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Graduates of the first school for training the practical nurse were referred to as ____ nurses.
Correct Answer: attendant
Rationale: The first school for training the practical nurse, known as the Ballard School, started in Brooklyn, New York, in 1892 under the Young Women's Christian Association (YWCA). Graduates were referred to as attendant nurses, reflecting their role in providing care for the chronically ill, invalids, children, and the elderly, with a focus on home care, basic procedures, and nutrition.
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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.
Correct Answer: A
Rationale: 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.
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
Correct Answer: B
Rationale: Patient expectations are outlined by the Patient's Bill of Rights. Patient expectations are not outlined in the Code of Ethics, OBRA, or advance directives.
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.
Correct Answer: D
Rationale: 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.
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
Correct Answer: B
Rationale: 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.
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
Correct Answer: C
Rationale: An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.