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,Chapter 01: The Evolution of Nursing
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Cooper:FoundationofNursing,9thEdition
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MULTIPLE CHOICE v
1. What isanursing program consideredwhen certifiedb ya stateagency?
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a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B v v
Approvedmeanscertified byastate agencyforhaving met minimum standards;accredited means
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certified bythe NLN for havingmetmorecomplex standards. Provisional and exemplified are not
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terms used in regard to nursing program certification.
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DIF: Cognitive Level: Knowledge v v REF: p. 10 OBJ: 5 v v v
TOP: Nursing programs
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MSC: NCLEX: N/A
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2. Which ofthefollowingmustthenurserecognizeregardingthehealthcaredeliverysystem?
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a. Itincludesall states.
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b. Itaffectstheillnessofpatients.
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c. Insurancecompanies arenot involved. v v v v
d. Themajorgoalistoachieveoptimallevelsofhealth care. v v v v v v v v v
ANS: D v v
Thenursemust recognizethatin thehealth caredeliverysystem, themajor goal is to achieve optimal
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levels of health care. The health care system consists of a network of agencies, facilities, and
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providers involved with health carein aspecified geographic area. Insurance companies do have
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involvement in the health care system. The illness of patients is not necessarily affected by the
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health care system.
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DIF: Cognitive Level: Comprehension v v REF: p. 12 OBJ: 7 v v v
TOP: Health care systems
v v v v KEY: NursingProcess Step:N/A v m
MSC: NCLEX: N/A
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3. Whatisrequiredbythehealthcareteamtoidentifytheneedsofapatient andtodesigncareto meet
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vthose needs? v
a. TheKardex v
b. Thehealthcareprovider‘s ordersheet v v v v
c. Anindividualized careplanv v v
d. Thenurse‘snotes v
ANS: C v v
An individualized careplan involves all health care workers and outlines care to meet theneeds of the
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individual patient. The Kardex, health care provider‘s order sheet, and nurse‘s notesdo
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notidentifythe needs ofthepatient nor aretheydesigned to assist all members ofthe health care team
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to meet those needs.
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DIF: CognitiveLevel:Comprehension v v REF: p.13 v v v OBJ: 8 |9 v v
, TOP: v v Careplan v KEY: NursingProcessStep:Planning v v v v MSC: NCLEX:N/A v v
4. Patientcareemphasisonwellness,ratherthanillness,beginsasaresultof:
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a. increased educationconcerningcausesofillness. m v v v v
b. improvedinsurance payments. v v
c. decentralizedcare centers. v
d. increasednumberofhealth caregivers. v v v v v
ANS: A v v
The acute awareness of preventive medicine has resulted in today‘s emphasis on education about
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issuessuchassmoking,heartdisease,drugandalcoholabuse,weightcontrol,andmental
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healthandwellnesspromotionactivities.Thispreventiveeducationhasresultedin an emphasis
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von wellness, rather than illness. Improved insurancepayments, decentralized care centers, and
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increased numbers of health care givers did not influence an emphasis on wellness.
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DIF: CognitiveLevel:Comprehension REF: p.12 v v v v v OBJ: 4 |8 v v
TOP: Wellness v KEY: Nursing ProcessStep:N/A
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5. What isthemosteffectiveprocess toensurethatthecareplanismeetingtheneedsofthe
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vpatient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B v v
Communicationistheprimaryessentialcomponentamongthehealthcareteamtoevaluateand v v v v v v v v v v v v v
modifythecareplan. Documentation, evaluation, and planning arenot primaryessential
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components to ensure the care plan is meeting the needs of the patient.
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DIF: Cognitive Level: Comprehension v v REF: p. 17 OBJ: 8 v v v
TOP: Communication
v v KEY: NursingProcess Step:N/A v m
MSC: NCLEX: N/A
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6. Howdoesaninterdisciplinaryapproach topatienttreatment enhance care?
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a. Byimprovingefficiencyofcare v v v
b. Byreducingthe numberofcaregivers v v v v
c. Bypreventingthefragmentation ofpatient care v v v v v
d. Byshorteninghospital stay v v
ANS: C v v
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
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does not improvethe efficiencyof care, reduce the number of caregivers, or shorten hospital stay.
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DIF: Cognitive Level: Comprehension REF: p. 16
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TOP: Interdisciplinary approach
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MSC: NCLEX: N/A
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7. Howmayanewlylicensed LPN/LVNpractice? v v
a. Independentlyin ahospital setting v v v
, b. Withanexperienced LPN/LVN v v
c. Underthesupervision of ahealth careprovideror RN v v v v v v v v v
d. Asasole health careproviderin aclinicsetting
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ANS: C v v
AnLPN/LVNpracticesunderthesupervisionofahealthcareprovider,dentist,OD,orRN.
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DIF: Cognitive Level: Knowledge v v REF: p. 11 OBJ: 11 v v v
TOP: Vocational nursing
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MSC: NCLEX: N/A
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8. Whoseinfluenceon nursing practice in the19th centurywas related toimprovement ofpatient m v m v v v v v
venvironment as a method of health promotion? v v v v v v
a. ClaraBarton v
b. LindaRichards v
c. DorotheaDix v
d. FlorenceNightingale v
ANS: D v v
TheinfluenceofFlorenceNightingalewashighlysignificantinthe19thcenturyasshefought for
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sanitary conditions, fresh air, and general improvement in the patient environment. Clara Barton
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developedtheAmericanRedCrossin1881.LindaRichardsisknownasthefirsttrained
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nurse inAmerica, wasresponsibleforthedevelopment ofthefirst nursingand hospital records, and
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is credited with the development of our present-day documentation system.
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Dorothea Dix wasthepioneer crusaderforelevation ofstandardsofcare for thementallyill and
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superintendent of female nurses of the Union Army.
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DIF: Cognitive Level: Knowledge
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TOP: Nursing leaders
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MSC: NCLEX: N/A
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9. What documentidentifiestherolesandresponsibilitiesofthe LPN/LVN?
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a. NLNAccreditationStandards v
b. NursePracticeAct v
c. NAPNECode
d. American Nurses‘Association Code m v
ANS: B v v
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the
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NAPNE Code, and the American Nurses‘ Association Code do not identify the roles and
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responsibilities of the LPN/LVN.
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DIF: Cognitive Level: Knowledge v v REF: p. 12 | p. 14 OBJ: 11 v v v v v
TOP: Roles and responsibilities
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MSC: NCLEX: N/A
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10. What is acost-effectivedeliveryofcareused bymanyhospitals that allowsthe LPN/LVNto
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v work with the RN to meet the needs of patients?
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a. Focusednursing
b. Teamnursing
c. Casemanagement v
d. Primarynursing