Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions

Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)

Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.

The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. Wald

What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.

What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for women

What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursing

In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedure

The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”

The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospital

The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. Friendly

The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”

The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgery

Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural care

The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.

The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.

The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for class

The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethics

How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every day

The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patients

The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.

Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.

Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needs

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.

%1 Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition Test Bank Questions %2%3 This set of practice questions is designed to help you review and understand key concepts from the Nursing Leadership Management and Professional Practice for the LPN LVN 7th Edition. Each question is followed by an answer and detailed feedback to enhance your learning experience. %4### Chapter 1: Historical Perspective and Current TrendsQ1: The nursing student predominantly uses knowledge about the history of nursing for which purpose?1. To understand the professional choices open to the student2. To prevent making medication errors in practice3. To determine in which geographical area it is best to practice4. To reduce the cost of delivering quality health careA1: 1**Feedback:** Understanding nursing history helps the nurse to better recognize the many choices available when choosing his or her own future path.Q2: The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?1. Pathogens and genetics2. Evil spirits3. Tides and planets4. Plants and animalsA2: 2**Feedback:** A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noises to try to ward off the spirits.Q3: Who is credited with making a written record of health-care practices and removing the mythical aspect of health care?1. Hammurabi2. Florence Nightingale3. Hippocrates4. ApolloA3: 3**Feedback:** Hippocrates wrote the first medical textbook, outlining current health-care practices, and removed the mythical belief that Apollo was responsible for health.Q4: Who served as the first public health nurses, caring for the sick and the poor?1. The Presbyterian Church2. Salerno3. Jewish scholars4. Convent deaconessesA4: 4**Feedback:** Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another.Q5: Which is a crucial issue the nurse working in the late industrialization era would need to address to promote health?1. Reducing spread of infection2. Reducing sedentary lifestyle3. Teaching proper use of medications4. Teaching use of car seatsA5: 1**Feedback:** Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection.Q6: The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?1. Respecting the patient’s culture and incorporating cultural needs in the plan of care2. Promoting good health and treating those who are ill in a holistic manner3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks4. Teaching other nurses how to deliver the highest quality of nursing careA6: 2**Feedback:** Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill.Q7: Which action performed by the nurse directly resulted from the contribution made by Linda Richards?1. Using an antiseptic before administering an injection2. Exploring the psychosocial needs of the patient3. Documenting patient care in the medical record4. Listening to a patient describe his or her conditionA7: 3**Feedback:** Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system.Q8: The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?1. Annie Goodrich2. Lillian D. Wald3. Florence Nightingale4. Linda RichardsA8: 3**Feedback:** Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery.Q9: Which professional organization was the first to focus on licensed practical nurses (LPNs)?1. National Association for Practical Nurse Education and Services (NAPNES)2. National Federation of Licensed Practical Nurses (NFLPN)3. National League for Nursing (NLN)4. American Nurses Association (ANA)A9: 1**Feedback:** NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs.Q10: Which statement accurately describes the NFLPN?1. It represents both registered nurses (RNs) and LPNs.2. It represents LPNs/LVNs only.3. It is open to anyone interested in nursing.4. It is open to anyone in the health-care field.A10: 2**Feedback:** The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization.Q11: The nurse working in mental health nursing honors which historical nurse for working to improve care of the mentally ill?1. Clara Barton2. Florence Nightingale3. Dorothea Dix4. Lillian D. WaldA11: 3**Feedback:** Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.Q12: What is the difference between the LPN and LVN nursing title?1. LPNs have a longer educational program than LVNs.2. LVNs and LPNs have the same duties and skills, just different titles.3. LVNs are able to perform venipuncture and LPNs cannot.4. LPNs are working toward an RN license whereas LVNs are not.A12: 2**Feedback:** Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse health-care settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographical areas of the country.Q13: What factor has had the greatest impact on the current nursing shortage?1. Later age of women having children2. Fewer women being born3. Overall unemployment rate4. More employment options for womenA13: 4**Feedback:** One reality of the nursing shortage is the shortage of nursing faculty, which