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. 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
. 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
. 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.
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.. 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.
. 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.
. How may a newly licensed LPN/LVN practice?
a. Independently in a hospital setting
, Test Bank Foundations and Adult Health Nursing 9th Edition by Kim Cooper and Kelly
Gosnell
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.
. 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.
. 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.
. 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
Which of the following are considered areas of litigation commonly faced by nurses?
A) Standards of care
B) Use of equipment
C) Documentation
D) Patient advocacy
E) Nurse-patient relationship
Correct Answers: A, B, C, D, E
Rationale: Nurses can be held legally responsible for failures in any of these areas. Poor