TEST BANK Foundations and Adult Health Nursing 9/E Kim Cooper
b b b b b b b b b
Chapter 1. The Evolution of Nursing
b b b b b
Cooper: Foundations andAdult Health Nursing, 9th Edition
b b b b b b b
MULTIPLE CHOICE b
1. What is a nursing program considered when certified by a state agency?
b b b b b b b b b b b
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B b
Approved means certified by a state agency for having met minimum standards; accredited means
b b b b b b b b b b b b b
certified by the NLN for having met more complex standards. Provisional and exemplified are not
b b b b b b b b b b b b b b b
terms used in regard to nursing program certification.
b b b b b b b b
DIF: Cognitive Level: Knowledge b b REF: p. 10 OBJ: 5 b b b
TOP: Nursing programs
b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
2. Which of the following must the nurse recognize regarding the health care delivery system?
b b b b b b b b b b b b b
a. It includes all states.
b b b
b. It affects the illness of patients.
b b b b b
c. Insurance companies are not involved. b b b b
d. The major goal is to achieve optimal levels of health care.
b b b b b b b b b b
ANS: D b
The nurse must recognize that in the health care delivery system, the major goal is to achieve
b b b b b b b b b b b b b b b b
optimal levels of health care. The health care system consists of a network of agencies, facilities,
b b b b b b b b b b b b b b b b
and providers involved with health care in a specified geographic area. Insurance companies do
b b b b b b b b b b b b b b
have involvement in the health care system. The illness of patients is not necessarily affected by
b b b b b b b b b b b b b b b b
the health care system.
b b b b
DIF: Cognitive Level: Comprehension b b REF: p. 12 OBJ: 7 b b b
TOP: Health care systems
b b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
3. What is required by the health care team to identify the needs of a patient and to design care to meet
b b b b b b b b b b b b b b b b b b b b
bthose needs? b
a. The Kardex b
b. The health care provider’s order sheet b b b b b
c. An individualized care plan b b b
d. The nurse’s notes b b
ANS: C b
An individualized care plan involves all health care workers and outlines care to meet the needs of
b b b b b b b b b b b b b b b b
the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes do not
b b b b b b b b b b b b b b b
identify the needs of the patient nor are they designed to assist all members of the health care team
b b b b b b b b b b b b b b b b b b b
to meet those needs.
b b b b
DIF: Cognitive Level: Comprehension b b REF: p. 13 b b b OBJ: 8 | 9 b b b b
, TOP: Care plan b b KEY: Nursing Process Step: Planning b b b b MSC: NCLEX: N/A b b
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
b b b b b b b b b b b b
a. increased education concerning causes of illness. b b b b b
b. improved insurance payments. b b
c. decentralized care centers. b b
d. increased number of health care givers. b b b b b
ANS: A b
The acute awareness of preventive medicine has resulted in today’s emphasis on education about
b b b b b b b b b b b b b
issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental health
b b b b b b b b b b b b b b b
and wellness promotion activities. This preventive education has resulted in an emphasis on
b b b b b b b b b b b b b
wellness, rather than illness. Improved insurance payments, decentralized care centers, and
b b b b b b b b b b b
increased numbers of health care givers did not influence an emphasis on wellness.
b b b b b b b b b b b b b
DIF: Cognitive Level: Comprehension REF: p. 12 b b b b b OBJ: 4 | 8 b b b b
TOP: Wellness KEY: Nursing Process Step: N/A
b b b b b MSC: NCLEX: N/A b b
5. What is the most effective process to ensure that the care plan is meeting the needs of the
b b b b b b b b b b b b b b b b b
bpatient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B b
Communication is the primary essential component among the health care team to evaluate and
b b b b b b b b b b b b b
modify the care plan. Documentation, evaluation, and planning are not primary essential
b b b b b b b b b b b b
components to ensure the care plan is meeting the needs of the patient.
