THE ART AND SCIENCE OF PERSON-
CENTERED CARE
10TH EDITION
AUTHOR(S)CAROL R TAYLOR; PAMELA
LYNN; JENNIFER BARTLETT
Question 1
Reference: Historical Perspectives on Nursing — Florence
Nightingale and the Birth of Modern Nursing
A home health nurse visits an older adult client recovering from
pneumonia who resides in a dark, poorly ventilated home with
clutter on the floor. The nurse opens the window shades, clears
a pathway, and opens a window slightly to improve air
circulation. How does the nurse's action reflect the historical
contributions of Florence Nightingale to modern nursing
practice?
, • A. It prioritizes the administration of prescribed
pharmacological agents above environmental
modifications.
• B. It establishes a therapeutic relationship based on
meeting the psychological needs of the patient before
physical needs.
• C. It alters the patient's physical environment to meet basic
health needs and facilitate healing.
• D. It delegates non-nursing tasks to family members to
allow the nurse to focus on advanced clinical skills.
Correct Answer: C. It alters the patient's physical environment
to meet basic health needs and facilitate healing.
Rationale:
• Correct Answer: Florence Nightingale's fundamental
contribution to modern nursing was identifying the
relationship between the physical environment and health
outcomes. By ensuring adequate light, ventilation,
cleanliness, and safety, the nurse directly applies
Nightingale’s principles of environmental manipulation to
promote the body's natural healing processes.
• Incorrect Options:
o A. Nightingale emphasized environmental sanitation,
clean air, light, and nutrition as essential components
, of care alongside medical management, rather than
subordinating environmental factors to medications.
o B. While Nightingale addressed overall patient well-
being, her foundational theory centered on
environmental manipulation to support physiological
healing, rather than prioritizing psychological needs
over basic physical environmental needs.
o D. Nightingale defined nursing as a distinct,
professional practice responsible for managing the
environment directly, rather than delegating basic
care and environmental safety away as non-nursing
duties.
Teaching Point: Florence Nightingale established that
manipulating the environment—light, ventilation, sanitation,
and clean surroundings—directly promotes patient health and
healing.
Citation: Taylor, C. R., Lynn, P., & Bartlett, J. (2022).
Fundamentals of Nursing: The Art and Science of Person-
Centered Care (10th ed.). Historical Perspectives on Nursing —
Florence Nightingale and the Birth of Modern Nursing.
Question 2
Reference: Nursing’s Aims and Competencies — Promoting
Health
, A nurse is conducting a community health education seminar
for adult clients on cardiovascular wellness. The nurse provides
instructions on reading nutrition labels, increasing physical
activity, and managing stress. Which aim of nursing practice is
the nurse primarily fulfilling through these interventions?
• A. Preventing illness
• B. Promoting health
• C. Restoring health
• D. Facilitating coping with disability and death
Correct Answer: B. Promoting health
Rationale:
• Correct Answer: Promoting health involves encouraging
habits and lifestyle behaviors that increase well-being,
optimize human potential, and enhance overall health
literacy. Teaching healthy lifestyle behaviors such as
physical activity, nutrition, and stress management helps
individuals achieve higher levels of wellness.
• Incorrect Options:
o A. Illness prevention focuses specifically on targeted
actions to reduce risk for specific diseases, such as
administering immunizations or performing screening
tests, rather than general wellness promotion.