FOR FOUNDATIONS AND ADULT HEALTH
NURSING 9TH EDITION BY COOPER Chapter 1: Evolution of Nursing
Cooper and Gosnell: Foundations and Adult Health Nursing, 9th 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.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 10
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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12
OBJ: 7 TOP: Health care systems KEY: Nursing Process Step: N/A
MSC: NCLEX: 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 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 13, 16
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OBJ: 8 | 9 TOP: Care plan KEY: Nursing Process Step: Planning 7. How may a newly licensed LPN/LVN practice?
MSC: NCLEX: N/A a. Independently in a hospital setting
b. With an experienced LPN/LVN
4. Patient care emphasis on wellness, rather than illness, begins as a result of: c. Under the supervision of a physician or RN
a. increased education concerning causes of illness. d. As a sole practitioner in a clinic setting
b. improved insurance payments.
c. decentralized care centers. ANS: C
d. increased number of health care givers. An LPN/LVN practices under the supervision of a physician, dentist, OD, or RN.
ANS: A PTS: 1 DIF: Cognitive Level: Knowledge REF: Pages 13, 19
The acute awareness of preventive medicine has resulted in today‘s emphasis on education OBJ: 11 TOP: Vocational nursing KEY: Nursing Process Step: N/A
about issues such as smoking, heart disease, drug and alcohol abuse, weight control, and MSC: NCLEX: N/A
mental health and wellness promotion activities. This preventive education has resulted in an
emphasis on wellness, rather than illness. Improved insurance payments, decentralized care 8. Whose influence on nursing practice in the 19th century was related to improvement of patient
centers, and increased numbers of health care givers did not influence an emphasis on environment as a method of health promotion?
wellness. a. Clara Barton
b. Linda Richards
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12 c. Dorothea Dix
OBJ: 4 | 8 TOP: Wellness KEY: Nursing Process Step: N/A d. Florence Nightingale
MSC: NCLEX: N/A
ANS: D
5. What is the most effective process to ensure that the care plan is meeting the needs of the The influence of Florence Nightingale was highly significant in the 19th century as she fought
patient? for sanitary conditions, fresh air, and general improvement in the patient environment. Clara
a. Documentation Barton developed the American Red Cross in 1881. Linda Richards is known as the first
b. Communication trained nurse in America, was responsible for the development of the first nursing and hospital
c. Evaluation records, and is credited with the development of our present-day documentation system.
d. Planning Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill
and superintendent of female nurses of the Union Army.
ANS: B
Communication is the primary essential component among the health care team to evaluate PTS: 1 DIF: Cognitive Level: Knowledge REF: Pages 2, 17 Table 1-2
and modify the care plan. Documentation, evaluation, and planning are not primary essential OBJ: 2 | 4 TOP: Nursing leaders KEY: Nursing Process Step: N/A
components to ensure the care plan is meeting the needs of the patient. MSC: NCLEX: N/A
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 16 9. What document identifies the roles and responsibilities of the LPN/LVN?
OBJ: 8 TOP: Communication KEY: Nursing Process Step: N/A a. NLN Accreditation Standards
MSC: NCLEX: N/A b. Nurse Practice Act
c. NAPNE Code
6. How does an interdisciplinary approach to patient treatment enhance care? d. American Nurses‘ Association Code
a. By improving efficiency of care
b. By reducing the number of caregivers ANS: B
c. By preventing the fragmentation of patient care The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the
d. By shortening hospital stay NAPNE Code, and the American Nurses‘ Association Code do not identify the roles and
responsibilities of the LPN/LVN.
ANS: C
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 13
does not improve the efficiency of care, reduce the number of caregivers, or shorten hospital OBJ: 11 TOP: Roles and Responsibilities KEY: Nursing Process Step: N/A
stay. MSC: NCLEX: N/A
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 16 10. What is a cost-effective delivery of care used by many hospitals that allows the LPN/LVN to
OBJ: 8 | 9 TOP: Interdisciplinary approach KEY: Nursing Process Step: N/A work with the RN to meet the needs of patients?
MSC: NCLEX: N/A a. Focused nursing
b. Team nursing
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c. Case management PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 14-15
d. Primary nursing OBJ: 8 TOP: Patient care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
ANS: C
Case management is a cost-effective method of care. Focused nursing, team nursing, and 14. What is the purpose of licensing laws for LPN/LVNs?
primary nursing are not cost-effective methods of delivering care that allow the LPN/LVN to a. To limit the number of LPN/LVNs.
work with the RN to meet patient needs. b. Prevention of malpractice
c. Protection of the public from unqualified people
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 14 d. To increase revenue for the state board of nursing
OBJ: 7 | 9 TOP: Patient care delivery systems KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A ANS: C
The purpose of licensing laws for LPN/LVNs is to protect the public from unqualified
11. What is the title of the American Hospital Association's 1972 document that outlines the practitioners. Licensing laws‘ purpose is not to limit the number of LPNs/LVNs, prevent
patient‘s expectations to be treated with dignity and compassion? malpractice, or increase revenue for the state board of nursing.
a. Code of Ethics
b. Patient‘s Bill of Rights PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 4-5
c. OBRA OBJ: 4 | 9 | 10 TOP: Licensure KEY: Nursing Process Step: N/A
d. Advance directives MSC: NCLEX: N/A
ANS: B 15. What premise is Maslow‘s hierarchy of needs based on?
