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Cooper: Foundation of Nursing, 9th Edition
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,MULTIPLE CHOICE v
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: B v
Approved means certified by a state agency for having met minimum standards; accredited
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means certified by the NLN for having met more complex standards. Provisional and
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exemplified are not terms used in regard to nursing program certification.
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DIF: Cognitive Level: Knowledge v v REF: p. 10 OBJ: 5v v v
TOP: Nursing programs
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N/A MSC: NCLEX: N/A
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2. Which of the following must the nurse recognize regarding the health care delivery system?
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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. v v v v
d. The major goal is to achieve optimal levels of health care.
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ANS: D v
The nurse must recognize that in the health care delivery system, the major goal is to achieve
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optimal levels of health care. The health care system consists of a network of agencies,
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facilities, and providers involved with health care in a specified geographic area. Insurance
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companies do have involvement in the health care system. The illness of patients is not
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necessarily affected by the health care system.
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DIF: Cognitive Level: Comprehension v v REF: p. 12 OBJ: 7v v v
TOP: Health care systems
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N/A 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
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vmeet those needs? v v
a. The Kardex v
b. The health care provider’s order sheet
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c. An individualized care plan
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d. The nurse’s notes v v
ANS: C v
An individualized care plan involves all health care workers and outlines care to meet the
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needs of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s
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notes do not identify the needs of the patient nor are they designed to assist all members of the
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health care team to meet those needs.
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DIF: Cognitive Level: Comprehension v v REF: v v p. 13 v OBJ: v v 8|9 v v
, TOP: v Care plan v KEY: Nursing Process Step: Planning v v v v MSC: NCLEX: N/A v v
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
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a. increased education concerning causes of illness. v v v v v
b. improved insurance payments. v v
c. decentralized care centers. v v
d. increased number of health care givers. v v v v v
ANS: A v
The acute awareness of preventive medicine has resulted in today’s emphasis on education
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about issues such as smoking, heart disease, drug and alcohol abuse, weight control, and
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mental health and wellness promotion activities. This preventive education has resulted in an
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emphasis on wellness, rather than illness. Improved insurance payments, decentralized care
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centers, and increased numbers of health care givers did not influence an emphasis on
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wellness.
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DIF: Cognitive Level: Comprehension REF: p. 12 v v v v v OBJ: 4 | 8 v v v v
TOP: Wellness KEY: Nursing Process 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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v patient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B v
Communication is the primary essential component among the health care team to evaluate
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and modify the care plan. Documentation, evaluation, and planning are not 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 v v REF: p. 17 OBJ: 8 v v v
TOP: Communication
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N/A 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
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b. By reducing the number of caregivers
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c. By preventing the fragmentation of patient care
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d. By shortening hospital stay
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ANS: C v
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
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stay.
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DIF: Cognitive Level: Comprehension
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TOP: Interdisciplinary approach
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MSC: NCLEX: N/A
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7. How may a newly licensed LPN/LVN practice?
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a. Independently in a hospital setting v v v v
, b. With an experienced LPN/LVN v v v
c. Under the supervision of a health care provider or RN
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d. As a sole health care provider in a clinic setting
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ANS: C v
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
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DIF: Cognitive Level: Knowledge v v REF: p. 11 OBJ: 11 v v v
TOP: Vocational nursing
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N/A MSC: NCLEX: N/A
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8. Whose influence on nursing practice in the 19th century was related to improvement of patient
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v environment as a method of health promotion? v v v v v v
a. Clara Barton v
b. Linda Richards v
c. Dorothea Dix v
d. Florence Nightingale v
ANS: D v
The influence of Florence Nightingale was highly significant in the 19th century as she fought
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for sanitary conditions, fresh air, and general improvement in the patient environment. Clara
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Barton developed the American Red Cross in 1881. Linda Richards is known as the first
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trained nurse in America, was responsible for the development of the first nursing and hospital
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records, and is 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
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and superintendent of female nurses of the Union Army.
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DIF: Cognitive Level: Knowledge
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TOP: Nursing leaders
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MSC: NCLEX: N/A
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9. What document identifies the roles and responsibilities of the LPN/LVN?
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a. NLN Accreditation Standards v v
b. Nurse Practice Act v v
c. NAPNE Code v
d. American Nurses’ Association Code v v v
ANS: B v
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 v v REF: p. 12 | p. 14 OBJ: 11 v v v v v v
TOP: Roles and responsibilities
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N/A MSC: NCLEX: N/A
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10. What is a cost-effective delivery of care used by many hospitals that allows the LPN/LVN to
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vwork with the RN to meet the needs of patients?
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a. Focused nursing v
b. Team nursing v
c. Case management v
d. Primary nursing v