m
m
,Chapter 01: The Evolution of Nursing
h h h h h
Cooper:FoundationofNursing,9thEdition
h
MULTIPLECHOICE h
1. What isanursing programconsideredwhencertifiedb ya stateagency?
m h h m h h h h h h
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B h h
Approvedmeanscertified byastateagencyforhaving met minimum standards;accredited means h h h m m m h h
certifiedbytheNLNforhavingmetmorecomplexstandards.Provisionalandexemplifiedare not
h h h h h h h h h h h h h h h
terms used in regard to nursingprogram certification.
h h h h h h h h
DIF: Cognitive Level: Knowledge h h REF: p. 10 OBJ: 5
h h h
TOP: Nursing programs
h h h KEY: NursingProcess Step:N/A h m
MSC: NCLEX: N/A
h h h
2. Which ofthefollowingmustthenurserecognizeregardingthehealthcaredeliverysystem?
m h h h h h h h h h h h
a. Itincludesallstates.
h h h
b. Itaffectstheillnessofpatients.
h h h h h
c. Insurancecompanies arenotinvolved. h h h h
d. Themajorgoalistoachieveoptimallevelsofhealthcare. h h h h h h h h h
ANS: D h h
Thenursemustrecognizethatin thehealth caredeliverysystem, themajor goal is to achieve optimal h h h h h h h h h
levelsofhealthcare.Thehealthcaresystemconsistsofanetworkofagencies, facilities,andproviders
h h h h h h h h h h h h h h h h h
involvedwithhealthcareinaspecifiedgeographicarea.Insurance companiesdohaveinvolvementin
h h h h h h h h h h h h h h h
thehealthcaresystem.Theillnessofpatientsisnot necessarily affected by the health care system.
h h h h h h h h h h h h h h h h h
DIF: Cognitive Level: Comprehension h h REF: p. 12 OBJ: 7
h h h
TOP: Health care systems
h h h h KEY: NursingProcess Step:N/A h m
MSC: NCLEX: N/A
h h h
3. Whatisrequiredbythehealthcareteamtoidentifytheneedsofapatientandtodesigncareto meet
h h h h h h h h h h h h h h h
h those needs? h
a. TheKardex h
b. Thehealthcareprovider‘sordersheet h h h h
c. Anindividualizedcareplan h h h
d. Thenurse‘snotes h
ANS: C h h
Anindividualizedcareplaninvolvesallhealthcareworkersandoutlinescaretomeettheneeds ofthe
h h h h h h h h h h h h h h h h h
individualpatient.TheKardex,healthcareprovider‘sordersheet,andnurse‘snotesdo
h h h h h h h h h h h h h
notidentifytheneedsofthepatientnoraretheydesigned toassist allmembers ofthe health care team to
h h h h h h h h h h h h h h
meet those needs.
h h h
DIF: CognitiveLevel:Comprehension h h REF: p.13 h h h OBJ: 8|9 h h
, TOP: Careplan h h h KEY: NursingProcessStep:Planning h h h h MSC: NCLEX:N/A h h
4. Patientcareemphasisonwellness,ratherthanillness,beginsasaresultof:
h h h h h h h h h h h
a. increased educationconcerningcausesofillness. m h h h h
b. improvedinsurancepayments. h h
c. decentralizedcare centers. h
d. increasednumberofhealthcaregivers. h h h h h
ANS: A h h
Theacuteawarenessofpreventivemedicinehasresultedintoday‘semphasis oneducation about
h h h h h h h h h h h h h
issuessuchassmoking,heartdisease,drugandalcoholabuse,weightcontrol,andmental
h h h h h h h h h h h h h h
healthandwellnesspromotionactivities.Thispreventiveeducationhasresultedin an emphasis
h h h
honwellness,ratherthanillness.Improvedinsurancepayments,decentralizedcarecenters,and
h h h h h h h h h h h
increasednumbersofhealthcaregiversdidnotinfluenceanemphasisonwellness.
h h h h h h h h h h h h h
DIF: CognitiveLevel:Comprehension REF: p.12 h h h h h OBJ: 4|8 h h
TOP: Wellness KEY: Nursing ProcessStep:N/A
h h h h m h h MSC: NCLEX:N/A h h
5. What isthemosteffectiveprocesstoensurethatthecareplanismeetingtheneedsofthe
m h h h h h h h h h h h
hpatient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B h h
Communicationistheprimaryessentialcomponentamongthehealthcareteamtoevaluateand h h h h h h h h h h h h h
modifythecareplan.Documentation,evaluation,and planning arenot primaryessential
h h h h m h
componentstoensurethecareplanismeetingtheneedsofthepatient.
