Test Bank for Fundamentals of Nursing, 10th Edition (Chapters 1-11)
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Fundamentals of
Nursing 10th Edition
Potter Perry Test Bank
Nursing 10th Edition
Potter Perry Test Bank
Fundamentals of Nursing 10th Edition Potter Perry Test Bank
Chapter 1. Nursing Today MULTIPLE CHOICE
1. Contemporary nursing practice is based on knowledge generated through nursing theories.
Florence Nightingales theory introduced the concept that nursing care focuses on:
1 Psychological needs
2 A maximal level of wellness
3 Health maintenance and restoration
4 Interpersonal interactions with the client
ANS: 3
Florence Nightingale believed the role of the nurse was to put the clients body in the best state in order
to remain free of disease or to recover from disease.
Although Florence Nightingale may have addressed meeting the psychological needs of her clients, it is
not the focus of her theory. The goal of Nightingales theory is to facilitate the bodys reparative
processes by manipulating the clients environment.
Florence Nightingale thought the human body had reparative properties of its own if it was cared for in
a way to recover from disease. Her theory did not focus on achieving a maximal level of wellness.
Florence Nightingale believed the nurse was in charge of the clients health. Although she interacted with
her clients by reading to them, her theory of nursing care did not focus upon interpersonal interactions.
DIF: A REF: 2 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
2. Nursing education programs in the United States may seek voluntary accreditation by the
appropriate accrediting commission council of the:
1 National League for Nursing
2 American Nurses Association
3 Congress for Nursing Practice
4 International Council of Nurses
ANS: 1
Chapter 1. Nursing Today MULTIPLE CHOICE
1. Contemporary nursing practice is based on knowledge generated through nursing theories.
Florence Nightingales theory introduced the concept that nursing care focuses on:
1 Psychological needs
2 A maximal level of wellness
3 Health maintenance and restoration
4 Interpersonal interactions with the client
ANS: 3
Florence Nightingale believed the role of the nurse was to put the clients body in the best state in order
to remain free of disease or to recover from disease.
Although Florence Nightingale may have addressed meeting the psychological needs of her clients, it is
not the focus of her theory. The goal of Nightingales theory is to facilitate the bodys reparative
processes by manipulating the clients environment.
Florence Nightingale thought the human body had reparative properties of its own if it was cared for in
a way to recover from disease. Her theory did not focus on achieving a maximal level of wellness.
Florence Nightingale believed the nurse was in charge of the clients health. Although she interacted with
her clients by reading to them, her theory of nursing care did not focus upon interpersonal interactions.
DIF: A REF: 2 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
2. Nursing education programs in the United States may seek voluntary accreditation by the
appropriate accrediting commission council of the:
1 National League for Nursing
2 American Nurses Association
3 Congress for Nursing Practice
4 International Council of Nurses
ANS: 1
Fundamentals of Nursing 10th Edition Potter Perry Test Bank
Chapter 1. Nursing Today MULTIPLE CHOICE
1. Contemporary nursing practice is based on knowledge generated through nursing theories.
Florence Nightingales theory introduced the concept that nursing care focuses on:
1 Psychological needs
2 A maximal level of wellness
3 Health maintenance and restoration
4 Interpersonal interactions with the client
ANS: 3
Florence Nightingale believed the role of the nurse was to put the clients body in the best state in order
to remain free of disease or to recover from disease.
Although Florence Nightingale may have addressed meeting the psychological needs of her clients, it is
not the focus of her theory. The goal of Nightingales theory is to facilitate the bodys reparative
processes by manipulating the clients environment.
Florence Nightingale thought the human body had reparative properties of its own if it was cared for in
a way to recover from disease. Her theory did not focus on achieving a maximal level of wellness.
Florence Nightingale believed the nurse was in charge of the clients health. Although she interacted with
her clients by reading to them, her theory of nursing care did not focus upon interpersonal interactions.
DIF: A REF: 2 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
2. Nursing education programs in the United States may seek voluntary accreditation by the
appropriate accrediting commission council of the:
1 National League for Nursing
2 American Nurses Association
3 Congress for Nursing Practice
4 International Council of Nurses
ANS: 1
Chapter 1. Nursing Today MULTIPLE CHOICE
1. Contemporary nursing practice is based on knowledge generated through nursing theories.
Florence Nightingales theory introduced the concept that nursing care focuses on:
1 Psychological needs
2 A maximal level of wellness
3 Health maintenance and restoration
4 Interpersonal interactions with the client
ANS: 3
Florence Nightingale believed the role of the nurse was to put the clients body in the best state in order
to remain free of disease or to recover from disease.
Although Florence Nightingale may have addressed meeting the psychological needs of her clients, it is
not the focus of her theory. The goal of Nightingales theory is to facilitate the bodys reparative
processes by manipulating the clients environment.
