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,Chapter 01: The Evolution of Nursing Cooper
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:FoundationofNursing, 10thEdition gx b# gx




MULTIPLE CHOICE gx




1. What is a nursing program considered when certified by a stateagency?
jg x gx gx jg x gx gx gx gx gx gx


a. Accredited
b. Approved
c. Provisional
d. Exemplified

ANS: B
Approved means certified by a state agency for having met minimum standards; accredited me
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a n s certified by the NLN for having met more complex standards. Provisional and exempl
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ified are not terms used in regard to nursing program certification.
gx gx gx gx gx gx gx jg x gx gx




DIF: Cognitive Level: Knowledge gx gx


REF: g x p. 1 gx


0 OBJ: 5 TOP:
gx gx gx


Nursing program gx


s
KEY:Nursing Process Step:N/A MSC: NCLEX: N/A gx gx gx gx gx




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. gx gx gx gx


d. The major goal is to achieve optimal levels of healthcare.
gx gx gx gx gx gx gx gx gx




ANS: D gx


The nurse must recognize that in the health care delivery system, the major goal is to achieve o
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p ti mal levels of health care. The health care system consists of a network of agencies, faci
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx


lities
, an d providers involved with health care in a specified geographic area. Insurance compani
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es do ha ve involvement in the health care system. The illness of patients is not necessarily aff
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ecte d by th e health care system.
gx gx gx gx gx gx gx




DIF: Cognitive Level: Comprehension gx gx


REF: p. 12 OBJ: 7 TOP: g x gx gx gx gx


Healthcare systems gx


KEY:NursingProcess Step:N/A MSC: NCLEX: N/A gx gx gx gx gx




3. What is required bythehealth careteam to identifythe needs of apatient and to design careto m
jgx b# gx gx gx b# gx gx gx gx gx gx gx gx


e et those needs?
gx gx gx


a. The Kardex b#


b. The health care provider’s ordersheet
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c. An individualized careplan gx gx


d. Thenurse’snotes

ANS: C gx


An individualized care plan involves all health care workers and outlines care to meet the n
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eed s of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s no
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tes do no t identify the needs of the patient nor are they designed to assist all members of the h
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx


ealth car e tea m to meet those needs.
gx gx gx gx gx gx gx gx




DIF: Cognitive Level: Comprehension gx gx REF: p. 13 gx OBJ: 8 | 9 gx gx g x

, TOP: Care plan gx KEY: Nursing Process Step: Planninggx gx gx MSC: NCLEX: N/A gx gx




4. Patient care emphasis on wellness, rather than illness, begins as a resultof:
gx gx gx b# gx gx gx gx gx gx gx


a. increased education concerning causes ofillness. gx gx jg x gx


b. improved insurance payments. gx gx


c. decentralized care centers. gx gx


d. increased number of health caregivers. gx gx gx gx




ANS: A gx


The acute awareness of preventive medicine has resulted in today’s emphasis on education ab
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o u t issues such as smoking, heart disease, drug and alcohol abuse, weight control, and ment
gx g x gx gx gx gx gx jg x gx gx jg x gx gx b# gx gx


al he alt h and wellness promotion activities. This preventive education has resulted in an emp
gx gx gx jgx gx gx gx gx gx gx gx gx gx gx gx


hasis o n we llness, rather than illness. Improved insurance payments, decentralized care cent
gx gx gx gx gx gx gx gx gx gx gx gx gx


ers, and i ncreas ed numbers of health care givers did not influence an emphasis on wellne
gx gx gx g x gx gx gx gx gx gx gx gx gx gx gx gx


ss.

DIF: Cognitive Level: Comprehension REF: p. 12b# gx gx OBJ: 4 | 8 gx gx g x


TOP: Wellness KEY: Nursing Process Step: N/A gx gx gx MSC: NCLEX: N/A gx gx




5. What is the most effective process to ensurethat thecareplan is meeting the needs ofthe p
jgx gx gx gx gx b# gx gx gx jgx b# b# gx gx


at ient?
gx


a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B gx


Communication is the primary essential component among the health care team to evaluate
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xan d modify the care plan. Documentation, evaluation, and planning are not primary essentia
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l com pon ents to ensure the care plan is meeting the needs of the patient.
gx gx gx g x g x gx gx gx gx gx gx gx g x gx gx




