Nursing Fundamentals Study Guide
Questions
Course Introduction
Nursing Fundamentals is an introductory course that provides students with a comprehensive foundation in the essential principles and skills required for professional nursing practice. The course covers topics such as basic human needs, clinical reasoning, patient safety, infection control, vital signs assessment, communication techniques, and ethical and legal responsibilities in nursing. Emphasis is placed on developing critical thinking, hands-on caregiving abilities, and effective interpersonal interactions within multidisciplinary healthcare teams. Students will engage in classroom instruction, laboratory simulations, and clinical experiences to build competence and confidence in delivering holistic, patient-centered care.
Recommended Textbook
Success in Practical Vocational Nursing 7th Edition by Hill
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24 Chapters
615 Verified Questions
615 Flashcards
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2
Chapter 1: The Adult Learner: Hints to Succeed
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31 Flashcards
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Sample Questions
Q1) To explain clinical evaluation to a new student,what information would best describe where responsibility for the process of clinical evaluation lies?
A) The instructor evaluates the student's performance in the clinical area.
B) Peers evaluate change in clinical skills in each other in the clinical area.
C) The student continuously monitors his or her performance of selected clinical skills.
D) Clinical evaluation is a shared responsibility between instructor and student.
Answer: D
Q2) What understanding about the goal of evaluation would be most helpful to a student in a nursing program?
A) Evaluation lowers learner self-esteem.
B) Evaluation ridicules student performance.
C) Evaluation identifies behaviors that stand in the way of meeting goals.
D) Evaluation informs the learner of things that annoy the instructor.
Answer: C
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3
Chapter 2: Time Management: Making Time Work for You
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Sample Questions
Q1) Nursing student A is unfamiliar with writing a "to do" list.A nurse experienced in time management would advise nursing student A to include which of the following items?
A) Successfully complete nursing program.
B) Read pages 307 to 342 in the nursing textbook.
C) Hand in a term paper.
D) Remind himself to drop off the dry cleaning.
E) Call to make a dentist appointment.
F) Pick up the clinical assignment for tomorrow.
Answer: B,C,D,E,F
Q2) The outcome that is the best evidence that a nursing student's time management plan is working is that the student
A) reports feeling happy at home.
B) is popular with peers.
C) achieves passing grades on tests and evaluations.
D) demonstrates positive relationships with instructors.
Answer: C
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4
Chapter 3: Learning Methods and Skills: How Do You Learn?
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29 Flashcards
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Sample Questions
Q1) A student nurse is a bodily/kinesthetic learner.The student would learn best by A) moving around when studying.
B) taking notes when reading assigned chapters.
C) organizing a method of study that fits him or her personally.
D) making his or her own diagrams, boxes, or lists when they are unavailable in the book.
Answer: A
Q2) A student nurse is a linguistic learner.The student would learn best by A) moving around when studying.
B) taking notes when reading assigned chapters.
C) organizing a method of study that fits him or her personally.
D) making his or her own diagrams, boxes, or lists when they are unavailable.
Answer: B
Q3) Identify the learning strategy that requires true understanding of theory by a student.
A) Using mental imagery
B) Listening actively
C) Note making
D) Memorization
Answer: A
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Chapter 4: Using Your Methods and Skills: Studying and Testing
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Sample Questions
Q1) A nursing student reads rapidly and comprehensively but has difficulty recalling the content of assigned chapters in the nursing textbook.Which hint would be most helpful?
A) "Read each sentence word for word."
B) "Slow your reading speed for technical material."
C) "Never move your lips while reading."
D) "Ensure that the text is not marked by underlining and margin notes."
Q2) Which statements are appropriate for telling a peer how to maximize learning from a textbook?
A) Be aware of your reading assignments that are technical or scientific in nature and vary your reading speed accordingly.
B) Highlight unfamiliar words as you read and create index cards from them.
C) Read the entire chapter quickly. Skim content and save details for later.
D) Highlight key phrases or write notes in the margin.
E) Remember to use your index and glossary to locate information quickly.
Q3) Which is a strategy of effective reading?
A) Read in a monotone with no inflection.
B) Read in phrases, a few words at a time, rather than word by word.
C) Read at the same pace regardless of difficulty.
D) Do not mark your book or ebook.