Florence Nightingale thought the human body had reparative properties of its own if it was cared for in
a way to recover from disease. Her theory did not focus on achieving a maximal level of wellness.
Florence Nightingale believed the nurse was in charge of the clients health. Although she interacted with
her clients by reading to them, her theory of nursing care did not focus upon interpersonal interactions.
DIF: A REF: 2 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
2. Nursing education programs in the United States may seek voluntary accreditation by the
appropriate accrediting commission council of the:
1 National League for Nursing
2 American Nurses Association
3 Congress for Nursing Practice
4 International Council of Nurses
ANS: 1
The National League for Nursing (NLN) is the professional nursing organization concerned with nursing
education. The NLN provides accreditation to nursing programs that seek and meet the NLN
accreditation requirements.
The American Nurses Association (ANA) is concerned with the nursing profession and issues affecting
health care, including standards of care.
The Congress for Nursing Practice is the part of the ANA concerned with determining the legal aspects of
nursing practice, the public recognition of the importance of nursing, and the impact of trends in health
care on nursing practice.
The International Council of Nurses (ICN) is concerned about issues of health care and the nursing
profession, including the provision of an international power base for nurses.
DIF: A REF: 8 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
3. The minimum educational requirement for a nurse practitioner is:
1 Diploma in nursing
2 Masters in nursing
3 Doctorate in nursing
4 Baccalaureate in nursing
ANS: 2
A masters degree is nursing is required to become a nurse practitioner.
Diploma programs in nursing require 3 years of education after which the graduate may become a
registered nurse, but not a nurse practitioner.
Doctoral programs focus on the application of research findings to clinical practice. The doctoral degree
is beyond the masters degree.
The baccalaureate degree program generally requires 4 years of study in a college or university, after
which the graduate may become a registered nurse, not a nurse practitioner.
DIF: A REF: 8 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
4. A group that lobbies at the state and federal level for advancement of nursings role, economic
interest, and health care is the:
education. The NLN provides accreditation to nursing programs that seek and meet the NLN
accreditation requirements.
The American Nurses Association (ANA) is concerned with the nursing profession and issues affecting
health care, including standards of care.
The Congress for Nursing Practice is the part of the ANA concerned with determining the legal aspects of
nursing practice, the public recognition of the importance of nursing, and the impact of trends in health
care on nursing practice.
The International Council of Nurses (ICN) is concerned about issues of health care and the nursing
profession, including the provision of an international power base for nurses.
DIF: A REF: 8 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
3. The minimum educational requirement for a nurse practitioner is:
1 Diploma in nursing
2 Masters in nursing
3 Doctorate in nursing
4 Baccalaureate in nursing
ANS: 2
A masters degree is nursing is required to become a nurse practitioner.
Diploma programs in nursing require 3 years of education after which the graduate may become a
registered nurse, but not a nurse practitioner.
Doctoral programs focus on the application of research findings to clinical practice. The doctoral degree
is beyond the masters degree.
The baccalaureate degree program generally requires 4 years of study in a college or university, after
which the graduate may become a registered nurse, not a nurse practitioner.
DIF: A REF: 8 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
4. A group that lobbies at the state and federal level for advancement of nursings role, economic
interest, and health care is the:
Loading page 4...
1 State Board of Nursing
2 American Nurses Association
3 American Hospital Association
4 National Student Nurses Association
ANS: 2
The American Nurses Association (ANA) hires lobbyists at the state and federal level to promote the
advancement of health care and the economic and general welfare of nurses.
State Boards of Nursing primarily focus on licensure of nurses within their own state. The American
Hospital Association does not focus on nurses economic issues and the advancement of the role of
nurses.
The National Student Nurses Association focuses on issues of importance for nursing students.
DIF: A REF: 8 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
5. A nurse moves from Seattle to Boston and begins working in a hospital. The most important
factor for the nurse to consider when moving to another state is the:
2 American Nurses Association
3 American Hospital Association
4 National Student Nurses Association
ANS: 2
The American Nurses Association (ANA) hires lobbyists at the state and federal level to promote the
advancement of health care and the economic and general welfare of nurses.
State Boards of Nursing primarily focus on licensure of nurses within their own state. The American
Hospital Association does not focus on nurses economic issues and the advancement of the role of
nurses.
The National Student Nurses Association focuses on issues of importance for nursing students.
DIF: A REF: 8 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
5. A nurse moves from Seattle to Boston and begins working in a hospital. The most important
factor for the nurse to consider when moving to another state is the:
Loading page 5...
