Chapter 1. Evolution of Nursing Thought & Action
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is working in a community health promotion clinic. Which is an example of an illness
prevention activity?
1. Encouraging the use of a food diary
2. Joining a cancer support group
3. Administering immunization for human papillomavirus (HPV)
4. Teaching a diabetic patient about his diet
____ 2. A practicing nurse is aware that continuing education courses may be required for license renewal.
Which organization can require nurses to obtain a specified amount of continuing education
courses?
1. American Nurses Association
2. National League for Nursing
3. Sigma Theta Tau
4. State Board of Nursing
____ 3. An experienced nurse uses knowledge of patient medical conditions and intuition to identify
patient problems. The nurse often fulfills the role of a resource for other nurses on the unit. At this
point, which stage of proficiency has this nurse achieved?
1. Novice
2. Advanced beginner
3. Competent
4. Expert
____ 4. Which statement best explains the importance of standards of practice in the nursing profession?
1. Nurses have the same standards of practice as other healthcare professionals.
2. Standards of practice are applied exclusively to nurses working in hospital settings.
3. Standards of practice identify the components nurses need to provide safe care.
4. Standards of practice differ among registered nurses, based on the population they
serve.
____ 5. The nursing instructor is considering becoming a member of the National League for Nursing
(NLN). Which primary goal of the NLN will most strongly impact the nurse’s decision to become
a member?
1. Emphasizing the necessity for registered nurses to promote patient safety
2. Establishing and maintaining identified standards for nursing education
3. Supporting global health policies and improving health worldwide
4. Fostering nursing scholarship, leadership, and service to improve health
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,____ 6. The nurse is providing care for a patient following a debilitating stroke. Which type of care will the
nurse recognize as the best choice for this patient?
1. Primary care
2. Secondary care
3. Tertiary care
4. Preventive care
____ 7. The nurse is providing care for an older adult patient in an acute care setting for various age-
related health issues. When planning for discharge, the patient states concern about being able to
adequately provide for health maintenance and self-care needs. Which type of facility does the
nurse recognize for this patient?
1. Skilled nursing facility
2. Assisted living facility
3. Nursing home facility
4. Independent living facility
____ 8. The nurse understands that the most important reason for the development of a definition for the
profession of nursing is that it:
1. Will result in more informed people being recruited as nurses.
2. Is a means for evaluating the degree of role satisfaction in nurses.
3. Helps dispel the stereotypical images about nurses and nursing.
4. Differentiates the nursing role from those of other health professionals.
____ 9. Which activity provides evidence-based support for the contribution made by advanced practice
nurses (APNs) within healthcare?
1. Reduced use of diagnostics using advanced technology
2. Decreased number of unnecessary visits to the emergency department
3. Improved patient compliance with prescribed treatments
4. Increased use of complementary and alternative therapies
____ 10. The nurse is providing care for a pediatric patient in an acute care facility. The patient’s parents
express concern about the cost of the medical care. The parents state, “We have jobs, but we don’t
make a lot of money and have no insurance.” Which medical assistance program does the nurse
recognize as being most appropriate for this family?
1. Children’s Health Insurance Program (CHIP)
2. Medicare
3. Medicaid
4. Local charity
____ 11. A nurse working in a rehabilitation facility has a physician’s prescription to contact therapists as
required by patient need. A patient has started to have difficulty with bathing and grooming. Which
therapist does the nurse contact to assist the patient to regain these skills?
1. Physical therapist
2. Occupational therapist
3. Speech-language pathologist
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, 4. Respiratory therapist
____ 12. An older adult patient is diagnosed with type 1 diabetes mellitus. The patient can perform self-care
activities but needs assistance with shopping and meal preparation. As well, assistance is necessary
for blood glucose monitoring and insulin administration. Which type of healthcare facility is most
appropriate for the patient?
1. Acute care facility
2. Ambulatory care facility
3. Extended care facility
4. Assisted living facility
____ 13. The nurse in the intensive care unit is providing care for only one patient, who was admitted with a
diagnosis of septic shock. Based on this information, which care delivery model is this nurse
following?
1. Functional
2. Primary
3. Case method
4. Team
____ 14. The nurse is providing care for a patient who needs extensive acute care, which is being rejected
by the patient because of financial and family stressors. Which healthcare worker does the nurse
consult to counsel this patient?
1. Social worker
2. Occupational therapist
3. Physician’s assistant
4. Technologist
____ 15. Which type of managed care provides patients with the greatest choice of providers, medications,
and medical devices?
1. Health maintenance organization
2. Integrated delivery network
3. Preferred provider organization
4. Employment-based private insurance
____ 16. The registered nurse is discharging a patient to an assisted living facility. Which statement by the
nurse is most appropriate for the patient?
