TEST BANK For Foundations and Adult Health Nursing 9th Edition Cooper | Chapter's 1 – 58

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Chapter1:EvolutionofNursing
CooperandGosnell:FoundationsandAdultHealthNursing,9thEdition
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MULTIPLE CHOICEn




1. Whatisanursingprogram considered when certified byastate agency? n K K




a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS:B
Approvedmeanscertified bya stateagencyforhavingmet minimumstandards; 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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PTS: 1 DIF: CognitiveLevel:Knowledge REF:Page 10 n



OBJ: 5
n TOP: Nursing programs n n KEY:NursingProcessStep:N/A
MSC: NCLEX: N/A
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2. Whichofthefollowingmustthenurserecognize regardingthehealthcare deliverysystem? n n



a. Itincludesallstates.
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b. It affects theillnessofpatients.
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c. Insurancecompaniesarenotinvolved.
d. Themajor goal is toachieveoptimal levels ofhealth care.
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ANS:Dn



Thenursemust recognizethatinthehealthcaredeliverysystem, themajor goal is toachieve
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, optimal levels ofhealth care. Thehealth caresystem consists ofanetworkof 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 health
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care system.
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PTS: 1 DIF: CognitiveLevel: Comprehension n REF:Page 12 n



OBJ: 7 n TOP: Health care systems n n n KEY:NursingProcessStep:N/A
MSC: NCLEX: N/A
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3. Whatisrequiredbythehealthcare team toidentifytheneeds ofapatient andtodesign care to meet n n n n n K n



nthose needs? n



a. TheKardex n



b. Thephysician‘s ordersheet n



c. Anindividualizedcareplan
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d. Thenurse‘s notes n




ANS:C n



An individualized careplan involves all health care workers and outlines care to meet the needs
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oftheindividualpatient. The Kardex,physician‘s ordersheet, andnurse‘s notesdonot identify
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theneeds ofthe patient noraretheydesigned toassist all membersofthehealth care team to meet
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those needs.
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PTS: 1 DIF: CognitiveLevel: Comprehension n REF:Pages 13,16
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, OBJ: 8 | 9 TOP: Care plan
n n n n n KEY:NursingProcessStep:Planning
MSC: NCLEX: N/A
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4. Patientcareemphasis onwellness, rather thanillness,begins as a result of: n n n n n n K n



a. increasededucationconcerningcausesofillness.
b. improved insurancepayments. K




c. decentralizedcarecenters.
d. increasednumberofhealthcare givers. n




ANS:A n



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
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health and wellnesspromotionactivities.Thispreventiveeducationhasresultedin an emphasis on
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nwellness, 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
n REF:Page12 n n



OBJ: 4 | 8
n TOP: Wellness
n KEY: Nursing Process Step: N/A
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MSC: NCLEX: N/A
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5. Howdoes an interdisciplinaryapproach topatient treatmentenhancecare?
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a. Byimprovingefficiencyof care n



b. Byreducingthenumber ofcaregivers n



c. Bypreventing thefragmentation ofpatient care n n n



d. Byshortening hospital stay K n




ANS:C n



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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PTS: 1 DIF:
n CognitiveLevel:Comprehension REF: Page16
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OBJ: 8 | 9 TOP: Interdisciplinary approach
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MSC: NCLEX: N/A
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6. Whatisthemosteffectiveprocesstoensurethatthecareplanismeetingtheneedsofthe n n



n patient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS:B n



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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PTS: 1 DIF:
n CognitiveLevel:Comprehension
n n n n n n n REF:Page16n n n



OBJ: 8 TOP: Communication
n n KEY:NursingProcessStep:N/A
MSC: NCLEX: N/A
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, 7. Howmayanewlylicensed LPN/LVN practice? n n



a. Independentlyina hospital setting n n



b. With an experienced LPN/LVN K n n



c. Underthesupervision of aphysicianor RN n n n



d. As asolepractitionerin a clinic setting
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ANS:C n



An LPN/LVNpractices underthesupervisionofaphysician, dentist, OD, or RN.
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PTS: 1 DIF: CognitiveLevel:Knowledge REF:Pages 13,19 n n



OBJ: 11 n TOP: Vocational nursing n n KEY:NursingProcessStep:N/A
MSC: NCLEX: N/A
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8. Whoseinfluenceonnursing practiceinthe19thcenturywas relatedtoimprovementofpatient K n n



n environment as a method of health promotion? n n n n n n



a. Clara Barton K




b. Linda Richards K




c. DorotheaDix
d. FlorenceNightingale
ANS:D n



Theinfluenceof Florence Nightingale washighlysignificantinthe 19thcentury as shefought 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 thefirst trained nursein
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America, wasresponsibleforthedevelopment ofthe firstnursing andhospital records, and is
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credited with the development of our present-day documentation system.
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Dorothea Dixwasthepioneer crusaderforelevation ofstandardsofcareforthementallyill and superintendent
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of female nurses of the Union Army.
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PTS: 1 n DIF: Cognitive Level: Knowledge n n n REF: Pages 2, 17 Table 1-2 OBJ:
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2|4
n n n TOP: Nursing leaders n n KEY: Nursing Process Step: N/A
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MSC: NCLEX: N/A
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9. Whatdocument identifiestherolesand responsibilitiesofthe LPN/LVN? n n n



a. NLNAccreditation Standards n



b. NursePracticeAct
c. NAPNECode
d. AmericanNurses‘AssociationCode n n




ANS:B n



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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PTS: 1 n DIF: CognitiveLevel:Knowledge
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OBJ: 11 n TOP: Roles and Responsibilities n n n KEY:NursingProcessStep:N/A
MSC: NCLEX: N/A
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10. Whatis a cost-effectivedeliveryofcareusedbymanyhospitals that allowsthe LPN/LVNto
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nwork with the RN to meet the needs of patients?
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a. Focused nursing K




b. Teamnursing


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