Transition to Practice for Vocational Nurses
Midterm Exam
Course Introduction
This course is designed to prepare vocational nursing students for the transition from the academic setting to professional clinical practice. It covers essential topics such as role delineation, legal and ethical responsibilities, workplace communication, time management, delegation, and prioritization of care. Students will explore strategies for adapting to the demands of the healthcare environment, understanding professional expectations, and collaborating effectively within interdisciplinary teams. Emphasis is placed on developing professional identity, building resilience, and applying leadership principles to deliver safe, ethical, and competent patient care as entry-level vocational nurses.
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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Chapter 1: The Adult Learner: Hints to Succeed
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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) Learner A is concerned about the clinical evaluation component of the nursing program.A peer could help alleviate anxiety by explaining that the purpose of clinical evaluation is to
A) assist the learner to identify strengths and areas needing improvement.
B) provide constructive criticism related to poor performance behaviors.
C) keep unsuitable persons from achieving licensure.
D) help learners develop the ability to listen to negative comments about performance.
Answer: A
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3
Chapter 2: Time Management: Making Time Work for You
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Sample Questions
Q1) 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
Q2) A strategy to promote achievement of long-term goals is A) striving to complete the entire goal at one time.
B) eliminating any undesirable elements of the goal.
C) jumping right in at any point that is appealing.
D) creating a series of related short-term goals.
Answer: D
Q3) Using a schedule allows a nursing student to A) develop inflexibility.
B) increase anxiety related to deadlines.
C) allocate adequate study time.
D) find time to do everything.
Answer: C
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Page 4
Chapter 3: Learning Methods and Skills: How Do You Learn?
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Sample Questions
Q1) A patient tells a nurse,"I think I may have adult attention deficit disorder." Which of the following data given by the patient would support this self-diagnosis?
A) "I have trouble getting things done on time. For example, I missed renewing my driver's license."
B) "I have trouble focusing if there are any distractions in my environment."
C) "My daily life's a mess. I can never seem to get everything done."
D) "I'm even-tempered and rarely overreact or have mood swings."
E) "I've worked the same job for 5 years and receive good evaluations."
Answer: A,B,C
Q2) Which statement about learning style preference is true?
A) All students have the same learning style.
B) Most students are kinesthetic/tactual learners.
C) Auditory learning is the best method.
D) Various learning styles are equally good.
Answer: D
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Chapter 4: Using Your Methods and Skills: Studying and Testing
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Sample Questions
Q1) 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.
Q2) A nursing student has difficulty taking multiple choice tests.The test is graded according to the number of right answers.Select the strategies most likely to be helpful when taking this type of test.
A) Leave easy questions until last.
B) Answer all questions. Guess if necessary.
C) Leave answers unchanged after recording them.
D) Save time; stop reading options when the answer is found.
E) Read options and eliminate all wrong options.
F) Eliminate options unrelated to the subject matter.
Q3) Which student would be classified as a passive listener?
A) Student A, who completes a grocery list during class
B) Student B, who asks questions about class content
C) Student C, who puts key concepts into words during note taking
D) Student D, who contributes to classroom discussion of the topic
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Page 6
Chapter 5: Learning During School: Using Available Resources
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Sample Questions
Q1) 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.
Q2) 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.
Q3) 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.
Page 7
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Chapter 6: Personal Health Promotion: A Role Model for Patients
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Sample Questions
Q1) Telltale signs of chemical dependency in nurses include which of the following behaviors?
A) Complaints by staff, students, and patients
B) A greater number of injuries caused while moving patients
C) Arriving early or staying late to assist in the narcotic count
D) Frequent absenteeism after days off and for personal emergencies
E) Increased visits to the employee health department or emergency room
F) Work performance that consistently exceeds the expectations of the supervisor
Q2) 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."
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) The first chapter of the American Red Cross was established by A) Clara Barton.
B) Sairy Gamp.
C) Dorothea Lynde Dix.
D) Florence Nightingale.
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) The emergence of modern nursing is usually attributed to the influence of A) Florence Nightingale.
B) Clara Barton.
C) Lillian Wald.
D) Sairy Gamp.
