Test Bank for Foundations and Adult Health Nursing, 8th Edition by Kim Cooper and Kelly Gosnell All 58 Chapters Complete

Test Bank for Foundations and Adult Health Nursing, 8th Edition by Kim Cooper and Kelly Gosnell All 58 Chapters Complete PREFACE TEST BANK with Complete Questions and Solutions. To clarify, this is the TEST BANK, not the textbook. You get immediate access to download your test bank. You will receive a complete test bank; in other words, all chapters shown in the table of contents in this preview will be there. Test banks come in PDF format; therefore, you do not need specialized software to open them. Chapter 01: The Evolution of Nursing MULTIPLE CHOICE 1. What is a nursing program considered when certified by a state agency? a. b. c. d. ANS: B Approved means certified by a state agency for having met minimum standards; accredited means certified by the NLN for having met more complex standards. Provisional and exemplified are not terms used in regard to nursing program certification. DIF: Cognitive Level: Knowledge TOP: Nursing programs Step: N/A MSC: NCLEX: N/A 2. Which of the following must the nurse recognize regarding the health care delivery system? a. b. c. d. It includes all states. It affects the illness of patients. Insurance companies are not involved. The major goal is to achieve optimal levels of health care. ANS: D The nurse must recognize that in the health care delivery system, the major goal is to achieve optimal levels of health care. The health care system consists of a network of agencies, facilities, 1 REF: 10 KEY: OBJ: 5 Nursing Process Accredited Approved Provisional Exemplifiedand providers in- volved with health care in a specified geographic area. Insurance com- panies do have involvement in the health care system. The illness of patients is not necessarily affected by the health care system. DIF: Cognitive Level: Comprehension TOP: Health care systems Step: N/A REF: KEY: 12 OBJ: 7 Nursing Process 3. What is required by the health care team to identify the needs of a pa- tient and to design care to meet those needs? a. b. c. d. The Kardex The health care provider’s order sheet An individualized care plan The nurse’s notes ANS: C An individualized care plan involves all health care workers and out- lines care to meet the needs of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes do not identify the needs of the patient nor are they designed to assist all members of the health care team to meet those needs. DIF: Cognitive Level: Comprehension TOP: Care plan REF: KEY: Nursing Process Step: Planning NCLEX: N/A 4. Patient care emphasis on wellness, rather than illness, begins as a re- sult of: a. b. c. d. increased education concerning causes of illness. improved insurance payments. decentralized care centers. increased number of health care givers. ANS: A The acute awareness of preventive medicine has resulted in today’s emphasis on education about issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental health and well- ness promotion activities. This preventive education has resulted in an emphasis on wellness, rather than illness. Improved insurance pay- ments, decentralized care centers, and increased numbers of health care givers did not influence an emphasis on wellness. DIF: Cognitive Level: Comprehension TOP: Wellness REF: KEY: Nursing Process Step: N/A 12 OBJ: 4 | 8 MSC: NCLEX: N/A 5. What is the most effective process to ensure that the care plan is meeting the needs of the patient? 2 13 OBJ: MSC: 8 | 9a. b. c. d. Documentation Communication Evaluation Planning ANS: B Communication is the primary essential component among the health care team to evaluate and modify the care plan. Documentation, eval- uation, and planning are not primary essential components to ensure the care plan is meeting the needs of the patient. DIF: Cognitive Level: Comprehension REF: Communication 17 OBJ: 8 TOP: KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 6. How does an interdisciplinary approach to patient treatment enhance care? a. b. c. d. By improving efficiency of care By reducing the number of care- givers By preventing the fragmentation of patient care By shortening hospital stay ANS: C An interdisciplinary approach prevents fragmentation of care. An inter- disciplinary approach does not improve the efficiency of care, reduce the number of caregivers, or shorten hospital stay. DIF: Cognitive Level: Comprehension Interdisciplinary approach NCLEX: N/A 7. How may a newly licensed LPN/LVN practice? a. b. c. d. Independently in a hospital set- ting With an experienced