Chapter 01: The Evolution of Nursing Cooper
b b b b b b
: Foundation of Nursing, 9th Edition
b b b b b
MULTIPLEbCHOICE
1. Whatbisbabnursingbprogrambconsideredbwhenbcertifiedbbybabstatebagency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS:b B
Approvedbmeansbcertifiedbbybabstatebagencybforbhavingbmetbminimumbstandards;baccreditedbmea
nsbcertifiedbbybthebNLNbforbhavingbmetbmorebcomplexbstandards.bProvisionalbandbexemplifiedba
rebnotbtermsbusedbinbregardbtobnursingbprogrambcertification.
DIF: CognitivebLevel:bKnowledge REF:b p.b10
OBJ:b 5bTOP:b Nursingbprograms
KEY:b NursingbProcessbStep:bN/AbMSC:b NCLEX:bN/A
2. Whichbofbthebfollowingbmustbthebnursebrecognizebregardingbthebhealthbcarebdeliverybsystem?
a. Itbincludesballbstates.
b. Itbaffectsbthebillnessbofbpatients.
c. Insurancebcompaniesbarebnotbinvolved.
d. Thebmajorbgoalbisbtobachieveboptimalblevelsbofbhealthbcare.
ANS:b D
Thebnursebmustbrecognizebthatbinbthebhealthbcarebdeliverybsystem,bthebmajorbgoalbisbtobachievebopt
imalblevelsbofbhealthbcare.bThebhealthbcarebsystembconsistsbofbabnetworkbofbagencies,bfacilities,ba
ndbprovidersbinvolvedbwithbhealthbcarebinbabspecifiedbgeographicbarea.bInsurancebcompaniesbdob
havebinvolvementbinbthebhealthbcarebsystem.bThebillnessbofbpatientsbisbnotbnecessarilybaffectedbby
bthebhealthbcarebsystem.
DIF: CognitivebLevel:bComprehension REF:b p.b12
OBJ:b 7bTOP:b Healthbcarebsystems
KEY:b NursingbProcessbStep:bN/AbMSC:b NCLEX:bN/A
3. Whatbisbrequiredbbybthebhealthbcarebteambtobidentifybthebneedsbofbabpatientbandbtobdesignbcarebtobm
eetbthosebneeds?
a. ThebKardex
b. Thebhealthbcarebprovider’sborderbsheet
c. Anbindividualizedbcarebplan
d. Thebnurse’sbnotes
ANS:b C
Anbindividualizedbcarebplanbinvolvesballbhealthbcarebworkersbandboutlinesbcarebtobmeetbthebneeds
bofbthebindividualbpatient.bThebKardex,bhealthbcarebprovider’sborderbsheet,bandbnurse’sbnotesbdobn
otbidentifybthebneedsbofbthebpatientbnorbarebtheybdesignedbtobassistballbmembersbofbthebhealthbcarebt
eambtobmeetbthosebneeds.
DIF: CognitivebLevel:bComprehension REF:b b p.b13 OBJ:b b 8b|b9
, TOP:b Carebplan KEY:b NursingbProcessbStep:bPlanning MSC:b NCLEX:bN/A
4. Patientbcarebemphasisbonbwellness,bratherbthanbillness,bbeginsbasbabresultbof:
a. increasedbeducationbconcerningbcausesbofbillness.
b. improvedbinsurancebpayments.
c. decentralizedbcarebcenters.
d. increasedbnumberbofbhealthbcarebgivers.
ANS:b A
Thebacutebawarenessbofbpreventivebmedicinebhasbresultedbinbtoday’sbemphasisbonbeducationbabo
utbissuesbsuchbasbsmoking,bheartbdisease,bdrugbandbalcoholbabuse,bweightbcontrol,bandbmentalbhe
althbandbwellnessbpromotionbactivities.bThisbpreventivebeducationbhasbresultedbinbanbemphasisbo
nbwellness,bratherbthanbillness.bImprovedbinsurancebpayments,bdecentralizedbcarebcenters,bandbi
ncreasedbnumbersbofbhealthbcarebgiversbdidbnotbinfluencebanbemphasisbonbwellness.
