TEST BANK Foundations and Adult Health Nursing 9/E Kim Cooper
L L L L L L L L L
Chapter 1. The Evolution of Nursing
L L L L L
Cooper: Foundations and Adult Health Nursing, 9th Edition
L L L L L L L
MULTIPLE CHOICE L
1. What is a nursing program considered when certified by a state agency?
L L L L L L L L L L L
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B L
Approved means certified by a state agency for having met minimum standards; accredited
L L L L L L L L L L L L
means certified by the NLN for having met more complex standards. Provisional and
L L L L L L L L L L L L L
exemplified are not terms used in regard to nursing program certification.
L L L L L L L L L L L
DIF: Cognitive Level: Knowledge L L REF: p. 10 OBJ: 5 L L L
TOP: Nursing programs
L L L KEY: Nursing Process Step: N/A
L L L L
MSC: NCLEX: N/A
L L L
2. Which of the following must the nurse recognize regarding the health care delivery system?
L L L L L L L L L L L L L
a. It includes all states.
L L L
b. It affects the illness of patients.
L L L L L
c. Insurance companies are not involved. L L L L
d. The major goal is to achieve optimal levels of health care.
L L L L L L L L L L
ANS: D L
The nurse must recognize that in the health care delivery system, the major goal is to achieve
L L L L L L L L L L L L L L L L
optimal levels of health care. The health care system consists of a network of agencies,
L L L L L L L L L L L L L L L
facilities, and providers involved with health care in a specified geographic area. Insurance
L L L L L L L L L L L L L
companies do have involvement in the health care system. The illness of patients is not
L L L L L L L L L L L L L L L
necessarily affected by the health care system.
L L L L L L L
DIF: Cognitive Level: Comprehension L L REF: p. 12 OBJ: 7 L L L
TOP: Health care systems
L L L L KEY: Nursing Process Step: N/A
L L L L
MSC: NCLEX: N/A
L L L
3. What is required by the health care team to identify the needs of a patient and to design care to
L L L L L L L L L L L L L L L L L L L
Lmeet those needs?
L L
a. The Kardex L
b. The health care provider’s order sheet
L L L L L
c. An individualized care plan
L L L
d. The nurse’s notes L L
ANS: C L
An individualized care plan involves all health care workers and outlines care to meet the
L L L L L L L L L L L L L L
needs of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s
L L L L L L L L L L L L L L
notes do not identify the needs of the patient nor are they designed to assist all members of the
L L L L L L L L L L L L L L L L L L L
health care team to meet those needs.
L L L L L L L
DIF: Cognitive Level: Comprehension L L REF: p. 13 L L L OBJ: L L 8 |9 L L
, TOP: Care plan L L KEY: Nursing Process Step: Planning L L L L MSC: NCLEX: N/A L L
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
L L L L L L L L L L L L
a. increased education concerning causes of illness. L L L L L
b. improved insurance payments. L L
c. decentralized care centers. L L
d. increased number of health care givers. L L L L L
ANS: A L
The acute awareness of preventive medicine has resulted in today’s emphasis on education
L L L L L L L L L L L L
about issues such as smoking, heart disease, drug and alcohol abuse, weight control, and
L L L L L L L L L L L L L L
mental health and wellness promotion activities. This preventive education has resulted in an
L L L L L L L L L L L L L
emphasis on wellness, rather than illness. Improved insurance payments, decentralized care
L L L L L L L L L L L
centers, and increased numbers of health care givers did not influence an emphasis on
L L L L L L L L L L L L L L
wellness.
L
DIF: Cognitive Level: Comprehension REF: p. 12 L L L L L OBJ: 4 | 8 L L L L
TOP: Wellness KEY: Nursing Process Step: N/A
L L L L L MSC: NCLEX: N/A L L
5. What is the most effective process to ensure that the care plan is meeting the needs of the
L L L L L L L L L L L L L L L L L
Lpatient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B L
Communication is the primary essential component among the health care team to evaluate
L L L L L L L L L L L L
and modify the care plan. Documentation, evaluation, and planning are not primary essential
L L L L L L L L L L L L L
components to ensure the care plan is meeting the needs of the patient.
