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