LPN/LVN Under the supervision of a health care provider or RN As a sole health care provider in REF: 16 OBJ: 8 | 9 TOP: KEY: Nursing Process Step: N/A MSC: 3a clinic setting ANS: C An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN. DIF: Cognitive Level: Knowledge TOP: Vocational nursing Step: N/A MSC: NCLEX: N/A 8. Whose influence on nursing practice in the 19th century was related to improvement of patient environment as a method of health promotion? a. b. c. d. Clara Barton Linda Richards Dorothea Dix Florence Nightingale ANS: D The influence of Florence Nightingale was highly significant in the 19th century as she fought for sanitary conditions, fresh air, and general im- provement in the patient environment. Clara Barton developed the American Red Cross in 1881. Linda Richards is known as the first trained nurse in America, was responsible for the development of the first nursing and hospital records, and is credited with the development of our present-day documentation system. Dorothea Dix was the pio- neer crusader for elevation of standards of care for the mentally ill and superintendent of female nurses of the Union Army. DIF: Cognitive Level: Knowledge Nursing leaders NCLEX: N/A 9. What document identifies the roles and responsibilities of the LPN/LVN? a. b. c. d. NLN Accreditation Standards Nurse Practice Act NAPNE Code American Nurses’ Association Code ANS: B The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the NAPNE Code, and the American Nurses’ Association Code do not identify the roles and responsibilities of the LPN/LVN. DIF: Cognitive Level: Knowledge TOP: Roles and responsibilities MSC: NCLEX: N/A 10. What is a cost-effective delivery of care used by many hospitals that al- lows the LPN/LVN to work with the RN to meet the needs of patients? 4 REF: 12 | 14 OBJ: 11 KEY: Nursing Process Step: N/A REF: 17 OBJ: 2 | 4 TOP: KEY: Nursing Process Step: N/A MSC: REF: 11 KEY: OBJ: 11 Nursing Processa. b. c. d. Focused nursing Team nursing Case management Primary nursing ANS: C Case management is a cost-effective method of care. Focused nursing, team nursing, and primary nursing are not cost-effective methods of delivering care that allow the LPN/LVN to work with the RN to meet pa- tient needs. DIF: Cognitive Level: Comprehension TOP: Patient care delivery systemsKEY: NCLEX: N/A 11. What is the title of the American Hospital Association’s 1972 document that outlines the patient’s expectations to be treated with dignity and compassion? a. b. c. d. Code of Ethics Patient’s Bill of Rights OBRA Advance directives ANS: B Patient expectations are outlined by the Patient’s Bill of Rights. Patient expectations are not outlined in the Code of Ethics, OBRA, or advance directives. DIF: Cognitive Level: Knowledge Patient’s rights NCLEX: N/A 12. The relationships among nursing, patients, health, and the environ- ment are the basis for: a. care plans. REF: 16 OBJ: 4 | 8 TOP: KEY: Nursing Process Step: N/A MSC: REF: 15 OBJ: 7 | 9 Nursing Process Step: N/A MSC: 5b. c. d. nursing models. health care provider’s orders. evaluation of patient care. ANS: B Nursing models are theories based on the relationship between nurs- ing, patients, health, and environment. Care plans, health care provider’s orders, and evaluation of patient care are not based on the relationships among nursing, patients, health, and environment. DIF: Cognitive Level: Comprehension REF: 17 OBJ: 1 TOP: Nursing models NCLEX: N/A KEY: Nursing Process Step: N/A MSC: 13. What system reduces the number of employees but still provides qual- ity care for patients? a. b. c. d. Team nursing Cross-training Use of critical pathways Case management ANS: B Cross-training reduces the number of employees but does not alter the quality of patient care. Team nursing, use of critical pathways, and case management do not reduce the number of employees while con- tinuing to provide quality care for patients. DIF: Cognitive Level: Comprehension TOP: Patient care KEY: NCLEX: N/A a. b. c. d. 14. What is the purpose of licensing laws for LPN/LVNs? To limit the number of LPN/LVNs Prevention of malpractice Protection of the public from un- qualified people To increase revenue for the state board of nursing ANS: C The purpose of licensing laws for LPN/LVNs is to protect the public from unqualified health care providers. Licensing laws’ purpose is not to limit the number of LPNs/LVNs, prevent malpractice, or increase rev- enue for the state board of nursing. DIF: Cognitive Level: Comprehension 10 TOP: Licensure REF: KEY: Nursing Process Step: N/A 11 OBJ: 4 | 9 | MSC: