Principles of Vocational Nursing Test
Questions
Course Introduction
Principles of Vocational Nursing introduces students to the foundational concepts and professional standards that guide licensed vocational nurses (LVNs) in healthcare settings. The course covers the roles and responsibilities of the vocational nurse, ethical and legal considerations, patient-centered care, effective communication with patients and interdisciplinary teams, and the importance of safety and infection control. Emphasis is placed on understanding the scope of practice, critical thinking, and decision-making skills essential for delivering quality care to diverse populations under the supervision of registered nurses and physicians.
Recommended Textbook
Success in Practical Vocational Nursing 7th Edition by Hill
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Page 2
Chapter 1: The Adult Learner: Hints to Succeed
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Sample Questions
Q1) Which statement is true regarding the teaching-learning process in practical/vocational nursing?
A) If the student fails, the instructor is ultimately at fault.
B) By asking questions, the student interferes with the instructor's work.
C) The student must adapt his or her personal learning style to the instructor's methods.
D) The student is responsible for preparing for theory classes and clinical experience.
Answer: D
Q2) With regard to the teaching-learning process,what can the nursing student identify as the instructor's responsibility to the student?
A) Solve each of the student's learning problems.
B) Create an environment in which learning can occur.
C) Make learning simple and free from psychological pain.
D) Eliminate difficult concepts from lectures and laboratories.
E) Assist students to answer questions not independently resolved.
Answer: B,E
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3
Chapter 2: Time Management: Making Time Work for You
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Sample Questions
Q1) The retired spouse of a busy female nursing student will not share household duties.An explanation that should be considered to better understand this situation is that the unwilling spouse
A) does not love the student.
B) is jealous of the student.
C) has been raised with sex stereotyping.
D) thinks paying tuition is enough support.
Answer: C
Q2) A nursing student complains about not having enough time to get everything done.Identify the small daily block of time documented by the student that can add up to a large time loss by the end of a school week.
A) Breaks of more than 10 minutes of inactivity between classes
B) Looking up medical and nursing terms
C) Talking with relatives and children
D) Using break time to review for the next class
Answer: A
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4
Chapter 3: Learning Methods and Skills: How Do You
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Sample Questions
Q1) A college student tells the nurse,"I have difficulty studying.I can't seem to get organized.I get distracted and often need to smoke to calm my nerves.Noise irritates me." The intervention the nurse could suggest that would be of greatest benefit would be
A) "Try using colored transparency film over the page when reading to help you focus."
B) "Study only at the time of day that you are most alert and rested."
C) "Use a tape recorder to play and replay lectures at bedtime."
D) "Always sit at a desk to read or study."
Answer: A
Q2) A characteristic of the right hemisphere of the cerebrum includes A) produces robotlike speech.
B) processes in sequence.
C) adds tone and inflection to the voice.
D) breaks down new information into segments.
Answer: C
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Chapter 4: Using Your Methods and Skills: Studying and Testing
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Sample Questions
Q1) A nursing student listens with full attention during lectures,is open-minded and curious,and asks questions about the content.This student can best be described as a/an ____________________ listener.
Q2) A nursing student is asked to identify distractions that limit the ability to concentrate.An example of an external distraction is
A) anxiety.
B) daydreaming.
C) mental fatigue.
D) background noise.
Q3) In the PQRST method of studying,it is suggested that 50% of the student's time be devoted to which two steps?
A) Preview and read
B) State and test
C) Read and state
D) Preview and question
Q4) A nursing student spends lecture time doodling and staring out the window while thinking about what to cook for dinner.This student can best be described as a/an ____________________ listener.
6
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Chapter 5: Learning During School: Using Available Resources
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Q1) Which statement is true about the usefulness of audiovisual materials and computer-assisted instruction in a nursing course?
A) They can be omitted, because they add little to student learning.
B) It is unnecessary to take notes on their content.
C) They provide multisensory channels for learning content.
D) Their content cannot be used by instructors for examination questions.
Q2) A nursing student states,"My grades aren't what I'd like.I don't know whether to use a study group or ask for tutoring." Which statement is true for both study groups and tutoring?
A) Leaders/tutors derive more benefit than other participants.
B) They are most helpful to students with learning disabilities.
C) They provide low benefits when compared with the amount of time spent.
D) Active participation by the student is critical to success in raising grades.
Q3) A nursing student is experiencing difficulty performing calculations involving fractions and decimals.The most helpful resource would be the A) library.
B) Internet.
C) nursing skills lab.
D) study skills lab.
