,Chapter 01: The Evolution of Nursing Cooper
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: Foundation of Nursing, 10th Edition
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MULTIPLE CHOICE l&
1. What is a nursing program considered when certified by a stateagency?
jv l& l& jv l& jv l& l& l& l&
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: l & B
Approved means certified by a state agency for having met minimum standards; accredited me
l& l& l& l& l& l& l& l& l& l& l& l& l&
an s certified by the NLN for having met more complex standards. Provisional and exemplifie
l& l& jv l& l& l& l& l& l& l& l& l& l& l&
d are not terms used in regard to nursing program certification.
l& l& l& l& jv l& l& jv l& l&
DIF: Cognitive Level: Knowledge l& l&
REF: p. 1 l & l&
0 OBJ: 5 TOP: Nursing programs
l& l& l& l & l&
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.
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b. It affects the illness of patients.
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c. Insurance companies are not involved. l& l& l& l&
d. The major goal is to achieve optimal levels of healthcare.
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ANS: D l&
The nurse must recognize that in the health care delivery system, the major goal is to achieve o
l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l&
pti mal levels of health care. The health care system consists of a network of agencies, faciliti
l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l&
es, an d providers involved with health care in a specified geographic area. Insurance compani
l& l& l& l& l& l& l& l& l& l& l& l& l& l&
es do ha ve involvement in the health care system. The illness of patients is not necessarily aff
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ected by th e health care system.
l& l& l& l& l& l&
DIF: Cognitive Level: Comprehension l& l&
REF: p. 12 OBJ: 7 TOP: l & l& l& l& l&
Healthcare systems l&
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
l& l& l& l& l& l&
3. What is required bythe health careteam to identify the needs of a patient and to design careto m
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e et those needs?
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a. The Kardex l&
b. The health care provider’s ordersheet
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c. An individualized careplan l& l&
d. The nurse’snotes l&
ANS: C l&
An individualized care plan involves all health care workers and outlines care to meet the nee
l& l& l& jv l& l& l& l& l& jv l& l& l& l& l&
ds of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes d
l& l& l& l& l& l& l& l& l& l& l& l& l& l& l&
o no t identify the needs of the patient nor are they designed to assist all members of the health c
l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l&
are tea m to meet those needs.
l& l& l& l& l& l&
DIF: Cognitive Level: Comprehension l& l& REF: l& l& p. 13 l& OBJ: 8 | 9 l& l& l&
, TOP: Care plan l& KEY: l & Nursing Process Step: Planning l& l& l& MSC: NCLEX: N/A l& l&
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
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a. increased education concerning causes ofillness. jv l& jv l&
b. improved insurance payments. jv l&
c. decentralized care centers. l& l&
d. increased number of health caregivers. l& l& l& l&
ANS: A l&
The acute awareness of preventive medicine has resulted in today’s emphasis on education abo
l& l& l& l& l& l& l& l& l& l& l& l& l&
u t issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental h
l& l& l& l& l& l& jv l& l& jv l& l& l& l& l& l&
ealt h and wellness promotion activities. This preventive education has resulted in an emphasis
l& jv l& l& l& l& jv l& l& l& l& jv l& l&
on we llness, rather than illness. Improved insurance payments, decentralized care centers, an
l& l& l& l& l& l& l& l& l& l& l& l&
d increas ed numbers of health care givers did not influence an emphasis on wellness.
jv l& l& l& l& l& l& l& jv l& l& l& l& l&
DIF: l & l & Cognitive Level: Comprehension REF: p. 12 l& l& l & l & l & l&l& l& OBJ: 4 | 8 l& l& l&
TOP: Wellness KEY: Nursing Process Step: N/A l & l& l& l& MSC: NCLEX: N/A l& l&
5. What is the most effective process to ensurethat thecare plan is meeting the needs of the pa
jv l& jv jv l& l& l& l& l& l& jv l& l& l& l& l&
t ient?