DIF: CognitivebLevel:bComprehension REF:b b p.b12 OBJ:b b 4b|b8
TOP:b Wellness KEY:b NursingbProcessbStep:bN/A MSC:b NCLEX:bN/A
5. Whatbisbthebmostbeffectivebprocessbtobensurebthatbthebcarebplanbisbmeetingbthebneedsbofbthebp
atient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS:b B
Communicationbisbthebprimarybessentialbcomponentbamongbthebhealthbcarebteambtobevaluateban
dbmodifybthebcarebplan.bDocumentation,bevaluation,bandbplanningbarebnotbprimarybessentialbcom
ponentsbtobensurebthebcarebplanbisbmeetingbthebneedsbofbthebpatient.
DIF: CognitivebLevel:bComprehension REF:b p.b17
OBJ:b 8bTOP:b Communication
KEY:b NursingbProcessbStep:bN/AbMSC:b NCLEX:bN/A
6. Howbdoesbanbinterdisciplinarybapproachbtobpatientbtreatmentbenhancebcare?
a. Bybimprovingbefficiencybofbcare
b. Bybreducingbthebnumberbofbcaregivers
c. Bybpreventingbthebfragmentationbofbpatientbcare
d. Bybshorteningbhospitalbstay
ANS:b C
Anbinterdisciplinarybapproachbpreventsbfragmentationbofbcare.bAnbinterdisciplinarybapproachb
doesbnotbimprovebthebefficiencybofbcare,breducebthebnumberbofbcaregivers,borbshortenbhospitalbs
tay.
DIF:b CognitivebLevel:bComprehensionb b REF:b p.b16
OBJ:b 8b|b9bTOP:b Interdisciplinar
ybapproach
KEY:b NursingbProcessbStep:bN/Ab
MSC:b NCLEX:bN/A
7. HowbmaybabnewlyblicensedbLPN/LVNbpractice?
a. Independentlybinbabhospitalbsetting
, b. WithbanbexperiencedbLPN/LVN
c. UnderbthebsupervisionbofbabhealthbcarebproviderborbRN
d. Asbabsolebhealthbcarebproviderbinbabclinicbsetting
ANS:b C
AnbLPN/LVNbpracticesbunderbthebsupervisionbofbabhealthbcarebprovider,bdentist,bOD,borbRN.
DIF: CognitivebLevel:bKnowledge REF:b p.b11
OBJ:b 11bTOP:b Vocationalbnursing
KEY:b NursingbProcessbStep:bN/AbMSC:b NCLEX:bN/A
8. Whosebinfluencebonbnursingbpracticebinbtheb19thbcenturybwasbrelatedbtobimprovementbofbpatientbe
nvironmentbasbabmethodbofbhealthbpromotion?
a. ClarabBarton
b. LindabRichards
c. DorotheabDix
d. FlorencebNightingale
ANS:b D
ThebinfluencebofbFlorencebNightingalebwasbhighlybsignificantbinbtheb19thbcenturybasbshebfoughtbf
orbsanitarybconditions,bfreshbair,bandbgeneralbimprovementbinbthebpatientbenvironment.bClarabBar
tonbdevelopedbthebAmericanbRedbCrossbinb1881.bLindabRichardsbisbknownbasbthebfirstbtrainedbnur
sebinbAmerica,bwasbresponsiblebforbthebdevelopmentbofbthebfirstbnursingbandbhospitalbrecords,band
bisbcreditedbwithbthebdevelopmentbofbourbpresent-daybdocumentationbsystem.
DorotheabDixbwasbthebpioneerbcrusaderbforbelevationbofbstandardsbofbcarebforbthebmentallybillbandb
superintendentbofbfemalebnursesbofbthebUnionbArmy.
