, Chapter 1: Evolution of Nursing
Cooper and Gosnell: Foundations and Adult Health Nursing, 9th Edition
MULTIPLE CHOICE
1. What is a nursing program considered when certified by a state agency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B
Approved means certified by a state agency for having met minimum standards; accredited
means certified by the NLN for having met more complex standards. Provisional and
exemplified are not terms used in regard to nursing program certification.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 10
OBJ: 5 TOP: Nursing programs KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. Which of the following must the nurse recognize regarding the health care delivery system?
a. It includes all states.
b. It affects the illness of patients.
c. Insurance companies are not involved.
d. The major goal is to achieve optimal levels of health care.
ANS: D
The nurse must recognize that in the health care delivery system, the major goal is to achieve
optimal levels of health care. The health care system consists of a network of agencies,
facilities, and providers involved with health care in a specified geographic area. Insurance
companies do have involvement in the health care system. The illness of patients is not
necessarily affected by the health care system.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12
OBJ: 7 TOP: Health care systems KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
3. What is required by the health care team to identify the needs of a patient and to design care to
meet those needs?
a. The Kardex
b. The physician‘s order sheet
c. An individualized care plan
d. The nurse‘s notes
ANS: C
An individualized care plan involves all health care workers and outlines care to meet the
needs of the individual patient. The Kardex, physician‘s order sheet, and nurse‘s notes do not
identify the needs of the patient nor are they designed to assist all members of the health care
team to meet those needs.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 13, 16
TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELLY
GOSNELL
, OBJ: 8 | 9 TOP: Care plan KEY: Nursing Process Step: Planning
MSC: NCLEX: N/A
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
a. increased education concerning causes of illness.
b. improved insurance payments.
c. decentralized care centers.
d. increased number of health care givers.
ANS: A
The acute awareness of preventive medicine has resulted in today‘s emphasis on education
about issues such as smoking, heart disease, drug and alcohol abuse, weight control, and
mental health and wellness promotion activities. This preventive education has resulted in an
emphasis on wellness, rather than illness. Improved insurance payments, decentralized care
centers, and increased numbers of health care givers did not influence an emphasis on
wellness.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12
OBJ: 4 | 8 TOP: Wellness KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
5. What is the most effective process to ensure that the care plan is meeting the needs of the
patient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B
Communication is the primary essential component among the health care team to evaluate
and modify the care plan. Documentation, evaluation, and planning are not primary essential
components to ensure the care plan is meeting the needs of the patient.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 16
OBJ: 8 TOP: Communication KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
6. How does an interdisciplinary approach to patient treatment enhance care?
a. By improving efficiency of care
b. By reducing the number of caregivers
c. By preventing the fragmentation of patient care
d. By shortening hospital stay
ANS: C
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
does not improve the efficiency of care, reduce the number of caregivers, or shorten hospital
stay.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 16
OBJ: 8 | 9 TOP: Interdisciplinary approach KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
, 7. HowqimayqiaqinewlyqilicensedqiLPN/LVNqipractice?
a. Independentlyqiinqiaqihospitalqisetting
b. WithqianqiexperiencedqiLPN/LVN
c. UnderqitheqisupervisionqiofqiaqiphysicianqiorqiRN
d. Asqiaqisoleqipractitionerqiinqiaqiclinicqisetting
ANS:qiC
AnqiLPN/LVNqipracticesqiunderqitheqisupervisionqiofqiaqiphysician,qidentist,qiOD,qiorqiRN.
PTS:q i q i 1 DIF: Cognitiveqi Level:qiKnowledge REF:qiPagesqi13,qi19
OBJ:q i 11 TOP:q i Vocationalqi nursing
KEY:qiNursingqiProcessqiStep:qiN/AqiMSC:q i NCLEX:qiN/A
8. Whoseqiinfluenceqionqinursingqipracticeqiinqitheqi19thqicenturyqiwasqirelatedqitoqiimprovementqiofqipatie
ntqienvironmentqiasqiaqimethodqiofqihealthqipromotion?
a. ClaraqiBarton
b. LindaqiRichards
c. DorotheaqiDix
d. FlorenceqiNightingale
ANS:qiD
TheqiinfluenceqiofqiFlorenceqiNightingaleqiwasqihighlyqisignificantqiinqitheqi19thqicenturyqiasqisheqifoug
htqiforqisanitaryqiconditions,qifreshqiair,qiandqigeneralqiimprovementqiinqitheqipatientqienvironment.qiC
laraqiBartonqidevelopedqitheqiAmericanqiRedqiCrossqiinqi1881.qiLindaqiRichardsqiisqiknownqiasqitheqifir
stqitrainedqinurseqiinqiAmerica,qiwasqiresponsibleqiforqitheqidevelopmentqiofqitheqifirstqinursingqiandqihos
pitalqirecords,qiandqiisqicreditedqiwithqitheqidevelopmentqiofqiourqipresent-
dayqidocumentationqisystem.