b b b b b b b b b b b b b
DIF: Cognitive Level: Comprehension b b REF: p. 17 OBJ: 8 b b b
TOP: Communication
b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
6. How does an interdisciplinary approach to patient treatment enhance care?
b b b b b b b b b
a. By improving efficiency of care
b b b b
b. By reducing the number of caregivers
b b b b b
c. By preventing the fragmentation of patient care
b b b b b b
d. By shortening hospital stay
b b b
ANS: C b
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
b b b b b b b b b
does not improve the efficiency of care, reduce the number of caregivers, or shorten hospital stay.
b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Comprehension
b b b b b REF: p. 16 OBJ: 8 | 9 b b b b b
TOP: Interdisciplinary approach
b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
7. How may a newly licensed LPN/LVN practice?
b b b b b b
a. Independently in a hospital setting b b b b
, b. With an experienced LPN/LVN b b b
c. Under the supervision of a health care provider or RN b b b b b b b b b
d. As a sole health care provider in a clinic setting
b b b b b b b b b
ANS: C b
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
b b b b b b b b b b b b b b
DIF: Cognitive Level: Knowledge b b REF: p. 11 OBJ: 11 b b b
TOP: Vocational nursing
b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
8. Whose influence on nursing practice in the 19th century was related to improvement of patient
b b b b b b b b b b b b b b
b environment as a method of health promotion? b b b b b b
a. Clara Barton b
b. Linda Richards b
c. Dorothea Dix b
d. Florence Nightingale b
ANS: D b
The influence of Florence Nightingale was highly significant in the 19th century as she fought for
b b b b b b b b b b b b b b b
sanitary conditions, fresh air, and general improvement in the patient environment. Clara Barton
b b b b b b b b b b b b b
developed the American Red Cross in 1881. Linda Richards is known as the first trained nurse in
b b b b b b b b b b b b b b b b b
America, was responsible for the development of the first nursing and hospital records, and is
b b b b b b b b b b b b b b b
credited with the development of our present-day documentation system.
b b b b b b b b b
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and
b b b b b b b b b b b b b b b b
superintendent of female nurses of the Union Army.
b b b b b b b b
DIF: Cognitive Level: Knowledge
b b b REF: p. 17 OBJ: 2 | 4 b b b b b
TOP: Nursing leaders
b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
9. What document identifies the roles and responsibilities of the LPN/LVN?
b b b b b b b b b
a. NLN Accreditation Standards b b
b. Nurse Practice Act b b
c. NAPNE Code b
d. American Nurses’Association Code b b b
ANS: B b
The LPN/LVN functions under the Nurse PracticeAct. NLNAccreditation Standards, the NAPNE
b b b b b b b b b b b b
Code, and the American Nurses’Association Code do not identify the roles and responsibilities of
b b b b b b b b b b b b b b b
the LPN/LVN.
b b
DIF: Cognitive Level: Knowledge b b REF: p. 12 | p. 14 OBJ: 11 b b b b b b
TOP: Roles and responsibilities
b b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
10. What is a cost-effective delivery of care used by many hospitals that allows the LPN/LVN to work
b b b b b b b b b b b b b b b b
bwith the RN to meet the needs of patients?
b b b b b b b b
a. Focused nursing b
b. Team nursing b
c. Case management b
d. Primary nursing b
, ANS: C b
Case management is a cost-effective method of care. Focused nursing, team nursing, and primary
b b b b b b b b b b b b b
nursing are not cost-effective methods of delivering care that allow the LPN/LVN to work with the
b b b b b b b b b b b b b b b b
RN to meet patient needs.
b b b b b
DIF: Cognitive Level: Comprehension
b b b b b REF: p. 15 OBJ: 7 | 9
b b b b b
TOP: Patient care delivery systems
b b b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
11. What is the title of the American Hospital Association’s 1972 document that outlines the
b b b b b b b b b b b b b
b patient’s expectations to be treated with dignity and compassion?