Patient expectations are outlined by the Patient‘s Bill of Rights. Patient expectations are not a. All needs are equally important.
outlined in the Code of Ethics, OBRA, or advance directives. b. Basic needs must be met before the next level of needs can be met.
c. Self-actualization is a primary need.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 15 d. Individuals prioritize needs the same way.
OBJ: 4 | 8 TOP: Patient‘s rights KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A ANS: B
Maslow‘s hierarchy of needs is based on the premise that basic needs must be met first. It is
12. The relationships among nursing, patients, health, and the environment are the basis for: not based on all needs being equally important or that individuals prioritize needs the same
a. care plans. way. Self-actualization is not a primary need according to Maslow.
b. nursing models.
c. physician‘s orders. PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12
d. evaluation of patient care. OBJ: 8 TOP: Maslow‘s hierarchy of needs KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
ANS: B
Nursing models are theories based on the relationship between nursing, patients, health, and 16. What must the nurse realize when assessing physical and social environmental factors
environment. Care plans, physician‘s orders, and evaluation of patient care are not based on affecting health and illness?
the relationships among nursing, patients, health, and environment. a. They affect one another.
b. They cause illness.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 17 c. They cause patients to react similarly.
OBJ: 1 TOP: Nursing models KEY: Nursing Process Step: N/A
d. They can be separated.
MSC: NCLEX: N/A
ANS: A
13. What system reduces the number of employees but still provides quality care for patients? Physical and social factors affect each other, cannot be separated, and cause each patient to
a. Team nursing react in a unique manner. They do not necessarily cause illness or cause patients to react
b. Cross-training similarly, and they cannot be separated.
c. Use of critical pathways
d. Case management PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12
OBJ: 4 | 8 TOP: Environmental factors
ANS: B KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance
Cross-training reduces the number of employees but does not alter the quality of patient care.
Team nursing, use of critical pathways, and case management do not reduce the number of 17. What organization, established during World War II, provided nursing education and training?
employees while continuing to provide quality care for patients.
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a. Nightingale school Holistic health care encompasses the physical, emotional, social, and spiritual aspects of the
b. Cadet Nurse Corps patient.
c. Public health department
d. Frontier Nursing Service PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 13
OBJ: 8 TOP: Health care KEY: Nursing Process Step: N/A
ANS: B MSC: NCLEX: N/A
The Cadet Nurse Corps was established during World War II to provide nursing education and
training. The Nightingale school, public health department, and Frontier Nursing Service are 21. What official agency exists exclusively for LPN/LVN membership and promotes standards for
not organizations established during World War II to provide nursing education and training. the LPN/LVN?
a. NFLPN
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 5 b. ANA
OBJ: 1 | 4 TOP: Nursing education KEY: Nursing Process Step: N/A c. NLN
MSC: NCLEX: N/A d. NAPNES
18. What is a modern educational advancement program for the LPN/LVN to enter RN education? ANS: A
a. Repetition The NFLPN exists solely for the LPN/LVN. The other options have membership that includes
b. Exclusion RNs and the lay public.
c. Articulation
d. Coexistence PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 9
OBJ: 5 | 6 | 9 TOP: Nursing organizations KEY: Nursing Process Step: N/A
ANS: C MSC: NCLEX: N/A
Most states have some type of articulation program in which the LPN/LVN can achieve
advanced standing in an RN program without having to enroll in the entire curriculum. 22. What score does the graduate practical nurse require to be issued a license upon completion of
Repetition, exclusion, and coexistence do not refer to educational advancement. the computerized examination?
a. 70% or better
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 10 b. This is defined and set by each state
OBJ: 1 | 9 TOP: Nursing education KEY: Nursing Process Step: N/A c. Designated as "pass"
MSC: NCLEX: N/A d. Within the 75th percentile
19. Where did Florence Nightingale‘s original nursing education take place? ANS: C
a. Saint Thomas Currently graduates of an approved vocational school are eligible to take the licensing
b. Kings College Hospital examination and be awarded a license with a score of ―pass‖ that is recognized by all states.
c. Crimean Hospital
d. Kaiserswerth School PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 11
OBJ: 3 TOP: Licensure examination KEY: Nursing Process Step: N/A
ANS: D MSC: NCLEX: N/A
Florence Nightingale trained at Kaiserswerth School. Florence Nightingale‘s original training
was not at Saint Thomas, Kings College Hospital, or Crimean Hospital. 23. What document, published in 1965 by the ANA, clearly defined two levels of nursing
practice?
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 2 a. Licensing standards
OBJ: 2 TOP: Nursing programs KEY: Nursing Process Step: N/A b. Position paper
MSC: NCLEX: N/A c. Smith-Hughes Act
d. Nurse practice act
20. What system of comprehensive patient care considers the physical, emotional, and social
environment and spiritual needs of a person? ANS: B
a. Interdependent care The ANA's position paper of 1965 defined two levels of nursing: registered nurse and
b. Holistic health care technical nurse. Licensing standards, the Smith-Hughes Act, and the nurse practice act were
c. Illness prevention care not documents defining two levels of nursing practice published in 1965.
d. Health promotion care
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 11
ANS: B OBJ: 3 | 4 | 9 TOP: Position paper KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
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