Christensen: Foundations of Nursing, 6th Edition
Chapter 01: The Evolution of Nursing
Test Bank
MULTIPLE CHOICE
1. A nursing program certified by a state agency is said to be:
a. accredited.
b. approved.
c. provisional.
d. exemplified.
ANS: B
Approved means certified by a state agency for having met minimum standards; accredited
means certified by the NLN for having met more complex standards.
DIF: Cognitive Level: Knowledge REF: Page 9 OBJ: 2
TOP: Nursing programs KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. The process to obtain a nursing license in another state when the person has passed the
NCLEX® Examination in their own state is to:
a. retake the NCLEX® examination in the new state.
b. pass NCLEX® with a score high enough to meet the new state requirements.
c. attend a nursing program in the new state.
,d. utilize the reciprocity agreement between states.
ANS: D
Reciprocity allows licensure from another state.
DIF: Cognitive Level: Application REF: Page 11 OBJ: 11
TOP: Licensure KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
3. When discussing the health care delivery system, the nurse must recognize that:
a. it includes all states.
b. it affects the illness of patients.
c. insurance companies are not involved.
d. the major goal is to achieve optimal levels of health care.
ANS: D
The nurse must recognize that in the health care delivery system, the major goal is to
achieve optimal levels of health care.
DIF: Cognitive Level: Knowledge REF: Page 11 OBJ: 8
TOP: Health care systems KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
4. To identify the needs of a patient and design care to meet those needs, the health care
team requires:
a. the Kardex.
b. the physician’s order sheet.
c. an individualized care plan.
d. the nurse’s notes.
,ANS: C
An individualized care plan involves all health care workers and outlines care to meet the
needs of the individual patient.
DIF: Cognitive Level: Knowledge REF: Page 13 OBJ: 9
TOP: Care plan KEY: Nursing Process Step: Planning MSC: NCLEX: N/A
5. The patient care emphasis on wellness, rather than illness, began as a result of:
a. increased education concerning causes of illness.
b. improved insurance payments.
c. decentralized care centers.
d. increased number of health care givers.
ANS: A
Once causes were found, emphasis shifted from cure to prevention.
DIF: Cognitive Level: Analysis REF: Page 12 OBJ: 8
TOP: Wellness KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
6. The most effective process to ensure that the care plan is meeting the needs of the
patient or, if not, which changes should be made, is:
a. documentation.
b. communication.
c. evaluation.
d. planning.
ANS: B
Communication is essential among the health care team to evaluate and modify the care
plan.
, DIF: Cognitive Level: Analysis REF: Page 17 OBJ: 9
TOP: Communication KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
7. An interdisciplinary approach to patient treatment enhances care by:
a. improving efficiency of care.
b. reducing the number of caregivers.
c. preventing the fragmentation of patient care.
d. shortening hospital stay.
ANS: C
An interdisciplinary approach prevents fragmentation of care.
DIF: Cognitive Level: Application REF: Page 16 OBJ: 8
TOP: Interdisciplinary approach KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
8. A newly licensed LPN/LVN may practice:
a. independently in a hospital setting.
b. with an experienced LPN/LVN.
c. under the supervision of a physician or RN.
d. as a sole practitioner in a clinic setting.
ANS: C
An LPN/LVN practices under the supervision of a physician, dentist, OD, or RN.
DIF: Cognitive Level: Application REF: Page 17 OBJ: 11
Chapter 01: The Evolution of Nursing
Test Bank
MULTIPLE CHOICE
1. A nursing program certified by a state agency is said to be:
a. accredited.
b. approved.
c. provisional.
d. exemplified.
ANS: B
Approved means certified by a state agency for having met minimum standards; accredited
means certified by the NLN for having met more complex standards.
DIF: Cognitive Level: Knowledge REF: Page 9 OBJ: 2
TOP: Nursing programs KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. The process to obtain a nursing license in another state when the person has passed the
NCLEX® Examination in their own state is to:
a. retake the NCLEX® examination in the new state.
b. pass NCLEX® with a score high enough to meet the new state requirements.
c. attend a nursing program in the new state.
,d. utilize the reciprocity agreement between states.
ANS: D
Reciprocity allows licensure from another state.
DIF: Cognitive Level: Application REF: Page 11 OBJ: 11
TOP: Licensure KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
3. When discussing the health care delivery system, the nurse must recognize that:
a. it includes all states.
b. it affects the illness of patients.
c. insurance companies are not involved.
d. the major goal is to achieve optimal levels of health care.
ANS: D
The nurse must recognize that in the health care delivery system, the major goal is to
achieve optimal levels of health care.
DIF: Cognitive Level: Knowledge REF: Page 11 OBJ: 8
TOP: Health care systems KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
4. To identify the needs of a patient and design care to meet those needs, the health care
team requires:
a. the Kardex.
b. the physician’s order sheet.
c. an individualized care plan.
d. the nurse’s notes.
,ANS: C
An individualized care plan involves all health care workers and outlines care to meet the
needs of the individual patient.
DIF: Cognitive Level: Knowledge REF: Page 13 OBJ: 9
TOP: Care plan KEY: Nursing Process Step: Planning MSC: NCLEX: N/A
5. The patient care emphasis on wellness, rather than illness, began as a result of:
a. increased education concerning causes of illness.
b. improved insurance payments.
c. decentralized care centers.
d. increased number of health care givers.
ANS: A
Once causes were found, emphasis shifted from cure to prevention.
DIF: Cognitive Level: Analysis REF: Page 12 OBJ: 8
TOP: Wellness KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
6. The most effective process to ensure that the care plan is meeting the needs of the
patient or, if not, which changes should be made, is:
a. documentation.
b. communication.
c. evaluation.
d. planning.
ANS: B
Communication is essential among the health care team to evaluate and modify the care
plan.
, DIF: Cognitive Level: Analysis REF: Page 17 OBJ: 9
TOP: Communication KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
7. An interdisciplinary approach to patient treatment enhances care by:
a. improving efficiency of care.
b. reducing the number of caregivers.
c. preventing the fragmentation of patient care.
d. shortening hospital stay.
ANS: C
An interdisciplinary approach prevents fragmentation of care.
DIF: Cognitive Level: Application REF: Page 16 OBJ: 8
TOP: Interdisciplinary approach KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
8. A newly licensed LPN/LVN may practice:
a. independently in a hospital setting.
b. with an experienced LPN/LVN.
c. under the supervision of a physician or RN.
d. as a sole practitioner in a clinic setting.
ANS: C
An LPN/LVN practices under the supervision of a physician, dentist, OD, or RN.
DIF: Cognitive Level: Application REF: Page 17 OBJ: 11