Page 6
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Chapter 5: Learning During School: Using Available Resources
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Sample Questions
Q1) The ultimate responsibility for an LPN/LVN remaining current in the nursing profession lies with
A) the state board of nursing.
B) the employing agency.
C) nursing organizations.
D) the individual nurse.
Q2) Which nursing students are using the learning resource center appropriately?
A) Student A checks out a text for home use.
B) Student B obtains an article on interlibrary loans.
C) Student C makes a copy of a reference article.
D) Student D finds it a quiet place to study.
E) Student E seeks to purchase a book.
F) Student F obtains a back issue of a nursing journal.
G) Student G goes there to instant message.
Q3) A nursing student could best explain an Internet search engine to a peer by saying it is most like
A) a book or periodical index.
B) a clinical contact with a patient.
C) a videotape.
D) the vertical file.
Page 7
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Chapter 6: Personal Health Promotion: A Role Model for Patients
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Sample Questions
Q1) A student nurse tells a peer,"I find myself constantly thinking about patient X and the problems she's experiencing.Sometimes,it makes me want to cry.If only I had a magic wand and could make things better for her!" The peer to whom this is revealed can correctly determine that the student nurse is experiencing
A) empathy for the patient.
B) sympathy for the patient.
C) therapeutic involvement.
D) burnout.
Q2) The nurse is to present a mini-class on burnout prevention strategies at a nursing team meeting.Which topics would be appropriate to include?
A) Use sympathetic responses to patients.
B) Seek daily evaluation from other health care team members.
C) Practice time management.
D) Use humor to reduce tension.
E) Keep nursing skills current.
F) Maintain perspective about work.
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8
Chapter 7: How Practical/Vocational Nursing Evolved: 1836 to
Present
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Sample Questions
Q1) When permitted by the state Nurse Practice Act,under what conditions can the LPN/LVN perform complex nursing skills not taught in the basic educational program?
A) When ordered to do so by the attending physician
B) When the task is delegated to a competent LPN/LVN by a supervising RN
C) When the LPN/LVN has graduated from a nursing program accredited by the National League for Nursing
D) When the state of practice has declared a severe nursing shortage
Q2) The event that had the most profound influence in changing practical/vocational nursing was the
A) depression of the 1930s, when nurses worked for room and board in lieu of salary.
B) post-World War II movement of practical/vocational nurses into hospital positions.
C) American Medical Association (AMA) proposal to develop registered care technicians as new health care workers.
D) first computer-adaptive test for practical/vocational nursing graduates.
Q3) After licensing,the LPN/LVN is permitted to perform complex nursing skills as delegated by the registered nurse (RN)and allowed by the ____________________.
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Chapter 8: Critical Thinking: A Lifelong Journey
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Sample Questions
Q1) A student nurse recently learned during a lecture about Maslow's hierarchy of needs.During the clinical rotation,the student is able to prioritize patient care based on Maslow's hierarchy of needs.The student is using what cognitive level?
A) Analysis
B) Knowledge
C) Application
D) Comprehension
Q2) Which of the following are the cognitive levels used in the NCLEX-PN examination?
A) Analysis
B) Intuition
C) Application
D) Knowledge
E) Correlation
F) Comprehension
Q3) The NCLEX-PN examination includes items that require various levels of thinking to answer a test item.These various levels are called ____________________.
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Chapter 9: Nursing Process: Your Role
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Sample Questions
Q1) A nurse expresses difficulty deciding which nursing interventions to suggest for a patient with arthritic pain during an upcoming patient-centered conference.A peer suggests referring to the Nursing Interventions Classification (NIC)taxonomy.This would provide the nurse with information on
A) how to provide basic care to patients.
B) identification of nursing measures to help patients progress toward goals.
C) a language for measuring patients' response to nursing interventions.
D) how to translate nursing diagnoses into nursing problems.
Q2) The nursing process consists of collecting data (assessment),nursing diagnosis,planning,implementation,and evaluating nursing care.Which step of the nursing process is the sole responsibility of the registered nurse?
A) Planning
B) Assessment
C) Implementation
D) Nursing diagnosis
Q3) A patient states,"I'm feeling left-sided chest pain that radiates to my left arm." This is an example of ____________________ data.
