,Chapter01:TheEvolutionofNursing
Cooper:FoundationofNursing,9thEdition
h
MULTIPLECHOICE
1. What isanursing programconsideredwhencertifiedb yastateagency?
h n h n n n n
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B h h
Approvedmeanscertifiedbyastateagencyforhavingmet minimumstandards;accreditedmeans n m
certifiedbytheNLNforhavingmetmorecomplexstandards.Provisionalandexemplifiedarenot
h n n n n
termsusedinregardtonursingprogramcertification.
h
DIF: CognitiveLevel:Knowledge REF: p.10
h h OBJ: 5 h
TOP: Nursingprograms
h h KEY: NursingProcessStep:N/A
h
MSC: NCLEX:N/A
h h
2. Which ofthefollowingmustthenurserecognizeregardingthehealthcaredeliverysystem?
n n n
a. Itincludesallstates.
n n
b. Itaffectstheillnessofpatients. n n n
c. Insurancecompaniesarenotinvolved. n n
d. Themajorgoalistoachieveoptimallevelsofhealthcare. n
ANS: D h h
Thenursemustrecognizethatinthehealthcaredeliverysystem,themajorgoalistoachieveoptimal
n
hlevelsofhealthcare.Thehealthcaresystemconsistsofanetworkofagencies,facilities,andproviders
n n n n n
involvedwithhealthcareinaspecifiedgeographicarea.Insurancecompaniesdohaveinvolvement
h n n n n n
inthehealthcaresystem.Theillnessofpatientsisnotnecessarilyaffectedbythehealthcaresystem.
h n n n n n
DIF: CognitiveLevel:Comprehension REF: p.12
h h OBJ: 7 h
TOP: Health caresystems
h h n KEY: NursingProcessStep:N/A
h
MSC: NCLEX:N/A
h h
3. Whatisrequiredbythehealthcareteamtoidentifytheneedsofapatientandtodesigncaretomeet n n n
thoseneeds?
h
a. TheKardex
b. Thehealthcareprovider‘sordersheet
c. Anindividualizedcareplan
n
d. Thenurse‘snotes
ANS: C h h
Anindividualizedcareplaninvolvesallhealthcareworkersandoutlinescaretomeettheneeds n n n
oftheindividualpatient.TheKardex,healthcareprovider‘sordersheet,andnurse‘snotesdo
h n n n n n n
notidentifytheneedsofthepatientnoraretheydesignedtoassistallmembersofthehealthcareteam to
h n n
hmeet thoseneeds. n
DIF: CognitiveLevel:Comprehension REF: p.13 h OBJ: 8|9 n
, TOP: Careplan h h KEY: NursingProcessStep:Planning
h h n MSC: NCLEX:N/A h
4. Patientcareemphasisonwellness,ratherthanillness,beginsasaresultof:
n n
a. increased educationconcerningcausesofillness. n n n
b. improvedinsurancepayments. n
c. decentralizedcarecenters.
d. increasednumberofhealthcaregivers. n n
ANS: A h h
Theacuteawarenessofpreventivemedicinehasresultedintoday‘semphasisoneducation n n n n
aboutissuessuchassmoking,heartdisease,drugandalcoholabuse,weightcontrol,andmental
h n n n n n n n n
healthandwellnesspromotionactivities.Thispreventiveeducationhasresultedinanemphasis
h n h
onwellness,ratherthanillness.Improvedinsurancepayments,decentralizedcarecenters,and
h n n n n
increasednumbersofhealthcaregiversdidnotinfluenceanemphasisonwellness.
h n n n n n n
DIF: CognitiveLevel:Comprehension REF: p.12 n h OBJ: 4|8 n
TOP: Wellness KEY: NursingProcessStep:N/A h h MSC: NCLEX:N/A h
5. Whatisthemosteffectiveprocesstoensurethatthecareplanismeetingtheneedsofthe
h n n
patient?
