FOUNDATIONS AND ADULT HEALTH
NURSING
9TH EDITION
• Author(S)Kim Cooper; Kelly Gosnell
TEST BANK
1
Reference: Ch. 1 — The Evolution of Nursing — History of
Nursing and Nursing Education
Question Stem: A charge nurse asks a new LPN/LVN about how
historical developments shape modern nursing roles. Which
statement best demonstrates understanding?
A. "Nursing has always been independent of other health
professions."
B. "Florence Nightingale influenced nursing by emphasizing
sanitation and data-driven care."
C. "Nursing education has always been university based since
the 1800s."
D. "Historical nursing focused primarily on administrative tasks."
Correct Answer: B
,Rationale (Correct): Nightingale’s emphasis on sanitation,
patient environment, and collecting health data established
principles that shaped modern nursing practice and education.
Rationales (Incorrect):
A. Incorrect — Nursing historically worked alongside medicine
and evolved within interprofessional contexts, not in isolation.
C. Incorrect — Nursing education historically began in hospital-
based apprenticeship programs; university-based programs
expanded later.
D. Incorrect — Early nursing involved bedside care and public
health, not primarily administrative tasks.
Teaching Point: Nightingale’s sanitation and data focus
established nursing’s scientific foundation.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
2
Reference: Ch. 1 — Care of the Sick During Early Civilization
Question Stem: A practical nurse is explaining to a patient why
cultural and historical views influence current care plans. Which
example best illustrates that influence?
A. Modern infection control came from medieval superstitions.
B. Early community caregiving practices shaped today’s home-
care and family-centered care models.
C. Ancient medical beliefs eliminated the need for
documentation.
,D. Early civilizations relied solely on physicians, not caregivers.
Correct Answer: B
Rationale (Correct): Early community-based caregiving fostered
traditions of family involvement and home care that influence
modern continuity and community-based nursing.
Rationales (Incorrect):
A. Incorrect — Modern infection control derives from scientific
advances (e.g., germ theory), not superstitions.
C. Incorrect — Documentation evolved as a clinical and legal
necessity, not eliminated by ancient beliefs.
D. Incorrect — Care of the sick historically included many
caregivers, including family and religious caregivers, not only
physicians.
Teaching Point: Historical community caregiving informs
modern home- and family-centered nursing.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
3
Reference: Ch. 1 — Changes in Nursing During the 20th Century
Question Stem: A clinic plans to update policies on nurse scope
of practice. Which 20th-century development most directly
expanded the practical nurse's clinical roles?
A. Decline of hospital care
B. Advances in medical technology and specialization
C. Elimination of licensure laws
, D. Reduced emphasis on aseptic technique
Correct Answer: B
Rationale (Correct): Technologic advances and medical
specialization created new care tasks and increased the need
for trained practical/vocational nurses to perform technical and
delegated responsibilities.
Rationales (Incorrect):
A. Incorrect — Hospital care increased in complexity during the
20th century; decline is inaccurate.
C. Incorrect — Licensure laws were implemented/strengthened,
not eliminated.
D. Incorrect — Aseptic technique emphasis grew, not
diminished.
Teaching Point: Technology and specialization expanded
practical nurse responsibilities.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
4
Reference: Ch. 1 — Significant Changes in Nursing For the 21st
Century
Question Stem: Which change should an LPN/LVN anticipate as
most influential on future bedside practice?
A. Decreased patient acuity on med-surg units
B. Increased reliance on interprofessional teamwork and care
coordination
NURSING
9TH EDITION
• Author(S)Kim Cooper; Kelly Gosnell
TEST BANK
1
Reference: Ch. 1 — The Evolution of Nursing — History of
Nursing and Nursing Education
Question Stem: A charge nurse asks a new LPN/LVN about how
historical developments shape modern nursing roles. Which
statement best demonstrates understanding?
A. "Nursing has always been independent of other health
professions."
B. "Florence Nightingale influenced nursing by emphasizing
sanitation and data-driven care."
C. "Nursing education has always been university based since
the 1800s."
D. "Historical nursing focused primarily on administrative tasks."
Correct Answer: B
,Rationale (Correct): Nightingale’s emphasis on sanitation,
patient environment, and collecting health data established
principles that shaped modern nursing practice and education.
Rationales (Incorrect):
A. Incorrect — Nursing historically worked alongside medicine
and evolved within interprofessional contexts, not in isolation.
C. Incorrect — Nursing education historically began in hospital-
based apprenticeship programs; university-based programs
expanded later.
D. Incorrect — Early nursing involved bedside care and public
health, not primarily administrative tasks.
Teaching Point: Nightingale’s sanitation and data focus
established nursing’s scientific foundation.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
2
Reference: Ch. 1 — Care of the Sick During Early Civilization
Question Stem: A practical nurse is explaining to a patient why
cultural and historical views influence current care plans. Which
example best illustrates that influence?
A. Modern infection control came from medieval superstitions.
B. Early community caregiving practices shaped today’s home-
care and family-centered care models.
C. Ancient medical beliefs eliminated the need for
documentation.
,D. Early civilizations relied solely on physicians, not caregivers.
Correct Answer: B
Rationale (Correct): Early community-based caregiving fostered
traditions of family involvement and home care that influence
modern continuity and community-based nursing.
Rationales (Incorrect):
A. Incorrect — Modern infection control derives from scientific
advances (e.g., germ theory), not superstitions.
C. Incorrect — Documentation evolved as a clinical and legal
necessity, not eliminated by ancient beliefs.
D. Incorrect — Care of the sick historically included many
caregivers, including family and religious caregivers, not only
physicians.
Teaching Point: Historical community caregiving informs
modern home- and family-centered nursing.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
3
Reference: Ch. 1 — Changes in Nursing During the 20th Century
Question Stem: A clinic plans to update policies on nurse scope
of practice. Which 20th-century development most directly
expanded the practical nurse's clinical roles?
A. Decline of hospital care
B. Advances in medical technology and specialization
C. Elimination of licensure laws
, D. Reduced emphasis on aseptic technique
Correct Answer: B
Rationale (Correct): Technologic advances and medical
specialization created new care tasks and increased the need
for trained practical/vocational nurses to perform technical and
delegated responsibilities.
Rationales (Incorrect):
A. Incorrect — Hospital care increased in complexity during the
20th century; decline is inaccurate.
C. Incorrect — Licensure laws were implemented/strengthened,
not eliminated.
D. Incorrect — Aseptic technique emphasis grew, not
diminished.
Teaching Point: Technology and specialization expanded
practical nurse responsibilities.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
4
Reference: Ch. 1 — Significant Changes in Nursing For the 21st
Century
Question Stem: Which change should an LPN/LVN anticipate as
most influential on future bedside practice?
A. Decreased patient acuity on med-surg units
B. Increased reliance on interprofessional teamwork and care
coordination