NCLEX: N/A 15. What premise is Maslow’s hierarchy of needs based on? 6 REF: 15 Nursing Process Step: N/A OBJ: 8 MSC:a. b. All needs are equally important. Basic needs must be met before the next level of needs can be met. c. d. Self-actualization is a primary need. Individuals prioritize needs the same way. ANS: B Maslow’s hierarchy of needs is based on the premise that basic needs must be met first. It is not based on all needs being equally important or that individuals prioritize needs the same way. Self-actualization is not a primary need according to Maslow. DIF: Cognitive Level: Comprehension 8 TOP: Maslow’s Hierarchy of Needs KEY: MSC: NCLEX: N/A REF: 12 | 13 Nursing Process Step: N/A 16. What must the nurse realize when assessing physical and social envi- ronmental factors affecting health and illness? a. b. c. d. They affect one another. They cause illness. They cause patients to react sim- ilarly. They can be separated. ANS: A Physical and social factors affect each other, cannot be separated, and cause each patient to react in a unique manner. They do not necessar- ily cause illness or cause patients to react similarly, and they cannot be separated. DIF: Cognitive Level: Comprehension TOP: Environmental factors KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 17. What organization, established during World War II, provided nursing education and training? a. b. c. d. Nightingale school Cadet Nurse Corps Public health department Frontier Nursing Service ANS: B The Cadet Nurse Corps was established during World War II to provide nursing education and training. The Nightingale school, public health department, and Frontier Nursing Service are not organizations estab- lished during World War II to provide nursing education and training. 7 REF: 14 OBJ: 4 | 8 OBJ:DIF: Cognitive Level: Knowledge TOP: Nursing education Step: N/A MSC: NCLEX: N/A 18. What is a modern educational advancement program for the LPN/LVN to enter RN education? a. b. c. d. Repetition Exclusion Articulation Coexistence ANS: C Most states have some type of articulation program in which the LPN/LVN can achieve advanced standing in an RN program without having to enroll in the entire curriculum. Repetition, exclusion, and co- existence do not refer to educational advancement. DIF: Cognitive Level: Knowledge TOP: Nursing education Step: N/A MSC: NCLEX: N/A 19. Where did Florence Nightingale’s original nursing education take place? a. Saint Thomas REF: 10 KEY: OBJ: 1 | 9 Nursing Process REF: 5 OBJ: KEY: 1 | 4 Nursing Process 8b. c. d. Kings College Hospital Crimean Hospital Kaiserswerth School ANS: D Florence Nightingale trained at Kaiserswerth School. Florence Nightin- gale’s original training was not at Saint Thomas, Kings College Hospi- tal, or Crimean Hospital. DIF: Cognitive Level: Knowledge TOP: Nursing programs Step: N/A MSC: NCLEX: N/A 20. What system of comprehensive patient care considers the physical, emotional, and social environment and spiritual needs of a person? a. b. c. d. Interdependent care Holistic health care Illness prevention care Health promotion care ANS: B Holistic health care encompasses the physical, emotional, social, and spiritual aspects of the patient. DIF: Cognitive Level: Comprehension TOP: Health care KEY: REF: Nursing Process Step: N/A 12 OBJ: 8 MSC: NCLEX: N/A 21. What official agency exists exclusively for LPN/LVN membership and promotes standards for the LPN/LVN? a. b. c. d. NFLPN ANA NLN NAPNES ANS: A The NFLPN exists solely for the LPN/LVN. The other options have mem- bership that includes RNs and the lay public. DIF: Cognitive Level: Knowledge TOP: Nursing organizations Step: N/A MSC: NCLEX: N/A 22. What score does the graduate practical nurse require to be issued a li- cense upon completion of the computerized examination? a. 70% or better 9 REF: 10 KEY: OBJ: 5 | 6 | 9 Nursing Process REF: 2 KEY: OBJ: 2 Nursing Processb. This is defined and set by each state c. d. Designated as “pass” Within the 75th percentile ANS: C Currently graduates of an approved vocational school are eligible to take the licensing examination and be awarded a license with a score of “pass” that is recognized by all states. DIF: Cognitive Level: Knowledge TOP: Licensure examination MSC: NCLEX: N/A 23. What document, published in 1965 by the ANA, clearly defined two lev- els of nursing practice? a. b. c. d. Licensing standards Position paper Smith-Hughes Act Nurse practice act ANS: B The ANA’s position paper of 1965 defined two levels of nursing: regis- tered nurse and technical nurse. Licensing standards, the Smith- Hughes