L L L L L L L L L L L L L
DIF: Cognitive Level: Comprehension L L REF: p. 17 OBJ: 8 L L L
TOP: Communication
L L KEY: Nursing Process Step: N/A
L L L L
MSC: NCLEX: N/A
L L L
6. How does an interdisciplinary approach to patient treatment enhance care?
L L L L L L L L L
a. By improving efficiency of care
L L L L
b. By reducing the number of caregivers
L L L L L
c. By preventing the fragmentation of patient care
L L L L L L
d. By shortening hospital stay
L L L
ANS: C L
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
L L L L L L L L L
does not improve the efficiency of care, reduce the number of caregivers, or shorten hospital
L L L L L L L L L L L L L L L
stay.
L
DIF: Cognitive Level: Comprehension
L L L L L REF: p. 16 OBJ: 8 | 9 L L L L L
TOP: Interdisciplinary approach
L L L KEY: Nursing Process Step: N/A L L L L
MSC: NCLEX: N/A
L L L
7. How may a newly licensed LPN/LVN practice?
L L L L L L
a. Independently in a hospital setting L L L L
, b. With an experienced LPN/LVN
L L L
c. Under the supervision of a health care provider or RN
L L L L L L L L L
d. As a sole health care provider in a clinic setting
L L L L L L L L L
ANS: C L
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
L L L L L L L L L L L L L L
DIF: Cognitive Level: Knowledge L L REF: p. 11 OBJ: 11 L L L
TOP: Vocational nursing
L L L KEY: Nursing Process Step: N/A L L L L
MSC: NCLEX: N/A
L L L
8. Whose influence on nursing practice in the 19th century was related to improvement of patient
L L L L L L L L L L L L L L
Lenvironment as a method of health promotion? L L L L L L
a. Clara Barton L
b. Linda Richards L
c. Dorothea Dix L
d. Florence Nightingale L
ANS: D L
The influence of Florence Nightingale was highly significant in the 19th century as she fought
L L L L L L L L L L L L L L
for sanitary conditions, fresh air, and general improvement in the patient environment. Clara
L L L L L L L L L L L L L
Barton developed the American Red Cross in 1881. Linda Richards is known as the first
L L L L L L L L L L L L L L L
trained nurse in America, was responsible for the development of the first nursing and hospital
L L L L L L L L L L L L L L L
records, and is credited with the development of our present-day documentation system.
L L L L L L L L L L L L
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and
L L L L L L L L L L L L L L L L
superintendent of female nurses of the Union Army.
L L L L L L L L
DIF: Cognitive Level: Knowledge
L L L REF: p. 17 OBJ: 2 | 4 L L L L L
TOP: Nursing leaders
L L L KEY: Nursing Process Step: N/A L L L L
MSC: NCLEX: N/A
L L L
9. What document identifies the roles and responsibilities of the LPN/LVN?
L L L L L L L L L
a. NLN Accreditation Standards
L L
b. Nurse Practice Act L L
c. NAPNE Code L
d. American Nurses’ Association Code L L L
ANS: B L
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the
L L L L L L L L L L L
NAPNE Code, and the American Nurses’ Association Code do not identify the roles and
L L L L L L L L L L L L L L
responsibilities of the LPN/LVN.
L L L L
DIF: Cognitive Level: Knowledge L L REF: p. 12 | p. 14 OBJ: 11 L L L L L L
TOP: Roles and responsibilities
L L L L KEY: Nursing Process Step: N/A L L L L
MSC: NCLEX: N/A
L L L
10. What is a cost-effective delivery of care used by many hospitals that allows the LPN/LVN to
L L L L L L L L L L L L L L L
Lwork with the RN to meet the needs of patients?
L L L L L L L L L
a. Focused nursing L
b. Team nursing L
c. Case management L
d. Primary nursing L
, ANS: C L
Case management is a cost-effective method of care. Focused nursing, team nursing, and
L L L L L L L L L L L L
primary nursing are not cost-effective methods of delivering care that allow the LPN/LVN to
L L L L L L L L L L L L L L
work with the RN to meet patient needs.
L L L L L L L L
DIF: Cognitive Level: Comprehension
L L L L LREF: p. 15 OBJ: 7 | 9 L L L L L
TOP: Patient care delivery systems
L L L L L KEY: Nursing Process Step: N/A L L L L
MSC: NCLEX: N/A
L L L
11. What is the title of the American Hospital Association’s 1972 document that outlines the
L L L L L L L L L L L L L
Lpatient’s expectations to be treated with dignity and compassion?
