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Chapter1.The Evolution of Nursing
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Cooper: Foundations andAdult Health Nursing, 9th Edition
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MULTIPLECHOICE y,r
1. What is a nursing program considered when certified by a state agency?
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a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: y , r B
Approvedmeanscertifiedbyastateagencyforhaving metminimumstandards; accredited means y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r
certified by the NLN for having met more complex standards. Provisional and exemplified are not
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terms used in regard to nursing program certification.
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DIF: Cognitive Level: Knowledge y,r y,r REF: y , r p. 10 OBJ: 5 y,r y , r
TOP:
y,r Nursing programs y , r y,r KEY: y , r NursingProcessStep:N/A y,r y,r y,r
MSC: NCLEX: N/A
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2. Whichof the following must the nurse recognize regarding the health care delivery system?
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a. It includes all states. y,r y,r y,r
b. It affects the illness of patients.
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c. Insurancecompanies are not involved. y,r y,r y,r y,r
d. The major goal is to achieve optimal levels of health care. y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r
ANS: y , r D
The nurse must recognize that in the health care delivery system, the major goal is to achieve optimal
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levels of health care. The health care system consists of a network of agencies, facilities, and
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providers involved with health care in a specified geographic area. Insurance companies do have
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involvement in the health care system. The illness of patients is not necessarily affected by the
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health care system.
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DIF: Cognitive Level: Comprehension y,r y,r REF: y , r p. 12 OBJ: 7 y,r y , r
TOP:
y,r Health care systems y , r y,r y,r KEY: y , r NursingProcessStep:N/A y,r y,r y,r
MSC: NCLEX: N/A
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3. What is required by the health care team to identify the needs of a patient and to design care to meet
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those needs?
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a. The Kardex y,r
b. Thehealth careprovider’s order sheet y,r y,r y,r y,r y,r
c. An individualized care plan y,r y,r y,r
d. Thenurse’snotes y,r y,r
ANS: y , r C
An individualized care plan involves all health care workers and outlines care to meet the needs of
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the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes do not
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identify the needs of the patient nor are they designed to assist all members of the health care team to
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meet those needs.
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DIF: CognitiveLevel:Comprehension y,r y,r REF: y , r y , r p. 13 y,r OBJ: y , r y , r 8 |9 y,r y,r
, TOP: y , r Care plan y,r KEY: y , r NursingProcess Step: Planning y,r y,r y,r MSC: NCLEX: N/A y , r y,r
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
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a. increasededucation concerning causes of illness. y,r y,r y,r y,r y,r
b. improvedinsurancepayments. y,r y,r
c. decentralizedcare centers. y,r y,r
d. increased number of health care givers. y,r y,r y,r y,r y,r
ANS: y , r A
The acute awareness of preventive medicine has resulted in today’s emphasis on education about
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issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental health
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and wellness promotion activities.This preventiveeducation has resulted in an emphasis on
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wellness, rather than illness. Improved insurance payments, decentralized care centers, and
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increased numbers of health care givers did not influence an emphasis on wellness.
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DIF: CognitiveLevel:Comprehension REF: p. 12 y,r y,r y , r y , r y,r OBJ: 4 | 8 y , r y , r y,r y,r
TOP: Wellness KEY: NursingProcess Step: N/A
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5. What is the most effective process to ensure that the care plan is meeting the needs of the
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patient?
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a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: y , r B
Communication is the primary essential component among the health care team to evaluate and y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r
modifythe care plan.Documentation, evaluation, and planning arenot primary essential
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components to ensure the care plan is meeting the needs of the patient.
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DIF: Cognitive Level: Comprehension y,r y,r REF: y , r p. 17 OBJ: 8
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TOP:
y,r Communication y , r KEY: y , r NursingProcessStep:N/A y,r y,r y,r
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 of care y,r y,r y,r y,r
b. By reducing the number of caregivers y,r y,r y,r y,r y,r
c. By preventing the fragmentation of patient care
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d. By shortening hospital stay y,r y,r y,r
ANS: y , r C
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
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does not improve the efficiency of care, reduce the number of caregivers, or shorten hospital stay.
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DIF: Cognitive Level: Comprehension
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TOP:
y,r Interdisciplinary approach y , r y,r KEY: Nursing Process Step: N/A y , r y,r y,r y,r
MSC: NCLEX: N/A
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7. Howmayanewly licensedLPN/LVNpractice?
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a. Independently in a hospital setting y,r y,r y,r y,r
, b. WithanexperiencedLPN/LVN y,r y,r y,r
c. Under the supervision of a health care provider or RN y,r y,r y,r y,r y,r y,r y,r y,r y,r
d. As a sole health care provider in a clinic setting
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ANS: y , r C
AnLPN/LVN practicesunder the supervision ofahealthcareprovider, dentist, OD, or RN.
