,Chapter 01: The Evolution of Nursing Cooper
ib ib ib ib ib ib
: Foundation of Nursing, 9th Edition
ib ib ib ib ib
MULTIPLE CHOICE ib
1. What is a nursing program considered when certified by a state agency?
ib ib ib ib ib ib ib ib ib ib ib
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B i b
Approved means certified by a state agency for having met minimum standards; accredited mean
ib ib ib ib ib ib ib ib ib ib ib ib ib
s certified by the NLN for having met more complex standards. Provisional and exemplified are
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
not terms used in regard to nursing program certification.
ib ib ib ib ib ib ib ib
DIF: Cognitive Level: Knowledge REF: p. 10 ib ib i b ib
OBJ: 5 TOP: Nursing programs ib ib i b ib
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
ib ib ib ib ib ib ib
2. Which of the following must the nurse recognize regarding the health care deliverysystem?
ib ib ib ib ib ib ib ib ib ib ib ib
a. It includes all states. ib ib ib
b. It affects the illness of patients.
ib ib ib ib ib
c. Insurance companies are not involved. ib ib ib ib
d. The major goal is to achieve optimal levels of health care.
ib ib ib ib ib ib ib ib ib ib
ANS: D ib
The nurse must recognize that in the health care delivery system, the major goal is to achieve opti
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
mal levels of health care. The health care system consists of a network of agencies, facilities, an
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
d providers involved with health care in a specified geographic area. Insurance companies do ha
ib ib ib ib ib ib ib ib ib ib ib ib ib ib
ve involvement in the health care system. The illness of patients is not necessarily affected by th
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
e health care system.
ib ib ib
DIF: Cognitive Level: Comprehension REF: p. 12 ib ib i b ib
OBJ: 7 TOP: Healthcare systems ib ib i b ib
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
ib ib ib ib ib ib ib
3. What is required by the health care team to identify the needs of a patient and to design care to me
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
et those needs?
ib ib
a. The Kardex ib
b. The health care provider’s order sheet ib ib ib ib ib
c. An individualized care plan ib ib ib
d. The nurse’s notes ib ib
ANS: C ib
An individualized care plan involves all health care workers and outlines care to meet the needs
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes do no
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
t identify the needs of the patient nor are they designed to assist all members of the health care tea
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
m to meet those needs.
ib ib ib ib
DIF: Cognitive Level: Comprehension ib ib REF: p. 13 i b i b ib OBJ: 8 | 9 ib ib ib
, TOP: Care plan i b ib KEY: Nursing Process Step: Planning i b ib ib ib MSC: NCLEX: N/A ib ib
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
ib ib ib ib ib ib ib ib ib ib ib ib
a. increased education concerning causes of illness. ib ib ib ib ib
b. improved insurance payments. ib ib
c. decentralized care centers. ib ib
d. increased number of health care givers. ib ib ib ib ib
ANS: A ib
The acute awareness of preventive medicine has resulted in today’s emphasis on education abou
ib ib ib ib ib ib ib ib ib ib ib ib ib
t issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental healt
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
h and wellness promotion activities. This preventive education has resulted in an emphasis on we
ib ib ib ib ib ib ib ib ib ib ib ib ib ib
llness, rather than illness. Improved insurance payments, decentralized care centers, and increas
ib ib ib ib ib ib ib ib ib ib ib
ed numbers of health care givers did not influence an emphasis on wellness.
ib ib ib ib ib ib ib ib ib ib ib ib
DIF: Cognitive Level: Comprehension REF: p. 12 ib ib i b i b ib OBJ: 4 | 8 ib ib ib
TOP: Wellness KEY: Nursing Process Step: N/A
i b i b ib ib ib MSC: NCLEX: N/A ib ib
5. What is the most effective process to ensure that the care plan is meeting the needs of the pat
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
ient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B ib
Communication is the primary essential component among the health care team to evaluate and ib ib ib ib ib ib ib ib ib ib ib ib ib ib
modify the care plan. Documentation, evaluation, and planning are not primary essential compon
ib ib ib ib ib ib ib ib ib ib ib ib
ents to ensure the care plan is meeting the needs of the patient.