1 Massachusetts Nurse Practice Act
2 Standard for nursing practice in Boston
3 Clinical ladder of mobility in the new hospital
4 Requirement for continuing education units (CEU) in Massachusetts
ANS: 1
Although most states have similar practice acts, each individual state has its own Nurse Practice Act that
regulates the licensure and practice of nursing within that state. Knowledge of the Nurse Practice Act is
necessary to provide safe and legal nursing care.
Standards of nursing practice are not specific to a city, but rather to the profession itself. Although the
clinical ladder of mobility may be of interest in regard to professional advancement, it is not the most
important factor when practicing nursing in another state. Knowledge of the Nurse Practice Act in order
to provide safe and legal nursing care is of higher importance.
Regardless of where a nurse practices, the nurse should strive to remain current. DIF: C REF: 8 OBJ:
Analysis
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
6. A nurse is caring for a client who has chronic renal failure. The nurse states, We will do
everything possible to return you to the optimum level of self-care possible. In coordinating an approach
to best meet the needs of this client, the nurse is fulfilling the role of:
1 Manager
2 Educator
3 Counselor
4 Communicator
ANS: 1
The nurse, in caring for this client, will coordinate the activities of other members of the health care
team. This client may require the assistance of a nursing assistant to provide personal care until the
client is less fatigued. A nutritionist may be necessary for diet evaluation, planning, and teaching. A
nurse may provide education on the dialysis therapy and perform the skill necessary until the client is
able to do so independently.
2 Standard for nursing practice in Boston
3 Clinical ladder of mobility in the new hospital
4 Requirement for continuing education units (CEU) in Massachusetts
ANS: 1
Although most states have similar practice acts, each individual state has its own Nurse Practice Act that
regulates the licensure and practice of nursing within that state. Knowledge of the Nurse Practice Act is
necessary to provide safe and legal nursing care.
Standards of nursing practice are not specific to a city, but rather to the profession itself. Although the
clinical ladder of mobility may be of interest in regard to professional advancement, it is not the most
important factor when practicing nursing in another state. Knowledge of the Nurse Practice Act in order
to provide safe and legal nursing care is of higher importance.
Regardless of where a nurse practices, the nurse should strive to remain current. DIF: C REF: 8 OBJ:
Analysis
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
6. A nurse is caring for a client who has chronic renal failure. The nurse states, We will do
everything possible to return you to the optimum level of self-care possible. In coordinating an approach
to best meet the needs of this client, the nurse is fulfilling the role of:
1 Manager
2 Educator
3 Counselor
4 Communicator
ANS: 1
The nurse, in caring for this client, will coordinate the activities of other members of the health care
team. This client may require the assistance of a nursing assistant to provide personal care until the
client is less fatigued. A nutritionist may be necessary for diet evaluation, planning, and teaching. A
nurse may provide education on the dialysis therapy and perform the skill necessary until the client is
able to do so independently.
Loading page 6...
The nurse may include patient teaching in the clients care, but more is required to meet the needs of
this client.
The nurse is not performing in the role of counselor.
Clear communication will be necessary for the client to understand self-care measures regarding
dialysis. The role of communicator does not, however, entirely meet the clients physical needs at this
time.
DIF: A REF: 10 OBJ: Comprehension TOP: Nursing Process: Planning
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
7. Nurses have the opportunity to work in a wide variety of health care agencies around the world.
The practice setting where the majority of nurses continue to work is:
1 Acute care
2 Home care
3 Long-term care
4 Ambulatory care
ANS: 1
Most nurses provide direct client care in the hospital setting.
this client.
The nurse is not performing in the role of counselor.
Clear communication will be necessary for the client to understand self-care measures regarding
dialysis. The role of communicator does not, however, entirely meet the clients physical needs at this
time.
DIF: A REF: 10 OBJ: Comprehension TOP: Nursing Process: Planning
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
7. Nurses have the opportunity to work in a wide variety of health care agencies around the world.
The practice setting where the majority of nurses continue to work is:
1 Acute care
2 Home care
3 Long-term care
4 Ambulatory care
ANS: 1
Most nurses provide direct client care in the hospital setting.
Loading page 7...
Although opportunities for providing patient care in the clients home are increasing, the majority of
nurses are not employed in this setting.
The majority of nurses do not work in nursing homes or extended care settings. Significantly fewer
nurses work in an ambulatory care setting.
DIF: A REF: 10 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
8. A client is receiving Dilantin to prevent seizure activity. To which allied health care professional
should the nurse refer this client in order to minimize the challenges this condition creates?
1 Physical therapist
2 Physicians assistant
3 Respiratory therapist
4 Occupational therapist
ANS: 4
An occupational therapist is a person who provides assessment and intervention to ameliorate physical
and psychological deficits that interfere with the performance of activities and tasks of living, including
ones employment.
