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Foundations Exam 1 Questions & answers

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Foundations Exam 1 Questions & answers

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Foundations Exam 1

Florence Nightingale's contributions to nursing practice and education: - ANS-were a
major factor in reducing the death rate in the Crimean War

Early nursing education and care in the United States: - ANS-provided independence
for women through education and employment.

In order to fulfill the common goals defined by nursing theorists (promote wellness,
prevent illness, facilitate coping, and restore health), the LPN must take on the roles of:
- ANS-caregiver, educator, and collaborator.

Although nursing theories differ in their attempts to define nursing, all of them base their
beliefs on common concepts concerning - ANS-human relationships, the environment,
and health

Standards of care for the nursing practice of the LPN are established by the -
ANS-National Federation of Licensed Practical Nurses.

The LPN demonstrates an evidence-based practice by - ANS-using scientific
information to guide decision making.

Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New
York in 1893 in order to: - ANS-provide health care to poor persons living in tenements.

An educational pathway for an LPN refers to an LPN - ANS-obtaining additional
education to move from one level of nursing to another

When diagnosis-related groups (DRGs) were established by Medicare in 1983, the
purpose was to: - ANS-attempt to contain the costs of health care.

The advent of diagnosis-related groups (DRGs) required that nurses working in health
care agencies: - ANS-record supportive documentation to confirm a patient's need for
care in order to qualify for reimbursement

If a member of a health maintenance organization (HMO) is having respiratory problems
such as fever, cough, and fatigue for several days and wants to see a specialist, the
person is required to go: - ANS-to a primary care physician for a referral.

,An advantage of preferred provider organizations (PPOs) is that: - ANS-they make
insurance coverage of employees less expensive to employers.

After passing the National Council Licensure Examination for Practical Nurses
(NCLEX-PN), the nurse is qualified to take an additional certification in the field of: -
ANS-pharmacology.

Nursing interventions are best defined as activities that: - ANS-are taken to improve the
patient's health.

Nurse Practice Acts define the legal scope of an LPN's practice, which are written and
enforced by: - ANS-each state.

Women volunteers were organized to give nursing care to the wounded soldiers during
the Civil War by - ANS-Dorothea Dix.

The nursing theory presented by Sister Calista Roy is based on: - ANS-adaptation
modes

The founding of the Red Cross is attributed to: - ANS-Clara Barton.

The nursing theorist whose practice framework is based on 14 fundamental needs is: -
ANS-Virginia Henderson.

The nursing theory that uses seven behavioral subsystems in an adaptation model is: -
ANS-Dorothy Johnson.

The Standards of Clinical Nursing Practice are designed to direct LPNs to: -
ANS-deliver safe, knowledgeable care.

A state's Nurse Practice Act is designed to protect the - ANS-public.

It is appropriate for practical nurses to provide direct patient care to persons in a
hospital under the supervision of a: - ANS-registered nurse on the unit.

An example of tertiary health care is _____ care. - ANS-hospice

Preferred provider organizations (PPOs) use __________ to finance their services and
pay the physical cost of the service - ANS-capitated cost

, In the United States, the Young Women's Christian Association (YMCA) in New York
opened The __________ School, the first practical nursing school. - ANS-Ballard

Such health services as surgical procedures, restorative care, and home health care
would be classified as __________ care. - ANS-secondary

Characteristics of primary nursing include which of the following? (Select all that apply.)
1. Elimination of fragmentation of care between shifts
2. Evolved in the mid-1950s
3. Planning and direction performed by one nurse
4. Ancillary workers used to increase productivity
5. The care plan covering the entire day
6. Associate nurses taking over care and planning when the primary nurse is off duty -
ANS-1, 3, 4, 5, 6

In 1991, the American Nurses Association (ANA) published the Standards of Clinical
Nursing Practice. These standards are designed to: (Select all that apply.)
1. set standards for safe nursing care delivery.
2.define the legal scope of practice.
3. establish state legal requirements for clinical practice.
4.protect the nurse, patient, and health care agency.
5.regulate the nursing profession
6. define activities in which nurses may engage - ANS-1, 4, 6

An example of the role of an LPN as a delegator is: (Select all that apply.)
1. changing a patient's wound dressing
2. assisting a patient to complete his or her bath
3. assigning patient care tasks to certified nursing assistants.
4. requesting the housecleaning staff to mop the floor of a patient's room
5. instructing the unit secretary to page a physician to the floor. - ANS-3, 4, 5

During the Civil War, nursing schools offered education to women both in England and
in the United States. The schools in the United States differed from those in Europe
because in U.S. schools: (Select all that apply.)
1. students worked without pay.
2. the core curriculum was the same.
3. instruction was presented by physicians at the bedside
4. the educational focus was on nursing care
5. classes were held separately from the clinical experience. - ANS-1, 3

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