DIF: Cognitive Level: Comprehension gx gx


REF: p. 1 g x gx


7 OBJ: 8 TOP: Communication
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KEY:Nursing Process Step:N/A MSC: NCLEX: N/A gx gx gx gx gx




6. How does an interdisciplinary approach to patient treatment enhancecare?
gx b# gx gx gx gx b# gx


a. By improving efficiency ofcare
gx gx gx


b. By reducing the number ofcaregivers
gx gx gx gx


c. By preventing the fragmentation of patient care
gx gx gx j gx gx j



d. By shortening hospitalstay gx gx




ANS: C gx


An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approac
gx gx gx gx gx gx gx b# gx


h d oes not improve the efficiency of care, reduce the number of caregivers, or shorten hos
gx gx jgx gx gx gx gx gx gx gx gx gx gx gx gx jg x



pital sta y. gx gx




DIF: g x g x Cognitive Level: Comprehension gx gx g x g x REF: p. 16 gx gx


OBJ: 8 | 9 TOP: Interdisciplinary
gx gx gx gx


approach
KEY: Nursing Process Step: N/A gx b# gx gx


MSC: NCLEX: N/A gx gx




7. Howmayanewlylicensed LPN/LVN practice? gx gx


a. Independently in a hospital setting gx gx gx gx

, b. With an experiencedLPN/LVN gx gx


c. Under the supervision of a health care provider orRN
gx gx gx gx gx gx gx gx


d. As a sole health care provider in a clinicsetting
gx jg x gx gx gx gx gx gx




ANS: C gx


An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
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DIF: Cognitive Level: Knowledge gx gx


REF: g x p. 1 gx


1 OBJ: 11 TOP:
gx gx gx


Vocational nursing KEY:Nursin gx gx


g Process Step:N/A MSC: NCLEX: N/A
gx gx gx gx gx




8. Whoseinfluence on nursing practice in the 19th centurywas related to improvement of patient
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e n vironment as a method of health promotion?
gx gx gx gx gx jg x gx gx


a. Clara Barton gx


b. Linda Richards gx


c. Dorothea Dix gx


d. Florence Nightingale b#




ANS: D gx


The influence of Florence Nightingale was highly significant in the 19th century as she foug
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ht f or sanitary conditions, fresh air, and general improvement in the patient environment.
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Clara Bar ton developed the American Red Cross in 1881. Linda Richards is known as the fir
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st traine d nur se in America, was responsible for the development of the first nursing and hos
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pital recor ds, and is credited with the development of our present-
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day documentation system.
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Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill an
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d s uperintendent of female nurses of the Union Army.
bg x gx jg x gx gx gx gx gx gx




DIF: g x g x Cognitive Level: Knowledge b# gx REF: p. 17 g x g x gx


OBJ: 2 | 4 TOP: Nursing lead
gx gx gx gx g x gx


er s KEY: Nursing Process Step
gx gx gx gx gx


: N/ A
gx gx


MSC: NCLEX: N/A gx gx




9. What document identifies the roles and responsibilities of theLPN/LVN?
gx gx gx gx gx gx gx gx


a. NLN AccreditationStandards gx


b. Nurse PracticeAct gx


c. NAPNE Code gx


d. American Nurses’ AssociationCode gx gx




ANS: B gx


TheLPN/LVN functions under the Nurse Practice Act. NLNAccreditation Standards, th
gx jgx gx b# gx gx gx gx j



e N APNE Code, and the American Nurses’ Association Code do not identify the roles
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx


and res ponsibilities of the LPN/LVN.
jg x gx gx gx gx




DIF: Cognitive Level: Knowledge REF: gx gx


p. 12 |p. 14 OBJ: 11 TOP: gx gx gx gx gx gx


Rolesand responsibilities KEY:Nur gx gx


sing Process Step:N/A MSC: NCLEX: N/A
gx gx gx gx gx




10. Whatis acost- b#


effectivedeliveryof care used bymanyhospitals that allows the LPN/LVNto work with the R gx gx gx jgx b# b# gx gx b# gx b# gx b#


N to meet the needs of patients?
g x gx gx gx gx gx gx


a. Focused nursing gx