58)
Chapter1:EvolutionofNursing
CooperandGosnell:FoundationsandAdultHealthNursing,9thEdition
n n n n n n
MULTIPLE CHOICEn
1. Whatisanursingprogram considered when certified byastate agency? n K K
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS:B
Approvedmeanscertified bya stateagencyforhavingmet minimumstandards; accredited
n K n
means certified by the NLN for having met more complex standards. Provisional and
n n n n n n n n n n n n n
exemplified are not terms used in regard to nursing program certification.
n n n n n n n n n n n
PTS: 1 DIF: CognitiveLevel:Knowledge REF:Page 10 n
OBJ: 5
n TOP: Nursing programs n n KEY:NursingProcessStep:N/A
MSC: NCLEX: N/A
n n n
2. Whichofthefollowingmustthenurserecognize regardingthehealthcare deliverysystem? n n
a. Itincludesallstates.
n
b. It affects theillnessofpatients.
n n
c. Insurancecompaniesarenotinvolved.
d. Themajor goal is toachieveoptimal levels ofhealth care.
n n n n n n
ANS:Dn
Thenursemust recognizethatinthehealthcaredeliverysystem, themajor goal is toachieve
n n n K
TESTBANK
n AND ADULT HEALTHNURSING 9th
n n n n
GOSNELL
, optimal levels ofhealth care. Thehealth caresystem consists ofanetworkof agencies, facilities, and
n n n n n n n n n n n n n n n n
providers involved with health care in a specified geographic area. Insurance companies do have
n n n n n n n n n n n n n n
involvement in the health care system. The illness of patients is not necessarily affected by the health
n n n n n n n n n n n n n n n n n
care system.
n n
PTS: 1 DIF: CognitiveLevel: Comprehension n REF:Page 12 n
OBJ: 7 n TOP: Health care systems n n n KEY:NursingProcessStep:N/A
MSC: NCLEX: N/A
n n n
3. Whatisrequiredbythehealthcare team toidentifytheneeds ofapatient andtodesign care to meet n n n n n K n
nthose needs? n
a. TheKardex n
b. Thephysician‘s ordersheet n
c. Anindividualizedcareplan
n
d. Thenurse‘s notes n
ANS:C n
An individualized careplan involves all health care workers and outlines care to meet the needs
n n n n n n n n n n n n n n n
oftheindividualpatient. The Kardex,physician‘s ordersheet, andnurse‘s notesdonot identify
n n n n n n n
theneeds ofthe patient noraretheydesigned toassist all membersofthehealth care team to meet
n n n n n n n n n n n
those needs.
n n
PTS: 1 DIF: CognitiveLevel: Comprehension n REF:Pages 13,16
n n n
TESTBANK
n AND ADULT HEALTHNURSING 9th
n n n n
GOSNELL
, OBJ: 8 | 9 TOP: Care plan
n n n n n KEY:NursingProcessStep:Planning
MSC: NCLEX: N/A
n n n
4. Patientcareemphasis onwellness, rather thanillness,begins as a result of: n n n n n n K n
a. increasededucationconcerningcausesofillness.
b. improved insurancepayments. K
c. decentralizedcarecenters.
d. increasednumberofhealthcare givers. n
ANS:A n
The acute awareness of preventive medicine has resulted in today‘s emphasis on education about
n n n n n n n n n n n n n
issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental
n n n n n n n n n n n n n n
health and wellnesspromotionactivities.Thispreventiveeducationhasresultedin an emphasis on
n K n n n
nwellness, rather than illness. Improved insurance payments, decentralized care centers, and
n n n n n n n n n n
increased numbers of health care givers did not influence an emphasis on wellness.
n n n n n n n n n n n n n
PTS: 1 DIF: Cognitive Level: Comprehension
n REF:Page12 n n
OBJ: 4 | 8
n TOP: Wellness
n KEY: Nursing Process Step: N/A
n n n n n n n
MSC: NCLEX: N/A
n n n
5. Howdoes an interdisciplinaryapproach topatient treatmentenhancecare?
n n K n
a. Byimprovingefficiencyof care n
b. Byreducingthenumber ofcaregivers n
c. Bypreventing thefragmentation ofpatient care n n n
d. Byshortening hospital stay K n
ANS:C n
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
n n n n n n n n n
does not improve the efficiency of care, reduce the number of caregivers, or shorten hospital
n n n n n n n n n n n n n n n
stay.