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a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B l&
Communication is the primary essential component among the health care team to evaluate a
l& l& l& l& l& l& l& l& l& l& jv l& l&
nd modify the care plan. Documentation, evaluation, and planning are not primary essential co
l& l& l& l& l& l& l& l& l& l& jv l& l&
mpon ents to ensure the care plan is meeting the needs of the patient.
l& l& l& l& l& l& l& l& l& l& l& l& l&
DIF: Cognitive Level: Comprehension l& l&
REF: p. 1 l & l&
7 OBJ: 8 TOP: Communication
l& l& l& l &
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
l& jv l& l& l& l&
6. How does an interdisciplinary approach to patient treatment enhance care?
l& l& jv l& l& l& l& l& jv
a. By improving efficiency ofcare
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b. By reducing the number of caregivers
l& l& l& l& l&
c. By preventing the fragmentation of patient care
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d. By shortening hospitalstay
l& l&
ANS: C l&
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
l& l& l& l& jv l& l& l& l& l&
d oes not improve the efficiency of care, reduce the number of caregivers, or shorten hospital
l& jv l& l& l& l& l& l& l& l& l& l& l& l& jv l&
sta y. l&
DIF: Cognitive Level: Comprehension REF: p. 16
l & l& l& l & l& l&
OBJ: 8 | 9 TOP: Interdisciplinary l& l& l& l& l &
approach
KEY: Nursing Process Step: N/A l& l& l& l&
MSC: NCLEX: N/A l& l&
7. How maya newlylicensed LPN/LVN practice?
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a. Independently in a hospital setting l& l& l& l&
, b. With an experienced LPN/LVN l& l& l&
c. Under the supervision of a health care provider or RNl& l& l& l& jv l& l& l& l&
d. As a sole health care provider in a clinic setting
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ANS: C l&
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
l& l& l& l& l& l& l& l& l& l& l& l& l& l&
DIF: Cognitive Level: Knowledge l& l&
REF: p. 1 l & l&
1 OBJ: 11 TOP: Vocational nursing
l& l& l& l & l&
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
l& jv l& l& l& l&
8. Whose influence on nursing practice in the 19th centurywas related to improvement of patient e
jv jv l& l& l& l& l& l& l& l& l& l& l& l&
n vironment as a method of health promotion?
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a. Clara Barton l&
b. Linda Richards l&
c. Dorothea Dix l&
d. Florence Nightingale l&
ANS: D l&
The influence of Florence Nightingale was highly significant in the 19th century as she fought
l& l& l& l& l& l& l& l& l& l& jv l& l& l& l
f or sanitary conditions, fresh air, and general improvement in the patient environment. Clara
& l& l& l& l& l& l& l& l& l& l& l& l& l& l&
Bar ton developed the American Red Cross in 1881. Linda Richards is known as the first train
l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l&
ed nur se in America, was responsible for the development of the first nursing and hospital rec
l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l&
ords, and is credited with the development of our present-day documentation system.
l& jvl & l& l& l& l& l& l& l& l& l&
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and
l& l& l& l& l& l& l& jv l& l& l& l& l& l& l& l&
s uperintendent of female nurses of the Union Army.
l& l& jv l& l& l& l& l& l&
DIF: Cognitive Level: Knowledge
l & l& l& REF: p. 17 l & l&
OBJ: 2 | 4 TOP: Nursing leader
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s KEY: Nursing Process Step: N/
l& l& l& l& l&
A
MSC: NCLEX: N/A l& l&
9. What document identifies the roles and responsibilities of theLPN/LVN?
jv l& l& l& l& l& l& l&
a. NLN AccreditationStandards l&
b. Nurse PracticeAct l&
c. NAPNE Code l&
d. American Nurses’ AssociationCode l& l&
ANS: B l&
TheLPN/LVN functions under the Nurse Practice Act. NLNAccreditation Standards, the
l& jv l& l& l& l& l& jv jv l&
N APNE Code, and the American Nurses’ Association Code do not identify the roles an
l& l& l& l& l& l& l& l& l& l& l& l& l& l&
d res ponsibilities of the LPN/LVN.
jv l& l& l& l&
DIF: Cognitive Level: Knowledge REF: l& l&
p. 12 |p. 14 OBJ: 11 TOP: l& l& l& l& l& l&
Rolesand responsibilities l&
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
l& jv l& l& l& l&
10. What is acost- jv l&
effective deliveryof care used bymanyhospitals that allows the LPN/LVN to work with the R
l& l& jv l& jv l& l& l& l& l& l& l& l&
l&N to meet the needs of patients?
l& l& l& l& l& l&
a. Focused nursing l&
b. Teamnursing
c. Case management l&
l& l& l& l& l& jv
: Foundation of Nursing, 10th Edition
l& l& l& l& l&
MULTIPLE CHOICE l&
1. What is a nursing program considered when certified by a stateagency?
jv l& l& jv l& jv l& l& l& l&
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: l & B
Approved means certified by a state agency for having met minimum standards; accredited me
l& l& l& l& l& l& l& l& l& l& l& l& l&
an s certified by the NLN for having met more complex standards. Provisional and exemplifie
l& l& jv l& l& l& l& l& l& l& l& l& l& l&
d are not terms used in regard to nursing program certification.
