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FORFOUNDATIONSANDADULTHEALTH NU
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RSING 9TH EDITION BY COOPER
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, Chapter 1: Evolution of Nursing
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Cooper and Gosnell: Foundations and Adult Health Nursing, 9th Edition
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MULTIPLE CHOICE z
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 z
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 a
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re not terms used in regard to nursing program certification.
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PTS: 1 zz DIF: Cognitive Level: Knowledge REF: Page 10 z z z z
OBJ: 5 z TOP: Nursing programs z z
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 delivery system?
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a. It includes all states. z z z
b. It affects the illness of patients.
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c. Insurance companies are not involved. z z z z
d. The major goal is to achieve optimal levels of health care.
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ANS: D z
The nurse must recognize that in the health care delivery system, the major goal is to achieve opti
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mal levels of health care. The health care system consists of a network of agencies, facilities, and
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providers involved with health care in a specified geographic area. Insurance companies do have i
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nvolvement in the health care system. The illness of patients is not necessarily affected by the heal
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th care system.
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PTS: 1 zz DIF: Cognitive Level: Comprehension REF: Page 12 z z z z
OBJ: 7 z TOP: Health care systems z z z
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 meet
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those needs?
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a. The Kardex z
b. The physician‘s order sheet z z z
c. An individualized care plan z z z
d. The nurse‘s notes z z
ANS: C z
An individualized care plan involves all health care workers and outlines care to meet the needs of
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the individual patient. The Kardex, physician‘s order sheet, and nurse‘s notes do not identify the n
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eeds of the patient nor are they designed to assist all members of the health care team to meet those
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needs.
PTS: 1 zz DIF: Cognitive Level: Comprehension z z REF: Pages 13, 16 z z z
TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELLY G
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OSNELL
,TEST BANK FOR FOUNDATIONS AND ADULT HEALTH N
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URSING 9th Edition BY KIM COOPER KELLY GOSNELL
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OBJ: 8 | 9 z z z TOP: Care plan z z
KEY: Nursing Process Step: Planning MSC: NCLEX: N/A
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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. z z z z z
b. improved insurance payments. z z
c. decentralized care centers. z z
d. increased number of health care givers. z z z z z
ANS: A z
The acute awareness of preventive medicine has resulted in today‘s emphasis on education about
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issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental health a
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nd wellness promotion activities. This preventive education has resulted in an emphasis on wellne
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ss, rather than illness. Improved insurance payments, decentralized care centers, and increased nu
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mbers of health care givers did not influence an emphasis on wellness.
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PTS: 1 z DIF: Cognitive Level: Comprehension z z
REF: Page 12 OBJ: 4 | 8 z z z z z z
TOP: Wellness z
KEY: Nursing Process Step: N/A MSC: NCLEX: 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 pati
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ent?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B z
Communication is the primary essential component among the health care team to evaluate and m
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odify the care plan. Documentation, evaluation, and planning are not primary essential componen
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ts to ensure the care plan is meeting the needs of the patient.
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PTS: 1 zz DIF: Cognitive Level: Comprehension REF: Page 16 z z z z
OBJ: 8 z TOP: Communication z
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 z z z z
b. By reducing the number of caregiversz z z z z
c. By preventing the fragmentation of patient care
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d. By shortening hospital stay z z z
ANS: C z
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach d
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oes not improve the efficiency of care, reduce the number of caregivers, or shorten hospital stay.
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PTS: 1 zz DIF: Cognitive Level: Comprehension REF: Page 16 z z zz zz z
OBJ: 8 | 9 z z z TOP: Interdisciplinary approach z z
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELLY G
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OSNELL
, TEST BANK FOR FOUNDATIONS AND ADULT HEALTH N
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URSING 9th Edition BY KIM COOPER KELLY GOSNELL
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7. How may a newly licensed LPN/LVN practice?
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a. Independently in a hospital setting z z z z
b. With an experienced LPN/LVN z z z
c. Under the supervision of a physician or RN z z z z z z z
d. As a sole practitioner in a clinic setting z z z z z z z
ANS: C z
An LPN/LVN practices under the supervision of a physician, dentist, OD, or RN.
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PTS: 1 zz DIF: Cognitive Level: Knowledge REF: Pages 13, 19 z z z z z
OBJ: 11 z TOP: Vocational nursing z z
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 env
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ironment as a method of health promotion? z z z z z z
a. Clara Barton z
b. Linda Richards z
c. Dorothea Dix z
d. Florence Nightingale z
ANS: D z
The influence of Florence Nightingale was highly significant in the 19th century as she fought for
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sanitary conditions, fresh air, and general improvement in the patient environment. Clara Barton
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developed the American Red Cross in 1881. Linda Richards is known as the first trained nurse in
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America, was responsible for the development of the first nursing and hospital records, and is cred
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ited 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 s
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uperintendent of female nurses of the Union Army. z z z z z z z
PTS: 1 z DIF: Cognitive Level: Knowledge REF: Pages 2, 17 Table 1- z z z z z z z
2 OBJ: 2 | 4
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KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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9. What document identifies the roles and responsibilities of the LPN/LVN?
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a. NLN Accreditation Standards z z
b. Nurse Practice Act z z
c. NAPNE Code z
d. American Nurses‘ Association Code z z z
ANS: B z
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the NAP
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NE Code, and the American Nurses‘ Association Code do not identify the roles and responsibili
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ties of the LPN/LVN.
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PTS: 1 zz DIF: Cognitive Level: Knowledge REF: Page 13 z z z z
OBJ: 11 z TOP: Roles and Responsibilities z z z
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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10. What is a cost- z z z
effective delivery of care used by many hospitals that allows the LPN/LVN to work with the RN
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to meet the needs of patients?
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a. Focused nursing z
TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELLY G
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OSNELL