NURSING ISSUES, TRENDS, &
MANAGEMENT 9TH EDITION BY
BARBARA CHERRY,
SUSAN R. JACOB
Chapter 01: The Evolution of Professional Nursing Cherry: Contemporary Nursing: Issues, Trends, and Management, 9th
Edition
MULTIPLE CHOICE
D
1. A client asks the nurse, “Can you explain the amendment to the Social Security Act
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called Title XVIII to me?” The nurse demonstrates an understanding of this legislation
when providing what response?
N
a. It led to many hospital closings, along with a decrease in acute care hospital–based
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nursing care.
b. It provided medical insurance to those younger adults or children who were not
T
eligible for private insurance because of catastrophic illnesses such as cancer.
C
c. It provided preventive care for women, infants, and children.
d. It ensured that individuals with end-stage renal disease had health care insurance.
O
ANS: D
PY
The Medicare program provides hospital insurance, Part A, and medical insurance, Part B,
to all people aged 65 and older who are eligible to receive Social Security benefits; people
with total, permanent disabilities; and people with end-stage renal disease.
DIF: Comprehension
2. A comparison of nursing in the 1980s to nursing in the 1990s reveals what factor that
contributes to health care as we know it today?
a. In the 1990s nursing experienced a significant reduction occurred in preventable
diseases caused by unsafe/unhealthy lifestyles.
b. Tuberculosis was the primary concern for nursing in the 1980s, whereas the AIDS
epidemic emerged and was its focus during the 1990s.
c. A decrease in ambulatory services in the 1980s prompted an increase in public health
nurses in the 1990s.
d. The demand for advanced practice nurses increased in the 1980s and the 1990s
because of the economy and concern about the health of the nation.
ANS: D
,The numbers of advanced nurse practitioners increased as evidence of their cost-
effectiveness as providers of primary and preventive health care became established.
DIF: Comprehension
3. Which statement accurately describes the historical perspective of nursing practice?
a. Nursing has existed to meet the needs of populations, individuals, and aggregates by
providing care that is determined by the needs and beliefs of society in different historical
contexts.
b. As men began to become interested in nursing, it changed into a respected profession
based on scientific fact rather than superstition.
c. Nursing has historically accepted individuals from all social and ethnic backgrounds.
d. The United States has led the way throughout history to advance nursing and health
care by providing the first hospital and medical school.
ANS: A
Nursing has existed since biblical times to address needs ranging from contagious diseases
in early times to health prevention in the present time, with care based on health needs and
beliefs of the time.
D
DIF: Comprehension
O
4. The use of herbs, which has become a popular alternative to prescription drugs in
N
today‘s health care milieu, had roots originating when? a. Prehistoric times and the Middle
Ages
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b. Civil War period and World War I
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c. Renaissance and Reformation periods and the Colonial American period
d. Crimean War and Civil War periods
C
ANS: A
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During prehistoric times, tribes used herbs to rid themselves of disease; in the Middle
Ages, women used herbs. This practice has continued to today.
PY
DIF: Comprehension
5. A care provider sacrifices an animal and waves an herb-filled sack over a client who
is complaining of painful joints and chest pain with exertion. This ritual represents health
care during what time period?
a. The prehistoric period
b. Early civilization in Egypt
c. The European Renaissance
d. The Middle Ages in Asia and Africa
ANS: A
During prehistoric times, illness was thought to be caused by evil spirits that providers
attempted to scare away through rituals and dances.
DIF: Comprehension
,6. A prospective nursing student who researches universities that offer a baccalaureate
degree in nursing would want to ensure that the program is accredited by what agency? a.
American Nurses Association
b. Commission on Collegiate Nursing Education
c. National Institutes of Health
d. National Nursing Council
ANS: B
The Commission on Collegiate Nursing Education (CCNE) is the agency that exclusively
accredits baccalaureate and graduate-degree nursing programs.
DIF: Comprehension
7. Nursing in the 1990s was characterized by what health care focus?
a. Men leaving nursing to enter the armed services
b. Traditional 8-hour shifts to nurse burnout and compassion fatigue
c. Identifying health promotion associated with preventable diseases
d. Managing runaway health care costs
ANS: C
Health promotion and disease prevention were recognized as the means to reduce the high
D
number of mortalities associated with preventable diseases—Healthy People 2000 was
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published as a nationwide effort to reduce preventable deaths.
N
DIF: Comprehension
O
1. What accomplishment is Clara Barton best known for?
T
a. Becoming the first black public health nurse
b. Establishing the Henry Street Settlement
C
c. Founding the American Red Cross
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d. Publicizing the inadequacies of hospital-based nursing schools
ANS: C
PY
The American Red Cross was founded by Clara Barton in 1882, to be of assistance in
efforts to provide supplies to the battlefields and hospitals. Barton also sets up a postwar
service to find missing soldiers.
DIF: Knowledge
8. Students are assigned to write to their state leaders about an issue affecting their
community. One student writes about the need among rural community for greater access
to acute care services. Which piece of legislation should the student use as a reference? a.
Social Security Act
b. Hill-Burton Act
c. Sheppard-Towner Act
d. U.S. Civil Service Act
ANS: B
The purpose of the Hill-Burton Act was to provide funding to construct hospitals and to
help states in plan for other health care facilities in accordance with the needs of
communities.
, DIF: Knowledge
9. The practice of public health nursing and the Henry Street Settlement are credited to
a. Mary Breckenridge.
b. Mary Seacole.
c. Clara Barton.
d. Lillian Wald.
ANS: D
Lillian Wald, a pioneer in public health nursing, is best known for the development and
establishment of the Henry Street Settlement.
DIF: Knowledge
10. Occupational health nursing features beliefs similar to those of which early nursing
pioneer? a. Lillian Wald
b. Florence Nightingale
c. Clara Barton
d. Mary Seacole
D
ANS: A
O
Lillian Wald was a pioneer in public health nursing, and is best known for the development
and establishment of the first viable practice for public health nurses.
N
DIF: Comprehension
O
T
11. What historical event first led to the recognition of the contribution of blacks to
nursing?
C
a. Florence Nightingale‘s acceptance of black nurses into the first nursing school
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b. The contributions of black nurses at the Pennsylvania Hospital, the first hospital in
America
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c. Mary Williams and Frances Rose are listed as nurses in the City of Baltimore
Directory
d. The work done by wives of wealthy black nobles who carried food and medicine from
house to house during the Middle Ages
ANS: C
1840—Two black women, Mary Williams and Frances Rose, who founded Nursing Sisters
of the Holy Cross, are listed as nurses in the City of Baltimore Directory.
DIF: Comprehension
12. World War I contributed to the advancement of health care by
a. increasing the number of private care hospitals and decreasing the role of public
health services.
b. employing a large number of civilians to provide care to returning soldiers through
the Red Cross.
c. introducing specialists in nursing such as nurse anesthetists.
d. increasing the number of community health nurses.