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CHAPTER 1: EVOLUTION OF NURSING AND NURSING EDUCATION
MULTIPLE CHOICE
1. The nurse realizes that the primary focus!!of!!nursing!!is!!on!!the:
a. illness. c. treatment !!of!!the!!illness.
b. cause!!of!!the!!illness. d.! ! ! ! client’s!!response!!to!!the!!illness.
ANS:! ! D
Nursing!!requires!!a delicate balance of promoting clients’ independence and dependence. NursingF F F F F F F F F F
focuses not on illness but rather on the client’s response to illness. The practice of physicians or
F F F F F F F F F F F F F F F F F
medicine focuses on the cause of the illness and the treatment of the illness.
F F F F F F F F F F F F F
PTS: F F 1 DIF: Analysis REF: Introduction F F
2. While studying the history of nursing, the nurse realizes that the first hospital in the West was
F F F F F F F F F F F F F F F F F
established by: F
a. Fabiola. c. Florence Nightingale. F
b. Hygiea. d. Dorothea Dix. F F F
ANS: A F
Fabiola founded the first hospital in 390 AD. Hygiea was the goddess of health according to the
F F F F F F F F F F F F F F F F F
ancient Greeks. Florence Nightingale is considered the founder of modern nursing, and she lived
F F F F F F F F F F F F F F
from 1820 to 1910. Dorothea Dix practiced nursing during the Civil War.
F F F F F F F F F F F
PTS: F F 1 DIF: Analysis REF: Table 1-1| Evolution of Nursing
F F F F F F
3. The nurse realizes that religion affected the development of nursing which began:
F F F F F F F F F F F
a. in India around 800-600 BC.
F c. during the Middle Ages.
F F F F F F
b. during the Roman Empire. F d. at the time of the Renaissance.
F F F F F F F F F
ANS: A F
The strong influence of religions on the development of nursing started in India between 800 to
F F F F F F F F F F F F F F F F
600 BC. The crusades of the Middle Ages and the Renaissance occurred after 600 BC. There is no
F F F F F F F F F F F F F F F F F F
documentation of religious influences on the development of nursing during the Roman Empire.
F F F F F F F F F F F F
PTS: F F 1 DIF: Analysis REF: Religious Influences F F F
4. Reflecting on the impact of wars on the evolution of nursing, the nurse realizes that:
F F F F F F F F F F F F F F
a. the need for nurses increased during and after major wars.
F F F F F F F F F
b. poor conditions during wars caused a decline in nursing care.
F F F F F F F F F
c. wars have been the stimulus for most nursing advances.
F F F F F F F F
d. wars have had little effect on the evolution of nursing.
F F F F F F F F F
ANS: A F
During wartime, the need for nurses increases dramatically, both at home and in the field. Poor
F F F F F F F F F F F F F F F F
conditions during wars did not cause a decline in nursing care. Wars may or may not have been the
F F F F F F F F F F F F F F F F F F F
stimulus for nursing advances; however, wars have effected the evolution of nursing care.
F F F F F F F F F F F F
PTS: F F 1 DIF: Analysis REF: Demands of War F F F F
5. The nurse realizes that which of the following is a belief that Florence Nightingale had about
F F F F F F F F F F F F F F F F
nursing education? F
a. Basing education on a holistic framework inclusive of illness and health
F F F F F F F F F F
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b. Needing a practical basis for nursing practice F F F F F F
c. Creating an environment that serves physicians is most important
F F F F F F F F
d. Basing the nursing curriculum on medical knowledgeF F F F F F
ANS: A F
Florence Nightingale had specific beliefs about nursing education. The first is that it is based upon a
F F F F F F F F F F F F F F F F F
holistic framework inclusive of illness and health. Nightingale also believed that there is a need for
F F F F F F F F F F F F F F F F
a theoretical basis for nursing practice and not a practical basis. She also believed in the
F F F F F F F F F F F F F F F F
importance of creating an environment that promotes healing and not an environment that served
F F F F F F F F F F F F F F
physicians. One additional belief was that the nursing curriculum should be based upon nursing
F F F F F F F F F F F F F F
knowledge and not medical knowledge. F F F F
PTS: F F 1 DIF: Analysis REF: F Florence Nightingale (1820 - 1910) F F F F
6. The nurse realizes that the Nightingale Training School of Nurses at St. Thomas’s Hospital in
F F F F F F F F F F F F F F F
London was: F
a. the first school of nursing in the West.
F F F F F F F
b. the first nursing school to provide both theory-based knowledge and clinical skill building.
F F F F F F F F F F F F
c. the first school of nursing to accept women.
F F F F F F F
d. established to provide nurses to fight in the Crimean War. F F F F F F F F F
ANS: B F
The Nightingale Training School of Nurses at St. Thomas’s Hospital in London was the first school
F F F F F F F F F F F F F F F F
for nurses that provided both theory-based knowledge and clinical skills. This was not the first
F F F F F F F F F F F F F F F
school of nursing in the West nor the first school of nursing to accept women. This school was not
F F F F F F F F F F F F F F F F F F F
established to provide nurses to fight in the Crimean War.