Page 7
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Chapter 6: Personal Health Promotion: A Role Model for Patients
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Q1) When a patient inquires about the 2010 MyPlate recommendations the nurse responds
A) "Protein is the largest part of the plate."
B) "Delete starch from the plate."
C) "Half of the plate should be fruits and vegetables."
D) "2% milk is recommended."
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.
Q3) The key to modifying co-dependent behavior is
A) recognition.
B) recreation.
C) intensive therapy.
D) establishing vulnerability.
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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 role of self-defined practical nurses throughout history has been to
A) care for the ill, injured, and dying and for birthing mothers.
B) compete with physicians and surgeons.
C) perform complex nursing skills independently.
D) make contact with the gods on behalf of the ill person.
Q3) The event that had the greatest influence on the role of practical nurses in modern hospital nursing was
A) the Crusades.
B) the Industrial Revolution.
C) the U.S. Civil War.
D) World War II.
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Chapter 8: Critical Thinking: A Lifelong Journey
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Sample Questions
Q1) Clinical judgments about patients that result from critical thinking have what as their basis?
A) Evidence
B) Assumptions
C) Ethical principles
D) Personal preference of the nurse
Q2) The cognitive levels used on the NCLEX-PN examination are knowledge,comprehension,application,and ____________________.
Q3) A nursing student determines that she needs to increase her reading effectiveness.Identify two effective strategies for accomplishing this goal that can be implemented immediately.Select all that apply.
A) Read one word at a time.
B) Move her lips while reading.
C) Read recreational literature more slowly than technical material.
D) Underline unfamiliar words.
Q4) 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) During the assessment phase of the nursing process,the LPN/LVN is expected to A) establish goals and outcome criteria.
B) collect data about the patient.
C) determine whether established goals have been met.
D) plan interventions to implement for the patient.
Q2) How does the LPN/LVN use nursing diagnosis in patient care?
A) To set patient-centered goals
B) To convert nursing diagnoses to patient problems
C) To implement independent nursing interventions
D) To justify participation in data collection
Q3) The student nurse asks,"How does knowing the nursing diagnosis assist the LPN/LVN?" The best response is based on understanding that
A) a nursing diagnosis identifies the patient's problems.
B) it permits the practical nurse to go beyond the scope of practice.
C) this step makes the practical nurse equal to the medical doctor.
D) knowledge of the nursing diagnosis ensures a cure for the patient.
Q4) A nurse notes that a patient is experiencing increased peripheral edema and has urinated 20 cc of urine in the past hour.This is an example of ____________________ data.
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Chapter 10: Nursing Theory,Research,and Evidence-Based Practice
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Q1) 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.
Q2) The three concepts considered important to nursing are person,health,and A) socialization.
B) procedure.
C) environment.
D) theory.
Q3) In regard to research and evidence-based practice,the National League of Nursing (NLN)expects nurses at the master's level to do which of the following?
A) Design research studies
B) Publish research finding
C) Formulate research questions
D) Evaluate the effect of evidence-based solutions on nursing problems
E) Implement research studies
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Chapter 11: Ethics Applied to Nursing: Personal
vsProfessional Ethics
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Sample Questions
Q1) To provide justice to patients on the unit,the nurse must
A) treat all patients with the same diagnosis utilizing the same plan of care.
B) treat all patients with equal dignity and respect.
C) base care on the patient's culture, religion, and social status.
D) determine who is most deserving of extra care.
Q2) A system of standards or moral principles that direct actions as being right or wrong is called ____________________.
Q3) A way of practicing fidelity to a patient would be to
A) discuss the patient with friends at a social gathering.
B) document the patient's expression of feelings and wishes.
C) categorize the patient as a "down-and-out alcoholic."
D) develop the care plan without patient input.
Q4) 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.
Page 13
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Chapter
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Sample Questions
Q1) A nurse is found liable for battery.What does this mean?
A) The nurse threatened the patient, causing fear of bodily harm.
B) The nurse, without consent, touched the patient in a way that caused harm.
C) The nurse detained the patient against his will.
D) The nurse incorrectly performed a procedure that is within her scope of practice.
Q2) Legally,student practical/vocational nurses are held to the level of performance
A) described in the job description for nursing assistants.
B) described in the outline/syllabus of the course in which the student is enrolled.
C) of the LPN/LVN.
D) of the LPN/LVN instructor.
Q3) When documenting patient behavior,the LPN/LVN should
A) record subjective interpretations of patient behavior.
B) avoid mentioning communicating with supervisors to report changes in condition.
