,Chapter 01: The Evolution of Nursing Cooper
b# b# b# b# b# jv
: Foundation of Nursing, 10th Edition
b# b# b# b# b#
MULTIPLE CHOICE b#
1. What is a nursing program considered when certified by a stateagency?
jv b# b# jv b# jv b# b# b# b#
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: b # B
Approved means certified by a state agency for having met minimum standards; accredited mea
b# b# b# b# b# b# b# b# b# b# b# b# b#
n s certified by the NLN for having met more complex standards. Provisional and exemplified
b# b# jv b# b# b# b# b# b# b# b# b# b# b# b#
are not terms used in regard to nursing program certification.
b# b# b# jv b# b# jv b# b#
DIF: Cognitive Level: Knowledge b# b#
REF: p. 1 b # b#
0 OBJ: 5 TOP: Nursing programs
b# b# b# b # b#
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
b# jv b# b# b# b#
2. Which of the following must the nurse recognize regarding the health care deliverysystem?
jv b# b# b# b# b# b# b# b# b# b# b#
a. It includes all states.
jv jv b#
b. It affects the illness of patients.
b# b# b# b# b#
c. Insurance companies are not involved. b# b# b# b#
d. The major goal is to achieve optimal levels of healthcare.
b# b# b# b# b# b# b# b# b#
ANS: D b#
The nurse must recognize that in the health care delivery system, the major goal is to achieve op
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
ti mal levels of health care. The health care system consists of a network of agencies, facilities
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
, an d providers involved with health care in a specified geographic area. Insurance companies
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
do ha ve involvement in the health care system. The illness of patients is not necessarily affecte
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
d by th e health care system.
b# b# b# b# b# b#
DIF: Cognitive Level: Comprehension b# b#
REF: p. 12 OBJ: 7 TOP: b # b# b# b# b#
Healthcare systems b#
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
b# b# b# b# b# b#
3. What is required bythe health careteam to identify the needs of a patient and to design careto me
jv b# b# b# b# b# b# b# b# b# b# jv b# b# b# b# b# b
#et those needs?
b# b#
a. The Kardex b#
b. The health care provider’s ordersheet b# jv b# b#
c. An individualized careplan b# b#
d. The nurse’snotes b#
ANS: C b#
An individualized care plan involves all health care workers and outlines care to meet the need
b# b# b# jv b# b# b# b# b# jv b# b# b# b# b#
s of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes do
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
no t identify the needs of the patient nor are they designed to assist all members of the health car
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
e tea m to meet those needs.
b# b# b# b# b# b#
DIF: Cognitive Level: Comprehension b# b# REF: b #b # p. 13 b# OBJ: 8 | 9 b# b# b#
, TOP: Care plan b# KEY: b # Nursing Process Step: Planning b# b# b# MSC: NCLEX: N/A b# b#
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
b# b# b# b# b# b# b# b# b# b# b# jv
a. increased education concerning causes ofillness. jv b# jv b#
b. improved insurance payments. jv b#
c. decentralized care centers. b# b#
d. increased number of health caregivers. b# b# b# b#
ANS: A b#
The acute awareness of preventive medicine has resulted in today’s emphasis on education abo
b# b# b# b# b# b# b# b# b# b# b# b# b#
u t issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental he
b# b# b# b# b# b# jv b# b# jv b# b# b# b# b# b#
alt h and wellness promotion activities. This preventive education has resulted in an emphasis o
b# jv b# b# b# b# jv b# b# b# b# jv b# b#
n we llness, rather than illness. Improved insurance payments, decentralized care centers, and i
b# b# b# b# b# b# b# b# b# b# b# b# jv
ncreas ed numbers of health care givers did not influence an emphasis on wellness.
b# b# b# b# b# b# b# jv b# b# b# b# b#
DIF: b # b # Cognitive Level: Comprehension REF: p. 12 b# b# b # b # b # b#b# b# OBJ: 4 | 8 b# b# b#
TOP: Wellness KEY: Nursing Process Step: N/A b # b# b# b# MSC: NCLEX: N/A b# b#
5. What is the most effective process to ensurethat thecare plan is meeting the needs of the pat
jv b# jv jv b# b# b# b# b# b# jv b# b# b# b# b# b
#ient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B b#
Communication is the primary essential component among the health care team to evaluate an
b# b# b# b# b# b# b# b# b# b# jv b# b#
d modify the care plan. Documentation, evaluation, and planning are not primary essential com
b# b# b# b# b# b# b# b# b# b# jv b# b#
pon ents to ensure the care plan is meeting the needs of the patient.