h
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B h h
Communicationistheprimaryessentialcomponentamongthehealthcareteamtoevaluateand n n n n n
modifythecareplan.Documentation,evaluation,andplanningarenotprimaryessential
h
componentstoensurethecareplanismeetingtheneedsofthepatient.
h
DIF: CognitiveLevel:Comprehension REF: p.17
h OBJ: 8 h h
TOP: Communication
h h KEY: NursingProcessStep:N/A h
MSC: NCLEX:N/A
h h
6. Howdoesaninterdisciplinaryapproachtopatienttreatmentenhancecare?
n n n
a. Byimprovingefficiencyofcare
b. Byreducingthenumberofcaregivers n
c. Bypreventingthefragmentationofpatientcare n n
d. Byshorteninghospitalstay n
ANS: C h h
Aninterdisciplinaryapproachpreventsfragmentationofcare.Aninterdisciplinaryapproachdoes
hnotimprovetheefficiencyofcare,reducethenumberofcaregivers,orshortenhospitalstay.
n n n
DIF: CognitiveLevel:Comprehension REF:p.16
h OBJ: 8 | 9 h h h h
TOP: Interdisciplinaryapproach
h h KEY: Nursing Process Step: N/A h h h h
MSC: NCLEX:N/A
h h
7. HowmayanewlylicensedLPN/LVNpractice?
a. Independentlyinahospitalsetting n n
, b. WithanexperiencedLPN/LVN n
c. UnderthesupervisionofahealthcareproviderorRN n n
d. Asasolehealthcareproviderinaclinicsetting
n n n
ANS: C h h
AnLPN/LVNpracticesunderthesupervisionofahealthcareprovider,dentist,OD,orRN. n n n
DIF: CognitiveLevel:Knowledge REF: p.11
h OBJ: 11
h h
TOP: Vocationalnursing
h h KEY: NursingProcessStep:N/A
h
MSC: NCLEX:N/A
h h
8. Whoseinfluenceon nursing practicein the19thcenturywasrelatedtoimprovementofpatient
h m n h n n n
environmentasamethodofhealthpromotion?
h n
a. ClaraBarton n
b. LindaRichards n
c. DorotheaDix
d. FlorenceNightingale
ANS: D h h
TheinfluenceofFlorenceNightingalewashighlysignificantinthe19thcenturyasshefoughtfor
n n n
sanitaryconditions,freshair,andgeneralimprovementinthepatientenvironment.Clara
h n n n
BartondevelopedtheAmericanRedCrossin1881.LindaRichardsisknownasthefirsttrained
h n n n n n n n
nurseinAmerica,wasresponsibleforthedevelopmentofthefirstnursingandhospitalrecords,andis n n
credited withthedevelopmentofourpresent-daydocumentationsystem.
h n n
DorotheaDixwasthepioneercrusaderforelevationofstandardsofcareforthementallyilland n
superintendentoffemalenursesoftheUnionArmy.
h
DIF: CognitiveLevel:Knowledge
h REF: p.17 OBJ: 2 | 4
h h h h
TOP: Nursingleaders
h h KEY: Nursing Process Step: N/A
h h h h
MSC: NCLEX:N/A
h h
9. What documentidentifiestherolesandresponsibilitiesoftheLPN/LVN? n n
a. NLNAccreditationStandards
b. NursePracticeAct
c. NAPNECode
d. AmericanNurses‘AssociationCode h n
ANS: B h h
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the
h h h h h h h h h h h
NAPNE Code, and the American Nurses‘ Association Code do not identify the roles and
h h h h h h h h h h h h h h
responsibilitiesoftheLPN/LVN.