C) record all interventions performed and patient instruction given.
D) use Wite-Out to erase errors in documentation.
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Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Q1) 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.
D) Focused questions are more useful when communicating with men.
Q2) Which option provides information that allows an individual to identify the patient's affective state?
A) Mr. B states that he is in considerable pain, about 8 on a scale of 1 to 10. He characterizes the pain as stabbing.
B) Mrs. T's facial expression looks sad. Tears well up in her eyes, and the corners of her mouth droop.
C) Miss L lies still with her eyes shut, her arms held rigidly at her side, and her fists clenched.
D) Mr. A listens carefully to the directions for blood glucose monitoring and then asks several relevant questions.
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Chapter 14: Assertiveness: Your Responsibility
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Sample Questions
Q1) A nurse demonstrates assertive behavior by doing which of the following?
A) When a patient asks the nurse to stop and feed the patient's cats on the way home, the nurse frowns but agrees to do so.
B) The nurse feels the team leader's assignment is unfair, so the nurse drops hints to co-workers about feelings of unfairness.
C) When the patient asks about the nurse's personal life, the nurse answers the questions out of fear of not being liked for not answering.
D) When working with a patient who is critical of the nurse, the nurse sits down with the patient and listens attentively to the patient's concerns.
Q2) Which statements about manipulation would be useful to the nurse who interacts with both patients and peers?
A) Manipulation usually disregards the feelings and needs of others.
B) Manipulation exploits the weaknesses of others.
C) A divide-and-conquer strategy is often used by those who manipulate.
D) Firm limit-setting rarely protects against manipulation.
E) Manipulation often results in individuals being treated as objects.
F) Manipulation should be permitted if it is consistent with the nurse's needs.
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Page 16
Chapter 15: The Health Care Team: Where the
Practical/Vocational Nurse Fits In
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Q1) The most important reason for a student nurse to prepare adequately before providing patient care is to
A) be able to give the same safe care as a nurse.
B) avoid arousing the anger of the instructor.
C) maintain self-esteem by performing well.
D) make a favorable impression on unit staff.
Q2) A nurse describes the method of care delivery on a unit as "using nursing staff in varying ratios to meet patient needs and coordinating care using care pathways." This best describes
A) nursing case management.
B) primary nursing.
C) team nursing.
D) the skill mix method.
Q3) An LPN/LVN offers input to the RN about the effectiveness of the patient's care plan.By doing this,the LPN/LVN is functioning in an A) entrepreneurial role.
B) expanded role.
C) interdependent role.
D) independent role.
Page 17
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Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Q1) A new mother on the OB unit refuses to allow her newborn to wear disposable diapers.She insists on applying cloth diapers without safety pins,because this is how her culture applies diapers.During break,the nurse discusses the patient's strange diapering technique compared with the excellent American method of diapering.Besides violating confidentiality,the nurse is displaying A) ethnocentrism.
B) stereotyping.
C) unusual behavior during break.
D) lack of adherence to hospital policy on diapering.
Q2) The codes of ethics of practical/vocational nursing organizations include the expectation that nurses will
A) attempt to educate individuals of diverse cultures in the American way.
B) provide care regardless of race, creed, or cultural background.
C) utilize stereotypes in selecting best nursing care practices.
D) ignore cultural uniqueness and provide the same care to all patients.
Q3) The process of giving up parts of one's own culture and adopting parts of the culture of the dominant group is called ____________________.
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Page 18
Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Q1) 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
Q2) To provide effective spiritual care for a Muslim patient,the nurse recognizes that those who believe in Islam refer to God as
A) Brahma.
B) Moroni.
C) Redeemer.
D) Allah.
Q3) In what religion do adults abstain from food,drink,and sexual activity from dawn to sunset during the ninth month of their religious calendar?
A) Buddhism
B) Jehovah's witness
C) Mormon
D) Islam
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Chapter 18: Health Care Settings: Potential Job Sites
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Q1) The health care agency that provides information and support for breast-feeding mothers and breast milk for infants because of health reasons is the______________.
Q2) A patient who had a cerebrovascular accident needs nursing care,physical therapy,and speech therapy.The patient's spouse would like to provide care at home but needs assistance.During the planning conference,the nurse should suggest that the agency that could best meet the patient's needs is
A) a home health agency.
B) the American Red Cross.
C) the American Heart Association.
D) a local wellness center.
Q3) At a patient care planning conference,the nurse hears the remark,"We need to report this event to our official public health agency." The nurse interprets this as meaning the speaker will contact the A) American Cancer Society.