L L L L L L L L
a. Code of Ethics L L
b. Patient’s Bill of Rights L L L
c. OBRA
d. Advance directives L
ANS: B L
Patient expectations are outlined by the Patient’s Bill of Rights. Patient expectations are not
L L L L L L L L L L L L L
outlined in the Code of Ethics, OBRA, or advance directives.
L L L L L L L L L L
DIF: Cognitive Level: Knowledge L L REF: p. 16 OBJ: 4 | 8
L L L L L
TOP: Patient’s rights
L L KEY: L Nursing Process Step: N/A L L L
MSC: NCLEX: N/A L L
12. The relationships among nursing, patients, health, and the environment are the basis for:
L L L L L L L L L L L L
a. care plans. L
b. nursing models. L
c. health care provider’s orders. L L L
d. evaluation of patient care. L L L
ANS: B L
Nursing models are theories based on the relationship between nursing, patients, health, and
L L L L L L L L L L L L
environment. Care plans, health care provider’s orders, and evaluation of patient care are not
L L L L L L L L L L L L L L
based on the relationships among nursing, patients, health, and environment.
L L L L L L L L L L
DIF: Cognitive Level: Comprehension L L REF: p. 17 OBJ: 1 L L L
TOP: Nursing models
L L L KEY: Nursing Process Step: N/A
L L L L
MSC: NCLEX: N/A
L L L
13. What system reduces the number of employees but still provides quality care for patients?
L L L L L L L L L L L L L
a. Team nursing L
b. Cross-training
c. Use of critical pathways
L L L
d. Case management L
ANS: B L
Cross-training reduces the number of employees but does not alter the quality of patient care.
L L L L L L L L L L L L L L
Team nursing, use of critical pathways, and case management do not reduce the number of
L L L L L L L L L L L L L L L
employees while continuing to provide quality care for patients.
L L L L L L L L L
DIF: Cognitive Level: Comprehension REF: p. 15 L L L L L OBJ: 8 L L
TOP: Patient care KEY: Nursing Process Step: N/A
L L L L L L MSC: NCLEX: N/A L L
L L L L L L L L L
Chapter 1. The Evolution of Nursing
L L L L L
Cooper: Foundations and Adult Health Nursing, 9th Edition
L L L L L L L
MULTIPLE CHOICE L
1. What is a nursing program considered when certified by a state agency?
L L L L L L L L L L L
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B L
Approved means certified by a state agency for having met minimum standards; accredited
L L L L L L L L L L L L
means certified by the NLN for having met more complex standards. Provisional and
L L L L L L L L L L L L L
exemplified are not terms used in regard to nursing program certification.
L L L L L L L L L L L
DIF: Cognitive Level: Knowledge L L REF: p. 10 OBJ: 5 L L L
TOP: Nursing programs
L L L KEY: Nursing Process Step: N/A
L L L L
MSC: NCLEX: N/A
L L L
2. Which of the following must the nurse recognize regarding the health care delivery system?
L L L L L L L L L L L L L
a. It includes all states.
L L L
b. It affects the illness of patients.
L L L L L
c. Insurance companies are not involved. L L L L
d. The major goal is to achieve optimal levels of health care.
L L L L L L L L L L
ANS: D L
The nurse must recognize that in the health care delivery system, the major goal is to achieve
L L L L L L L L L L L L L L L L
optimal levels of health care. The health care system consists of a network of agencies,
L L L L L L L L L L L L L L L
facilities, and providers involved with health care in a specified geographic area. Insurance
L L L L L L L L L L L L L
companies do have involvement in the health care system. The illness of patients is not
L L L L L L L L L L L L L L L
necessarily affected by the health care system.
L L L L L L L
DIF: Cognitive Level: Comprehension L L REF: p. 12 OBJ: 7 L L L
TOP: Health care systems
L L L L KEY: Nursing Process Step: N/A
L L L L
MSC: NCLEX: N/A
L L L
3. What is required by the health care team to identify the needs of a patient and to design care to
L L L L L L L L L L L L L L L L L L L
Lmeet those needs?
