,Chapter 01: The Evolution of Nursing Coop e
b3 b3 b3 b3 b3 b3 b3 b
r: Foundation of Nursing, 10th Edition
3 b3 b3 b3 b3 b3
MULTIPLE CHOICE b 3
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: B
, Approved means certified by a state agency for having met minimum standards; accredited m
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e ans certified by the NLN for having met more complex standards. Provisional and exem p
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lifie d are not terms used in regard to nursing program certification.
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
DIF: Cognitive Level: Knowledge b3 b3
REF: p. 1 b3
0 OBJ: 5 TOP: Nursing programs
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KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
b3 J# b3 b3 b3 b 3
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.
b3 b 3 b3 b3 b3
c. Insurance companies are not involved. b3 b 3 b 3 b3
d. The major goal is to achieve optimal levels of health care.
b3 b 3 b 3 b3 b3 b3 b 3 b 3 b3 b3
ANS: D b3
The nurse must recognize that in the health care delivery system, the major goal is to
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b 3 b3 b3 b
3achie v e optimal levels of health care. The health care system consists of a network of ag
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encies, fa cilities, and providers involved with health care in a specified geographic area. In
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surance c o mpanies do have involvement in the health care system. The illness of patient
b3 b 3 b3 b3 b3 b3 b3 J# b3 b3 b3 b3 b3 b3 b3
s is not nece
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ssa
rily affected by the health care system.
b3 b3 J# b3 b3 b3 b3
DIF: Cognitive Level: Comprehension b3 b3
REF: p. 12 OBJ: 7 TOP: b3 b3 b3 b3
Healthcare systems b3
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
b3 b3 b3 b 3 b 3 b 3
3. What is required by the health care team to identify the needs of a patient and to design care
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to meet those needs?
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a. The Kardex b3
b. The health care provider’s order sheet
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c. An individualized care planb3 b3 b3
d. The nurse’s notes b3 J#
ANS: C b3
An individualized care plan involves all health care workers and outlines care to meet the n
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3e eds of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
n ot es do not identify the needs of the patient nor are they designed to assist all
b 3 b3 b 3 b3 b3 b3 b3 b 3 b 3 b3 b 3 b3 b3 b3 b 3 b 3 b 3 b 3
members of t he health care team to meet those needs.
b 3 b3 b3 b3 b3 b3 b3 b3 b3 b3
DIF: b 3 b 3 Cognitive Level: Comprehension b3 b3 b 3 b 3 REF: b 3 b 3 p. 13 OBJ: 8 | 9
b 3 b 3 b 3 b 3
, TOP: Care plan b3 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 resultof:
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a. increased education concerning causes ofillness. b3 b 3 b3 b 3 b3
b. improved insurance payments. b3 b3
c. decentralized care centers. b3 b3
d. increased number of health care givers. b 3 b3 b3 b3 b3
ANS: A b3
The acute awareness of preventive medicine has resulted in today’s emphasis on education
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ab out issues such as smoking, heart disease, drug and alcohol abuse, weight control, and
b3 b3 b3 b3 b3 b3 b3 b3 b3 J# b3 b3 b3 b3 J#
m
enta
l health and wellness promotion activities. This preventive education has resulted in an e mp
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ha sis on wellness, rather than illness. Improved insurance payments, decentralized care c e
b3 b3 b3 b3 b3 b3 b3 J# b3 b3 J# b3 b3
nters, and increased numbers of health care givers did not influence an emphasis on welln
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b
3 ess.
DIF: Cognitive Level: Comprehension REF: p. 12 b3 b3 b 3 OBJ: 4 | 8 b 3 b 3 b 3
TOP: Wellness KEY: Nursing Process Step: N/A b3 b 3 b3 MSC: NCLEX: N/A b3 b3
5. What is the most effective process to ensure that the care plan is meeting the needs of t
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3h e patient?
b3 b3
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B b3
Communication is the primary essential component among the health care team to evaluate a
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n d modify the care plan. Documentation, evaluation, and planning are not primary essentia
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l co mponents to ensure the care plan is meeting the needs of the patient.
b3 b3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3
DIF: Cognitive Level: Comprehension b3 b3
REF: p. 1 b3
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
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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 hospital stay
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ANS: C b3
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approa
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c h does not improve the efficiency of care, reduce the number of caregivers, or shorten hos
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pit al stay.
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DIF: Cognitive Level: Comprehension REF: p. 16 b 3 b 3 b 3 b 3
OBJ: 8 | 9 TOP: Interdisciplinar b 3 b 3 b 3 b 3
y approach
b 3
KEY: Nursing Process Step: N/ b 3 b 3 b 3 b 3
A MSC: NCLEX: N/
b 3 b 3 b 3
A
b3 b3 b3 b3 b3 b3 b3 b
r: Foundation of Nursing, 10th Edition
3 b3 b3 b3 b3 b3
MULTIPLE CHOICE b 3
1. What is a nursing program considered when certified by a stateagency?
b3 b3 b3 b3 b 3 b 3 b 3 b 3 b3 b3
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B
, Approved means certified by a state agency for having met minimum standards; accredited m
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
e ans certified by the NLN for having met more complex standards. Provisional and exem p
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b 3
lifie d are not terms used in regard to nursing program certification.
