Deck 7: How Practicalvocational Nursing Evolved: 1836 to Present

Question 1

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.

Answer 1

care for the ill, injured, and dying and for birthing mothers.

Question 2

The emergence of modern nursing is usually attributed to the influence of

A) Florence Nightingale.
B) Clara Barton.
C) Lillian Wald.
D) Sairy Gamp.

Answer 2

Florence Nightingale.

Question 3

In what year was practical nurse licensure utilized for the first time?

A) 1903
B) 1914
C) 1938
D) 1941

Answer 3

1914

Question 4

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.

Question 5

When was the first U.S. school of practical nursing founded?

A) 1830
B) 1853
C) 1892
D) 1902

Question 6

The first formal training for practical nurses focused on

A) care for victims of war injuries.
B) home care for children and people with chronic illness.
C) training visiting nurses and public health nurses.
D) creating nursing instructors for nursing programs.

Question 7

Which was the first state to pass a law licensing practical nurses?

A) Alabama
B) California
C) New York
D) Mississippi

Question 8

Which of the following are major concerns associated with the present nursing shortage? (Select all that apply.)

A) Patient safety
B) High patient acuity
C) High nurse-to-patient ratios
D) High stress among nurses
E) High recruitment incentives

Question 9

After licensing, the LPN/LVN is permitted to perform complex nursing skills as delegated by the registered nurse (RN) and allowed by the ____________________.

Question 10

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.

Question 11

The first chapter of the American Red Cross was established by

A) Clara Barton.
B) Sairy Gamp.
C) Dorothea Lynde Dix.
D) Florence Nightingale.

Question 12

A major reason for LPN/LVN graduates to join nursing organizations is that membership

A) keeps one updated on issues that affect practical nursing.
B) enhances one's standing among registered nurses.
C) provides an opportunity to draft legislation for health care workers.
D) encourages practical nurses to expand their social horizons.

Question 13

After licensing, the LPN/LVN is permitted to perform complex nursing skills as delegated by the registered nurse (RN) and allowed by the Nurse Practice Act. Delegation is allowed as long as which requirements are met? (Select all that apply.)

A) An RN is willing to teach the skill.
B) An RN observes the return demonstration.
C) An RN delegates complex patients to the LPN/LVN.
D) An RN delegates formulating nursing diagnoses to the LPN/LVN.
E) An RN documents the teaching or learning process for the LPN/LVN's file in the place of employment.

Question 14

Practical nurses are referred to as those who, from the beginning of time, chose (or were appointed) to care for individuals who were ill, injured, dying, or having babies. Names used to designate this person have included which of the following? (Select all that apply.)

A) Midwife
B) Attendant
C) Trained nurse
D) Practical nurse
E) Self-proclaimed nurse
F) Babysitter

Question 15

The best reason for studying nursing history is to

A) prepare for the NCLEX-PN examination.
B) make nurses more professional.
C) help nurses adapt to change.
D) learn from nursing's past mistakes.

Question 16

The outcome that can be predicted for the latest nurse education proposal is that

A) LPN/LVN education will be extended to 2 years.
B) LPN/LVN licensure will be abandoned.
C) the LPN/LVN will be the lower level for entry into practice.
D) the outcome cannot be determined at this time.

Question 17

Which statement best explains the "entry into practice" controversy?

A) Nursing shortages would be relieved if all nurses entered into practice as LPN/LVNs.
B) The return to self-proclaimed nurses would save scarce health care dollars.
C) "Entry into practice" refers to discerning the educational level most appropriate for entry into the practice of nursing: ADN, BSN, MSN.
D) After graduation, all professional and vocational nurses should enter practice by serving a 1-year internship in a hospital setting.

Question 18

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

Question 19

The "first real school of nursing" was located in

A) Israel
B) Greece.
C) Italy.
D) Germany.

Question 20

When in history was it first recommended that tasks of the RN and LPN be differentiated and that practical nurses should function under the supervision of registered nurses?

A) 1750-1760
B) 1826-1850
C) 1949-1950
D) 1965-1980

Question 21

Which individuals made significant contributions to nursing? (Select all that apply.)

A) Lillian Wald
B) Linda Richards
C) Sairy Gamp
D) Betsy Prig
E) Mary Mahoney