DIF:b CognitivebLevel:bKnowledge REF:b p.b17
OBJ:b 2b|b4bTOP:b Nursingbleaders
KEY:b NursingbProcessbStep:bN/Ab
MSC:b NCLEX:bN/A
9. WhatbdocumentbidentifiesbthebrolesbandbresponsibilitiesbofbthebLPN/LVN?
a. NLNbAccreditationbStandards
b. NursebPracticebAct
c. NAPNEbCode
d. AmericanbNurses’bAssociationbCode
ANS:b B
ThebLPN/LVNbfunctionsbunderbthebNursebPracticebAct.bNLNbAccreditationbStandards,bthebNAP
NEbCode,bandbthebAmericanbNurses’bAssociationbCodebdobnotbidentifybthebrolesbandbresponsibili
tiesbofbthebLPN/LVN.
DIF: CognitivebLevel:bKnowledge REF:b p.b12b|bp.b14
OBJ:b 11bTOP:b Rolesbandbresponsibilities
KEY:b NursingbProcessbStep:bN/AbMSC:b NCLEX:bN/A
10. Whatbisbabcost-
effectivebdeliverybofbcarebusedbbybmanybhospitalsbthatballowsbthebLPN/LVNbtobworkbwithbthebR
Nbtobmeetbthebneedsbofbpatients?
a. Focusedbnursing
b. Teambnursing
c. Casebmanagement
d. Primarybnursing
, ANS:b C
Casebmanagementbisbabcost-
effectivebmethodbofbcare.bFocusedbnursing,bteambnursing,bandbprimarybnursingbarebnotbcost-
effectivebmethodsbofbdeliveringbcarebthatballowbthebLPN/LVNbtobworkbwithbthebRNbtobmeetbpatie
ntbneeds.
DIF:b CognitivebLevel:bComprehensionb b REF:b p.b15
OBJ:b 7b|b9bTOP:b Patientbcarebdeli
verybsystems
KEY:b NursingbProcessbStep:bN/Ab
MSC:b NCLEX:bN/A
11. WhatbisbthebtitlebofbthebAmericanbHospitalbAssociation’sb1972bdocumentbthatboutlinesbthebp
atient’sbexpectationsbtobbebtreatedbwithbdignitybandbcompassion?
a. CodebofbEthics
b. Patient’sbBillbofbRights
c. OBRA
d. Advancebdirectives
ANS:b B
PatientbexpectationsbareboutlinedbbybthebPatient’sbBillbofbRights.bPatientbexpectationsbarebnotboutl
inedbinbthebCodebofbEthics,bOBRA,borbadvancebdirectives.
DIF: CognitivebLevel:bKnowledge REF:b p.b16
OBJ:b 4b|b8bTOP:b Patient’sbrights KEY:
NursingbProcessbStep:bN/A
MSC:b NCLEX:bN/A
12. Thebrelationshipsbamongbnursing,bpatients,bhealth,bandbthebenvironmentbarebthebbasisbfor:
a. carebplans.
b. nursingbmodels.
c. healthbcarebprovider’sborders.
d. evaluationbofbpatientbcare.
ANS:b B
Nursingbmodelsbarebtheoriesbbasedbonbthebrelationshipbbetweenbnursing,bpatients,bhealth,bandbe
nvironment.bCarebplans,bhealthbcarebprovider’sborders,bandbevaluationbofbpatientbcarebarebnotbba
sedbonbthebrelationshipsbamongbnursing,bpatients,bhealth,bandbenvironment.
DIF: CognitivebLevel:bComprehension REF:b p.b17
OBJ:b 1bTOP:b Nursingbmodels
KEY:b NursingbProcessbStep:bN/AbMSC:b NCLEX:bN/A
13. Whatbsystembreducesbthebnumberbofbemployeesbbutbstillbprovidesbqualitybcarebforbpatients?
a. Teambnursing
b. Cross-training
c. Usebofbcriticalbpathways
d. Casebmanagement
ANS:b B
Cross-
trainingbreducesbthebnumberbofbemployeesbbutbdoesbnotbalterbthebqualitybofbpatientbcare.bTeambnu
rsing,busebofbcriticalbpathways,bandbcasebmanagementbdobnotbreducebthebnumberbofbemployeesbw
hilebcontinuingbtobprovidebqualitybcarebforbpatients.