L L
a. The Kardex L
b. The health care provider’s order sheet
L L L L L
c. An individualized care plan
L L L
d. The nurse’s notes L L
ANS: C L
An individualized care plan involves all health care workers and outlines care to meet the
L L L L L L L L L L L L L L
needs of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s
L L L L L L L L L L L L L L
notes do not identify the needs of the patient nor are they designed to assist all members of the
L L L L L L L L L L L L L L L L L L L
health care team to meet those needs.
L L L L L L L
DIF: Cognitive Level: Comprehension L L REF: p. 13 L L L OBJ: L L 8 |9 L L
, TOP: Care plan L L KEY: Nursing Process Step: Planning L L L L MSC: NCLEX: N/A L L
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
L L L L L L L L L L L L
a. increased education concerning causes of illness. L L L L L
b. improved insurance payments. L L
c. decentralized care centers. L L
d. increased number of health care givers. L L L L L
ANS: A L
The acute awareness of preventive medicine has resulted in today’s emphasis on education
L L L L L L L L L L L L
about issues such as smoking, heart disease, drug and alcohol abuse, weight control, and
L L L L L L L L L L L L L L
mental health and wellness promotion activities. This preventive education has resulted in an
L L L L L L L L L L L L L
emphasis on wellness, rather than illness. Improved insurance payments, decentralized care
L L L L L L L L L L L
centers, and increased numbers of health care givers did not influence an emphasis on
L L L L L L L L L L L L L L
wellness.
L
DIF: Cognitive Level: Comprehension REF: p. 12 L L L L L OBJ: 4 | 8 L L L L
TOP: Wellness KEY: Nursing Process Step: N/A
L L L L L MSC: NCLEX: N/A L L
5. What is the most effective process to ensure that the care plan is meeting the needs of the
L L L L L L L L L L L L L L L L L
Lpatient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B L
Communication is the primary essential component among the health care team to evaluate
L L L L L L L L L L L L
and modify the care plan. Documentation, evaluation, and planning are not primary essential
L L L L L L L L L L L L L
components to ensure the care plan is meeting the needs of the patient.
L L L L L L L L L L L L L
DIF: Cognitive Level: Comprehension L L REF: p. 17 OBJ: 8 L L L
TOP: Communication
L L KEY: Nursing Process Step: N/A
L L L L
MSC: NCLEX: N/A
L L L
6. How does an interdisciplinary approach to patient treatment enhance care?
L L L L L L L L L
a. By improving efficiency of care
L L L L
b. By reducing the number of caregivers
L L L L L
c. By preventing the fragmentation of patient care
L L L L L L
d. By shortening hospital stay
L L L
ANS: C L
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
L L L L L L L L L
does not improve the efficiency of care, reduce the number of caregivers, or shorten hospital
L L L L L L L L L L L L L L L
stay.
L
DIF: Cognitive Level: Comprehension
L L L L L REF: p. 16 OBJ: 8 | 9 L L L L L
TOP: Interdisciplinary approach
L L L KEY: Nursing Process Step: N/A L L L L
MSC: NCLEX: N/A
L L L
7. How may a newly licensed LPN/LVN practice?
L L L L L L
a. Independently in a hospital setting L L L L
, b. With an experienced LPN/LVN
L L L
c. Under the supervision of a health care provider or RN
L L L L L L L L L
d. As a sole health care provider in a clinic setting
L L L L L L L L L
ANS: C L
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
L L L L L L L L L L L L L L
DIF: Cognitive Level: Knowledge L L REF: p. 11 OBJ: 11 L L L
TOP: Vocational nursing
L L L KEY: Nursing Process Step: N/A L L L L
MSC: NCLEX: N/A
L L L
8. Whose influence on nursing practice in the 19th century was related to improvement of patient
L L L L L L L L L L L L L L
Lenvironment as a method of health promotion? L L L L L L
a. Clara Barton L
b. Linda Richards L
c. Dorothea Dix L
d. Florence Nightingale L
ANS: D L
The influence of Florence Nightingale was highly significant in the 19th century as she fought
L L L L L L L L L L L L L L
for sanitary conditions, fresh air, and general improvement in the patient environment. Clara
L L L L L L L L L L L L L
Barton developed the American Red Cross in 1881. Linda Richards is known as the first
L L L L L L L L L L L L L L L
trained nurse in America, was responsible for the development of the first nursing and hospital
L L L L L L L L L L L L L L L
records, and is credited with the development of our present-day documentation system.