h h h h h h h h h h h h h
DIF: Cognitive Level: Comprehension h h REF: p. 17 OBJ: 8 h h h
TOP: Communication
h h KEY: NursingProcess Step:N/A h m
MSC: NCLEX: N/A
h h h
6. Howdoesaninterdisciplinaryapproachtopatienttreatmentenhancecare?
h h h h h h h
a. Byimprovingefficiencyofcare h h h
b. Byreducingthenumberofcaregivers h h h h
c. Bypreventingthefragmentationofpatientcare h h h h h
d. Byshorteninghospitalstay h h
ANS: C h h
An interdisciplinary approach prevents fragmentation of care.An interdisciplinaryapproach does
h h h h h h h h h h
not improvethe efficiencyofcare, reducethe numberofcaregivers, or shortenhospital stay.
h h h h h h h h h h h h h h h
DIF: Cognitive Level: Comprehension REF: p. 16
h OBJ: 8 | 9 h h h h h h h h
TOP: Interdisciplinary approach
h h KEY: Nursing Process Step: N/A h h h h h
MSC: NCLEX: N/A
h h h
7. Howmayanewlylicensed LPN/LVNpractice? h h
a. Independentlyinahospitalsetting h h h
, b. WithanexperiencedLPN/LVN h h
c. UnderthesupervisionofahealthcareproviderorRN h h h h h h h h h
d. Asasolehealthcareproviderinaclinicsetting
h h h h h h h h h
ANS: C h h
AnLPN/LVNpracticesunderthesupervisionofahealthcareprovider,dentist,OD,orRN.
h h h h h h h h h h h
DIF: Cognitive Level: Knowledge h h REF: p. 11 OBJ: 11 h h h
TOP: Vocational nursing
h h h KEY: NursingProcess Step:N/A h m
MSC: NCLEX: N/A
h h h
8. Whoseinfluenceon nursing practicein the19th centurywasrelated toimprovement ofpatient m h m h h h h h
environment as a method of health promotion?
h h h h h h h
a. ClaraBarton h
b. LindaRichards h
c. DorotheaDix h
d. FlorenceNightingale h
ANS: D h h
TheinfluenceofFlorenceNightingalewashighlysignificantinthe19thcenturyasshefoughtfor
h h h h h h h h h h h h
sanitaryconditions,fresh air,and generalimprovementinthepatientenvironment.Clara Barton
h h h h h h h h h h h h h
developedtheAmericanRedCrossin1881.LindaRichardsisknownasthefirsttrained
h h h h h h h h h h h h h h h
nurse inAmerica, wasresponsibleforthedevelopment ofthefirstnursingandhospital records, andis
h m h h h h h h h
credited withthedevelopment ofour present-daydocumentationsystem.
h h h h h h h h h
DorotheaDix wasthepioneer crusaderforelevation ofstandardsofcare forthementallyill and
h h h h h h h
superintendent of female nurses of the Union Army.
h h h h h h h h
DIF: Cognitive Level: Knowledge
h h h REF: p. 17 OBJ: 2 | 4 h h h h h
TOP: Nursing leaders
h h h KEY: Nursing Process Step: N/A h h h h
MSC: NCLEX: N/A
h h h
9. What documentidentifiestherolesandresponsibilitiesoftheLPN/LVN?
m h h h h h h h h
a. NLNAccreditationStandards h
b. NursePracticeAct h
c. NAPNECode
d. American Nurses‘AssociationCode m h
ANS: B h h
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the
h h h h h h h h h h h
NAPNE Code, and the American Nurses‘ Association Code do not identify the roles and
h h h h h h h h h h h h h h
responsibilities of the LPN/LVN.
h h h h
DIF: Cognitive Level: Knowledge h h REF: p. 12 | p. 14 OBJ: 11 h h h h h
TOP: Roles and responsibilities
h h h h KEY: NursingProcess Step:N/A h m
MSC: NCLEX: N/A
h h h
10. What is acost-effectivedeliveryofcareused bymanyhospitals that allowstheLPN/LVNto
m m m h h
hworkwith theRNto meet theneeds of patients?