b b b b b b b b
a. Code of Ethics b b
b. Patient’s Bill of Rights b b b
c. OBRA
d. Advance directives b
ANS: B b
Patient expectations are outlined by the Patient’s Bill of Rights. Patient expectations are not
b b b b b b b b b b b b b
outlined in the Code of Ethics, OBRA, or advance directives.
b b b b b b b b b b
DIF: Cognitive Level: Knowledge b b REF: p. 16 OBJ: 4 | 8b b b b b
TOP: Patient’s rights
b b KEY: b Nursing Process Step: N/A b b b
MSC: NCLEX: N/A b b
12. The relationships among nursing, patients, health, and the environment are the basis for:
b b b b b b b b b b b b
a. care plans. b
b. nursing models. b
c. health care provider’s orders. b b b
d. evaluation of patient care. b b b
ANS: B b
Nursing models are theories based on the relationship between nursing, patients, health, and
b b b b b b b b b b b b
environment. Care plans, health care provider’s orders, and evaluation of patient care are not
b b b b b b b b b b b b b b
based on the relationships among nursing, patients, health, and environment.
b b b b b b b b b b
DIF: Cognitive Level: Comprehension b b REF: p. 17 OBJ: 1 b b b
TOP: Nursing models
b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
13. What system reduces the number of employees but still provides quality care for patients?
b b b b b b b b b b b b b
a. Team nursing b
b. Cross-training
c. Use of critical pathways b b b
d. Case management b
ANS: B b
Cross-training reduces the number of employees but does not alter the quality of patient care. Team
b b b b b b b b b b b b b b b
nursing, use of critical pathways, and case management do not reduce the number of employees
b b b b b b b b b b b b b b b
while continuing to provide quality care for patients.
b b b b b b b b
DIF: Cognitive Level: Comprehension REF: p. 15 b b b b b OBJ: 8 b b
TOP: Patient care KEY: Nursing Process Step: N/A
b b b b b b MSC: NCLEX: N/A b b
b b b b b b b b b
Chapter 1. The Evolution of Nursing
b b b b b
Cooper: Foundations andAdult Health Nursing, 9th Edition
b b b b b b b
MULTIPLE CHOICE b
1. What is a nursing program considered when certified by a state agency?
b b b b b b b b b b b
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B b
Approved means certified by a state agency for having met minimum standards; accredited means
b b b b b b b b b b b b b
certified by the NLN for having met more complex standards. Provisional and exemplified are not
b b b b b b b b b b b b b b b
terms used in regard to nursing program certification.
b b b b b b b b
DIF: Cognitive Level: Knowledge b b REF: p. 10 OBJ: 5 b b b
TOP: Nursing programs
b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
2. Which of the following must the nurse recognize regarding the health care delivery system?
b b b b b b b b b b b b b
a. It includes all states.
b b b
b. It affects the illness of patients.
b b b b b
c. Insurance companies are not involved. b b b b
d. The major goal is to achieve optimal levels of health care.
b b b b b b b b b b
ANS: D b
The nurse must recognize that in the health care delivery system, the major goal is to achieve
b b b b b b b b b b b b b b b b
optimal levels of health care. The health care system consists of a network of agencies, facilities,
b b b b b b b b b b b b b b b b
and providers involved with health care in a specified geographic area. Insurance companies do
b b b b b b b b b b b b b b
have involvement in the health care system. The illness of patients is not necessarily affected by
b b b b b b b b b b b b b b b b
the health care system.
b b b b
DIF: Cognitive Level: Comprehension b b REF: p. 12 OBJ: 7 b b b
TOP: Health care systems
b b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
3. What is required by the health care team to identify the needs of a patient and to design care to meet
b b b b b b b b b b b b b b b b b b b b
bthose needs? b
a. The Kardex b
b. The health care provider’s order sheet b b b b b
c. An individualized care plan b b b
d. The nurse’s notes b b
ANS: C b
An individualized care plan involves all health care workers and outlines care to meet the needs of
b b b b b b b b b b b b b b b b
the individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes do not
b b b b b b b b b b b b b b b
identify the needs of the patient nor are they designed to assist all members of the health care team
b b b b b b b b b b b b b b b b b b b
to meet those needs.