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
DIF: Cognitive Level: Knowledge b3 b3
REF: p. 1 b3
0 OBJ: 5 TOP: Nursing programs
b3 b3 b3 b3
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
b3 J# b3 b3 b3 b 3
2. Which of the following must the nurse recognize regarding the health care deliverysystem?
b3 b3 b3 b3 b 3 b3 b3 b 3 b3 b 3 b 3 b 3
a. It includes all states.
b3 b 3 b 3
b. It affects the illness of patients.
b3 b 3 b3 b3 b3
c. Insurance companies are not involved. b3 b 3 b 3 b3
d. The major goal is to achieve optimal levels of health care.
b3 b 3 b 3 b3 b3 b3 b 3 b 3 b3 b3
ANS: D b3
The nurse must recognize that in the health care delivery system, the major goal is to
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b 3 b3 b3 b
3achie v e optimal levels of health care. The health care system consists of a network of ag
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
encies, fa cilities, and providers involved with health care in a specified geographic area. In
b3 b3 b3 b3 b3 J# b3 b3 b3 b3 b3 b3 b3 b3
surance c o mpanies do have involvement in the health care system. The illness of patient
b3 b 3 b3 b3 b3 b3 b3 J# b3 b3 b3 b3 b3 b3 b3
s is not nece
b3 J# J#
ssa
rily affected by the health care system.
b3 b3 J# b3 b3 b3 b3
DIF: Cognitive Level: Comprehension b3 b3
REF: p. 12 OBJ: 7 TOP: b3 b3 b3 b3
Healthcare systems b3
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
b3 b3 b3 b 3 b 3 b 3
3. What is required by the health care team to identify the needs of a patient and to design care
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
to meet those needs?
b3 b3 b3
a. The Kardex b3
b. The health care provider’s order sheet
b3 b3 b3 b3 b3
c. An individualized care planb3 b3 b3
d. The nurse’s notes b3 J#
ANS: C b3
An individualized care plan involves all health care workers and outlines care to meet the n
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b
3e eds of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
n ot es do not identify the needs of the patient nor are they designed to assist all
b 3 b3 b 3 b3 b3 b3 b3 b 3 b 3 b3 b 3 b3 b3 b3 b 3 b 3 b 3 b 3
members of t he health care team to meet those needs.
b 3 b3 b3 b3 b3 b3 b3 b3 b3 b3
DIF: b 3 b 3 Cognitive Level: Comprehension b3 b3 b 3 b 3 REF: b 3 b 3 p. 13 OBJ: 8 | 9
b 3 b 3 b 3 b 3
, TOP: Care plan b3 KEY: Nursing Process Step: Planning MSC: NCLEX: N/A
b3 b 3 b 3 b3 b3
4. Patient care emphasis on wellness, rather than illness, begins as a resultof:
b3 b3 b3 b3 b3 b3 b3 b 3 b3 b3 b3
a. increased education concerning causes ofillness. b3 b 3 b3 b 3 b3
b. improved insurance payments. b3 b3
c. decentralized care centers. b3 b3
d. increased number of health care givers. b 3 b3 b3 b3 b3
ANS: A b3
The acute awareness of preventive medicine has resulted in today’s emphasis on education
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b 3
ab out issues such as smoking, heart disease, drug and alcohol abuse, weight control, and
b3 b3 b3 b3 b3 b3 b3 b3 b3 J# b3 b3 b3 b3 J#
m
enta
l health and wellness promotion activities. This preventive education has resulted in an e mp
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
ha sis on wellness, rather than illness. Improved insurance payments, decentralized care c e
b3 b3 b3 b3 b3 b3 b3 J# b3 b3 J# b3 b3
nters, and increased numbers of health care givers did not influence an emphasis on welln
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b
3 ess.
DIF: Cognitive Level: Comprehension REF: p. 12 b3 b3 b 3 OBJ: 4 | 8 b 3 b 3 b 3
TOP: Wellness KEY: Nursing Process Step: N/A b3 b 3 b3 MSC: NCLEX: N/A b3 b3
5. What is the most effective process to ensure that the care plan is meeting the needs of t
b3 b3 b3 J# b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b
3h e patient?
b3 b3
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B b3
Communication is the primary essential component among the health care team to evaluate a
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
n d modify the care plan. Documentation, evaluation, and planning are not primary essentia
b3 b3 b3 b3 b3 b3 b3 b3 b3 J# b3 b3 b3
l co mponents to ensure the care plan is meeting the needs of the patient.
b3 b3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3
DIF: Cognitive Level: Comprehension b3 b3
REF: p. 1 b3
7 OBJ: 8 TOP: Communication
b3 b3 b3
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
b3 J# b3 b3 b3 b 3
6. How does an interdisciplinary approach to patient treatment enhance care?
b3 b3 b3 b3 b 3 b3 b3 b 3 J#
a. By improving efficiency ofcare
b3 b 3 b3
b. By reducing the number of caregivers
b3 b3 b 3 b 3 b3
c. By preventing the fragmentation of patient care
b3 b3 b3 b 3 b3 J#
d. By shortening hospital stay
b3 b3 b3
ANS: C b3
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approa
b3 b3 b3 b3 b3 b3 b3 b3 b3
c h does not improve the efficiency of care, reduce the number of caregivers, or shorten hos
b3 b3 b3 J# b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
pit al stay.
b3 b3 b3
DIF: Cognitive Level: Comprehension REF: p. 16 b 3 b 3 b 3 b 3
OBJ: 8 | 9 TOP: Interdisciplinar b 3 b 3 b 3 b 3
y approach
b 3
KEY: Nursing Process Step: N/ b 3 b 3 b 3 b 3
A MSC: NCLEX: N/
b 3 b 3 b 3
A