,Chapter 01: The Evolution of Nursing Cooper
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:Foundation of Nursing, 10th Edition
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MULTIPLE CHOICE j7
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 me a
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
n s certified by the NLN for having met more complex standards. Provisional and exemplifie d
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j
are not terms used in regard to nursing program certification.
7 j7 j7 j7 jj 7 j7 j7 j7 j7 j7
DIF: Cognitive Level: Knowledge j7 j7
REF: p. 1 j7 j7
0 OBJ: 5 TOP:
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Nursing program j7
s
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.j7 j7 j7
b. It affects the illness of patients.
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c. Insurance companies are not involved. j7 j7 j7 j7
d. The major goal is to achieve optimal levels of healthcare.
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ANS: D j7
The nurse must recognize that in the health care delivery system, the major goal is to achieve o p
j7 j7 j7 j7 j7 j7 j7 l& j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
ti mal levels of health care. The health care system consists of a network of agencies, faciliti e
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
s, an d providers involved with health care in a specified geographic area. Insurance compani e
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s do ha ve involvement in the health care system. The illness of patients is not necessarily aff e
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cted by th e health care system.
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DIF: j 7 Cognitive Level: Comprehension j7 j7
REF: p. 12 OBJ: 7 TOP: j7 j7 j7 j7 j7
Healthcare systems j7
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
j7 j7 l& j7 j7 j7
3. What is required bythe health careteam to identify the needs of apatient and to design careto m e
jj7 j7 l& j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
et those needs?
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a. TheKardex j7
b. The health care provider’s ordersheet j7 j7 j7 j7
c. An individualized careplan j7 j7
d. The nurse’snotes j7
ANS: C j7
An individualized care plan involves all health care workers and outlines care to meet the nee
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7ds of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes d
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 l& j7 j7 j7
o no t identify the needs of the patient nor are they designed to assist all members of the health c a
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re tea m to meet those needs.
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DIF: j 7 Cognitive Level: Comprehension j7 j7 j 7 REF: j 7 p. 13 j7 OBJ: 8 | 9 j7 j7 j 7
, TOP: Care plan j7 KEY: Nursing Process Step: Planning j7 j7 j7 MSC: NCLEX: N/A j7 j7
4. Patient care emphasis on wellness, rather than illness, begins as a resultof:
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a. increased education concerning causes ofillness. j7 j7 j7 j7
b. improved insurance payments. j7 j7
c. decentralized care centers. j7 j7
d. increased number of health caregivers. j7 j7 j7 j7
ANS: A j7
The acute awareness of preventive medicine has resulted in today’s emphasis on education abo
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u t issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental h
j7 j7 j7 j7 j7 j7 jj 7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j
ealt h and wellness promotion activities. This preventive education has resulted in an emphasis
7 j7 j7 j7 j7 j7 j7 j7 l& j7 j7 j7 jj7 j7 j
on we llness, rather than illness. Improved insurance payments, decentralized care centers, an
7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j
d increas ed numbers of health care givers did not influence an emphasis on wellnes
7 jj 7 j 7 j7 j7 j7 j7 j7 j7 jj 7 j 7 j7 j7 j 7 j7
s.
DIF: Cognitive Level: Comprehension REF: p. 12 j7 j7 j7 OBJ: 4 | 8 j7 j7 j 7
TOP: Wellness KEY: Nursing Process Step: N/A l& j7 j7 MSC: NCLEX: N/A j7 j7
5. What is the most effective process to ensurethat thecare plan is meeting the needs of the pa
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t ient?
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a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B j7
Communication is the primary essential component among the health care team to evaluate a j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
nd modify the care plan. Documentation, evaluation, and planning are not primary essential co
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
mpon ents to ensure the care plan is meeting the needs of the patient.
j7 j 7 j 7 j7 j 7 j7 j 7 j7 j 7 j 7 j 7 j 7 j 7
DIF: Cognitive Level: Comprehension j7 j7
REF: p. 1 j7 j7
7 OBJ: 8 TOP: Communication
j7 j7 j7
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
j7 j7 j7 j7 j7 j7
6. How does an interdisciplinary approach to patient treatment enhancecare?
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a. By improving efficiency ofcare j7 j7 j7
b. By reducing the number ofcaregivers j7 l& j7 j7 j7
c. By preventing the fragmentation of patient care
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d. By shortening hospitalstay j7 j7
ANS: C j7
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
j7 j7 j7 j7 jj 7 j7 j7 j7 j7 j
7d oes not improve the efficiency of care, reduce the number of caregivers, or shorten hospita
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l sta y.
