Chapter 1: Evolution of Nursing
Cooper and Gosnell: Foundations of Nursing, 7th Edition
MULTIPLE CHOICE
1. What is a nursing program considered when 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: Knowledge REF: Page 13 OBJ: 5
TOP: Nursing programs KEY: Nursing Process Step: N/A
MSC: 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.
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 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.
DIF: Cognitive Level: Comprehension REF: Page 17 OBJ: 7
TOP: Health care systems KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
All items and derived items © 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved. 1
, 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 physician’s order sheet
c. An individualized care plan
d. The nurse’s notes
ANS: 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 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: Page 24 OBJ: 8| 9
TOP: Care plan KEY: Nursing Process Step: Planning MSC: 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.
ANS: 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 an
emphasis 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.
DIF: Cognitive Level: Comprehension REF: Page 23 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: Page 24 OBJ: 8
TOP: Communication KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
All items and derived items © 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved. 2
Cooper and Gosnell: Foundations of Nursing, 7th Edition
MULTIPLE CHOICE
1. What is a nursing program considered when 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: Knowledge REF: Page 13 OBJ: 5
TOP: Nursing programs KEY: Nursing Process Step: N/A
MSC: 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.
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 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.
DIF: Cognitive Level: Comprehension REF: Page 17 OBJ: 7
TOP: Health care systems KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
All items and derived items © 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved. 1
, 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 physician’s order sheet
c. An individualized care plan
d. The nurse’s notes
ANS: 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 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: Page 24 OBJ: 8| 9
TOP: Care plan KEY: Nursing Process Step: Planning MSC: 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.
ANS: 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 an
emphasis 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.
DIF: Cognitive Level: Comprehension REF: Page 23 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: Page 24 OBJ: 8
TOP: Communication KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
All items and derived items © 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved. 2
