FOUNDATIONS AND ADULT HEALTH
NURSING
9TH EDITION
• Author(S)Kim Cooper; Kelly Gosnell
TEST BANK
Reference
Ch. 1 — Care of the Sick During Early Civilization
Question Stem
A 78-year-old patient recovering from hip fracture will return to
live with family who provided care historically. Which nursing
action best reflects safe, culturally-sensitive discharge planning?
Options
A. Provide a single-page written care plan and expect the family
to follow it.
B. Schedule a family teaching session demonstrating mobility
and medication care.
C. Arrange for facility placement because family care is
unreliable.
,D. Give the patient phone numbers for community resources
only.
Correct Answer
B
Rationales
• B (Correct): Cooper & Gosnell emphasize early nursing
roots in family/community care; effective discharge
planning includes family teaching to ensure continuity and
safety. Demonstration plus return demonstration promotes
competence.
• A: A single written page is insufficient for complex care
needs and does not verify understanding.
• C: Immediate placement disregards family capability and
patient preference without assessment.
• D: Providing numbers alone lacks active teaching and
assessment of caregiver skills.
Teaching Point
Include family in hands-on teaching to ensure safe home
transitions.
Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
,2️⃣
Reference
Ch. 1 — Changes in Nursing During the 20th Century
Question Stem
A nurse educator designing an orientation for new graduate
RNs wants to emphasize major 20th-century changes that still
affect practice. Which topic should be highest priority to
include?
Options
A. Expansion of nurse roles into specialized hospital units.
B. Focus on home remedies and folk medicine.
C. Elimination of formal nursing licensure.
D. Reversal of hospital-based care to community care only.
Correct Answer
A
Rationales
• A (Correct): The 20th century brought specialization and
expanded clinical roles (ICU, OR), which shaped current
competency expectations—key for orientation.
• B: Folk remedies were historically important but are not a
20th-century defining change for professional nursing.
• C: Licensure became standardized rather than eliminated.
• D: While community care grew, the 20th century is
characterized by growth in hospital-based specialized care.
, Teaching Point
20th-century nursing saw specialization and advanced clinical
roles in hospitals.
Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
3️⃣
Reference
Ch. 1 — Significant Changes in Nursing For the 21st Century
Question Stem
A hospital unit introduces an electronic health record (EHR) and
interprofessional rounding to reduce medication errors. Which
outcome best reflects the 21st-century changes described by
Cooper & Gosnell?
Options
A. Increased siloed documentation but faster charting.
B. Improved communication and reduced safety events.
C. Less need for nurse involvement in care coordination.
D. Elimination of clinical judgment because of automated alerts.
Correct Answer
B
Rationales
NURSING
9TH EDITION
• Author(S)Kim Cooper; Kelly Gosnell
TEST BANK
Reference
Ch. 1 — Care of the Sick During Early Civilization
Question Stem
A 78-year-old patient recovering from hip fracture will return to
live with family who provided care historically. Which nursing
action best reflects safe, culturally-sensitive discharge planning?
Options
A. Provide a single-page written care plan and expect the family
to follow it.
B. Schedule a family teaching session demonstrating mobility
and medication care.
C. Arrange for facility placement because family care is
unreliable.
,D. Give the patient phone numbers for community resources
only.
Correct Answer
B
Rationales
• B (Correct): Cooper & Gosnell emphasize early nursing
roots in family/community care; effective discharge
planning includes family teaching to ensure continuity and
safety. Demonstration plus return demonstration promotes
competence.
• A: A single written page is insufficient for complex care
needs and does not verify understanding.
• C: Immediate placement disregards family capability and
patient preference without assessment.
• D: Providing numbers alone lacks active teaching and
assessment of caregiver skills.
Teaching Point
Include family in hands-on teaching to ensure safe home
transitions.
Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
,2️⃣
Reference
Ch. 1 — Changes in Nursing During the 20th Century
Question Stem
A nurse educator designing an orientation for new graduate
RNs wants to emphasize major 20th-century changes that still
affect practice. Which topic should be highest priority to
include?
Options
A. Expansion of nurse roles into specialized hospital units.
B. Focus on home remedies and folk medicine.
C. Elimination of formal nursing licensure.
D. Reversal of hospital-based care to community care only.
Correct Answer
A
Rationales
• A (Correct): The 20th century brought specialization and
expanded clinical roles (ICU, OR), which shaped current
competency expectations—key for orientation.
• B: Folk remedies were historically important but are not a
20th-century defining change for professional nursing.
• C: Licensure became standardized rather than eliminated.
• D: While community care grew, the 20th century is
characterized by growth in hospital-based specialized care.
, Teaching Point
20th-century nursing saw specialization and advanced clinical
roles in hospitals.
Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
3️⃣
Reference
Ch. 1 — Significant Changes in Nursing For the 21st Century
Question Stem
A hospital unit introduces an electronic health record (EHR) and
interprofessional rounding to reduce medication errors. Which
outcome best reflects the 21st-century changes described by
Cooper & Gosnell?
Options
A. Increased siloed documentation but faster charting.
B. Improved communication and reduced safety events.
C. Less need for nurse involvement in care coordination.
D. Elimination of clinical judgment because of automated alerts.
Correct Answer
B
Rationales
