Test Bank Foundations and Adult Health Nursing, 9
3 3 3 3 3 3 33
th Edition by Cooper -Chapter 1-58 | All Chapters-
3 3 3 3 3 3 3 3
2023-2024 3
Chapter301:3The3Evolution3of3Nursing3Coo
per:3Foundation3of3Nursing,39th3Edition
MULTIPLE3CHOICE
1. What3is3a3nursing3program3considered3when3certified3by3a3state3agency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS:3 B
Approved3means3certified3by3a3state3agency3for3having3met3minimum3standards;3accredited3m
eans3certified3by3the3NLN3for3having3met3more3complex3standards.3Provisional3and3exemplif
ied3are3not3terms3used3in3regard3to3nursing3program3certification.
DIF: Cognitive3Level:3Knowledge REF:3 p.310
OBJ:353TOP:3 Nursing3programs
KEY:3 Nursing3Process3Step:3N/A3MSC:3 NCLEX:3N/A
2. Which3of3the3following3must3the3nurse3recognize3regarding3the3health3care3delivery3system?
a. It3includes3all3states.
b. It3affects3the3illness3of3patients.
c. Insurance3companies3are3not3involved.
d. The3major3goal3is3to3achieve3optimal3levels3of3health3care.
ANS:3 D
The3nurse3must3recognize3that3in3the3health3care3delivery3system,3the3major3goal3is3to3achieve
3optimal 3levels3of3health3care.3The 3health3care3system3consists3of3a3network3of3agencies,3facil
ities,3and3providers3involved3with3health3care3in3a3specified3geographic3area.3Insurance3comp
anies3do3have3involvement3in3the3health3care3system.3The3illness3of3patients3is3not3necessaril
y3affected3by3the3health3care3system.
DIF: Cognitive3Level:3Comprehension REF:3 p.312
OBJ:373TOP:3 Health3care3systems
KEY:3 Nursing3Process3Step:3N/A3MSC:3 NCLEX:3N/A
3. What3is3required3by3the3health3care3team3to3identify3the3needs3of3a3patient3and3to3design3care3
to3meet3those3needs?
a. The3Kardex
b. The3health3care3provider’s3order3sheet
c. An3individualized3care3plan
d. The3nurse’s3notes
ANS:3 C
,An3individualized3care3plan3involves3all3health3care3workers3and3outlines3care3to3meet3the3ne
eds3of3the3individual3patient.3The3Kardex,3health3care3provider’s3order3sheet,3and3nurse’s3not
es3do3not3identify3the3needs3of3the3patient3nor3are3they3designed3to3assist3all3members3of3the3
health3care3team3to3meet3those3needs.
DIF: Cognitive3Level:3Comprehension REF:3 3 p.313 OBJ:3 83|39
, TOP:3 Care3plan KEY:3 Nursing3Process3Step:3Planning MSC:3 NCLEX:3N/A
4. Patient3care3emphasis3on3wellness,3rather3than3illness,3begins3as3a3result3of:
a. increased3education3concerning3causes3of3illness.
b. improved3insurance3payments.
c. decentralized3care3centers.
d. increased3number3of3health3care3givers.
ANS:3 A
The3acute3awareness3of3preventive3medicine3has3resulted3in3today’s3emphasis3on3education3a
bout3issues3such3as3smoking,3heart3disease,3drug3and3alcohol3abuse,3weight3control,3and3men
tal3health3and3wellness3promotion3activities.3This3preventive3education3has3resulted3in3an3emp
hasis3on3wellness,3rather3than3illness.3Improved3insurance3payments,3decentralized3care3cente
rs,3and3increased3numbers3of3health3care3givers3did3not3influence3an3emphasis3on3wellness.
DIF: Cognitive3Level:3Comprehension REF:3 3 p.312 OBJ:3 43|38
TOP:3 Wellness KEY:3 Nursing3Process3Step:3N/A MSC:3 NCLEX:3N/A
5. What3is3the3most3effective3process3to3ensure3that3the3care3plan3is3meeting3the3needs3of3t
he3patient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS:3 B
Communication3is3the3primary3essential3component3among3the3health3care3team3to3evaluate3a
nd3modify3the3care3plan.3Documentation,3evaluation,3and3planning3are3not3primary3essential3c
omponents3to3ensure3the3care3plan3is3meeting3the3needs3of3the3patient.