1. “Therapists will work with you daily to help you regain your functional abilities.”
2. “You will be provided with 24-hour nursing care for the next 6 weeks.”
3. “Assistance with meals and housekeeping tasks is available to you.”
4. “A nurse will come to your home and provide you with nursing care.”
____ 17. Which member of the healthcare team typically serves as the case manager?
1. Social worker
2. Physician
3. Physician’s assistant
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, 4. Registered nurse
____ 18. The nurse works in a public health department. Which nursing function is considered a primary
care service?
1. Providing wound care
2. Administering childhood immunizations
3. Providing drug rehabilitation
4. Providing outpatient hernia repair
____ 19. A patient who is 80 years of age is in an acute care facility because of a fractured hip resulting
from a fall. Previously, the patient lived at home and managed activities of daily living
independently. The patient goal is to return to the previous living style. The patient is to be
discharged because of insurance regulations. If the patient cannot walk or provide self-care, to
which type of facility will the patient be transferred?
1. Nursing home
2. Rehabilitation center
3. An outpatient therapy center
4. None of these; she should receive home healthcare
____ 20. A health care facility hires new nursing graduates to work on patient care units. The hired nurses
come from a variety of accredited nursing programs. Additionally, applicants need to be aware of
facility hiring practices based on which specific definition of a nurse?
1. Graduate of a nursing education program, and passed the National Council
Licensure Exam (NCLEX)
2. Obtained certification permitting the administration of medications in certain
healthcare settings
3. Specifically licensed to practice in either an acute care setting or in a home
environment
4. Received advanced education and is licensed to practice under the direct
supervision of a physician
____ 21. A nurse who has been practicing for 3 years in an acute care facility is caring for a postsurgical
patient. The nurse observes an abnormal change in vital signs and associates these changes with a
postoperative bleeding problem. Which level of proficiency is the nurse demonstrating?
1. Advanced beginner
2. Competent
3. Proficient
4. Expert
____ 22. In the United States, each state enacts its own nurse practice acts. Which agency is responsible for
nurse practice acts?
1. The American Nurses Association
2. Institute of Medicine
3. State Board of Nursing
4. National League for Nursing
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Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is working in a community health promotion clinic. Which is an example of an illness
prevention activity?
1. Encouraging the use of a food diary
2. Joining a cancer support group
3. Administering immunization for human papillomavirus (HPV)
4. Teaching a diabetic patient about his diet
____ 2. A practicing nurse is aware that continuing education courses may be required for license renewal.
Which organization can require nurses to obtain a specified amount of continuing education
courses?
1. American Nurses Association
2. National League for Nursing
3. Sigma Theta Tau
4. State Board of Nursing
____ 3. An experienced nurse uses knowledge of patient medical conditions and intuition to identify
patient problems. The nurse often fulfills the role of a resource for other nurses on the unit. At this
point, which stage of proficiency has this nurse achieved?
1. Novice
2. Advanced beginner
3. Competent
4. Expert
____ 4. Which statement best explains the importance of standards of practice in the nursing profession?
1. Nurses have the same standards of practice as other healthcare professionals.
2. Standards of practice are applied exclusively to nurses working in hospital settings.
3. Standards of practice identify the components nurses need to provide safe care.
4. Standards of practice differ among registered nurses, based on the population they
serve.
____ 5. The nursing instructor is considering becoming a member of the National League for Nursing
(NLN). Which primary goal of the NLN will most strongly impact the nurse’s decision to become
a member?
1. Emphasizing the necessity for registered nurses to promote patient safety
2. Establishing and maintaining identified standards for nursing education
3. Supporting global health policies and improving health worldwide
4. Fostering nursing scholarship, leadership, and service to improve health
Copyright © 2020 F. A. Davis Company
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Distribution of this document is illegal extra per year?
,____ 6. The nurse is providing care for a patient following a debilitating stroke. Which type of care will the
nurse recognize as the best choice for this patient?
1. Primary care
2. Secondary care
3. Tertiary care
4. Preventive care
____ 7. The nurse is providing care for an older adult patient in an acute care setting for various age-
related health issues. When planning for discharge, the patient states concern about being able to
adequately provide for health maintenance and self-care needs. Which type of facility does the
nurse recognize for this patient?
1. Skilled nursing facility
2. Assisted living facility
3. Nursing home facility
4. Independent living facility
____ 8. The nurse understands that the most important reason for the development of a definition for the
profession of nursing is that it:
1. Will result in more informed people being recruited as nurses.
2. Is a means for evaluating the degree of role satisfaction in nurses.
3. Helps dispel the stereotypical images about nurses and nursing.
4. Differentiates the nursing role from those of other health professionals.
____ 9. Which activity provides evidence-based support for the contribution made by advanced practice
nurses (APNs) within healthcare?
