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Test Bank - Foundations of Nursing, 8th Edition (Cooper, 2019), Chapter 1-41 | All Chapters
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Test Bank for Foundations and Adult Health Nursing, 8th Edition by Kim Cooper, 9780323484374, Covering Chapters 1-17 | Includes Rationales
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TEST BANKFoundations of Nursing
Kim Cooper MSN RN, and Kelly Gosnell RN MSN
8th Edition Table of Contents
Chapter 01 The Evolution of Nursing 1
Chapter 02 Legal and Ethical Aspects of Nursing 11
Chapter 03 Documentation 21
Chapter 04 Communication 30
Chapter 05 Nursing Process and Critical Thinking 45
Chapter 06 Cultural and Ethnic Considerations 60
Chapter 07 Asepsis and Infection Control 74
Chapter 08 Body Mechanics and Patient Mobility 86
Chapter 09 Hygiene and Care of the Patient’s Environment 93
Chapter 10 Safety 104
Chapter 11 Admission, Transfer, and Discharge 110
Chapter 12 Vital Signs 116
Chapter 13 Physical Assessment 126
Chapter 14 Oxygenation 152
Chapter 15 Elimination and Gastric Intubation 156
Chapter 16 Care of Patients Experiencing Urgent Alterations in Health 160
Chapter 17 Dosage Calculation and Medication Administration 171
Chapter 18 Fluids and Electrolytes 182
Chapter 19 Nutritional Concepts and Related Therapies 191
Chapter 20 Complementary and Alternative Therapies 203
Chapter 21 Pain Management, Comfort, Rest, and Sleep 212
Chapter 22 Surgical Wound Care 223
Chapter 23 Specimen Collection and Diagnostic Testing 235
Chapter 24 Lifespan Development 247
Chapter 25 Loss, Grief, Dying, and Death 265
Chapter 26 Health Promotion and Pregnancy 272
Chapter 27 Labor and Delivery 283
Chapter 28 Care of the Mother and Newborn 294
Chapter 29 Care of the High-Risk Mother, Newborn, and Family with Special Needs 305
Chapter 30 Health Promotion for the Infant, Child, and Adolescent 317
Chapter 31 Basic Pediatric Nursing Care 324
Chapter 32 Care of the Child with a Physical and Mental or Cognitive Disorder 337
Chapter 33 Health Promotion and Care of the Older Adult 358
Chapter 34 Concepts of Mental Health 370
Chapter 35 Care of the Patient with a Psychiatric Disorder 382
Chapter 36 Care of the Patient with an Addictive Personality 394
Chapter 37 Home Health Nursing 405
Chapter 38 Long-Term Care 414
Chapter 39 Rehabilitation Nursing 425
Chapter 40 Hospice Care 437
Chapter 41 Professional Roles and Leadership 448 Chapter 01: The Evolution of Nursing Cooper: Foundation of Nursing, 8th Edition MULTIPLE CHOICE 1. What is a nursing program considered when certi fied by a state agency? a. Accredited b. Approved c. Provisional d. Exemplified ANS: B Approved means certified by a state agency for having met mi nimum standards; accredited means certified by the NLN for having met more comp lex standards. Provisional and exemplified are not terms used in regard to nursing program certification. DIF: Cognitive Level: Knowledge REF: 10 OBJ: 5 TOP: Nursing programs KEY: Nursing Process Step: N /A MSC: NCLEX: N/A 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 heal th care. ANS: D The nurse must recognize that in the health care de livery system, the major goal is to achieve optimal levels of health care. The health c are system consists of a network of agencies, facilities, and providers involved with h ealth care in a specified geographic area. Insurance companies do have involvement in the heal th care system. The illness of patients is not necessarily affected by the health care syst em. DIF: Cognitive Level: Comprehension REF: 12 OBJ: 7 TOP: Health care systems KEY: Nursing Process Step : N/A MSC: NCLEX: N/A 3. What is required by the health care team to ide ntify 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 car e 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. ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Foundations of Nursing, 8th Edition (Cooper, 2019)
1 | P a g eW W W . T B S M . W S DIF: Cognitive Level: Comprehension REF: 13 OBJ: 8 | 9 TOP: Care plan KEY: Nursing Process Step: Planning MSC: NCLEX: N/A 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. ANS: A The acute awareness of preventive medicine has resu lted in today's emphasis on education about issues such as smoking, heart disease, drug a nd alcohol abuse, weight control, and mental health and wellness promotion activities. Th is preventive education has resulted in an emphasis on wellness, rather than illness. Impro ved insurance payments, decentralized care centers, and increased numbers of health care givers did not influence an emphasis on wellness. DIF: Cognitive Level: Comprehension REF: 12 OBJ: 4 | 8 TOP: Wellness KEY: Nursing Process Step: N/A MSC: N CLEX: N/A 5. What is the most effective process to ensure th at 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 am ong 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 n eeds of the patient. DIF: Cognitive Level: Comprehension REF: 17 OBJ: 8 TOP: Communication KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 6. How does an interdisciplinary approach to patie nt 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 fragmentatio n of care. An interdisciplinary approach does not improve the efficiency of care, reduce the number of caregivers, or shorten hospital stay. DIF: Cognitive Level: Comprehension REF: 16 OBJ: 8 | 9 TOP: Interdisciplinary approach KEY: Nursing Proces s Step: N/A MSC: NCLEX: N/A ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Foundations of Nursing, 8th Edition (Cooper, 2019)
