,CHAPTER 1: Evolution of Nursing Thought &
Action
Section: About the Key Concepts
Key Concept: Definition of nursing and the nurse's role in health
promotion.
Stem: Which statement best reflects the contemporary definition
of nursing as described in pathophysiologic and professional
frameworks?
A. Nursing primarily provides physician-directed technical tasks.
B. Nursing assesses, diagnoses, plans, implements, and evaluates
care to promote health and manage disease.
C. Nursing focuses solely on administrative coordination of
healthcare services.
D. Nursing limits practice to bedside procedures and medication
administration.
Correct Answer: B
Rationales:
• Correct (B): Contemporary nursing emphasizes the nursing
process—assessment, diagnosis, planning, implementation,
evaluation—integrating pathophysiology to promote health
and manage disease (Capriotti Ch.1, “About the Key
Concepts”). This aligns with professional definitions
emphasizing autonomous, holistic care.
• Incorrect (A): Nursing is not limited to physician-directed
technical tasks; nurses exercise independent clinical
judgment and leadership.
• Incorrect (C): Administrative coordination is a component
but not the defining focus of nursing practice.
• Incorrect (D): Bedside procedures and medication
administration are skills within nursing, not the full scope.
,Teaching Point: Nursing integrates the nursing process with
pathophysiology to promote and restore health.
2. Chapter 1 — Historical Leaders Who Advanced the Profession
of Nursing
Section: Historical Leaders
Key Concept: Influence of historical leaders on modern nursing
standards.
Stem: Why is knowledge of historical nursing leaders important
for contemporary nurses?
A. It provides a list of procedures required for licensure.
B. It offers context for current standards, ethics, and evidence-
based practice.
C. It limits innovation by prescribing historical care models.
D. It replaces the need for continuing education.
Correct Answer: B
Rationales:
• Correct (B): Understanding historical leaders clarifies how
ethics, standards, and evidence-based practice evolved,
shaping current regulation and clinical expectations
(Capriotti Ch.1, “Historical Leaders”).
• Incorrect (A): Historical knowledge does not provide
procedural licensure checklists.
• Incorrect (C): History informs, not limits, innovation in
practice.
• Incorrect (D): Historical knowledge complements but does
not replace continuing education.
Teaching Point: History informs present-day standards, ethics,
and evidence-based nursing practice.
, 3. Chapter 1 — Nursing Today: Full-Spectrum Nursing
Section: Full-Spectrum Nursing Model
Key Concept: Full-spectrum nursing components (preventive to
palliative care, clinical judgment).
Stem: A nurse using the full-spectrum model is most likely to:
A. Provide only acute hospital services.
B. Integrate prevention, acute care, chronic management, and
palliative approaches.
C. Delegate all assessment tasks to ancillary staff.
D. Focus exclusively on pharmacologic interventions.
Correct Answer: B
Rationales:
• Correct (B): Full-spectrum nursing spans prevention,
acute/chronic management, and palliative care, integrating
clinical judgment across settings (Capriotti Ch.1, “Full-
Spectrum Nursing”).
• Incorrect (A): The model is not limited to acute hospital care.
• Incorrect (C): Nurses maintain assessment and judgment
responsibilities; delegation is selective.
• Incorrect (D): Nursing includes nonpharmacologic
interventions and holistic care.
Teaching Point: Full-spectrum nursing integrates prevention,
management, and palliation across settings.
4. Chapter 1 — Contemporary Nursing: Education, Regulation,
and Practice
Section: How Do Nurses’ Educational Paths Differ?
Key Concept: Differences between ADN, BSN, and graduate
preparation.
Stem: Which educational difference most directly correlates with
Action
Section: About the Key Concepts
Key Concept: Definition of nursing and the nurse's role in health
promotion.
Stem: Which statement best reflects the contemporary definition
of nursing as described in pathophysiologic and professional
frameworks?
A. Nursing primarily provides physician-directed technical tasks.
B. Nursing assesses, diagnoses, plans, implements, and evaluates
care to promote health and manage disease.
C. Nursing focuses solely on administrative coordination of
healthcare services.
D. Nursing limits practice to bedside procedures and medication
administration.
Correct Answer: B
Rationales:
• Correct (B): Contemporary nursing emphasizes the nursing
process—assessment, diagnosis, planning, implementation,
evaluation—integrating pathophysiology to promote health
and manage disease (Capriotti Ch.1, “About the Key
Concepts”). This aligns with professional definitions
emphasizing autonomous, holistic care.
• Incorrect (A): Nursing is not limited to physician-directed
technical tasks; nurses exercise independent clinical
judgment and leadership.
• Incorrect (C): Administrative coordination is a component
but not the defining focus of nursing practice.
• Incorrect (D): Bedside procedures and medication
administration are skills within nursing, not the full scope.
,Teaching Point: Nursing integrates the nursing process with
pathophysiology to promote and restore health.
2. Chapter 1 — Historical Leaders Who Advanced the Profession
of Nursing
Section: Historical Leaders
Key Concept: Influence of historical leaders on modern nursing
standards.
Stem: Why is knowledge of historical nursing leaders important
for contemporary nurses?
A. It provides a list of procedures required for licensure.
B. It offers context for current standards, ethics, and evidence-
based practice.
C. It limits innovation by prescribing historical care models.
D. It replaces the need for continuing education.
Correct Answer: B
Rationales:
• Correct (B): Understanding historical leaders clarifies how
ethics, standards, and evidence-based practice evolved,
shaping current regulation and clinical expectations
(Capriotti Ch.1, “Historical Leaders”).
• Incorrect (A): Historical knowledge does not provide
procedural licensure checklists.
• Incorrect (C): History informs, not limits, innovation in
practice.
• Incorrect (D): Historical knowledge complements but does
not replace continuing education.
Teaching Point: History informs present-day standards, ethics,
and evidence-based nursing practice.
, 3. Chapter 1 — Nursing Today: Full-Spectrum Nursing
Section: Full-Spectrum Nursing Model
Key Concept: Full-spectrum nursing components (preventive to
palliative care, clinical judgment).
Stem: A nurse using the full-spectrum model is most likely to:
A. Provide only acute hospital services.
B. Integrate prevention, acute care, chronic management, and
palliative approaches.
C. Delegate all assessment tasks to ancillary staff.
D. Focus exclusively on pharmacologic interventions.
Correct Answer: B
Rationales:
• Correct (B): Full-spectrum nursing spans prevention,
acute/chronic management, and palliative care, integrating
clinical judgment across settings (Capriotti Ch.1, “Full-
Spectrum Nursing”).
• Incorrect (A): The model is not limited to acute hospital care.
• Incorrect (C): Nurses maintain assessment and judgment
responsibilities; delegation is selective.
• Incorrect (D): Nursing includes nonpharmacologic
interventions and holistic care.
Teaching Point: Full-spectrum nursing integrates prevention,
management, and palliation across settings.
4. Chapter 1 — Contemporary Nursing: Education, Regulation,
and Practice
Section: How Do Nurses’ Educational Paths Differ?
Key Concept: Differences between ADN, BSN, and graduate
preparation.
Stem: Which educational difference most directly correlates with
