FOUNDATIONS AND ADULT HEALTH
NURSING
9TH EDITION
• Author(S)Kim Cooper; Kelly Gosnell
TEST BANK
1
Reference: Ch. 1 — The Evolution of Nursing — History of
Nursing and Nursing Education
Question Stem:
A nurse educator is explaining why Florence Nightingale’s work
remains foundational. Which statement best links Nightingale’s
legacy to contemporary nursing practice?
Options:
A. Nightingale established nursing licensure examinations
identical to modern NCLEX.
B. Her emphasis on sanitation and environment supports
current infection-prevention priorities.
C. Nightingale advocated nurse-managed primary care clinics
,for all patients.
D. She focused primarily on pharmacologic research that guides
current medication safety.
Correct Answer: B
Rationales:
• Correct (B): Nightingale’s focus on sanitation, ventilation,
and the patient environment laid groundwork for modern
infection control and safe care environments.
• Incorrect (A): Nightingale did not create licensure exams;
professional licensure developed later.
• Incorrect (C): While she promoted nursing independence,
nurse-managed primary-care clinics are a modern
development.
• Incorrect (D): Nightingale emphasized environmental care
more than pharmacologic research.
Teaching Point: Nightingale’s environmental emphasis
underpins modern infection prevention and safe patient
environments.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
2
,Reference: Ch. 1 — The Evolution of Nursing — Changes in
Nursing During the 20th Century
Question Stem:
A hospital nurse manager must justify funding for staff research
training. Which rationale best reflects 20th-century changes
that support this decision?
Options:
A. Nursing moved away from science to purely vocational tasks.
B. The 20th century shifted nursing toward evidence-based
practice and specialization.
C. Nurses were prohibited from participating in research until
the 21st century.
D. Nursing education eliminated clinical training in favor of
classroom learning.
Correct Answer: B
Rationales:
• Correct (B): The 20th century saw professionalization,
expanded scientific knowledge, specialization, and growth
of evidence-based practice—supporting staff research
skills.
• Incorrect (A): The opposite occurred; nursing increasingly
integrated scientific methods.
• Incorrect (C): Nurses contributed to research well before
the 21st century.
, • Incorrect (D): Clinical training remained central; education
expanded rather than removed clinical components.
Teaching Point: 20th-century advances led nursing toward
specialization and evidence-based practice.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
3
Reference: Ch. 1 — The Evolution of Nursing — Significant
Changes in Nursing For the 21st Century
Question Stem:
An RN implementing a new electronic health record (EHR)
workflow must educate staff. Which 21st-century change most
justifies prioritizing EHR training for safe patient care?
Options:
A. Decrease in interprofessional collaboration makes EHRs
unnecessary.
B. Rapid technology adoption requires informatics competence
to maintain safety.
C. EHRs replace clinical reasoning and reduce need for critical
thinking.
D. Paper charting is more error-proof than digital
documentation.
Correct Answer: B
NURSING
9TH EDITION
• Author(S)Kim Cooper; Kelly Gosnell
TEST BANK
1
Reference: Ch. 1 — The Evolution of Nursing — History of
Nursing and Nursing Education
Question Stem:
A nurse educator is explaining why Florence Nightingale’s work
remains foundational. Which statement best links Nightingale’s
legacy to contemporary nursing practice?
Options:
A. Nightingale established nursing licensure examinations
identical to modern NCLEX.
B. Her emphasis on sanitation and environment supports
current infection-prevention priorities.
C. Nightingale advocated nurse-managed primary care clinics
,for all patients.
D. She focused primarily on pharmacologic research that guides
current medication safety.
Correct Answer: B
Rationales:
• Correct (B): Nightingale’s focus on sanitation, ventilation,
and the patient environment laid groundwork for modern
infection control and safe care environments.
• Incorrect (A): Nightingale did not create licensure exams;
professional licensure developed later.
• Incorrect (C): While she promoted nursing independence,
nurse-managed primary-care clinics are a modern
development.
• Incorrect (D): Nightingale emphasized environmental care
more than pharmacologic research.
Teaching Point: Nightingale’s environmental emphasis
underpins modern infection prevention and safe patient
environments.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
2
,Reference: Ch. 1 — The Evolution of Nursing — Changes in
Nursing During the 20th Century
Question Stem:
A hospital nurse manager must justify funding for staff research
training. Which rationale best reflects 20th-century changes
that support this decision?
Options:
A. Nursing moved away from science to purely vocational tasks.
B. The 20th century shifted nursing toward evidence-based
practice and specialization.
C. Nurses were prohibited from participating in research until
the 21st century.
D. Nursing education eliminated clinical training in favor of
classroom learning.
Correct Answer: B
Rationales:
• Correct (B): The 20th century saw professionalization,
expanded scientific knowledge, specialization, and growth
of evidence-based practice—supporting staff research
skills.
• Incorrect (A): The opposite occurred; nursing increasingly
integrated scientific methods.
• Incorrect (C): Nurses contributed to research well before
the 21st century.
, • Incorrect (D): Clinical training remained central; education
expanded rather than removed clinical components.
Teaching Point: 20th-century advances led nursing toward
specialization and evidence-based practice.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
3
Reference: Ch. 1 — The Evolution of Nursing — Significant
Changes in Nursing For the 21st Century
Question Stem:
An RN implementing a new electronic health record (EHR)
workflow must educate staff. Which 21st-century change most
justifies prioritizing EHR training for safe patient care?
Options:
A. Decrease in interprofessional collaboration makes EHRs
unnecessary.
B. Rapid technology adoption requires informatics competence
to maintain safety.
C. EHRs replace clinical reasoning and reduce need for critical
thinking.
D. Paper charting is more error-proof than digital
documentation.
Correct Answer: B