h
DIF: CognitiveLevel:Knowledge REF: p.12|p.14
h OBJ: 11 h
TOP: Rolesand responsibilities
h h n KEY: NursingProcessStep:N/A
h
MSC: NCLEX:N/A
h h
10. What is acost-effectivedeliveryof careused bymanyhospitals that allowstheLPN/LVNto
m h m m
h workwiththeRNtomeet theneedsofpatients? n
a. Focusednursing
b. Teamnursing
c. Casemanagement
d. Primarynursing
Cooper:FoundationofNursing,9thEdition
h
MULTIPLECHOICE
1. What isanursing programconsideredwhencertifiedb yastateagency?
h n h n n n n
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B h h
Approvedmeanscertifiedbyastateagencyforhavingmet minimumstandards;accreditedmeans n m
certifiedbytheNLNforhavingmetmorecomplexstandards.Provisionalandexemplifiedarenot
h n n n n
termsusedinregardtonursingprogramcertification.
h
DIF: CognitiveLevel:Knowledge REF: p.10
h h OBJ: 5 h
TOP: Nursingprograms
h h KEY: NursingProcessStep:N/A
h
MSC: NCLEX:N/A
h h
2. Which ofthefollowingmustthenurserecognizeregardingthehealthcaredeliverysystem?
n n n
a. Itincludesallstates.
n n
b. Itaffectstheillnessofpatients. n n n
c. Insurancecompaniesarenotinvolved. n n
d. Themajorgoalistoachieveoptimallevelsofhealthcare. n
ANS: D h h
Thenursemustrecognizethatinthehealthcaredeliverysystem,themajorgoalistoachieveoptimal
n
hlevelsofhealthcare.Thehealthcaresystemconsistsofanetworkofagencies,facilities,andproviders
n n n n n
involvedwithhealthcareinaspecifiedgeographicarea.Insurancecompaniesdohaveinvolvement
h n n n n n
inthehealthcaresystem.Theillnessofpatientsisnotnecessarilyaffectedbythehealthcaresystem.
h n n n n n
DIF: CognitiveLevel:Comprehension REF: p.12
h h OBJ: 7 h
TOP: Health caresystems
h h n KEY: NursingProcessStep:N/A
h
MSC: NCLEX:N/A
h h
3. Whatisrequiredbythehealthcareteamtoidentifytheneedsofapatientandtodesigncaretomeet n n n
thoseneeds?
h
a. TheKardex
b. Thehealthcareprovider‘sordersheet
c. Anindividualizedcareplan
n
d. Thenurse‘snotes
ANS: C h h
Anindividualizedcareplaninvolvesallhealthcareworkersandoutlinescaretomeettheneeds n n n
oftheindividualpatient.TheKardex,healthcareprovider‘sordersheet,andnurse‘snotesdo
h n n n n n n
notidentifytheneedsofthepatientnoraretheydesignedtoassistallmembersofthehealthcareteam to
h n n
hmeet thoseneeds. n
DIF: CognitiveLevel:Comprehension REF: p.13 h OBJ: 8|9 n
, TOP: Careplan h h KEY: NursingProcessStep:Planning
h h n MSC: NCLEX:N/A h
4. Patientcareemphasisonwellness,ratherthanillness,beginsasaresultof:
n n
a. increased educationconcerningcausesofillness. n n n
b. improvedinsurancepayments. n
c. decentralizedcarecenters.
d. increasednumberofhealthcaregivers. n n
ANS: A h h
Theacuteawarenessofpreventivemedicinehasresultedintoday‘semphasisoneducation n n n n
aboutissuessuchassmoking,heartdisease,drugandalcoholabuse,weightcontrol,andmental
h n n n n n n n n
healthandwellnesspromotionactivities.Thispreventiveeducationhasresultedinanemphasis
h n h
onwellness,ratherthanillness.Improvedinsurancepayments,decentralizedcarecenters,and
h n n n n
increasednumbersofhealthcaregiversdidnotinfluenceanemphasisonwellness.
h n n n n n n
DIF: CognitiveLevel:Comprehension REF: p.12 n h OBJ: 4|8 n
TOP: Wellness KEY: NursingProcessStep:N/A h h MSC: NCLEX:N/A h
5. Whatisthemosteffectiveprocesstoensurethatthecareplanismeetingtheneedsofthe
h n n
patient?