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Chapter 10: Nursing Theory,Research,and Evidence-Based Practice
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Sample Questions
Q1) The health belief theory was developed by A) Leininger.
B) Watson.
C) Rosenstock.
D) Orem.
Q2) According to the culture care theory,the two kinds of care in every culture are
A) practical and generic.
B) generic and professional.
C) professional and nonprofessional.
D) practical and professional.
Q3) The nursing instructor provides positive feedback to the student LPN/LVN after observing the student administer an intramuscular injection to a patient.According to Maslow's human needs theory,the instructor is helping to meet the student's
A) physiological needs.
B) safety needs.
C) love and belonging needs.
D) esteem needs.
Q4) In 2010,the _____________________________________ established competencies for nursing graduates at all levels.
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Chapter 11: Ethics Applied to Nursing: Personal
vsProfessional Ethics
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Sample Questions
Q1) A nurse injects himself or herself with a narcotic prescribed for a patient.This is an example of
A) unethical and illegal behavior.
B) ethical and legal behavior.
C) unethical but legal behavior.
D) ethical but illegal behavior.
Q2) Leaving an unconscious patient exposed during a treatment or procedure is a violation of the ethical principle of A) fidelity.
B) autonomy.
C) justice.
D) veracity.
Q3) Encouraging a patient to be involved in planning and carrying out his or her own care is a nursing action that supports the ethical principle of A) confidentiality.
B) privacy.
C) autonomy.
D) justice.
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35 Flashcards
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Sample Questions
Q1) A risk management strategy a nurse can use to prevent being named in malpractice lawsuits is
A) carrying malpractice insurance.
B) requesting supervision for all care.
C) not signing her or his name to patient medical records.
D) maintaining good relationships with patients and families.
Q2) An example of statutory law is
A) informed consent.
B) the Nurse Practice Act.
C) a patient's right to refuse treatment.
D) a hospital's written policies and procedures.
Q3) With regard to HIPAA implementation,the LPN/LVN who is newly employed at a health care agency should
A) realize that enough was learned about the provisions of the act in school to function effectively at work.
B) be aware that each agency may interpret HIPAA provisions somewhat differently.
C) operate on the assumption that all agency privacy practices are similar.
D) depend on the HIPAA website to provide all necessary job-related information.
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14
Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Sample Questions
Q1) A patient states,"I'm really turned off when the doctor hurries out of here." The nurse responds,"You're feeling upset with your doctor because he doesn't spend enough time with you." This interaction demonstrates
A) summarizing.
B) validating.
C) clarifying.
D) reflecting.
Q2) A patient asks a practical/vocational nursing student the following questions.To which option should the nurse respond,"I don't know the answer to your question,but I'll find someone who will discuss it with you"?
A) "What do you mean when you say 'vital signs'?"
B) "May I get out of bed?"
C) "How do I call a nurse when I need one?"
D) "How much longer do I have to live?"
Q3) Which statement is true regarding open-ended,closed-ended,and focused questions?
A) Open-ended questions always achieve their purpose.
B) Closed-ended and focused questions are used to get specific information.
C) Closed-ended questions are used primarily with children and the elderly.
Page 15
D) Focused questions are more useful when communicating with men.
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Chapter 14: Assertiveness: Your Responsibility
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Sample Questions
Q1) A nurse is appointed to a workplace committee to plan changes in the emergency department.The committee's task is to make recommendations that will provide an environment that deters violence.Which recommendations are consistent with this goal?
A) Install bullet-resistant glass in the nurses' station.
B) Install security alarm devices in examining rooms.
C) Institute a limited toleration of violence policy.
D) Develop a minimum safe staffing policy.
E) Change security officers' uniforms to shirt, tie, blazer, slacks.
Q2) The intervention that is most effective at reducing patient violence against nurses is A) teaching nurses to communicate respect for patients and confidence in themselves.
B) requiring nurses to work in groups rather than alone.
C) having security personnel stationed on all units.
D) assigning only male nurses to care for psychiatric or chemical dependency patients.
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Chapter 15: The Health Care Team: Where the
Practical/Vocational Nurse Fits In
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Sample Questions
Q1) The LPN/LVN describes herself as "working in an expanded role in a long-term care facility." What is the most correct interpretation of this statement?