l& l& l& l& jv l& l& jv l& l&
DIF: Cognitive Level: Knowledge l& l&
REF: p. 1 l & l&
0 OBJ: 5 TOP: Nursing programs
l& l& l& l & l&
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
l& jv l& l& l& l&
2. Which of the following must the nurse recognize regarding the health care deliverysystem?
jv l& l& l& l& l& l& l& l& l& l& l&
a. It includes all states.
jv jv l&
b. It affects the illness of patients.
l& l& l& l& l&
c. Insurance companies are not involved. l& l& l& l&
d. The major goal is to achieve optimal levels of healthcare.
l& l& l& l& l& l& l& l& l&
ANS: D l&
The nurse must recognize that in the health care delivery system, the major goal is to achieve o
l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l&
pti mal levels of health care. The health care system consists of a network of agencies, faciliti
l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l&
es, an d providers involved with health care in a specified geographic area. Insurance compani
l& l& l& l& l& l& l& l& l& l& l& l& l& l&
es do ha ve involvement in the health care system. The illness of patients is not necessarily aff
l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l&
ected by th e health care system.
l& l& l& l& l& l&
DIF: Cognitive Level: Comprehension l& l&
REF: p. 12 OBJ: 7 TOP: l & l& l& l& l&
Healthcare systems l&
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
l& l& l& l& l& l&
3. What is required bythe health careteam to identify the needs of a patient and to design careto m
jv l& l& l& l& l& l& l& l& l& l& jv l& l& l& l& l&
e et those needs?
l& l& l&
a. The Kardex l&
b. The health care provider’s ordersheet
l& jv l& l&
c. An individualized careplan l& l&
d. The nurse’snotes l&
ANS: C l&
An individualized care plan involves all health care workers and outlines care to meet the nee
l& l& l& jv l& l& l& l& l& jv l& l& l& l& l&
ds of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes d
l& l& l& l& l& l& l& l& l& l& l& l& l& l& l&
o no t identify the needs of the patient nor are they designed to assist all members of the health c
l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l&
are tea m to meet those needs.
l& l& l& l& l& l&
DIF: Cognitive Level: Comprehension l& l& REF: l& l& p. 13 l& OBJ: 8 | 9 l& l& l&
, TOP: Care plan l& KEY: l & Nursing Process Step: Planning l& l& l& MSC: NCLEX: N/A l& l&
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
l& l& l& l& l& l& l& l& l& l& l& jv
a. increased education concerning causes ofillness. jv l& jv l&
b. improved insurance payments. jv l&
c. decentralized care centers. l& l&
d. increased number of health caregivers. l& l& l& l&
ANS: A l&
The acute awareness of preventive medicine has resulted in today’s emphasis on education abo
l& l& l& l& l& l& l& l& l& l& l& l& l&
u t issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental h
l& l& l& l& l& l& jv l& l& jv l& l& l& l& l& l&
ealt h and wellness promotion activities. This preventive education has resulted in an emphasis
l& jv l& l& l& l& jv l& l& l& l& jv l& l&
on we llness, rather than illness. Improved insurance payments, decentralized care centers, an
l& l& l& l& l& l& l& l& l& l& l& l&
d increas ed numbers of health care givers did not influence an emphasis on wellness.
jv l& l& l& l& l& l& l& jv l& l& l& l& l&
DIF: l & l & Cognitive Level: Comprehension REF: p. 12 l& l& l & l & l & l&l& l& OBJ: 4 | 8 l& l& l&
TOP: Wellness KEY: Nursing Process Step: N/A l & l& l& l& MSC: NCLEX: N/A l& l&
5. What is the most effective process to ensurethat thecare plan is meeting the needs of the pa
jv l& jv jv l& l& l& l& l& l& jv l& l& l& l& l&
t ient?
l&
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B l&
Communication is the primary essential component among the health care team to evaluate a
l& l& l& l& l& l& l& l& l& l& jv l& l&
nd modify the care plan. Documentation, evaluation, and planning are not primary essential co
l& l& l& l& l& l& l& l& l& l& jv l& l&
mpon ents to ensure the care plan is meeting the needs of the patient.