h h h h h h h h h
a. Focusednursing
b. Teamnursing
c. Casemanagement h
d. Primarynursing
m
,Chapter 01: The Evolution of Nursing
h h h h h
Cooper:FoundationofNursing,9thEdition
h
MULTIPLECHOICE h
1. What isanursing programconsideredwhencertifiedb ya stateagency?
m h h m h h h h h h
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B h h
Approvedmeanscertified byastateagencyforhaving met minimum standards;accredited means h h h m m m h h
certifiedbytheNLNforhavingmetmorecomplexstandards.Provisionalandexemplifiedare not
h h h h h h h h h h h h h h h
terms used in regard to nursingprogram certification.
h h h h h h h h
DIF: Cognitive Level: Knowledge h h REF: p. 10 OBJ: 5
h h h
TOP: Nursing programs
h h h KEY: NursingProcess Step:N/A h m
MSC: NCLEX: N/A
h h h
2. Which ofthefollowingmustthenurserecognizeregardingthehealthcaredeliverysystem?
m h h h h h h h h h h h
a. Itincludesallstates.
h h h
b. Itaffectstheillnessofpatients.
h h h h h
c. Insurancecompanies arenotinvolved. h h h h
d. Themajorgoalistoachieveoptimallevelsofhealthcare. h h h h h h h h h
ANS: D h h
Thenursemustrecognizethatin thehealth caredeliverysystem, themajor goal is to achieve optimal h h h h h h h h h
levelsofhealthcare.Thehealthcaresystemconsistsofanetworkofagencies, facilities,andproviders
h h h h h h h h h h h h h h h h h
involvedwithhealthcareinaspecifiedgeographicarea.Insurance companiesdohaveinvolvementin
h h h h h h h h h h h h h h h
thehealthcaresystem.Theillnessofpatientsisnot necessarily affected by the health care system.
h h h h h h h h h h h h h h h h h
DIF: Cognitive Level: Comprehension h h REF: p. 12 OBJ: 7
h h h
TOP: Health care systems
h h h h KEY: NursingProcess Step:N/A h m
MSC: NCLEX: N/A
h h h
3. Whatisrequiredbythehealthcareteamtoidentifytheneedsofapatientandtodesigncareto meet
h h h h h h h h h h h h h h h
h those needs? h
a. TheKardex h
b. Thehealthcareprovider‘sordersheet h h h h
c. Anindividualizedcareplan h h h
d. Thenurse‘snotes h
ANS: C h h
Anindividualizedcareplaninvolvesallhealthcareworkersandoutlinescaretomeettheneeds ofthe
h h h h h h h h h h h h h h h h h
individualpatient.TheKardex,healthcareprovider‘sordersheet,andnurse‘snotesdo
h h h h h h h h h h h h h
notidentifytheneedsofthepatientnoraretheydesigned toassist allmembers ofthe health care team to
h h h h h h h h h h h h h h
meet those needs.
h h h
DIF: CognitiveLevel:Comprehension h h REF: p.13 h h h OBJ: 8|9 h h
, TOP: Careplan h h h KEY: NursingProcessStep:Planning h h h h MSC: NCLEX:N/A h h
4. Patientcareemphasisonwellness,ratherthanillness,beginsasaresultof:
h h h h h h h h h h h
a. increased educationconcerningcausesofillness. m h h h h
b. improvedinsurancepayments. h h
c. decentralizedcare centers. h
d. increasednumberofhealthcaregivers. h h h h h
ANS: A h h
Theacuteawarenessofpreventivemedicinehasresultedintoday‘semphasis oneducation about
h h h h h h h h h h h h h
issuessuchassmoking,heartdisease,drugandalcoholabuse,weightcontrol,andmental
h h h h h h h h h h h h h h
healthandwellnesspromotionactivities.Thispreventiveeducationhasresultedin an emphasis
h h h
honwellness,ratherthanillness.Improvedinsurancepayments,decentralizedcarecenters,and
h h h h h h h h h h h
increasednumbersofhealthcaregiversdidnotinfluenceanemphasisonwellness.
h h h h h h h h h h h h h
DIF: CognitiveLevel:Comprehension REF: p.12 h h h h h OBJ: 4|8 h h
TOP: Wellness KEY: Nursing ProcessStep:N/A
h h h h m h h MSC: NCLEX:N/A h h
5. What isthemosteffectiveprocesstoensurethatthecareplanismeetingtheneedsofthe
m h h h h h h h h h h h
hpatient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B h h
Communicationistheprimaryessentialcomponentamongthehealthcareteamtoevaluateand h h h h h h h h h h h h h
modifythecareplan.Documentation,evaluation,and planning arenot primaryessential
h h h h m h
componentstoensurethecareplanismeetingtheneedsofthepatient.