n
PTS: 1 DIF:
n CognitiveLevel:Comprehension REF: Page16
n n n n n n n n n
OBJ: 8 | 9 TOP: Interdisciplinary approach
n n n KEY: Nursing Process Step: N/A n n n n n n
MSC: NCLEX: N/A
n n n
6. Whatisthemosteffectiveprocesstoensurethatthecareplanismeetingtheneedsofthe n n
n patient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS:B n
Communication is the primary essential component among the health care team to evaluate
n n n n n n n n n n n n
and modify the care plan. Documentation, evaluation, and planning are not primary essential
n n n n n n n n n n n n n
components to ensure the care plan is meeting the needs of the patient.
n n n n n n n n n n n n n
PTS: 1 DIF:
n CognitiveLevel:Comprehension
n n n n n n n REF:Page16n n n
OBJ: 8 TOP: Communication
n n KEY:NursingProcessStep:N/A
MSC: NCLEX: N/A
n n n
TESTBANK
n AND ADULT HEALTHNURSING 9th n n n n
GOSNELL
, 7. Howmayanewlylicensed LPN/LVN practice? n n
a. Independentlyina hospital setting n n
b. With an experienced LPN/LVN K n n
c. Underthesupervision of aphysicianor RN n n n
d. As asolepractitionerin a clinic setting
n n n n
ANS:C n
An LPN/LVNpractices underthesupervisionofaphysician, dentist, OD, or RN.
n n n n n n
PTS: 1 DIF: CognitiveLevel:Knowledge REF:Pages 13,19 n n
OBJ: 11 n TOP: Vocational nursing n n KEY:NursingProcessStep:N/A
MSC: NCLEX: N/A
n n n
8. Whoseinfluenceonnursing practiceinthe19thcenturywas relatedtoimprovementofpatient K n n
n environment as a method of health promotion? n n n n n n
a. Clara Barton K
b. Linda Richards K
c. DorotheaDix
d. FlorenceNightingale
ANS:D n
Theinfluenceof Florence Nightingale washighlysignificantinthe 19thcentury as shefought for
n n n n n n n
sanitary conditions, fresh air, and general improvement in the patient environment. Clara Barton
n n n n n n n n n n n n n
developed the American Red Cross in 1881. Linda Richards is known as thefirst trained nursein
n n n n n n n n n n n n n n n n
America, wasresponsibleforthedevelopment ofthe firstnursing andhospital records, and is
n n K K n n n
credited with the development of our present-day documentation system.
n n n n n n n n n
Dorothea Dixwasthepioneer crusaderforelevation ofstandardsofcareforthementallyill and superintendent
n n n n n
of female nurses of the Union Army.
n n n n n n n
PTS: 1 n DIF: Cognitive Level: Knowledge n n n REF: Pages 2, 17 Table 1-2 OBJ:
n n n n n n
2|4
n n n TOP: Nursing leaders n n KEY: Nursing Process Step: N/A
n n n n
MSC: NCLEX: N/A
n n n
9. Whatdocument identifiestherolesand responsibilitiesofthe LPN/LVN? n n n
a. NLNAccreditation Standards n
b. NursePracticeAct
c. NAPNECode
d. AmericanNurses‘AssociationCode n n
ANS:B n
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the
n n n n n n n n n n n
NAPNE Code, and the American Nurses‘ Association Code do not identify the roles and
n n n n n n n n n n n n n n
responsibilities of the LPN/LVN.
n n n n
PTS: 1 n DIF: CognitiveLevel:Knowledge
n n n n n REF:Page 13 n
OBJ: 11 n TOP: Roles and Responsibilities n n n KEY:NursingProcessStep:N/A
MSC: NCLEX: N/A
n n n
10. Whatis a cost-effectivedeliveryofcareusedbymanyhospitals that allowsthe LPN/LVNto
K n n n
nwork with the RN to meet the needs of patients?