b# b# b# b# b# b# b# b# b# b# b# b# b#
DIF: Cognitive Level: Comprehension b# b#
REF: p. 1 b # b#
7 OBJ: 8 TOP: Communication
b# b# b# b #
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
b# jv b# b# b# b#
6. How does an interdisciplinary approach to patient treatment enhance care?
b# b# jv b# b# b# b# b# jv
a. By improving efficiency ofcare
b# b# b#
b. By reducing the number of caregivers
b# b# b# b# b#
c. By preventing the fragmentation of patient care
b# b# b# jv b# jv
d. By shortening hospitalstay b# b#
ANS: C b#
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
b# b# b# b# jv b# b# b# b# b#
d oes not improve the efficiency of care, reduce the number of caregivers, or shorten hospital
b# jv b# b# b# b# b# b# b# b# b# b# b# b# jv b#
sta y. b#
DIF: Cognitive Level: Comprehension REF: p. 16
b # b# b# b # b# b#
OBJ: 8 | 9 TOP: Interdisciplinary b# b# b# b# b #
approach
KEY: Nursing Process Step: N/A b# b# b# b#
MSC: NCLEX: N/A b# b#
7. How maya newlylicensed LPN/LVN practice?
b# b# b# b#
a. Independently in a hospital setting b# b# b# b#
, b. With an experienced LPN/LVN b# b# b#
c. Under the supervision of a health care provider or RN
b# b# b# b# jv b# b# b# b#
d. As a sole health care provider in a clinic setting
b# jv b# jv jv b# b# b# jv
ANS: C b#
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
b# b# b# b# b# b# b# b# b# b# b# b# b# b#
DIF: Cognitive Level: Knowledge b# b#
REF: p. 1 b # b#
1 OBJ: 11 TOP: Vocational nursing
b# b# b# b # b#
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
b# jv b# b# b# b#
8. Whose influence on nursing practice in the 19th centurywas related to improvement of patient e
jv jv b# b# b# b# b# b# b# b# b# b# b# b#
n vironment as a method of health promotion?
b# b# b# b# jv b# b#
a. Clara Barton b#
b. Linda Richards b#
c. Dorothea Dix b#
d. Florence Nightingale b#
ANS: D b#
The influence of Florence Nightingale was highly significant in the 19th century as she fought
b# b# b# b# b# b# b# b# b# b# jv b# b# b# b#
f or sanitary conditions, fresh air, and general improvement in the patient environment. Clara
b# b# b# b# b# b# b# b# b# b# b# b# b# b#
Bar ton developed the American Red Cross in 1881. Linda Richards is known as the first traine
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
d nur se in America, was responsible for the development of the first nursing and hospital recor
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
ds, and is credited with the development of our present-day documentation system.
b# jvb # b# b# b# b# b# b# b# b# b#
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and
b# b# b# b# b# b# b# jv b# b# b# b# b# b# b# b# b
s uperintendent of female nurses of the Union Army.
# b# jv b# b# b# b# b# b#
DIF: Cognitive Level: Knowledge
b # b# b# REF: p. 17 b # b#
OBJ: 2 | 4 TOP: Nursing leader
b# b# b# b# b # b#
s KEY: Nursing Process Step: N/
b# b# b# b# b#
A
MSC: NCLEX: N/A b# b#
9. What document identifies the roles and responsibilities of theLPN/LVN?
jv b# b# b# b# b# b# b#
a. NLN AccreditationStandards b#
b. Nurse PracticeAct b#
c. NAPNE Code b#
d. American Nurses’ AssociationCode b# b#
ANS: B b#
TheLPN/LVN functions under the Nurse Practice Act. NLNAccreditation Standards, the
b# jv b# b# b# b# b# jv jv b#
N APNE Code, and the American Nurses’ Association Code do not identify the roles and
b# b# b# b# b# b# b# b# b# b# b# b# b# b# j
res ponsibilities of the LPN/LVN.
v b# b# b# b#
DIF: Cognitive Level: Knowledge REF: b# b#
p. 12 |p. 14 OBJ: 11 TOP: b# b# b# b# b# b#
Rolesand responsibilities b#
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
b# jv b# b# b# b#
10. What is acost- jv b#
effective deliveryof care used bymanyhospitals that allows the LPN/LVN to work with the R
b# b# jv b# jv b# b# b# b# b# b# b# b# b#
N to meet the needs of patients?
