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Cooper and Gosnell: Foundations and Adult

Health Nursing, 7th Edition
Chapter 1: Evolution of Nursing
Cooper and Gosnell: Foundations and Adult Health Nursing,
7th Edition
MULTIPLE CHOICE
1.What is a nursing program considered when certified by a state
agency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: B
Approved means certified by a state agency for having met
minimum standards; accredited means certified by the NLN for
having met more complex standards. Provisional and
exemplified are not terms used in regard to nursing program
certification.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 10
OBJ: 5 TOP: Nursing programs KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
2.Which of the following must the nurse recognize regarding the
healthcaredeliverysystem?
a. It includes all states.
b. It affects the illness of patients.
c. Insurance companies are not involved.
d. The major goal is to achieve optimal levels of health care.
ANS: D
The nurse must recognize that in the health care delivery
system, the major goal is to achieve optimal levels of health
care. The health care system consists of a network of agencies,
facilities, and providers involved with health care in a specified
geographic area. Insurance companies do have involvement in
the health care system. The illness of patients is not necessarily
affected by the health care system.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12
OBJ: 7 TOP: Health care systems KEY: Nursing Process Step:
N/A
MSC:NCLEX: N/A
3.What is required by the health care team to identify the needs
ofapatientandtodesigncaretomeetthoseneeds?
a. The Kardex
b. The physicians order sheet
c. An individualized care plan
d. The nurses notes
ANS: C
An individualized care plan involves all health care workers and
outlines care to meet the needs of the individual patient. The
Kardex, physicians order sheet, and nurses notes do not identify
the needs of the patient nor are they designed to assist all
members of the health care team to meet those needs.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 13, 16
OBJ: 8 | 9 TOP: Care plan KEY: Nursing Process Step: Planning
MSC:NCLEX: N/A
4.Patient care emphasis on wellness, rather than illness, begins
asaresultof:
a. increased education concerning causes of illness.
b. improved insurance payments.
c. decentralized care centers.
d. increased number of health care givers.
ANS: A
The acute awareness of preventive medicine has resulted in
todays emphasis on education about issues such as smoking,
heart disease, drug and alcohol abuse, weight control, and
mental health and wellness promotion activities. This preventive
education has resulted in an emphasis on wellness, rather than
illness. Improved insurance payments, decentralized care
centers, and increased numbers of health care givers did not
influence an emphasis on wellness.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12
OBJ: 4 | 8 TOP: Wellness KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
5.What is the most effective process to ensure that the care plan
ismeetingtheneedsofthepatient?
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B
Communication is the primary essential component among the
health care team to evaluate and modify the care plan.
Documentation, evaluation, and planning are not primary
essential components to ensure the care plan is meeting the
needs of the patient.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 16
OBJ: 8 TOP: Communication KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
6.How does an interdisciplinary approach to patient treatment
enhancecare?
a. By improving efficiency of care
b. By reducing the number of caregivers
c. By preventing the fragmentation of patient care
d. By shortening hospital stay
ANS: C
An interdisciplinary approach prevents fragmentation of care. An
interdisciplinary approach does not improve the efficiency of
care, reduce the number of caregivers, or shorten hospital stay.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 16
OBJ: 8 | 9 TOP: Interdisciplinary approach KEY: Nursing
Process Step: N/A
MSC:NCLEX: N/A
7.HowmayanewlylicensedLPN/LVNpractice?
a. Independently in a hospital setting
b. With an experienced LPN/LVN
c. Under the supervision of a physician or RN
d. As a sole practitioner in a clinic setting
ANS: C
An LPN/LVN practices under the supervision of a physician,
dentist, OD, or RN.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Pages 13, 19
OBJ: 11 TOP: Vocational nursing KEY: Nursing Process Step: N/
A
MSC:NCLEX: N/A
8.Whose influence on nursing practice in the 19th century was
related to improvement of patient environment as a method of
healthpromotion?
a. Clara Barton
b. Linda Richards
c. Dorothea Dix
d. Florence Nightingale
ANS: D
The influence of Florence Nightingale was highly significant in
the 19th century as she fought for sanitary conditions, fresh air,
and general improvement in the patient environment. Clara
Barton developed the American Red Cross in 1881. Linda
Richards is known as the first trained nurse in America, was
responsible for the development of the first nursing and hospital
records, and is credited with the development of our present-day
documentation system. Dorothea Dix was the pioneer crusader
for elevation of standards of care for the mentally ill and
superintendent of female nurses of the Union Army.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Pages 2, 17 Table
1-2
OBJ: 2 | 4 TOP: Nursing leaders KEY: Nursing Process Step: N/
A
MSC:NCLEX: N/A
9.What document identifies the roles and responsibilities of the
LPN/LVN?
a. NLN Accreditation Standards
b. Nurse Practice Act
c. NAPNE Code
d. American Nurses Association Code
ANS: B
The LPN/LVN functions under the Nurse Practice Act. NLN
Accreditation Standards, the NAPNE Code, and the American
Nurses Association Code do not identify the roles and
responsibilities of the LPN/LVN.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 13
OBJ: 11 TOP: Roles and Responsibilities KEY: Nursing Process
Step: N/A
MSC:NCLEX: N/A
10.What is a cost-effective delivery of care used by many
hospitals that allows the LPN/LVN to work with the RN to meet
theneedsofpatients?
