Kim Cooper, Kelly Gosnell
TEST BANK
Foundations and Adult Health Nursing
9th Edition
9780323812054 Stuvia.com - The Marketplace to Buy and Sell your Study Material
1 | P a g e TABLE OF CONTENT Chapter 01: The Evolution of Nursing ....................................................................................................................... 3 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 Cooper: Foundations and Adult Health Nursing, 9th Edition ...................................................................................................................................................................... 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 Cooper: Foundations and Adult Health Nursing, 9th Edition ............................................................................................................................................... 160 Chapter 17: Dosage Calculation and Medication Administration Cooper: Foundations and Adult Health Nursing, 9th Edition .............................................................................................................................................................. 171 Chapter 18: Fluids and Electrolytes ....................................................................................................................... 182 Chapter 19: Nutritional Concepts and Related Therapies Cooper: Foundations and Adult Health Nursing, 9th Edition .................................................................................................................................................................... 191 Chapter 20: Complementary and Alternative Therapies Cooper: Foundations and Adult Health Nursing, 9th Edition .................................................................................................................................................................... 203 Chapter 21: Pain Management, Comfort, Rest, and Sleep Cooper: Foundations and Adult Health Nursing, 9th Edition .................................................................................................................................................................... 212 Chapter 22: Surgical Wound Care ......................................................................................................................... 223 Chapter 23: Specimen Collection and Diagnostic Testing Cooper: Foundations and Adult Health Nursing, 9th Edition .................................................................................................................................................................... 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 Cooper: Foundations and Adult Health Nursing, 9th Edition ......................................................................................................................... 305 Chapter 30: Health Promotion for the Infant, Child, and Adolescent Cooper: Foundations and Adult Health Nursing, 9th Edition ............................................................................................................................................... 317 Chapter 31: Basic Pediatric Nursing Care ............................................................................................................. 323 Stuvia.com - The Marketplace to Buy and Sell your Study Material
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2 | P a g e Chapter 32: Care of the Child with a Physical and Mental or Cognitive Disorder Cooper: Foundations and Adult Health Nursing, 9th Edition ................................................................................................................................... 336 Chapter 33: Health Promotion and Care of the Older Adult Cooper: Foundations and Adult Health Nursing, 9th Edition .................................................................................................................................................................... 357 Chapter 34: Concepts of Mental Health ................................................................................................................. 369 Chapter 35: Care of the Patient with a Psychiatric Disorder Cooper: Foundations and Adult Health Nursing, 9th Edition .................................................................................................................................................................... 381 Chapter 36: Care of the Patient with an Addictive Personality Cooper: Foundations and Adult Health Nursing, 9th Edition .................................................................................................................................................................... 393 Chapter 37: Home Health Nursing ......................................................................................................................... 404 Chapter 38: Long-Term Care ................................................................................................................................. 413 Chapter 39: Rehabilitation Nursing........................................................................................................................ 424 Chapter 40: Hospice Care ...................................................................................................................................... 436 Chapter 41: Introduction to Anatomy and Physiology Cooper: Foundations and Adult Health Nursing, 9th Edition ................................................................................................................................................................................ 447 Chapter 42: Care of the Surgical Patient ................................................................................................................ 458 Chapter 43: Care of the Patient with an Integumentary Disorder Cooper: Foundations and Adult Health Nursing, 9th Edition .............................................................................................................................................................. 474 Chapter 44: Care of the Patient With a Musculoskeletal Disorder Cooper: Foundations and Adult Health Nursing, 9th Edition .............................................................................................................................................................. 488 Chapter 45: Care of the Patient With a Gastrointestinal Disorder Cooper: Foundations and Adult Health Nursing, 9th Edition .............................................................................................................................................................. 504 Chapter 46: Care of the Patient With a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder ........ 517 Chapter 47: Care of the Patient With a Blood or Lymphatic Disorder Cooper: Foundations and Adult Health Nursing, 9th Edition ............................................................................................................................................... 533 Chapter 48: Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder .................................. 547 Chapter 49: Care of the Patient With a Respiratory Disorder Cooper: Foundations and Adult Health Nursing, 9th Edition .................................................................................................................................................................... 566 Chapter 50: Care of the Patient With a Urinary Disorder Cooper: Foundations and Adult Health Nursing, 9th Edition .................................................................................................................................................................... 577 Chapter 51: Care of the Patient With an Endocrine Disorder Cooper: Foundations and Adult Health Nursing, 9th Edition .................................................................................................................................................................... 591 Chapter 52: Care of the Patient With a Reproductive Disorder Cooper: Foundations and Adult Health Nursing, 9th Edition .............................................................................................................................................................. 606 Chapter 53: Care of the Patient With a Visual or Auditory Disorder Cooper: Foundations and Adult Health Nursing, 9th Edition ............................................................................................................................................... 621 Chapter 54: Care of the Patient With a Neurologic Disorder Cooper: Foundations and Adult Health Nursing, 9th Edition .................................................................................................................................................................... 634 Chapter 55: Care of the Patient With an Immune Disorder Cooper: Foundations and Adult Health Nursing, 9th Edition .................................................................................................................................................................... 648 Chapter 56: Care of the Patient With HIV/AIDS ................................................................................................... 661 Chapter 57: Care of the Patient With Cancer ......................................................................................................... 674 Chapter 58: Professional Roles and Leadership ..................................................................................................... 688 Stuvia.com - The Marketplace to Buy and Sell your Study Material
