Test Bank
MULTIPLE CHOICE
1. Clara Barton is known for:
a. becoming the first African-American public health nurse.
b. establishing the Henry Street Settlement.
c. founding the American Red Cross.
d. publicizing the inadequacies of hospital-based nursing schools.
ANS: C
Correct: The American Red Cross, founded by Clara Barton in 1882, assisted in efforts to continue pu
Incorrect:
a. Jessie Sleet Scales was the first African-American public health nurse.
b. Lillian Wald, a pioneer in public health nursing, is best known for the development and establishmen
Settlement.
d. The Goldmark Report criticized the inadequacies of hospital-based nursing schools and recommende
standards.
DIF: Knowledge REF: p. 12
2. Which bill provided for construction of new hospitals?
a. Social Security Act
b. Hill-Burton Act
c. Sheppard-Towner Act
d. U.S. Civil Service Act
ANS: B
Correct: The purpose of the Hill-Burton Act was to provide funding to construct hospitals and to help
care facilities in accordance with the needs of communities.
Incorrect:
a. The main purposes of the 1935 Social Security Act were to provide (1) a national insurance system f
states for maternal and child welfare services; (3) vocational rehabilitation services for the physically a
medical care for crippled children and blind people; (5) a plan to boost public health services; and (6) a
system.
c. The Sheppard-Towner Act provided federal aid for maternal and child health care.
d. The U.S. Civil Service Act is landmark U.S. legislation establishing the tradition and mechanism of
employment based on merit rather than on political party affiliation (the spoils system).
DIF: Knowledge REF: p. 14
3. The practice of public health nursing and the Henry Street Settlement are credited to:
a. Mary Breckenridge.
b. Mary Seacole.
c. Clara Barton.
d. Lillian Wald.
ANS: D
Correct: Lillian Wald, a pioneer in public health nursing, is best known for the development and estab
Settlement.
Incorrect:
a. Mary Breckenridge of Kentucky established the Frontier Nursing Service in 1925.
b. Mary Seacole was an African-American nurse who provided care during the Crimean War.
c. Clara Barton founded the American Red Cross in 1882.
DIF: Knowledge REF: p. 11
, 5. What historical event first led to the recognition of the contribution of African Americans to nursing?
a. Florence Nightingale’s acceptance of African-American nurses into the first
nursing school
b. The contributions of African-American nurses at the Pennsylvania Hospital, the
first hospital in America
c. Mary Seacole’s efforts to care for soldiers during the Crimean War
d. The work done by wives of wealthy African-American nobles who carried food
and medicine from house to house during the Middle Ages
ANS: C
Correct: Although Nightingale’s school refused Seacole, she was able to make a difference in the Crim
recognized for her efforts.
Incorrect:
a. Florence Nightingale’s efforts during the Crimean War were valuable and recognized, but she would
in her efforts.
b. Pennsylvania Hospital, the first hospital in America, was founded in 1751; Seacole’s efforts in the C
until 100 years later.
d. The wives of noblemen who carried food and medicine were not uniquely African American.
DIF: Application REF: p. 9
6. World War I contributed to the advancement of health care by:
a. increasing the number of private care hospitals and decreasing the role of public
health services.
b. employing a large number of civilians to provide care to returning soldiers
through the Red Cross.
c. introducing specialists in nursing such as nurse anesthetists.
d. increasing the number of community health nurses.
ANS: C
Correct: World War I offered nurses a chance to enter into new fields of specialization, as is seen in th
anesthetists, who became part of surgical teams at the front lines.
Incorrect:
a. As advancements in public health were made, the primary site for medical care moved from the hom
b. The Red Cross initially provided care to communities in which access was limited and eventually m
d. Many nurses were needed in the war effort, which caused the growth in community health nursing to
DIF: Application REF: p. 11
7. The primary purpose of the Social Security Act of 1935 was to:
a. increase research that focused on minority groups.
b. provide medical care for chemically impaired persons.
c. ensure health care for older adults through a national insurance system.
d. decrease the public’s financial burden by limiting services offered by local health
departments.
ANS: C
Correct: By providing health insurance for older adults, the Social Security Act of 1935 set the precede
Medicare and Medicaid acts that followed in 1965, but the act also provided maternal and child welfare
the mentally and physically challenged, medical care for blind individuals and crippled children, and u
Incorrect:
a. Increasing research for minorities was not one of the purposes of the Social Security Act of 1935.
b. The care of persons with substance abuse problems was not one of the first purposes addressed by th
d. The Social Security Act provided a means by which women and children could receive care, thus inc
health nurses and services offered.
DIF: Comprehension REF: p. 13
8. A client asks the nurse, “Can you explain Medicare, an amendment to the Social Security Act?” The nu