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Chapter 8: Critical Thinking: A Lifelong Journey
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Sample Questions
Q1) A nursing student demonstrates the ability to basically understand information,recall it,and identify examples of that information.This is an example of what cognitive level?
A) Analysis
B) Knowledge
C) Application
D) Comprehension
Q2) A nurse is caring for a postpartum patient who is hemorrhaging.The nurse considers several possibilities for postpartum hemorrhaging,including retained placental fragments,a full bladder,and uterine atony.The nurse is using what cognitive level?
A) Analysis
B) Knowledge
C) Application
D) Comprehension
Q3) A strategy a nurse might use to improve critical thinking skills is to A) avoid challenging situations.
B) take observations at face value.
C) think about the meaning of relevant theory while giving patient care.
D) implement the first solution thought of when solving patient care problems.
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Chapter 9: Nursing Process: Your Role
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Sample Questions
Q1) The RN head nurse is having a busy day.When the LPN/LVN reports data she has collected,the RN states,"Incorporate that into the nursing care plan and write down the intervention you'd use.I'll co-sign the entry." The LPN/LVN should A) do as requested.
B) ask the advice of the shift supervisor later in the shift.
C) tell the RN that this action is not within the LPN/LVN scope of practice.
D) write a letter to the state board of nursing to report the RN's unprofessional conduct.
Q2) A nurse is comparing a patient's outcomes of nursing care to the expected outcomes.The nurse then communicates these findings to members of the health care team.The nurse is participating in which step of the nursing process?
A) Planning
B) Evaluation
C) Data collection
D) Implementation
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 level of nurse qualified to design and implement research studies and publish findings is a nurse with a
A) research doctorate.
B) practice doctorate.
C) master's degree.
D) baccalaureate degree.
Q2) In 2010,the _____________________________________ established competencies for nursing graduates at all levels.
Q3) A newly admitted patient reports to the practical nurse that she is "hungry." The nurse confirms that the patient is on a regular diet and promptly retrieves a meal and provides it to the patient.According to Maslow's needs theory,the nurse is meeting the patient's
A) physiological needs.
B) safety needs.
C) self-actualization need.
D) love and belonging needs.
Q4) ______________________________ was the first to emphasize the environment as influencing the course of illness and is often spoken of as the first nursing theorist.
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Chapter 11: Ethics Applied to Nursing: Personal
vsProfessional Ethics
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Sample Questions
Q1) A major change in medical ethics that affected nursing occurred when the Western secular belief system shifted emphasis from duties to
A) individual autonomy and rights.
B) satisfying Medicare regulations.
C) the cost-effectiveness of care.
D) nonmaleficence.
Q2) What ethical principle underlies the statement in the National Federation of Licensed Practical Nurses (NFLPN)Code for Licensed Practical/Vocational Nurses,"The practical nurse provides health care to all patients regardless of race,creed,cultural background,disease,or lifestyle"?
A) Autonomy
B) Confidentiality
C) Beneficence
D) Justice
Q3) 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.
Page 13
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Chapter
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Sample Questions
Q1) Civil law is concerned with A) acts that threaten society.
B) decision making based on the nursing process.
C) intentional and unintentional torts.
D) guilt associated with criminal behavior.
Q2) The instructor tells a student nurse,"You have functioned at a substandard level of clinical performance recently.Now you have a chance to redeem yourself.I'm assigning you to a complex nursing situation.I expect you to function without asking for assistance." The most appropriate response from the student nurse would be
A) "I'll try my best, but I will need someone on staff to answer my questions."
B) "Is this your way of asking for my resignation from the program?"
C) "I cannot accept the assignment. Complex nursing situations are beyond my abilities."
D) "You'd better remember that if anything goes wrong, the hospital will hold you responsible."
Q3) A legal document that describes the kind of medical or life-sustaining treatments the person would want if seriously or terminally ill is known as a(n)____________________.
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Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Sample Questions
Q1) On which statement about cultural differences could the nurse rely when implementing patient care?
A) The loud voices of a group of African Americans signal anger.
B) Native Americans relate best to nurses who make frequent direct eye contact.
C) Mexican Americans of the same sex rarely touch one another.
D) Asian American patients may use less eye contact than African American patients.