B) Visiting Nurse Association.
C) National Easter Seal Society.
D) local health department.
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Chapter 19: Health Care System: Financing, Issues, and Trends
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Q1) A patient asks the nurse,"What do health maintenance organizations (HMOs)do to reduce health care costs?" The response giving the best example of an HMO cost-containment method would be
A) "HMOs pool individual contributions for use in catastrophic illness."
B) "HMOs provide supplemental coverage for items not covered by Medicare."
C) "HMOs use a retrospective payment system."
D) "HMOs provide services aimed at keeping members healthy."
Q2) The yearly amount an insured person must spend out-of-pocket for health care services before a health insurance policy will begin to pay its share is known as the A) premium.
B) deductible.
C) copayment.
D) coinsurance.
Q3) The skill that will be most helpful to an LPN/LVN in navigating health care system changes successfully is
A) the ability to work efficiently for long hours.
B) problem-solving and critical thinking abilities.
C) identifying the need for comprehensive system change.
D) becoming knowledgeable about CQI processes.
Page 21
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Chapter 20: Leadership Skills
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Sample Questions
Q1) When conducting an employee performance evaluation conference,the LPN/LVN charge nurse should understand that
A) giving measurable feedback such as "You're doing fine" promotes personal growth.
B) positive feedback should be given at the beginning of the interview to set the tone.
C) the employee should develop a plan for improvement without input from the charge nurse.
D) the employee should be encouraged to identify strengths and ask questions for clarification.
Q2) A purely task-centered leadership style that thrives on power and involves telling someone what to do,with little regard for the employee as a person,is the A) autocratic style.
B) situational style.
C) democratic style.
D) laissez-faire style.
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Chapter 21: LPN/LVN Charge Nurse Skills: Management,
Including Assignment and Delegation
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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) The new nursing assistant arrived 1 hour late for duty on the second day of employment,giving the excuse of car trouble.The LPN/LVN charge nurse should
A) note the incident of tardiness in the charge nurse's personal file.
B) send a letter of reprimand to the nursing assistant.
C) give an oral reprimand to the nursing assistant.
D) arrange to terminate the nursing assistant before a pattern develops.
Q3) The LPN/LVN charge nurse notices that a new nursing assistant has offensive body odor.The LPN/LVN charge nurse should
A) report this finding to the RN supervisor.
B) send the person to the locker room to shower and put on clean clothes.
C) terminate the nursing assistant.
D) meet with the person to inform her of the problem and reinforce agency expectations.
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Sample Questions
Q1) What is the first step that should be taken by a student nurse who wants to use a particular instructor's name as a reference?
A) Look in the catalog to make sure the name is spelled correctly.
B) Pass the course taught by the instructor, which permits listing the name.
C) Ask the instructor whether her or his name may be used as a positive reference.
D) Check with recent graduates to see which instructor writes the best letters of reference.
Q2) Which statement is true with regard to making a follow-up call after submitting a résumé and cover letter for a position?
A) Do not call; the employer will call the applicant if interested.
B) Call on the date and at the time mentioned in the cover letter.
C) Call on a Monday before 8 AM if possible.
D) Call on a Friday between 2 PM and 4 PM if possible.
Q3) Which is a basic rule when writing a letter of resignation?
A) Avoid venting negative feelings.
B) Honesty is the best policy; say how it is.
C) List suggestions for agency improvement.
D) Prior notice is highly overrated; just don't show up any more.
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Chapter 23: The NCLEX-PN Examination
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Q1) Which phrases describe the format of the NCLEX-PN examination?
A) Uses multiple choice questions exclusively
B) Includes questions of varying levels of difficulty
C) May have fill-in-the-blank questions
D) Uses charts, tables, and graphics as parts of questions
E) Requires tester to select a single best answer for every question
F) Tests the cognitive levels of knowledge, comprehension, application, and analysis
G) Integrates three of the four steps of the nursing process used by LPN/LVNs
Q2) The SP/VN reviewing for the NCLEX-PN examination should study based on an understanding that the category of patient need that is most heavily tested is
A) the clinical problem-solving process.
B) safe, effective care environment.
C) health promotion and maintenance.
D) physiological integrity.
Q3) Preparation for the NCLEX-PN examination should include
A) cramming difficult concepts the night before the examination.
B) rereading each textbook used in the program of study.
C) going to a party the evening before the test.
D) reviewing content summaries and focusing on identified areas of weakness.
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Page 25
Chapter 24: Future Career Decisions: Choosing What Is
Right for You
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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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