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Test Bank for Foundations and Adult Health Nursing 9th Edition by Cooper and Gosnell
Test Bank for Foundations and Adult Health Nursing 9th Edition by Cooper and Gosnell
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Test Bank for Foundations and Adult Health Nursing 9th Editionby Cooper and Gosnell
,Chapter 01: The Evolution of Nursing
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. What is a nursing program considered when certified by a state agency?
a. Accredited
b. Approved
c. Provisional
d. Exemplified
RIGHT REPLY ✔✔ B
RATIONALE: 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.
COMPLEXITY N/A CL: Knowledge REF: p.
10 OBJ: 5 TOP: Nursing programs KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. Which of the following must the registered nurse recognize regarding the medical care delivery
system?
a. It includes all states.
b. It affects the illness of clients.
c. Insurance companies are not involved.
d. The major goal is to achieve optimal levels of medical care.
RIGHT REPLY ✔✔ D
RATIONALE: The registered nurse must recognize that in the medical care delivery system,
the major goal is to achieve optimal levels of medical care. The medical care system consists
of a network of agencies, facilities, and providers involved with medical care in a specified
geographic area. Insurance companies do have involvement in the medical care system. The
illness of clients is not necessarily affected by the medical care system.
COMPLEXITY N/A CL: Comprehension REF: p.
12 OBJ: 7 TOP: Medical care systems KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
3. What is required by the medical care team to identify the needs of a client and to design care
to meet those needs?
a. The Kardex
b. The medical care provider's order sheet
c. An individualized care plan
d. The registered nurse's notes
RIGHT REPLY ✔✔ C
RATIONALE: An individualized care plan involves all medical care workers and outlines
care to meet the needs of the individual client. The Kardex, medical care provider's order
sheet, and registered nurse's notes do not identify the needs of the client nor are they designed
to assist all members of the medical care team to meet those needs.
, COMPLEXITY N/A CL: Comprehension REF: p. 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 result of:
a. increased education concerning causes of illness.
b. improved insurance payments.
c. decentralized care centers.
d. increased number of medical care givers.
RIGHT REPLY ✔✔ A
RATIONALE: 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 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 medical care givers did not influence an
emphasis on wellness.
COMPLEXITY N/A CL: Comprehension REF: p. 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 is meeting the needs of the
client?
a. Documentation
b. Communication
c. Evaluation
d. Planning
RIGHT REPLY ✔✔ B
RATIONALE: Communication is the primary essential component among the medical 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 client.
COMPLEXITY N/A CL: Comprehension REF: p.
17 OBJ: 8 TOP: Communication KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
6. How does an interdisciplinary approach to client treatment enhance care?
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
RIGHT REPLY ✔✔ C
RATIONALE: 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.
COMPLEXITY N/A CL: Comprehension REF: p. 16 OBJ: 8 | 9
TOP: Interdisciplinary approach KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
7. How may a newly licensed LPN/LVN practice?
, a. Independently in a hospital setting
b. With an experienced LPN/LVN
c. Under the supervision of a medical care provider or RN
d. As a sole medical care provider in a clinic setting
RIGHT REPLY ✔✔ C
RATIONALE: An LPN/LVN practices under the supervision of a medical care provider, dentist,
OD, or RN.
COMPLEXITY N/A CL: Knowledge REF: p.
11 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 client
environment as a method of health promotion?
a. Clara Barton
b. Linda Richards
c. Dorothea Dix
d. Florence Nightingale
RIGHT REPLY ✔✔ D
RATIONALE: 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 client
environment. Clara Barton developed the American Red Cross in 1881. Linda Richards is
known as the first trained registered 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 registered nurses of the Union Army.
COMPLEXITY N/A CL: Knowledge REF: p. 17 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. Registered nurse Practice Act
c. NAPNE Code
d. American Registered nurses' Association Code
RIGHT REPLY ✔✔ B
RATIONALE: The LPN/LVN functions under the Registered nurse Practice Act. NLN
Accreditation Standards, the NAPNE Code, and the American Registered nurses'
Association Code do not identify the roles and responsibilities of the LPN/LVN.
COMPLEXITY N/A CL: Knowledge REF: p.
12 | p. 14 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 the needs of clients?
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