TEST BANK FOUNDATIONS AND ADULT HEALTH NURSING 9-E KIM
COOPER
Chapter 1. The Evolution of Nursing
| | | | |
Cooper: Foundations and Adult Health Nursing, 9th Edition
| | | | | | |
MULTIPLE |CHOICE
1. What |is |a |nursing |program |considered |when |certified |by |a |state |agency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: | B
Approved |means |certified |by |a |state |agency |for |having |met |minimum |standards; |accredited
|means |certified |by |the |NLN |for |having |met |more |complex |standards. |Provisional |and
|exemplified |are |not |terms |used |in |regard |to |nursing |program |certification.
DIF: Cognitive |Level: |Knowledge REF: | p. |10 OBJ: | 5
|TOP: | Nursing |programs KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
2. Which |of |the |following |must |the |nurse |recognize |regarding |the |health |care |delivery |system?
a. It |includes |all |states.
b. It |affects |the |illness |of |patients.
c. Insurance |companies |are |not |involved.
d. The |major |goal |is |to |achieve |optimal |levels |of |health |care.
ANS: | D
The |nurse |must |recognize |that |in |the |health |care |delivery |system, |the |major |goal |is |to |achieve
|optimal |levels |of |health |care. |The |health |care |system |consists |of |a |network |of |agencies,
|facilities, |and |providers |involved |with |health |care |in |a |specified |geographic |area. |Insurance
|companies |do |have |involvement |in |the |health |care |system. |The |illness |of |patients |is |not
|necessarily |affected |by |the |health |care |system.
DIF: Cognitive |Level: |Comprehension REF: | p. |12 OBJ: | 7
|TOP: | Health |care |systems KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
3. What |is |required |by |the |health |care |team |to |identify |the |needs |of |a |patient |and |to |design |care |to
meet |those |needs?
|
a. The |Kardex
b. The |health |care |provider’s |order |sheet
c. An |individualized |care |plan
d. The |nurse’s |notes
ANS: | C
An |individualized |care |plan |involves |all |health |care |workers |and |outlines |care |to |meet |the |needs
|of |the |individual |patient. |The |Kardex, |health |care |provider’s |order |sheet, |and |nurse’s |notes |do
|not |identify |the |needs |of |the |patient |nor |are |they |designed |to |assist |all |members |of |the |health |care
|team |to |meet |those |needs.
DIF: Cognitive |Level: |Comprehension REF: | | p. |13 OBJ: | | 8 || |9
, TOP: | Care |plan KEY: | Nursing |Process |Step: |Planning MSC: | NCLEX: |N/A
4. Patient |care |emphasis |on |wellness, |rather |than |illness, |begins |as |a |result |of:
a. increased |education |concerning |causes |of |illness.
b. improved |insurance |payments.
c. decentralized |care |centers.
d. increased |number |of |health |care |givers.
ANS: | A
The |acute |awareness |of |preventive |medicine |has |resulted |in |today’s |emphasis |on |education
|about |issues |such |as |smoking, |heart |disease, |drug |and |alcohol |abuse, |weight |control, |and |mental
|health |and |wellness |promotion |activities. |This |preventive |education |has |resulted |in |an |emphasis
|on |wellness, |rather |than |illness. |Improved |insurance |payments, |decentralized |care |centers, |and
|increased |numbers |of |health |care |givers |did |not |influence |an |emphasis |on |wellness.
DIF: Cognitive |Level: |Comprehension REF: | | p. |12 OBJ: | | 4 || |8
TOP: | Wellness KEY: | Nursing |Process |Step: |N/A MSC: | NCLEX: |N/A
5. What |is |the |most |effective |process |to |ensure |that |the |care |plan |is |meeting |the |needs |of |the
patient?
|
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: | B
Communication |is |the |primary |essential |component |among |the |health |care |team |to |evaluate |and
|modify |the |care |plan. |Documentation, |evaluation, |and |planning |are |not |primary |essential
|components |to |ensure |the |care |plan |is |meeting |the |needs |of |the |patient.
