,Chapter 01: The Evolution of Nursing Cooper
st st st st st st
: Foundation of Nursing, 9th Edition
st st st st st
MULTIPLE CHOICE st
1. What is a nursing program considered when certified by a stateagency?
st st st st st st st st st st st
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B s t
Approved means certified by a state agency for having met minimum standards; accredited means
st st st st st st st st st st st st st
certified by the NLN for having met more complex standards. Provisional and exemplified are n
st st st st st st st st st st st st st st st
ot terms used in regard to nursing program certification.
st st st st st st st st
DIF: Cognitive Level: Knowledge REF: p. 10 st st s t st
OBJ: 5 TOP: Nursing programs st st s t st
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A st st st ts st st st
2. Which of the following must the nurse recognize regarding the health care deliverysystem?
st st st st st st st st st st st st
a. It includes all states. st st st
b. It affects the illness of patients.
st st st st st
c. Insurance companies are not involved. st st st st
d. The major goal is to achieve optimal levels of health care.
st st st st st st st st st st
ANS: D st
The nurse must recognize that in the health care delivery system, the major goal is to achieve opti
st st st st st st st st st st st st st st st st st
mal levels of health care. The health care system consists of a network of agencies, facilities, and
st st st st st st st st st st st st st st st st st
providers involved with health care in a specified geographic area. Insurance companies do have
st st st st st st st st st st st st st st
involvement in the health care system. The illness of patients is not necessarily affected by the he st st st st st st st st st st st st st st st st
alth care system. st st
DIF: Cognitive Level: Comprehension REF: p. 12 st st s t st
OBJ: 7 TOP: Healthcare systems st st s t st
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A st st st ts st st st
3. What is required by the health care team to identify the needs of a patient and to design care to meet
st st st st st st st st st st st st st st st st st st st st st
those needs? st
a. The Kardex st
b. The health care provider’s order sheet st st st st st
c. An individualized care plan st st st
d. The nurse’snotes st st
ANS: C st
An individualized care plan involves all health care workers and outlines care to meet the needs o
st st st st st st st st st st st st st st st st
f the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes do not i
st st st st st st st st st st st st st st st st
dentify the needs of the patient nor are they designed to assist all members of the health care team t
st st st st st st st st st st st st st st st st st st st
o meet those needs.
st st st
DIF: Cognitive Level: Comprehension st st REF: p. 13 s t s t st OBJ: 8 | 9 st st st
, TOP: Care plan s t st KEY: Nursing Process Step: Planning s t st st st MSC: NCLEX: N/A st st
4. Patient care emphasis on wellness, rather than illness, begins as a resultof:
st st st st st st st st st st st ts
a. increased education concerning causes ofillness. st st st st st
b. improved insurance payments. st st
c. decentralized care centers. st st
d. increased number of health care givers. st st st st st
ANS: A st
The acute awareness of preventive medicine has resulted in today’s emphasis on education about
st st st st st st st st st st st st st s
issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental health
t st st st st st st st st st st st st st st st
and wellness promotion activities. This preventive education has resulted in an emphasis on well
st st st st st st st st st st st st st
ness, rather than illness. Improved insurance payments, decentralized care centers, and increased
st st st st st st st st st st st
numbers of health care givers did not influence an emphasis on wellness.
st st st st st st st st st st st st
DIF: Cognitive Level: Comprehension REF: p. 12 st st s t s t st OBJ: 4 | 8 st st st
TOP: Wellness KEY: Nursing Process Step: N/A
s t s t st st st MSC: NCLEX: N/A st st
5. What is the most effective process to ensure that the care plan is meeting the needs of the patie
st st st st st st st st st st st st st st st st st st
nt?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B st
Communication is the primary essential component among the health care team to evaluate and st st st st st st st st st st st st st st
modify the care plan. Documentation, evaluation, and planning are not primary essential compon
st st st st st st st st st st st st
ents to ensure the care plan is meeting the needs of the patient.
st st st st st st st st st st st st
DIF: Cognitive Level: Comprehension REF: p. 17 st st s t st
OBJ: 8 TOP: Communication st st s t
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
st st st ts st st st
6. How does an interdisciplinary approach to patient treatment enhancecare?
st st st st st st st st ts
a. By improving efficiency ofcare
st st st st
b. By reducing the number of caregivers
st st st st st
c. By preventing the fragmentation of patientcare
st st st st st st
d. By shortening hospital stay st st st
ANS: C st
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach d
st st st st st st st st st st
oes not improve the efficiency of care, reduce the number of caregivers, or shorten hospital stay.