2 | P a g eW W W . T B S M . W S 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 ANS: C An LPN/LVN practices under the supervision of a hea lth care provider, dentist, OD, or RN. DIF: Cognitive Level: Knowledge REF: 11 OBJ: 11 TOP: Vocational nursing KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 8. 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 si gnificant in the 19th century as she fought for sanitary conditions, fresh air, and gene ral improvement in the patient environment. Clara Barton developed the American Re d Cross in 1881. Linda Richards is known as the first trained nurse in America, was re sponsible 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 fem ale nurses of the Union Army. DIF: Cognitive Level: Knowledge REF: 17 OBJ: 2 | 4 TOP: Nursing leaders KEY: Nursing Process Step: N /A MSC: NCLEX: N/A 9. What document identifies the roles and responsi bilities 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 Co de do not identify the roles and responsibilities of the LPN/LVN. DIF: Cognitive Level: Knowledge REF: 12 | p. 14 OBJ : 11 TOP: Roles and responsibilities KEY: Nursing Proces s Step: N/A MSC: NCLEX: N/A 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 ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Foundations of Nursing, 8th Edition (Cooper, 2019)
3 | P a g eW W W . T B S M . W S b. Team nursing c. Case management d. Primary nursing ANS: C Case management is a cost-effective method of care. Focused nursing, team nursing, and primary nursing are not cost-effective methods of d elivering care that allow the LPN/LVN to work with the RN to meet patient needs. DIF: Cognitive Level: Comprehension REF: 15 OBJ: 7 | 9 TOP: Patient care delivery systems KEY: Nursing Pro cess Step: N/A MSC: NCLEX: N/A 11. What is the title of the American Hospital Ass ociation's 1972 document that outlines the patient's expectations to be treated with dignity a nd compassion? a. Code of Ethics b. Patient's Bill of Rights c. OBRA d. Advance directives ANS: B Patient expectations are outlined by the Patient's Bill of Rights. Patient expectations are not outlined in the Code of Ethics, OBRA, or advance di rectives. DIF: Cognitive Level: Knowledge REF: 16 OBJ: 4 | 8 TOP: Patient's rights KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 12. The relationships among nursing, patients, hea lth, and the environment are the basis for: a. care plans. b. nursing models. c. health care provider's orders. d. evaluation of patient care. ANS: B Nursing models are theories based on the relationsh ip between nursing, patients, health, and environment. Care plans, health care provider's ord ers, and evaluation of patient care are not based on the relationships among nursing, patients, health, and environment. DIF: Cognitive Level: Comprehension REF: 17 OBJ: 1 TOP: Nursing models KEY: Nursing Process Step: N/ A MSC: NCLEX: N/A 13. What system reduces the number of employees bu t still provides quality care for patients? a. Team nursing b. Cross -training c. Use of critical pathways d. Case management ANS: B ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Foundations of Nursing, 8th Edition (Cooper, 2019)
4 | P a g eW W W . T B S M . W S Cross-training reduces the number of employees but does not alter the quality of patient care. Team nursing, use of critical pathways, and c ase management do not reduce the number of employees while continuing to provide qua lity care for patients. DIF: Cognitive Level: Comprehension REF: 15 OBJ: 8 TOP: Patient care KEY: Nursing Process Step: N/A MS C: NCLEX: N/A 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 ANS: C The purpose of licensing laws for LPN/LVNs is to pr otect the public from unqualified health care providers. Licensing laws' purpose is n ot to limit the number of LPNs/LVNs, prevent malpractice, or increase revenue for the st ate board of nursing. DIF: Cognitive Level: Comprehension REF: 11 OBJ: 4 | 9 | 10 TOP: Licensure KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 15. What premise is Maslow's hierarchy of needs ba sed on? a. All needs are equally important. b. Basic needs must be met before the next level of ne eds can be met. c. Self-actualization is a primary need. d. Individuals prioritize needs the same way. ANS: B Maslow's hierarchy of needs is based on the premise that basic needs must be met first. It is not based on all needs being equally important or t hat individuals prioritize needs the same way. Self-actualization is not a primary need accor ding to Maslow. DIF: Cognitive Level: Comprehension REF: 12 | p. 13 OBJ: 8 TOP: Maslow's Hierarchy of Needs KEY: Nursing Proce ss Step: N/A MSC: NCLEX: N/A 16. What must the nurse realize when assessing phy sical 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. ANS: A Physical and social factors affect each other, cann ot be separated, and cause each patient to react in a unique manner. They do not necessarily c ause illness or cause patients to react similarly, and they cannot be separated. DIF: Cognitive Level: Comprehension REF: 14 OBJ: 4 | 8 TOP: Environmental factors KEY: Nursing Process St ep: Assessment MSC: NCLEX: Health Promotion and Maintenance ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Foundations of Nursing, 8th Edition (Cooper, 2019)