DIF: Cognitive |Level: |Comprehension REF: | p. |17 OBJ: | 8
|TOP: | Communication KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
6. How |does |an |interdisciplinary |approach |to |patient |treatment |enhance |care?
a. By |improving |efficiency |of |care
b. By |reducing |the |number |of |caregivers
c. By |preventing |the |fragmentation |of |patient |care
d. By |shortening |hospital |stay
ANS: | C
An |interdisciplinary |approach |prevents |fragmentation |of |care. |An |interdisciplinary |approach
|does |not |improve |the |efficiency |of |care, |reduce |the |number |of |caregivers, |or |shorten |hospital
|stay.
DIF: | Cognitive |Level: |Comprehension | | REF: | p. |16 OBJ: | 8 || |9
|TOP: | Interdisciplinary |approach KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
7. How |may |a |newly |licensed |LPN/LVN |practice?
a. Independently |in |a |hospital |setting
, b. With |an |experienced |LPN/LVN
c. Under |the |supervision |of |a |health |care |provider |or |RN
d. As |a |sole |health |care |provider |in |a |clinic |setting
ANS: | C
An |LPN/LVN |practices |under |the |supervision |of |a |health |care |provider, |dentist, |OD, |or |RN.
DIF: Cognitive |Level: |Knowledge REF: | p. |11 OBJ: | 11
|TOP: | Vocational |nursing KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
8. Whose |influence |on |nursing |practice |in |the |19th |century |was |related |to |improvement |of |patient
|environment |as |a |method |of |health |promotion?
a. Clara |Barton
b. Linda |Richards
c. Dorothea |Dix
d. Florence |Nightingale
ANS: | D
The |influence |of |Florence |Nightingale |was |highly |significant |in |the |19th |century |as |she |fought
|for |sanitary |conditions, |fresh |air, |and |general |improvement |in |the |patient |environment. |Clara
|Barton |developed |the |American |Red |Cross |in |1881. |Linda |Richards |is |known |as |the |first |trained
|nurse |in |America, |was |responsible |for |the |development |of |the |first |nursing |and |hospital |records,
|and |is |credited |with |the |development |of |our |present-day |documentation |system.
Dorothea |Dix |was |the |pioneer |crusader |for |elevation |of |standards |of |care |for |the |mentally |ill |and
|superintendent |of |female |nurses |of |the |Union |Army.
DIF: | Cognitive |Level: |Knowledge REF: | p. |17 OBJ: | 2 || |4
|TOP: | Nursing |leaders KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
9. What |document |identifies |the |roles |and |responsibilities |of |the |LPN/LVN?
a. NLN |Accreditation |Standards
b. Nurse |Practice |Act
c. NAPNE |Code
d. American |Nurses’|Association |Code
ANS: | B
The |LPN/LVN |functions |under |the |Nurse |Practice |Act. |NLN |Accreditation |Standards, |the
|NAPNE |Code, |and |the |American |Nurses’|Association |Code |do |not |identify |the |roles |and
|responsibilities |of |the |LPN/LVN.
DIF: Cognitive |Level: |Knowledge REF: | p. |12 || |p. |14 OBJ: | 11
|TOP: | Roles |and |responsibilities KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
10. What |is |a |cost-effective |delivery |of |care |used |by |many |hospitals |that |allows |the |LPN/LVN |to
work |with |the |RN |to |meet |the |needs |of |patients?
|
a.Focused |nursing
b.Team |nursing
c.Case |management
d.Primary |nursing
, ANS: | C
Case |management |is |a |cost-effective |method |of |care. |Focused |nursing, |team |nursing, |and
|primary |nursing |are |not |cost-effective |methods |of |delivering |care |that |allow |the |LPN/LVN |to
|work |with |the |RN |to |meet |patient |needs.