A) The LPN/LVN is able to administer oral medications.
B) The LPN/LVN is a first-line manager responsible to the RN.
C) The LPN/LVN formulates nursing diagnoses and care plans.
D) The LPN/LVN interprets and implements research findings.
Q2) The case method of care delivery is used on the surgical unit.The LPN/LVN asks what this means regarding work assignments.The best answer would be
A) "You will be assigned to provide care for two or three relatively stable patients with predictable care outcomes."
B) "You will be assigned to perform specific nursing tasks for a number of patients, such as taking vital signs, doing simple dressings, and so on."
C) "You will be assigned to provide daily total care for several patients from admission to discharge."
D) "You will receive cross-training to be assigned as unit secretary, venipuncturist, or to nursing duties."
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Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) Recently a community has experienced an influx of individuals from Afghanistan.What action should the nurse suggest to modify the agency environment to better accommodate these culturally diverse patients?
A) Provide handouts and patient teaching materials in appropriate languages.
B) Hold meetings in the community to explain the Afghan culture.
C) Provide reference guides about Far Eastern cultures to all nursing staff.
D) Utilize the cookbook method of learning to accommodate this immigrant group.
Q2) The nurse who states,"I believe in the uniqueness and value of human beings" is basing care on the philosophy of
A) civil liberties.
B) individual worth.
C) American heritage.
D) the American Health Care System Code.
Q3) A patient tells the nurse that she is accustomed to adhering to a strict schedule for meals and sleep.The nurse reports that the patient
A) follows clock time.
B) lives on linear time.
C) is obsessive-compulsive.
D) will complain if medications and treatments are not performed on time.
Page 18
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Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Sample Questions
Q1) A religion that was founded by Siddhartha Gautama in the sixth century BC in India is A) Buddhism.
B) Hinduism.
C) Mormonism.
D) Catholicism.
Q2) The LPN/LVN is preparing to educate a healthy patient regarding methods of birth control.The patient's history indicates she is a member of the Mormon church.The LPN/LVN is aware that education of this patient should include information related to A) oral contraceptives.
B) natural family planning.
C) barrier methods.
D) spermicides.
Q3) A patient who is a member of the Church of Latter Day Saints (Mormon)must increase fluid intake.Which beverages should the nurse offer?
A) Wine or beer
B) Fruit juice, milk, or water
C) Coffee, tea, or iced tea
D) Unfermented or fermented apple juice
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Chapter 18: Health Care Settings: Potential Job Sites
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Sample Questions
Q1) A resident who is terminally ill and his family are considering hospice.They ask the nurse for information about hospice.Which of the following would be information the nurse could correctly relay?
A) Maintaining comfort as death approaches is the hospice philosophy.
B) Hospice care may be provided at home or in a freestanding agency.
C) Family members are encouraged to care for the individual.
D) Hospice can be tailored to meet the individual's and the family's needs.
E) The cost of hospice is more than the cost of hospital care.
F) Respite care is available when the individual is cared for at home.
Q2) The health care agency that provides information and support for breast-feeding mothers and breast milk for infants because of health reasons is the______________.
Q3) An example of a public sector health care agency supported primarily by U.S.taxpayer dollars is the
A) U.S. Public Health Service.
B) Kaiser Permanente hospitals.
C) American Cancer Society.
D) World Health Organization.
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Page 20
Chapter 19: Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) A patient tells the nurse,"I received a questionnaire that said my answers would be used for purposes of continuous quality improvement.I wonder if it's worth my time to fill it out?" The response that best explains continuous quality improvement is,"Continuous quality improvement activities are used to"
A) restructure hospital departments and personnel assignments to ensure cost savings."
B) provide an opportunity for staff members to participate in self-governance."
C) obtain appropriate reimbursement for care given to ambulatory and inpatients."
D) monitor and improve processes involved in providing safe, effective care for patients."
Q2) Diagnosis-related groups (DRGs)and prospective payment systems are most clearly the reason for
A) Medicare and Medicaid.
B) critical pathways and managed care.
C) group health insurance and centralization.
D) a shortage of nurses and unlicensed assistive personnel.
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Chapter 20: Leadership Skills
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Sample Questions
Q1) The action the LPN/LVN charge nurse takes independently that would most likely require conflict resolution at the unit level is
A) organizing shift activities before morning report.
