FOUNDATIONS AND ADULT HEALTH
NURSING
9TH EDITION
• Author(S)Kim Cooper; Kelly Gosnell
TEST BANK
1
Reference
Ch. 1 — The Evolution of Nursing — Health Care Delivery
Systems
Question Stem
A licensed practical nurse (LPN) working on a community health
team is told the clinic will shift from fee-for-service to a
population-health payment model. Which nursing action best
supports safe, high-value care during this transition?
A. Continue providing the same visit-focused care and
document as before.
B. Prioritize identifying high-risk clients and coordinate
preventive follow-up.
,C. Reduce documentation to save time and focus on more
patients.
D. Refer all complex patients to the hospital to avoid clinic
liability.
Correct Answer
B
Rationales
• Correct (B): Population-health models emphasize
prevention and risk-stratified care; the LPN’s prioritization
of high-risk clients and coordination of follow-up aligns
with safer, cost-effective outcomes.
• A: Maintaining a purely visit-focused approach misses
opportunities for population-level prevention and care
coordination.
• C: Reducing documentation compromises continuity and
safety, and is not appropriate for a payment-model change.
• D: Blanket referral of complex patients is not patient-
centered, increases costs, and abandons scope-
appropriate care coordination.
Teaching Point
Focus on prevention and care coordination in population-health
models.
,Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
2
Reference
Ch. 1 — The Evolution of Nursing — Nursing Care Models
Question Stem
An LPN is assigned to a unit that is implementing team nursing.
Which responsibility is most appropriate for the LPN to accept
within this model?
A. Develop the overall plan of care and delegate all tasks.
B. Provide delegated basic care and report changes to the RN
for plan revisions.
C. Independently perform comprehensive admission nursing
assessments.
D. Prescribe discharge medications for efficiency.
Correct Answer
B
Rationales
• Correct (B): In team nursing, the LPN carries out delegated
basic and complex care within scope and communicates
changes to the RN, who revises the plan.
, • A: Developing the overall plan and delegating all tasks is
the RN’s responsibility; LPNs collaborate but do not lead
plan development.
• C: Comprehensive admission assessments are RN-level
functions in most settings; LPNs may collect data but not
independently synthesize for initial plan.
• D: Medication prescribing is outside nursing scope and not
appropriate.
Teaching Point
LPNs perform delegated care and promptly report changes to
the RN.
Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
3
Reference
Ch. 1 — The Evolution of Nursing — Licensure for Practical and
Vocational Nursing
Question Stem
A recent graduate who passed the NCLEX-PN is asked to accept
a float assignment to a specialty where they have no prior
experience. What should the nurse do first to remain within
legal and safe practice?
NURSING
9TH EDITION
• Author(S)Kim Cooper; Kelly Gosnell
TEST BANK
1
Reference
Ch. 1 — The Evolution of Nursing — Health Care Delivery
Systems
Question Stem
A licensed practical nurse (LPN) working on a community health
team is told the clinic will shift from fee-for-service to a
population-health payment model. Which nursing action best
supports safe, high-value care during this transition?
A. Continue providing the same visit-focused care and
document as before.
B. Prioritize identifying high-risk clients and coordinate
preventive follow-up.
,C. Reduce documentation to save time and focus on more
patients.
D. Refer all complex patients to the hospital to avoid clinic
liability.
Correct Answer
B
Rationales
• Correct (B): Population-health models emphasize
prevention and risk-stratified care; the LPN’s prioritization
of high-risk clients and coordination of follow-up aligns
with safer, cost-effective outcomes.
• A: Maintaining a purely visit-focused approach misses
opportunities for population-level prevention and care
coordination.
• C: Reducing documentation compromises continuity and
safety, and is not appropriate for a payment-model change.
• D: Blanket referral of complex patients is not patient-
centered, increases costs, and abandons scope-
appropriate care coordination.
Teaching Point
Focus on prevention and care coordination in population-health
models.
,Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
2
Reference
Ch. 1 — The Evolution of Nursing — Nursing Care Models
Question Stem
An LPN is assigned to a unit that is implementing team nursing.
Which responsibility is most appropriate for the LPN to accept
within this model?
A. Develop the overall plan of care and delegate all tasks.
B. Provide delegated basic care and report changes to the RN
for plan revisions.
C. Independently perform comprehensive admission nursing
assessments.
D. Prescribe discharge medications for efficiency.
Correct Answer
B
Rationales
• Correct (B): In team nursing, the LPN carries out delegated
basic and complex care within scope and communicates
changes to the RN, who revises the plan.
, • A: Developing the overall plan and delegating all tasks is
the RN’s responsibility; LPNs collaborate but do not lead
plan development.
• C: Comprehensive admission assessments are RN-level
functions in most settings; LPNs may collect data but not
independently synthesize for initial plan.
• D: Medication prescribing is outside nursing scope and not
appropriate.
Teaching Point
LPNs perform delegated care and promptly report changes to
the RN.
Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
3
Reference
Ch. 1 — The Evolution of Nursing — Licensure for Practical and
Vocational Nursing
Question Stem
A recent graduate who passed the NCLEX-PN is asked to accept
a float assignment to a specialty where they have no prior
experience. What should the nurse do first to remain within
legal and safe practice?