L L L L L L L L L L L L
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and
L L L L L L L L L L L L L L L L
superintendent of female nurses of the Union Army.
L L L L L L L L
DIF: Cognitive Level: Knowledge
L L L REF: p. 17 OBJ: 2 | 4 L L L L L
TOP: Nursing leaders
L L L KEY: Nursing Process Step: N/A L L L L
MSC: NCLEX: N/A
L L L
9. What document identifies the roles and responsibilities of the LPN/LVN?
L L L L L L L L L
a. NLN Accreditation Standards
L L
b. Nurse Practice Act L L
c. NAPNE Code L
d. American Nurses’ Association Code L L L
ANS: B L
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the
L L L L L L L L L L L
NAPNE Code, and the American Nurses’ Association Code do not identify the roles and
L L L L L L L L L L L L L L
responsibilities of the LPN/LVN.
L L L L
DIF: Cognitive Level: Knowledge L L REF: p. 12 | p. 14 OBJ: 11 L L L L L L
TOP: Roles and responsibilities
L L L L KEY: Nursing Process Step: N/A L L L L
MSC: NCLEX: N/A
L L L
10. What is a cost-effective delivery of care used by many hospitals that allows the LPN/LVN to
L L L L L L L L L L L L L L L
Lwork with the RN to meet the needs of patients?
L L L L L L L L L
a. Focused nursing L
b. Team nursing L
c. Case management L
d. Primary nursing L
, ANS: C L
Case management is a cost-effective method of care. Focused nursing, team nursing, and
L L L L L L L L L L L L
primary nursing are not cost-effective methods of delivering care that allow the LPN/LVN to
L L L L L L L L L L L L L L
work with the RN to meet patient needs.
L L L L L L L L
DIF: Cognitive Level: Comprehension
L L L L LREF: p. 15 OBJ: 7 | 9 L L L L L
TOP: Patient care delivery systems
L L L L L KEY: Nursing Process Step: N/A L L L L
MSC: NCLEX: N/A
L L L
11. What is the title of the American Hospital Association’s 1972 document that outlines the
L L L L L L L L L L L L L
Lpatient’s expectations to be treated with dignity and compassion?
L L L L L L L L
a. Code of Ethics L L
b. Patient’s Bill of Rights L L L
c. OBRA
d. Advance directives L
ANS: B L
Patient expectations are outlined by the Patient’s Bill of Rights. Patient expectations are not
L L L L L L L L L L L L L
outlined in the Code of Ethics, OBRA, or advance directives.
L L L L L L L L L L
DIF: Cognitive Level: Knowledge L L REF: p. 16 OBJ: 4 | 8
L L L L L
TOP: Patient’s rights
L L KEY: L Nursing Process Step: N/A L L L
MSC: NCLEX: N/A L L
12. The relationships among nursing, patients, health, and the environment are the basis for:
L L L L L L L L L L L L
a. care plans. L
b. nursing models. L
c. health care provider’s orders. L L L
d. evaluation of patient care. L L L
ANS: B L
Nursing models are theories based on the relationship between nursing, patients, health, and
L L L L L L L L L L L L
environment. Care plans, health care provider’s orders, and evaluation of patient care are not
L L L L L L L L L L L L L L
based on the relationships among nursing, patients, health, and environment.
L L L L L L L L L L
DIF: Cognitive Level: Comprehension L L REF: p. 17 OBJ: 1 L L L
TOP: Nursing models
L L L KEY: Nursing Process Step: N/A
L L L L
MSC: NCLEX: N/A
L L L
13. What system reduces the number of employees but still provides quality care for patients?
L L L L L L L L L L L L L
a. Team nursing L
b. Cross-training
c. Use of critical pathways
L L L
d. Case management L
ANS: B L
Cross-training reduces the number of employees but does not alter the quality of patient care.
L L L L L L L L L L L L L L
Team nursing, use of critical pathways, and case management do not reduce the number of
L L L L L L L L L L L L L L L
employees while continuing to provide quality care for patients.
L L L L L L L L L
DIF: Cognitive Level: Comprehension REF: p. 15 L L L L L OBJ: 8 L L
TOP: Patient care KEY: Nursing Process Step: N/A
L L L L L L MSC: NCLEX: N/A L L
