, Chapter 1: Evolution of Nursing
r r r r
Cooper and Gosnell: Foundations and Adult Health Nursing, 9th Edition
r r r r r r r r r
MULTIPLE CHOICE r
1. What is a nursing program considered when certified by a state agency?
r r r r r r r r r r r
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B r
Approved means certified by a state agency for having met minimum standards; accredited mean
r r r r r r r r r r r r r
s certified by the NLN for having met more complex standards. Provisional and exemplified are
r r r r r r r r r r r r r r r
not terms used in regard to nursing program certification.
r r r r r r r r
PTS: 1 rr DIF: Cognitive Level: Knowledge REF: Page 10 r r r r
OBJ: 5 r TOP: Nursing programs r r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r
2. Which of the following must the nurse recognize regarding the health care delivery system?
r r r r r r r r r r r r r
a. It includes all states. r r r
b. It affects the illness of patients.
r r r r r
c. Insurance companies are not involved. r r r r
d. The major goal is to achieve optimal levels of health care.
r r r r r r r r r r
ANS: D r
The nurse must recognize that in the health care delivery system, the major goal is to achieve optima
r r r r r r r r r r r r r r r r r
l levels of health care. The health care system consists of a network of agencies, facilities, and provi
r r r r r r r r r r r r r r r r r
ders involved with health care in a specified geographic area. Insurance companies do have involv
r r r r r r r r r r r r r r
ement in the health care system. The illness of patients is not necessarily affected by the health care
r r r r r r r r r r r r r r r r r r
system.
PTS: 1 rr DIF: Cognitive Level: Comprehension REF: Page 12 r r r r
OBJ: 7 r TOP: Health care systems r r r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r
3. What is required by the health care team to identify the needs of a patient and to design care to meet t
r r r r r r r r r r r r r r r r r r r r r
hose needs? r
a. The Kardex r
b. The physician‘s order sheet r r r
c. An individualized care plan r r r
d. The nurse‘s notes r r
ANS: C r
An individualized care plan involves all health care workers and outlines care to meet the needs of t
r r r r r r r r r r r r r r r r r
he individual patient. The Kardex, physician‘s order sheet, and nurse‘s notes do not identify the nee
r r r r r r r r r r r r r r r
ds of the patient nor are they designed to assist all members of the health care team to meet those nee
r r r r r r r r r r r r r r r r r r r r
ds.
PTS: 1 rr DIF: Cognitive Level: Comprehension r r REF: Pages 13, 16 r r r
TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELLY GO
r r r r r r r r r r r r r r
SNELL
,TEST BANK FOR FOUNDATIONS AND ADULT HEALTH N
r r r r r r r
URSING 9th Edition BY KIM COOPER KELLY GOSNELL
r r r r r r r
OBJ: 8 | 9 r r r TOP: Care plan r r
KEY: Nursing Process Step: Planning MSC: NCLEX: N/A
r r r r r r r
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
r r r r r r r r r r r r
a. increased education concerning causes of illness. r r r r r
b. improved insurance payments. r r
c. decentralized care centers. r r
d. increased number of health care givers. r r r r r
ANS: A r
The acute awareness of preventive medicine has resulted in today‘s emphasis on education about is
r r r r r r r r r r r r r r
sues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental health and
r r r r r r r r r r r r r r r r
wellness promotion activities. This preventive education has resulted in an emphasis on wellness, r
r r r r r r r r r r r r r
ather than illness. Improved insurance payments, decentralized care centers, and increased numbe
r r r r r r r r r r r
rs of health care givers did not influence an emphasis on wellness.
r r r r r r r r r r r
PTS: 1 r DIF: Cognitive Level: Comprehension r r
REF: Page 12 OBJ: 4 | 8 r r r r r r
TOP: Wellness r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r
5. What is the most effective process to ensure that the care plan is meeting the needs of the patien
r r r r r r r r r r r r r r r r r r
t?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B r
Communication is the primary essential component among the health care team to evaluate and mo r r r r r r r r r r r r r r
dify the care plan. Documentation, evaluation, and planning are not primary essential components t
r r r r r r r r r r r r r
o ensure the care plan is meeting the needs of the patient.