j7 j7
DIF: j 7 Cognitive Level: Comprehension j7 j7 j 7 REF: p. 16 j7 j7
OBJ: 8 | 9 TOP: Interdisciplinary
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approach
KEY: Nursing Process Step: N/A
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MSC: NCLEX: N/A j7 j7
7. How mayanewlylicensed LPN/LVN practice?
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a. Independently in a hospital setting j7 j7 j7 j7
, b. With an experienced LPN/LVN j7 j7 l&
c. Under the supervision of a health care provider or RN j7 j7 j7 j7 j7 j7 j7 j7 j7
d. As a sole health care provider in a clinicsetting
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ANS: C j7
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
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DIF: Cognitive Level: Knowledge j7 j7
REF: p. 1 j7 j7
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. Whoseinfluence on nursing practice in the 19th centurywas related to improvement of patient e
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n vironment as a method of health promotion?
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a. Clara Barton j7
b. Linda Richards j7
c. Dorothea Dix j7
d. Florence Nightingale l&
ANS: D j7
The influence of Florence Nightingale was highly significant in the 19th century as she fought
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
f or sanitary conditions, fresh air, and general improvement in the patient environment. Clar
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a Bar ton developed the American Red Cross in 1881. Linda Richards is known as the first trai
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
n ed nur se in America, was responsible for the development of the first nursing and hospital re
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 l& j7
c ords, and is credited with the development of our present-
j7 j7 j 7 j 7 j 7 j 7 j 7 j 7 j 7 j 7
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.
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DIF: j 7 Cognitive Level: Knowledge j7 j7 REF: p. 17 j 7 j7
OBJ: 2 | 4 TOP: Nursing leade
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r s KEY: Nursing Process Step:
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N/ A j7
MSC: NCLEX: N/A j7 j7
9. What document identifies the roles and responsibilities of theLPN/LVN?
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a. NLN AccreditationStandards j7
b. Nurse PracticeAct j7
c. NAPNE Code j7
d. American Nurses’ AssociationCode j7 j7
ANS: B j7
TheLPN/LVN functions under the Nurse Practice Act. NLNAccreditation Standards,the j7 j7 j7 j7 j7 j7 j7 j7 j7
N APNE Code, and the American Nurses’ Association Code do not identify the roles an
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
d res ponsibilities of the LPN/LVN.
jj 7 j7 j7 j7 j7
DIF: Cognitive Level: Knowledge REF: j7 j7
p. 12 |p. 14 OBJ: 11 TOP: j7 j7 j7 j7 j7 j7
Rolesand responsibilities j7
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
j7 j7 j7 j7 j7 j7
10. Whatis acost- j7
effective deliveryof careused bymanyhospitals thatallows the LPN/LVN to work with the R N
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j
7to meet the needs of patients?
j7 j7 j7 j7 j7
a. Focused nursing j7
b. Teamnursing
j7 j 7 j7 j7 j7 jj7
:Foundation of Nursing, 10th Edition
7j 7j 7j j7 7j
MULTIPLE CHOICE j7
1. What is a nursing program considered when certified by a stateagency?
jj7 j7 j7 j7 j7 jj 7 j7 j7 j7 j7
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B
Approved means certified by a state agency for having met minimum standards; accredited me a
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
n s certified by the NLN for having met more complex standards. Provisional and exemplifie d
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j
are not terms used in regard to nursing program certification.