n n n n n n n n n
a. Focused nursing K
b. Teamnursing
TESTBANK
n AND ADULT HEALTHNURSING 9th n n n n
GOSNELL
Chapter1:EvolutionofNursing
CooperandGosnell:FoundationsandAdultHealthNursing,9thEdition
n n n n n n
MULTIPLE CHOICEn
1. Whatisanursingprogram considered when certified byastate agency? n K K
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS:B
Approvedmeanscertified bya stateagencyforhavingmet minimumstandards; accredited
n K n
means certified by the NLN for having met more complex standards. Provisional and
n n n n n n n n n n n n n
exemplified are not terms used in regard to nursing program certification.
n n n n n n n n n n n
PTS: 1 DIF: CognitiveLevel:Knowledge REF:Page 10 n
OBJ: 5
n TOP: Nursing programs n n KEY:NursingProcessStep:N/A
MSC: NCLEX: N/A
n n n
2. Whichofthefollowingmustthenurserecognize regardingthehealthcare deliverysystem? n n
a. Itincludesallstates.
n
b. It affects theillnessofpatients.
n n
c. Insurancecompaniesarenotinvolved.
d. Themajor goal is toachieveoptimal levels ofhealth care.
n n n n n n
ANS:Dn
Thenursemust recognizethatinthehealthcaredeliverysystem, themajor goal is toachieve
n n n K
TESTBANK
n AND ADULT HEALTHNURSING 9th
n n n n
GOSNELL
, optimal levels ofhealth care. Thehealth caresystem consists ofanetworkof agencies, facilities, and
n n n n n n n n n n n n n n n n
providers involved with health care in a specified geographic area. Insurance companies do have
n n n n n n n n n n n n n n
involvement in the health care system. The illness of patients is not necessarily affected by the health
n n n n n n n n n n n n n n n n n
care system.
n n
PTS: 1 DIF: CognitiveLevel: Comprehension n REF:Page 12 n
OBJ: 7 n TOP: Health care systems n n n KEY:NursingProcessStep:N/A
MSC: NCLEX: N/A
n n n
3. Whatisrequiredbythehealthcare team toidentifytheneeds ofapatient andtodesign care to meet n n n n n K n
nthose needs? n
a. TheKardex n
b. Thephysician‘s ordersheet n
c. Anindividualizedcareplan
n
d. Thenurse‘s notes n
ANS:C n
An individualized careplan involves all health care workers and outlines care to meet the needs
n n n n n n n n n n n n n n n
oftheindividualpatient. The Kardex,physician‘s ordersheet, andnurse‘s notesdonot identify
n n n n n n n
theneeds ofthe patient noraretheydesigned toassist all membersofthehealth care team to meet
n n n n n n n n n n n
those needs.
n n
PTS: 1 DIF: CognitiveLevel: Comprehension n REF:Pages 13,16
n n n
TESTBANK
n AND ADULT HEALTHNURSING 9th
n n n n
GOSNELL
, OBJ: 8 | 9 TOP: Care plan
n n n n n KEY:NursingProcessStep:Planning
MSC: NCLEX: N/A
n n n
4. Patientcareemphasis onwellness, rather thanillness,begins as a result of: n n n n n n K n
a. increasededucationconcerningcausesofillness.
b. improved insurancepayments. K
c. decentralizedcarecenters.
d. increasednumberofhealthcare givers. n
ANS:A n
The acute awareness of preventive medicine has resulted in today‘s emphasis on education about
n n n n n n n n n n n n n
issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental
n n n n n n n n n n n n n n
health and wellnesspromotionactivities.Thispreventiveeducationhasresultedin an emphasis on
n K n n n
nwellness, rather than illness. Improved insurance payments, decentralized care centers, and
n n n n n n n n n n
increased numbers of health care givers did not influence an emphasis on wellness.
n n n n n n n n n n n n n
PTS: 1 DIF: Cognitive Level: Comprehension
n REF:Page12 n n
OBJ: 4 | 8
n TOP: Wellness
n KEY: Nursing Process Step: N/A
n n n n n n n
MSC: NCLEX: N/A
n n n
5. Howdoes an interdisciplinaryapproach topatient treatmentenhancecare?
n n K n
a. Byimprovingefficiencyof care n
b. Byreducingthenumber ofcaregivers n
c. Bypreventing thefragmentation ofpatient care n n n
d. Byshortening hospital stay K n
ANS:C n
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
n n n n n n n n n
does not improve the efficiency of care, reduce the number of caregivers, or shorten hospital
n n n n n n n n n n n n n n n
stay.