ib ib ib ib ib ib ib ib ib ib ib ib
DIF: Cognitive Level: Comprehension REF: p. 17 ib ib i b ib
OBJ: 8 TOP: Communicationib ib i b
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
ib ib ib ib ib ib ib
6. How does an interdisciplinary approach to patient treatment enhancecare?
ib ib ib ib ib ib ib ib ib
a. By improving efficiency of care ib ib ib ib
b. By reducing the number of caregivers
ib ib ib ib ib
c. By preventing the fragmentation of patient care
ib ib ib ib ib ib
d. By shortening hospital stay ib ib ib
ANS: C ib
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach d
ib ib ib ib ib ib ib ib ib ib
oes not improve the efficiency of care, reduce the number of caregivers, or shorten hospital sta
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
y.
DIF: Cognitive Level: Comprehension REF: p. 16
i b ib ib i b ib ib
OBJ: 8 | 9 TOP: Interdisciplinary ib ib ib ib i b ib
approach
KEY: Nursing Process Step: N/A ib ib ib ib ib
MSC: NCLEX: N/A ib ib
7. How may a newly licensed LPN/LVN practice?
ib ib ib ib ib ib
a. Independently in a hospital setting ib ib ib ib
, b. With an experienced LPN/LVN ib ib ib
c. Under the supervision of a health care provider or RNib ib ib ib ib ib ib ib ib
d. As a sole health care provider in a clinic setting
ib ib ib ib ib ib ib ib ib
ANS: C ib
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
ib ib ib ib ib ib ib ib ib ib ib ib ib ib
DIF: Cognitive Level: Knowledge REF: p. 11 ib ib i b ib
OBJ: 11 TOP: Vocational nursing ib ib i b ib
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
ib ib ib ib ib ib ib
8. Whose influence on nursing practice in the 19th century was related to improvement of patient en
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
vironment as a method of health promotion? ib ib ib ib ib ib
a. Clara Barton ib
b. Linda Richards ib
c. Dorothea Dix ib
d. Florence Nightingale ib
ANS: D ib
The influence of Florence Nightingale was highly significant in the 19th century as she fought f
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
or sanitary conditions, fresh air, and general improvement in the patient environment. Clara Bar
ib ib ib ib ib ib ib ib ib ib ib ib ib
ton developed the American Red Cross in 1881. Linda Richards is known as the first trained nur
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
se in America, was responsible for the development of the first nursing and hospital records, and
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
is credited with the development of our present-day documentation system.
ib ib ib ib ib ib ib ib ib
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and s
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
uperintendent of female nurses of the Union Army. ib ib ib ib ib ib ib
DIF: Cognitive Level: Knowledge
i b ib ib REF: p. 17 i b ib
OBJ: 2 | 4 TOP: Nursing leaders
ib ib ib ib i b ib
KEY: Nursing Process Step: N/A ib ib ib ib ib
MSC: NCLEX: N/A ib ib
9. What document identifies the roles and responsibilities of the LPN/LVN?
ib ib ib ib ib ib ib ib ib
a. NLN Accreditation Standards ib ib
b. Nurse Practice Act ib ib
c. NAPNE Code ib
d. American Nurses’ AssociationCode ib ib ib
ANS: B ib
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the N
ib ib ib ib ib ib ib ib ib ib ib ib
APNE Code, and the American Nurses’ Association Code do not identify the roles and res
ib ib ib ib ib ib ib ib ib ib ib ib ib ib
ponsibilities of the LPN/LVN. ib ib ib
DIF: Cognitive Level: Knowledge REF: p. 12 |p. 14 ib ib i b ib ib ib
OBJ: 11 TOP: Rolesand responsibilities
ib ib i b ib
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
ib ib ib ib ib ib ib
10. What is a cost- ib ib ib
effective delivery of care used by many hospitals that allows the LPN/LVN to work with the R
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
N to meet the needs of patients?