A physical therapist is responsible for the patients musculoskeletal system. A physical therapist may use
exercises as an intervention to improve a clients mobility.
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nurses are not employed in this setting.
The majority of nurses do not work in nursing homes or extended care settings. Significantly fewer
nurses work in an ambulatory care setting.
DIF: A REF: 10 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
8. A client is receiving Dilantin to prevent seizure activity. To which allied health care professional
should the nurse refer this client in order to minimize the challenges this condition creates?
1 Physical therapist
2 Physicians assistant
3 Respiratory therapist
4 Occupational therapist
ANS: 4
An occupational therapist is a person who provides assessment and intervention to ameliorate physical
and psychological deficits that interfere with the performance of activities and tasks of living, including
ones employment.
A physical therapist is responsible for the patients musculoskeletal system. A physical therapist may use
exercises as an intervention to improve a clients mobility.
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Loading page 8...
A respiratory therapist provides treatment to preserve or improve pulmonary function.
A physicians assistant performs tasks usually done by physicians and works under the direction of a
supervising physician.
DIF: C OBJ: Analysis TOP: Nursing Process: Planning
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
9. The Goldmark Report concluded that:
1 Nursing roles and responsibilities required clarification
2 A theory-based curriculum was necessary for accreditation
3 Nursing education programs must be affiliated with universities
4 Increased financial support should be provided for nursing education
ANS: 4
In 1923 the Goldmark Report identified the need for increased financial support to university- based
schools of nursing.
The National Commission on Nursing and Nursing Education Report of 1965 recommended that nursing
roles and responsibilities be clarified in relation to other health care professionals.
In 1975 the National League for Nursing required theory-based curriculum for accreditation. The Brown
Report of 1948 concluded that all nursing education programs should be affiliated with universities and
should have their own budgets.
DIF: A REF: 3 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
10. In 1893 Lillian Wald and Mary Brewster made significant contributions to the nursing profession
through their work involving the:
1 Henry Street Settlement in New York
2 First training school in Toronto, Canada
3 Training school at Johns Hopkins in Baltimore
A physicians assistant performs tasks usually done by physicians and works under the direction of a
supervising physician.
DIF: C OBJ: Analysis TOP: Nursing Process: Planning
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
9. The Goldmark Report concluded that:
1 Nursing roles and responsibilities required clarification
2 A theory-based curriculum was necessary for accreditation
3 Nursing education programs must be affiliated with universities
4 Increased financial support should be provided for nursing education
ANS: 4
In 1923 the Goldmark Report identified the need for increased financial support to university- based
schools of nursing.
The National Commission on Nursing and Nursing Education Report of 1965 recommended that nursing
roles and responsibilities be clarified in relation to other health care professionals.
In 1975 the National League for Nursing required theory-based curriculum for accreditation. The Brown
Report of 1948 concluded that all nursing education programs should be affiliated with universities and
should have their own budgets.
DIF: A REF: 3 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
10. In 1893 Lillian Wald and Mary Brewster made significant contributions to the nursing profession
through their work involving the:
1 Henry Street Settlement in New York
2 First training school in Toronto, Canada
3 Training school at Johns Hopkins in Baltimore
Loading page 9...
4 Development of the American Journal of Nursing
ANS: 1
In 1893 Lillian Wald and Mary Brewster opened the Henry Street Settlement, which was the first
community health service for the poor.
The first nurses training school in Canada was founded in St. Catherines, Ontario, in 1874.
In 1894 Isabel Hampton Robb was the first superintendent of the Johns Hopkins Training School in
Baltimore, Maryland.
Isabel Hampton Robb was one of the original founders of the American Journal of Nursing. DIF: A REF: 3
OBJ: Comprehension
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TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
11. To obtain a certification in a specialty area, the nurse will have to complete:
1 A request for state approval
2 A graduate degree in nursing
3 An examination and the minimum practice requirements
ANS: 1
In 1893 Lillian Wald and Mary Brewster opened the Henry Street Settlement, which was the first
community health service for the poor.
The first nurses training school in Canada was founded in St. Catherines, Ontario, in 1874.
In 1894 Isabel Hampton Robb was the first superintendent of the Johns Hopkins Training School in
Baltimore, Maryland.
Isabel Hampton Robb was one of the original founders of the American Journal of Nursing. DIF: A REF: 3
OBJ: Comprehension
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TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
11. To obtain a certification in a specialty area, the nurse will have to complete:
1 A request for state approval
2 A graduate degree in nursing
3 An examination and the minimum practice requirements
Loading page 10...
4 A general examination given to all nurses seeking certification
ANS: 3
Set minimum practice requirements are based on the certification the nurse is seeking. After passing the
initial examination, the nurse maintains certification by ongoing continuing education and clinical or
administrative practice.