DIF: Cognitive3Level:3Comprehension REF:3 p.317
OBJ:383TOP:3 Communication
KEY:3 Nursing3Process3Step:3N/A3MSC:3 NCLEX:3N/A
6. How3does3an3interdisciplinary3approach3to3patient3treatment3enhance3care?
a. By3improving3efficiency3of3care
b. By3reducing3the3number3of3caregivers
c. By3preventing3the3fragmentation3of3patient3care
d. By3shortening3hospital3stay
ANS:3 C
An3interdisciplinary3approach3prevents3fragmentation3of3care.3An3interdisciplinary3approac
h3does3not3improve3the3efficiency3of3care,3reduce3the3number3of3caregivers,3or3shorten3hosp
ital3stay.
DIF:3 Cognitive3Level:3Comprehension3 3 REF:3 p.316
OBJ:383|393TOP:3 Interdisciplinar
y3approach
KEY:3Nursing3Process3Step:3N/A
3MSC:3 NCLEX:3N/A
7. How3may3a3newly3licensed3LPN/LVN 3practice?
a. Independently3in3a3hospital3setting
, b. With3an3experienced3LPN/LVN
c. Under3the3supervision3of3a3health3care3provider3or3RN
d. As3a3sole3health3care3provider3in3a3clinic3setting
ANS:3 C
An3LPN/LVN3practices3under3the3supervision3of3a3health3care3provider,3dentist,3OD,3or3RN.
DIF: Cognitive3Level:3Knowledge REF:3 p.311
OBJ:3113TOP:3 Vocational3nursing
KEY:3 Nursing3Process3Step:3N/A3MSC:3 NCLEX:3N/A
8. Whose3influence3on3nursing3practice3in3the319th3century3was3related3to3improvement3of3patie
nt3environment3as3a3method3of3health3promotion?
a. Clara3Barton
b. Linda3Richards
c. Dorothea3Dix
d. Florence3Nightingale
ANS:3 D
The3influence3of3Florence3Nightingale3was3highly3significant3in3the319th3century3as3she3foug
ht3for3sanitary3conditions,3fresh3air,3and3general3improvement3in3the3patient3environment.3Cl
ara3Barton3developed3the3American3Red3Cross3in31881.3Linda3Richards3is3known3as3the3first3
trained3nurse3in3America,3was3responsible3for3the3development3of3the3first3nursing3and3hospit
al3records,3and3is3credited3with3the3development3of3our3present-day3documentation3system.
Dorothea3Dix3was3the3pioneer3crusader3for3elevation3of3standards3of3care3for3the3mentally3ill3
and3superintendent3of3female3nurses3of3the3Union3Army.
DIF:3 Cognitive3Level:3Knowledge REF:3 p.317
OBJ:323|343TOP:3 Nursing3leader
s
KEY:3Nursing3Process3Step:3N/A
3MSC:3 NCLEX:3N/A
9. What3document3identifies3the3roles3and3responsibilities3of3the3LPN/LVN?
a. NLN 3Accreditation3Standards
b. Nurse3Practice3Act
c. NAPNE3Code
d. American3Nurses’3Association3Code
ANS:3 B
The3LPN/LVN3functions3under3the3Nurse3Practice3Act.3NLN 3Accreditation3Standards,3the3NA
PNE3Code,3and3the3American3Nurses’3Association3Code3do3not3identify3the3roles3and3respon
sibilities3of3the3LPN/LVN.