DorotheaqiDixqiwasqitheqipioneerqicrusaderqiforqielevationqiofqistandardsqiofqicareqiforqitheqimentallyqiil
lqiandqisuperintendentqiofqifemaleqinursesqiofqitheqiUnionqiArmy.
PTS:q i 1 DIF: Cognitiveqi Level:qiKnowledge REF:q i Pagesqi2,qi17qiTableqi1-
2q i OBJ:q i 2qi|qi4 TOP:q i Nursingqileaders
KEY:qiNursingqiProcessqiStep:qiN/AqiMSC:q i NCLEX:qiN/A
9. WhatqidocumentqiidentifiesqitheqirolesqiandqiresponsibilitiesqiofqitheqiLPN/LVN?
a. NLNqiAccreditationqiStandards
b. NurseqiPracticeqiAct
c. NAPNEqiCode
d. AmericanqiNurses‘qiAssociationqiCode
ANS:qiB
TheqiLPN/LVNqifunctionsqiunderqitheqiNurseqiPracticeqiAct.qiNLNqiAccreditationqiStandards,qitheqi
NAPNEqiCode,qiandqitheqiAmericanqiNurses‘qiAssociationqiCodeqidoqinotqiidentifyqitheqirolesqiandqi
responsibilitiesqiofqitheqiLPN/LVN.
PTS:q i q i 1 DIF: Cognitiveqi Level:qiKnowledge REF:qiPageqi13
OBJ:q i 11 TOP:q i RolesqiandqiResponsibilities
KEY:qiNursingqiProcessqiStep:qiN/AqiMSC:q i NCLEX:qiN/A
10. Whatqiisqiaqicost-
effectiveqideliveryqiofqicareqiusedqibyqimanyqihospitals qithatqiallows qitheqiLPN/LVNqitoqiworkqiwithqit
heqiRNqitoqimeetqitheqineedsqiofqipatients?
Cooper and Gosnell: Foundations and Adult Health Nursing, 9th Edition
MULTIPLE CHOICE
1. What is a nursing program considered when certified by a state agency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B
Approved means certified by a state agency for having met minimum standards; accredited
means certified by the NLN for having met more complex standards. Provisional and
exemplified are not terms used in regard to nursing program certification.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 10
OBJ: 5 TOP: Nursing programs KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. Which of the following must the nurse recognize regarding the health care delivery system?
a. It includes all states.
b. It affects the illness of patients.
c. Insurance companies are not involved.
d. The major goal is to achieve optimal levels of health care.
ANS: D
The nurse must recognize that in the health care delivery system, the major goal is to achieve
optimal levels of health care. The health care system consists of a network of agencies,
facilities, and providers involved with health care in a specified geographic area. Insurance
companies do have involvement in the health care system. The illness of patients is not
necessarily affected by the health care system.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12
OBJ: 7 TOP: Health care systems KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
3. What is required by the health care team to identify the needs of a patient and to design care to
meet those needs?
a. The Kardex
b. The physician‘s order sheet
c. An individualized care plan
d. The nurse‘s notes
ANS: C
An individualized care plan involves all health care workers and outlines care to meet the
needs of the individual patient. The Kardex, physician‘s order sheet, and nurse‘s notes do not
identify the needs of the patient nor are they designed to assist all members of the health care
team to meet those needs.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 13, 16
TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELLY
GOSNELL
, OBJ: 8 | 9 TOP: Care plan KEY: Nursing Process Step: Planning
MSC: NCLEX: N/A
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
a. increased education concerning causes of illness.
b. improved insurance payments.
c. decentralized care centers.
d. increased number of health care givers.