r r r r r r r r r r r
PTS: 1 rr DIF: Cognitive Level: Comprehension REF: Page 16 r r r r
OBJ: 8 r TOP: Communication r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r
6. How does an interdisciplinary approach to patient treatment enhance care?
r r r r r r r r r
a. By improving efficiency of care r r r r
b. By reducing the number of caregivers r r r r r
c. By preventing the fragmentation of patient care
r r r r r r
d. By shortening hospital stay r r r
ANS: C r
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach do
r r r r r r r r r r
es not improve the efficiency of care, reduce the number of caregivers, or shorten hospital stay.
r r r r r r r r r r r r r r r
PTS: 1 rr DIF: Cognitive Level: Comprehension REF: Page 16 r r rr rr r
OBJ: 8 | 9 r r r TOP: Interdisciplinary approach r r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r
TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELLY GO
r r r r r r r r r r r r r r
SNELL
, TEST BANK FOR FOUNDATIONS AND ADULT HEALTH N
r r r r r r r
URSING 9th Edition BY KIM COOPER KELLY GOSNELL
r r r r r r r
7. How may a newly licensed LPN/LVN practice?
r r r r r r
a. Independently in a hospital setting r r r r
b. With an experienced LPN/LVN r r r
c. Under the supervision of a physician or RN r r r r r r r
d. As a sole practitioner in a clinic setting r r r r r r r
ANS: C r
An LPN/LVN practices under the supervision of a physician, dentist, OD, or RN.
r r r r r r r r r r r r
PTS: 1 rr DIF: Cognitive Level: Knowledge REF: Pages 13, 19 r r r r r
OBJ: 11 r TOP: Vocational nursing r r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
8. Whose influence on nursing practice in the 19th century was related to improvement of patient envi
r r r r r r r r r r r r r r r
ronment as a method of health promotion? r r r r r r
a. Clara Barton r
b. Linda Richards r
c. Dorothea Dix r
d. Florence Nightingale r
ANS: D r
The influence of Florence Nightingale was highly significant in the 19th century as she fought for s
r r r r r r r r r r r r r r r r
anitary conditions, fresh air, and general improvement in the patient environment. Clara Barton de
r r r r r r r r r r r r r
veloped the American Red Cross in 1881. Linda Richards is known as the first trained nurse in Ame
r r r r r r r r r r r r r r r r r
rica, was responsible for the development of the first nursing and hospital records, and is credited wi
r r r r r r r r r r r r r r r r
th the development of our present-day documentation system.
r r r r r r r
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and su
r r r r r r r r r r r r r r r r r
perintendent of female nurses of the Union Army. r r r r r r r
PTS: 1 r DIF: Cognitive Level: Knowledge REF: Pages 2, 17 Table 1- r r r r r r r
2 OBJ: 2 | 4
r r r r TOP: Nursing leaders r r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
9. What document identifies the roles and responsibilities of the LPN/LVN?
r r r r r r r r r
a. NLN Accreditation Standards r r
b. Nurse Practice Act r r
c. NAPNE Code r
d. American Nurses‘ Association Code r r r
ANS: B r
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the NAPN
r r r r r r r r r r r r
E Code, and the American Nurses‘ Association Code do not identify the roles and responsibilities
r r r r r r r r r r r r r r
of the LPN/LVN.
r r r
PTS: 1 rr DIF: Cognitive Level: Knowledge REF: Page 13 r r r r
OBJ: 11 r TOP: Roles and Responsibilities r r r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
10. What is a cost- r r r
effective delivery of care used by many hospitals that allows the LPN/LVN to work with the RN to
r r r r r r r r r r r r r r r r r
meet the needs of patients?