limits the enrollment of students.Q14: What factors are contributing to the nursing shortage? (Select all that apply.)1. Increased demand for nurses2. Shortage of nursing faculty3. Lack of nursing organizations4. Nurses leaving the profession due to poor working conditions5. Not enough interest in nursingA14: 1, 2, 4**Feedback:** Aging baby boomers, people living longer, and the increasing complexity of health care have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession.Q15: In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)1. How to perform the procedure correctly2. Why the procedure is being performed3. How the procedure will affect the patient4. The cost of performing the procedure5. The equipment needed to perform the procedureA15: 1, 2, 3, 5**Feedback:** Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will affect the patient. The nurse will gather the equipment required to perform the procedure; therefore, the nurse needs to know what will and what might be needed.### Chapter 2: Caring as a Personal and Professional BehaviorQ16: The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?1. “If you would rather die young than quit smoking, that is your choice to make.”2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.”4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.”A16: 2**Feedback:** Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him.Q17: The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more time demonstrates holistic care with which action?1. Explaining the infection risk associated with animals2. Arranging for the patient to be discharged to see the dog3. Explaining the hospital rules against animals4. Arranging a reunion with the dog in front of the hospitalA17: 4**Feedback:** Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs.Q18: The nurse demonstrates transpersonal caring for patients when maintaining which attitude?1. Nonjudgmental2. Detached3. Loving4. FriendlyA18: 1**Feedback:** The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.Q19: The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.”4. “Ask your doctor to tell you when to check blood sugar levels each day.”A19: 3**Feedback:** This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences.Q20: The nursing model of care is demonstrated with which nursing intervention?1. Administering medications2. Changing a sterile dressing skillfully3. Inserting an indwelling catheter using aseptic technique4. Consoling a fearful mother whose child is in surgeryA20: 4**Feedback:** Consoling a family member is a high-touch demonstration of the nursing model of care.Q21: Which is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?1. Patient-centered care2. Holistic nursing care3. Spiritual care4. Transcultural careA21: 2**Feedback:** Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients and seeing them not as a diagnosis but as unique individuals.Q22: The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse’s best caring response?1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor.2. Wait until the situation ends and comfort the graduate privately.3. Suggest that the physician take a quieter and more private approach to the problem.4. Ignore the situation to avoid embarrassing the graduate further.A22: 3**Feedback:** Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it.Q23: The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. Which is the most caring response the student can make?1. Tell the other students that they are being mean and then leave the table.2. Shame the students for being so uncaring and cruel.3. Ask the other students why they think the instructor is so picky.4. Laugh and tell a story of a personal reprimand received from the instructor.A23: 3**Feedback:** Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation.Q24: The student nurse demonstrates care for classmates with which behavior?1. Preparing for class discussion by reading the assigned chapter2. Calling the instructor to explain the reason for arriving late3. Ducking behind a book to hide eye rolling4. Arriving for class on time and prepared for classA24: 4**Feedback:** Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class.Q25: The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding which concept?1. Motivation2. State laws3. The patient’s social history4. Code of ethicsA25: 1**Feedback:** Understanding the patient’s motivation may help the nurse be less judgmental.Q26: How does the nurse describe motivation?1. As a stagnant, unchanging force2. As a fluid, dynamic process that changes over time3. As a process that requires great force to change4. As a process that differs every dayA26: 2**Feedback:** Motivation is a dynamic process that changes over time because of experiences and the influence of others.Q27: The nurse accepts a new job and will move from a long-term care facility to a job in an acute care facility. Which action should the nurse plan to implement?1. Adapt motivational approaches2. Work more hours per week3. Obtain further formal education4. Reduce the time spent caring for patientsA27: 1**Feedback:** The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility.Q28: The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. Which is the best action to demonstrate caring?1. Call the nurse’s spiritual leader to talk to the patient.2. Call the family and ask them to come sit with the patient.3. Cry with the patient while sympathizing with her situation.4. Sit with the patient and listen to his or her fears.A28: 4**Feedback:** Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient.Q29: Which actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)1. Administer medications as ordered.2. Call the patient by title and last name, such as Mr. or Mrs.3. Arrange for a translator for the patient who does not speak English.4. Offer an opinion of the patient’s choice of plan of care.5. Spend time with the patient who received bad news.A29: 2, 3, 5**Feedback:** Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care.Q30: Which features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)1. Caritas2. Transpersonal caring3. High-touch4. Intentionality5. Hierarchy of needsA30: 1, 2, 3, 4**Feedback:** Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every interaction with the intention of giving good care in a holistic manner.