TESTBANKFOR FOUN
3 3 33
DATIONSANDADULTH 3 3 3
EALTHNURSING9THE
3 3 3
DITIONBYCOOPER>CH
3 3
APTER 1- 3
40> COMPLETE GUIDE
3 3 3
, Chapter31:3Evolution3of3Nursing
Cooper3and3Gosnell:3Foundations3and3Adult3Health3Nursing,39th3Edition
MULTIPLE3CHOICE
1. What3is3a3nursing3program3considered3when3certified3by3a3state3agency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
RIGHT3ANSWER:3B
Approved3meright3answer3certified3by3a3state3agency3for3having3met3minimum3standards;33acc
redited3meright3answer3certified3by3the3NLN3for3having3met3more3complex3standards.33Provisi
onal3and3exemplified3are3not3terms3used3in3regard3to3nursing3program3certification.
PTS:3 1 DIF: Cognitive3Level:3Knowledge REF:3Page310
OBJ: 5 TOP: Nursing programs KEY: Nursing Process Step: N/A
MSC:3NCLEX:3N/A
2. Which3of3the3following3must3the3nurse3recognize3regarding3the3health3care3delivery3system?
a. It3includes3all3states.
b. It3affects3the3illness3of3patients.
c. Insurance3companies3are3not3involved.
d. The3major3goal3is3to3achieve3optimal3levels3of3health3care.
RIGHT3ANSWER:3D
The3nurse3must3recognize3that3in3the3health3care3delivery3system,3the3major3goal3is3to3achieve33o
ptimal3levels3of3health3care.3The3health3care3system3consists3of3a3network3of3agencies,33faciliti
es,3and3providers3involved3with3health3care3in3a3specified3geographic3area.3Insurance33compani
es3do3have3involvement3in3the3health3care3system.3The3illness3of3patients3is3not3necessarily3aff
ected3by3the3health3care3system.
PTS:3 1 DIF: Cognitive3Level:3Comprehension REF:3Page312
OBJ:3 7 TOP:3 Health3care3systems
KEY:3Nursing3Process3Step:3N/A3MSC:3NCLEX:3N/A
3. What3is3required3by3the3health3care3team3to3identify3the3needs3of3a3patient3and3to3design3care3to
3meet3those3needs?
a. The3Kardex
b. The3physician‘s3order3sheet
c. An3individualized3care3plan
d. The3nurse‘s3notes
RIGHT3ANSWER:3C
An3individualized3care3plan3involves3all3health3care3workers3and3outlines3care3to3meet3the3nee
ds3of3the3individual3patient.3The3Kardex,3physician‘s3order3sheet,3and3nurse‘s3notes3do3not3ident
ify3the3needs3of3the3patient3nor3are3they3designed3to3assist3all3members3of3the3health3care3team3t
o3meet3those3needs.
PTS:3 1 DIF: Cognitive3Level:3Comprehension REF:3Pages313,316
TEST3BANK3FOR3FOUNDATIONS3AND3ADULT3HEALTH3NURSING39th3Edition3BY3KIM3COOPER3KELLY3G
OSNELL
, OBJ:3 83|39 TOP:3 Care3plan
KEY:3Nursing3Process3Step:3Planning3MSC:3NCLEX:3N/A
4. Patient3care3emphasis3on3wellness,3rather3than3illness,3begins3as3a3result3of:
a. increased3education3concerning3causes3of3illness.
b. improved3insurance3payments.
c. decentralized3care3centers.
d. increased3number3of3health3care3givers.
RIGHT3ANSWER:3A
The3acute3awareness3of3preventive3medicine3has3resulted3in3today‘s3emphasis3on3education3ab
out3issues3such3as3smoking,3heart3disease,3drug3and3alcohol3abuse,3weight3control,3and3mental3
health3and3wellness3promotion3activities.3This3preventive3education3has3resulted3in3an3emphasis
3on3wellness,3rather3than3illness.3Improved3insurance3payments,3decentralized3care3centers,3an
d3increased3numbers3of3health3care3givers3did3not3influence3an3emphasis3on3wellness.
PTS:3 1 DIF: Cognitive3Level:3Comprehension
REF:3Page3123OBJ:3 43|38
TOP:3 Wellness
KEY:3Nursing3Process3Step:3N/A3MSC:3NCLEX:3N/A
5. How3does3an3interdisciplinary3approach3to3patient3treatment3enhance3care?
a. By3improving3efficiency3of3care
b. By3reducing3the3number3of3caregivers
c. By3preventing3the3fragmentation3of3patient3care
d. By3shortening3hospital3stay
RIGHT3ANSWER:3C
An3interdisciplinary3approach3prevents3fragmentation3of3care.3An3interdisciplinary3approach
3does3not3improve3the3efficiency3of3care,3reduce3the3number3of3caregivers,3or3shorten3hospita
l3stay.