7 j7 j7 j7 jj 7 j7 j7 j7 j7 j7
DIF: Cognitive Level: Knowledge j7 j7
REF: p. 1 j7 j7
0 OBJ: 5 TOP:
j7 j7 j7
Nursing program j7
s
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
j7 j7 j7 j7 j7 j7
2. Which of the following must the nurse recognize regarding the health care deliverysystem?
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
a. It includes all states.j7 j7 j7
b. It affects the illness of patients.
j7 j7 j7 j7 j7
c. Insurance companies are not involved. j7 j7 j7 j7
d. The major goal is to achieve optimal levels of healthcare.
j7 j7 j7 j7 j7 j7 j7 j7 j7
ANS: D j7
The nurse must recognize that in the health care delivery system, the major goal is to achieve o p
j7 j7 j7 j7 j7 j7 j7 l& j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
ti mal levels of health care. The health care system consists of a network of agencies, faciliti e
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
s, an d providers involved with health care in a specified geographic area. Insurance compani e
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
s do ha ve involvement in the health care system. The illness of patients is not necessarily aff e
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
cted by th e health care system.
j7 j7 j7 j7 j7 j7
DIF: j 7 Cognitive Level: Comprehension j7 j7
REF: p. 12 OBJ: 7 TOP: j7 j7 j7 j7 j7
Healthcare systems j7
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
j7 j7 l& j7 j7 j7
3. What is required bythe health careteam to identify the needs of apatient and to design careto m e
jj7 j7 l& j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
et those needs?
j7 j7
a. TheKardex j7
b. The health care provider’s ordersheet j7 j7 j7 j7
c. An individualized careplan j7 j7
d. The nurse’snotes j7
ANS: C j7
An individualized care plan involves all health care workers and outlines care to meet the nee
j7 j7 j7 j7 j7 j7 j7 j7 j7 jj 7 j7 j7 j7 j7 j7 j
7ds of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes d
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 l& j7 j7 j7
o no t identify the needs of the patient nor are they designed to assist all members of the health c a
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
re tea m to meet those needs.
j7 j7 j7 j7 j7 j7
DIF: j 7 Cognitive Level: Comprehension j7 j7 j 7 REF: j 7 p. 13 j7 OBJ: 8 | 9 j7 j7 j 7
, TOP: Care plan j7 KEY: Nursing Process Step: Planning j7 j7 j7 MSC: NCLEX: N/A j7 j7
4. Patient care emphasis on wellness, rather than illness, begins as a resultof:
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
a. increased education concerning causes ofillness. j7 j7 j7 j7
b. improved insurance payments. j7 j7
c. decentralized care centers. j7 j7
d. increased number of health caregivers. j7 j7 j7 j7
ANS: A j7
The acute awareness of preventive medicine has resulted in today’s emphasis on education abo
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
u t issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental h
j7 j7 j7 j7 j7 j7 jj 7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j
ealt h and wellness promotion activities. This preventive education has resulted in an emphasis
7 j7 j7 j7 j7 j7 j7 j7 l& j7 j7 j7 jj7 j7 j
on we llness, rather than illness. Improved insurance payments, decentralized care centers, an
7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j
d increas ed numbers of health care givers did not influence an emphasis on wellnes
7 jj 7 j 7 j7 j7 j7 j7 j7 j7 jj 7 j 7 j7 j7 j 7 j7
s.
DIF: Cognitive Level: Comprehension REF: p. 12 j7 j7 j7 OBJ: 4 | 8 j7 j7 j 7
TOP: Wellness KEY: Nursing Process Step: N/A l& j7 j7 MSC: NCLEX: N/A j7 j7
5. What is the most effective process to ensurethat thecare plan is meeting the needs of the pa
jj7 j7 j7 jj7 j7 j7 j7 j7 l& j7 j7 l& j7 j7 j7 j7 j7
t ient?
j7
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B j7
Communication is the primary essential component among the health care team to evaluate a j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
nd modify the care plan. Documentation, evaluation, and planning are not primary essential co
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
mpon ents to ensure the care plan is meeting the needs of the patient.
