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