlines the
T
F L FT L FT L L
FT FT L L
T
F L
FT L
T
F FT L FT L L
FT L
FT L
FT
FT patient’s expectations to be treated with dignity and compassion?
L FT L FT L L
FT FT L FT L FT L FT L FT L
a. Code of Ethics FT L L
FT
b. Patient’s Bill of Rights L
FT FT L L
FT
c. OBRA
d. Advance directives FT L
ANS: F T L B
Patient expectations are outlined by the Patient’s Bill of Rights. Patient expectations are not
FT L L
FT L
FT L
FT L
FT L
FT L
FT FT L FT L L
FT L
FT FT L L
FT
outlined in the Code of Ethics, OBRA, or advance directives.
FT L FT L FT L FT L FT L L
FT FT L FT L FT L FT L
DIF: Cognitive Level: Knowledge FT L FT L REF: p. 16 OBJ: F T L FT L F T L 4
| 8 TOP:
L L
FT T
FPatient’s rights KEY:
FT L F T L FT L Nursing Process Step: N/A L
FT FT L L
FT
MSC: NCLEX: N/A F T L FT L
12. The relationships among nursing, patients, health, and the environment are the basis for:
L
FT FT L FT L L
FT FT L L
FT L
FT L
FT L
FT L
FT L
FT L
FT
a. care plans. L
FT
b. nursing models. FT L
c. health care provider’s orders. FT L L
FT L
FT
d. evaluation of patient care. FT L L
FT L
FT
ANS: F T L B
Nursing models are theories based on the relationship between nursing, patients, health, and
FT L FT L FT L FT L FT L L
FT FT L FT L FT L FT L L
FT FT L
environment. Care plans, health care provider’s orders, and evaluation of patient care are not
FT L FT L L
FT L
FT L
FT L
FT L
FT L
FT FT L L
FT L
FT L
FT FT L FT L
based on the relationships among nursing, patients, health, and environment.
FT L FT L L
FT FT L FT L FT L FT L L
FT FT L L
FT
DIF: Cognitive Level: Comprehension FT L FT L REF: F T L p. 17 OBJ: FT1 L F T L
TOP:
FT L Nursing models F T L L
FT KEY: F T L Nursing Process Step: L
T
F L
FT
N/A MSC: NCLEX: N/A
L
T
F FT L F T L FT L
13. What system reduces the number of employees but still provides quality care for patients?
FT L L
FT FT L L
FT L
FT L
FT L
FT L
FT FTL FT L FT L L
FT L
FT
a. Team nursing L
T
F
b. Cross-training
c. Use of critical pathways L
FT FT L L
FT
d. Case management FT L
ANS: F T L B
Cross-training reduces the number of employees but does not alter the quality of patient care. L
FT FT L L
FT L
FT FT L FT L L
FT L
FT L
FT L
FT L
FT L
FT L
FT FT L
Team nursing, use of critical pathways, and case management do not reduce the number of
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
employees while continuing to provide quality care for patients.
FT L FT L FT L FT L L
FT FT L FT L L
FT FT L
DIF: Cognitive Level: Comprehension REF: p. 15 L
FT L
FT F T L F T L FT L OBJ: F T L F T 8
L
TOP: Patient care KEY: Nursing Process Step: N/A
F T L L
FT F T L L
FT L
FT FT L MSC: F T L NCLEX: N/A FT L