b b b b
DIF: Cognitive Level: Comprehension b b REF: p. 13 b b b OBJ: 8 | 9 b b b b
, TOP: Care plan b b KEY: Nursing Process Step: Planning b b b b MSC: NCLEX: N/A b b
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
b b b b b b b b b b b b
a. increased education concerning causes of illness. b b b b b
b. improved insurance payments. b b
c. decentralized care centers. b b
d. increased number of health care givers. b b b b b
ANS: A b
The acute awareness of preventive medicine has resulted in today’s emphasis on education about
b b b b b b b b b b b b b
issues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental health
b b b b b b b b b b b b b b b
and wellness promotion activities. This preventive education has resulted in an emphasis on
b b b b b b b b b b b b b
wellness, rather than illness. Improved insurance payments, decentralized care centers, and
b b b b b b b b b b b
increased numbers of health care givers did not influence an emphasis on wellness.
b b b b b b b b b b b b b
DIF: Cognitive Level: Comprehension REF: p. 12 b b b b b OBJ: 4 | 8 b b b b
TOP: Wellness KEY: Nursing Process Step: N/A
b b b b b MSC: NCLEX: N/A b b
5. What is the most effective process to ensure that the care plan is meeting the needs of the
b b b b b b b b b b b b b b b b b
bpatient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B b
Communication is the primary essential component among the health care team to evaluate and
b b b b b b b b b b b b b
modify the care plan. Documentation, evaluation, and planning are not primary essential
b b b b b b b b b b b b
components to ensure the care plan is meeting the needs of the patient.
b b b b b b b b b b b b b
DIF: Cognitive Level: Comprehension b b REF: p. 17 OBJ: 8 b b b
TOP: Communication
b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
6. How does an interdisciplinary approach to patient treatment enhance care?
b b b b b b b b b
a. By improving efficiency of care
b b b b
b. By reducing the number of caregivers
b b b b b
c. By preventing the fragmentation of patient care
b b b b b b
d. By shortening hospital stay
b b b
ANS: C b
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach
b b b b b b b b b
does not improve the efficiency of care, reduce the number of caregivers, or shorten hospital stay.
b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Comprehension
b b b b b REF: p. 16 OBJ: 8 | 9 b b b b b
TOP: Interdisciplinary approach
b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
7. How may a newly licensed LPN/LVN practice?
b b b b b b
a. Independently in a hospital setting b b b b
, b. With an experienced LPN/LVN b b b
c. Under the supervision of a health care provider or RN b b b b b b b b b
d. As a sole health care provider in a clinic setting
b b b b b b b b b
ANS: C b
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
b b b b b b b b b b b b b b
DIF: Cognitive Level: Knowledge b b REF: p. 11 OBJ: 11 b b b
TOP: Vocational nursing
b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
8. Whose influence on nursing practice in the 19th century was related to improvement of patient
b b b b b b b b b b b b b b
b environment as a method of health promotion? b b b b b b
a. Clara Barton b
b. Linda Richards b
c. Dorothea Dix b
d. Florence Nightingale b
ANS: D b
The influence of Florence Nightingale was highly significant in the 19th century as she fought for
b b b b b b b b b b b b b b b
sanitary conditions, fresh air, and general improvement in the patient environment. Clara Barton
b b b b b b b b b b b b b
developed the American Red Cross in 1881. Linda Richards is known as the first trained nurse in
b b b b b b b b b b b b b b b b b
America, was responsible for the development of the first nursing and hospital records, and is
b b b b b b b b b b b b b b b
credited with the development of our present-day documentation system.
b b b b b b b b b
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and
b b b b b b b b b b b b b b b b
superintendent of female nurses of the Union Army.