PTS:3 1 DIF: Cognitive3Level:3Comprehension3 REF:3 Page316
OBJ:3 83|39 TOP:3 Interdisciplinary3approach
KEY:3Nursing3Process3Step:3N/A3MSC:3NCLEX:3N/A
6. What3is3the3most3effective3process3to3ensure3that3the3care3plan3is3meeting3the3needs3of3the
3patient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
RIGHT3ANSWER:3B
Communication3is3the3primary3essential3component3among3the3health3care3team3to3evaluate3
and3modify3the3care3plan.3Documentation,3evaluation,3and3planning3are3not3primary3essential
3components3to3ensure3the3care3plan3is3meeting3the3needs3of3the3patient.
PTS:3 1 DIF:3 3 Cognitive3Level:3Comprehension3 3 3 REF:3Page316
OBJ:3 8 TOP:3 Communication
KEY:3Nursing3Process3Step:3N/A3MSC:3NCLEX:3N/A
ccccccxcccccccccccccccccccccccccccccccccccccccccccccccccccccccc
, 7. How3may3a3newly3licensed3LPN/LVN3practice?
a. Independently3in3a3hospital3setting
b. With3an3experienced3LPN/LVN
c. Under3the3supervision3of3a3physician3or3RN
d. As3a3sole3practitioner3in3a3clinic3setting
RIGHT3ANSWER:3C
An3LPN/LVN3practices3under3the3supervision3of3a3physician,3dentist,3OD,3or3RN.
PTS:3 1 DIF: Cognitive3Level:3Knowledge REF:3Pages313,319
OBJ: 11 TOP: Vocational nursing KEY: Nursing Process Step: N/A
MSC:3NCLEX:3N/A
8. Whose3influence3on3nursing3practice3in3the319th3century3was3related3to3improvement3of3patient3
3environment3as3a3method3of3health3promotion?
a. Clara3Barton
b. Linda3Richards
c. Dorothea3Dix
d. Florence3Nightingale
RIGHT3ANSWER:3D
The3influence3of3Florence3Nightingale3was3highly3significant3in3the319th3century3as3she3fought33
for3sanitary3conditions,3fresh3air,3and3general3improvement3in3the3patient3environment.3Clara3
Barton3developed3the3American3Red3Cross3in31881.3Linda3Richards3is3known3as3the3first3train
ed3nurse3in3America,3was3responsible3for3the3development3of3the3first3nursing3and3hospital3reco
rds,3and3is3credited3with3the3development3of3our3present-day3documentation3system.
Dorothea3Dix3was3the3pioneer3crusader3for3elevation3of3standards3of3care3for3the3mentally3ill3
and3superintendent3of3female3nurses3of3the3Union3Army.
PTS:3 1 DIF:3 Cognitive3Level:3Knowledge REF:3 Pages32,3173Table31-
23OBJ:323|34 TOP:3 Nursing3leaders
KEY:3Nursing3Process3Step:3N/A3MSC:3NCLEX:3N/A
9. What3document3identifies3the3roles3and3responsibilities3of3the3LPN/LVN?
a. NLN3Accreditation3Standards
b. Nurse3Practice3Act
c. NAPNE3Code
d. American3Nurses‘3Association3Code
RIGHT3ANSWER:3B
The3LPN/LVN3functions3under3the3Nurse3Practice3Act.3NLN3Accreditation3Standards,3the
3NAPNE3Code,3and3the3American3Nurses‘3Association3Code3do3not3identify3the3roles3an
d3responsibilities3of3the3LPN/LVN.
