,Chapter 01: The Evolution of Nursing Cooper
gt gt gt gt gt jv
:FoundationofNursing,9thEdition
gt gt gt gt gt
MULTIPLE CHOICE gt
1. What is a nursing program considered when certified by a stateagency?
jv gt gt jv gt jv gt gt gt gt
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B g t
Approved means certified by a state agency for having met minimum standards; accredited mean s ce
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
rtified by the NLN for having met more complex standards. Provisional and exemplified are not ter
jv gt gt gt gt gt gt gt gt gt gt gt gt gt gt
ms used in regard to nursing program certification.
gt jv gt gt jv gt gt
DIF: Cognitive Level: Knowledge gt gt
REF: p. 10 g t gt g
OBJ: 5 TOP: Nursing programs
t gt gt g t gt
KEY:Nursing ProcessStep:N/A MSC: NCLEX: N/A gt jv gt gt gt gt
2. Which of the following must the nurse recognize regarding the health care deliverysystem?
jv gt gt gt gt gt gt gt gt gt gt gt
a. It includes all states.
jv jv gt
b. It affects the illness ofpatients.
gt gt gt gt gt
c. Insurance companies are not involved. gt gt gt gt
d. Themajor goal is to achieve optimal levels of healthcare.
gt gt gt gt gt gt gt gt gt
ANS: D gt
The nurse must recognize that in the health care delivery system, the major goal is to achieve opti mal
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
levels of health care. The health care system consists of a network of agencies, facilities, an d provid
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
ers involved with health care in a specified geographic area. Insurance companies do ha ve involvem
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
ent in the health care system. The illness of patients is not necessarily affected by th e health care sys
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
tem.
DIF: Cognitive Level: Comprehension gt gt
REF: p. 12 OBJ: 7 TOP: g t gt gt gt gt
Healthcare systems gt
KEY:NursingProcessStep:N/A MSC: NCLEX: N/A gt gt gt gt gt gt
3. What isrequired bythehealth careteam to identifythe needs ofa patient and to design careto me et th
jv gt gt gt gt gt gt gt gt gt gt jv gt gt gt gt gt gt gt
ose needs? gt
a. TheKardex gt
b. The health care provider’s ordersheet gt jv gt gt
c. An individualized careplan gt gt
d. Thenurse’snotes gt
ANS: C gt
An individualized care plan involves all health care workers and outlines care to meet the needs of t
gt gt gt jv gt gt gt gt gt jv gt gt gt gt gt gt gt
he individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes do no t identi
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
fythe needs of the patient nor aretheydesigned to assist all members of the health care tea m to meet t
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
hose needs. gt
DIF: Cognitive Level: Comprehension gt gt REF: p. 13 g t g t gt OBJ: 8 | 9 gt gt gt
, TOP: Care plan gt KEY: NursingProcess Step: Planning g t gt gt gt MSC: NCLEX: N/A gt gt
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
gt gt gt gt gt gt gt gt gt gt gt jv
a. increased education concerning causes ofillness. jv gt jv gt
b. improved insurancepayments. jv gt
c. decentralized care centers. gt gt
d. increased number of health caregivers. gt gt gt gt
ANS: A gt
The acute awareness of preventive medicine has resulted in today’s emphasis on education abou t iss
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
ues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental healt h and
gt gt gt gt jv gt gt jv gt gt gt gt gt gt gt jv gt
wellness promotion activities. This preventive education has resulted in an emphasis on we llness, r
gt gt gt jv gt gt gt gt jv gt gt gt gt gt
ather than illness. Improved insurance payments, decentralized care centers, and increas ed numbe
gt gt gt gt gt gt gt gt gt jv gt gt
rs of health care givers did not influence an emphasis on wellness.
gt gt gt gt gt jv gt gt gt gt gt
DIF: g t g t CognitiveLevel: Comprehension REF: p. 12 gt gt g t g t g t g t g t gt OBJ: 4 | 8 gt gt gt
TOP: Wellness KEY: Nursing Process Step: N/A g t gt gt gt MSC: NCLEX: N/A gt gt
5. What is the most effectiveprocess to ensurethat thecareplan is meetingtheneeds ofthe pat ien
jv gt jv jv gt gt gt gt gt gt jv gt gt gt gt gt gt
t?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B gt
Communication is the primary essential component among the health care team to evaluate and m gt gt gt gt gt gt gt gt gt gt jv gt gt gt
odify the care plan. Documentation, evaluation, and planning are not primary essential compon ents
gt gt gt gt gt gt gt gt gt jv gt gt gt gt
to ensure the care plan is meeting the needs of the patient.