b# b# b# b# b# b#
a. Focused nursing b#
b. Teamnursing
c. Case management b#
b# b# b# b# b# jv
: Foundation of Nursing, 10th Edition
b# b# b# b# b#
MULTIPLE CHOICE b#
1. What is a nursing program considered when certified by a stateagency?
jv b# b# jv b# jv b# b# b# b#
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: b # B
Approved means certified by a state agency for having met minimum standards; accredited mea
b# b# b# b# b# b# b# b# b# b# b# b# b#
n s certified by the NLN for having met more complex standards. Provisional and exemplified
b# b# jv b# b# b# b# b# b# b# b# b# b# b# b#
are not terms used in regard to nursing program certification.
b# b# b# jv b# b# jv b# b#
DIF: Cognitive Level: Knowledge b# b#
REF: p. 1 b # b#
0 OBJ: 5 TOP: Nursing programs
b# b# b# b # b#
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
b# jv b# b# b# b#
2. Which of the following must the nurse recognize regarding the health care deliverysystem?
jv b# b# b# b# b# b# b# b# b# b# b#
a. It includes all states.
jv jv b#
b. It affects the illness of patients.
b# b# b# b# b#
c. Insurance companies are not involved. b# b# b# b#
d. The major goal is to achieve optimal levels of healthcare.
b# b# b# b# b# b# b# b# b#
ANS: D b#
The nurse must recognize that in the health care delivery system, the major goal is to achieve op
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
ti mal levels of health care. The health care system consists of a network of agencies, facilities
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
, an d providers involved with health care in a specified geographic area. Insurance companies
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
do ha ve involvement in the health care system. The illness of patients is not necessarily affecte
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
d by th e health care system.
b# b# b# b# b# b#
DIF: Cognitive Level: Comprehension b# b#
REF: p. 12 OBJ: 7 TOP: b # b# b# b# b#
Healthcare systems b#
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
b# b# b# b# b# b#
3. What is required bythe health careteam to identify the needs of a patient and to design careto me
jv b# b# b# b# b# b# b# b# b# b# jv b# b# b# b# b# b
#et those needs?
b# b#
a. The Kardex b#
b. The health care provider’s ordersheet b# jv b# b#
c. An individualized careplan b# b#
d. The nurse’snotes b#
ANS: C b#
An individualized care plan involves all health care workers and outlines care to meet the need
b# b# b# jv b# b# b# b# b# jv b# b# b# b# b#
s of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes do
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
no t identify the needs of the patient nor are they designed to assist all members of the health car
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
e tea m to meet those needs.
b# b# b# b# b# b#
DIF: Cognitive Level: Comprehension b# b# REF: b #b # p. 13 b# OBJ: 8 | 9 b# b# b#
, TOP: Care plan b# KEY: b # Nursing Process Step: Planning b# b# b# MSC: NCLEX: N/A b# b#
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
b# b# b# b# b# b# b# b# b# b# b# jv
a. increased education concerning causes ofillness. jv b# jv b#
b. improved insurance payments. jv b#
c. decentralized care centers. b# b#
d. increased number of health caregivers. b# b# b# b#
ANS: A b#
The acute awareness of preventive medicine has resulted in today’s emphasis on education abo
b# b# b# b# b# b# b# b# b# b# b# b# b#
u t issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental he
b# b# b# b# b# b# jv b# b# jv b# b# b# b# b# b#
alt h and wellness promotion activities. This preventive education has resulted in an emphasis o
b# jv b# b# b# b# jv b# b# b# b# jv b# b#
n we llness, rather than illness. Improved insurance payments, decentralized care centers, and i
b# b# b# b# b# b# b# b# b# b# b# b# jv
ncreas ed numbers of health care givers did not influence an emphasis on wellness.
b# b# b# b# b# b# b# jv b# b# b# b# b#
DIF: b # b # Cognitive Level: Comprehension REF: p. 12 b# b# b # b # b # b#b# b# OBJ: 4 | 8 b# b# b#
TOP: Wellness KEY: Nursing Process Step: N/A b # b# b# b# MSC: NCLEX: N/A b# b#
5. What is the most effective process to ensurethat thecare plan is meeting the needs of the pat
jv b# jv jv b# b# b# b# b# b# jv b# b# b# b# b# b
#ient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B b#
Communication is the primary essential component among the health care team to evaluate an
b# b# b# b# b# b# b# b# b# b# jv b# b#
d modify the care plan. Documentation, evaluation, and planning are not primary essential com
b# b# b# b# b# b# b# b# b# b# jv b# b#
pon ents to ensure the care plan is meeting the needs of the patient.
