k k k k k k k k k
Chapter 1. The Evolution of Nursing
k k k k k
Cooper: Foundations and Adult Health Nursing, 10th Edition
k k k k k k k
MULTIPLE CHOICE k
1. What is a nursing program considered when certified by a state agency?
k k k k k k k k k k k k
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B k
Approved means certified by a state agency for having met minimum standards; accredited
k k k k k k k k k k k k
means certified by the NLN for having met more complex standards. Provisional and ex
k k k k k k k k k k k k k k
emplified are not terms used in regard to nursing program certification.
k k k k k k k k k k
DIF: Cognitive Level: Knowledge REF: p. 10 k k k k
OBJ: 5 TOP: Nursing programs
k k k k
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
k k k k k k k
2. Which of the following must the nurse recognize regarding the health care delivery system?
k k k k k k k k k k k k k
a. It includes all states.
k k k
b. It affects the illness of patients.
k k k k k
c. Insurance companies are not involved. k k k k
d. The major goal is to achieve optimal levels of health care.
k k k k k k k k k k
ANS: D k
The nurse must recognize that in the health care delivery system, the major goal is to achi
k k k k k k k k k k k k k k k k
eve optimal levels of health care. The health care system consists of a network of agencie
k k k k k k k k k k k k k k k
s, facilities, and providers involved with health care in a specified geographic area. Insur
k k k k k k k k k k k k k
ance companies do have involvement in the health care system. The illness of patients is
k k k k k k k k k k k k k k k
, not necessarily affected by the health care system.
k k k k k k k
DIF: Cognitive Level: Comprehension REF: p. 12
k k k k
OBJ: 7 TOP: Health care systems
k k k k k
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
k k k k k k k
3. What is required by the health care team to identify the needs of a patient and to design ca
k k k k k k k k k k k k k k k k k k
re to meet those needs?
k k k k
a. The Kardex k
b. The health care provider’s order sheet
k k k k k
c. An individualized care plan
k k k
d. The nurse’s notes k k
ANS: C k
An individualized care plan involves all health care workers and outlines care to meet th
k k k k k k k k k k k k k k
e needs of the individual patient. The Kardex, health care provider’s order sheet, and nu
k k k k k k k k k k k k k k
rse’s notes do not identify the needs of the patient nor are they designed to assist all mem
k k k k k k k k k k k k k k k k k
bers of the health care team to meet those needs.
k k k k k k k k k
DIF: Cognitive Level: Comprehension REF: p. 13
k k k k k OBJ: 8 | 9
k k k k
, TOP: Care plan k k KEY: Nursing Process Step: Planning k k k k MSC: NCLEX: N/A k k
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
k k k k k k k k k k k k
a. increased education concerning causes of illness. k k k k k
b. improved insurance payments. k k
c. decentralized care centers. k k
d. increased number of health care givers. k k k k k
ANS: A k
The acute awareness of preventive medicine has resulted in today’s emphasis on educat
k k k k k k k k k k k k
ion about issues such as smoking, heart disease, drug and alcohol abuse, weight control,
k k k k k k k k k k k k k
kand mental health and wellness promotion activities. This preventive education has res
k k k k k k k k k k k
ulted in an emphasis on wellness, rather than illness. Improved insurance payments, de
k k k k k k k k k k k k
centralized care centers, and increased numbers of health care givers did not influence a
k k k k k k k k k k k k k
n emphasis on wellness.
k k k
DIF: Cognitive Level: Comprehension REF: p. 12 k k k k k OBJ: 4 | 8 k k k k
TOP: Wellness KEY: Nursing Process Step: N/A
k k k k k MSC: NCLEX: N/A k k
5. What is the most effective process to ensure that the care plan is meeting the needs o
k k k k k k k k k k k k k k k k
f the patient?
k k
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B k
Communication is the primary essential component among the health care team to eval k k k k k k k k k k k k
uate and modify the care plan. Documentation, evaluation, and planning are not primar
k k k k k k k k k k k k
y essential components to ensure the care plan is meeting the needs of the patient.
k k k k k k k k k k k k k k
DIF: Cognitive Level: Comprehension REF: p. 17 k k k k
OBJ: 8 TOP: Communication
k k k
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
k k k k k k k
6. How does an interdisciplinary approach to patient treatment enhance care?
k k k k k k k k k
a. By improving efficiency of care k k k k
b. By reducing the number of caregivers k k k k k
c. By preventing the fragmentation of patient care
k k k k k k
d. By shortening hospital stay k k k
ANS: C k
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary ap
k k k k k k k k k
proach does not improve the efficiency of care, reduce the number of caregivers, or sho
k k k k k k k k k k k k k k
rten hospital stay. k k
DIF: Cognitive Level: Comprehension
k k k k k REF: p. 16 k k
OBJ: 8 | 9 TOP: Interdisciplina
k k k k k
ry approach k
KEY: Nursing Process Step: N/ k k k k
A MSC: NCLEX: N/A
k k k
, 7. How may a newly licensed LPN/LVN practice?
k k k k k k
a. Independently in a hospital setting
k k k k