Question 1

Preferred provider organizations (PPOs) use ____________ to finance their services and pay the physical cost of the service.

Accepted Answer

capitated cost
The capitated cost is the set fee that is paid to the network for each patient enrolled to finance its services.

Question 2

During the Civil War, nursing schools offered education to women both in England and in the United States. The schools in the United States differed from those in Europe because in US schools: (Select all that apply.)

Accepted Answer

A)  students worked without pay. 
B)  the core curriculum was the same. 
C)  instruction was presented by physicians at the bedside. 
D)  the educational focus was on nursing care. 
E)  classes were held separately from the clinical experience. 
A)  students worked without pay. 
B)  the core curriculum was the same. 
C)  instruction was presented by physicians at the bedside. 
D)  the educational focus was on nursing care. 
E)  classes were held separately from the clinical experience. A, C

Question 3

The nursing theory that uses seven behavioral subsystems in an adaptation model is:

Accepted Answer

A)  Betty Neumann. 
B)  Sister Calista Roy. 
C)  Dorothy Johnson. 
D)  Patricia Benner. 
A)  Betty Neumann. 
B)  Sister Calista Roy. 
C)  Dorothy Johnson. 
D)  Patricia Benner. C

Question 4

In 1991, the American Nurses Association (ANA) published the Standards of Nursing Practice. These standards are designed to: (Select all that apply.)

Accepted Answer

A)  set standards for safe nursing care delivery. 
B)  define the legal scope of practice. 
C)  state legal requirements for clinical practice. 
D)  protect the nurse, patient, and health care agency. 
E)  regulate the nursing profession.
F) define activities in which nurses may engage. 
A)  set standards for safe nursing care delivery. 
B)  define the legal scope of practice. 
C)  state legal requirements for clinical practice. 
D)  protect the nurse, patient, and health care agency. 
E)  regulate the nursing profession.
F) define activities in which nurses may engage.

Question 5

If a member of a health maintenance organization (HMO) is having respiratory problems such as fever, cough, and fatigue for several days and wants to see a specialist, the person is required to go:

Accepted Answer

A)  directly to an emergency room for treatment. 
B)  to any general practitioner of choice. 
C)  directly to a respiratory specialist. 
D)  to a primary care provider for a referral. 
A)  directly to an emergency room for treatment. 
B)  to any general practitioner of choice. 
C)  directly to a respiratory specialist. 
D)  to a primary care provider for a referral.

Question 6

Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New York in 1893 in order to:

Accepted Answer

A)  offer a shelter to injured war veterans. 
B)  found a nursing apprenticeship. 
C)  provide health care to poor persons living in tenements. 
D)  offer better housing to low-income families. 
A)  offer a shelter to injured war veterans. 
B)  found a nursing apprenticeship. 
C)  provide health care to poor persons living in tenements. 
D)  offer better housing to low-income families.

Question 7

The nursing theorist whose practice framework is based on 14 fundamental needs is:

Accepted Answer

A)  Dorothy Johnson. 
B)  Jean Watson. 
C)  Virginia Henderson. 
D)  Martha Rogers. 
A)  Dorothy Johnson. 
B)  Jean Watson. 
C)  Virginia Henderson. 
D)  Martha Rogers.

Question 8

Early nursing education and care in the United States:

Accepted Answer

A)  were directed at community health. 
B)  provided independence for women through education and employment. 
C)  were an educational model based in institutions of higher learning. 
D)  have continued to be entirely focused on hospital nursing. 
A)  were directed at community health. 
B)  provided independence for women through education and employment. 
C)  were an educational model based in institutions of higher learning. 
D)  have continued to be entirely focused on hospital nursing.

Question 9

Although nursing theories differ in their attempts to define nursing, all of them base their beliefs on common concepts concerning:

Accepted Answer

A)  self-actualization, fundamental needs, and belonging. 
B)  stress reduction, self-care, and a systems model. 
C)  curative care, restorative care, and terminal care. 
D)  human relationships, the environment, and health. 
A)  self-actualization, fundamental needs, and belonging. 
B)  stress reduction, self-care, and a systems model. 
C)  curative care, restorative care, and terminal care. 
D)  human relationships, the environment, and health.

Question 10

An educational pathway for an LPN/LVN refers to an LPN/LVN:

Accepted Answer

A)  learning on the job and being promoted to a higher level of responsibility. 
B)  moving from a maternity unit to a more complicated surgical unit. 
C)  obtaining additional education to move from one level of nursing to another. 
D)  learning that advancement requires consistent work and commitment. 
A)  learning on the job and being promoted to a higher level of responsibility. 
B)  moving from a maternity unit to a more complicated surgical unit. 
C)  obtaining additional education to move from one level of nursing to another. 
D)  learning that advancement requires consistent work and commitment.

Question 11

Nurse Practice Acts define the legal scope of an LPN's practice, which are written and enforced by:

Accepted Answer

A)  American Nurses Association. 
B)  National Council Licensure Examiners. 
C)  each state. 
D)  each health care agency. 
A)  American Nurses Association. 
B)  National Council Licensure Examiners. 
C)  each state. 
D)  each health care agency.

Question 12

Characteristics of primary nursing include: (Select all that apply.)