h
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B h h
Communicationistheprimaryessentialcomponentamongthehealthcareteamtoevaluateand n n n n n
modifythecareplan.Documentation,evaluation,andplanningarenotprimaryessential
h
componentstoensurethecareplanismeetingtheneedsofthepatient.
h
DIF: CognitiveLevel:Comprehension REF: p.17
h OBJ: 8 h h
TOP: Communication
h h KEY: NursingProcessStep:N/A h
MSC: NCLEX:N/A
h h
6. Howdoesaninterdisciplinaryapproachtopatienttreatmentenhancecare?
n n n
a. Byimprovingefficiencyofcare
b. Byreducingthenumberofcaregivers n
c. Bypreventingthefragmentationofpatientcare n n
d. Byshorteninghospitalstay n
ANS: C h h
Aninterdisciplinaryapproachpreventsfragmentationofcare.Aninterdisciplinaryapproachdoes
hnotimprovetheefficiencyofcare,reducethenumberofcaregivers,orshortenhospitalstay.
n n n
DIF: CognitiveLevel:Comprehension REF:p.16
h OBJ: 8 | 9 h h h h
TOP: Interdisciplinaryapproach
h h KEY: Nursing Process Step: N/A h h h h
MSC: NCLEX:N/A
h h
7. HowmayanewlylicensedLPN/LVNpractice?
a. Independentlyinahospitalsetting n n
, b. WithanexperiencedLPN/LVN n
c. UnderthesupervisionofahealthcareproviderorRN n n
d. Asasolehealthcareproviderinaclinicsetting
n n n
ANS: C h h
AnLPN/LVNpracticesunderthesupervisionofahealthcareprovider,dentist,OD,orRN. n n n
DIF: CognitiveLevel:Knowledge REF: p.11
h OBJ: 11
h h
TOP: Vocationalnursing
h h KEY: NursingProcessStep:N/A
h
MSC: NCLEX:N/A
h h
8. Whoseinfluenceon nursing practicein the19thcenturywasrelatedtoimprovementofpatient
h m n h n n n
environmentasamethodofhealthpromotion?
h n
a. ClaraBarton n
b. LindaRichards n
c. DorotheaDix
d. FlorenceNightingale
ANS: D h h
TheinfluenceofFlorenceNightingalewashighlysignificantinthe19thcenturyasshefoughtfor
n n n
sanitaryconditions,freshair,andgeneralimprovementinthepatientenvironment.Clara
h n n n
BartondevelopedtheAmericanRedCrossin1881.LindaRichardsisknownasthefirsttrained
h n n n n n n n
nurseinAmerica,wasresponsibleforthedevelopmentofthefirstnursingandhospitalrecords,andis n n
credited withthedevelopmentofourpresent-daydocumentationsystem.
h n n
DorotheaDixwasthepioneercrusaderforelevationofstandardsofcareforthementallyilland n
superintendentoffemalenursesoftheUnionArmy.
h
DIF: CognitiveLevel:Knowledge
h REF: p.17 OBJ: 2 | 4
h h h h
TOP: Nursingleaders
h h KEY: Nursing Process Step: N/A
h h h h
MSC: NCLEX:N/A
h h
9. What documentidentifiestherolesandresponsibilitiesoftheLPN/LVN? n n
a. NLNAccreditationStandards
b. NursePracticeAct
c. NAPNECode
d. AmericanNurses‘AssociationCode h n
ANS: B h h
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the
h h h h h h h h h h h
NAPNE Code, and the American Nurses‘ Association Code do not identify the roles and
h h h h h h h h h h h h h h
responsibilitiesoftheLPN/LVN.
h
DIF: CognitiveLevel:Knowledge REF: p.12|p.14
h OBJ: 11 h
TOP: Rolesand responsibilities
h h n KEY: NursingProcessStep:N/A
h
MSC: NCLEX:N/A
h h
10. What is acost-effectivedeliveryof careused bymanyhospitals that allowstheLPN/LVNto
m h m m
h workwiththeRNtomeet theneedsofpatients? n
a. Focusednursing
b. Teamnursing
c. Casemanagement
d. Primarynursing