gt gt gt gt gt gt gt gt gt gt gt
DIF: Cognitive Level: Comprehension gt gt
REF: p. 17 g t gt g
OBJ: 8 TOP: Communication
t gt gt g t
KEY:Nursing ProcessStep:N/A MSC: NCLEX: N/A gt jv gt gt gt gt
6. Howdoes an interdisciplinary approach to patient treatment enhance care?
gt gt jv gt gt gt gt gt jv
a. By improving efficiency ofcare gt gt gt
b. By reducing the number ofcaregivers gt gt gt gt gt
c. By preventing the fragmentation of patient care
gt gt gt jv gt jv
d. By shortening hospitalstay gt gt
ANS: C gt
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach d oe
gt gt gt gt jv gt gt gt gt gt gt
s not improvethe efficiencyof care, reduce the number of caregivers, or shorten hospital sta y.
jv gt gt gt gt gt gt gt gt gt gt gt gt jv gt gt
DIF: Cognitive Level: Comprehension REF: p. 16
g t gt gt g t gt gt
OBJ: 8 | 9 TOP: Interdisciplinary gt gt gt gt g t
approach
KEY: Nursing Process Step: N/A gt gt gt gt
MSC: NCLEX: N/A gt gt
7. Howmayanewlylicensed LPN/LVN practice?
t
g gt gt gt
a. Independently in a hospitalsetting gt gt gt gt
, b. With an experiencedLPN/LVN gt gt gt
c. Under the supervision of a health care provider orRN gt gt gt gt jv gt gt gt gt
d. As a sole health care provider in a clinic setting
gt jv gt jv jv gt gt gt jv
ANS: C gt
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
DIF: Cognitive Level: Knowledge gt gt
REF: p. 11 g t gt g
OBJ: 11 TOP: Vocational nursing
t gt gt g t gt
KEY:Nursing ProcessStep:N/A MSC: NCLEX: N/A gt jv gt gt gt gt
8. Whose influence on nursingpractice in the19th centurywas related to improvement ofpatient en vir
jv jv gt gt gt gt gt gt gt gt gt gt gt gt gt
onment as a method of health promotion? gt gt gt jv gt gt
a.Clara Barton gt
b.LindaRichards gt
c.Dorothea Dix gt
d.FlorenceNightingale gt
ANS: D gt
The influence of Florence Nightingale was highly significant in the 19th century as she fought f or s
gt gt gt gt gt gt gt gt gt gt jv gt gt gt gt gt gt
anitary conditions, fresh air, and general improvement in the patient environment. Clara Bar ton de
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
veloped the American Red Cross in 1881. Linda Richards is known as the first trained nur se in Amer
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
ica, was responsible for the development of the first nursing and hospital records, and is credited w
gt gt gt gt gt gt gt gt gt gt gt gt gt jvg t gt gt
ith the development of our present-day documentation system.
gt gt gt gt gt gt gt
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and s upe
gt gt gt gt gt gt gt jv gt gt gt gt gt gt gt gt gt gt
rintendent of female nurses of the Union Army. jv gt gt gt gt gt gt
DIF: Cognitive Level: Knowledge
g t gt gt REF: p. 17 g t gt
OBJ: 2 | 4 TOP: Nursing leaders
gt gt gt gt g t gt gt
KEY: Nursing Process Step: N/A
gt gt gt gt
MSC: NCLEX: N/A gt gt
9. What document identifies the roles and responsibilities of theLPN/LVN?
jv gt gt gt gt gt gt gt
a. NLN AccreditationStandards gt
b. Nurse PracticeAct gt
c. NAPNECode gt
d. American Nurses’ AssociationCode gt gt
ANS: B gt
TheLPN/LVN functions under the Nurse Practice Act. NLNAccreditation Standards, the N gt jv gt gt gt gt gt jv jv gt gt
APNE Code, and the American Nurses’ Association Code do not identify the roles and res po
gt gt gt gt gt gt gt gt gt gt gt gt gt jv gt
nsibilities of the LPN/LVN. gt gt gt
DIF: Cognitive Level: Knowledge REF: gt gt
p. 12 |p. 14 OBJ: 11 TOP: gt gt gt gt gt gt
Rolesand responsibilities gt
KEY:Nursing ProcessStep:N/A MSC: NCLEX: N/A gt jv gt gt gt gt
10. What isacost- jv gt
effectivedeliveryofcare usedbymanyhospitals thatallows the LPN/LVNto work with the R N t
gt gt jv gt jv gt gt gt gt gt gt gt gt gt gt
o meet the needs of patients?