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3 | P a g e Chapter 01: The Evolution of Nursing Cooper: Foundations and Adult Health Nursing, 9th Edition MULTIPLE CHOICE 1. 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 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. 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 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 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. Stuvia.com - The Marketplace to Buy and Sell your Study Material
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Distribution of this document is illegalWant to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material DIF: Cognitive Level: Comprehension REF: p. 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 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. DIF: Cognitive Level: Comprehension REF: p. 12 OBJ: 4 | 8 TOP: Wellness KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 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 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. DIF: Cognitive Level: Comprehension REF: p. 17 OBJ: 8 TOP: Communication KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 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 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. DIF: Cognitive Level: Comprehension REF: p. 16 OBJ: 8 | 9 TOP: Interdisciplinary approach KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2 | P a g e Stuvia.com - The Marketplace to Buy and Sell your Study Material
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Distribution of this document is illegalWant to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Page | 3 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 health care provider, dentist, OD, or RN. DIF: Cognitive Level: Knowledge REF: p. 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 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. DIF: Cognitive Level: Knowledge REF: p. 17 OBJ: 2 | 4 TOP: Nursing leaders KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 9. 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. DIF: Cognitive Level: Knowledge REF: p. 12 | p. 14 OBJ: 11 TOP: Rolesand responsibilities KEY: Nursing Process 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 Stuvia.com - The Marketplace to Buy and Sell your Study Material
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Distribution of this document is illegalWant to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Page | 4 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 delivering care that allow the LPN/LVN to work with the RN to meet patient needs. DIF: Cognitive Level: Comprehension REF: p. 15 OBJ: 7 | 9 TOP: Patient care delivery systems KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 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 ANS: B Patient expectations are outli ned by the Patient’s Bill of Rights. Patient expectations are not outlined in the Code of Ethics, OBRA, or advance directives. DIF: Cognitive Level: Knowledge REF: p. 16 OBJ: 4 | 8 TOP: Patient’s rights KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 12. The relationships among nursing, patients, health, 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 relationship between nursing, patients, health, and environment. Care plans, health care provider’s orders, and evaluation of patient care are not based on the relationships among nursing, patients, health, and environment. DIF: Cognitive Level: Comprehension REF: p. 17 OBJ: 1 TOP: Nursing models KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 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 ANS: B Stuvia.com - The Marketplace to Buy and Sell your Study Material
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Distribution of this document is illegalWant to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Page | 5 Cross-training reduces the number of employees but does not alter the quality of patient care. Team nursing, use of critical pathways, and case management do not reduce the number of employees while continuing to provide quality care for patients. DIF: Cognitive Level: Comprehension REF: p. 15 OBJ: 8 TOP: Patient care KEY: Nursing Process Step: N/A MSC: 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 protect the public from unqualified health care providers. Licensing laws’ purpose is not to limit the number of LPNs/LVNs, prevent malpractice, or increase revenue for the state board of nursing. DIF: Cognitive Level: Comprehension REF: p. 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 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. ANS: B Maslow’s hierarchy of needs is based on the premise that basic needs mus t be met first. It is not based on all needs being equally important or that individuals prioritize needs the same way. Self-actualization is not a primary need according to Maslow. DIF: Cognitive Level: Comprehension REF: p. 12 | p. 13 OBJ: 8 TOP: Maslow’s Hierarchy of Needs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 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. ANS: A Physical and social factors affect each other, cannot be separated, and cause each patient to react in a unique manner. They do not necessarily cause illness or cause patients to react similarly, and they cannot be separated. DIF: Cognitive Level: Comprehension REF: p. 14 OBJ: 4 | 8 TOP: Environmental factors KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance Stuvia.com - The Marketplace to Buy and Sell your Study Material
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Distribution of this document is illegalWant to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Page | 6 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 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 World War II to provide nursing education and training. DIF: Cognitive Level: Knowledge REF: p. 5 OBJ: 1 | 4 TOP: Nursing education KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 18. What is a modern educational advancement program 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 to enroll in the entire curriculum. Repetition, exclusion, and coexistence do not refer to educational advancement. DIF: Cognitive Level: Knowledge REF: p. 10 OBJ: 1 | 9 TOP: Nursing education KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 19. Where did Florence Nightingale’s original nursing 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 Hospital, or Crimean Hospital. DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 2 TOP: Nursing programs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 20. What system of comprehensive patient care considers the physical, emotional, and social environment and spiritual needs of a person? a. Interdependent care Stuvia.com - The Marketplace to Buy and Sell your Study Material
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Distribution of this document is illegalWant to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Page | 7 b. Holistic health care c. Illness prevention care d. Health promotion care ANS: B Holistic health care encompasses the physical, emotional, social, and spiritual aspects of the patient. DIF: Cognitive Level: Comprehension REF: p. 12 OBJ: 8 TOP: Health care KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 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 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: p. 10 OBJ: 5 | 6 | 9 TOP: Nursing organizations KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 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 ANS: C Currently graduates of an approved vocational school are eligible to take the licensing examination and be awarded a license with a score of “pass” that is recognized by all states. DIF: Cognitive Level: Knowledge REF: p. 12 OBJ: 3 TOP: Licensure examination KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 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 ANS: B The ANA’s position paper of 1965 defined two levels of nursing: registered nurse and technical nurse. Licensing standards, the Smith-Hughes Act, and the nurse practice act were not documents defining two levels of nursing practice published in 1965. Stuvia.com - The Marketplace to Buy and Sell your Study Material
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