q q q q q q q q q
Chapter q1. qThe qEvolution qof qNursing
Cooper: qFoundations qand qAdult qHealth qNursing, q9th qEdition
MULTIPLE qCHOICE
1. What qis qa qnursing qprogram qconsidered qwhen qcertified qby qa qstate qagency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: q B
Approved qmeans qcertified qby qa qstate qagency qfor qhaving qmet qminimum qstandards; qaccredited
qmeans qcertified qby qthe qNLN qfor qhaving qmet qmore qcomplex qstandards. qProvisional qand
qexemplified qare qnot qterms qused qin qregard qto qnursing qprogram qcertification.
DIF: Cognitive qLevel: qKnowledge REF: q p. q10 OBJ: q 5
qTOP: q Nursing qprograms KEY: q Nursing qProcess qStep:
qN/A qMSC: q NCLEX: qN/A
2. Which qof qthe qfollowing qmust qthe qnurse qrecognize qregarding qthe qhealth qcare qdelivery qsystem?
a. It qincludes qall qstates.
b. It qaffects qthe qillness qof qpatients.
c. Insurance qcompanies qare qnot qinvolved.
d. The qmajor qgoal qis qto qachieve qoptimal qlevels qof qhealth qcare.
ANS: q D
The qnurse qmust qrecognize qthat qin qthe qhealth qcare qdelivery qsystem, qthe qmajor qgoal qis qto
qachieve qoptimal qlevels qof qhealth qcare. qThe qhealth qcare qsystem qconsists qof qa qnetwork qof
qagencies, qfacilities, qand qproviders qinvolved qwith qhealth qcare qin qa qspecified qgeographic
qarea. qInsurance qcompanies qdo qhave qinvolvement qin qthe qhealth qcare qsystem. qThe qillness qof
qpatients qis qnot qnecessarily qaffected qby qthe qhealth qcare qsystem.
DIF: Cognitive qLevel: qComprehension REF: q p. q12 OBJ: q 7
qTOP: q Health qcare qsystems KEY: q Nursing qProcess qStep:
qN/A qMSC: q NCLEX: qN/A
3. What qis qrequired qby qthe qhealth qcare qteam qto qidentify qthe qneeds qof qa qpatient qand qto qdesign
care qto qmeet qthose qneeds?
q
a. The qKardex
b. The qhealth qcare qprovider’s qorder qsheet
c. An qindividualized qcare qplan
d. The qnurse’s qnotes
ANS: q C
An qindividualized qcare qplan qinvolves qall qhealth qcare qworkers qand qoutlines qcare qto qmeet qthe
qneeds qof qthe qindividual qpatient. qThe qKardex, qhealth qcare qprovider’s qorder qsheet, qand
qnurse’s qnotes qdo qnot qidentify qthe qneeds qof qthe qpatient qnor qare qthey qdesigned qto qassist qall
qmembers qof qthe qhealth qcare qteam qto qmeet qthose qneeds.
DIF: Cognitive qLevel: qComprehension REF: q q p. q13 OBJ: q q 8 q| q9
, TOP: q Care qplan KEY: q Nursing qProcess qStep: qPlanning MSC: q NCLEX: qN/A
4. Patient qcare qemphasis qon qwellness, qrather qthan qillness, qbegins qas qa qresult qof:
a. increased qeducation qconcerning qcauses qof qillness.
b. improved qinsurance qpayments.
c. decentralized qcare qcenters.
d. increased qnumber qof qhealth qcare qgivers.
ANS: q A
The qacute qawareness qof qpreventive qmedicine qhas qresulted qin qtoday’s qemphasis qon
qeducation qabout qissues qsuch qas qsmoking, qheart qdisease, qdrug qand qalcohol qabuse, qweight
qcontrol, qand qmental qhealth qand qwellness qpromotion qactivities. qThis qpreventive qeducation
qhas qresulted qin qan qemphasis qon qwellness, qrather qthan qillness. qImproved qinsurance
qpayments, qdecentralized qcare qcenters, qand qincreased qnumbers qof qhealth qcare qgivers qdid qnot
qinfluence qan qemphasis qon qwellness.
DIF: Cognitive qLevel: qComprehension REF: q q p. q12 OBJ: q q 4 q| q8
TOP: q Wellness KEY: q Nursing qProcess qStep: qN/A MSC: q NCLEX: qN/A
5. What qis qthe qmost qeffective qprocess qto qensure qthat qthe qcare qplan qis qmeeting qthe qneeds
of qthe qpatient?
q
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: q B
Communication qis qthe qprimary qessential qcomponent qamong qthe qhealth qcare qteam qto
qevaluate qand qmodify qthe qcare qplan. qDocumentation, qevaluation, qand qplanning qare qnot
qprimary qessential qcomponents qto qensure qthe qcare qplan qis qmeeting qthe qneeds qof qthe qpatient.