DIF: | Cognitive |Level: |Comprehension | | REF: | p. |15 OBJ: | 7 || |9
|TOP: | Patient |care |delivery |systems KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
11. What |is |the |title |of |the |American |Hospital |Association’s |1972 |document |that |outlines |the
patient’s |expectations |to |be |treated |with |dignity |and |compassion?
|
a. Code |of |Ethics
b. Patient’s |Bill |of |Rights
c. OBRA
d. Advance |directives
ANS: | B
Patient |expectations |are |outlined |by |the |Patient’s |Bill |of |Rights. |Patient |expectations |are |not
|outlined |in |the |Code |of |Ethics, |OBRA, |or |advance |directives.
DIF: Cognitive |Level: |Knowledge REF: | p. |16 OBJ: | 4 || |8
|TOP: | Patient’s |rights KEY: Nursing |Process |Step: |N/A
MSC: | NCLEX: |N/A
12. The |relationships |among |nursing, |patients, |health, |and |the |environment |are |the |basis |for:
a. care |plans.
b. nursing |models.
c. health |care |provider’s |orders.
d. evaluation |of |patient |care.
ANS: | B
Nursing |models |are |theories |based |on |the |relationship |between |nursing, |patients, |health, |and
|environment. |Care |plans, |health |care |provider’s |orders, |and |evaluation |of |patient |care |are |not
|based |on |the |relationships |among |nursing, |patients, |health, |and |environment.
DIF: Cognitive |Level: |Comprehension REF: | p. |17 OBJ: | 1
|TOP: | Nursing |models KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
13. What |system |reduces |the |number |of |employees |but |still |provides |quality |care |for |patients?
a. Team |nursing
b. Cross-training
c. Use |of |critical |pathways
d. Case |management
ANS: | B
Cross-training |reduces |the |number |of |employees |but |does |not |alter |the |quality |of |patient |care.
|Team |nursing, |use |of |critical |pathways, |and |case |management |do |not |reduce |the |number |of
|employees |while |continuing |to |provide |quality |care |for |patients.
DIF: Cognitive |Level: |Comprehension REF: | | p. |15 OBJ: | | 8
TOP: | Patient |care KEY: | Nursing |Process |Step: |N/A MSC: | NCLEX: |N/A
COOPER
Chapter 1. The Evolution of Nursing
| | | | |
Cooper: Foundations and Adult Health Nursing, 9th Edition
| | | | | | |
MULTIPLE |CHOICE
1. What |is |a |nursing |program |considered |when |certified |by |a |state |agency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: | B
Approved |means |certified |by |a |state |agency |for |having |met |minimum |standards; |accredited
|means |certified |by |the |NLN |for |having |met |more |complex |standards. |Provisional |and
|exemplified |are |not |terms |used |in |regard |to |nursing |program |certification.
DIF: Cognitive |Level: |Knowledge REF: | p. |10 OBJ: | 5
|TOP: | Nursing |programs KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
2. Which |of |the |following |must |the |nurse |recognize |regarding |the |health |care |delivery |system?
a. It |includes |all |states.
b. It |affects |the |illness |of |patients.
c. Insurance |companies |are |not |involved.
d. The |major |goal |is |to |achieve |optimal |levels |of |health |care.
ANS: | D
The |nurse |must |recognize |that |in |the |health |care |delivery |system, |the |major |goal |is |to |achieve
|optimal |levels |of |health |care. |The |health |care |system |consists |of |a |network |of |agencies,
|facilities, |and |providers |involved |with |health |care |in |a |specified |geographic |area. |Insurance
|companies |do |have |involvement |in |the |health |care |system. |The |illness |of |patients |is |not
|necessarily |affected |by |the |health |care |system.
DIF: Cognitive |Level: |Comprehension REF: | p. |12 OBJ: | 7
|TOP: | Health |care |systems KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
3. What |is |required |by |the |health |care |team |to |identify |the |needs |of |a |patient |and |to |design |care |to
meet |those |needs?
|
a. The |Kardex
b. The |health |care |provider’s |order |sheet
c. An |individualized |care |plan
d. The |nurse’s |notes
ANS: | C
An |individualized |care |plan |involves |all |health |care |workers |and |outlines |care |to |meet |the |needs
|of |the |individual |patient. |The |Kardex, |health |care |provider’s |order |sheet, |and |nurse’s |notes |do
|not |identify |the |needs |of |the |patient |nor |are |they |designed |to |assist |all |members |of |the |health |care
|team |to |meet |those |needs.
