,Chapter 01: The Evolution of Nursing Coop
5% 5% 5% 5% 5% 5%
er: Foundation of Nursing, 9th Edition
5% 5% 5% 5% 5%
MULTIPLE CHOICE 5%
1. What is a nursing program considered when certified by a state agency?
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B 5 %
Approved means certified by a state agency for having met minimum standards; accredited
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
means certified by the NLN for having met more complex standards. Provisional and exem
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
plified are not terms used in regard to nursing program certification.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Knowledge REF: p. 10 5% 5% 5 % 5%
OBJ: 5 TOP: Nursing programs
5% 5% 5 % 5%
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
5% 5% 5% 5% 5% 5% 5%
2. Which of the following must the nurse recognize regarding the health care deliverysystem?
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
a. It includes all states.
5% 5% 5%
b. It affects the illness of patients.
5% 5% 5% 5% 5%
c. Insurance companies are not involved. 5% 5% 5% 5%
d. The major goal is to achieve optimal levels of health care.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ANS: D 5%
The nurse must recognize that in the health care delivery system, the major goal is to achiev
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
e optimal levels of health care. The health care system consists of a network of agencies, fa
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
cilities, and providers involved with health care in a specified geographic area. Insurance c
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ompanies do have involvement in the health care system. The illness of patients is not nece
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ssarily affected by the health care system.
5% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Comprehension REF: p. 12 5% 5% 5 % 5%
OBJ: 7 TOP: Healthcare systems
5% 5% 5 % 5%
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
5% 5% 5% 5% 5% 5% 5%
3. What is required by the health care team to identify the needs of a patient and to design care
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5
%to meet those needs?
5% 5% 5%
a. The Kardex 5%
b. The health care provider’s order sheet
5% 5% 5% 5% 5%
c. An individualized care plan
5% 5% 5%
d. The nurse’s notes 5% 5%
ANS: C 5%
An individualized care plan involves all health care workers and outlines care to meet the n
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
eeds of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s n
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
otes do not identify the needs of the patient nor are they designed to assist all members of t
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
he health care team to meet those needs.
5% 5% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Comprehension 5% 5% REF: 5 % 5 % p. 13 5% OBJ: 8 | 9 5% 5% 5%
, TOP: 5 % Care plan 5% KEY: Nursing Process Step: Planning
5 % 5% 5% 5% MSC: NCLEX: N/A 5% 5%
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
a. increased education concerning causes of illness. 5% 5% 5% 5% 5%
b. improved insurance payments. 5% 5%
c. decentralized care centers. 5% 5%
d. increased number of health care givers. 5% 5% 5% 5% 5%
ANS: A 5%
The acute awareness of preventive medicine has resulted in today’s emphasis on education
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
about issues such as smoking, heart disease, drug and alcohol abuse, weight control, and m
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ental health and wellness promotion activities. This preventive education has resulted in an e
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
mphasis on wellness, rather than illness. Improved insurance payments, decentralized care c
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
enters, and increased numbers of health care givers did not influence an emphasis on welln
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ess.
DIF: Cognitive Level: Comprehension REF: p. 12 5% 5% 5 % 5 % 5% OBJ: 4 | 8 5% 5% 5%
TOP: Wellness KEY: Nursing Process Step: N/A
5 % 5 % 5% 5% 5% MSC: NCLEX: N/A 5% 5%
5. What is the most effective process to ensure that the care plan is meeting the needs of t
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
he patient?
5%
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B 5%
Communication is the primary essential component among the health care team to evaluate
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
and modify the care plan. Documentation, evaluation, and planning are not primary essential
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5
components to ensure the care plan is meeting the needs of the patient.
% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Comprehension REF: p. 17
5% 5% 5 % 5%
OBJ: 8 TOP: Communication
5% 5% 5 %
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
5% 5% 5% 5% 5% 5% 5%
6. How does an interdisciplinary approach to patient treatment enhance care?
5% 5% 5% 5% 5% 5% 5% 5% 5%
a. By improving efficiency of care
5% 5% 5% 5%
b. By reducing the number of caregivers
5% 5% 5% 5% 5%
c. By preventing the fragmentation of patient care
5% 5% 5% 5% 5% 5%
d. By shortening hospital stay5% 5% 5%
ANS: C 5%
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approac
5% 5% 5% 5% 5% 5% 5% 5% 5%
h does not improve the efficiency of care, reduce the number of caregivers, or shorten hos
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
pital stay. 5%
DIF: Cognitive Level: Comprehension REF: p. 16
5 % 5% 5% 5 % 5% 5%
OBJ: 8 | 9 TOP: Interdisciplinar 5% 5% 5% 5% 5 %
y approach
5%
KEY: Nursing Process Step: N/ 5% 5% 5% 5%
A MSC: NCLEX: N/A
5% 5% 5%
7. How may a newly licensed LPN/LVN practice?
5% 5% 5% 5% 5% 5%
a. Independently in a hospital setting 5% 5% 5% 5%
, b. With an experienced LPN/LVN 5% 5% 5%
c. Under the supervision of a health care provider or RN
5% 5% 5% 5% 5% 5% 5% 5% 5%
d. As a sole health care provider in a clinic setting
5% 5% 5% 5% 5% 5% 5% 5% 5%
ANS: C 5%
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Knowledge REF: p. 11 5% 5% 5 % 5%
OBJ: 11 TOP: Vocational nursing
5% 5% 5 % 5%
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
5% 5% 5% 5% 5% 5% 5%
8. Whose influence on nursing practice in the 19th century was related to improvement of patie
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
nt environment as a method of health promotion?
