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HealthNursing9thEdition Cooper
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Questions& Answerswith rationales
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(Chapter1-58) b6
TEST BANK FOR b6 b6
FOUNDATIONS AND
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ADULT HEALTH
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NURSING 9TH b6 b6
EDITION BY b6 b6
COOPER>CHAPTER1-
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40>COMPLETEGUIDE b6 b6
, Chapter1:EvolutionofNursing
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CooperandGosnell:FoundationsandAdultHealthNursing,9thEdition
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MULTIPLECHOICE 6
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1. Whatisa nursing program considered when certified by a state agency?
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a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS:B b6
Approved means certifiedby astateagencyfor havingmetminimumstandards; 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
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not terms used in regard to nursing program certification.
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PTS: 1 DIF: Cognitive Level: Knowledge
b 6 b6 b6 REF:Page 10 b6 b6
OBJ: 5 TOP: Nursing programs b 6 b 6 b6 KEY:NursingProcess Step: N/A b6 b6 b6 b6
MSC: NCLEX: N/A
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2. Whichof the following mustthe nurserecognize regarding thehealth care delivery system?
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a. It includes all states. b6 b6 b6
b. It affects theillness of patients.
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c. Insurancecompanies are notinvolved. b6 b6 b6 b6
d. Themajor goal is to achieveoptimal levels of health care. b6 b6 b6 b6 b6 b6 b6 b6 b6 b6
ANS: D b6
Thenurse must recognize that inthe healthcare deliverysystem, themajor goal isto 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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PTS: 1 DIF: Cognitive Level: Comprehension
b 6 b6 b6 REF:Page 12 b6 b6
OBJ: 7 TOP: Health care systems
b 6 b 6 b6 b6 KEY:NursingProcessStep: N/A b6 b6 b6 b6
MSC: NCLEX: N/A
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3. Whatis required by thehealth care team to identify theneeds of apatient and to design careto meet
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those needs?
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a. The Kardex b6
b. Thephysician‘s ordersheet b6 b6 b6
c. An individualized careplan b6 b6 b6
d. The nurse‘s notes b6 b6
ANS: C b6
An individualized care plan involves all health care workers and outlines care to meet the needs of
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theindividual patient. The Kardex,physician‘s order sheet, and nurse‘s notes do not identify the
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needs of the patient nor are they designed toassist all members of the health care team to meet those
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needs.
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PTS: b 6 1 DIF: Cognitive Level: Comprehension b6 b6 REF: Pages 13,16 b6 b6 b6
TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th EditionBY KIM COOPER KELLY
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GOSNELL
b6
,TEST BANK FOR FOUNDATIONS AND ADULT HEALTH
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NURSING9thEditionBY KIM COOPERKELLYGOSNELL
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OBJ: 8 | 9 TOP: b 6 b6 b6 b 6 Care plan b6 KEY:NursingProcess Step:Planning b6 b6 b6 b6
MSC: NCLEX: N/A
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4. Patientcare emphasis on wellness, rather than illness,begins as a result of:
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a. increasededucationconcerning causes ofillness. b6 b6 b6 b6 b6
b. improvedinsurance payments. b6 b6
c. decentralizedcarecenters. b6 b6
d. increased numberof health care givers. b6 b6 b6 b6 b6
ANS: A b6
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 wellnesspromotionactivities. This preventiveeducationhasresultedin 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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PTS: 1 DIF: Cognitive Level: Comprehension
b 6 REF:Page12 b6 b6 b6 b6
OBJ: 4 | 8
b6 TOP: Wellness KEY: Nursing Process Step: N/A
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MSC: NCLEX: N/A
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5. Howdoes an interdisciplinary approach topatient treatment enhancecare?
