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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
CORRECT ANSWER: 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.
DIFFICULTY: N/A COG LVL: 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 nursing practitioner recognize regarding the health 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 health care.
CORRECT ANSWER: D
RATIONALE: The nursing practitioner 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 clients is not necessarily affected by the health care system.
DIFFICULTY: N/A COG LVL: Comprehension
REF: p. 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 client 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 nursing practitioner's notes
CORRECT ANSWER: C
RATIONALE: An individualized care plan involves all health care workers and outlines care
to meet the needs of the individual client. The Kardex, health care provider's order sheet, and
nursing practitioner's notes do not identify the needs of the client nor are they designed to
assist all members of the health care team to meet those needs.
, DIFFICULTY: N/A COG LVL: Comprehension REF: p. 13 OBJ: 8 | 9
TOP: Care plan KEY: Nursing Process Step: Planning MSC: NCLEX: N/A
4. Client 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 health care givers.
CORRECT ANSWER: 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 health care givers did not influence an
emphasis on wellness.
DIFFICULTY: N/A COG LVL: 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
CORRECT ANSWER: B
RATIONALE: 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 client.
DIFFICULTY: N/A COG LVL: 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 client care
d. By shortening hospital stay
CORRECT ANSWER: 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.
DIFFICULTY: N/A COG LVL: 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 health care provider or RN
d. As a sole health care provider in a clinic setting
CORRECT ANSWER: C
RATIONALE: An LPN/LVN practices under the supervision of a health care provider, dentist,
OD, or RN.
DIFFICULTY: N/A COG LVL: 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
CORRECT ANSWER: 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 nursing practitioner 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 nursing practitioners of the Union Army.
DIFFICULTY: N/A COG LVL: 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. Nursing practitioner Practice Act
c. NAPNE Code
d. American Nursing practitioners' Association Code
CORRECT ANSWER: B
RATIONALE: The LPN/LVN functions under the Nursing practitioner Practice Act.
NLN Accreditation Standards, the NAPNE Code, and the American Nursing
practitioners' Association Code do not identify the roles and responsibilities of the
LPN/LVN.
DIFFICULTY: N/A COG LVL: Knowledge
REF: p. 12 | p. 14 OBJ: 11 TOP: Roles and
responsibilities KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
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