Individual states do not grant certification by request. Certification in a specialty area requires passing
the examination for certification in that area and meeting minimum practice requirements.
A masters degree in nursing is not required for certification in a specialty area.
A specialized examination is given according to the specific area of nursing practice in which certification
is being sought.
DIF: A REF: 9 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
12. In the ANA Standards of Professional Performance, which one of the following is a specific
measurement criterion for The nurses decisions and actions on behalf of clients are determined in an
ethical manner?
1 Acts as client advocate
2 Participates in the collection of client data
3 Seeks experiences to maintain clinical skills
4 Consults with appropriate health care providers
ANS: 1
As a client advocate, the nurse protects the clients human and legal rights and provides assistance in
asserting those rights if the need arises. Performing in the role of patient advocate fulfills a
measurement criterion for the professional performance standard of ethics.
Participating in data collection is a measurement criterion for the professional performance standard of
quality of practice.
The nurse who seeks experiences to maintain clinical skills is fulfilling a measurement criterion for the
professional performance standard of education.
Consulting with health care providers is a measurement criterion for the professional performance
standard of collaboration.
ANS: 3
Set minimum practice requirements are based on the certification the nurse is seeking. After passing the
initial examination, the nurse maintains certification by ongoing continuing education and clinical or
administrative practice.
Individual states do not grant certification by request. Certification in a specialty area requires passing
the examination for certification in that area and meeting minimum practice requirements.
A masters degree in nursing is not required for certification in a specialty area.
A specialized examination is given according to the specific area of nursing practice in which certification
is being sought.
DIF: A REF: 9 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
12. In the ANA Standards of Professional Performance, which one of the following is a specific
measurement criterion for The nurses decisions and actions on behalf of clients are determined in an
ethical manner?
1 Acts as client advocate
2 Participates in the collection of client data
3 Seeks experiences to maintain clinical skills
4 Consults with appropriate health care providers
ANS: 1
As a client advocate, the nurse protects the clients human and legal rights and provides assistance in
asserting those rights if the need arises. Performing in the role of patient advocate fulfills a
measurement criterion for the professional performance standard of ethics.
Participating in data collection is a measurement criterion for the professional performance standard of
quality of practice.
The nurse who seeks experiences to maintain clinical skills is fulfilling a measurement criterion for the
professional performance standard of education.
Consulting with health care providers is a measurement criterion for the professional performance
standard of collaboration.
Loading page 11...
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DIF: A REF: 7 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
13. In looking at the nineteenth century, the growth of professional nursing was stimulated by:
1 The Civil War
2 Federal legislation
3 Florence Nightingale
4 The womens suffrage movement
ANS: 1
The Civil War stimulated the growth of nursing in the United States. Nurses were in demand to tend to
the soldiers of the battlefield.
Throughout history, nurses and their professional organizations have lobbied for health care legislation
to meet the needs of clients. However, legislation was not responsible for the growth of nursing in the
nineteenth century.
Although Florence Nightingale had great impact on the practice of nursing, she was not the cause for the
growth of nursing in the United States during the nineteenth century.
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DIF: A REF: 7 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
13. In looking at the nineteenth century, the growth of professional nursing was stimulated by:
1 The Civil War
2 Federal legislation
3 Florence Nightingale
4 The womens suffrage movement
ANS: 1
The Civil War stimulated the growth of nursing in the United States. Nurses were in demand to tend to
the soldiers of the battlefield.
Throughout history, nurses and their professional organizations have lobbied for health care legislation
to meet the needs of clients. However, legislation was not responsible for the growth of nursing in the
nineteenth century.
Although Florence Nightingale had great impact on the practice of nursing, she was not the cause for the
growth of nursing in the United States during the nineteenth century.
Loading page 12...
The womens movement has encouraged nurses to seek greater autonomy and responsibility in
providing care, and has caused female clients to seek more control of their health and lives. The
womens movement was not responsible for the growth of nursing in the nineteenth century.
DIF: A REF: 3 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
14. Which of the following educational activities is an example of in-service education?
1 A workshop given at a nursing convention on malpractice
2 A program on new cardiac medications provided at a local hospital
3 Credit courses in communication offered at the community college
4 Noncredit courses on nursing issues available through the internet
ANS: 2
An in-service education program is instruction or training provided by a health care agency or institution
for its employees.
A workshop at a nursing convention is an example of a continuing education program.
Credit courses at a college are examples of continuing education that could possibly by applied toward
furthering ones degree.
Noncredit courses offered via the internet are an example of a continuing education program.
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providing care, and has caused female clients to seek more control of their health and lives. The
womens movement was not responsible for the growth of nursing in the nineteenth century.