DIF: Cognitive3Level:3Knowledge REF:3 p.3123|3p.314
OBJ:3113TOP:3 Roles3and3responsibilities
KEY:3 Nursing3Process3Step:3N/A3MSC:3 NCLEX:3N/A
10. What3is3a3cost-
effective3delivery3of3care3used3by3many3hospitals3that3allows3the3LPN/LVN 3to3work3with3th
e3RN3to3meet3the3needs3of3patients?
a. Focused3nursing
b. Team3nursing
c. Case3management
d. Primary3nursing
3 3 3 3 3 3 33
th Edition by Cooper -Chapter 1-58 | All Chapters-
3 3 3 3 3 3 3 3
2023-2024 3
Chapter301:3The3Evolution3of3Nursing3Coo
per:3Foundation3of3Nursing,39th3Edition
MULTIPLE3CHOICE
1. What3is3a3nursing3program3considered3when3certified3by3a3state3agency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS:3 B
Approved3means3certified3by3a3state3agency3for3having3met3minimum3standards;3accredited3m
eans3certified3by3the3NLN3for3having3met3more3complex3standards.3Provisional3and3exemplif
ied3are3not3terms3used3in3regard3to3nursing3program3certification.
DIF: Cognitive3Level:3Knowledge REF:3 p.310
OBJ:353TOP:3 Nursing3programs
KEY:3 Nursing3Process3Step:3N/A3MSC:3 NCLEX:3N/A
2. Which3of3the3following3must3the3nurse3recognize3regarding3the3health3care3delivery3system?
a. It3includes3all3states.
b. It3affects3the3illness3of3patients.
c. Insurance3companies3are3not3involved.
d. The3major3goal3is3to3achieve3optimal3levels3of3health3care.
ANS:3 D
The3nurse3must3recognize3that3in3the3health3care3delivery3system,3the3major3goal3is3to3achieve
3optimal 3levels3of3health3care.3The 3health3care3system3consists3of3a3network3of3agencies,3facil
ities,3and3providers3involved3with3health3care3in3a3specified3geographic3area.3Insurance3comp
anies3do3have3involvement3in3the3health3care3system.3The3illness3of3patients3is3not3necessaril
y3affected3by3the3health3care3system.
DIF: Cognitive3Level:3Comprehension REF:3 p.312
OBJ:373TOP:3 Health3care3systems
KEY:3 Nursing3Process3Step:3N/A3MSC:3 NCLEX:3N/A
3. What3is3required3by3the3health3care3team3to3identify3the3needs3of3a3patient3and3to3design3care3
to3meet3those3needs?
a. The3Kardex
b. The3health3care3provider’s3order3sheet
c. An3individualized3care3plan
d. The3nurse’s3notes
ANS:3 C
,An3individualized3care3plan3involves3all3health3care3workers3and3outlines3care3to3meet3the3ne
eds3of3the3individual3patient.3The3Kardex,3health3care3provider’s3order3sheet,3and3nurse’s3not
es3do3not3identify3the3needs3of3the3patient3nor3are3they3designed3to3assist3all3members3of3the3
health3care3team3to3meet3those3needs.
DIF: Cognitive3Level:3Comprehension REF:3 3 p.313 OBJ:3 83|39
, TOP:3 Care3plan KEY:3 Nursing3Process3Step:3Planning MSC:3 NCLEX:3N/A
4. Patient3care3emphasis3on3wellness,3rather3than3illness,3begins3as3a3result3of:
a. increased3education3concerning3causes3of3illness.
b. improved3insurance3payments.
c. decentralized3care3centers.
d. increased3number3of3health3care3givers.
ANS:3 A
The3acute3awareness3of3preventive3medicine3has3resulted3in3today’s3emphasis3on3education3a
bout3issues3such3as3smoking,3heart3disease,3drug3and3alcohol3abuse,3weight3control,3and3men
tal3health3and3wellness3promotion3activities.3This3preventive3education3has3resulted3in3an3emp
hasis3on3wellness,3rather3than3illness.3Improved3insurance3payments,3decentralized3care3cente
rs,3and3increased3numbers3of3health3care3givers3did3not3influence3an3emphasis3on3wellness.
DIF: Cognitive3Level:3Comprehension REF:3 3 p.312 OBJ:3 43|38
TOP:3 Wellness KEY:3 Nursing3Process3Step:3N/A MSC:3 NCLEX:3N/A
5. What3is3the3most3effective3process3to3ensure3that3the3care3plan3is3meeting3the3needs3of3t
he3patient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS:3 B
Communication3is3the3primary3essential3component3among3the3health3care3team3to3evaluate3a
nd3modify3the3care3plan.3Documentation,3evaluation,3and3planning3are3not3primary3essential3c
omponents3to3ensure3the3care3plan3is3meeting3the3needs3of3the3patient.
