Test Bank - Foundations and Adult Health Nursing, 10th Ed.
By Kim Cooper and Kelly Gosnell
All Chapters | Latest Edition | NCLEX-PN® Focused with Rationales
,Chapter 1: Evolution of Nursing
MULTIPLE CHOICE
1. What is a nursing program considered when certified by a state agency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
Answer: B
Approved means certified by a state agency for having met minimum standards; accredited means certified by
the NLN for having met more complex standards. Provisional and exemplified are not terms used in regard to
nursing program certification.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 10 OBJ: 5 TOP: Nursing programs KEY: Nursing
Process Step: N/AMSC: NCLEX: N/A
2. Which of the following must the nurse recognize regarding the health care delivery system?
a. It includes all states.
b. It affects the illness of patients.
c. Insurance companies are not involved.
d. The major goal is to achieve optimal levels of health care.
Answer: D
The nurse must recognize that in the health care delivery system, the major goal is to achieveoptimal levels of
health care. The health care system consists of a network of agencies, facilities, and providers involved with
health care in a specified geographic area. Insurance companies do have involvement in the health care system.
The illness of patients is not necessarily affected by the health care system.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12 OBJ: 7 TOP: Health care systems KEY:
Nursing Process Step: N/AMSC: NCLEX: N/A
3. What is required by the health care team to identify the needs of a patient and to design care tomeet
those needs?
a. The Kardex
b. The physician‘s order sheet
,c. An individualized care plan
d. The nurse‘s notes
Answer: C
An individualized care plan involves all health care workers and outlines care to meet the needs of the
individual patient. The Kardex, physician‘s order sheet, and nurse‘s notes do notidentify the needs of the patient
nor are they designed to assist all members of the health careteam to meet those needs.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 13, 16
OBJ: 8 | 9 TOP: Care plan KEY: Nursing Process Step: PlanningMSC: NCLEX: N/A
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
a. increased education concerning causes of illness.
b. improved insurance payments.
c. decentralized care centers.
d. increased number of health care givers.
Answer: A
The acute awareness of preventive medicine has resulted in today‘s emphasis on education about issues such as
smoking, heart disease, drug and alcohol abuse, weight control, and mental health and wellness promotion
activities.
This preventive education has resulted in anemphasis on wellness, rather than illness. Improved insurance
payments, decentralized care centers, and increased numbers of health care givers did not influence an emphasis
on wellness.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12OBJ: 4 | 8 TOP: Welln
5. How does an interdisciplinary approach to patient treatment enhance care?
a. By improving efficiency of care
b. By reducing the number of caregivers
c. By preventing the fragmentation of patient care
d. By shortening hospital stay
Answer: C
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approachdoes not improve
the efficiency of care, reduce the number of caregivers, or shorten hospitalstay.
, PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 16 OBJ: 8 | 9 TOP: Interdisciplinary approach
KEY: Nursing Process Step: N/AMSC: NCLEX: N/A
6. What is the most effective process to ensure that the care plan is meeting the needs of thepatient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
Answer: B
Communication is the primary essential component among the health care team to evaluate and modify the care
plan. Documentation, evaluation, and planning are not primary essentialcomponents to ensure the care plan is
meeting the needs of the patient.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 16
OBJ: 8 TOP: Communication KEY: Nursing
Process Step: N/AMSC: NCLEX: N/A
7. How may a newly licensed LPN/LVN practice?
a. Independently in a hospital setting
b. With an experienced LPN/LVN
c. Under the supervision of a physician or RN
d. As a sole practitioner in a clinic setting
Answer: C
An LPN/LVN practices under the supervision of a physician, dentist, OD, or RN.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Pages 13, 19 OBJ: 11 TOP: Vocational nursing KEY:
Nursing Process Step: N/AMSC: NCLEX: N/A
8. Whose influence on nursing practice in the 19th century was related to improvement of
patientenvironment as a method of health promotion?
