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