DIF: CognitivebLevel:bComprehension REF:b b p.b15 OBJ:b b 8
b b b b b b
: Foundation of Nursing, 9th Edition
b b b b b
MULTIPLEbCHOICE
1. Whatbisbabnursingbprogrambconsideredbwhenbcertifiedbbybabstatebagency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS:b B
Approvedbmeansbcertifiedbbybabstatebagencybforbhavingbmetbminimumbstandards;baccreditedbmea
nsbcertifiedbbybthebNLNbforbhavingbmetbmorebcomplexbstandards.bProvisionalbandbexemplifiedba
rebnotbtermsbusedbinbregardbtobnursingbprogrambcertification.
DIF: CognitivebLevel:bKnowledge REF:b p.b10
OBJ:b 5bTOP:b Nursingbprograms
KEY:b NursingbProcessbStep:bN/AbMSC:b NCLEX:bN/A
2. Whichbofbthebfollowingbmustbthebnursebrecognizebregardingbthebhealthbcarebdeliverybsystem?
a. Itbincludesballbstates.
b. Itbaffectsbthebillnessbofbpatients.
c. Insurancebcompaniesbarebnotbinvolved.
d. Thebmajorbgoalbisbtobachieveboptimalblevelsbofbhealthbcare.
ANS:b D
Thebnursebmustbrecognizebthatbinbthebhealthbcarebdeliverybsystem,bthebmajorbgoalbisbtobachievebopt
imalblevelsbofbhealthbcare.bThebhealthbcarebsystembconsistsbofbabnetworkbofbagencies,bfacilities,ba
ndbprovidersbinvolvedbwithbhealthbcarebinbabspecifiedbgeographicbarea.bInsurancebcompaniesbdob
havebinvolvementbinbthebhealthbcarebsystem.bThebillnessbofbpatientsbisbnotbnecessarilybaffectedbby
bthebhealthbcarebsystem.
DIF: CognitivebLevel:bComprehension REF:b p.b12
OBJ:b 7bTOP:b Healthbcarebsystems
KEY:b NursingbProcessbStep:bN/AbMSC:b NCLEX:bN/A
3. Whatbisbrequiredbbybthebhealthbcarebteambtobidentifybthebneedsbofbabpatientbandbtobdesignbcarebtobm
eetbthosebneeds?
a. ThebKardex
b. Thebhealthbcarebprovider’sborderbsheet
c. Anbindividualizedbcarebplan
d. Thebnurse’sbnotes
ANS:b C
Anbindividualizedbcarebplanbinvolvesballbhealthbcarebworkersbandboutlinesbcarebtobmeetbthebneeds
bofbthebindividualbpatient.bThebKardex,bhealthbcarebprovider’sborderbsheet,bandbnurse’sbnotesbdobn
otbidentifybthebneedsbofbthebpatientbnorbarebtheybdesignedbtobassistballbmembersbofbthebhealthbcarebt
eambtobmeetbthosebneeds.
DIF: CognitivebLevel:bComprehension REF:b b p.b13 OBJ:b b 8b|b9
, TOP:b Carebplan KEY:b NursingbProcessbStep:bPlanning MSC:b NCLEX:bN/A
4. Patientbcarebemphasisbonbwellness,bratherbthanbillness,bbeginsbasbabresultbof:
a. increasedbeducationbconcerningbcausesbofbillness.
b. improvedbinsurancebpayments.
c. decentralizedbcarebcenters.
d. increasedbnumberbofbhealthbcarebgivers.
ANS:b A
Thebacutebawarenessbofbpreventivebmedicinebhasbresultedbinbtoday’sbemphasisbonbeducationbabo
utbissuesbsuchbasbsmoking,bheartbdisease,bdrugbandbalcoholbabuse,bweightbcontrol,bandbmentalbhe
althbandbwellnessbpromotionbactivities.bThisbpreventivebeducationbhasbresultedbinbanbemphasisbo
nbwellness,bratherbthanbillness.bImprovedbinsurancebpayments,bdecentralizedbcarebcenters,bandbi
ncreasedbnumbersbofbhealthbcarebgiversbdidbnotbinfluencebanbemphasisbonbwellness.