st st st st st st st st st st st st st st st
DIF: Cognitive Level: Comprehension REF: p. 16
s t st st s t st st
OBJ: 8 | 9 TOP: Interdisciplinary st st st st s t st
approach
KEY: Nursing Process Step: N/A st st st st st
MSC: NCLEX: N/A st st
7. How may a newlylicensed LPN/LVN practice?
st st st st st st
a. Independently in a hospital setting st st st st
, b. With an experienced LPN/LVN st st st
c. Under the supervision of a health care provider or RN st st st st st st st st st
d. As a sole health care provider in a clinic setting
st st st st st st st st st
ANS: C st
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
st st st st st st st st st st st st st st
DIF: Cognitive Level: Knowledge REF: p. 11 st st s t st
OBJ: 11 TOP: Vocational nursing st st s t st
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A st st st ts st st st
8. Whose influence on nursing practice in the 19th century was related to improvement of patient env
st st st st st st st st st st st st st st st
ironment as a method of health promotion? st st st st st st
a. Clara Barton st
b. Linda Richards st
c. Dorothea Dix st
d. Florence Nightingale st
ANS: D st
The influence of Florence Nightingale was highly significant in the 19th century as she fought for
st st st st st st st st st st st st st st st
sanitary conditions, fresh air, and general improvement in the patient environment. Clara Barton
st st st st st st st st st st st st st s
developed the American Red Cross in 1881. Linda Richards is known as the first trained nurse in
t st st st st st st st st st st st st st st st st st
America, was responsible for the development of the first nursing and hospital records, and is cred
st st st st st st st st st st st st st st st
ited with the development of our present-day documentation system.
st st st st st st st st
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and su
st st st st st st st st st st st st st st st st st
perintendent of female nurses of the Union Army. st st st st st st st
DIF: Cognitive Level: Knowledge
s t st st REF: p. 17 s t st
OBJ: 2 | 4 TOP: Nursing leaders
st st st st s t st
KEY: Nursing Process Step: N/A st st st st st
MSC: NCLEX: N/A st st
9. What document identifies the roles and responsibilities of the LPN/LVN?
st st st st st st st st st
a. NLN AccreditationStandards st st
b. Nurse PracticeAct st st
c. NAPNE Code st
d. American Nurses’ AssociationCode st st ts
ANS: B st
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the NA
st st st st st st st st st st st st
PNE Code, and the American Nurses’ Association Code do not identify the roles and respo
st st st st st st st st st st st st st st
nsibilities of the LPN/LVN. st st st
DIF: Cognitive Level: Knowledge REF: p. 12 |p. 14 st st s t st st st
OBJ: 11 TOP: Rolesand responsibilities st st s t st
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A st st st ts st st st
10. What is a cost- st st st
effective deliveryof care used bymany hospitals that allows the LPN/LVN to work with the RN
st st st st st st st st st st st st st st st st st
to meet the needs of patients?
st st st st st
a. Focused nursing st
b. Team nursing st
c. Case management st
d. Primary nursing st
st st st st st st
: Foundation of Nursing, 9th Edition
st st st st st
MULTIPLE CHOICE st
1. What is a nursing program considered when certified by a stateagency?
st st st st st st st st st st st
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B s t
Approved means certified by a state agency for having met minimum standards; accredited means
st st st st st st st st st st st st st
certified by the NLN for having met more complex standards. Provisional and exemplified are n
st st st st st st st st st st st st st st st
ot terms used in regard to nursing program certification.
st st st st st st st st
DIF: Cognitive Level: Knowledge REF: p. 10 st st s t st
OBJ: 5 TOP: Nursing programs st st s t st
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A st st st ts st st st
2. Which of the following must the nurse recognize regarding the health care deliverysystem?
st st st st st st st st st st st st
a. It includes all states. st st st
b. It affects the illness of patients.
st st st st st
c. Insurance companies are not involved. st st st st
d. The major goal is to achieve optimal levels of health care.
st st st st st st st st st st
ANS: D st
The nurse must recognize that in the health care delivery system, the major goal is to achieve opti
st st st st st st st st st st st st st st st st st
mal levels of health care. The health care system consists of a network of agencies, facilities, and
st st st st st st st st st st st st st st st st st
providers involved with health care in a specified geographic area. Insurance companies do have
st st st st st st st st st st st st st st
involvement in the health care system. The illness of patients is not necessarily affected by the he st st st st st st st st st st st st st st st st
alth care system. st st
DIF: Cognitive Level: Comprehension REF: p. 12 st st s t st
OBJ: 7 TOP: Healthcare systems st st s t st
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A st st st ts st st st
3. What is required by the health care team to identify the needs of a patient and to design care to meet
st st st st st st st st st st st st st st st st st st st st st
those needs? st
a. The Kardex st
b. The health care provider’s order sheet st st st st st
c. An individualized care plan st st st
d. The nurse’snotes st st
ANS: C st
An individualized care plan involves all health care workers and outlines care to meet the needs o
st st st st st st st st st st st st st st st st
f the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes do not i
st st st st st st st st st st st st st st st st
dentify the needs of the patient nor are they designed to assist all members of the health care team t
st st st st st st st st st st st st st st st st st st st
o meet those needs.