h h h h h h h h h h h h h
DIF: Cognitive Level: Comprehension h h REF: p. 17 OBJ: 8 h h h
TOP: Communication
h h KEY: NursingProcess Step:N/A h m
MSC: NCLEX: N/A
h h h
6. Howdoesaninterdisciplinaryapproachtopatienttreatmentenhancecare?
h h h h h h h
a. Byimprovingefficiencyofcare h h h
b. Byreducingthenumberofcaregivers h h h h
c. Bypreventingthefragmentationofpatientcare h h h h h
d. Byshorteninghospitalstay h h
ANS: C h h
An interdisciplinary approach prevents fragmentation of care.An interdisciplinaryapproach does
h h h h h h h h h h
not improvethe efficiencyofcare, reducethe numberofcaregivers, or shortenhospital stay.
h h h h h h h h h h h h h h h
DIF: Cognitive Level: Comprehension REF: p. 16
h OBJ: 8 | 9 h h h h h h h h
TOP: Interdisciplinary approach
h h KEY: Nursing Process Step: N/A h h h h h
MSC: NCLEX: N/A
h h h
7. Howmayanewlylicensed LPN/LVNpractice? h h
a. Independentlyinahospitalsetting h h h
, b. WithanexperiencedLPN/LVN h h
c. UnderthesupervisionofahealthcareproviderorRN h h h h h h h h h
d. Asasolehealthcareproviderinaclinicsetting
h h h h h h h h h
ANS: C h h
AnLPN/LVNpracticesunderthesupervisionofahealthcareprovider,dentist,OD,orRN.
h h h h h h h h h h h
DIF: Cognitive Level: Knowledge h h REF: p. 11 OBJ: 11 h h h
TOP: Vocational nursing
h h h KEY: NursingProcess Step:N/A h m
MSC: NCLEX: N/A
h h h
8. Whoseinfluenceon nursing practicein the19th centurywasrelated toimprovement ofpatient m h m h h h h h
environment as a method of health promotion?
h h h h h h h
a. ClaraBarton h
b. LindaRichards h
c. DorotheaDix h
d. FlorenceNightingale h
ANS: D h h
TheinfluenceofFlorenceNightingalewashighlysignificantinthe19thcenturyasshefoughtfor
h h h h h h h h h h h h
sanitaryconditions,fresh air,and generalimprovementinthepatientenvironment.Clara Barton
h h h h h h h h h h h h h
developedtheAmericanRedCrossin1881.LindaRichardsisknownasthefirsttrained
h h h h h h h h h h h h h h h
nurse inAmerica, wasresponsibleforthedevelopment ofthefirstnursingandhospital records, andis
h m h h h h h h h
credited withthedevelopment ofour present-daydocumentationsystem.
h h h h h h h h h
DorotheaDix wasthepioneer crusaderforelevation ofstandardsofcare forthementallyill and
h h h h h h h
superintendent of female nurses of the Union Army.
h h h h h h h h
DIF: Cognitive Level: Knowledge
h h h REF: p. 17 OBJ: 2 | 4 h h h h h
TOP: Nursing leaders
h h h KEY: Nursing Process Step: N/A h h h h
MSC: NCLEX: N/A
h h h
9. What documentidentifiestherolesandresponsibilitiesoftheLPN/LVN?
m h h h h h h h h
a. NLNAccreditationStandards h
b. NursePracticeAct h
c. NAPNECode
d. American Nurses‘AssociationCode m h
ANS: B h h
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the
h h h h h h h h h h h
NAPNE Code, and the American Nurses‘ Association Code do not identify the roles and
h h h h h h h h h h h h h h
responsibilities of the LPN/LVN.
h h h h
DIF: Cognitive Level: Knowledge h h REF: p. 12 | p. 14 OBJ: 11 h h h h h
TOP: Roles and responsibilities
h h h h KEY: NursingProcess Step:N/A h m
MSC: NCLEX: N/A
h h h
10. What is acost-effectivedeliveryofcareused bymanyhospitals that allowstheLPN/LVNto
m m m h h
hworkwith theRNto meet theneeds of patients?
h h h h h h h h h
a. Focusednursing
b. Teamnursing
c. Casemanagement h
d. Primarynursing