l& l& l& l& l& l& l& l& l& l& l& l& l&
DIF: Cognitive Level: Comprehension l& l&
REF: p. 1 l & l&
7 OBJ: 8 TOP: Communication
l& l& l& l &
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
l& jv l& l& l& l&
6. How does an interdisciplinary approach to patient treatment enhance care?
l& l& jv l& l& l& l& l& jv
a. By improving efficiency ofcare
l& l& l&
b. By reducing the number of caregivers
l& l& l& l& l&
c. By preventing the fragmentation of patient care
l& l& l& jv l& jv
d. By shortening hospitalstay
l& l&
ANS: C l&
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
l& l& l& l& jv l& l& l& l& l&
d oes not improve the efficiency of care, reduce the number of caregivers, or shorten hospital
l& jv l& l& l& l& l& l& l& l& l& l& l& l& jv l&
sta y. l&
DIF: Cognitive Level: Comprehension REF: p. 16
l & l& l& l & l& l&
OBJ: 8 | 9 TOP: Interdisciplinary l& l& l& l& l &
approach
KEY: Nursing Process Step: N/A l& l& l& l&
MSC: NCLEX: N/A l& l&
7. How maya newlylicensed LPN/LVN practice?
l& l& l& l&
a. Independently in a hospital setting l& l& l& l&
, b. With an experienced LPN/LVN l& l& l&
c. Under the supervision of a health care provider or RNl& l& l& l& jv l& l& l& l&
d. As a sole health care provider in a clinic setting
l& jv l& jv jv l& l& l& jv
ANS: C l&
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
l& l& l& l& l& l& l& l& l& l& l& l& l& l&
DIF: Cognitive Level: Knowledge l& l&
REF: p. 1 l & l&
1 OBJ: 11 TOP: Vocational nursing
l& l& l& l & l&
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
l& jv l& l& l& l&
8. Whose influence on nursing practice in the 19th centurywas related to improvement of patient e
jv jv l& l& l& l& l& l& l& l& l& l& l& l&
n vironment as a method of health promotion?
l& l& l& l& jv l& l&
a. Clara Barton l&
b. Linda Richards l&
c. Dorothea Dix l&
d. Florence Nightingale l&
ANS: D l&
The influence of Florence Nightingale was highly significant in the 19th century as she fought
l& l& l& l& l& l& l& l& l& l& jv l& l& l& l
f or sanitary conditions, fresh air, and general improvement in the patient environment. Clara
& l& l& l& l& l& l& l& l& l& l& l& l& l& l&
Bar ton developed the American Red Cross in 1881. Linda Richards is known as the first train
l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l&
ed nur se in America, was responsible for the development of the first nursing and hospital rec
l& l& l& l& l& l& l& l& l& l& l& l& l& l& l& l&
ords, and is credited with the development of our present-day documentation system.
l& jvl & l& l& l& l& l& l& l& l& l&
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and
l& l& l& l& l& l& l& jv l& l& l& l& l& l& l& l&
s uperintendent of female nurses of the Union Army.
l& l& jv l& l& l& l& l& l&
DIF: Cognitive Level: Knowledge
l & l& l& REF: p. 17 l & l&
OBJ: 2 | 4 TOP: Nursing leader
l& l& l& l& l & l&
s KEY: Nursing Process Step: N/
l& l& l& l& l&
A
MSC: NCLEX: N/A l& l&
9. What document identifies the roles and responsibilities of theLPN/LVN?
jv l& l& l& l& l& l& l&
a. NLN AccreditationStandards l&
b. Nurse PracticeAct l&
c. NAPNE Code l&
d. American Nurses’ AssociationCode l& l&
ANS: B l&
TheLPN/LVN functions under the Nurse Practice Act. NLNAccreditation Standards, the
l& jv l& l& l& l& l& jv jv l&
N APNE Code, and the American Nurses’ Association Code do not identify the roles an
l& l& l& l& l& l& l& l& l& l& l& l& l& l&
d res ponsibilities of the LPN/LVN.
jv l& l& l& l&
DIF: Cognitive Level: Knowledge REF: l& l&
p. 12 |p. 14 OBJ: 11 TOP: l& l& l& l& l& l&
Rolesand responsibilities l&
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
l& jv l& l& l& l&
10. What is acost- jv l&
effective deliveryof care used bymanyhospitals that allows the LPN/LVN to work with the R
l& l& jv l& jv l& l& l& l& l& l& l& l&
l&N to meet the needs of patients?
l& l& l& l& l& l&
a. Focused nursing l&
b. Teamnursing
c. Case management l&