5% 5% 5% 5% 5% 5% 5%
a. Clara Barton 5%
b. Linda Richards 5%
c. Dorothea Dix 5%
d. Florence Nightingale 5%
ANS: D 5%
The influence of Florence Nightingale was highly significant in the 19th century as she fou
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ght for sanitary conditions, fresh air, and general improvement in the patient environment.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
Clara Barton developed the American Red Cross in 1881. Linda Richards is known as the f
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
irst trained nurse in America, was responsible for the development of the first nursing and h
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ospital records, and is credited with the development of our present-
5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
day documentation system.
5% 5%
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5
%and superintendent of female nurses of the Union Army.
5% 5% 5% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Knowledge
5 % 5% 5% REF: p. 17 5 % 5%
OBJ: 2 | 4 TOP: Nursing leader
5% 5% 5% 5% 5 % 5%
s
KEY: Nursing Process Step: N/
5% 5% 5% 5%
A MSC: NCLEX: N/A
5% 5% 5%
9. What document identifies the roles and responsibilities of the LPN/LVN?
5% 5% 5% 5% 5% 5% 5% 5% 5%
a. NLN Accreditation Standards 5% 5%
b. Nurse Practice Act 5% 5%
c. NAPNE Code 5%
d. American Nurses’ Association Code 5% 5% 5%
ANS: B 5%
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, th
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
e NAPNE Code, and the American Nurses’ Association Code do not identify the roles
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5
and responsibilities of the LPN/LVN.
% 5% 5% 5% 5%
DIF: Cognitive Level: Knowledge REF: p. 12 |p. 14
5% 5% 5 % 5% 5% 5%
OBJ: 11 TOP: Rolesand responsibilities
5% 5% 5 % 5%
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
5% 5% 5% 5% 5% 5% 5%
10. What is a cost- 5% 5% 5%
effective delivery of care used by many hospitals that allows the LPN/LVN to work with t
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
he RN to meet the needs of patients?
5% 5% 5% 5% 5% 5% 5%
a. Focused nursing 5%
b. Team nursing 5%
c. Case management 5%
d. Primary nursing 5%
5% 5% 5% 5% 5% 5%
er: Foundation of Nursing, 9th Edition
5% 5% 5% 5% 5%
MULTIPLE CHOICE 5%
1. What is a nursing program considered when certified by a state agency?
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B 5 %
Approved means certified by a state agency for having met minimum standards; accredited
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
means certified by the NLN for having met more complex standards. Provisional and exem
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
plified are not terms used in regard to nursing program certification.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Knowledge REF: p. 10 5% 5% 5 % 5%
OBJ: 5 TOP: Nursing programs
5% 5% 5 % 5%
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
5% 5% 5% 5% 5% 5% 5%
2. Which of the following must the nurse recognize regarding the health care deliverysystem?
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
a. It includes all states.
5% 5% 5%
b. It affects the illness of patients.
5% 5% 5% 5% 5%
c. Insurance companies are not involved. 5% 5% 5% 5%
d. The major goal is to achieve optimal levels of health care.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ANS: D 5%
The nurse must recognize that in the health care delivery system, the major goal is to achiev
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
e optimal levels of health care. The health care system consists of a network of agencies, fa
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
cilities, and providers involved with health care in a specified geographic area. Insurance c
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ompanies do have involvement in the health care system. The illness of patients is not nece
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ssarily affected by the health care system.
5% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Comprehension REF: p. 12 5% 5% 5 % 5%
OBJ: 7 TOP: Healthcare systems
5% 5% 5 % 5%
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
5% 5% 5% 5% 5% 5% 5%
3. What is required by the health care team to identify the needs of a patient and to design care
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5
%to meet those needs?
5% 5% 5%
a. The Kardex 5%
b. The health care provider’s order sheet
5% 5% 5% 5% 5%
c. An individualized care plan
5% 5% 5%
d. The nurse’s notes 5% 5%
ANS: C 5%
An individualized care plan involves all health care workers and outlines care to meet the n
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
eeds of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s n
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
otes do not identify the needs of the patient nor are they designed to assist all members of t
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
he health care team to meet those needs.
5% 5% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Comprehension 5% 5% REF: 5 % 5 % p. 13 5% OBJ: 8 | 9 5% 5% 5%
, TOP: 5 % Care plan 5% KEY: Nursing Process Step: Planning
5 % 5% 5% 5% MSC: NCLEX: N/A 5% 5%
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
a. increased education concerning causes of illness. 5% 5% 5% 5% 5%
b. improved insurance payments. 5% 5%
c. decentralized care centers. 5% 5%
d. increased number of health care givers. 5% 5% 5% 5% 5%
ANS: A 5%
The acute awareness of preventive medicine has resulted in today’s emphasis on education
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
about issues such as smoking, heart disease, drug and alcohol abuse, weight control, and m
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ental health and wellness promotion activities. This preventive education has resulted in an e
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
mphasis on wellness, rather than illness. Improved insurance payments, decentralized care c
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
enters, and increased numbers of health care givers did not influence an emphasis on welln
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ess.