PTS:3 1 DIF:3 3 Cognitive3Level:3Knowledge REF:3Page313
OBJ:3 11 TOP:3 Roles3and3Responsibilities
KEY:3Nursing3Process3Step:3N/A3MSC:3NCLEX:3N/A
10. What3is3a3cost-
effective3delivery3of3care3used3by3many3hospitals3that3allows3the3LPN/LVN3to3work3with3the3
RN3to3meet3the3needs3of3patients?
a. Focused3nursing
b. Team3nursing
ccccccxcccccccccccccccccccccccccccccccccccccccccccccccccccccccc
3 3 33
DATIONSANDADULTH 3 3 3
EALTHNURSING9THE
3 3 3
DITIONBYCOOPER>CH
3 3
APTER 1- 3
40> COMPLETE GUIDE
3 3 3
, Chapter31:3Evolution3of3Nursing
Cooper3and3Gosnell:3Foundations3and3Adult3Health3Nursing,39th3Edition
MULTIPLE3CHOICE
1. What3is3a3nursing3program3considered3when3certified3by3a3state3agency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
RIGHT3ANSWER:3B
Approved3meright3answer3certified3by3a3state3agency3for3having3met3minimum3standards;33acc
redited3meright3answer3certified3by3the3NLN3for3having3met3more3complex3standards.33Provisi
onal3and3exemplified3are3not3terms3used3in3regard3to3nursing3program3certification.
PTS:3 1 DIF: Cognitive3Level:3Knowledge REF:3Page310
OBJ: 5 TOP: Nursing programs KEY: Nursing Process Step: N/A
MSC:3NCLEX:3N/A
2. Which3of3the3following3must3the3nurse3recognize3regarding3the3health3care3delivery3system?
a. It3includes3all3states.
b. It3affects3the3illness3of3patients.
c. Insurance3companies3are3not3involved.
d. The3major3goal3is3to3achieve3optimal3levels3of3health3care.
RIGHT3ANSWER:3D
The3nurse3must3recognize3that3in3the3health3care3delivery3system,3the3major3goal3is3to3achieve33o
ptimal3levels3of3health3care.3The3health3care3system3consists3of3a3network3of3agencies,33faciliti
es,3and3providers3involved3with3health3care3in3a3specified3geographic3area.3Insurance33compani
es3do3have3involvement3in3the3health3care3system.3The3illness3of3patients3is3not3necessarily3aff
ected3by3the3health3care3system.
PTS:3 1 DIF: Cognitive3Level:3Comprehension REF:3Page312
OBJ:3 7 TOP:3 Health3care3systems
KEY:3Nursing3Process3Step:3N/A3MSC:3NCLEX:3N/A
3. What3is3required3by3the3health3care3team3to3identify3the3needs3of3a3patient3and3to3design3care3to
3meet3those3needs?
a. The3Kardex
b. The3physician‘s3order3sheet
c. An3individualized3care3plan
d. The3nurse‘s3notes
RIGHT3ANSWER:3C
An3individualized3care3plan3involves3all3health3care3workers3and3outlines3care3to3meet3the3nee
ds3of3the3individual3patient.3The3Kardex,3physician‘s3order3sheet,3and3nurse‘s3notes3do3not3ident
ify3the3needs3of3the3patient3nor3are3they3designed3to3assist3all3members3of3the3health3care3team3t
o3meet3those3needs.
PTS:3 1 DIF: Cognitive3Level:3Comprehension REF:3Pages313,316
TEST3BANK3FOR3FOUNDATIONS3AND3ADULT3HEALTH3NURSING39th3Edition3BY3KIM3COOPER3KELLY3G
OSNELL
, OBJ:3 83|39 TOP:3 Care3plan
KEY:3Nursing3Process3Step:3Planning3MSC:3NCLEX:3N/A
4. Patient3care3emphasis3on3wellness,3rather3than3illness,3begins3as3a3result3of:
a. increased3education3concerning3causes3of3illness.
b. improved3insurance3payments.
c. decentralized3care3centers.
d. increased3number3of3health3care3givers.
RIGHT3ANSWER:3A
The3acute3awareness3of3preventive3medicine3has3resulted3in3today‘s3emphasis3on3education3ab
out3issues3such3as3smoking,3heart3disease,3drug3and3alcohol3abuse,3weight3control,3and3mental3
health3and3wellness3promotion3activities.3This3preventive3education3has3resulted3in3an3emphasis
3on3wellness,3rather3than3illness.3Improved3insurance3payments,3decentralized3care3centers,3an
d3increased3numbers3of3health3care3givers3did3not3influence3an3emphasis3on3wellness.
PTS:3 1 DIF: Cognitive3Level:3Comprehension
REF:3Page3123OBJ:3 43|38
TOP:3 Wellness
KEY:3Nursing3Process3Step:3N/A3MSC:3NCLEX:3N/A
5. How3does3an3interdisciplinary3approach3to3patient3treatment3enhance3care?
a. By3improving3efficiency3of3care
b. By3reducing3the3number3of3caregivers
c. By3preventing3the3fragmentation3of3patient3care
d. By3shortening3hospital3stay
RIGHT3ANSWER:3C
An3interdisciplinary3approach3prevents3fragmentation3of3care.3An3interdisciplinary3approach
3does3not3improve3the3efficiency3of3care,3reduce3the3number3of3caregivers,3or3shorten3hospita
l3stay.