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DIF: Cognitive Level: Knowledge y,r y,r REF: y , r p. 11 OBJ:
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TOP:
y,r Vocational nursing y , r y,r KEY: y , r NursingProcessStep:N/A y,r y,r y,r
MSC: NCLEX: N/A
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8. Whose influence on nursing practice in the19th century was related to improvement of patient
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y,r environment as a method of health promotion? y,r y,r y,r y,r y,r y,r
a. ClaraBarton y,r
b. LindaRichards y,r
c. DorotheaDix y,r
d. FlorenceNightingale y,r
ANS: y , r D
The influence of Florence Nightingale was highly significant in the 19th century as she fought for
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sanitary conditions, fresh air, and general improvement in the patient environment. Clara Barton
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developed theAmerican Red Cross in 1881. Linda Richards is known as the first trained nurse in
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America, was responsible for the development of the first nursing and hospital records, and is
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credited with the development of our present-day documentation system.
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Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r
superintendent of female nurses of the Union Army.
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DIF: Cognitive Level: Knowledge y , r y,r y,r REF: p. 17 OBJ: 2 | 4 y , r y,r y , r y,r y,r
TOP:
y,r Nursing leaders y , r y,r KEY: Nursing Process Step: N/A y , r y,r y,r y,r
MSC: NCLEX: N/A
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9. Whatdocument identifies the roles and responsibilities of the LPN/LVN?
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a. NLNAccreditationStandards y,r y,r
b. NursePracticeAct y,r y,r
c. NAPNE Code y,r
d. AmericanNurses’Association Code y,r y,r y,r
ANS: y , r B
TheLPN/LVNfunctionsundertheNursePracticeAct.NLNAccreditationStandards,the NAPNE
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Code, and theAmerican Nurses’Association Code do not identify the roles and responsibilities of
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the LPN/LVN.
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DIF: Cognitive Level: Knowledge y,r y,r REF: y , r p. 12 | p. 14 OBJ:
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TOP:
y,r Roles and responsibilities y , r y,r y,r KEY: y , r NursingProcessStep:N/A y,r y,r y,r
MSC: NCLEX: N/A
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10. Whatis acost-effectivedeliveryof careused by many hospitalsthatallows the LPN/LVN to work
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with the RN to meet the needs of patients?
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a. Focused nursing y,r
b. Teamnursing y,r
c. Case management y,r
d. Primary nursing y,r
, ANS: y , r C
Case management is a cost-effective method of care. Focused nursing, team nursing, and primary
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nursingare notcost-effectivemethodsofdelivering carethat allowthe LPN/LVNto work with the
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RN to meet patient needs.
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DIF: Cognitive Level: Comprehension y , r y,r y,r y , r REF: p. 15 OBJ: 7 | 9
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TOP:
y,r Patient care delivery systems y , r y,r y,r y,r KEY: Nursing Process Step: N/A y , r y,r y,r y,r
MSC: NCLEX: N/A
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11. Whatis the titleof theAmericanHospitalAssociation’s 1972 documentthat outlines the
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y,r patient’s expectations to be treated with dignity and compassion? y,r y,r y,r y,r y,r y,r y,r y,r
a. Code of Ethics y,r y,r
b. Patient’sBillofRights y,r y,r y,r
c. OBRA
d. Advancedirectives y,r
ANS: y , r B
Patient expectationsare outlined by the Patient’s Bill of Rights. Patientexpectationsare not outlined
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in the Code of Ethics, OBRA, or advance directives.
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DIF: Cognitive Level: Knowledge y,r y,r REF: p. 16 OBJ: y , r y,r y , r 4| y,r
8 TOP:
y,r Patient’s rights
y,r KEY: y , r y,r Nursing Process Step: N/A y,r y,r y,r
MSC: NCLEX: N/A y , r y,r
12. The relationships among nursing, patients, health, and the environmentare the basis for:
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a. care plans. y,r
b. nursing models. y,r
c. healthcareprovider’sorders. y,r y,r y,r
d. evaluation of patient care. y,r y,r y,r
ANS: y , r B
Nursing models are theories based on the relationship between nursing, patients, health, and y,r y,r y,r y,r y,r y,r y,r y ,r y,r y,r y,r y,r
environment. Care plans, health care provider’s orders, and evaluation of patient care are not based
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on the relationships among nursing, patients, health, and environment.
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DIF: Cognitive Level: Comprehension y,r y,r REF: y , r p. 17 OBJ: 1 y,r y , r
TOP:
y,r Nursing models y , r y,r KEY: y , r NursingProcessStep:N/A y,r y,r y,r
MSC: NCLEX: N/A
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13. What system reduces the number of employees but still provides quality care for patients?
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a. Teamnursing y,r
b. Cross-training
c. Use of critical pathways y,r y,r y,r
d. Case management y,r
ANS: y , r B
Cross-training reduces the number of employees but does notalter the quality of patient care. Team y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r y,r
nursing, use of critical pathways, and case management do not reduce the number of employees
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while continuing to provide quality care for patients.
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DIF: CognitiveLevel:Comprehension REF: p. 15 y,r y,r y , r y , r y,r OBJ: 8 y , r y , r
TOP: Patient care KEY: NursingProcess Step: N/A y , r y,r y , r y,r y,r y,r MSC: NCLEX: N/A y , r y,r