Q2) A nurse tells a patient,"There you are with varicose veins,sitting with your legs crossed at the knee.How often have we told you not to do that?" This communication demonstrates
A) giving advice.
B) probing.
C) chiding.
D) requesting information.
Q3) Characteristics of one-way communication include all of the following except
A) it is sender controlled.
B) receiver feedback is not expected.
C) it always has negative value.
D) it is useful to give commands.
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Chapter 14: Assertiveness: Your Responsibility
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Sample Questions
Q1) When a nurse tells a peer,"You have to watch out for the charge nurse.Sometimes she's OK,but sometimes she's just plain unreasonable.The best thing to do is to tell her off the first time she gets on your back about something.Keep me posted and I'll try to help you." An assertive reply would be
A) "Thanks for the warning. I'll be careful."
B) "You take care of yourself, and I'll watch out for myself."
C) "I think it would be best for me to work on my relationship independently."
D) "It seems to me that you're playing a manipulative game and giving out poor advice."
Q2) A nurse demonstrates assertive behavior by doing which of the following?
A) Assuming a patient would like to skip the bath when the patient's spouse comes to visit
B) Being unable to continue suctioning a patient because she is concerned the patient will not like her for doing it
C) Experiencing a feeling of devastation when the patient questions her ability to insert an intravenous catheter
D) Requesting to speak with the physician privately when she feels that the physician has ordered an inappropriate treatment
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Chapter 15: The Health Care Team: Where the
Practical/Vocational Nurse Fits In
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Sample Questions
Q1) Nursing management and executive roles include which of the following?
A) Supervisor
B) Nurse manager
C) Director
D) Chief nursing officer
E) Charge nurse
Q2) Which care delivery method has the greatest potential for fragmenting patient care?
A) Primary nursing
B) Case method
C) Functional method
D) Patient-focused care
Q3) The aspect of functioning that distinguishes RNs from LPN/LVNs is that only RNs
A) plan and organize daily care for groups of patients.
B) implement measures ordered to prevent complications.
C) provide health information to patients and families.
D) initiate independent nursing actions based on nursing diagnoses.
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Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) Data collection suggests that a patient's health beliefs are personalistic.Which statement by the patient would the nurse determine as consistent with personalistic health beliefs?
A) "Please call my physician for me so I can discuss my symptoms."
B) "I would like to wear the amulet that's in my bedside stand."
C) "X-rays will find the cause of my back pain."
D) "I hope the doctor will recommend surgery."
Q2) A Native American patient keeps a small bunch of feathers on the over-the-bed table.They are in the way whenever the nurse serves a tray or sets up equipment for a treatment.A culturally competent action would be to
A) throw them away while the patient is sleeping.
B) move them to a place where they won't be in the way.
C) leave them where the patient wishes to place them.
D) ask why there are a bunch of feathers in a hospital room.
Q3) A behavior to avoid when interacting with a person of a different culture is A) diversity.
B) acculturation.
C) stereotyping.
D) behavior based on unbiased attitudes.
Page 18
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Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Sample Questions
Q1) When a patient is asked about religious preference,she states,"I am agnostic." The nurse's best interpretation of this is the patient
A) does not believe in God.
B) believes in God and supernatural powers.
C) does not believe that the supernatural exists.
D) believes that the existence of God can be neither proved nor disproved.
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) The nurse is caring for an Orthodox Jewish patient who is close to death.An important intervention would be to find out whether the patient
A) wishes to have the Sacrament of the Sick.
B) has been baptized.
C) wishes to have his Koran nearby.
D) can be touched by the nurse after death.
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Chapter 18: Health Care Settings: Potential Job Sites
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Sample Questions
Q1) Knowing that Alcoholics Anonymous is a nonprofit group that receives no taxpayer money and is aimed at meeting the needs of a selected population segment would help the nurse to classify it as a
A) public agency.
B) private agency.
C) voluntary agency.
D) proprietary agency.
Q2) An elderly patient is to be discharged from the acute care hospital with left-sided weakness,difficulty swallowing,and inability to independently perform ADLs,therefore requiring daily physical therapy.The patient has no family and lives in a high-rise apartment building.Referral to which level of long-term care would the nurse likely recommend at the care planning conference?