a. Focused nursing
b. Team nursing
c. Case management
d. Primary nursing
ANS: C
Case management is a cost-effective method of care. Focused
nursing, team nursing, and primary nursing are not cost-effective
methods of delivering care that allow the LPN/LVN to work with
the RN to meet patient needs.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 14
OBJ: 7 | 9 TOP: Patient care delivery systems KEY: Nursing
Process Step: N/A
MSC:NCLEX: N/A
11.What is the title of the American Hospital Associations 1972
document that outlines the patients expectations to be treated
withdignityandcompassion?
a. Code of Ethics
b. Patients Bill of Rights
c. OBRA
d. Advance directives
ANS: B
Patient expectations are outlined by the Patients Bill of Rights.
Patient expectations are not outlined in the Code of Ethics,
OBRA, or advance directives.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 15
OBJ: 4 | 8 TOP: Patients rights KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
12.The relationships among nursing, patients, health, and the
environmentarethebasisfor:
a. care plans.
b. nursing models.
c. physicians orders.
d. evaluation of patient care.
ANS: B
Nursing models are theories based on the relationship between
nursing, patients, health, and environment. Care plans,
physicians orders, and evaluation of patient care are not based
on the relationships among nursing, patients, health, and
environment.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 17
OBJ: 1 TOP: Nursing models KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
13.What system reduces the number of employees but still
providesqualitycareforpatients?
a. Team nursing
b. Cross-training
 c. Use of critical pathways
d. Case management
ANS: B
Cross-training reduces the number of employees but does not
alter the quality of patient care. Team nursing, use of critical
pathways, and case management do not reduce the number of
employees while continuing to provide quality care for patients.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 14-15
OBJ: 8 TOP: Patient care KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
14.WhatisthepurposeoflicensinglawsforLPN/LVNs?
a. To limit the number of LPN/LVNs.
b. Prevention of malpractice
c. Protection of the public from unqualified people
d. To increase revenue for the state board of nursing
ANS: C
The purpose of licensing laws for LPN/LVNs is to protect the
public from unqualified practitioners. Licensing laws purpose is
not to limit the number of LPNs/LVNs, prevent malpractice, or
increase revenue for the state board of nursing.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 4-5
OBJ: 4 | 9 | 10 TOP: Licensure KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
15.WhatpremiseisMaslowshierarchyofneedsbasedon?
a. All needs are equally important.
b. Basic needs must be met before the next level of needs can be met.
c. Self-actualization is a primary need.
d. Individuals prioritize needs the same way.
ANS: B
Maslows hierarchy of needs is based on the premise that basic
needs must be met first. It is not based on all needs being
equally important or that individuals prioritize needs the same
way. Self-actualization is not a primary need according to
Maslow.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12
OBJ: 8 TOP: Maslows hierarchy of needs KEY: Nursing Process
Step: N/A
MSC:NCLEX: N/A
16.What must the nurse realize when assessing physical and
socialenvironmentalfactorsaffectinghealthandillness?
a. They affect one another.
b. They cause illness.
c. They cause patients to react similarly.
d. They can be separated.
ANS: A
Physical and social factors affect each other, cannot be
separated, and cause each patient to react in a unique manner.
They do not necessarily cause illness or cause patients to react
similarly, and they cannot be separated.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 12
OBJ:4 | 8TOP:Environmental factors
KEY: Nursing Process Step: Assessment MSC: NCLEX: Health
Promotion and Maintenance
17.What organization, established during World War II, provided
nursingeducationandtraining?
a. Nightingale school
b. Cadet Nurse Corps
c. Public health department
d. Frontier Nursing Service
ANS: B
The Cadet Nurse Corps was established during World War II to
provide nursing education and training. The Nightingale school,
public health department, and Frontier Nursing Service are not
organizations established during World War II to provide nursing
education and training.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 5
OBJ: 1 | 4 TOP: Nursing education KEY: Nursing Process Step:
N/A
MSC:NCLEX: N/A
18.What is a modern educational advancement program for the
LPN/LVNtoenterRNeducation?
a. Repetition
b. Exclusion
c. Articulation
d. Coexistence
ANS: C
Most states have some type of articulation program in which the
LPN/LVN can achieve advanced standing in an RN program
without having to enroll in the entire curriculum. Repetition,
exclusion, and coexistence do not refer to educational
advancement.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 10
OBJ: 1 | 9 TOP: Nursing education KEY: Nursing Process Step:
N/A
MSC:NCLEX: N/A
19.Where did Florence Nightingales original nursing education
takeplace?
a. Saint Thomas
b. Kings College Hospital
c. Crimean Hospital
d. Kaiserswerth School
ANS: D
Florence Nightingale trained at Kaiserswerth School. Florence
Nightingales original training was not at Saint Thomas, Kings
College Hospital, or Crimean Hospital.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 2
OBJ: 2 TOP: Nursing programs KEY: Nursing Process Step: N/A
MSC:NCLEX: N/A
20.What system of comprehensive patient care considers the
physical, emotional, and social environment and spiritual needs
ofaperson?
a. Interdependent care
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