Chapter 01: The Evolution of Professional Nursing
1. Clara Barton is known for:
a.
becoming the first black 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 REF: ...
Chap 1, 5 & ATI Chap 1 p 3-7
Chap17 & ATI Chap 1 p 3-4
Chap 19 & ATI Chap 1 p 14-17 &
Chap 2 p 23-25
Chap 20 & ATI Chap 1 p 7-10
Exam #1
Chapter 01: The Evolution of Professional Nursing
1. Clara Barton is known for:
a. becoming the first black 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 REF: p. 11
The American Red Cross, founded by Clara Barton in 1882, assisted in efforts to continue public
health nursing.
2. Students are assigned to write to their state leaders about an issue affecting their community. One
student writes about the need among rural community for greater access to acute care services.
Which of the following pieces of legislation should the student use as a reference?
a. Social Security Act
b. Hill-Burton Act
c. Sheppard-Towner Act
d. U.S. Civil Service Act
ANS: B REF: p. 13
The purpose of the Hill-Burton Act was to provide funding to construct hospitals and to help
states in plan for other health care facilities in accordance with the needs of communities.
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 REF: p. 6
Lillian Wald, a pioneer in public health nursing, is best known for the development and
establishment of the Henry Street Settlement.
4. Occupational health nursing features beliefs similar to those of which early nursing pioneer?
a. Lillian Wald
b. Florence Nightingale
c. Clara Barton
d. Mary Seacole
ANS: A REF: p. 10
Lillian Wald developed the first nursing service for occupational health.
5. What historical event first led to the recognition of the contribution of blacks to nursing?
, Leadership Exam 1 TB p.2
a. Florence Nightingale’s acceptance of black nurses into the first nursing school
b. The contributions of black 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 black nobles who carried food and medicine
from house to house during the Middle Ages
ANS: C REF: pp. 8-9
Although Nightingale’s school refused Seacole, she was able to make a difference in the
Crimean War and later was recognized for her efforts.
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 REF: p. 11
World War I offered nurses a chance to enter into new fields of specialization, as is seen in the
example of nurse anesthetists, who became part of surgical teams at the front lines.
, Leadership Exam 1 TB p.3
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 REF: p. 12
By providing health insurance for older adults, the Social Security Act of 1935 set the precedent
for the passage of the Medicare and Medicaid Acts that followed in 1965, but the act also
provided maternal and child welfare services, rehabilitation for the mentally and physically
challenged, medical care for blind individuals and crippled children, and unemployment benefits.
8. A client asks the nurse, “Can you explain Medicare, an amendment to the Social Security Act?”
The nurse responds that Medicare:
a. led to many hospital closings, along with a decrease in acute care hospital–based
nursing care.
b. provided medical insurance to those younger adults or children who were not
eligible for private insurance because of catastrophic illnesses such as cancer.
c. provided preventive care for women, infants, and children.
d. ensured that individuals ages 65 and older and those with end-stage renal
disease or permanent disabilities had health care insurance.
ANS: D REF: p. 14
The Medicare program provides hospital insurance, Part A, and medical insurance, Part B, to all
people ages 65 and older who are eligible to receive Social Security benefits; people with total,
permanent disabilities; and people with end-stage renal disease.
9. A comparison of nursing in the 1980s to nursing in the 1990s reveals that:
a. in the 1990s nursing experienced a significant reduction occurred in preventable
diseases caused by unsafe/unhealthy lifestyles.
b. tuberculosis was the primary concern for nursing in the 1980s, whereas the AIDS
epidemic emerged and was its focus during the 1990s.
c. a decrease in ambulatory services in the 1980s prompted an increase in public
health nurses in the 1990s.
d. the demand for advanced practice nurses increased in the 1980s and the 1990s
as a result of the economy and concern about the health of the nation.
ANS: D REF: pp. 16-17
The numbers of advanced nurse practitioners increased as evidence of their cost-effectiveness as
providers of primary and preventive health care became established.
10. Which statement accurately describes the historical perspective of nursing practice?
a. Nursing has existed to meet the needs of populations, individuals, and
aggregates by providing care that is determined by the needs and beliefs of
society in different historical contexts.
, Leadership Exam 1 TB p.4
b. As men began to become interested in nursing, it changed into a respected
profession based on scientific fact rather than superstition.
c. Nursing has historically accepted individuals from all social and ethnic
backgrounds.
d. The United States has led the way throughout history to advance nursing and
health care by providing the first hospital and medical school.
ANS: A REF: p. 3 |pp. 18-19
Nursing has existed since biblical times to address needs ranging from contagious diseases in
early times to health prevention in the present time, with care based on health needs and beliefs
of the time.
11. The use of herbs has become a popular alternative to prescription drugs in today’s health care
milieu. During which other historical periods did health practices focus on the use of herbs?
a. Prehistoric times and the Middle Ages
b. Civil War period and World War I
c. Renaissance and Reformation periods and the Colonial American period
d. Crimean War and Civil War periods
ANS: A REF: p. 6
During prehistoric times, tribes used herbs to rid themselves of disease; in the Middle Ages,
women used herbs.
12. A care provider sacrifices an animal and waves an herb-filled sack over a client who is
complaining of painful joints and chest pain with exertion. This ritual represents health care
during:
a. the prehistoric period.
b. early civilization in Egypt.
c. the Renaissance.
d. the Middle Ages.
ANS: A REF: p. 3
During prehistoric times, illness was thought to be caused by evil spirits that providers attempted
to scare away through rituals and dances.
13. A prospective nursing student who researches universities that offer a baccalaureate degree in
nursing would want to ensure that the program is accredited by the:
a. American Nurses Association.
b. Commission on Collegiate Nursing Education.
c. National Institutes of Health.
d. National Nursing Council.
ANS: B REF: p. 4, Box 1-1
The Commission on Collegiate Nursing Education (CCNE) is the agency that exclusively
accredits baccalaureate and graduate-degree nursing programs.
14. Nursing in the 1990s was characterized by:
a. men leaving nursing to enter the armed services.
b. traditional 8-hour shifts to nurse burnout and compassion fatigue.
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