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