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