DIF: CognitivebLevel:bComprehension REF:b b p.b12 OBJ:b b 4b|b8
TOP:b Wellness KEY:b NursingbProcessbStep:bN/A MSC:b NCLEX:bN/A
5. Whatbisbthebmostbeffectivebprocessbtobensurebthatbthebcarebplanbisbmeetingbthebneedsbofbthebp
atient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS:b B
Communicationbisbthebprimarybessentialbcomponentbamongbthebhealthbcarebteambtobevaluateban
dbmodifybthebcarebplan.bDocumentation,bevaluation,bandbplanningbarebnotbprimarybessentialbcom
ponentsbtobensurebthebcarebplanbisbmeetingbthebneedsbofbthebpatient.
DIF: CognitivebLevel:bComprehension REF:b p.b17
OBJ:b 8bTOP:b Communication
KEY:b NursingbProcessbStep:bN/AbMSC:b NCLEX:bN/A
6. Howbdoesbanbinterdisciplinarybapproachbtobpatientbtreatmentbenhancebcare?
a. Bybimprovingbefficiencybofbcare
b. Bybreducingbthebnumberbofbcaregivers
c. Bybpreventingbthebfragmentationbofbpatientbcare
d. Bybshorteningbhospitalbstay
ANS:b C
Anbinterdisciplinarybapproachbpreventsbfragmentationbofbcare.bAnbinterdisciplinarybapproachb
doesbnotbimprovebthebefficiencybofbcare,breducebthebnumberbofbcaregivers,borbshortenbhospitalbs
tay.
DIF:b CognitivebLevel:bComprehensionb b REF:b p.b16
OBJ:b 8b|b9bTOP:b Interdisciplinar
ybapproach
KEY:b NursingbProcessbStep:bN/Ab
MSC:b NCLEX:bN/A
7. HowbmaybabnewlyblicensedbLPN/LVNbpractice?
a. Independentlybinbabhospitalbsetting
, b. WithbanbexperiencedbLPN/LVN
c. UnderbthebsupervisionbofbabhealthbcarebproviderborbRN
d. Asbabsolebhealthbcarebproviderbinbabclinicbsetting
ANS:b C
AnbLPN/LVNbpracticesbunderbthebsupervisionbofbabhealthbcarebprovider,bdentist,bOD,borbRN.
DIF: CognitivebLevel:bKnowledge REF:b p.b11
OBJ:b 11bTOP:b Vocationalbnursing
KEY:b NursingbProcessbStep:bN/AbMSC:b NCLEX:bN/A
8. Whosebinfluencebonbnursingbpracticebinbtheb19thbcenturybwasbrelatedbtobimprovementbofbpatientbe
nvironmentbasbabmethodbofbhealthbpromotion?
a. ClarabBarton
b. LindabRichards
c. DorotheabDix
d. FlorencebNightingale
ANS:b D
ThebinfluencebofbFlorencebNightingalebwasbhighlybsignificantbinbtheb19thbcenturybasbshebfoughtbf
orbsanitarybconditions,bfreshbair,bandbgeneralbimprovementbinbthebpatientbenvironment.bClarabBar
tonbdevelopedbthebAmericanbRedbCrossbinb1881.bLindabRichardsbisbknownbasbthebfirstbtrainedbnur
sebinbAmerica,bwasbresponsiblebforbthebdevelopmentbofbthebfirstbnursingbandbhospitalbrecords,band
bisbcreditedbwithbthebdevelopmentbofbourbpresent-daybdocumentationbsystem.
DorotheabDixbwasbthebpioneerbcrusaderbforbelevationbofbstandardsbofbcarebforbthebmentallybillbandb
superintendentbofbfemalebnursesbofbthebUnionbArmy.