n
PTS: 1 DIF:
n CognitiveLevel:Comprehension REF: Page16
n n n n n n n n n
OBJ: 8 | 9 TOP: Interdisciplinary approach
n n n KEY: Nursing Process Step: N/A n n n n n n
MSC: NCLEX: N/A
n n n
6. Whatisthemosteffectiveprocesstoensurethatthecareplanismeetingtheneedsofthe n n
n patient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS:B n
Communication is the primary essential component among the health care team to evaluate
n n n n n n n n n n n n
and modify the care plan. Documentation, evaluation, and planning are not primary essential
n n n n n n n n n n n n n
components to ensure the care plan is meeting the needs of the patient.
n n n n n n n n n n n n n
PTS: 1 DIF:
n CognitiveLevel:Comprehension
n n n n n n n REF:Page16n n n
OBJ: 8 TOP: Communication
n n KEY:NursingProcessStep:N/A
MSC: NCLEX: N/A
n n n
TESTBANK
n AND ADULT HEALTHNURSING 9th n n n n
GOSNELL
, 7. Howmayanewlylicensed LPN/LVN practice? n n
a. Independentlyina hospital setting n n
b. With an experienced LPN/LVN K n n
c. Underthesupervision of aphysicianor RN n n n
d. As asolepractitionerin a clinic setting
n n n n
ANS:C n
An LPN/LVNpractices underthesupervisionofaphysician, dentist, OD, or RN.
n n n n n n
PTS: 1 DIF: CognitiveLevel:Knowledge REF:Pages 13,19 n n
OBJ: 11 n TOP: Vocational nursing n n KEY:NursingProcessStep:N/A
MSC: NCLEX: N/A
n n n
8. Whoseinfluenceonnursing practiceinthe19thcenturywas relatedtoimprovementofpatient K n n
n environment as a method of health promotion? n n n n n n
a. Clara Barton K
b. Linda Richards K
c. DorotheaDix
d. FlorenceNightingale
ANS:D n
Theinfluenceof Florence Nightingale washighlysignificantinthe 19thcentury as shefought for
n n n n n n n
sanitary conditions, fresh air, and general improvement in the patient environment. Clara Barton
n n n n n n n n n n n n n
developed the American Red Cross in 1881. Linda Richards is known as thefirst trained nursein
n n n n n n n n n n n n n n n n
America, wasresponsibleforthedevelopment ofthe firstnursing andhospital records, and is
n n K K n n n
credited with the development of our present-day documentation system.
n n n n n n n n n
Dorothea Dixwasthepioneer crusaderforelevation ofstandardsofcareforthementallyill and superintendent
n n n n n
of female nurses of the Union Army.
n n n n n n n
PTS: 1 n DIF: Cognitive Level: Knowledge n n n REF: Pages 2, 17 Table 1-2 OBJ:
n n n n n n
2|4
n n n TOP: Nursing leaders n n KEY: Nursing Process Step: N/A
n n n n
MSC: NCLEX: N/A
n n n
9. Whatdocument identifiestherolesand responsibilitiesofthe LPN/LVN? n n n
a. NLNAccreditation Standards n
b. NursePracticeAct
c. NAPNECode
d. AmericanNurses‘AssociationCode n n
ANS:B n
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the
n n n n n n n n n n n
NAPNE Code, and the American Nurses‘ Association Code do not identify the roles and
n n n n n n n n n n n n n n
responsibilities of the LPN/LVN.
n n n n
PTS: 1 n DIF: CognitiveLevel:Knowledge
n n n n n REF:Page 13 n
OBJ: 11 n TOP: Roles and Responsibilities n n n KEY:NursingProcessStep:N/A
MSC: NCLEX: N/A
n n n
10. Whatis a cost-effectivedeliveryofcareusedbymanyhospitals that allowsthe LPN/LVNto
K n n n
nwork with the RN to meet the needs of patients?
n n n n n n n n n
a. Focused nursing K
b. Teamnursing
TESTBANK
n AND ADULT HEALTHNURSING 9th n n n n
GOSNELL