ib ib ib ib ib ib
a. Focused nursing ib
b. Team nursing ib
c. Case management ib
d. Primary nursing ib
ib ib ib ib ib ib
: Foundation of Nursing, 9th Edition
ib ib ib ib ib
MULTIPLE CHOICE ib
1. What is a nursing program considered when certified by a state agency?
ib ib ib ib ib ib ib ib ib ib ib
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B i b
Approved means certified by a state agency for having met minimum standards; accredited mean
ib ib ib ib ib ib ib ib ib ib ib ib ib
s certified by the NLN for having met more complex standards. Provisional and exemplified are
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
not terms used in regard to nursing program certification.
ib ib ib ib ib ib ib ib
DIF: Cognitive Level: Knowledge REF: p. 10 ib ib i b ib
OBJ: 5 TOP: Nursing programs ib ib i b ib
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
ib ib ib ib ib ib ib
2. Which of the following must the nurse recognize regarding the health care deliverysystem?
ib ib ib ib ib ib ib ib ib ib ib ib
a. It includes all states. ib ib ib
b. It affects the illness of patients.
ib ib ib ib ib
c. Insurance companies are not involved. ib ib ib ib
d. The major goal is to achieve optimal levels of health care.
ib ib ib ib ib ib ib ib ib ib
ANS: D ib
The nurse must recognize that in the health care delivery system, the major goal is to achieve opti
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
mal levels of health care. The health care system consists of a network of agencies, facilities, an
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
d providers involved with health care in a specified geographic area. Insurance companies do ha
ib ib ib ib ib ib ib ib ib ib ib ib ib ib
ve involvement in the health care system. The illness of patients is not necessarily affected by th
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
e health care system.
ib ib ib
DIF: Cognitive Level: Comprehension REF: p. 12 ib ib i b ib
OBJ: 7 TOP: Healthcare systems ib ib i b ib
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
ib ib ib ib ib ib ib
3. What is required by the health care team to identify the needs of a patient and to design care to me
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
et those needs?
ib ib
a. The Kardex ib
b. The health care provider’s order sheet ib ib ib ib ib
c. An individualized care plan ib ib ib
d. The nurse’s notes ib ib
ANS: C ib
An individualized care plan involves all health care workers and outlines care to meet the needs
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes do no
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
t identify the needs of the patient nor are they designed to assist all members of the health care tea
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
m to meet those needs.
ib ib ib ib
DIF: Cognitive Level: Comprehension ib ib REF: p. 13 i b i b ib OBJ: 8 | 9 ib ib ib
, TOP: Care plan i b ib KEY: Nursing Process Step: Planning i b ib ib ib MSC: NCLEX: N/A ib ib
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
ib ib ib ib ib ib ib ib ib ib ib ib
a. increased education concerning causes of illness. ib ib ib ib ib
b. improved insurance payments. ib ib
c. decentralized care centers. ib ib
d. increased number of health care givers. ib ib ib ib ib
ANS: A ib
The acute awareness of preventive medicine has resulted in today’s emphasis on education abou
ib ib ib ib ib ib ib ib ib ib ib ib ib
t issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental healt
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
h and wellness promotion activities. This preventive education has resulted in an emphasis on we
ib ib ib ib ib ib ib ib ib ib ib ib ib ib
llness, rather than illness. Improved insurance payments, decentralized care centers, and increas
ib ib ib ib ib ib ib ib ib ib ib
ed numbers of health care givers did not influence an emphasis on wellness.
ib ib ib ib ib ib ib ib ib ib ib ib
DIF: Cognitive Level: Comprehension REF: p. 12 ib ib i b i b ib OBJ: 4 | 8 ib ib ib
TOP: Wellness KEY: Nursing Process Step: N/A
i b i b ib ib ib MSC: NCLEX: N/A ib ib
5. What is the most effective process to ensure that the care plan is meeting the needs of the pat
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
ient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B ib
Communication is the primary essential component among the health care team to evaluate and ib ib ib ib ib ib ib ib ib ib ib ib ib ib
modify the care plan. Documentation, evaluation, and planning are not primary essential compon
ib ib ib ib ib ib ib ib ib ib ib ib
ents to ensure the care plan is meeting the needs of the patient.