b b b b b b b b
DIF: Cognitive Level: Knowledge
b b b REF: p. 17 OBJ: 2 | 4 b b b b b
TOP: Nursing leaders
b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
9. What document identifies the roles and responsibilities of the LPN/LVN?
b b b b b b b b b
a. NLN Accreditation Standards b b
b. Nurse Practice Act b b
c. NAPNE Code b
d. American Nurses’Association Code b b b
ANS: B b
The LPN/LVN functions under the Nurse PracticeAct. NLNAccreditation Standards, the NAPNE
b b b b b b b b b b b b
Code, and the American Nurses’Association Code do not identify the roles and responsibilities of
b b b b b b b b b b b b b b b
the LPN/LVN.
b b
DIF: Cognitive Level: Knowledge b b REF: p. 12 | p. 14 OBJ: 11 b b b b b b
TOP: Roles and responsibilities
b b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
10. What is a cost-effective delivery of care used by many hospitals that allows the LPN/LVN to work
b b b b b b b b b b b b b b b b
bwith the RN to meet the needs of patients?
b b b b b b b b
a. Focused nursing b
b. Team nursing b
c. Case management b
d. Primary nursing b
, ANS: C b
Case management is a cost-effective method of care. Focused nursing, team nursing, and primary
b b b b b b b b b b b b b
nursing are not cost-effective methods of delivering care that allow the LPN/LVN to work with the
b b b b b b b b b b b b b b b b
RN to meet patient needs.
b b b b b
DIF: Cognitive Level: Comprehension
b b b b b REF: p. 15 OBJ: 7 | 9
b b b b b
TOP: Patient care delivery systems
b b b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
11. What is the title of the American Hospital Association’s 1972 document that outlines the
b b b b b b b b b b b b b
b patient’s expectations to be treated with dignity and compassion?
b b b b b b b b
a. Code of Ethics b b
b. Patient’s Bill of Rights b b b
c. OBRA
d. Advance directives b
ANS: B b
Patient expectations are outlined by the Patient’s Bill of Rights. Patient expectations are not
b b b b b b b b b b b b b
outlined in the Code of Ethics, OBRA, or advance directives.
b b b b b b b b b b
DIF: Cognitive Level: Knowledge b b REF: p. 16 OBJ: 4 | 8b b b b b
TOP: Patient’s rights
b b KEY: b Nursing Process Step: N/A b b b
MSC: NCLEX: N/A b b
12. The relationships among nursing, patients, health, and the environment are the basis for:
b b b b b b b b b b b b
a. care plans. b
b. nursing models. b
c. health care provider’s orders. b b b
d. evaluation of patient care. b b b
ANS: B b
Nursing models are theories based on the relationship between nursing, patients, health, and
b b b b b b b b b b b b
environment. Care plans, health care provider’s orders, and evaluation of patient care are not
b b b b b b b b b b b b b b
based on the relationships among nursing, patients, health, and environment.
b b b b b b b b b b
DIF: Cognitive Level: Comprehension b b REF: p. 17 OBJ: 1 b b b
TOP: Nursing models
b b b KEY: Nursing Process Step: N/A b b b b
MSC: NCLEX: N/A
b b b
13. What system reduces the number of employees but still provides quality care for patients?
b b b b b b b b b b b b b
a. Team nursing b
b. Cross-training
c. Use of critical pathways b b b
d. Case management b
ANS: B b
Cross-training reduces the number of employees but does not alter the quality of patient care. Team
b b b b b b b b b b b b b b b
nursing, use of critical pathways, and case management do not reduce the number of employees
b b b b b b b b b b b b b b b
while continuing to provide quality care for patients.
b b b b b b b b
DIF: Cognitive Level: Comprehension REF: p. 15 b b b b b OBJ: 8 b b
TOP: Patient care KEY: Nursing Process Step: N/A
b b b b b b MSC: NCLEX: N/A b b
