, Chapter01: TheEvolutionofProfessionalNursing
Cherry&Jacob:Contemporary Nursing:Issues,Trends,andManagement,7th Edition
MULTIPLECHOICE
1. Clara Bartonisknown for:
a. becomingthefirstblack publichealthnurse.
b. establishingthe HenryStreet Settlement.
c. foundingthe American Red Cross.
d. publicizingtheinadequaciesofhospital-basednursingschools.
ANSWER>> C
TheAmerican Red Cross, foundedbyClara Bartonin1882, assistedineffortstocontinuepublic
healthnursing.
DIF: Knowledge REF: p. 11
2. Studentsareassignedtowritetotheirstateleadersaboutanissueaffectingtheircommunity. One
student writes about the need amongrural communityforgreater accessto acutecareservices.
Whichofthe followingpieces oflegislation shouldthestudentuse as a reference?
a. Social SecurityAct
b. Hill-BurtonAct
c. Sheppard-Towner Act
d. U.S. Civil Service Act
ANSWER>> B
Thepurposeofthe Hill-Burton Actwastoprovidefundingtoconstructhospitalsandtohelpstatesin
planforotherhealth care facilities inaccordance withtheneedsofcommunities.
DIF: Knowledge REF: p. 13
3. Thepracticeofpublichealthnursingandthe HenryStreet Settlement arecreditedto:
a. MaryBreckenridge.
b. MarySeacole.
c. Clara Barton.
d. LillianWald.
ANSWER>> D
Lillian Wald, apioneerinpublichealthnursing, isbestknownforthedevelopmentand
establishmentofthe Henry Street Settlement.
DIF: Knowledge REF: p. 6
4. Occupationalhealthnursingfeatures beliefs similartothoseofwhich earlynursingpioneer?
a. LillianWald
b. FlorenceNightingale
c. Clara Barton
d. MarySeacole
ANSWER>> A
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, Lillian Walddevelopedthefirstnursingserviceforoccupational health.
DIF: Comprehension REF: p. 10
5. Whathistorical event first ledtotherecognitionofthecontributionofblackstonursingl
a. Florence Nightingale‘s acceptanceofblacknurses intothefirstnursingschool
b. Thecontributionsofblacknurses at the Pennsylvania Hospital, thefirsthospitalin
America
c. MarySeacole‘s efforts to careforsoldiersduringthe Crimean War
d. Theworkdonebywivesofwealthyblacknobleswhocarriedfoodandmedicine
fromhousetohouseduringthe Middle Ages
ANSWER>> C
Although Nightingale‘s schoolrefused Seacole, shewasabletomakeadifferenceinthe Crimean
War and later wasrecognized forher efforts.
DIF: Comprehension REF: pp. 8-9
6. World War Icontributed totheadvancementofhealthcareby:
a. increasingthenumberofprivatecarehospitalsanddecreasingtheroleofpublic
healthservices.
b. employingalargenumberofcivilianstoprovidecaretoreturningsoldiersthroughthe
Red Cross.
c. introducingspecialistsinnursingsuchas nurse anesthetists.
d. increasingthenumberofcommunityhealth nurses.
ANSWER>> C
World War Ioffered nursesachancetoenterintonewfieldsofspecialization, as isseeninthe
exampleofnurse anesthetists, who becamepartofsurgicalteams at the front lines.
DIF: Comprehension REF: p. 11
7. Theprimary purposeofthe Social SecurityAct of1935 wasto:
a. increaseresearchthatfocusedonminoritygroups.
b. providemedical careforchemicallyimpairedpersons.
c. ensurehealthcareforolderadultsthroughanationalinsurancesystem.
d. decreasethepublic‘s financialburdenbylimitingservicesofferedbylocalhealth
departments.
ANSWER>> C
Byprovidinghealthinsurance forolder adults, the Social Security Act of1935 set theprecedent
forthepassageofthe Medicareand Medicaid Actsthatfollowedin 1965, buttheactalso provided
maternal and childwelfareservices, rehabilitationforthementallyand physicallychallenged,
medical care forblindindividualsand crippled children, andunemployment benefits.
DIF: Comprehension REF: p. 12
8. Aclientasksthenurse, —CanyouexplainMedicare, anamendmenttothe Social Security
Actll The nurseresponds that Medicare:
a. ledtomanyhospitalclosings, alongwithadecreaseinacutecarehospital—based
nursingcare.
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, b. providedmedicalinsurancetothose youngeradultsorchildrenwhowerenot
eligibleforprivateinsurancebecauseofcatastrophicillnessessuchas cancer.
c. providedpreventivecareforwomen, infants, and children.
d. ensuredthatindividualsages 65 andolderandthosewithend-stagerenaldiseaseor
permanent disabilities hadhealth careinsurance.
ANSWER>> D
The Medicare program provides hospital insurance, Part A, and medical insurance, Part B, to all
people ages 65 and older who are eligible to receive Social Security benefits; people with total,
permanent disabilities; andpeople withend-stage renaldisease.
DIF: Comprehension REF: p. 14
9. Acomparisonofnursinginthe 1980stonursingin the 1990srevealsthat:
a. inthe1990snursingexperiencedasignificantreductionoccurredinpreventable
diseases causedbyunsafe/unhealthylifestyles.
b. tuberculosiswastheprimaryconcernfornursinginthe1 980s, whereasthe AIDS
epidemic emerged andwasits focus duringthe 1990s.
c. adecreaseinambulatoryservicesinthe1980spromptedanincreaseinpublic
healthnursesinthe 1990s.
d. thedemandforadvancedpracticenursesincreasedinthe1 980sandthe 1990sasa
result ofthe economyand concern aboutthehealthofthenation.
ANSWER>> D
The numbers ofadvanced nurse practitioners increased as evidence oftheir cost-effectiveness as
providers ofprimaryand preventive health carebecameestablished.
DIF: Comprehension REF: pp. 16-17
10. Whichstatementaccuratelydescribesthehistoricalperspectiveofnursingpractice?
a. Nursinghas existedtomeet theneeds ofpopulations, individuals, and aggregates by
providingcarethatisdeterminedbytheneeds andbeliefsofsocietyindifferent
historical contexts.
b. Asmenbegantobecomeinterestedinnursing, itchangedintoarespected
professionbased onscientificfact rather thansuperstition.
c. Nursinghashistoricallyacceptedindividualsfromallsocialandethnic
backgrounds.
d. TheUnitedStateshasledthewaythroughouthistorytoadvancenursingand
health carebyprovidingthefirsthospital andmedical school.
ANSWER>> A
Nursinghasexistedsincebiblicaltimestoaddressneedsrangingfromcontagiousdiseasesin
earlytimes tohealth preventioninthepresenttime, withcarebasedon health needs andbeliefsof
the time.
DIF: Comprehension REF: p. 3 |pp. 18-19
11. Theuseofherbshasbecomeapopularalternativetoprescriptiondrugsintoday‘shealthcare
milieu. Duringwhichotherhistorical periodsdidhealthpractices focuson the useofherbs?
a. Prehistorictimesandthe Middle Ages
b. CivilWarperiodand World War I
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