, Chapter 1: Evolution of Nursing
S S S S
Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition
S S S S S S S S S
MULTIPLE CHOICE S
1. What is a nursing program considered when certified by a state agency?
S S S S S S S S S S S
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: cvB S
Approved means certified by a state agency for having met minimum standards; accredited mecv
S S S S S S S S S S S S S
ans certified by the NLN for having met more complex standards. Provisional and exemplifiecvd
S S S S S S S S S S S S S
are not terms used in regard to nursing program certification.
S S S S S S S S S S
PTS: c v S Sc v 1 DIF: Cognitive Level: Knowledge S S
REF: Page 10cvOBJ: c v 5
S S S
TOP: c v Nursing programs
S S
KEY: Nursing Process Step: N/A MSC: c v NCLEX: N/A
S S S S S S S
2. Which of the following must the nurse recognize regarding the health care delivery system?
S S S S S S S S S S S S S
a. It includes all states.
S S S
b. It affects the illness of patients.
S S S S S
c. Insurance companies are not involved. S S S S
d. The major goal is to achieve optimal levels of health care.
S S S S S S S S S S
ANS: cvD S
The nurse must recognize that in the health care delivery system, the major goal is to achieve optcvi
S S S S S S S S S S S S S S S S S
mal levels of health care. The health care system consists of a network of agencies, facilities, ancvd
S S S S S S S S S S S S S S S S S
providers involved with health care in a specified geographic area. Insurance companies do hacvve
S S S S S S S S S S S S S S
involvement in the health care system. The illness of patients is not necessarily affected by thcve he
S S S S S S S S S S S S S S S S
alth care system.
S S
PTS: c v S Sc v 1 DIF: Cognitive Level: Comprehension S S
REF: Page 12cvOBJ: c v 7
S S S
TOP: c v Health care systems
S S S
KEY: Nursing Process Step: N/A MSC: c v NCLEX: N/A
S S S S S S S
3. What is required by the health care team to identify the needs of a patient and to design care to mecv
S S S S S S S S S S S S S S S S S S S S
et those needs?
S S
a. The Kardex S
b. The physician‘s order sheet S S S
c. Ancvindividualizedcvcarecvplan
d. Thecvnurse‘scvnotes
ANS:cvC
Ancvindividualizedcvcarecvplancvinvolvescvallcvhealthcvcarecvworkerscvand outlinescvcarecvtocvmeetcvthecvne S
edscvofcvthecvindividualcvpatient.cvThecvKardex,cvphysician‘scvordercvsheet,cvandcvnurse‘scvnotescvdocvnotcvi
dentifycvtcvhecvneedscvofcvthecvpatientcvnorcvarecvtheycvdesignedcvtocvassistcvallcvmemberscvofcvthecvhealthcvcarec
vteamcvtocvmeetcvthosecvneeds.
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, PTS:c v c v 1 DIF: CognitivecvLevel:cvComprehension REF:cvPagescv13,cv16
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, OBJ:c v 8cv|cv9 TOP:c v Carecvplan
KEY:cvNursing ProcesscvStep:cvPlanningcvMSC:cvNCLEX:cvN/A
S
4. Patientcvcarecvemphasiscvoncvwellness,cvrathercvthan illness,cvbeginscvascvacvresult of:
S S
a. increasedcveducationcvconcerningcvcausescvofcvillness.
b. improved insurancecvpayments.
S
c. decentralized carecvcenters.
S
d. increasedcvnumbercvofcvhealthcvcarecvgivers.
ANS:cvA
Thecvacutecvawarenesscvofcvpreventivecvmedicinecvhascvresultedcvincvtoday‘scvemphasiscvoncveducationcvab
oucvtcvissuescvsuchcvascvsmoking,cvheartcvdisease,cvdrugcvandcvalcoholcvabuse,cvweightcvcontrol,cvand mentaS
lcvhealtcvhcvandcvwellnesscvpromotioncvactivities.cvThiscvpreventivecveducationcvhascvresultedcvincvancvemph
asiscvoncvwcvellness,cvrathercvthancvillness.cvImprovedcvinsurancecvpayments,cvdecentralizedcvcarecvcenter
s,cvandcvincreacvsedcvnumberscvofcvhealthcvcarecvgiverscvdidcvnotcvinfluencecvancvemphasiscvoncvwellness.
PTS:c v 1 DIF:
CognitivecvLevel:cvComprehensio
ncvREF:cvPagecv12cvOBJ:c v 4cv|cv8
TOP:c v Wellness
KEY:cvNursingcvProcesscvStep:cvN/AcvMSC:c v NCLEX:cvN/A
5. Whatcviscvthecvmostcveffectivecvprocesscvtocvensurecvthatcvthecvcarecvplancviscvmeetingcvthecvneedscvofcvthecv
pacvtient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS:cvB
Communicationcviscvthecvprimarycvessentialcvcomponent amongcvthecvhealthcvcarecvteam tocvevaluatecva
S S
ndcvmodifythecvcarecvplan.cvDocumentation,cvevaluation,cvandcvplanningcvarecvnotcvprimaryessentialcvc
ompocvnentscvtocvensurecvthecvcarecvplancviscvmeetingcvthecvneedscvofcvthecvpatient.
PTS:c v 1 DIF: CognitivecvLevel:cvComprehension
REF:cvPagecv16cvOBJ:c v 8
TOP:c v Communication
KEY:cvNursing ProcesscvStep:cvN/AcvMSC:cvNCLEX:cvN/A
S
6. Howcvdoescvancvinterdisciplinarycvapproachcvtocvpatientcvtreatment enhancecvcare?
S
a. Byimprovingcvefficiencycvofcvcare
b. Byreducingcvthecvnumbercvofcvcaregivers
c. Bypreventingcvthecvfragmentationcvofcvpatientcvcare
d. Byshortening hospitalcv stay
S
ANS:cvC
Ancvinterdisciplinarycvapproachcvpreventscvfragmentationcvofcvcare.cvAncvinterdisciplinarycvapproac
hcvdcvoes notcvimprovecvthecvefficiencycvofcvcare,cvreducecvthecvnumbercvofcvcaregivers,cvorcvshortencvhos
S
pitalcvstacvy.
PTS:c v 1 DIF:
CognitivecvLevel:cvComprehensionc v REF:c v Pagecv16cvO
BJ:c v 8cv|cv9 TOP:c v Interdisciplinarycvapproach
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