r r r r r
a. Focused nursing r
TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELLY GO
r r r r r r r r r r r r r r
SNELL
r r r r
Cooper and Gosnell: Foundations and Adult Health Nursing, 9th Edition
r r r r r r r r r
MULTIPLE CHOICE r
1. What is a nursing program considered when certified by a state agency?
r r r r r r r r r r r
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B r
Approved means certified by a state agency for having met minimum standards; accredited mean
r r r r r r r r r r r r r
s certified by the NLN for having met more complex standards. Provisional and exemplified are
r r r r r r r r r r r r r r r
not terms used in regard to nursing program certification.
r r r r r r r r
PTS: 1 rr DIF: Cognitive Level: Knowledge REF: Page 10 r r r r
OBJ: 5 r TOP: Nursing programs r r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r
2. Which of the following must the nurse recognize regarding the health care delivery system?
r r r r r r r r r r r r r
a. It includes all states. r r r
b. It affects the illness of patients.
r r r r r
c. Insurance companies are not involved. r r r r
d. The major goal is to achieve optimal levels of health care.
r r r r r r r r r r
ANS: D r
The nurse must recognize that in the health care delivery system, the major goal is to achieve optima
r r r r r r r r r r r r r r r r r
l levels of health care. The health care system consists of a network of agencies, facilities, and provi
r r r r r r r r r r r r r r r r r
ders involved with health care in a specified geographic area. Insurance companies do have involv
r r r r r r r r r r r r r r
ement in the health care system. The illness of patients is not necessarily affected by the health care
r r r r r r r r r r r r r r r r r r
system.
PTS: 1 rr DIF: Cognitive Level: Comprehension REF: Page 12 r r r r
OBJ: 7 r TOP: Health care systems r r r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r
3. What is required by the health care team to identify the needs of a patient and to design care to meet t
r r r r r r r r r r r r r r r r r r r r r
hose needs? r
a. The Kardex r
b. The physician‘s order sheet r r r
c. An individualized care plan r r r
d. The nurse‘s notes r r
ANS: C r
An individualized care plan involves all health care workers and outlines care to meet the needs of t
r r r r r r r r r r r r r r r r r
he individual patient. The Kardex, physician‘s order sheet, and nurse‘s notes do not identify the nee
r r r r r r r r r r r r r r r
ds of the patient nor are they designed to assist all members of the health care team to meet those nee
r r r r r r r r r r r r r r r r r r r r
ds.
PTS: 1 rr DIF: Cognitive Level: Comprehension r r REF: Pages 13, 16 r r r
TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELLY GO
r r r r r r r r r r r r r r
SNELL
,TEST BANK FOR FOUNDATIONS AND ADULT HEALTH N
r r r r r r r
URSING 9th Edition BY KIM COOPER KELLY GOSNELL
r r r r r r r
OBJ: 8 | 9 r r r TOP: Care plan r r
KEY: Nursing Process Step: Planning MSC: NCLEX: N/A
r r r r r r r
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
r r r r r r r r r r r r
a. increased education concerning causes of illness. r r r r r
b. improved insurance payments. r r
c. decentralized care centers. r r
d. increased number of health care givers. r r r r r
ANS: A r
The acute awareness of preventive medicine has resulted in today‘s emphasis on education about is
r r r r r r r r r r r r r r
sues such as smoking, heart disease, drug and alcohol abuse, weight control, and mental health and
r r r r r r r r r r r r r r r r
wellness promotion activities. This preventive education has resulted in an emphasis on wellness, r
r r r r r r r r r r r r r
ather than illness. Improved insurance payments, decentralized care centers, and increased numbe
r r r r r r r r r r r
rs of health care givers did not influence an emphasis on wellness.
r r r r r r r r r r r
PTS: 1 r DIF: Cognitive Level: Comprehension r r
REF: Page 12 OBJ: 4 | 8 r r r r r r
TOP: Wellness r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r
5. What is the most effective process to ensure that the care plan is meeting the needs of the patien
r r r r r r r r r r r r r r r r r r
t?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B r
Communication is the primary essential component among the health care team to evaluate and mo r r r r r r r r r r r r r r
dify the care plan. Documentation, evaluation, and planning are not primary essential components t
r r r r r r r r r r r r r
o ensure the care plan is meeting the needs of the patient.