gt gt gt gt gt
a. Focused nursing gt
b. Teamnursing
c. Case management gt
d. Primarynursing
gt gt gt gt gt jv
:FoundationofNursing,9thEdition
gt gt gt gt gt
MULTIPLE CHOICE gt
1. What is a nursing program considered when certified by a stateagency?
jv gt gt jv gt jv gt gt gt gt
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B g t
Approved means certified by a state agency for having met minimum standards; accredited mean s ce
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
rtified by the NLN for having met more complex standards. Provisional and exemplified are not ter
jv gt gt gt gt gt gt gt gt gt gt gt gt gt gt
ms used in regard to nursing program certification.
gt jv gt gt jv gt gt
DIF: Cognitive Level: Knowledge gt gt
REF: p. 10 g t gt g
OBJ: 5 TOP: Nursing programs
t gt gt g t gt
KEY:Nursing ProcessStep:N/A MSC: NCLEX: N/A gt jv gt gt gt gt
2. Which of the following must the nurse recognize regarding the health care deliverysystem?
jv gt gt gt gt gt gt gt gt gt gt gt
a. It includes all states.
jv jv gt
b. It affects the illness ofpatients.
gt gt gt gt gt
c. Insurance companies are not involved. gt gt gt gt
d. Themajor goal is to achieve optimal levels of healthcare.
gt gt gt gt gt gt gt gt gt
ANS: D gt
The nurse must recognize that in the health care delivery system, the major goal is to achieve opti mal
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
levels of health care. The health care system consists of a network of agencies, facilities, an d provid
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
ers involved with health care in a specified geographic area. Insurance companies do ha ve involvem
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
ent in the health care system. The illness of patients is not necessarily affected by th e health care sys
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
tem.
DIF: Cognitive Level: Comprehension gt gt
REF: p. 12 OBJ: 7 TOP: g t gt gt gt gt
Healthcare systems gt
KEY:NursingProcessStep:N/A MSC: NCLEX: N/A gt gt gt gt gt gt
3. What isrequired bythehealth careteam to identifythe needs ofa patient and to design careto me et th
jv gt gt gt gt gt gt gt gt gt gt jv gt gt gt gt gt gt gt
ose needs? gt
a. TheKardex gt
b. The health care provider’s ordersheet gt jv gt gt
c. An individualized careplan gt gt
d. Thenurse’snotes gt
ANS: C gt
An individualized care plan involves all health care workers and outlines care to meet the needs of t
gt gt gt jv gt gt gt gt gt jv gt gt gt gt gt gt gt
he individual patient. The Kardex, health care provider’s order sheet, and nurse’s notes do no t identi
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
fythe needs of the patient nor aretheydesigned to assist all members of the health care tea m to meet t
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
hose needs. gt
DIF: Cognitive Level: Comprehension gt gt REF: p. 13 g t g t gt OBJ: 8 | 9 gt gt gt
, TOP: Care plan gt KEY: NursingProcess Step: Planning g t gt gt gt MSC: NCLEX: N/A gt gt
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
gt gt gt gt gt gt gt gt gt gt gt jv
a. increased education concerning causes ofillness. jv gt jv gt
b. improved insurancepayments. jv gt
c. decentralized care centers. gt gt
d. increased number of health caregivers. gt gt gt gt
ANS: A gt
The acute awareness of preventive medicine has resulted in today’s emphasis on education abou t iss
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
ues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental healt h and
gt gt gt gt jv gt gt jv gt gt gt gt gt gt gt jv gt
wellness promotion activities. This preventive education has resulted in an emphasis on we llness, r
gt gt gt jv gt gt gt gt jv gt gt gt gt gt
ather than illness. Improved insurance payments, decentralized care centers, and increas ed numbe
gt gt gt gt gt gt gt gt gt jv gt gt
rs of health care givers did not influence an emphasis on wellness.
gt gt gt gt gt jv gt gt gt gt gt
DIF: g t g t CognitiveLevel: Comprehension REF: p. 12 gt gt g t g t g t g t g t gt OBJ: 4 | 8 gt gt gt
TOP: Wellness KEY: Nursing Process Step: N/A g t gt gt gt MSC: NCLEX: N/A gt gt
5. What is the most effectiveprocess to ensurethat thecareplan is meetingtheneeds ofthe pat ien
jv gt jv jv gt gt gt gt gt gt jv gt gt gt gt gt gt
t?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B gt
Communication is the primary essential component among the health care team to evaluate and m gt gt gt gt gt gt gt gt gt gt jv gt gt gt
odify the care plan. Documentation, evaluation, and planning are not primary essential compon ents
gt gt gt gt gt gt gt gt gt jv gt gt gt gt
to ensure the care plan is meeting the needs of the patient.
