,Chapter 1. Evolution of Nursing Thought & Action
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is working in a community health promotion clinic. Which is an example of an illness
prevention activity?
1. Encouraging the use of a food diary
2. Joining a cancer support group
3. Administering immunization for human papillomavirus (HPV)
4. Teaching a diabetic patient about his diet
____ 2. A practicing nurse is aware that continuing education courses may be required for license renewal.
Which organization can require nurses to obtain a specified number of continuing education
courses?
1. American Nurses Association
2. National League for Nursing
3. Sigma Theta Tau
4. State board of nursing
____ 3. An experienced nurse uses knowledge of patients’ medical conditions and intuition to identify
problems and fulfill the role of being a resource for other nurses on the unit. According to Benner,
which stage has this nurse achieved?
1. Novice
2. Advanced beginner
3. Competent
4. Expert
____ 4. Which statement best explains the importance of standards of practice in the nursing profession?
1. Standards of practice for nurses are the same as for other healthcare professionals.
2. Standards of practice are applied exclusively to nurses working in hospital settings.
3. Standards of practice identify the components nurses need to provide safe care.
4. Standards of practice differ among registered nurses, based on the population they
serve.
____ 5. The nursing instructor is considering becoming a member of the National League for Nursing
(NLN). Which primary goal of the NLN will strongly affect the nurse’s decision to become a
member?
1. Emphasizing the necessity for registered nurses to promote patient safety
2. Establishing and maintaining identified standards for nursing education
3. Supporting global health policies and improving health worldwide
4. Fostering nursing scholarship, leadership, and service to improve health
,____ 6. The nurse is providing care for a patient after a debilitating stroke. Which service of care will the
nurse recognize as the best choice for this patient?
1. Primary
2. Secondary
3. Tertiary
4. Preventive
____ 7. The nurse is providing care for an older adult patient in an acute care setting for various
age-related health issues. When planning for discharge, the patient states concern about being able
to adequately provide for health maintenance and some self-care needs. Which type of facility does
the nurse recognize as best for this patient?
1. Skilled nursing facility
2. Assisted living facility
3. Nursing home facility
4. Independent living facility
____ 8. The nurse understands that the most important reason for the development of a definition for the
profession of nursing is that it:
1. Will result in more informed people being recruited as nurses.
2. Is a means for evaluating the degree of role satisfaction in nurses.
3. Helps dispel the stereotypical images about nurses and nursing.
4. Differentiates the nursing role from those of other health professionals.
____ 9. Which activity provides evidence-based support for the contribution made by advanced practice
nurses (APNs) in healthcare?
1. Reduced use of diagnostics using advanced technology
2. Decreased number of unnecessary visits to the emergency department
3. Improved patient compliance with prescribed treatments
4. Increased use of complementary and alternative therapies
____ 10. The nurse is providing care for a pediatric patient in an acute care facility. The patient’s parents
express concern about the cost of the medical care. The parents state, “We have jobs, but we don’t
make a lot of money and have no insurance.” Which medical assistance program does the nurse
recognize as being most appropriate for this family?
1. Children’s Health Insurance Program (CHIP)
2. Medicare
3. Medicaid
4. Local charity
____ 11. A patient has started to have difficulty with bathing and grooming. Which therapist would assist
the patient in regaining these skills?
1. Physical therapist
2. Occupational therapist
3. Speech-language pathologist
, 4. Respiratory therapist
____ 12. An older adult patient is diagnosed with type 1 diabetes mellitus. The patient can perform self-care
activities but needs assistance with shopping and meal preparation. As well, assistance is necessary
for blood glucose monitoring and insulin administration. Which type of healthcare facility is most
appropriate for the patient?
1. Acute care facility
2. Ambulatory care facility
3. Extended care facility
4. Assisted living facility
____ 13. The nurse in the intensive care unit is providing care for only one patient, who was admitted with a
diagnosis of septic shock. Based on this information, which care delivery model is this nurse
following?
1. Functional nursing
2. Primary nursing
3. Case method
4. Team nursing
____ 14. The nurse is providing care for a patient who needs acute care, which is being rejected by the
patient because of financial and family stressors. Which healthcare worker does the nurse consult
to counsel this patient?
1. Social worker
2. Occupational therapist
3. Physician’s assistant
4. Technologist
____ 15. Which type of managed care provides patients with the greatest choice of providers, medications,
and medical devices?
1. Health maintenance organization
2. Integrated delivery network
3. Preferred provider organization
4. Employment-based private insurance
____ 16. The registered nurse is discharging a patient to an assisted living facility. Which statement by the
nurse is most appropriate for the patient?
1. “Therapists will work with you daily to help you regain your functional abilities.”
2. “You will be provided with 24-hour nursing care for the next 6 weeks.”
3. “Assistance with meals and housekeeping tasks is available to you.”
4. “A nurse will come to your home and provide you with nursing care.”