DIF:b CognitivebLevel:bKnowledge REF:b p.b17
OBJ:b 2b|b4bTOP:b Nursingbleaders
KEY:b NursingbProcessbStep:bN/Ab
MSC:b NCLEX:bN/A
9. WhatbdocumentbidentifiesbthebrolesbandbresponsibilitiesbofbthebLPN/LVN?
a. NLNbAccreditationbStandards
b. NursebPracticebAct
c. NAPNEbCode
d. AmericanbNurses’bAssociationbCode
ANS:b B
ThebLPN/LVNbfunctionsbunderbthebNursebPracticebAct.bNLNbAccreditationbStandards,bthebNAP
NEbCode,bandbthebAmericanbNurses’bAssociationbCodebdobnotbidentifybthebrolesbandbresponsibili
tiesbofbthebLPN/LVN.
DIF: CognitivebLevel:bKnowledge REF:b p.b12b|bp.b14
OBJ:b 11bTOP:b Rolesbandbresponsibilities
KEY:b NursingbProcessbStep:bN/AbMSC:b NCLEX:bN/A
10. Whatbisbabcost-
effectivebdeliverybofbcarebusedbbybmanybhospitalsbthatballowsbthebLPN/LVNbtobworkbwithbthebR
Nbtobmeetbthebneedsbofbpatients?
a. Focusedbnursing
b. Teambnursing
c. Casebmanagement
d. Primarybnursing
, ANS:b C
Casebmanagementbisbabcost-
effectivebmethodbofbcare.bFocusedbnursing,bteambnursing,bandbprimarybnursingbarebnotbcost-
effectivebmethodsbofbdeliveringbcarebthatballowbthebLPN/LVNbtobworkbwithbthebRNbtobmeetbpatie
ntbneeds.
DIF:b CognitivebLevel:bComprehensionb b REF:b p.b15
OBJ:b 7b|b9bTOP:b Patientbcarebdeli
verybsystems
KEY:b NursingbProcessbStep:bN/Ab
MSC:b NCLEX:bN/A
11. WhatbisbthebtitlebofbthebAmericanbHospitalbAssociation’sb1972bdocumentbthatboutlinesbthebp
atient’sbexpectationsbtobbebtreatedbwithbdignitybandbcompassion?
a. CodebofbEthics
b. Patient’sbBillbofbRights
c. OBRA
d. Advancebdirectives
ANS:b B
PatientbexpectationsbareboutlinedbbybthebPatient’sbBillbofbRights.bPatientbexpectationsbarebnotboutl
inedbinbthebCodebofbEthics,bOBRA,borbadvancebdirectives.
DIF: CognitivebLevel:bKnowledge REF:b p.b16
OBJ:b 4b|b8bTOP:b Patient’sbrights KEY:
NursingbProcessbStep:bN/A
MSC:b NCLEX:bN/A
12. Thebrelationshipsbamongbnursing,bpatients,bhealth,bandbthebenvironmentbarebthebbasisbfor:
a. carebplans.
b. nursingbmodels.
c. healthbcarebprovider’sborders.
d. evaluationbofbpatientbcare.
ANS:b B
Nursingbmodelsbarebtheoriesbbasedbonbthebrelationshipbbetweenbnursing,bpatients,bhealth,bandbe
nvironment.bCarebplans,bhealthbcarebprovider’sborders,bandbevaluationbofbpatientbcarebarebnotbba
sedbonbthebrelationshipsbamongbnursing,bpatients,bhealth,bandbenvironment.
DIF: CognitivebLevel:bComprehension REF:b p.b17
OBJ:b 1bTOP:b Nursingbmodels
KEY:b NursingbProcessbStep:bN/AbMSC:b NCLEX:bN/A
13. Whatbsystembreducesbthebnumberbofbemployeesbbutbstillbprovidesbqualitybcarebforbpatients?
a. Teambnursing
b. Cross-training
c. Usebofbcriticalbpathways
d. Casebmanagement
ANS:b B
Cross-
trainingbreducesbthebnumberbofbemployeesbbutbdoesbnotbalterbthebqualitybofbpatientbcare.bTeambnu
rsing,busebofbcriticalbpathways,bandbcasebmanagementbdobnotbreducebthebnumberbofbemployeesbw
hilebcontinuingbtobprovidebqualitybcarebforbpatients.
DIF: CognitivebLevel:bComprehension REF:b b p.b15 OBJ:b b 8