Accepted Answer

A)  elimination of fragmentation of care between shifts. 
B)  evolved in the mid-1950s. 
C)  planning and direction performed by one nurse. 
D)  ancillary workers used to increase productivity. 
E)  the care plan covering the entire day.
F) associate nurses taking over care and planning when the primary nurse is off duty. 
A)  elimination of fragmentation of care between shifts. 
B)  evolved in the mid-1950s. 
C)  planning and direction performed by one nurse. 
D)  ancillary workers used to increase productivity. 
E)  the care plan covering the entire day.
F) associate nurses taking over care and planning when the primary nurse is off duty.

Question 13

When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose was to:

Accepted Answer

A)  put patients with the same diagnosis on the same unit. 
B)  attempt to contain the costs of health care. 
C)  increase the availability of medical care to older adults. 
D)  identify a patient's condition more quickly. 
A)  put patients with the same diagnosis on the same unit. 
B)  attempt to contain the costs of health care. 
C)  increase the availability of medical care to older adults. 
D)  identify a patient's condition more quickly.

Question 14

A state's Nurse Practice Act is designed to protect the:

Accepted Answer

A)  physician. 
B)  nurse. 
C)  public. 
D)  hospital. 
A)  physician. 
B)  nurse. 
C)  public. 
D)  hospital.

Question 15

An example of the role of an LPN as a delegator is: (Select all that apply.)

Accepted Answer

A)  changing a patient's wound dressing. 
B)  assisting a patient to complete his or her bath. 
C)  assigning patient care tasks to certified nursing assistants. 
D)  requesting the housecleaning staff to mop the floor of a patient's room. 
E)  instructing the unit secretary to page a physician to the floor. 
A)  changing a patient's wound dressing. 
B)  assisting a patient to complete his or her bath. 
C)  assigning patient care tasks to certified nursing assistants. 
D)  requesting the housecleaning staff to mop the floor of a patient's room. 
E)  instructing the unit secretary to page a physician to the floor.

Question 16

Such health services as surgical procedures, restorative care, and home health care would be classified as ________ care.

Accepted Answer

secondary
Surgical procedures,

Question 17

Which nursing care delivery system has been fully embraced by the nursing community and is identified as one of the seven QSEN competencies?

Accepted Answer

A)  Relationship-based care 
B)  Team nursing 
C)  Patient-centered care 
D)  Total patient care 
A)  Relationship-based care 
B)  Team nursing 
C)  Patient-centered care 
D)  Total patient care

Question 18

An example of tertiary health care is:

Accepted Answer

A)  hospice care. 
B)  restorative care. 
C)  emergency care. 
D)  home health care. 
A)  hospice care. 
B)  restorative care. 
C)  emergency care. 
D)  home health care.

Question 19

Which nursing care delivery systems have some nursing schools adopted as the foundation of their education programs?

Accepted Answer

A)  Relationship-based care 
B)  Team nursing 
C)  Patient-centered care 
D)  Total patient care 
A)  Relationship-based care 
B)  Team nursing 
C)  Patient-centered care 
D)  Total patient care

Question 20

The nursing theory presented by Sister Calista Roy is based on:

Accepted Answer

A)  reduction of stress. 
B)  achievement of maximum level of wellness. 
C)  relief of self-care deficit. 
D)  adaptation modes. 
A)  reduction of stress. 
B)  achievement of maximum level of wellness. 
C)  relief of self-care deficit. 
D)  adaptation modes.

Exam 1: Nursing and the Health Care System

Preferred provider organizations (PPOs) use ____________ to finance their services and pay the physical cost of the service.

During the Civil War, nursing schools offered education to women both in England and in the United States. The schools in the United States differed from those in Europe because in US schools: (Select all that apply.)

The nursing theory that uses seven behavioral subsystems in an adaptation model is:

In 1991, the American Nurses Association (ANA) published the Standards of Nursing Practice. These standards are designed to: (Select all that apply.)

If a member of a health maintenance organization (HMO) is having respiratory problems such as fever, cough, and fatigue for several days and wants to see a specialist, the person is required to go:

Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New York in 1893 in order to:

The nursing theorist whose practice framework is based on 14 fundamental needs is:

Early nursing education and care in the United States:

Although nursing theories differ in their attempts to define nursing, all of them base their beliefs on common concepts concerning:

An educational pathway for an LPN/LVN refers to an LPN/LVN:

Nurse Practice Acts define the legal scope of an LPN's practice, which are written and enforced by:

Characteristics of primary nursing include: (Select all that apply.)

When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose was to:

A state's Nurse Practice Act is designed to protect the:

An example of the role of an LPN as a delegator is: (Select all that apply.)

Such health services as surgical procedures, restorative care, and home health care would be classified as ________ care.

Which nursing care delivery system has been fully embraced by the nursing community and is identified as one of the seven QSEN competencies?

An example of tertiary health care is:

Which nursing care delivery systems have some nursing schools adopted as the foundation of their education programs?

The nursing theory presented by Sister Calista Roy is based on:

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

The Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse Patient Relationship

Patient Education and Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, and End-of-Life Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Safe Lifting, Moving, and Positioning of Patients

Assisting with Hygiene Personal Care Skin Care and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting Transferring and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid-Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Nutritional Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain Comfort and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Older Adult

Common Psychosocial Care Problems of Older Adults

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