F F F F F F F F F
PTS: F F 1 DIF: Analysis REF: F Florence Nightingale (1820 - 1910) F F F F
7. The nurse, considering home care nursing, realizes that Lillian Wald is noted as being:
F F F F F F F F F F F F F
a. the first nurse to graduate from a school of nursing in the United States.
F F F F F F F F F F F F F
b. Superintendent of Nurses during the Civil War. F F F F F F
c. the first community health nurse.
F F F F
d. the founder of the American Nurses Association.
F F F F F F
ANS: C F
Lillian Wald spent her life providing nursing care to the indigent and, in 1893, as the first
F F F F F F F F F F F F F F F F F
community health nurse, she founded public health nursing with the establishment of the Henry
F F F F F F F F F F F F F F
Street Settlement Service. Wald was not the first nurse to graduate from a school of nursing in the
F F F F F F F F F F F F F F F F F F
United States nor was she the Superintendent of Nurses during the Civil War. She was not the
F F F F F F F F F F F F F F F F F
founder of the American Nurses Association.
F F F F F
PTS: F F 1 DIF: Analysis REF: Nursing Pioneers and Leaders: Lillian Wald
F F F F F F
8. The nurse, giving direction to a nursing assistant for client care, realizes that which of the
F F F F F F F F F F F F F F F F
following nurse leaders opposed the movement to put untrained nursing aides under the control of
F F F F F F F F F F F F F F F
physicians during World War I? F F F F
a. Clara Barton F c. Annie Goodrich F
b. Isabel Hampton Robb F d. Jane Delano F F F F
ANS: D F
During World War I, Delano was opposed to the aide education plan created by physicians who
F F F F F F F F F F F F F F F F
wanted the Red Cross to put untrained nursing aides at their sides to assist with war casualties.
F F F F F F F F F F F F F F F F F
Annie Goodrich was in favor of the physicians’ aide education plan. Robb was a supporter of the
F F F F F F F F F F F F F F F F F
rights of nursing students. Clara Barton was a nurse during the Civil War.
F F F F F F F F F F F F
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PTS: F F 1 DIF: Analysis REF: Nursing Pioneers and Leaders
F F F F F
9. The nurse, assisting nursing students with providing client care, realizes that Isabel Hampton Robb
F F F F F F F F F F F F F F
is noted for which of the following?
F F F F F F
a. Opposing the organization of nurses F F F F
b. Establishing the American Red Cross F F F F
c. Believing that the nursing student was a learner, not an employee
F F F F F F F F F F
d. Establishing the Frontier Nursing Service F F F F
ANS: C F
Isabel Hampton Robb was an early supporter of the rights of nursing students and emphasized the
F F F F F F F F F F F F F F F F
role of the nursing student as a learner instead of an employee. Robb did not oppose the
F F F F F F F F F F F F F F F F F
organization of nurses since she founded several nursing organizations. Robb did not establish the
F F F F F F F F F F F F F F
American Red Cross nor did she establish the Frontier Nursing Service.
F F F F F F F F F F
PTS: F F 1 DIF: Analysis REF: Nursing Pioneers and Leaders
F F F F F
10. While researching a client health care issue, the nurse realizes that the nurse who wrote one of the
F F F F F F F F F F F F F F F F F F
first nursing textbooks was:
F F F
a. Lavinia Dock. F
b. Mary Breckinridge. F
c. Martha Franklin. F
d. Amelia Greenwald. F
ANS: A F
Lavinia Dock was an influential leader in American nursing education; she wrote one of the first
F F F F F F F F F F F F F F F F
nursing textbooks as well as being the first editor of the American Journal of Nursing. Mary
F F F F F F F F F F F F F F F F
Breckinridge created the Frontier Nursing Service. Martha Franklin advocated for racial equality in
F F F F F F F F F F F F F
nursing. Amelia Greenwald was a catalyst for international public health nursing.
F F F F F F F F F F
PTS: F F 1 DIF: Analysis REF: Nursing Pioneers and Leaders
F F F F F
11. While documenting in a client’s record, the nurse remembers that the nurse leader who introduced
F F F F F F F F F F F F F F F
the practice of keeping nurses’ notes was:
F F F F F F
a. Mamie Hale. F c. Harriet Neuton Phillips. F F
b. Mary Mahoney. F d. Linda Richards. F F F
ANS: D F
Linda Richards introduced the practice of keeping nurses’ notes and physicians’ orders as part of
F F F F F F F F F F F F F F F
medical records. Mamie Hale upgraded the educational programs for midwives. Mary Mahoney
F F F F F F F F F F F F
was America’s first African American professional nurse. Harriet Neuton Phillips was the first
F F F F F F F F F F F F F
American nurse to receive a training certificate.
F F F F F F
PTS: F F 1 DIF: Analysis REF: Nursing Pioneers and Leaders
F F F F F
12. While reviewing a client’s health insurance plan, the nurse remembers that the first prepaid
F F F F F F F F F F F F F F
medical plan was started in: F F F F
a. Pacific Northwest lumber and mining camps. F F F F F
b. Chicago.
c. New York City. F F
d. Washington DC. F F
ANS: A F