a. Clara Barton
b. Linda Richards
By Kim Cooper and Kelly Gosnell
All Chapters | Latest Edition | NCLEX-PN® Focused with Rationales
,Chapter 1: Evolution of Nursing
MULTIPLE CHOICE
1. What is a nursing program considered when certified by a state agency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
Answer: B
Approved means certified by a state agency for having met minimum standards; accredited means certified by
the NLN for having met more complex standards. Provisional and exemplified are not terms used in regard to
nursing program certification.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 10 OBJ: 5 TOP: Nursing programs KEY: Nursing
Process Step: N/AMSC: NCLEX: N/A
2. Which of the following must the nurse recognize regarding the health care delivery system?
a. It includes all states.
b. It affects the illness of patients.
c. Insurance companies are not involved.
d. The major goal is to achieve optimal levels of health care.
Answer: D
The nurse must recognize that in the health care delivery system, the major goal is to achieveoptimal levels of
health care. The health care system consists of a network of agencies, facilities, and providers involved with
health care in a specified geographic area. Insurance companies do have involvement in the health care system.
The illness of patients is not necessarily affected by the health care system.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12 OBJ: 7 TOP: Health care systems KEY:
Nursing Process Step: N/AMSC: NCLEX: N/A
3. What is required by the health care team to identify the needs of a patient and to design care tomeet
those needs?
a. The Kardex
b. The physician‘s order sheet
,c. An individualized care plan
d. The nurse‘s notes
Answer: C
An individualized care plan involves all health care workers and outlines care to meet the needs of the
individual patient. The Kardex, physician‘s order sheet, and nurse‘s notes do notidentify the needs of the patient
nor are they designed to assist all members of the health careteam to meet those needs.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 13, 16
OBJ: 8 | 9 TOP: Care plan KEY: Nursing Process Step: PlanningMSC: NCLEX: N/A
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
a. increased education concerning causes of illness.
b. improved insurance payments.
c. decentralized care centers.
d. increased number of health care givers.
Answer: A
The acute awareness of preventive medicine has resulted in today‘s emphasis on education about issues such as
smoking, heart disease, drug and alcohol abuse, weight control, and mental health and wellness promotion
activities.
This preventive education has resulted in anemphasis on wellness, rather than illness. Improved insurance
payments, decentralized care centers, and increased numbers of health care givers did not influence an emphasis
on wellness.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12OBJ: 4 | 8 TOP: Welln
5. How does an interdisciplinary approach to patient treatment enhance care?
a. By improving efficiency of care
b. By reducing the number of caregivers
c. By preventing the fragmentation of patient care
d. By shortening hospital stay
Answer: C
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approachdoes not improve
the efficiency of care, reduce the number of caregivers, or shorten hospitalstay.
, PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 16 OBJ: 8 | 9 TOP: Interdisciplinary approach
KEY: Nursing Process Step: N/AMSC: NCLEX: N/A
6. What is the most effective process to ensure that the care plan is meeting the needs of thepatient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
Answer: B
Communication is the primary essential component among the health care team to evaluate and modify the care
plan. Documentation, evaluation, and planning are not primary essentialcomponents to ensure the care plan is
meeting the needs of the patient.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 16
OBJ: 8 TOP: Communication KEY: Nursing
Process Step: N/AMSC: NCLEX: N/A
7. How may a newly licensed LPN/LVN practice?
a. Independently in a hospital setting
b. With an experienced LPN/LVN
c. Under the supervision of a physician or RN
d. As a sole practitioner in a clinic setting
Answer: C
An LPN/LVN practices under the supervision of a physician, dentist, OD, or RN.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Pages 13, 19 OBJ: 11 TOP: Vocational nursing KEY:
Nursing Process Step: N/AMSC: NCLEX: N/A
8. Whose influence on nursing practice in the 19th century was related to improvement of
patientenvironment as a method of health promotion?
a. Clara Barton
b. Linda Richards