____ 17. Which member of the healthcare team typically serves as the case manager?
1. Unlicensed assistive personnel (UAP)
2. Physician
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is working in a community health promotion clinic. Which is an example of an illness
prevention activity?
1. Encouraging the use of a food diary
2. Joining a cancer support group
3. Administering immunization for human papillomavirus (HPV)
4. Teaching a diabetic patient about his diet
____ 2. A practicing nurse is aware that continuing education courses may be required for license renewal.
Which organization can require nurses to obtain a specified number of continuing education
courses?
1. American Nurses Association
2. National League for Nursing
3. Sigma Theta Tau
4. State board of nursing
____ 3. An experienced nurse uses knowledge of patients’ medical conditions and intuition to identify
problems and fulfill the role of being a resource for other nurses on the unit. According to Benner,
which stage has this nurse achieved?
1. Novice
2. Advanced beginner
3. Competent
4. Expert
____ 4. Which statement best explains the importance of standards of practice in the nursing profession?
1. Standards of practice for nurses are the same as for other healthcare professionals.
2. Standards of practice are applied exclusively to nurses working in hospital settings.
3. Standards of practice identify the components nurses need to provide safe care.
4. Standards of practice differ among registered nurses, based on the population they
serve.
____ 5. The nursing instructor is considering becoming a member of the National League for Nursing
(NLN). Which primary goal of the NLN will strongly affect the nurse’s decision to become a
member?
1. Emphasizing the necessity for registered nurses to promote patient safety
2. Establishing and maintaining identified standards for nursing education
3. Supporting global health policies and improving health worldwide
4. Fostering nursing scholarship, leadership, and service to improve health
,____ 6. The nurse is providing care for a patient after a debilitating stroke. Which service of care will the
nurse recognize as the best choice for this patient?
1. Primary
2. Secondary
3. Tertiary
4. Preventive
____ 7. The nurse is providing care for an older adult patient in an acute care setting for various
age-related health issues. When planning for discharge, the patient states concern about being able
to adequately provide for health maintenance and some self-care needs. Which type of facility does
the nurse recognize as best for this patient?
1. Skilled nursing facility
2. Assisted living facility
3. Nursing home facility
4. Independent living facility
____ 8. The nurse understands that the most important reason for the development of a definition for the
profession of nursing is that it:
1. Will result in more informed people being recruited as nurses.
2. Is a means for evaluating the degree of role satisfaction in nurses.
3. Helps dispel the stereotypical images about nurses and nursing.
4. Differentiates the nursing role from those of other health professionals.
____ 9. Which activity provides evidence-based support for the contribution made by advanced practice
nurses (APNs) in healthcare?
1. Reduced use of diagnostics using advanced technology
2. Decreased number of unnecessary visits to the emergency department
3. Improved patient compliance with prescribed treatments
4. Increased use of complementary and alternative therapies
____ 10. The nurse is providing care for a pediatric patient in an acute care facility. The patient’s parents
express concern about the cost of the medical care. The parents state, “We have jobs, but we don’t
make a lot of money and have no insurance.” Which medical assistance program does the nurse
recognize as being most appropriate for this family?
1. Children’s Health Insurance Program (CHIP)
2. Medicare
3. Medicaid
4. Local charity
____ 11. A patient has started to have difficulty with bathing and grooming. Which therapist would assist
the patient in regaining these skills?
1. Physical therapist
2. Occupational therapist
3. Speech-language pathologist
, 4. Respiratory therapist
____ 12. An older adult patient is diagnosed with type 1 diabetes mellitus. The patient can perform self-care
activities but needs assistance with shopping and meal preparation. As well, assistance is necessary
for blood glucose monitoring and insulin administration. Which type of healthcare facility is most
appropriate for the patient?
1. Acute care facility
2. Ambulatory care facility
3. Extended care facility
4. Assisted living facility
____ 13. The nurse in the intensive care unit is providing care for only one patient, who was admitted with a
diagnosis of septic shock. Based on this information, which care delivery model is this nurse
following?
1. Functional nursing
2. Primary nursing
3. Case method
4. Team nursing
____ 14. The nurse is providing care for a patient who needs acute care, which is being rejected by the
patient because of financial and family stressors. Which healthcare worker does the nurse consult
to counsel this patient?
1. Social worker
2. Occupational therapist
3. Physician’s assistant
4. Technologist
____ 15. Which type of managed care provides patients with the greatest choice of providers, medications,
and medical devices?
1. Health maintenance organization
2. Integrated delivery network
3. Preferred provider organization
4. Employment-based private insurance
____ 16. The registered nurse is discharging a patient to an assisted living facility. Which statement by the
nurse is most appropriate for the patient?
1. “Therapists will work with you daily to help you regain your functional abilities.”
2. “You will be provided with 24-hour nursing care for the next 6 weeks.”
3. “Assistance with meals and housekeeping tasks is available to you.”
4. “A nurse will come to your home and provide you with nursing care.”
____ 17. Which member of the healthcare team typically serves as the case manager?
1. Unlicensed assistive personnel (UAP)
2. Physician