r r r r r r r r r r r
PTS: 1 rr DIF: Cognitive Level: Comprehension REF: Page 16 r r r r
OBJ: 8 r TOP: Communication r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r
6. How does an interdisciplinary approach to patient treatment enhance care?
r r r r r r r r r
a. By improving efficiency of care r r r r
b. By reducing the number of caregivers r r r r r
c. By preventing the fragmentation of patient care
r r r r r r
d. By shortening hospital stay r r r
ANS: C r
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approach do
r r r r r r r r r r
es not improve the efficiency of care, reduce the number of caregivers, or shorten hospital stay.
r r r r r r r r r r r r r r r
PTS: 1 rr DIF: Cognitive Level: Comprehension REF: Page 16 r r rr rr r
OBJ: 8 | 9 r r r TOP: Interdisciplinary approach r r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
r r r r r r r
TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELLY GO
r r r r r r r r r r r r r r
SNELL
, TEST BANK FOR FOUNDATIONS AND ADULT HEALTH N
r r r r r r r
URSING 9th Edition BY KIM COOPER KELLY GOSNELL
r r r r r r r
7. How may a newly licensed LPN/LVN practice?
r r r r r r
a. Independently in a hospital setting r r r r
b. With an experienced LPN/LVN r r r
c. Under the supervision of a physician or RN r r r r r r r
d. As a sole practitioner in a clinic setting r r r r r r r
ANS: C r
An LPN/LVN practices under the supervision of a physician, dentist, OD, or RN.
r r r r r r r r r r r r
PTS: 1 rr DIF: Cognitive Level: Knowledge REF: Pages 13, 19 r r r r r
OBJ: 11 r TOP: Vocational nursing r r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
8. Whose influence on nursing practice in the 19th century was related to improvement of patient envi
r r r r r r r r r r r r r r r
ronment as a method of health promotion? r r r r r r
a. Clara Barton r
b. Linda Richards r
c. Dorothea Dix r
d. Florence Nightingale r
ANS: D r
The influence of Florence Nightingale was highly significant in the 19th century as she fought for s
r r r r r r r r r r r r r r r r
anitary conditions, fresh air, and general improvement in the patient environment. Clara Barton de
r r r r r r r r r r r r r
veloped the American Red Cross in 1881. Linda Richards is known as the first trained nurse in Ame
r r r r r r r r r r r r r r r r r
rica, was responsible for the development of the first nursing and hospital records, and is credited wi
r r r r r r r r r r r r r r r r
th the development of our present-day documentation system.
r r r r r r r
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill and su
r r r r r r r r r r r r r r r r r
perintendent of female nurses of the Union Army. r r r r r r r
PTS: 1 r DIF: Cognitive Level: Knowledge REF: Pages 2, 17 Table 1- r r r r r r r
2 OBJ: 2 | 4
r r r r TOP: Nursing leaders r r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
9. What document identifies the roles and responsibilities of the LPN/LVN?
r r r r r r r r r
a. NLN Accreditation Standards r r
b. Nurse Practice Act r r
c. NAPNE Code r
d. American Nurses‘ Association Code r r r
ANS: B r
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, the NAPN
r r r r r r r r r r r r
E Code, and the American Nurses‘ Association Code do not identify the roles and responsibilities
r r r r r r r r r r r r r r
of the LPN/LVN.
r r r
PTS: 1 rr DIF: Cognitive Level: Knowledge REF: Page 13 r r r r
OBJ: 11 r TOP: Roles and Responsibilities r r r
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A r r r r r r r
10. What is a cost- r r r
effective delivery of care used by many hospitals that allows the LPN/LVN to work with the RN to
r r r r r r r r r r r r r r r r r
meet the needs of patients?
r r r r r
a. Focused nursing r
TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELLY GO
r r r r r r r r r r r r r r
SNELL
