m
,Chapter 01: The Evolution of Nursing
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Cooper:FoundationofNursing,9thEdition
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MULTIPLECHOICE h
1. What isanursing programconsideredwhencertifiedb ya stateagency?
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a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B h h
Approvedmeanscertified byastateagencyforhaving met minimum standards;accredited means h h h m m m h h
certifiedbytheNLNforhavingmetmorecomplexstandards.Provisionalandexemplifiedare not
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terms used in regard to nursingprogram certification.
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DIF: Cognitive Level: Knowledge h h REF: p. 10 OBJ: 5
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TOP: Nursing programs
h h h KEY: NursingProcess Step:N/A h m
MSC: NCLEX: N/A
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2. Which ofthefollowingmustthenurserecognizeregardingthehealthcaredeliverysystem?
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a. Itincludesallstates.
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b. Itaffectstheillnessofpatients.
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c. Insurancecompanies arenotinvolved. h h h h
d. Themajorgoalistoachieveoptimallevelsofhealthcare. h h h h h h h h h
ANS: D h h
Thenursemustrecognizethatin thehealth caredeliverysystem, themajor goal is to achieve optimal h h h h h h h h h
levelsofhealthcare.Thehealthcaresystemconsistsofanetworkofagencies, facilities,andproviders
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involvedwithhealthcareinaspecifiedgeographicarea.Insurance companiesdohaveinvolvementin
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thehealthcaresystem.Theillnessofpatientsisnot necessarily affected by the health care system.
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DIF: Cognitive Level: Comprehension h h REF: p. 12 OBJ: 7
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TOP: Health care systems
h h h h KEY: NursingProcess Step:N/A h m
MSC: NCLEX: N/A
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3. Whatisrequiredbythehealthcareteamtoidentifytheneedsofapatientandtodesigncareto meet
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h those needs? h
a. TheKardex h
b. Thehealthcareprovider‘sordersheet h h h h
c. Anindividualizedcareplan h h h
d. Thenurse‘snotes h
ANS: C h h
Anindividualizedcareplaninvolvesallhealthcareworkersandoutlinescaretomeettheneeds ofthe
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individualpatient.TheKardex,healthcareprovider‘sordersheet,andnurse‘snotesdo
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notidentifytheneedsofthepatientnoraretheydesigned toassist allmembers ofthe health care team to
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meet those needs.
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DIF: CognitiveLevel:Comprehension h h REF: p.13 h h h OBJ: 8|9 h h
, TOP: Careplan h h h KEY: NursingProcessStep:Planning h h h h MSC: NCLEX:N/A h h
4. Patientcareemphasisonwellness,ratherthanillness,beginsasaresultof:
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a. increased educationconcerningcausesofillness. m h h h h
b. improvedinsurancepayments. h h
c. decentralizedcare centers. h
d. increasednumberofhealthcaregivers. h h h h h
ANS: A h h
Theacuteawarenessofpreventivemedicinehasresultedintoday‘semphasis oneducation about
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issuessuchassmoking,heartdisease,drugandalcoholabuse,weightcontrol,andmental
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healthandwellnesspromotionactivities.Thispreventiveeducationhasresultedin an emphasis
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honwellness,ratherthanillness.Improvedinsurancepayments,decentralizedcarecenters,and
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increasednumbersofhealthcaregiversdidnotinfluenceanemphasisonwellness.
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DIF: CognitiveLevel:Comprehension REF: p.12 h h h h h OBJ: 4|8 h h
TOP: Wellness KEY: Nursing ProcessStep:N/A
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5. What isthemosteffectiveprocesstoensurethatthecareplanismeetingtheneedsofthe
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hpatient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B h h
Communicationistheprimaryessentialcomponentamongthehealthcareteamtoevaluateand h h h h h h h h h h h h h
modifythecareplan.Documentation,evaluation,and planning arenot primaryessential
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componentstoensurethecareplanismeetingtheneedsofthepatient.
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DIF: Cognitive Level: Comprehension h h REF: p. 17 OBJ: 8 h h h
TOP: Communication
h h KEY: NursingProcess Step:N/A h m
MSC: NCLEX: N/A
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6. Howdoesaninterdisciplinaryapproachtopatienttreatmentenhancecare?
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a. Byimprovingefficiencyofcare h h h
b. Byreducingthenumberofcaregivers h h h h
c. Bypreventingthefragmentationofpatientcare h h h h h
d. Byshorteninghospitalstay h h
ANS: C h h
An interdisciplinary approach prevents fragmentation of care.An interdisciplinaryapproach does
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not improvethe efficiencyofcare, reducethe numberofcaregivers, or shortenhospital stay.
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DIF: Cognitive Level: Comprehension REF: p. 16
h OBJ: 8 | 9 h h h h h h h h
TOP: Interdisciplinary approach
h h KEY: Nursing Process Step: N/A h h h h h
MSC: NCLEX: N/A
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7. Howmayanewlylicensed LPN/LVNpractice? h h
a. Independentlyinahospitalsetting h h h
, b. WithanexperiencedLPN/LVN h h
c. UnderthesupervisionofahealthcareproviderorRN h h h h h h h h h
d. Asasolehealthcareproviderinaclinicsetting
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ANS: C h h
AnLPN/LVNpracticesunderthesupervisionofahealthcareprovider,dentist,OD,orRN.
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DIF: Cognitive Level: Knowledge h h REF: p. 11 OBJ: 11 h h h
TOP: Vocational nursing
h h h KEY: NursingProcess Step:N/A h m
MSC: NCLEX: N/A
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8. Whoseinfluenceon nursing practicein the19th centurywasrelated toimprovement ofpatient m h m h h h h h
environment as a method of health promotion?
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a. ClaraBarton h
b. LindaRichards h
c. DorotheaDix h
d. FlorenceNightingale h
ANS: D h h
TheinfluenceofFlorenceNightingalewashighlysignificantinthe19thcenturyasshefoughtfor
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sanitaryconditions,fresh air,and generalimprovementinthepatientenvironment.Clara Barton
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developedtheAmericanRedCrossin1881.LindaRichardsisknownasthefirsttrained
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nurse inAmerica, wasresponsibleforthedevelopment ofthefirstnursingandhospital records, andis
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credited withthedevelopment ofour present-daydocumentationsystem.
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DorotheaDix wasthepioneer crusaderforelevation ofstandardsofcare forthementallyill and
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superintendent of female nurses of the Union Army.
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DIF: Cognitive Level: Knowledge
h h h REF: p. 17 OBJ: 2 | 4 h h h h h
TOP: Nursing leaders
h h h KEY: Nursing Process Step: N/A h h h h
MSC: NCLEX: N/A
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9. What documentidentifiestherolesandresponsibilitiesoftheLPN/LVN?
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a. NLNAccreditationStandards h
b. NursePracticeAct h
c. NAPNECode
d. American Nurses‘AssociationCode m h
ANS: B h h
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the
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NAPNE Code, and the American Nurses‘ Association Code do not identify the roles and
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responsibilities of the LPN/LVN.
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DIF: Cognitive Level: Knowledge h h REF: p. 12 | p. 14 OBJ: 11 h h h h h
TOP: Roles and responsibilities
h h h h KEY: NursingProcess Step:N/A h m
MSC: NCLEX: N/A
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10. What is acost-effectivedeliveryofcareused bymanyhospitals that allowstheLPN/LVNto
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hworkwith theRNto meet theneeds of patients?
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a. Focusednursing
b. Teamnursing
c. Casemanagement h
d. Primarynursing