,CHAPTER 1: Evolution of Nursing Thought &
Action
1. Key Concept: Full-spectrum nursing and scope of practice
Question Stem
A newly licensed RN is asked to explain "full-spectrum nursing."
Which statement best describes that concept? (≤65 words)
Options
A. Focuses only on acute, hospital-based interventions.
B. Integrates health promotion, assessment, diagnosis,
intervention, and evaluation across settings.
C. Limits practice to following physician orders and task
completion.
D. Emphasizes administrative duties over direct patient care.
Correct Answer
B
Rationales
Correct: Full-spectrum nursing emphasizes the nurse’s role across
prevention, assessment, diagnosis, intervention, and evaluation in
many settings, integrating clinical judgment and health
promotion. (Capriotti, Ch. 1 — Evolution of Nursing Thought &
Action). F. A. Davis
A: Incorrect — full-spectrum is broader than hospital/acute care.
C: Incorrect — nursing is autonomous and includes critical
thinking beyond task performance.
D: Incorrect — administrative duties may exist but do not define
full-spectrum practice.
Teaching Point
Full-spectrum nursing integrates prevention, assessment,
intervention, and evaluation across settings.
, 2. Chapter & Subtopic
Chapter 1 – Historical Leaders Who Advanced the
Profession of Nursing
Key Concept: Florence Nightingale’s influence on nursing
science and environment
Question Stem
Which historical leader is most associated with linking
environmental conditions to patient outcomes and founding
modern nursing principles? (≤30 words)
Options
A. Lillian Wald
B. Florence Nightingale
C. Dorothea Dix
D. Mary Breckinridge
Correct Answer
B
Rationales
Correct: Florence Nightingale emphasized sanitation,
environment, and data collection to improve outcomes —
foundational to modern nursing practice and epidemiologic
thinking. (Capriotti, Ch. 1). F. A. Davis
A: Incorrect — Lillian Wald focused on public/community nursing.
C: Incorrect — Dorothea Dix advocated for mental health reform
rather than environmental theory.
D: Incorrect — Mary Breckinridge advanced frontier midwifery
and rural health.
Teaching Point
Nightingale linked environment and outcomes; data-informed
nursing began with her work.
, 3. Chapter & Subtopic
Chapter 1 – Nursing Today: Full-Spectrum Nursing
Key Concept: Settings of care and nursing roles
Question Stem
A patient discharged after stroke needs IV meds, home safety
evaluation, and rehab referral. Which nurse role best illustrates
full-spectrum nursing across settings? (≤34 words)
Options
A. The unit nurse who gives the IV dose and leaves discharge
planning to case management.
B. The nurse coordinating medication, home assessment, and
therapy referral across hospital and home settings.
C. The OR nurse who is not involved after surgery.
D. The nurse who only documents and schedules follow-up.
Correct Answer
B
Rationales
Correct: Coordinating clinical care, safety assessments, and
referrals across settings demonstrates full-spectrum nursing that
spans acute and post-acute care. (Capriotti, Ch.1). F. A. Davis
A: Incorrect — partial tasks alone don’t represent full-spectrum
coordination.
C: Incorrect — OR nursing is specialized and not relevant here.
D: Incorrect — documentation alone lacks comprehensive care
coordination.
Teaching Point
Full-spectrum nursing coordinates clinical and community care
across settings.
4. Chapter & Subtopic
Chapter 1 – Contemporary Nursing: Education, Regulation,
Action
1. Key Concept: Full-spectrum nursing and scope of practice
Question Stem
A newly licensed RN is asked to explain "full-spectrum nursing."
Which statement best describes that concept? (≤65 words)
Options
A. Focuses only on acute, hospital-based interventions.
B. Integrates health promotion, assessment, diagnosis,
intervention, and evaluation across settings.
C. Limits practice to following physician orders and task
completion.
D. Emphasizes administrative duties over direct patient care.
Correct Answer
B
Rationales
Correct: Full-spectrum nursing emphasizes the nurse’s role across
prevention, assessment, diagnosis, intervention, and evaluation in
many settings, integrating clinical judgment and health
promotion. (Capriotti, Ch. 1 — Evolution of Nursing Thought &
Action). F. A. Davis
A: Incorrect — full-spectrum is broader than hospital/acute care.
C: Incorrect — nursing is autonomous and includes critical
thinking beyond task performance.
D: Incorrect — administrative duties may exist but do not define
full-spectrum practice.
Teaching Point
Full-spectrum nursing integrates prevention, assessment,
intervention, and evaluation across settings.
, 2. Chapter & Subtopic
Chapter 1 – Historical Leaders Who Advanced the
Profession of Nursing
Key Concept: Florence Nightingale’s influence on nursing
science and environment
Question Stem
Which historical leader is most associated with linking
environmental conditions to patient outcomes and founding
modern nursing principles? (≤30 words)
Options
A. Lillian Wald
B. Florence Nightingale
C. Dorothea Dix
D. Mary Breckinridge
Correct Answer
B
Rationales
Correct: Florence Nightingale emphasized sanitation,
environment, and data collection to improve outcomes —
foundational to modern nursing practice and epidemiologic
thinking. (Capriotti, Ch. 1). F. A. Davis
A: Incorrect — Lillian Wald focused on public/community nursing.
C: Incorrect — Dorothea Dix advocated for mental health reform
rather than environmental theory.
D: Incorrect — Mary Breckinridge advanced frontier midwifery
and rural health.
Teaching Point
Nightingale linked environment and outcomes; data-informed
nursing began with her work.
, 3. Chapter & Subtopic
Chapter 1 – Nursing Today: Full-Spectrum Nursing
Key Concept: Settings of care and nursing roles
Question Stem
A patient discharged after stroke needs IV meds, home safety
evaluation, and rehab referral. Which nurse role best illustrates
full-spectrum nursing across settings? (≤34 words)
Options
A. The unit nurse who gives the IV dose and leaves discharge
planning to case management.
B. The nurse coordinating medication, home assessment, and
therapy referral across hospital and home settings.
C. The OR nurse who is not involved after surgery.
D. The nurse who only documents and schedules follow-up.
Correct Answer
B
Rationales
Correct: Coordinating clinical care, safety assessments, and
referrals across settings demonstrates full-spectrum nursing that
spans acute and post-acute care. (Capriotti, Ch.1). F. A. Davis
A: Incorrect — partial tasks alone don’t represent full-spectrum
coordination.
C: Incorrect — OR nursing is specialized and not relevant here.
D: Incorrect — documentation alone lacks comprehensive care
coordination.
Teaching Point
Full-spectrum nursing coordinates clinical and community care
across settings.
4. Chapter & Subtopic
Chapter 1 – Contemporary Nursing: Education, Regulation,
