Cooper
Chapter 1. The Evolution of Nursing
Cooper: Foundations and Adult Health Nursing, 10th
Edition
MULTIPLE CHOICE
1.What is a nursing program considered ẅhen certified by a state agency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: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.
DIF: Cognitive Level: Knoẅledge REF:p. 10 OBJ: 5
TOP:Nursing programs MSC:NCLEX: N/A
, KEY:Nursing Process Step: N/A
2.Which of the folloẅing 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.
ANS:D
The nurse must recognize that in the health care delivery system, the major goal is to achieve
optimal levels of health care. The health care system consists of a netẅork of agencies,
facilities, and providers involved ẅith 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.
DIF: Cognitive Level: Comprehension REF:p. 12 OBJ: 7
TOP:Health care systems MSC:NCLEX: N/A
,KEY:Nursing Process Step: N/A
3.What is required by the health care team to identify the needs of a patient and to design care to
meet those needs?
a.The Kardex
b.The health care provider’s order sheet
c.An individualized care plan
d.The nurse’s notes
ANS:C
An individualized care plan involves all health care ẅorkers and outlines care to meet the needs
of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes do
not identify the needs of the patient nor are they designed to assist all members of the health
care team to meet those needs.
DIF: Cognitive Level: Comprehension REF:p. 13 OBJ: 8 | 9
, TOP:Care plan KEY:Nursing Process Step: Planning MSC:NCLEX: N/A
4.Patient care emphasis on ẅellness, 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.
ANS:A
The acute aẅareness of preventive medicine has resulted in today’s emphasis on education
about issues such as smoking, heart disease, drug and alcohol abuse, ẅeight control, and
mental health and ẅellness promotion activities. This preventive education has resulted in an
emphasis on ẅellness, rather than illness. Improved insurance payments, decentralized care
centers, and increased numbers of health care givers did not influence an emphasis on
ẅellness.
DIF: Cognitive Level: Comprehension REF:p. 12 OBJ: 4 | 8
TOP:Wellness KEY:Nursing Process Step: N/A MSC:NCLEX: N/A
5.What is the most effective process to ensure that the care plan is meeting the needs of the
patient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: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 essential
components to ensure the care plan is meeting the needs of the patient.
DIF: Cognitive Level: Comprehension REF:p. 17 OBJ: 8
TOP:Communication MSC:NCLEX: N/A