DIF: Cognitive |Level: |Comprehension REF: | | p. |13 OBJ: | | 8 || |9
, TOP: | Care |plan KEY: | Nursing |Process |Step: |Planning MSC: | NCLEX: |N/A
4. Patient |care |emphasis |on |wellness, |rather |than |illness, |begins |as |a |result |of:
a. increased |education |concerning |causes |of |illness.
b. improved |insurance |payments.
c. decentralized |care |centers.
d. increased |number |of |health |care |givers.
ANS: | A
The |acute |awareness |of |preventive |medicine |has |resulted |in |today’s |emphasis |on |education
|about |issues |such |as |smoking, |heart |disease, |drug |and |alcohol |abuse, |weight |control, |and |mental
|health |and |wellness |promotion |activities. |This |preventive |education |has |resulted |in |an |emphasis
|on |wellness, |rather |than |illness. |Improved |insurance |payments, |decentralized |care |centers, |and
|increased |numbers |of |health |care |givers |did |not |influence |an |emphasis |on |wellness.
DIF: Cognitive |Level: |Comprehension REF: | | p. |12 OBJ: | | 4 || |8
TOP: | Wellness KEY: | Nursing |Process |Step: |N/A MSC: | NCLEX: |N/A
5. What |is |the |most |effective |process |to |ensure |that |the |care |plan |is |meeting |the |needs |of |the
patient?
|
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: | B
Communication |is |the |primary |essential |component |among |the |health |care |team |to |evaluate |and
|modify |the |care |plan. |Documentation, |evaluation, |and |planning |are |not |primary |essential
|components |to |ensure |the |care |plan |is |meeting |the |needs |of |the |patient.
DIF: Cognitive |Level: |Comprehension REF: | p. |17 OBJ: | 8
|TOP: | Communication KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
6. How |does |an |interdisciplinary |approach |to |patient |treatment |enhance |care?
a. By |improving |efficiency |of |care
b. By |reducing |the |number |of |caregivers
c. By |preventing |the |fragmentation |of |patient |care
d. By |shortening |hospital |stay
ANS: | C
An |interdisciplinary |approach |prevents |fragmentation |of |care. |An |interdisciplinary |approach
|does |not |improve |the |efficiency |of |care, |reduce |the |number |of |caregivers, |or |shorten |hospital
|stay.
DIF: | Cognitive |Level: |Comprehension | | REF: | p. |16 OBJ: | 8 || |9
|TOP: | Interdisciplinary |approach KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
7. How |may |a |newly |licensed |LPN/LVN |practice?
a. Independently |in |a |hospital |setting
, b. With |an |experienced |LPN/LVN
c. Under |the |supervision |of |a |health |care |provider |or |RN
d. As |a |sole |health |care |provider |in |a |clinic |setting
ANS: | C
An |LPN/LVN |practices |under |the |supervision |of |a |health |care |provider, |dentist, |OD, |or |RN.
DIF: Cognitive |Level: |Knowledge REF: | p. |11 OBJ: | 11
|TOP: | Vocational |nursing KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
8. Whose |influence |on |nursing |practice |in |the |19th |century |was |related |to |improvement |of |patient
|environment |as |a |method |of |health |promotion?
a. Clara |Barton
b. Linda |Richards
c. Dorothea |Dix
d. Florence |Nightingale
ANS: | D
The |influence |of |Florence |Nightingale |was |highly |significant |in |the |19th |century |as |she |fought
|for |sanitary |conditions, |fresh |air, |and |general |improvement |in |the |patient |environment. |Clara
|Barton |developed |the |American |Red |Cross |in |1881. |Linda |Richards |is |known |as |the |first |trained
|nurse |in |America, |was |responsible |for |the |development |of |the |first |nursing |and |hospital |records,
|and |is |credited |with |the |development |of |our |present-day |documentation |system.