A) Sheltered housing
B) Skilled nursing facility
C) Assisted living facility
D) Domiciliary care
Q3) ___________________ are for-profit hospitals operated for the financial benefit of the owner of the hospital.
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Chapter 19: Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) A set monthly fee charged by the provider of health care services for each member of the insurance group for a specific set of services is known as
A) inflation.
B) capitation.
C) fee-for-service.
D) gross domestic product.
Q2) A student nurse asked to identify the types of services currently provided in the U.S.health care delivery system should mention which of the following?
A) Restructuring
B) Health promotion
C) Diagnosis and treatment
D) Illness prevention
E) Seamless systems
F) Alliances and networks
Q3) Which LPN/LVN will be most successful in dealing with change?
A) Nurse S, who always assumes that the worst will happen in any situation
B) Nurse T, who agrees with whatever the administration proposes
C) Nurse U, who sees change as an opportunity to improve conditions
D) Nurse V, who predicts that the change will probably not work
Page 21
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Chapter 20: Leadership Skills
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Sample Questions
Q1) To discover the expanded role of the practical nurse,the LPN/LVN should investigate A) the state's Nurse Practice Act.
B) job descriptions for the practical nurse in local health care agencies.
C) information gained from practical nurses working in various clinical settings.
D) the opinions of physicians who service area nursing homes and extended care facilities.
Q2) A people-oriented leadership style that focuses on people's feelings but ignores the task at hand and allows people to act without any direction is the A) autocratic style.
B) situational style.
C) democratic style.
D) laissez-faire style.
Q3) A leadership style that focuses on both the task and the employee 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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Sample Questions
Q1) When the Nurse Practice Act of the state permits delegation as part of the LPN/LVN charge nurse duties,which task could be delegated to experienced,unlicensed assistive personnel who have been trained to perform the task?
A) Calling the physician when a resident's condition deteriorates
B) Providing a performance evaluation for another nursing assistant
C) Taking the vital signs of a resident whose condition is not critical
D) Handling a grievance brought by a nursing assistant
Q2) The 3 to 11 shift LPN/LVN charge nurse on a 20-bed nursing home unit is asked by the only other staff member on duty,a nursing assistant,"Will it be all right if I go home tonight while you are giving report to the night shift? My husband needs the car so he can go to work." The best response by the charge nurse is
A) "It's all right tonight, but don't make a habit of it."
B) "Sure, our residents will be sound asleep by 11 PM."
C) "Have you lost your mind? What would happen if the owner dropped in for a surprise visit?"
D) "That won't be possible. You must be here to answer lights while I give report to the night staff."
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Chapter
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Sample Questions
Q1) 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.
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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Q1) Which are needed by the candidate to arrange for and take the NCLEX-PN examination?
A) An authorization-to-test letter
B) An appointment at a testing center
C) A picture identification and one other acceptable form of identification
D) A copy of one's fingerprint card
Q2) LPN/LVN licensure by endorsement in the United States and its territories is possible because
A) English is the spoken language of each locale.
B) the NCLEX-PN examination is used by the board of nursing of each locale.
C) computer-adaptive testing maximizes testing efficiency.
D) the NCLEX-PN examination test plan reflects current practice.
Q3) Endorsement for an LPN/LVN taking the NCLEX-PN examination means that the LPN/LVN
A) will never risk losing his or her license.
B) may apply for licensure in a different state or territory without retesting.
C) is entitled only to practice in the state in which he or she took the NCLEX-PN examination.
D) must retake the NCLEX-PN examination if wishing to practice nursing in another state or territory.
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Chapter 24: Future Career Decisions: Choosing What Is Right for You
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Q1) 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.
Q2) Which trends should guide the LPN/LVN in planning for employment over the next 5 years?
A) Little change in numbers needed or in potential work sites is projected.
B) The number of LPN/LVN charge positions will increase in mental health care facilities.
C) The number of LPN/LVN positions available in hospitals will nearly double.
D) Employment opportunities for LPN/LVNs will increase in long-term care settings due to the care needs of the elderly.
E) More LPN/LVNs will be needed to work in community-based settings.
F) LPN/LVNs will provide care for larger numbers of terminally ill and acutely ill patients.
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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