DIF: Cognitive qLevel: qComprehension REF: q p. q17 OBJ: q 8
qTOP: q Communication KEY: q Nursing qProcess qStep:
qN/A qMSC: q NCLEX: qN/A
6. How qdoes qan qinterdisciplinary qapproach qto qpatient qtreatment qenhance qcare?
a. By qimproving qefficiency qof qcare
b. By qreducing qthe qnumber qof qcaregivers
c. By qpreventing qthe qfragmentation qof qpatient qcare
d. By qshortening qhospital qstay
ANS: q C
An qinterdisciplinary qapproach qprevents qfragmentation qof qcare. qAn qinterdisciplinary
qapproach qdoes qnot qimprove qthe qefficiency qof qcare, qreduce qthe qnumber qof qcaregivers, qor
qshorten qhospital qstay.
DIF: q Cognitive qLevel: qComprehension q q REF: q p. q16 OBJ: q 8 q|
q9 qTOP: q Interdisciplinary qapproach KEY: q Nursing qProcess qStep:
qN/A qMSC: q NCLEX: qN/A
7. How qmay qa qnewly qlicensed qLPN/LVN qpractice?
a. Independently qin qa qhospital qsetting
, b. With qan qexperienced qLPN/LVN
c. Under qthe qsupervision qof qa qhealth qcare qprovider qor qRN
d. As qa qsole qhealth qcare qprovider qin qa qclinic qsetting
ANS: q C
An qLPN/LVN qpractices qunder qthe qsupervision qof qa qhealth qcare qprovider, qdentist, qOD, qor qRN.
DIF: Cognitive qLevel: qKnowledge REF: q p. q11 OBJ: q 11
qTOP: q Vocational qnursing KEY: q Nursing qProcess qStep:
qN/A qMSC: q NCLEX: qN/A
8. Whose qinfluence qon qnursing qpractice qin qthe q19th qcentury qwas qrelated qto qimprovement qof
patient qenvironment qas qa qmethod qof qhealth qpromotion?
q
a. Clara qBarton
b. Linda qRichards
c. Dorothea qDix
d. Florence qNightingale
ANS: q D
The qinfluence qof qFlorence qNightingale qwas qhighly qsignificant qin qthe q19th qcentury qas qshe
qfought qfor qsanitary qconditions, qfresh qair, qand qgeneral qimprovement qin qthe qpatient
qenvironment. qClara qBarton qdeveloped qthe qAmerican qRed qCross qin q1881. qLinda qRichards qis
qknown qas qthe qfirst qtrained qnurse qin qAmerica, qwas qresponsible qfor qthe qdevelopment qof qthe
qfirst qnursing qand qhospital qrecords, qand qis qcredited qwith qthe qdevelopment qof qour qpresent-day
qdocumentation qsystem.
Dorothea qDix qwas qthe qpioneer qcrusader qfor qelevation qof qstandards qof qcare qfor qthe qmentally
qill qand qsuperintendent qof qfemale qnurses qof qthe qUnion qArmy.
DIF: q Cognitive qLevel: qKnowledge REF: q p. q17 OBJ: q 2 q|
q4 qTOP: q Nursing qleaders KEY: q Nursing qProcess qStep:
qN/A qMSC: q NCLEX: qN/A
9. What qdocument qidentifies qthe qroles qand qresponsibilities qof qthe qLPN/LVN?
a. NLN qAccreditation qStandards
b. Nurse qPractice qAct
c. NAPNE qCode
d. American qNurses’qAssociation qCode
ANS: q B
The qLPN/LVN qfunctions qunder qthe qNurse qPractice qAct. qNLN qAccreditation qStandards, qthe
qNAPNE qCode, qand qthe qAmerican qNurses’qAssociation qCode qdo qnot qidentify qthe qroles qand
qresponsibilities qof qthe qLPN/LVN.
DIF: Cognitive qLevel: qKnowledge REF: q p. q12 q| qp. q14 OBJ: q 11
qTOP: q Roles qand qresponsibilities KEY: q Nursing qProcess qStep:
qN/A qMSC: q NCLEX: qN/A
10. What qis qa qcost-effective qdelivery qof qcare qused qby qmany qhospitals qthat qallows qthe
LPN/LVN qto qwork qwith qthe qRN qto qmeet qthe qneeds qof qpatients?
q
a. Focused qnursing
b. Team qnursing
c. Case qmanagement
d. Primary qnursing