PTS:3 1 DIF: Cognitive3Level:3Comprehension3 REF:3 Page316
OBJ:3 83|39 TOP:3 Interdisciplinary3approach
KEY:3Nursing3Process3Step:3N/A3MSC:3NCLEX:3N/A
6. What3is3the3most3effective3process3to3ensure3that3the3care3plan3is3meeting3the3needs3of3the
3patient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
RIGHT3ANSWER:3B
Communication3is3the3primary3essential3component3among3the3health3care3team3to3evaluate3
and3modify3the3care3plan.3Documentation,3evaluation,3and3planning3are3not3primary3essential
3components3to3ensure3the3care3plan3is3meeting3the3needs3of3the3patient.
PTS:3 1 DIF:3 3 Cognitive3Level:3Comprehension3 3 3 REF:3Page316
OBJ:3 8 TOP:3 Communication
KEY:3Nursing3Process3Step:3N/A3MSC:3NCLEX:3N/A
ccccccxcccccccccccccccccccccccccccccccccccccccccccccccccccccccc
, 7. How3may3a3newly3licensed3LPN/LVN3practice?
a. Independently3in3a3hospital3setting
b. With3an3experienced3LPN/LVN
c. Under3the3supervision3of3a3physician3or3RN
d. As3a3sole3practitioner3in3a3clinic3setting
RIGHT3ANSWER:3C
An3LPN/LVN3practices3under3the3supervision3of3a3physician,3dentist,3OD,3or3RN.
PTS:3 1 DIF: Cognitive3Level:3Knowledge REF:3Pages313,319
OBJ: 11 TOP: Vocational nursing KEY: Nursing Process Step: N/A
MSC:3NCLEX:3N/A
8. Whose3influence3on3nursing3practice3in3the319th3century3was3related3to3improvement3of3patient3
3environment3as3a3method3of3health3promotion?
a. Clara3Barton
b. Linda3Richards
c. Dorothea3Dix
d. Florence3Nightingale
RIGHT3ANSWER:3D
The3influence3of3Florence3Nightingale3was3highly3significant3in3the319th3century3as3she3fought33
for3sanitary3conditions,3fresh3air,3and3general3improvement3in3the3patient3environment.3Clara3
Barton3developed3the3American3Red3Cross3in31881.3Linda3Richards3is3known3as3the3first3train
ed3nurse3in3America,3was3responsible3for3the3development3of3the3first3nursing3and3hospital3reco
rds,3and3is3credited3with3the3development3of3our3present-day3documentation3system.
Dorothea3Dix3was3the3pioneer3crusader3for3elevation3of3standards3of3care3for3the3mentally3ill3
and3superintendent3of3female3nurses3of3the3Union3Army.
PTS:3 1 DIF:3 Cognitive3Level:3Knowledge REF:3 Pages32,3173Table31-
23OBJ:323|34 TOP:3 Nursing3leaders
KEY:3Nursing3Process3Step:3N/A3MSC:3NCLEX:3N/A
9. What3document3identifies3the3roles3and3responsibilities3of3the3LPN/LVN?
a. NLN3Accreditation3Standards
b. Nurse3Practice3Act
c. NAPNE3Code
d. American3Nurses‘3Association3Code
RIGHT3ANSWER:3B
The3LPN/LVN3functions3under3the3Nurse3Practice3Act.3NLN3Accreditation3Standards,3the
3NAPNE3Code,3and3the3American3Nurses‘3Association3Code3do3not3identify3the3roles3an
d3responsibilities3of3the3LPN/LVN.
PTS:3 1 DIF:3 3 Cognitive3Level:3Knowledge REF:3Page313
OBJ:3 11 TOP:3 Roles3and3Responsibilities
KEY:3Nursing3Process3Step:3N/A3MSC:3NCLEX:3N/A
10. What3is3a3cost-
effective3delivery3of3care3used3by3many3hospitals3that3allows3the3LPN/LVN3to3work3with3the3
RN3to3meet3the3needs3of3patients?
a. Focused3nursing
b. Team3nursing
ccccccxcccccccccccccccccccccccccccccccccccccccccccccccccccccccc
