,Chapter 01: The Evolution of Nursing Cooper:
Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. When a nursing program is certified by a state body, what is it called?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
Correct Answer: B
Rationale: An "approved" nursing program has been officially recognized by a state
authority for meeting the minimum required standards to operate and educate students. This
is different from "accreditation," which is a voluntary review process done by national
organizations like the NLN and involves higher-level criteria and quality benchmarks.
"Provisional" may refer to temporary approval status during review, and "exemplified" is not
a standard classification for program certification.
2. What must nurses understand about the health care delivery system?
a. It encompasses all U.S. states.
b. It directly impacts patient illness.
c. Insurance providers are excluded.
d. Its main aim is achieving optimal health outcomes.
Correct Answer: D
Rationale: The health care delivery system is a network of services, organizations, and
providers working to deliver health care efficiently and equitably. Nurses must understand
that its fundamental purpose is to help individuals reach the highest level of health possible,
not merely to treat illness. Contrary to option C, insurance companies play a key role in
financing and shaping care delivery. The system's structure can vary by state and does not
directly cause or influence patient illnesses.
, 3. What tool helps health care staff assess a patient’s needs and create appropriate
care?
a. Kardex
b. Physician’s orders
c. Individualized care plan
d. Nursing notes
Correct Answer: C
Rationale: An individualized care plan is developed collaboratively by the health care team
to meet the specific physical, psychological, and social needs of a patient. It ensures
continuity of care and provides a roadmap for interventions and outcomes. While the Kardex
and orders assist with specific tasks or directives, they don't offer a holistic, coordinated
approach to addressing all aspects of a patient’s care.
4. The shift from illness treatment to wellness promotion in health care is primarily
due to:
a. Better education on disease causes
b. Enhanced insurance reimbursements
c. More decentralized care locations
d. Greater availability of care providers
Correct Answer: A
Rationale: Increased knowledge and public education about the origins and prevention of
disease (e.g., lifestyle factors like smoking, diet, stress, and substance use) have shifted
health care priorities toward promoting wellness and preventing illness. This approach
reduces the incidence and impact of chronic conditions. Insurance and staffing changes have
improved access but are not the primary drivers of this focus.
, 5. What is the key element to ensure a patient’s care plan is effective?
a. Documentation
b. Communication
c. Evaluation
d. Planning
Correct Answer: B
Rationale: Open, timely, and accurate communication among all members of the health care
team ensures that patient progress is monitored and the care plan can be revised as needed.
While planning and documentation are essential, they rely on continuous communication to
maintain patient-centered care.
6. What is a benefit of using an interdisciplinary method of care?
a. Faster care delivery
b. Fewer staff involved
c. Avoids fragmented care
d. Shortens patient hospitalization
Correct Answer: C
Rationale: An interdisciplinary approach integrates the expertise of various health
professionals to provide cohesive and consistent care. It avoids miscommunication or
duplication of services, which can occur when care is delivered in silos. Although it may
improve outcomes, it does not guarantee reduced staff or shorter hospital stays.
7. How can a newly licensed LPN/LVN practice?
a. Independently in a hospital
b. Alongside another LPN/LVN
c. With supervision from a provider or RN
d. As the only caregiver in a clinic