DIF: A REF: 3 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
14. Which of the following educational activities is an example of in-service education?
1 A workshop given at a nursing convention on malpractice
2 A program on new cardiac medications provided at a local hospital
3 Credit courses in communication offered at the community college
4 Noncredit courses on nursing issues available through the internet
ANS: 2
An in-service education program is instruction or training provided by a health care agency or institution
for its employees.
A workshop at a nursing convention is an example of a continuing education program.
Credit courses at a college are examples of continuing education that could possibly by applied toward
furthering ones degree.
Noncredit courses offered via the internet are an example of a continuing education program.
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Loading page 13...
DIF: A REF: 8 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
15. Nurses need to be aware of current trends in the health care delivery system in order to
respond in educational preparation and practice. A major trend that is influencing nursing practice today
is:
1 Decreased client acuity
2 Increased hospital stays
3 Decreased emphasis on health promotion
4 Increased incidence of chronic disease processes
ANS: 4
In recent decades, there is a higher incidence of chronic, long-term illness. With shortened hospital
stays, client acuity has increased, not decreased.
Hospital stays have decreased, not increased. Lengths of stay have shortened with a trend toward home
care, and health promotion and illness prevention.
With increased public awareness and rising health care costs, greater emphasis has been placed on
health promotion and illness prevention.
DIF: A REF: 4 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
16. The nurse assists the client in a health promotion activity that also reduces the cost of health
care delivery when:
1 Administering medication
2 Treating a diabetic foot ulcer
3 Obtaining an operative consent
4 Discussing exercise and nutrition
ANS: 4
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
15. Nurses need to be aware of current trends in the health care delivery system in order to
respond in educational preparation and practice. A major trend that is influencing nursing practice today
is:
1 Decreased client acuity
2 Increased hospital stays
3 Decreased emphasis on health promotion
4 Increased incidence of chronic disease processes
ANS: 4
In recent decades, there is a higher incidence of chronic, long-term illness. With shortened hospital
stays, client acuity has increased, not decreased.
Hospital stays have decreased, not increased. Lengths of stay have shortened with a trend toward home
care, and health promotion and illness prevention.
With increased public awareness and rising health care costs, greater emphasis has been placed on
health promotion and illness prevention.
DIF: A REF: 4 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
16. The nurse assists the client in a health promotion activity that also reduces the cost of health
care delivery when:
1 Administering medication
2 Treating a diabetic foot ulcer
3 Obtaining an operative consent
4 Discussing exercise and nutrition
ANS: 4
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The nurse may educate the client in such areas as exercise, nutrition, and healthy lifestyles to assist the
client in health promotion and illness prevention.
By administering medication, the nurse is assisting to restore a person to health or maintain ones health.
A nurse who treats a foot ulcer is assisting a client to restore their health, rather than promoting healthy
behaviors.
Obtaining an operative consent pertains to legal aspects of care and is not considered a health
promotion activity.
DIF: A REF: 5 OBJ: Comprehension TOP: Nursing Process: Planning
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MSC: NCLEX test plan designation: Health Promotion and Maintenance/Programs
17. The nurse is best able to provide quality care that benefits both client and family by:
1 Incorporating caring into the practice
2 Making the client the center of the practice
3 Integrating the science and art of nursing into the practice
4 Being knowledgeable of the institutions standards of practice
client in health promotion and illness prevention.
By administering medication, the nurse is assisting to restore a person to health or maintain ones health.
A nurse who treats a foot ulcer is assisting a client to restore their health, rather than promoting healthy
behaviors.
Obtaining an operative consent pertains to legal aspects of care and is not considered a health
promotion activity.
DIF: A REF: 5 OBJ: Comprehension TOP: Nursing Process: Planning
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MSC: NCLEX test plan designation: Health Promotion and Maintenance/Programs
17. The nurse is best able to provide quality care that benefits both client and family by:
1 Incorporating caring into the practice
2 Making the client the center of the practice
3 Integrating the science and art of nursing into the practice
4 Being knowledgeable of the institutions standards of practice
Loading page 15...
ANS: 3
Nursing is an art and a science. As a professional nurse you will learn to deliver care artfully with
compassion, caring, and a respect for each clients dignity and personhood. As a science, nursing is based
on a body of knowledge that is continually changing with new discoveries and innovations. When you
integrate the science and art of nursing into your practice, the quality of care you provide to your clients
is at a level of excellence that benefits clients and their families. Caring is one part of the art of nursing.
While the client is the focus of nursing practice, this focus is not the main contributor to quality care.
Standards of care provide guidelines for the delivery of client care. Awareness of the standards does not
guarantee quality care.
DIF: C REF: 2 OBJ: Analysis TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
18. Which of the following statements best reflects Nightingales nursing philosophy on health
maintenance and restoration?