Dorothea |Dix |was |the |pioneer |crusader |for |elevation |of |standards |of |care |for |the |mentally |ill |and
|superintendent |of |female |nurses |of |the |Union |Army.
DIF: | Cognitive |Level: |Knowledge REF: | p. |17 OBJ: | 2 || |4
|TOP: | Nursing |leaders KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
9. What |document |identifies |the |roles |and |responsibilities |of |the |LPN/LVN?
a. NLN |Accreditation |Standards
b. Nurse |Practice |Act
c. NAPNE |Code
d. American |Nurses’|Association |Code
ANS: | B
The |LPN/LVN |functions |under |the |Nurse |Practice |Act. |NLN |Accreditation |Standards, |the
|NAPNE |Code, |and |the |American |Nurses’|Association |Code |do |not |identify |the |roles |and
|responsibilities |of |the |LPN/LVN.
DIF: Cognitive |Level: |Knowledge REF: | p. |12 || |p. |14 OBJ: | 11
|TOP: | Roles |and |responsibilities KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
10. What |is |a |cost-effective |delivery |of |care |used |by |many |hospitals |that |allows |the |LPN/LVN |to
work |with |the |RN |to |meet |the |needs |of |patients?
|
a.Focused |nursing
b.Team |nursing
c.Case |management
d.Primary |nursing
, ANS: | C
Case |management |is |a |cost-effective |method |of |care. |Focused |nursing, |team |nursing, |and
|primary |nursing |are |not |cost-effective |methods |of |delivering |care |that |allow |the |LPN/LVN |to
|work |with |the |RN |to |meet |patient |needs.
DIF: | Cognitive |Level: |Comprehension | | REF: | p. |15 OBJ: | 7 || |9
|TOP: | Patient |care |delivery |systems KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
11. What |is |the |title |of |the |American |Hospital |Association’s |1972 |document |that |outlines |the
patient’s |expectations |to |be |treated |with |dignity |and |compassion?
|
a. Code |of |Ethics
b. Patient’s |Bill |of |Rights
c. OBRA
d. Advance |directives
ANS: | B
Patient |expectations |are |outlined |by |the |Patient’s |Bill |of |Rights. |Patient |expectations |are |not
|outlined |in |the |Code |of |Ethics, |OBRA, |or |advance |directives.
DIF: Cognitive |Level: |Knowledge REF: | p. |16 OBJ: | 4 || |8
|TOP: | Patient’s |rights KEY: Nursing |Process |Step: |N/A
MSC: | NCLEX: |N/A
12. The |relationships |among |nursing, |patients, |health, |and |the |environment |are |the |basis |for:
a. care |plans.
b. nursing |models.
c. health |care |provider’s |orders.
d. evaluation |of |patient |care.
ANS: | B
Nursing |models |are |theories |based |on |the |relationship |between |nursing, |patients, |health, |and
|environment. |Care |plans, |health |care |provider’s |orders, |and |evaluation |of |patient |care |are |not
|based |on |the |relationships |among |nursing, |patients, |health, |and |environment.
DIF: Cognitive |Level: |Comprehension REF: | p. |17 OBJ: | 1
|TOP: | Nursing |models KEY: | Nursing |Process |Step: |N/A
|MSC: | NCLEX: |N/A
13. What |system |reduces |the |number |of |employees |but |still |provides |quality |care |for |patients?
a. Team |nursing
b. Cross-training
c. Use |of |critical |pathways
d. Case |management
ANS: | B
Cross-training |reduces |the |number |of |employees |but |does |not |alter |the |quality |of |patient |care.
|Team |nursing, |use |of |critical |pathways, |and |case |management |do |not |reduce |the |number |of
|employees |while |continuing |to |provide |quality |care |for |patients.
DIF: Cognitive |Level: |Comprehension REF: | | p. |15 OBJ: | | 8
TOP: | Patient |care KEY: | Nursing |Process |Step: |N/A MSC: | NCLEX: |N/A
