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Test Bank For Foundations of Nursing 9th
Edition by Kim Cooper, Kelly Gosnell
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Table of Contents
Chapter 01 The Evolution of Nursing 2
Chapter 02 Legal and Ethical Aspects of Nursing 12
Chapter 03 Documentation 22
Chapter 04 Communication 31
Chapter 05 Nursing Process and Critical Thinking 46
Chapter 06 Cultural and Ethnic Considerations 61
Chapter 07 Asepsis and Infection Control 75
Chapter 08 Body Mechanics and Patient Mobility 87
Chapter 09 Hygiene and Care of the Patient’s Environment 94
Chapter 10 Safety 105
Chapter 11 Admission, Transfer, and Discharge 111
Chapter 12 Vital Signs 117
Chapter 13 Physical Assessment 127
Chapter 14 Oxygenation 153
Chapter 15 Elimination and Gastric Intubation 157
Chapter 16 Care of Patients Experiencing Urgent Alterations in Health 161
Chapter 17 Dosage Calculation and Medication Administration 172
Chapter 18 Fluids and Electrolytes 183
Chapter 19 Nutritional Concepts and Related Therapies 192
Chapter 20 Complementary and Alternative Therapies 204
Chapter 21 Pain Management, Comfort, Rest, and Sleep 213
Chapter 22 Surgical Wound Care 224
Chapter 23 Specimen Collection and Diagnostic Testing 236
Chapter 24 Lifespan Development 248
Chapter 25 Loss, Grief, Dying, and Death 266
Chapter 26 Health Promotion and Pregnancy 273
Chapter 27 Labor and Delivery 284
Chapter 28 Care of the Mother and Newborn 295
Chapter 29 Care of the High-Risk Mother, Newborn, and Family with Special Needs 306
Chapter 30 Health Promotion for the Infant, Child, and Adolescent 318
Chapter 31 Basic Pediatric Nursing Care 325
Chapter 32 Care of the Child with a Physical and Mental or Cognitive Disorder 338
Chapter 33 Health Promotion and Care of the Older Adult 359
Chapter 34 Concepts of Mental Health 371
Chapter 35 Care of the Patient with a Psychiatric Disorder 383
Chapter 36 Care of the Patient with an Addictive Personality 395
Chapter 37 Home Health Nursing 406
Chapter 38 Long-Term Care 415
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Chapter 39 Rehabilitation Nursing 426
Chapter 40 Hospice Care 438
Chapter 41 Professional Roles and Leadership 449
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Test Bank - Foundations of Nursing, 9e (Cooper, 2023)
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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
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.
DIF: Cognitive Level: 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 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 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.
DIF: Cognitive Level: 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 patient 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 outlines 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.
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DIF: Cognitive Level: 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 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 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.
DIF: Cognitive Level: 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
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, evaluation, and planning are not primary essential
components to ensure the care plan is meeting the needs of the patient.
DIF: Cognitive Level: 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 patient 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
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.
DIF: Cognitive Level: Comprehension REF: p. 16 OBJ: 8 | 9
TOP: Interdisciplinary approach KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
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Test Bank - Foundations of Nursing, 9e (Cooper, 2023)
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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
ANS: C
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
DIF: Cognitive Level: 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
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 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.
DIF: Cognitive Level: 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. 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.
DIF: Cognitive Level: 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 patients?
a. Focused nursing
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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.
DIF: Cognitive Level: Comprehension REF: p. 15 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 Association's 1972 document that outlines the
patient's expectations to be treated with dignity and compassion?
a. Code of Ethics
b. Patient's Bill of Rights
c. OBRA
d. Advance directives
ANS: B
Patient expectations are outlined by the Patient's Bill of Rights. Patient expectations are not
outlined in the Code of Ethics, OBRA, or advance directives.
DIF: Cognitive Level: Knowledge REF: p. 16 OBJ: 4 | 8
TOP: Patient's rights KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
12. The relationships among nursing, patients, health, and the environment are the basis for:
a. care plans.
b. nursing models.
c. health care provider's orders.
d. evaluation of patient care.
ANS: B
Nursing models are theories based on the relationship between nursing, patients, health, and
environment. Care plans, health care provider's orders, and evaluation of patient care are not
based on the relationships among nursing, patients, health, and environment.
DIF: Cognitive Level: Comprehension REF: p. 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 provides quality care for patients?
a. Team nursing
b. Cross-training
c. Use of critical pathways
d. Case management
ANS: B
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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.
DIF: Cognitive Level: Comprehension REF: p. 15 OBJ: 8
TOP: Patient care KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
14. What is the purpose of licensing laws for LPN/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
health care providers. Licensing laws' purpose is not to limit the number of LPNs/LVNs,
prevent malpractice, or increase revenue for the state board of nursing.
DIF: Cognitive Level: Comprehension REF: p. 11 OBJ: 4 | 9 | 10
TOP: Licensure KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
15. What premise is Maslow's hierarchy of needs based on?
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
Maslow's 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.
DIF: Cognitive Level: Comprehension REF: p. 12 | p. 13 OBJ: 8
TOP: Maslow's Hierarchy of Needs KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
16. What must the nurse realize when assessing physical and social environmental factors
affecting health and illness?
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.
DIF: Cognitive Level: Comprehension REF: p. 14 OBJ: 4 | 8
TOP: Environmental factors KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance
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17. What organization, established during World War II, provided nursing education and
training?
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.
DIF: Cognitive Level: Knowledge REF: p. 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/LVN to enter RN
education?
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.
DIF: Cognitive Level: Knowledge REF: p. 10 OBJ: 1 | 9
TOP: Nursing education KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
19. Where did Florence Nightingale's original nursing education take place?
a. Saint Thomas
b. Kings College Hospital
c. Crimean Hospital
d. Kaiserswerth School
ANS: D
Florence Nightingale trained at Kaiserswerth School. Florence Nightingale's original
training was not at Saint Thomas, Kings College Hospital, or Crimean Hospital.
DIF: Cognitive Level: Knowledge REF: p. 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 of a person?
a. Interdependent care
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b. Holistic health care
c. Illness prevention care
d. Health promotion care
ANS: B
Holistic health care encompasses the physical, emotional, social, and spiritual aspects of the
patient.
DIF: Cognitive Level: Comprehension REF: p. 12 OBJ: 8
TOP: Health care KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
21. What official agency exists exclusively for LPN/LVN membership and promotes standards
for the LPN/LVN?
a. NFLPN
b. ANA
c. NLN
d. NAPNES
ANS: A
The NFLPN exists solely for the LPN/LVN. The other options have membership that
includes RNs and the lay public.
DIF: Cognitive Level: Knowledge REF: p. 10 OBJ: 5 | 6 | 9
TOP: Nursing organizations KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
22. What score does the graduate practical nurse require to be issued a license upon completion
of the computerized examination?
a. 70% or better
b. This is defined and set by each state
c. Designated as "pass"
d. Within the 75th percentile
ANS: C
Currently graduates of an approved vocational school are eligible to take the licensing
examination and be awarded a license with a score of "pass" that is recognized by all states.
DIF: Cognitive Level: Knowledge REF: p. 12 OBJ: 3
TOP: Licensure examination KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
23. What document, published in 1965 by the ANA, clearly defined two levels of nursing
practice?
a. Licensing standards
b. Position paper
c. Smith-Hughes Act
d. Nurse practice act
ANS: B
The ANA's position paper of 1965 defined two levels of nursing: registered nurse and
technical nurse. Licensing standards, the Smith-Hughes Act, and the nurse practice act were
not documents defining two levels of nursing practice published in 1965.
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