Chapter 1

Question 1

What is a nursing program considered when certified by a state agency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified

Answer 1

B. Approved

Question 2

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.

Answer 2

D. The major goal is to achieve optimal levels of health care.

Question 3

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

Answer 3

c. An individualized care plan

Question 4

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.

Answer 4

a. increased education concerning causes of illness.

Question 5

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

Answer 5

b. Communication

Question 6

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

Answer 6

c. By preventing the fragmentation of patient care

Question 7

How may a newly licensed LPN/LVN practice?
a. Independently in a hospital setting
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

Answer 7

c. Under the supervision of a health care provider or RN

Question 8

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

Answer 8

b. Nurse Practice Act

Question 9

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

Answer 9

d. Florence Nightingale

Question 10

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

Answer 10

c. Case management

Question 11

What is the title of the American Hospital Association’s 1972 document that outlines the patient’s expectations to be treated with dignity and compassion?
a. Code of Ethics
b. Patient’s Bill of Rights
c. OBRA
d. Advance directives

Answer 11

b. Patient’s Bill of Rights

Question 12

The relationships among nursing, patients, health, and the environment are the basisfor:
a. care plans.
b. nursing models.
c. health care provider’s orders.
d. evaluation of patient care.

Answer 12

b. nursing models.

Question 13

What system reduces the number of employees but still provides quality care for patients?
a. Team nursing
b. Cross-training
c. Use of critical pathways
d. Case management

Answer 13

b. Cross-training

Question 14

What is the purpose of licensing laws for LPN/LVNs?
a. To limit the number of LPN/LVNs
b. Prevention of malpractice
c. Protection of the public from unqualified people
d. To increase revenue for the state board of nursing

Answer 14

c. Protection of the public from

Question 15

What premise is Maslow’s hierarchy of needs based on?
a. All needs are equally important.
b. Basic needs must be met before the next level of needs can be met.
c. Self-actualization is a primary need.
d. Individuals prioritize needs the same way.

Answer 15

b. Basic needs must be met before the next level of needs can be met.

Question 16

What must the nurse realize when assessing physical and social environmental factors affecting health and illness?
a. They affect one another.
b. They cause illness.
c. They cause patients to react similarly.
d. They can be separated.

Answer 16

They affect one another.

Question 17

What organization, established during World War II, provided nursing education and training?
a. Nightingale school
b. Cadet Nurse Corps
c. Public health department
d. Frontier Nursing Service

Answer 17

b. Cadet Nurse Corps

Question 18

What is a modern educational advancement program for the LPN/LVN to enter RN education?
a. Repetition
b. Exclusion
c. Articulation
d. Coexistence

Answer 18

c. Articulation

Question 19

Where did Florence Nightingale’s original nursing education take place?
a. Saint Thomas
b. Kings College Hospital
c. Crimean Hospital
d. Kaiserswerth School

Answer 19

d. Kaiserswerth School

Question 20

What system of comprehensive patient care considers the physical, emotional, and social environment and spiritual needs of a person?
a. Interdependent care
b. Holistic health care
c. Illness prevention care
d. Health promotion care

Answer 20

b. Holistic health care

Question 21

What official agency exists exclusively for LPN/LVN membership and promotes standards for the LPN/LVN?
a. NFLPN
b. ANA
c. NLN
d. NAPNES

Answer 21

a. NFLPN

Question 22

What score does the graduate practical nurse require to be issued a license upon completion of the computerized examination?
a. 70% or better
b. This is defined and set by each state
c. Designated as “pass”
d. Within the 75th percentile

Answer 22

c. Designated as “pass”

Question 23

What document, published in 1965 by the ANA, clearly defined two levels of nursing practice?
a. Licensing standards
b. Position paper
c. Smith-Hughes Act
d. Nurse practice act

Answer 23

b. Position paper

Question 24

What is the wellness/illness continuum defined as?
a. A concept that never changes
b. The range of a person’s total health
c. A continuum influenced only by one’s physical condition
d. An idea that focuses strictly on an individual’s social well-being

Answer 24

b. The range of a person’s total health

Question 25

According to Maslow’s hierarchy of needs, what is an individual’s most basic need?
a. Safety and security
b. Love/belongingness
c. Physiologic
d. Self-actualization
e. Esteem

Answer 25

c. Physiologic

Question 26

. Florence Nightingale established a nursing school at Saint Thomas Hospital in London. What was it characterized by? (Select all that apply.)
a. Allowing all applicants who applied to be enrolled
b. Offering formal and practical educational experiences
c. Keeping records of students’ progress
d. Focusing on sanitation and hygiene
e. Retaining a registry of all graduates

Answer 26

b. Offering formal and practical educational experiences
c. Keeping records of students’ progress
d. Focusing on sanitation and hygiene
e. Retaining a registry of all graduates

Question 27

Primitive medical interventions were based on the belief that illness was caused by the presence of spirits.

Answer 27

evil

Question 28

During early civilization men performed witchcraft and rituals to induce the bad spirits to leave the body of the ailing person.

Answer 28

medicine

Question 29

The National Council of State Boards of Nursing (NCSBN) performs a job analysis every years to determine the scope of practice of LPN/LVNs.

Answer 29

3

Question 30

. Graduates of the first school for training the practical nurse were referred to as nurses.

Answer 30

attendant

Question 31

In 1949, the National Federation of Licensed Practical Nurses (NFLPN) was founded by Lillian .

Answer 31

Kuster