5 | P a g eW W W . T B S M . W S 17. What organization, established during World Wa r II, provided nursing education and training? a. Nightingale school b. Cadet Nurse Corps c. Public health department d. Frontier Nursing Service ANS: B The Cadet Nurse Corps was established during World War II to provide nursing education and training. The Nightingale school, public health department, and Frontier Nursing Service are not organizations established during Wo rld War II to provide nursing education and training. DIF: Cognitive Level: Knowledge REF: 5 OBJ: 1 | 4 TOP: Nursing education KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 18. What is a modern educational advancement progr am for the LPN/LVN to enter RN education? a. Repetition b. Exclusion c. Articulation d. Coexistence ANS: C Most states have some type of articulation program in which the LPN/LVN can achieve advanced standing in an RN program without having t o enroll in the entire curriculum. Repetition, exclusion, and coexistence do not refer to educational advancement. DIF: Cognitive Level: Knowledge REF: 10 OBJ: 1 | 9 TOP: Nursing education KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 19. Where did Florence Nightingale's original nurs ing education take place? a. Saint Thomas b. Kings College Hospital c. Crimean Hospital d. Kaiserswerth School ANS: D Florence Nightingale trained at Kaiserswerth School . Florence Nightingale's original training was not at Saint Thomas, Kings College Hos pital, or Crimean Hospital. DIF: Cognitive Level: Knowledge REF: 2 OBJ: 2 TOP: Nursing programs KEY: Nursing Process Step: N /A MSC: NCLEX: N/A 20. What system of comprehensive patient care cons iders the physical, emotional, and social environment and spiritual needs of a person? a. Interdependent care ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Foundations of Nursing, 8th Edition (Cooper, 2019)
6 | P a g eW W W . T B S M . W S b. Holistic health care c. Illness prevention care d. Health promotion care ANS: B Holistic health care encompasses the physical, emot ional, social, and spiritual aspects of the patient. DIF: Cognitive Level: Comprehension REF: 12 OBJ: 8 TOP: Health care KEY: Nursing Process Step: N/A MSC : NCLEX: N/A 21. What official agency exists exclusively for LP N/LVN membership and promotes standards for the LPN/LVN? a. NFLPN b. ANA c. NLN d. NAPNES ANS: A The NFLPN exists solely for the LPN/LVN. The other options have membership that includes RNs and the lay public. DIF: Cognitive Level: Knowledge REF: 10 OBJ: 5 | 6 | 9 TOP: Nursing organizations KEY: Nursing Process St ep: N/A MSC: NCLEX: N/A 22. What score does the graduate practical nurse r equire 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 ANS: C Currently graduates of an approved vocational schoo l are eligible to take the licensing examination and be awarded a license with a score o f "pass" that is recognized by all states. DIF: Cognitive Level: Knowledge REF: 12 OBJ: 3 TOP: Licensure examination KEY: Nursing Process St ep: N/A MSC: NCLEX: N/A 23. What document, published in 1965 by the ANA, c learly defined two levels of nursing practice? a. Licensing standards b. Position paper c. Smith -Hughes Act d. Nurse practice act ANS: B The ANA's position paper of 1965 defined two levels of nursing: registered nurse and technical nurse. Licensing standards, the Smith-Hug hes Act, and the nurse practice act were not documents defining two levels of nursing practi ce published in 1965. ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Foundations of Nursing, 8th Edition (Cooper, 2019)
7 | P a g eW W W . T B S M . W S DIF: Cognitive Level: Knowledge REF: 11 OBJ: 3 | 4 | 9 TOP: Position paper KEY: Nursing Process Step: N/ A MSC: NCLEX: N/A 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 condi tion d. An idea that focuses strictly on an individual's so cial well -being ANS: B The wellness/illness continuum is defined as the ra nge of a person's total health. This continuum is ever changing, and it is influenced by the individual's physical condition, mental condition, and social well-being. DIF: Cognitive Level: Comprehension REF: 12 OBJ: 8 TOP: Wellness/illness continuum KEY: Nursing Proces s Step: N/A MSC: NCLEX: N/A 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 ANS: C Abraham Maslow believed that an individual's behavi or is formed by the individual's attempts to meet essential human needs, which he id entified as physiologic, safety and security, love and belongingness, and esteem and se lf-actualization. DIF: Cognitive Level: Comprehension REF: 12 | p. 13 OBJ: 8 TOP: Maslow's Hierarchy of Needs KEY: Nursing Proce ss Step: N/A MSC: NCLEX: N/A MULTIPLE RESPONSE 1. Florence Nightingale established a nursing scho ol 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 experienc es c. Keeping records of students' progress d. Focusing on sanitation and hygiene e. Retaining a registry of all graduates ANS: B, C, D, E The nursing school established by Florence Nighting ale rigorously screened its applicants. The curriculum, which included both formal educatio n and practical experiences, was focused on hygiene and sanitation. The school kept records of the students' progress during their school years, and also kept a registry of the graduates. ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Foundations of Nursing, 8th Edition (Cooper, 2019)
8 | P a g eW W W . T B S M . W S
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