b# b# b# b# b# b# b# b# b# b# b# b# b#
DIF: Cognitive Level: Comprehension b# b#
REF: p. 1 b # b#
7 OBJ: 8 TOP: Communication
b# b# b# b #
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
b# jv b# b# b# b#
6. How does an interdisciplinary approach to patient treatment enhance care?
b# b# jv b# b# b# b# b# jv
a. By improving efficiency ofcare
b# b# b#
b. By reducing the number of caregivers
b# b# b# b# b#
c. By preventing the fragmentation of patient care
b# b# b# jv b# jv
d. By shortening hospitalstay b# b#
ANS: C b#
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
b# b# b# b# jv b# b# b# b# b#
d oes not improve the efficiency of care, reduce the number of caregivers, or shorten hospital
b# jv b# b# b# b# b# b# b# b# b# b# b# b# jv b#
sta y. b#
DIF: Cognitive Level: Comprehension REF: p. 16
b # b# b# b # b# b#
OBJ: 8 | 9 TOP: Interdisciplinary b# b# b# b# b #
approach
KEY: Nursing Process Step: N/A b# b# b# b#
MSC: NCLEX: N/A b# b#
7. How maya newlylicensed LPN/LVN practice?
b# b# b# b#
a. Independently in a hospital setting b# b# b# b#
, b. With an experienced LPN/LVN b# b# b#
c. Under the supervision of a health care provider or RN
b# b# b# b# jv b# b# b# b#
d. As a sole health care provider in a clinic setting
b# jv b# jv jv b# b# b# jv
ANS: C b#
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
b# b# b# b# b# b# b# b# b# b# b# b# b# b#
DIF: Cognitive Level: Knowledge b# b#
REF: p. 1 b # b#
1 OBJ: 11 TOP: Vocational nursing
b# b# b# b # b#
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
b# jv b# b# b# b#
8. Whose influence on nursing practice in the 19th centurywas related to improvement of patient e
jv jv b# b# b# b# b# b# b# b# b# b# b# b#
n vironment as a method of health promotion?
b# b# b# b# jv b# b#
a. Clara Barton b#
b. Linda Richards b#
c. Dorothea Dix b#
d. Florence Nightingale b#
ANS: D b#
The influence of Florence Nightingale was highly significant in the 19th century as she fought
b# b# b# b# b# b# b# b# b# b# jv b# b# b# b#
f or sanitary conditions, fresh air, and general improvement in the patient environment. Clara
b# b# b# b# b# b# b# b# b# b# b# b# b# b#
Bar ton developed the American Red Cross in 1881. Linda Richards is known as the first traine
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
d nur se in America, was responsible for the development of the first nursing and hospital recor
b# b# b# b# b# b# b# b# b# b# b# b# b# b# b# b#
ds, and is credited with the development of our present-day documentation system.
b# jvb # b# b# b# b# b# b# b# b# b#
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and
b# b# b# b# b# b# b# jv b# b# b# b# b# b# b# b# b
s uperintendent of female nurses of the Union Army.
# b# jv b# b# b# b# b# b#
DIF: Cognitive Level: Knowledge
b # b# b# REF: p. 17 b # b#
OBJ: 2 | 4 TOP: Nursing leader
b# b# b# b# b # b#
s KEY: Nursing Process Step: N/
b# b# b# b# b#
A
MSC: NCLEX: N/A b# b#
9. What document identifies the roles and responsibilities of theLPN/LVN?
jv b# b# b# b# b# b# b#
a. NLN AccreditationStandards b#
b. Nurse PracticeAct b#
c. NAPNE Code b#
d. American Nurses’ AssociationCode b# b#
ANS: B b#
TheLPN/LVN functions under the Nurse Practice Act. NLNAccreditation Standards, the
b# jv b# b# b# b# b# jv jv b#
N APNE Code, and the American Nurses’ Association Code do not identify the roles and
b# b# b# b# b# b# b# b# b# b# b# b# b# b# j
res ponsibilities of the LPN/LVN.
v b# b# b# b#
DIF: Cognitive Level: Knowledge REF: b# b#
p. 12 |p. 14 OBJ: 11 TOP: b# b# b# b# b# b#
Rolesand responsibilities b#
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
b# jv b# b# b# b#
10. What is acost- jv b#
effective deliveryof care used bymanyhospitals that allows the LPN/LVN to work with the R
b# b# jv b# jv b# b# b# b# b# b# b# b# b#
N to meet the needs of patients?
b# b# b# b# b# b#
a. Focused nursing b#
b. Teamnursing
c. Case management b#