st st st
DIF: Cognitive Level: Comprehension st st REF: p. 13 s t s t st OBJ: 8 | 9 st st st
, TOP: Care plan s t st KEY: Nursing Process Step: Planning s t st st st MSC: NCLEX: N/A st st
4. Patient care emphasis on wellness, rather than illness, begins as a resultof:
st st st st st st st st st st st ts
a. increased education concerning causes ofillness. st st st st st
b. improved insurance payments. st st
c. decentralized care centers. st st
d. increased number of health care givers. st st st st st
ANS: A st
The acute awareness of preventive medicine has resulted in today’s emphasis on education about
st st st st st st st st st st st st st s
issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental health
t st st st st st st st st st st st st st st st
and wellness promotion activities. This preventive education has resulted in an emphasis on well
st st st st st st st st st st st st st
ness, rather than illness. Improved insurance payments, decentralized care centers, and increased
st st st st st st st st st st st
numbers of health care givers did not influence an emphasis on wellness.
st st st st st st st st st st st st
DIF: Cognitive Level: Comprehension REF: p. 12 st st s t s t st OBJ: 4 | 8 st st st
TOP: Wellness KEY: Nursing Process Step: N/A
s t s t st st st MSC: NCLEX: N/A st st
5. What is the most effective process to ensure that the care plan is meeting the needs of the patie
st st st st st st st st st st st st st st st st st st
nt?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B st
Communication is the primary essential component among the health care team to evaluate and st st st st st st st st st st st st st st
modify the care plan. Documentation, evaluation, and planning are not primary essential compon
st st st st st st st st st st st st
ents to ensure the care plan is meeting the needs of the patient.
st st st st st st st st st st st st
DIF: Cognitive Level: Comprehension REF: p. 17 st st s t st
OBJ: 8 TOP: Communication st st s t
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
st st st ts st st st
6. How does an interdisciplinary approach to patient treatment enhancecare?
st st st st st st st st ts
a. By improving efficiency ofcare
st st st st
b. By reducing the number of caregivers
st st st st st
c. By preventing the fragmentation of patientcare
st st st st st st
d. By shortening hospital stay st st st
ANS: C st
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach d
st st st st st st st st st st
oes not improve the efficiency of care, reduce the number of caregivers, or shorten hospital stay.
st st st st st st st st st st st st st st st
DIF: Cognitive Level: Comprehension REF: p. 16
s t st st s t st st
OBJ: 8 | 9 TOP: Interdisciplinary st st st st s t st
approach
KEY: Nursing Process Step: N/A st st st st st
MSC: NCLEX: N/A st st
7. How may a newlylicensed LPN/LVN practice?
st st st st st st
a. Independently in a hospital setting st st st st
, b. With an experienced LPN/LVN st st st
c. Under the supervision of a health care provider or RN st st st st st st st st st
d. As a sole health care provider in a clinic setting
st st st st st st st st st
ANS: C st
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
st st st st st st st st st st st st st st
DIF: Cognitive Level: Knowledge REF: p. 11 st st s t st
OBJ: 11 TOP: Vocational nursing st st s t st
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A st st st ts st st st
8. Whose influence on nursing practice in the 19th century was related to improvement of patient env
st st st st st st st st st st st st st st st
ironment as a method of health promotion? st st st st st st
a. Clara Barton st
b. Linda Richards st
c. Dorothea Dix st
d. Florence Nightingale st
ANS: D st
The influence of Florence Nightingale was highly significant in the 19th century as she fought for
st st st st st st st st st st st st st st st
sanitary conditions, fresh air, and general improvement in the patient environment. Clara Barton
st st st st st st st st st st st st st s
developed the American Red Cross in 1881. Linda Richards is known as the first trained nurse in
t st st st st st st st st st st st st st st st st st
America, was responsible for the development of the first nursing and hospital records, and is cred
st st st st st st st st st st st st st st st
ited with the development of our present-day documentation system.
st st st st st st st st
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and su
st st st st st st st st st st st st st st st st st
perintendent of female nurses of the Union Army. st st st st st st st
DIF: Cognitive Level: Knowledge
s t st st REF: p. 17 s t st
OBJ: 2 | 4 TOP: Nursing leaders
st st st st s t st
KEY: Nursing Process Step: N/A st st st st st
MSC: NCLEX: N/A st st
9. What document identifies the roles and responsibilities of the LPN/LVN?
st st st st st st st st st
a. NLN AccreditationStandards st st
b. Nurse PracticeAct st st
c. NAPNE Code st
d. American Nurses’ AssociationCode st st ts
ANS: B st
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the NA
st st st st st st st st st st st st
PNE Code, and the American Nurses’ Association Code do not identify the roles and respo
st st st st st st st st st st st st st st
nsibilities of the LPN/LVN. st st st
DIF: Cognitive Level: Knowledge REF: p. 12 |p. 14 st st s t st st st
OBJ: 11 TOP: Rolesand responsibilities st st s t st
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A st st st ts st st st
10. What is a cost- st st st
effective deliveryof care used bymany hospitals that allows the LPN/LVN to work with the RN
st st st st st st st st st st st st st st st st st
to meet the needs of patients?
st st st st st
a. Focused nursing st
b. Team nursing st
c. Case management st
d. Primary nursing st
