TEST BANK Foundations and Adult Health Nursing 10/E Kiṁ Cooper

TEST BANK Foundations and Adult Health Nursing 9/E Kim Cooper
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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 b6




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 6 B
Approvedmeans certified bya state agencyfor having met minimum standards; accredited means b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6




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 b6 b6 REF: p. 10 OBJ: 5 b 6 b6 b 6




TOP: Nursing programs
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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. b6 b6 b6




b. It affects the illness of patients.
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c. Insurance companies are not involved. b6 b6 b6 b6




d. The major goal is to achieve optimal levels of health care. b6 b6 b6 b6 b6 b6 b6 b6 b6 b6




ANS: b 6 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 b6 b6 REF: p. 12 OBJ: 7 b 6 b6 b 6




TOP: Health care systems
b6 b 6 b6 b6 KEY: NursingProcessStep:N/A b 6 b6 b6 b6




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 b6




b. Thehealth careprovider’s order sheet b6 b6 b6 b6 b6




c. An individualized care plan b6 b6 b6




d. Thenurse’snotes b6 b6




ANS: b 6 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: Cognitive Level: Comprehension b6 b6 REF: p. 13 b 6 b 6 b6 OBJ: b 6 b 6 8 |9 b6 b6

, TOP: b 6 Care plan b6 KEY: b 6 Nursing Process Step: Planning b6 b6 b6 MSC: NCLEX: N/A b 6 b6




4. Patient care emphasis on wellness, rather than illness, begins as a result of:
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a. increasededucation concerning causes of illness. b6 b6 b6 b6 b6




b. improvedinsurance payments. b6 b6




c. decentralized care centers. b6 b6




d. increased number of health care givers. b6 b6 b6 b6 b6




ANS: b 6 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 preventive education 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: Cognitive Level: Comprehension REF: p. 12 b6 b6 b 6 b 6 b6 OBJ: 4 | 8 b 6 b 6 b6 b6




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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patient?
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a. Documentation
b. Communication
c. Evaluation
d. Planning

ANS: b 6 B
Communication is the primary essential component among the health care team to evaluate and b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6




modify the 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 b6 b6 REF: p. 17 OBJ: 8 b 6 b6 b 6




TOP: Communication
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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 b6 b6 b6 b6




b. By reducing the number of caregivers b6 b6 b6 b6 b6




c. By preventing the fragmentation of patient care
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d. By shortening hospital stay b6 b6 b6




ANS: b 6 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
b 6 b6 b6 b 6 bREF: p. 16 6 OBJ: 8 | 9 b 6 b6 b 6 b6 b6




TOP: Interdisciplinary approach
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MSC: NCLEX: N/A
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7. How maya newly licensedLPN/LVN practice?
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a. Independently in a hospital setting b6 b6 b6 b6

, b. WithanexperiencedLPN/LVN b6 b6 b6




c. Under the supervision of a health care provider or RN b6 b6 b6 b6 b6 b6 b6 b6 b6




d. As a sole health care provider in a clinic setting
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ANS: b 6 C
An LPN/LVN practices under the supervision ofa health careprovider, dentist, OD, or RN.
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DIF: Cognitive Level: Knowledge b6 b6 REF: p. 11 OBJ: 11 b 6 b6 b 6




TOP: Vocational nursing
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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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b6 environment as a method of health promotion? b6 b6 b6 b6 b6 b6




a. Clara Barton b6




b. Linda Richards b6




c. DorotheaDix b6




d. Florence Nightingale b6




ANS: b 6 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
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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. Whatdocument identifies the roles and responsibilities of the LPN/LVN?
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a. NLNAccreditationStandards b6 b6




b. Nurse PracticeAct b6 b6




c. NAPNE Code b6




d. AmericanNurses’Association Code b6 b6 b6




ANS: b 6 B
TheLPN/LVN functionsunder theNurse PracticeAct. 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 b6 b6 REF: p. 12 | p. 14 OBJ: 11 b 6 b6 b6 b6 b6 b 6




TOP: Roles and responsibilities
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MSC: NCLEX: N/A
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10. Whatis acost-effective delivery of careused by many hospitals thatallows 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 b6




b. Teamnursing b6




c. Case management b6




d. Primary nursing b6

, ANS: b 6 C
Case management is a cost-effective method of care. Focused nursing, team nursing, and primary
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nursing are notcost-effective methodsof delivering care that allowthe LPN/LVN to work with the
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RN to meet patient needs.
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DIF: Cognitive Level: Comprehension
b 6 b6 b6 b 6 bREF: p. 15
6 OBJ: 7 | 9 b 6 b6 b 6 b6 b6




TOP: Patient care delivery systems
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MSC: NCLEX: N/A
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11. Whatis the titleof theAmerican HospitalAssociation’s 1972 documentthat outlines the
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b6 patient’s expectations to be treated with dignity and compassion? b6 b6 b6 b6 b6 b6 b6 b6




a. Code of Ethics b6 b6




b. Patient’sBillof Rights b6 b6 b6




c. OBRA
d. Advancedirectives b6




ANS: b 6 B
Patient expectations are outlined by the Patient’s Bill of Rights. Patientexpectations are not outlined
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in the Code of Ethics, OBRA, or advance directives.
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DIF: Cognitive Level: Knowledge b6 b6 REF: p. 16 OBJ: b 6 b6 b 6 4 |8 b6 b6




TOP: Patient’s rights
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MSC: NCLEX: N/A b 6 b6




12. The relationships among nursing, patients, health, and the environment are the basis for:
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a. care plans. b6




b. nursing models. b6




c. healthcareprovider’s orders. b6 b6 b6




d. evaluation of patient care. b6 b6 b6




ANS: b 6 B
Nursing models are theories based on the relationship between nursing, patients, health, and
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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 b6 b6 REF: p. 17 OBJ: 1 b 6 b6 b 6




TOP: Nursing models
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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 b6




b. Cross-training
c. Use of critical pathways b6 b6 b6




d. Case management b6




ANS: b 6 B
Cross-training reduces the number of employees but does not alter the quality of patient care. Team b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6




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: Cognitive Level: Comprehension REF: p. 15 b6 b6 b 6 b 6 b6 OBJ: 8 b 6 b 6




TOP: Patient care KEY: Nursing Process Step: N/A
b 6 b6 b 6 b6 b6 b6 MSC: NCLEX: N/A b 6 b6