1 Did all the clients eat a good breakfast?
2 What is the client rating his pain level after his medication?
3 Have any clients developed a nosocomial infection last month?
4 Is anyone interested in volunteering to mentor our new graduates?
ANS: 3
Florence Nightingale studied and implemented methods to improve battlefield sanitation, which
ultimately reduced illness, infection, and mortality (Cohen, 1984). Today nurses are active in
determining the best practices for skin care management, pain control, nutritional management, and
care of older adults. Infection control and its impact on disease prevention was a major outcome of her
contributions to nursing. Awareness of the connection between hospital-acquired infections
(nosocomial) and nursing practice is the best example of her nursing philosophy.
Nutritional management and its impact on client health, while important does not reflect the best
option offered.
Nursing is an art and a science. As a professional nurse you will learn to deliver care artfully with
compassion, caring, and a respect for each clients dignity and personhood. As a science, nursing is based
on a body of knowledge that is continually changing with new discoveries and innovations. When you
integrate the science and art of nursing into your practice, the quality of care you provide to your clients
is at a level of excellence that benefits clients and their families. Caring is one part of the art of nursing.
While the client is the focus of nursing practice, this focus is not the main contributor to quality care.
Standards of care provide guidelines for the delivery of client care. Awareness of the standards does not
guarantee quality care.
DIF: C REF: 2 OBJ: Analysis TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
18. Which of the following statements best reflects Nightingales nursing philosophy on health
maintenance and restoration?
1 Did all the clients eat a good breakfast?
2 What is the client rating his pain level after his medication?
3 Have any clients developed a nosocomial infection last month?
4 Is anyone interested in volunteering to mentor our new graduates?
ANS: 3
Florence Nightingale studied and implemented methods to improve battlefield sanitation, which
ultimately reduced illness, infection, and mortality (Cohen, 1984). Today nurses are active in
determining the best practices for skin care management, pain control, nutritional management, and
care of older adults. Infection control and its impact on disease prevention was a major outcome of her
contributions to nursing. Awareness of the connection between hospital-acquired infections
(nosocomial) and nursing practice is the best example of her nursing philosophy.
Nutritional management and its impact on client health, while important does not reflect the best
option offered.
Loading page 16...
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Pain management while a vital client concern does not represent the best option offered
While volunteering is certainly reflected in Nightingales practice it is not the best option offered. DIF: C
REF: 2-3 OBJ: Analysis
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Health Promotion and Maintenance/Disease Prevention
19. The twentieth century is recognized for which of the following nursing concepts?
1 Code of Nursing Ethics
2 Hospital-based nursing care
3 Specialized nursing textbooks were adopted.
4 Formalized university-based nursing education
ANS: 4
In the early twentieth century a movement toward a scientific, research-based defined body of nursing
knowledge and practice was evolving. Nurses began to assume expanded and advanced practice roles.
Mary Adelaide Nutting was instrumental in the affiliation of nursing education with universities.
In 1990 the American Nurses Association established the Center for Ethics and Human Rights. Nursing in
hospitals expanded in the late nineteenth century.
Isabel Hampton Robb helped found the Nurses Associated Alumnae of the United States and Canada in
1896. This organization became the American Nurses Association (ANA) in 1911. She authored many
nursing textbooks, including Nursing: Its Principles and Practice for Hospital and Private Use (1894),
Nursing Ethics (1900), and Educational Standards for Nurses (1907), and was one of the original
founders of theAmerican Journal of Nursing (AJN).
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Pain management while a vital client concern does not represent the best option offered
While volunteering is certainly reflected in Nightingales practice it is not the best option offered. DIF: C
REF: 2-3 OBJ: Analysis
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Health Promotion and Maintenance/Disease Prevention
19. The twentieth century is recognized for which of the following nursing concepts?
1 Code of Nursing Ethics
2 Hospital-based nursing care
3 Specialized nursing textbooks were adopted.
4 Formalized university-based nursing education
ANS: 4
In the early twentieth century a movement toward a scientific, research-based defined body of nursing
knowledge and practice was evolving. Nurses began to assume expanded and advanced practice roles.
Mary Adelaide Nutting was instrumental in the affiliation of nursing education with universities.
In 1990 the American Nurses Association established the Center for Ethics and Human Rights. Nursing in
hospitals expanded in the late nineteenth century.
Isabel Hampton Robb helped found the Nurses Associated Alumnae of the United States and Canada in
1896. This organization became the American Nurses Association (ANA) in 1911. She authored many
nursing textbooks, including Nursing: Its Principles and Practice for Hospital and Private Use (1894),
Nursing Ethics (1900), and Educational Standards for Nurses (1907), and was one of the original
founders of theAmerican Journal of Nursing (AJN).
Loading page 17...