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a. By improving efficiency of care b6 b6 b6 b6
b. By reducing thenumber of caregivers b6 b6 b6 b6 b6
c. By preventing thefragmentation of patient care b6 b6 b6 b6 b6 b6
d. By shortening hospital stay b6 b6 b6
ANS: C b6
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
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does not improvethe efficiency of care, reduce thenumberof caregivers, orshorten hospital stay.
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PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 16
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OBJ: 8 | 9 TOP: Interdisciplinary approach
b 6 KEY:NursingProcess Step: N/A
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MSC: NCLEX: N/A
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6. Whatis the mosteffective process to ensure that thecare plan is meeting the needs ofthe patient?
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a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B b6
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
modifythecareplan. Documentation,evaluation,andplanningare notprimary essential
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components to ensure the care plan is meeting the needs of the patient.
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PTS: 1 DIF: Cognitive Level: Comprehension
b 6 b6 b6 REF:Page 16 b6 b6
OBJ: 8 TOP: Communication b 6 b 6 KEY:NursingProcess Step:N/A b6 b6 b6 b6
MSC: NCLEX: N/A
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TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th EditionBY KIM COOPER KELLY
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GOSNELL
b6
, TEST BANK FOR FOUNDATIONS AND ADULT HEALTH
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NURSING9thEditionBY KIM COOPERKELLYGOSNELL
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7. How may anewlylicensed LPN/LVN practice?
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a. Independently ina hospital setting b6 b6 b6 b6
b. Withan experienced LPN/LVN b6 b6 b6
c. Under the supervision of a physician or RN b6 b6 b6 b6 b6 b6 b6
d. As a sole practitioner in a clinic setting b6 b6 b6 b6 b6 b6 b6
ANS: C b6
An LPN/LVN practices underthe supervision ofa physician, dentist, OD, or RN.
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PTS: 1 DIF: Cognitive Level: Knowledge
b 6 b6 b6 REF:Pages 13,19 b6 b6 b6
OBJ: 11 TOP: Vocational nursing b 6 b 6 b6 KEY:NursingProcess Step:N/A b6 b6 b6 b6
MSC: NCLEX: N/A
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8. Whoseinfluenceon nursing practiceinthe19th centurywas relatedto improvement of patient
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environment as a method of health promotion?
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a. ClaraBarton b6
b. LindaRichards b6
c. DorotheaDix b6
d. FlorenceNightingale b6
ANS: D b6
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 the American Red Cross in 1881. Linda Richards is known as the first trained nurse in
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America, wasresponsiblefor thedevelopment of thefirst nursingand hospital records, and is
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credited with the development of our present-day documentation system.
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Dorothea Dixwas thepioneer crusaderforelevation ofstandards ofcare forthementallyill and b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6
superintendent of female nurses of the Union Army.
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PTS: 1 DIF: Cognitive Level: Knowledge
b 6 b6 b6 REF: Pages 2, 17 Table 1-2 OBJ: 2 b 6 b6 b6 b6 b6 b6 b6
|4
b6 b6 TOP: Nursing leaders b 6 b6 KEY: Nursing Process Step: N/A b6 b6 b6 b6
MSC: NCLEX: N/A
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9. Whatdocument identifies theroles and responsibilitiesof the LPN/LVN?
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a. NLN AccreditationStandards b6 b6
b. Nurse PracticeAct b6 b6
c. NAPNE Code b6
d. AmericanNurses‘AssociationCode b6 b6 b6
ANS: B b6
TheLPN/LVN functionsundertheNursePracticeAct.NLN AccreditationStandards, 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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PTS: 1 DIF: Cognitive Level: Knowledge
b 6 b6 b6 REF:Page 13 b6 b6
OBJ: 11 TOP: Roles and Responsibilities
b 6 b 6 b6 b6 KEY:NursingProcess Step:N/A b6 b6 b6 b6
MSC: NCLEX: N/A
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10. Whatis acost-effective delivery ofcareused by many hospitals that allows theLPN/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
TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th EditionBY KIM COOPER KELLY
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GOSNELL
b6