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,Chapter1.The Evolution of Nursing
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Cooper: Foundations andAdult Health Nursing, 9th Edition
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MULTIPLECHOICE b9
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 9 B
Approvedmeans certified bya state agencyfor having met minimum standards; accredited means b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
certified by the NLN for having met more complex standards. Provisional and exemplified are not
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terms used in regard to nursing program certification.
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DIF: Cognitive Level: Knowledge b9 b9 REF: p. 10 OBJ: 5 b 9 b9 b 9
TOP: Nursing programs
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MSC: NCLEX: N/A
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2. Whichof the following must the nurse recognize regarding the health care delivery system?
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a. It includes all states. b9 b9 b9
b. It affects the illness of patients.
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c. Insurance companies are not involved. b9 b9 b9 b9
d. The major goal is to achieve optimal levels of health care. b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
ANS: b 9 D
The nurse must recognize that in the health care delivery system, the major goal is to achieve optimal
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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
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involvement in the health care system. The illness of patients is not necessarily affected by the
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health care system.
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DIF: Cognitive Level: Comprehension b9 b9 REF: p. 12 OBJ: 7 b 9 b9 b 9
TOP: Health care systems
b9 b 9 b9 b9 KEY: NursingProcessStep:N/A b 9 b9 b9 b9
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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b9 those needs? b9
a. The Kardex b9
b. Thehealth careprovider’s order sheet b9 b9 b9 b9 b9
c. An individualized care plan b9 b9 b9
d. Thenurse’snotes b9 b9
ANS: b 9 C
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, health care provider’s order sheet, and nurse’s notes do not
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identify the needs of the patient nor are they designed to assist all members of the health care team to
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meet those needs.
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DIF: Cognitive Level: Comprehension b9 b9 REF: p. 13 b 9 b 9 b9 OBJ: b 9 b 9 8 |9 b9 b9
, TOP: b 9 Care plan b9 KEY: b 9 Nursing Process Step: Planning b9 b9 b9 MSC: NCLEX: N/A b 9 b9
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
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a. increasededucation concerning causes of illness. b9 b9 b9 b9 b9
b. improvedinsurance payments. b9 b9
c. decentralized care centers. b9 b9
d. increased number of health care givers. b9 b9 b9 b9 b9
ANS: b 9 A
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
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and wellness promotion activities.This preventive education has resulted in an emphasis on
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wellness, rather than illness. Improved insurance payments, decentralized care centers, and
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increased numbers of health care givers did not influence an emphasis on wellness.
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DIF: Cognitive Level: Comprehension REF: p. 12 b9 b9 b 9 b 9 b9 OBJ: 4 | 8 b 9 b 9 b9 b9
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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patient?
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a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: b 9 B
Communication is the primary essential component among the health care team to evaluate and b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
modify the care plan. Documentation, evaluation, and planning arenot 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 b9 b9 REF: p. 17 OBJ: 8 b 9 b9 b 9
TOP: Communication
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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 b9 b9 b9 b9
b. By reducing the number of caregivers b9 b9 b9 b9 b9
c. By preventing the fragmentation of patient care
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d. By shortening hospital stay b9 b9 b9
ANS: b 9 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 stay.
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DIF: Cognitive Level: Comprehension
b 9 b9 b9 b 9 bREF: p. 16 9 OBJ: 8 | 9 b 9 b9 b 9 b9 b9
TOP: Interdisciplinary approach
b9 b 9 b9 KEY: Nursing Process Step: N/A b 9 b9 b9 b9
MSC: NCLEX: N/A
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7. How maya newly licensedLPN/LVN practice?
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a. Independently in a hospital setting b9 b9 b9 b9
, b. WithanexperiencedLPN/LVN b9 b9 b9
c. Under the supervision of a health care provider or RN b9 b9 b9 b9 b9 b9 b9 b9 b9
d. As a sole health care provider in a clinic setting
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ANS: b 9 C
An LPN/LVN practices under the supervision ofa health careprovider, dentist, OD, or RN.
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DIF: Cognitive Level: Knowledge b9 b9 REF: p. 11 OBJ: 11 b 9 b9 b 9
TOP: Vocational nursing
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MSC: NCLEX: N/A
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8. Whose influence on nursing practice in the 19th century was related to improvement of patient
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b9 environment as a method of health promotion? b9 b9 b9 b9 b9 b9
a. Clara Barton b9
b. Linda Richards b9
c. DorotheaDix b9
d. Florence Nightingale b9
ANS: b 9 D
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 theAmerican 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
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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
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TOP: Nursing leaders
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MSC: NCLEX: N/A
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9. Whatdocument identifies the roles and responsibilities of the LPN/LVN?
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a. NLNAccreditationStandards b9 b9
b. Nurse PracticeAct b9 b9
c. NAPNE Code b9
d. AmericanNurses’Association Code b9 b9 b9
ANS: b 9 B
TheLPN/LVN functionsunder theNurse PracticeAct. NLNAccreditationStandards,the NAPNE
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Code, and theAmerican Nurses’Association Code do not identify the roles and responsibilities of
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the LPN/LVN.
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DIF: Cognitive Level: Knowledge b9 b9 REF: p. 12 | p. 14 OBJ: 11 b 9 b9 b9 b9 b9 b 9
TOP: Roles and responsibilities
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MSC: NCLEX: N/A
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10. Whatis acost-effective delivery of careused by many hospitals thatallows the LPN/LVN to work
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with the RN to meet the needs of patients?
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a. Focused nursing b9
b. Teamnursing b9
c. Case management b9
d. Primary nursing b9