DIF: Cognitive3Level:3Comprehension REF:3 p.317
OBJ:383TOP:3 Communication
KEY:3 Nursing3Process3Step:3N/A3MSC:3 NCLEX:3N/A
6. How3does3an3interdisciplinary3approach3to3patient3treatment3enhance3care?
a. By3improving3efficiency3of3care
b. By3reducing3the3number3of3caregivers
c. By3preventing3the3fragmentation3of3patient3care
d. By3shortening3hospital3stay
ANS:3 C
An3interdisciplinary3approach3prevents3fragmentation3of3care.3An3interdisciplinary3approac
h3does3not3improve3the3efficiency3of3care,3reduce3the3number3of3caregivers,3or3shorten3hosp
ital3stay.
DIF:3 Cognitive3Level:3Comprehension3 3 REF:3 p.316
OBJ:383|393TOP:3 Interdisciplinar
y3approach
KEY:3Nursing3Process3Step:3N/A
3MSC:3 NCLEX:3N/A
7. How3may3a3newly3licensed3LPN/LVN 3practice?
a. Independently3in3a3hospital3setting
, b. With3an3experienced3LPN/LVN
c. Under3the3supervision3of3a3health3care3provider3or3RN
d. As3a3sole3health3care3provider3in3a3clinic3setting
ANS:3 C
An3LPN/LVN3practices3under3the3supervision3of3a3health3care3provider,3dentist,3OD,3or3RN.
DIF: Cognitive3Level:3Knowledge REF:3 p.311
OBJ:3113TOP:3 Vocational3nursing
KEY:3 Nursing3Process3Step:3N/A3MSC:3 NCLEX:3N/A
8. Whose3influence3on3nursing3practice3in3the319th3century3was3related3to3improvement3of3patie
nt3environment3as3a3method3of3health3promotion?
a. Clara3Barton
b. Linda3Richards
c. Dorothea3Dix
d. Florence3Nightingale
ANS:3 D
The3influence3of3Florence3Nightingale3was3highly3significant3in3the319th3century3as3she3foug
ht3for3sanitary3conditions,3fresh3air,3and3general3improvement3in3the3patient3environment.3Cl
ara3Barton3developed3the3American3Red3Cross3in31881.3Linda3Richards3is3known3as3the3first3
trained3nurse3in3America,3was3responsible3for3the3development3of3the3first3nursing3and3hospit
al3records,3and3is3credited3with3the3development3of3our3present-day3documentation3system.
Dorothea3Dix3was3the3pioneer3crusader3for3elevation3of3standards3of3care3for3the3mentally3ill3
and3superintendent3of3female3nurses3of3the3Union3Army.
DIF:3 Cognitive3Level:3Knowledge REF:3 p.317
OBJ:323|343TOP:3 Nursing3leader
s
KEY:3Nursing3Process3Step:3N/A
3MSC:3 NCLEX:3N/A
9. What3document3identifies3the3roles3and3responsibilities3of3the3LPN/LVN?
a. NLN 3Accreditation3Standards
b. Nurse3Practice3Act
c. NAPNE3Code
d. American3Nurses’3Association3Code
ANS:3 B
The3LPN/LVN3functions3under3the3Nurse3Practice3Act.3NLN 3Accreditation3Standards,3the3NA
PNE3Code,3and3the3American3Nurses’3Association3Code3do3not3identify3the3roles3and3respon
sibilities3of3the3LPN/LVN.
DIF: Cognitive3Level:3Knowledge REF:3 p.3123|3p.314
OBJ:3113TOP:3 Roles3and3responsibilities
KEY:3 Nursing3Process3Step:3N/A3MSC:3 NCLEX:3N/A
10. What3is3a3cost-
effective3delivery3of3care3used3by3many3hospitals3that3allows3the3LPN/LVN 3to3work3with3th
e3RN3to3meet3the3needs3of3patients?
a. Focused3nursing
b. Team3nursing
c. Case3management
d. Primary3nursing