B) making sure the necessary equipment and supplies are available.
C) eliminating morning breaks and adding 10 minutes to the lunch hour.
D) creating a calm, supportive environment.
Q2) The LPN/LVN charge nurse notices that a nursing assistant has not weighed her assigned residents.The best statement by the nurse is
A) "You didn't weigh your assigned residents this morning. Let's get with the program."
B) "I need to have you weigh your assigned residents and report to me by 10 AM."
C) "Would you mind explaining why you didn't weigh your residents today?"
D) "You've been goofing off lately. Not weighing your assigned residents is a good example of this."
Q3) Which quality is rarely found in democratic leaders?
A) Assertiveness
B) Arrogance
C) Desire for new learning
D) Effective communication
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22
Chapter 21: LPN/LVN Charge Nurse Skills: Management,
Including Assignment and Delegation
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Sample Questions
Q1) The most fundamental requirement for assuming the practice role of LPN/LVN charge nurse is
A) licensure in the state of practice.
B) experience with resident assignment.
C) the ability to coordinate patient care services.
D) a knowledge of the principles of delegation.
Q2) A resident has not voided in 6 hours.Which instruction to a nursing assistant would likely ensure getting the information needed by the LPN/LVN charge nurse?
A) "Watch the resident's output closely today."
B) "I need to know if the resident is voiding sufficiently."
C) "The resident should void at least twice during the shift in quantities of 200 ml or more."
D) "Report to me immediately if the resident voids between now and 10 AM, and tell me the amount he voids. If he has not voided by 10 AM, please report this to me."
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Sample Questions
Q1) The LPN/LVN interviewee determines from personal appearance that the interviewer is from a different cultural background.What action should the interviewee take to minimize the impact of cultural difference during the interview?
A) Answer questions in a straightforward manner.
B) Use the same gestures the interviewer uses.
C) Avert the eyes when responding to questions.
D) Be prepared to tolerate decreased personal space.
Q2) Which phrases would be helpful to remember when filling out a job application?
A) Never provide information regarding having held three or more jobs in the past year.
B) Explain employment gaps by responses such as laid off, job hunting, family responsibilities.
C) Answer questions about wage requirements by inflating current salary by 20%.
D) Respond to questions about age, religion, number of children, even though it is not required by law.
E) Do not leave questions unanswered or blank spaces on the application.
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Chapter 23: The NCLEX-PN Examination
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Sample Questions
Q1) The content of the NCLEX-PN examination is divided into four Client Needs categories.The Health Promotion and Maintenance category includes
A) ethical practice.
B) family planning.
C) crisis intervention.
D) basic pathophysiology.
Q2) Prior to taking the NCLEX-PN examination,candidates sign a confidentiality clause.A candidate would be in violation of "terms of confidentiality" when doing which of the following?
A) The candidate asks the examination proctor a question.
B) The candidate informs others that she has taken the exam.
C) The candidate discusses the exam with his instructor.
D) The candidate refrains from discussing the exam with others.
Q3) The requirement for taking the NCLEX-PN examination that is universal to every U.S.state and territory is
A) the ability to pay fees using a major credit card.
B) holding a valid temporary work permit.
C) a conviction-free legal record.
D) completion of a PN/VN program.
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Page 25
Chapter 24: Future Career Decisions: Choosing What Is
Right for You
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Sample Questions
Q1) What situation is responsible for certain practical/vocational nurse graduates being unprepared to work in a behavioral/mental health clinical setting?
A) Historically, only RNs have been permitted to work with the mentally ill.
B) Some practical/vocational nursing programs do not include a specific mental health nursing component.
C) Practical/vocational nursing students are too fearful of mentally ill patients to learn enough during their programs.
D) Because the number of mentally ill people in the United States is declining, little emphasis needs to be placed on that portion of the educational program.
Q2) The American Nurses Association (ANA)
A) represents only registered nurses.
B) represents only licensed practical nurses.
C) represents both registered nurses and licensed practical nurses.
D) has attempted to expand licensed practical nurses' scope of practice.
Q3) The area of nursing in which churches employ their own nurse to take care of basic health needs of the congregation is called __________________ nursing.
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