ANS: A
The acute awareness of preventive medicine has resulted in today‘s emphasis on education
about issues such as smoking, heart disease, drug and alcohol abuse, weight control, and
mental health and wellness promotion activities. This preventive education has resulted in an
emphasis on wellness, rather than illness. Improved insurance payments, decentralized care
centers, and increased numbers of health care givers did not influence an emphasis on
wellness.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12
OBJ: 4 | 8 TOP: Wellness KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
5. What is the most effective process to ensure that the care plan is meeting the needs of the
patient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B
Communication is the primary essential component among the health care team to evaluate
and modify the care plan. Documentation, evaluation, and planning are not primary essential
components to ensure the care plan is meeting the needs of the patient.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 16
OBJ: 8 TOP: Communication KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
6. How does an interdisciplinary approach to patient treatment enhance care?
a. By improving efficiency of care
b. By reducing the number of caregivers
c. By preventing the fragmentation of patient care
d. By shortening hospital stay
ANS: C
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
does not improve the efficiency of care, reduce the number of caregivers, or shorten hospital
stay.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 16
OBJ: 8 | 9 TOP: Interdisciplinary approach KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
, 7. HowqimayqiaqinewlyqilicensedqiLPN/LVNqipractice?
a. Independentlyqiinqiaqihospitalqisetting
b. WithqianqiexperiencedqiLPN/LVN
c. UnderqitheqisupervisionqiofqiaqiphysicianqiorqiRN
d. Asqiaqisoleqipractitionerqiinqiaqiclinicqisetting
ANS:qiC
AnqiLPN/LVNqipracticesqiunderqitheqisupervisionqiofqiaqiphysician,qidentist,qiOD,qiorqiRN.
PTS:q i q i 1 DIF: Cognitiveqi Level:qiKnowledge REF:qiPagesqi13,qi19
OBJ:q i 11 TOP:q i Vocationalqi nursing
KEY:qiNursingqiProcessqiStep:qiN/AqiMSC:q i NCLEX:qiN/A
8. Whoseqiinfluenceqionqinursingqipracticeqiinqitheqi19thqicenturyqiwasqirelatedqitoqiimprovementqiofqipatie
ntqienvironmentqiasqiaqimethodqiofqihealthqipromotion?
a. ClaraqiBarton
b. LindaqiRichards
c. DorotheaqiDix
d. FlorenceqiNightingale
ANS:qiD
TheqiinfluenceqiofqiFlorenceqiNightingaleqiwasqihighlyqisignificantqiinqitheqi19thqicenturyqiasqisheqifoug
htqiforqisanitaryqiconditions,qifreshqiair,qiandqigeneralqiimprovementqiinqitheqipatientqienvironment.qiC
laraqiBartonqidevelopedqitheqiAmericanqiRedqiCrossqiinqi1881.qiLindaqiRichardsqiisqiknownqiasqitheqifir
stqitrainedqinurseqiinqiAmerica,qiwasqiresponsibleqiforqitheqidevelopmentqiofqitheqifirstqinursingqiandqihos
pitalqirecords,qiandqiisqicreditedqiwithqitheqidevelopmentqiofqiourqipresent-
dayqidocumentationqisystem.
DorotheaqiDixqiwasqitheqipioneerqicrusaderqiforqielevationqiofqistandardsqiofqicareqiforqitheqimentallyqiil
lqiandqisuperintendentqiofqifemaleqinursesqiofqitheqiUnionqiArmy.
PTS:q i 1 DIF: Cognitiveqi Level:qiKnowledge REF:q i Pagesqi2,qi17qiTableqi1-
2q i OBJ:q i 2qi|qi4 TOP:q i Nursingqileaders
KEY:qiNursingqiProcessqiStep:qiN/AqiMSC:q i NCLEX:qiN/A
9. WhatqidocumentqiidentifiesqitheqirolesqiandqiresponsibilitiesqiofqitheqiLPN/LVN?
a. NLNqiAccreditationqiStandards
b. NurseqiPracticeqiAct
c. NAPNEqiCode
d. AmericanqiNurses‘qiAssociationqiCode
ANS:qiB
TheqiLPN/LVNqifunctionsqiunderqitheqiNurseqiPracticeqiAct.qiNLNqiAccreditationqiStandards,qitheqi
NAPNEqiCode,qiandqitheqiAmericanqiNurses‘qiAssociationqiCodeqidoqinotqiidentifyqitheqirolesqiandqi
responsibilitiesqiofqitheqiLPN/LVN.
PTS:q i q i 1 DIF: Cognitiveqi Level:qiKnowledge REF:qiPageqi13
OBJ:q i 11 TOP:q i RolesqiandqiResponsibilities
KEY:qiNursingqiProcessqiStep:qiN/AqiMSC:q i NCLEX:qiN/A
10. Whatqiisqiaqicost-
effectiveqideliveryqiofqicareqiusedqibyqimanyqihospitals qithatqiallows qitheqiLPN/LVNqitoqiworkqiwithqit
heqiRNqitoqimeetqitheqineedsqiofqipatients?