j7 j 7 j 7 j7 j 7 j7 j 7 j7 j 7 j 7 j 7 j 7 j 7
DIF: Cognitive Level: Comprehension j7 j7
REF: p. 1 j7 j7
7 OBJ: 8 TOP: Communication
j7 j7 j7
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
j7 j7 j7 j7 j7 j7
6. How does an interdisciplinary approach to patient treatment enhancecare?
j7 j7 jj 7 j7 j7 j7 j7 j7
a. By improving efficiency ofcare j7 j7 j7
b. By reducing the number ofcaregivers j7 l& j7 j7 j7
c. By preventing the fragmentation of patient care
j7 j7 j7 j j7 j7 j
d. By shortening hospitalstay j7 j7
ANS: C j7
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
j7 j7 j7 j7 jj 7 j7 j7 j7 j7 j
7d oes not improve the efficiency of care, reduce the number of caregivers, or shorten hospita
j7 jj 7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 jj 7
l sta y.
j7 j7
DIF: j 7 Cognitive Level: Comprehension j7 j7 j 7 REF: p. 16 j7 j7
OBJ: 8 | 9 TOP: Interdisciplinary
j7 j7 j7 j7
approach
KEY: Nursing Process Step: N/A
j7 j7 j7 j7
MSC: NCLEX: N/A j7 j7
7. How mayanewlylicensed LPN/LVN practice?
j7 j7 j7
a. Independently in a hospital setting j7 j7 j7 j7
, b. With an experienced LPN/LVN j7 j7 l&
c. Under the supervision of a health care provider or RN j7 j7 j7 j7 j7 j7 j7 j7 j7
d. As a sole health care provider in a clinicsetting
j7 j7 j7 jj 7 j7 j7 j7 j7
ANS: C j7
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
DIF: Cognitive Level: Knowledge j7 j7
REF: p. 1 j7 j7
1 OBJ: 11 TOP: Vocational nursing
j7 j7 j7 j7
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
j7 j7 j7 j7 j7 j7
8. Whoseinfluence on nursing practice in the 19th centurywas related to improvement of patient e
j7 jj7 j7 j7 j7 j7 j7 j7 l& j7 j7 j7 j7 j7 j7
n vironment as a method of health promotion?
j7 j7 j7 j7 jj 7 j7 j7
a. Clara Barton j7
b. Linda Richards j7
c. Dorothea Dix j7
d. Florence Nightingale l&
ANS: D j7
The influence of Florence Nightingale was highly significant in the 19th century as she fought
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
f or sanitary conditions, fresh air, and general improvement in the patient environment. Clar
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
a Bar ton developed the American Red Cross in 1881. Linda Richards is known as the first trai
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
n ed nur se in America, was responsible for the development of the first nursing and hospital re
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 l& j7
c ords, and is credited with the development of our present-
j7 j7 j 7 j 7 j 7 j 7 j 7 j 7 j 7 j 7
day documentation system.
j 7 j 7
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and s
j7 j7 j7 j7 j7 j7 j7 j j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
uperintendent of female nurses of the Union Army.
j7 j7 j7 j7 j7 j7 j7 j7
DIF: j 7 Cognitive Level: Knowledge j7 j7 REF: p. 17 j 7 j7
OBJ: 2 | 4 TOP: Nursing leade
j7 j7 j7 j7 j 7 j7
r s KEY: Nursing Process Step:
j 7 j7 j7 j7 j7 j7
N/ A j7
MSC: NCLEX: N/A j7 j7
9. What document identifies the roles and responsibilities of theLPN/LVN?
j7 j7 j7 j7 j7 j7 j7 j7
a. NLN AccreditationStandards j7
b. Nurse PracticeAct j7
c. NAPNE Code j7
d. American Nurses’ AssociationCode j7 j7
ANS: B j7
TheLPN/LVN functions under the Nurse Practice Act. NLNAccreditation Standards,the j7 j7 j7 j7 j7 j7 j7 j7 j7
N APNE Code, and the American Nurses’ Association Code do not identify the roles an
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
d res ponsibilities of the LPN/LVN.
jj 7 j7 j7 j7 j7
DIF: Cognitive Level: Knowledge REF: j7 j7
p. 12 |p. 14 OBJ: 11 TOP: j7 j7 j7 j7 j7 j7
Rolesand responsibilities j7
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
j7 j7 j7 j7 j7 j7
10. Whatis acost- j7
effective deliveryof careused bymanyhospitals thatallows the LPN/LVN to work with the R N
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j
7to meet the needs of patients?
j7 j7 j7 j7 j7
a. Focused nursing j7
b. Teamnursing