gt gt gt gt gt gt gt gt gt gt gt
DIF: Cognitive Level: Comprehension gt gt
REF: p. 17 g t gt g
OBJ: 8 TOP: Communication
t gt gt g t
KEY:Nursing ProcessStep:N/A MSC: NCLEX: N/A gt jv gt gt gt gt
6. Howdoes an interdisciplinary approach to patient treatment enhance care?
gt gt jv gt gt gt gt gt jv
a. By improving efficiency ofcare gt gt gt
b. By reducing the number ofcaregivers gt gt gt gt gt
c. By preventing the fragmentation of patient care
gt gt gt jv gt jv
d. By shortening hospitalstay gt gt
ANS: C gt
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach d oe
gt gt gt gt jv gt gt gt gt gt gt
s not improvethe efficiencyof care, reduce the number of caregivers, or shorten hospital sta y.
jv gt gt gt gt gt gt gt gt gt gt gt gt jv gt gt
DIF: Cognitive Level: Comprehension REF: p. 16
g t gt gt g t gt gt
OBJ: 8 | 9 TOP: Interdisciplinary gt gt gt gt g t
approach
KEY: Nursing Process Step: N/A gt gt gt gt
MSC: NCLEX: N/A gt gt
7. Howmayanewlylicensed LPN/LVN practice?
t
g gt gt gt
a. Independently in a hospitalsetting gt gt gt gt
, b. With an experiencedLPN/LVN gt gt gt
c. Under the supervision of a health care provider orRN gt gt gt gt jv gt gt gt gt
d. As a sole health care provider in a clinic setting
gt jv gt jv jv gt gt gt jv
ANS: C gt
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
DIF: Cognitive Level: Knowledge gt gt
REF: p. 11 g t gt g
OBJ: 11 TOP: Vocational nursing
t gt gt g t gt
KEY:Nursing ProcessStep:N/A MSC: NCLEX: N/A gt jv gt gt gt gt
8. Whose influence on nursingpractice in the19th centurywas related to improvement ofpatient en vir
jv jv gt gt gt gt gt gt gt gt gt gt gt gt gt
onment as a method of health promotion? gt gt gt jv gt gt
a.Clara Barton gt
b.LindaRichards gt
c.Dorothea Dix gt
d.FlorenceNightingale gt
ANS: D gt
The influence of Florence Nightingale was highly significant in the 19th century as she fought f or s
gt gt gt gt gt gt gt gt gt gt jv gt gt gt gt gt gt
anitary conditions, fresh air, and general improvement in the patient environment. Clara Bar ton de
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
veloped the American Red Cross in 1881. Linda Richards is known as the first trained nur se in Amer
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
ica, was responsible for the development of the first nursing and hospital records, and is credited w
gt gt gt gt gt gt gt gt gt gt gt gt gt jvg t gt gt
ith the development of our present-day documentation system.
gt gt gt gt gt gt gt
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and s upe
gt gt gt gt gt gt gt jv gt gt gt gt gt gt gt gt gt gt
rintendent of female nurses of the Union Army. jv gt gt gt gt gt gt
DIF: Cognitive Level: Knowledge
g t gt gt REF: p. 17 g t gt
OBJ: 2 | 4 TOP: Nursing leaders
gt gt gt gt g t gt gt
KEY: Nursing Process Step: N/A
gt gt gt gt
MSC: NCLEX: N/A gt gt
9. What document identifies the roles and responsibilities of theLPN/LVN?
jv gt gt gt gt gt gt gt
a. NLN AccreditationStandards gt
b. Nurse PracticeAct gt
c. NAPNECode gt
d. American Nurses’ AssociationCode gt gt
ANS: B gt
TheLPN/LVN functions under the Nurse Practice Act. NLNAccreditation Standards, the N gt jv gt gt gt gt gt jv jv gt gt
APNE Code, and the American Nurses’ Association Code do not identify the roles and res po
gt gt gt gt gt gt gt gt gt gt gt gt gt jv gt
nsibilities of the LPN/LVN. gt gt gt
DIF: Cognitive Level: Knowledge REF: gt gt
p. 12 |p. 14 OBJ: 11 TOP: gt gt gt gt gt gt
Rolesand responsibilities gt
KEY:Nursing ProcessStep:N/A MSC: NCLEX: N/A gt jv gt gt gt gt
10. What isacost- jv gt
effectivedeliveryofcare usedbymanyhospitals thatallows the LPN/LVNto work with the R N t
gt gt jv gt jv gt gt gt gt gt gt gt gt gt gt
o meet the needs of patients?
gt gt gt gt gt
a. Focused nursing gt
b. Teamnursing
c. Case management gt
d. Primarynursing
