The Evolution of Nursing Cooper: Foundations of Nursing, 8th Edition
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Course
NURS 242B
Institution
NURS 242B
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. Pr...
the evolution of nursing cooper foundations of nursing
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Chapter 01: The Evolution of Nursing
Cooper: Foundations of Nursing, 8th 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.
2. Which of the following must the nurse recognize regarding the health
care delivery system?
a. It includes all states.
b. It affects the illness of patients.
c. Insurance companies are not in-
volved.
d. The major goal is to achieve opti-
mal 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 in-
volved with health care in a specified geographic area. Insurance com-
panies do have involvement in the health care system. The illness of
patients is not necessarily affected by the health care system.
DIF: Cognitive Level: Comprehension REF: 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 of a pa-
tient and to design care to meet those needs?
a. The Kardex
b. The health care provider’s order
sheet
c. An individualized care plan
d. The nurse’s notes
ANS: C
An individualized care plan involves all health care workers and out-
lines care to meet the needs of the individual patient. The Kardex,
health care provider’s order sheet, and nurse’s 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.
DIF: Cognitive Level: Comprehension REF: 13 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 as a re-
sult of:
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 today’s
emphasis on education about issues such as smoking, heart disease,
drug and alcohol abuse, weight control, and mental health and well-
ness promotion activities. This preventive education has resulted in an
emphasis on wellness, rather than illness. Improved insurance pay-
ments, decentralized care centers, and increased numbers of health
care givers did not influence an emphasis on wellness.
5. What is the most effective process to ensure that the care plan is
, meeting the needs of the patient?
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, eval-
uation, and planning are not primary essential components to ensure
the care plan is meeting the needs of the patient.
DIF: Cognitive Level: Comprehension REF: 17 OBJ: 8
TOP: Communication KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
6. How does an interdisciplinary approach to patient treatment enhance
care?
a. By improving efficiency of care
b. By reducing the number of care-
givers
c. By preventing the fragmentation
of patient care
d. By shortening hospital stay
ANS: C
An interdisciplinary approach prevents fragmentation of care. An inter-
disciplinary approach does not improve the efficiency of care, reduce
the number of caregivers, or shorten hospital stay.
7. How may a newly licensed LPN/LVN practice?
a. Independently in a hospital set-
ting
b. With an experienced LPN/LVN
c. Under the supervision of a health
care provider or RN
d. As a sole health care provider in
, a clinic setting
ANS: C
An LPN/LVN practices under the supervision of a health care provider,
dentist, OD, or RN.
8. Whose influence on nursing practice in the 19th century was related to
improvement of patient environment as a method of health promotion?
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 im-
provement 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 pio-
neer crusader for elevation of standards of care for the mentally ill and
superintendent of female nurses of the Union Army.
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
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