1. Reduced use of diagnostics using advanced technology
2. Decreased number of unnecessary visits to the emergency department
3. Improved patient compliance with prescribed treatments
4. Increased use of complementary and alternative therapies
____ 10. The nurse is providing care for a pediatric patient in an acute care facility. The patient’s parents
express concern about the cost of the medical care. The parents state, “We have jobs, but we don’t
make a lot of money and have no insurance.” Which medical assistance program does the nurse
recognize as being most appropriate for this family?
1. Children’s Health Insurance Program (CHIP)
2. Medicare
3. Medicaid
4. Local charity
____ 11. A nurse working in a rehabilitation facility has a physician’s prescription to contact therapists as
required by patient need. A patient has started to have difficulty with bathing and grooming. Which
therapist does the nurse contact to assist the patient to regain these skills?
1. Physical therapist
2. Occupational therapist
3. Speech-language pathologist
Copyright © 2020 F. A. Davis Company
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, 4. Respiratory therapist
____ 12. An older adult patient is diagnosed with type 1 diabetes mellitus. The patient can perform self-care
activities but needs assistance with shopping and meal preparation. As well, assistance is necessary
for blood glucose monitoring and insulin administration. Which type of healthcare facility is most
appropriate for the patient?
1. Acute care facility
2. Ambulatory care facility
3. Extended care facility
4. Assisted living facility
____ 13. The nurse in the intensive care unit is providing care for only one patient, who was admitted with a
diagnosis of septic shock. Based on this information, which care delivery model is this nurse
following?
1. Functional
2. Primary
3. Case method
4. Team
____ 14. The nurse is providing care for a patient who needs extensive acute care, which is being rejected
by the patient because of financial and family stressors. Which healthcare worker does the nurse
consult to counsel this patient?
1. Social worker
2. Occupational therapist
3. Physician’s assistant
4. Technologist
____ 15. Which type of managed care provides patients with the greatest choice of providers, medications,
and medical devices?
1. Health maintenance organization
2. Integrated delivery network
3. Preferred provider organization
4. Employment-based private insurance
____ 16. The registered nurse is discharging a patient to an assisted living facility. Which statement by the
nurse is most appropriate for the patient?
1. “Therapists will work with you daily to help you regain your functional abilities.”
2. “You will be provided with 24-hour nursing care for the next 6 weeks.”
3. “Assistance with meals and housekeeping tasks is available to you.”
4. “A nurse will come to your home and provide you with nursing care.”
____ 17. Which member of the healthcare team typically serves as the case manager?
1. Social worker
2. Physician
3. Physician’s assistant
Copyright © 2020 F. A. Davis Company
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, 4. Registered nurse
____ 18. The nurse works in a public health department. Which nursing function is considered a primary
care service?
1. Providing wound care
2. Administering childhood immunizations
3. Providing drug rehabilitation
4. Providing outpatient hernia repair
____ 19. A patient who is 80 years of age is in an acute care facility because of a fractured hip resulting
from a fall. Previously, the patient lived at home and managed activities of daily living
independently. The patient goal is to return to the previous living style. The patient is to be
discharged because of insurance regulations. If the patient cannot walk or provide self-care, to
which type of facility will the patient be transferred?
1. Nursing home
2. Rehabilitation center
3. An outpatient therapy center
4. None of these; she should receive home healthcare
____ 20. A health care facility hires new nursing graduates to work on patient care units. The hired nurses
come from a variety of accredited nursing programs. Additionally, applicants need to be aware of
facility hiring practices based on which specific definition of a nurse?
1. Graduate of a nursing education program, and passed the National Council
Licensure Exam (NCLEX)
2. Obtained certification permitting the administration of medications in certain
healthcare settings
3. Specifically licensed to practice in either an acute care setting or in a home
environment
4. Received advanced education and is licensed to practice under the direct
supervision of a physician
____ 21. A nurse who has been practicing for 3 years in an acute care facility is caring for a postsurgical
patient. The nurse observes an abnormal change in vital signs and associates these changes with a
postoperative bleeding problem. Which level of proficiency is the nurse demonstrating?
1. Advanced beginner
2. Competent
3. Proficient
4. Expert
____ 22. In the United States, each state enacts its own nurse practice acts. Which agency is responsible for
nurse practice acts?
1. The American Nurses Association
2. Institute of Medicine
3. State Board of Nursing
4. National League for Nursing
Copyright © 2020 F. A. Davis Company
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