Act, and the nurse practice act were not documents defining two levels of nursing practice published in 1965. DIF: Cognitive Level: Knowledge TOP: Position paper Step: N/A MSC: NCLEX: N/A a. b. c. 24. What is the wellness/illness continuum defined as? A concept that never changes The range of a person’s total health A continuum influenced only by REF: 11 KEY: OBJ: 3 | 4 | 9 Nursing Process REF: 12 OBJ: 3 KEY: Nursing Process Step: N/A 10one’s physical condition d. An idea that focuses strictly on an individual’s social well-being ANS: B The wellness/illness continuum is defined as the range of a person’ s to- tal health. This continuum is ever changing, and it is influenced by the individual’s physical condition, mental condition, and social well-being. DIF: Cognitive Level: Comprehension : Wellness/illness continuum MSC: NCLEX: N/A 25. a. b. c. d. e. REF: 12 OBJ: 8TOP KEY: Nursing Process Step: N/A According to Maslow’s hierarchy of needs, what is an individual’s most basic need? Safety and security Love/belongingness Physiologic Self-actualization Esteem ANS: C Abraham Maslow believed that an individual’s behavior is formed by the individual’s attempts to meet essential human needs, which he identified as physiologic, safety and security, love and belongingness, and esteem and self-actualization. DIF: Cognitive Level: Comprehension 8 TOP: Maslow’s Hierarchy of Needs KEY: MSC: NCLEX: N/A MULTIPLE RESPONSE 1. Florence Nightingale established a nursing school at Saint Thomas Hos- pital in London. What was it characterized by? (Select all that apply.) a. b. c. Allowing all applicants who ap- plied to be enrolled Offering formal and practical ed- ucational experiences Keeping records of students’ progress REF: 12 | 13 Nursing Process Step: N/A OBJ: 11d. Focusing on sanitation and hy- giene e. Retaining a registry of all gradu- ates ANS: B, C, D, E The nursing school established by Florence Nightingale rigorously screened its applicants. The curriculum, which included both formal ed- ucation and practical experiences, was focused on hygiene and sanita- tion. The school kept records of the students’ progress during their school years, and also kept a registry of the graduates. DIF: Cognitive Level: Comprehension TOP: School established by Florence Nightingale KEY: Nursing Process Step: N/A COMPLETION 1. REF: MSC: NCLEX: N/A 3 OBJ: 1 | 2 Primitive medical interventions were based on the belief that illness was caused by the presence of spirits. ANS: evil Illness was thought to be caused by the inhabitation of the body by evil spirits. Medical interventions were designed to drive out the evil spirits by introducing good spirits. DIF: Cognitive Level: Comprehension TOP: Primitive health care Step: N/A MSC: NCLEX: N/A 2. During early civilization men performed witchcraft and rit- uals to induce the bad spirits to leave the body of the ailing person. ANS: medicine Medicine men performed witchcraft and rituals to induce the bad spir- its to leave the body of the ailing person during early civilization. DIF: Cognitive Level: Knowledge REF: 2 TOP: Primitive health care Step: N/A KEY: REF: KEY: 1 OBJ: 1 Nursing Process OBJ: 1 Nursing Process 3. The National Council of State Boards of Nursing (NCSBN) performs a job analysis every years to determine the scope of practice of LPN/LVNs. ANS: 3 three 12The National Council of State Boards of Nursing performs a job analysise very 3 years to measure the scope of practice for LPN/LVNs. DIF: Cognitive Level: Knowledge National Council analysis NCLEX: N/A 4. Graduates of the first school for training the practical nurse were re- ferred to as ANS: attendant nurses. The first school for training the practical nurse started in Brooklyn, New York, in 1892 and was conducted under the auspices of the Young Women’s Christian Association (YWCA). The Ballard School, as it was known, was approximately 3 months in duration and trained its stu- dents to care for the chronically ill, invalids, children, and the elderly. The main emphasis was on home care and included cooking, nutrition, basic science, and basic procedures. Graduates of this program were referred to as attendant nurses. DIF: Cognitive Level: Knowledge TOP: Attendant nurses MSC: NCLEX: N/A 5. In 1949, the National Federation of Licensed Practical Nurses (NFLPN) was founded by Lillian . ANS: Kuster In 1949, the National Federation of Licensed Practical Nurses (NFLPN) was founded by Lillian Kuster. This association is the official member- ship organization for licensed practical nurses/licensed vocational DIF: Cognitive Level: Knowledge REF: 10 TOP: National Federation of Licensed Practical Nurses KEY: Nursing Process Step: N/A MSC: NCLEX: N/A Chapter 02: Legal and Ethical Aspects of Nursing MULTIPLE CHOICE 1. When a nurse becomes involved in a legal action, the first step to oc- cur is that a document is filed in an appropriate court. What is this doc- ument called? a. b. c. Deposition Appeal Complaint 13 OBJ: 2 REF: 9 OBJ: 1 KEY: Nursing Process Step: N/A REF: 18 OBJ: 6 | 9 TOP: KEY: Nursing Process Step: N/A MSC:d. Summons ANS: C A document called a complaint is filed in an appropriate court as the first step in litigation. A deposition is when witnesses are required to undergo questioning by the attorneys. An appeal is a request for a re- view of a decision by a higher court. A summons is a court order that notifies the defendant of the legal action. DIF: Cognitive Level: Knowledge TOP: Legal REF: 24 KEY: Nursing Process Step: N/A OBJ: 1 MSC: NCLEX: N/A 2. The nurse caring for a patient in the acute care setting assumes re- sponsibility for a patient’s care. What is this legally binding situation? a. b. c. d. Nurse-patient relationship Accountability Advocacy Standard of care ANS: A When the nurse assumes responsibility for a patient’s care, the nurse- patient relationship is formed. This is a legally binding “contract” for which the nurse must take responsibility. Accountability is being re- sponsible for one’s own actions. An advocate is one who defends or pleads a cause or issue on behalf of another. Standards of care define acts whose performance is required, permitted, or prohibited. DIF: Cognitive Level: Comprehension TOP: Legal REF: KEY: Nursing Process Step: N/A 24 OBJ: 3 MSC: NCLEX: N/A 3. What are the universal guidelines that define appropriate measures for all nursing interventions? a. b. c. d. Scope of practice Advocacy Standard of care Prudent practice ANS: C Standards of care define actions that are permitted or prohibited in most nursing interventions. These standards are accepted as legal guidelines for appropriateness of performance. The laws that formally define and limit the scope of nursing practice are called nurse practice acts. An advocate is one who defends or pleads a cause or issue on be- half of another. Prudent is a term that refers to careful and/or wise practice. DIF: Cognitive Level: Knowledge TOP: Legal REF: 22 KEY: Nursing Process Step: N/A OBJ: 4 MSC: NCLEX: N/A 4. An LPN/LVN is asked by the RN to administer an IV chemotherapeutic agent to a patient in the acute care setting. What law should this nurse refer to before initiating this intervention? a. Standards of care 14b. c. Regulation of practice American Nurses’ Association Code d. Nurse practice act ANS: D It is the nurse’s responsibility to know the nurse practice act in his or her state. Standards of care, regulation of practice, and the American Nurses’ code are not laws that the nurse should refer to before initiat- ing this treatment. DIF: Cognitive Level: Application TOP: Legal REF: 26 KEY: Nursing Process Step: N/A OBJ: 5 MSC: NCLEX: N/A 5. A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This nurse could be found guilty of: a. b. c. d. malpractice. harm to the patient. negligence. failure to follow the nurse prac- tice act. ANS: A The nurse can be held liable for malpractice for acts of omission. Fail- ure to meet a legal duty, thus causing harm to another, is malpractice. The nurse practice act has general guidelines that can support the charge of malpractice. DIF: Cognitive Level: Application TOP: Legal REF: 24 KEY: Nursing Process Step: N/A OBJ: 2 MSC: NCLEX: N/A 6. Patients have expectations regarding the health care services they re- ceive. To protect these expectations, which of the following has be- come law? a. b. c. d. American Hospital Association’s Patient’s Bill of Rights Self-Determination Act American Hospital Association’s Standards of Care The Joint Commission’s rights and responsibilities of patients ANS: A Patients have expectations regarding the health care services they re- ceive. In 1972, the American Hospital Association (AHA) developed the Patient’s Bill of Rights. The Self- Determination Act, American Hospital Association’s Standards of Care, and The Joint Commission’s rights and responsibilities do not address patients’ expectations regarding health care. DIF: Cognitive Level: Comprehension TOP: Legal REF: KEY: Nursing Process Step: N/A 27 OBJ: 3 | 4 MSC: NCLEX: N/A 157. The nurse is preparing the patient for a thoracentesis. What must be completed before the procedure may be performed? a. Physical assessment