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URSING 9TH EDITION BY COOPER
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, Chapter 1: Evolution of Nursing
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Cooper and Gosnell: Foundations and Adult Health Nursing, 9th Edition
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MULTIPLE CHOICE Fi




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 Fi
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Approved means certified by a state agency for having met minimum standards; accredited
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means certified by the NLN for having met more complex standards. Provisional and exem
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plified are not terms used in regard to nursing program certification.
a
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PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 10
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OBJ: F i 5 TOP: Nursing programs F i Fi


KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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2. Which of the following must the nurse recognize regarding the health care delivery system?
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a. It includes all states.
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b. It affects the illness of patients.
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c. Insurance companies are not involved.
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d. The major goal is to achieve optimal levels of health care.
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b
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The nurse must recognize that in the health care delivery system, the major goal is to achieve
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optimal levels of health care. The health care system consists of a network of agencies, facilit
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ies, and providers involved with health care in a specified geographic area. Insurance compa
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nies do have involvement in the health care system. The illness of patients is not necessarily
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affected by the health care system. Fi Fi Fi Fi Fi




PTS: FiFi 1 DIF: Cognitive Level: Comprehension REF: Page 12 Fi Fi Fi Fi


OBJ: F i 7 TOP: Health care systems F i Fi Fi


KEY: Nursing Process Step: N/A 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
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meet those needs?
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a. The Kardex Fi


b. The physician‘s order sheet Fi Fi Fi


c. An individualized care plan Fi Fi Fi


d. The nurse‘s notes Fi Fi




ANS: C Fi


An individualized care plan involves all health care workers and outlines care to meet the ne
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eds of the individual patient. The Kardex, physician‘s order sheet, and nurse‘s notes do not ide
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ntify the needs of the patient nor are they designed to assist all members of the health care tea
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m to meet those needs.
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PTS: FiFi 1 DIF: Cognitive Level: Comprehension Fi Fi REF: Pages 13, 16 Fi Fi Fi




TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELL
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Y GOSNELL
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,TEST BANK FOR FOUNDATIONS AND ADULT HEALTH
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NURSING 9th Edition BY KIM COOPER KELLY GOSNELL
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OBJ: F i 8|9 Fi Fi TOP: Care plan F i Fi


KEY: Nursing Process Step: Planning MSC: NCLEX: N/
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A

4. Patient care emphasis on wellness, rather than illness, begins as a result of:
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a. increased education concerning causes of illness. Fi Fi Fi Fi Fi


b. improved insurance payments. Fi Fi


c. decentralized care centers. Fi Fi


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




ANS: A Fi


The acute awareness of preventive medicine has resulted in today‘s emphasis on education a
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bout issues such as smoking, heart disease, drug and alcohol abuse, weight control, and ment
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al health and wellness promotion activities. This preventive education has resulted in an emph
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asis on wellness, rather than illness. Improved insurance payments, decentralized care centers
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, and increased numbers of health care givers did not influence an emphasis on wellness.
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PTS: 1 DIF: Cognitive Level: Comprehension
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REF: Page 12 OBJ: 4 | 8
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TOP: Wellness
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KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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5. What is the most effective process to ensure that the care plan is meeting the needs of th
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e patient?
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a. Documentation
A
b. Communication
b
c. Evaluation
d. Planning
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ANS: B Fi


Communication is the primary essential component among the health care team to evaluate a
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nd modify the care plan. Documentation, evaluation, and planning are not primary essential co
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mponents to ensure the care plan is meeting the needs of the patient.
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PTS: FiFi 1 DIF: Cognitive Level: Comprehension REF: Page 16 Fi Fi Fi Fi


OBJ: F i 8 TOP: Communication F i


KEY: Nursing Process Step: N/A 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 Fi Fi Fi Fi


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


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




ANS: C Fi


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 hospita
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l stay.
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PTS: FiFi 1 DIF: Cognitive Level: Comprehension REF: Page 16 Fi Fi FiFi FiFi Fi


OBJ: F i 8|9 Fi Fi TOP: Interdisciplinary approach
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KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELL
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Y GOSNELL
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, TEST BANK FOR FOUNDATIONS AND ADULT HEALTH
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NURSING 9th Edition BY KIM COOPER KELLY GOSNELL
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7. How may a newly licensed LPN/LVN practice?
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a. Independently in a hospital setting Fi Fi Fi Fi


b. With an experienced LPN/LVN Fi Fi Fi


c. Under the supervision of a physician or RN Fi Fi Fi Fi Fi Fi Fi


d. As a sole practitioner in a clinic setting
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ANS: C Fi


An LPN/LVN practices under the supervision of a physician, dentist, OD, or RN.
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PTS: FiFi 1 DIF: Cognitive Level: Knowledge REF: Pages 13, 19 Fi Fi Fi Fi Fi


OBJ: F i 11 TOP: Vocational nursing F i Fi


KEY: Nursing Process Step: N/A 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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environment as a method of health promotion?
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a. Clara Barton
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b. Linda Richards Fi


c. Dorothea Dix
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d. Florence Nightingale Fi
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The influence of Florence Nightingale was highly significant in the 19th century as she fough
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t for sanitary conditions, fresh air, and general improvement in the patient environment. Clar
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a Barton developed the American Red Cross in 1881. Linda Richards is known as the first tra
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ined nurse in America, was responsible for the development of the first nursing and hospital re
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cords, and is credited with the development of our present-day documentation system.
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b
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill
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and superintendent of female nurses of the Union Army.
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PTS: 1 F i DIF: Cognitive Level: Knowledge REF: Pages 2, 17 Table 1- Fi Fi F i Fi Fi Fi Fi


2 OBJ: 2 | 4
F i F i Fi Fi TOP: Nursing leaders F i Fi
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KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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9. What document identifies the roles and responsibilities of the LPN/LVN?
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a. NLN Accreditation Standards Fi Fi


b. Nurse Practice Act Fi Fi


c. NAPNE Code Fi


d. American Nurses‘ Association Code Fi Fi Fi




ANS: B Fi


The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the N
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APNE Code, and the American Nurses‘ Association Code do not identify the roles and resp
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onsibilities of the LPN/LVN. Fi Fi Fi




PTS: FiFi 1 DIF: Cognitive Level: Knowledge REF: Page 13 Fi Fi Fi Fi


OBJ: F i 11 TOP: Roles and Responsibilities
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KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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10. What is a cost- Fi Fi Fi


effective delivery of care used by many hospitals that allows the LPN/LVN to work with the
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RN to meet the needs of patients?
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a. Focused nursing Fi




TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELL
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Y GOSNELL
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