ib ib ib ib ib ib ib ib ib ib ib ib
DIF: Cognitive Level: Comprehension REF: p. 17 ib ib i b ib
OBJ: 8 TOP: Communicationib ib i b
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
ib ib ib ib ib ib ib
6. How does an interdisciplinary approach to patient treatment enhancecare?
ib ib ib ib ib ib ib ib ib
a. By improving efficiency of care ib ib ib ib
b. By reducing the number of caregivers
ib ib ib ib ib
c. By preventing the fragmentation of patient care
ib ib ib ib ib ib
d. By shortening hospital stay ib ib ib
ANS: C ib
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach d
ib ib ib ib ib ib ib ib ib ib
oes not improve the efficiency of care, reduce the number of caregivers, or shorten hospital sta
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
y.
DIF: Cognitive Level: Comprehension REF: p. 16
i b ib ib i b ib ib
OBJ: 8 | 9 TOP: Interdisciplinary ib ib ib ib i b ib
approach
KEY: Nursing Process Step: N/A ib ib ib ib ib
MSC: NCLEX: N/A ib ib
7. How may a newly licensed LPN/LVN practice?
ib ib ib ib ib ib
a. Independently in a hospital setting ib ib ib ib
, b. With an experienced LPN/LVN ib ib ib
c. Under the supervision of a health care provider or RNib ib ib ib ib ib ib ib ib
d. As a sole health care provider in a clinic setting
ib ib ib ib ib ib ib ib ib
ANS: C ib
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
ib ib ib ib ib ib ib ib ib ib ib ib ib ib
DIF: Cognitive Level: Knowledge REF: p. 11 ib ib i b ib
OBJ: 11 TOP: Vocational nursing ib ib i b ib
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
ib ib ib ib ib ib ib
8. Whose influence on nursing practice in the 19th century was related to improvement of patient en
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
vironment as a method of health promotion? ib ib ib ib ib ib
a. Clara Barton ib
b. Linda Richards ib
c. Dorothea Dix ib
d. Florence Nightingale ib
ANS: D ib
The influence of Florence Nightingale was highly significant in the 19th century as she fought f
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
or sanitary conditions, fresh air, and general improvement in the patient environment. Clara Bar
ib ib ib ib ib ib ib ib ib ib ib ib ib
ton developed the American Red Cross in 1881. Linda Richards is known as the first trained nur
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
se in America, was responsible for the development of the first nursing and hospital records, and
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
is credited with the development of our present-day documentation system.
ib ib ib ib ib ib ib ib ib
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and s
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
uperintendent of female nurses of the Union Army. ib ib ib ib ib ib ib
DIF: Cognitive Level: Knowledge
i b ib ib REF: p. 17 i b ib
OBJ: 2 | 4 TOP: Nursing leaders
ib ib ib ib i b ib
KEY: Nursing Process Step: N/A ib ib ib ib ib
MSC: NCLEX: N/A ib ib
9. What document identifies the roles and responsibilities of the LPN/LVN?
ib ib ib ib ib ib ib ib ib
a. NLN Accreditation Standards ib ib
b. Nurse Practice Act ib ib
c. NAPNE Code ib
d. American Nurses’ AssociationCode ib ib ib
ANS: B ib
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the N
ib ib ib ib ib ib ib ib ib ib ib ib
APNE Code, and the American Nurses’ Association Code do not identify the roles and res
ib ib ib ib ib ib ib ib ib ib ib ib ib ib
ponsibilities of the LPN/LVN. ib ib ib
DIF: Cognitive Level: Knowledge REF: p. 12 |p. 14 ib ib i b ib ib ib
OBJ: 11 TOP: Rolesand responsibilities
ib ib i b ib
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
ib ib ib ib ib ib ib
10. What is a cost- ib ib ib
effective delivery of care used by many hospitals that allows the LPN/LVN to work with the R
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
N to meet the needs of patients?
ib ib ib ib ib ib
a. Focused nursing ib
b. Team nursing ib
c. Case management ib
d. Primary nursing ib