DIF: Cognitive Level: Comprehension REF: p. 12 5% 5% 5 % 5 % 5% OBJ: 4 | 8 5% 5% 5%
TOP: Wellness KEY: Nursing Process Step: N/A
5 % 5 % 5% 5% 5% MSC: NCLEX: N/A 5% 5%
5. What is the most effective process to ensure that the care plan is meeting the needs of t
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
he patient?
5%
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B 5%
Communication is the primary essential component among the health care team to evaluate
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
and modify the care plan. Documentation, evaluation, and planning are not primary essential
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5
components to ensure the care plan is meeting the needs of the patient.
% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Comprehension REF: p. 17
5% 5% 5 % 5%
OBJ: 8 TOP: Communication
5% 5% 5 %
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
5% 5% 5% 5% 5% 5% 5%
6. How does an interdisciplinary approach to patient treatment enhance care?
5% 5% 5% 5% 5% 5% 5% 5% 5%
a. By improving efficiency of care
5% 5% 5% 5%
b. By reducing the number of caregivers
5% 5% 5% 5% 5%
c. By preventing the fragmentation of patient care
5% 5% 5% 5% 5% 5%
d. By shortening hospital stay5% 5% 5%
ANS: C 5%
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approac
5% 5% 5% 5% 5% 5% 5% 5% 5%
h does not improve the efficiency of care, reduce the number of caregivers, or shorten hos
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
pital stay. 5%
DIF: Cognitive Level: Comprehension REF: p. 16
5 % 5% 5% 5 % 5% 5%
OBJ: 8 | 9 TOP: Interdisciplinar 5% 5% 5% 5% 5 %
y approach
5%
KEY: Nursing Process Step: N/ 5% 5% 5% 5%
A MSC: NCLEX: N/A
5% 5% 5%
7. How may a newly licensed LPN/LVN practice?
5% 5% 5% 5% 5% 5%
a. Independently in a hospital setting 5% 5% 5% 5%
, b. With an experienced LPN/LVN 5% 5% 5%
c. Under the supervision of a health care provider or RN
5% 5% 5% 5% 5% 5% 5% 5% 5%
d. As a sole health care provider in a clinic setting
5% 5% 5% 5% 5% 5% 5% 5% 5%
ANS: C 5%
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Knowledge REF: p. 11 5% 5% 5 % 5%
OBJ: 11 TOP: Vocational nursing
5% 5% 5 % 5%
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
5% 5% 5% 5% 5% 5% 5%
8. Whose influence on nursing practice in the 19th century was related to improvement of patie
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
nt environment as a method of health promotion?
5% 5% 5% 5% 5% 5% 5%
a. Clara Barton 5%
b. Linda Richards 5%
c. Dorothea Dix 5%
d. Florence Nightingale 5%
ANS: D 5%
The influence of Florence Nightingale was highly significant in the 19th century as she fou
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ght for sanitary conditions, fresh air, and general improvement in the patient environment.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
Clara Barton developed the American Red Cross in 1881. Linda Richards is known as the f
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
irst trained nurse in America, was responsible for the development of the first nursing and h
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ospital records, and is credited with the development of our present-
5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
day documentation system.
5% 5%
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5
%and superintendent of female nurses of the Union Army.
5% 5% 5% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Knowledge
5 % 5% 5% REF: p. 17 5 % 5%
OBJ: 2 | 4 TOP: Nursing leader
5% 5% 5% 5% 5 % 5%
s
KEY: Nursing Process Step: N/
5% 5% 5% 5%
A MSC: NCLEX: N/A
5% 5% 5%
9. What document identifies the roles and responsibilities of the LPN/LVN?
5% 5% 5% 5% 5% 5% 5% 5% 5%
a. NLN Accreditation Standards 5% 5%
b. Nurse Practice Act 5% 5%
c. NAPNE Code 5%
d. American Nurses’ Association Code 5% 5% 5%
ANS: B 5%
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, th
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
e NAPNE Code, and the American Nurses’ Association Code do not identify the roles
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5
and responsibilities of the LPN/LVN.
% 5% 5% 5% 5%
DIF: Cognitive Level: Knowledge REF: p. 12 |p. 14
5% 5% 5 % 5% 5% 5%
OBJ: 11 TOP: Rolesand responsibilities
5% 5% 5 % 5%
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
5% 5% 5% 5% 5% 5% 5%
10. What is a cost- 5% 5% 5%
effective delivery of care used by many hospitals that allows the LPN/LVN to work with t
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
he RN to meet the needs of patients?
5% 5% 5% 5% 5% 5% 5%
a. Focused nursing 5%
b. Team nursing 5%
c. Case management 5%
d. Primary nursing 5%