DIF: A REF: 4 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment
20. The best example of the impact of the womens movement on health care is:
1 Improvement in breast cancer survival rates
2 Insurance coverage for well-woman check-ups
3 Women subjects to be included in all appropriate health research projects
4 A single, teenage mother receiving Women, Infants, and Children (WIC) benefits
ANS: 3
The womens movement brought about many changes in society as women increasingly demanded
economic, political, occupational, and educational equality. As a result, there is greater sensitivity to the
health care needs of women and the role of women in health care research. There are emerging health
care specialties dealing with the needs of women. These new
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specialties expand from the traditional obstetrical specialty and address issues ranging from well-
womens examinations, to oncological subspecialties, to the management of menopause. Because of the
prior lack of female subjects in biomedical research, the federal government now requires studies to
MSC: NCLEX test plan designation: Safe, Effective Care Environment
20. The best example of the impact of the womens movement on health care is:
1 Improvement in breast cancer survival rates
2 Insurance coverage for well-woman check-ups
3 Women subjects to be included in all appropriate health research projects
4 A single, teenage mother receiving Women, Infants, and Children (WIC) benefits
ANS: 3
The womens movement brought about many changes in society as women increasingly demanded
economic, political, occupational, and educational equality. As a result, there is greater sensitivity to the
health care needs of women and the role of women in health care research. There are emerging health
care specialties dealing with the needs of women. These new
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specialties expand from the traditional obstetrical specialty and address issues ranging from well-
womens examinations, to oncological subspecialties, to the management of menopause. Because of the
prior lack of female subjects in biomedical research, the federal government now requires studies to
Loading page 18...
routinely include women in research, unless specific exception criteria are met. For example, research
focusing on management of prostatic cancer is an exception.
Improved survival rates for female-oriented cancers is evident because of emphasis being placed on
research.
While important, increased insurance coverage is not the best option available because this action
would be directly driven by research findings.
While important, increased federal funding for female-oriented benefits does not represent the best
option available because this action would be directly driven by research findings.
DIF: C REF: 4 OBJ: Analysis
TOP: Nursing Process: Comprehension
MSC: NCLEX test plan designation: Health Promotion and Maintenance
21. The human rights movement most directly impacts nursing practice because:
1 Nurses act as advocates for all clients
2 Clients require someone to focus on their needs
3 Caring for clients is the focus of nursing practice
4 Everyone deserves to be treated fairly and with respect
ANS: 1
Client advocacy is a nursing responsibility. The human rights movement changed the way society views
the rights of all of its members, including minorities, clients with terminal illness, pregnant women, and
older adults. Many groups have special health care needs, and nursing responds by respecting the
human rights of all clients and their right to quality care. Nurses advocate the rights of all clients.
Clients do require someone to focus on their needs; advocacy is a responsibility of the nurse but the
concept of the nurse as an advocate was established well before the human rights movement. Caring for
clients is the focus of nursing practice, but caring physically and emotionally for a client as a nursing
responsibility was established well before the human rights movement.
Everyone deserves to be treated fairly and with respect. The realization of that truth was impacted by
the human rights movement; however, this option does not directly relate to nursing. DIF: C REF: 4-5
OBJ: Analysis
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
focusing on management of prostatic cancer is an exception.
Improved survival rates for female-oriented cancers is evident because of emphasis being placed on
research.
While important, increased insurance coverage is not the best option available because this action
would be directly driven by research findings.
While important, increased federal funding for female-oriented benefits does not represent the best
option available because this action would be directly driven by research findings.
DIF: C REF: 4 OBJ: Analysis
TOP: Nursing Process: Comprehension
MSC: NCLEX test plan designation: Health Promotion and Maintenance
21. The human rights movement most directly impacts nursing practice because:
1 Nurses act as advocates for all clients
2 Clients require someone to focus on their needs
3 Caring for clients is the focus of nursing practice
4 Everyone deserves to be treated fairly and with respect
ANS: 1
Client advocacy is a nursing responsibility. The human rights movement changed the way society views
the rights of all of its members, including minorities, clients with terminal illness, pregnant women, and
older adults. Many groups have special health care needs, and nursing responds by respecting the
human rights of all clients and their right to quality care. Nurses advocate the rights of all clients.
Clients do require someone to focus on their needs; advocacy is a responsibility of the nurse but the
concept of the nurse as an advocate was established well before the human rights movement. Caring for
clients is the focus of nursing practice, but caring physically and emotionally for a client as a nursing
responsibility was established well before the human rights movement.
Everyone deserves to be treated fairly and with respect. The realization of that truth was impacted by
the human rights movement; however, this option does not directly relate to nursing. DIF: C REF: 4-5
OBJ: Analysis
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
Loading page 19...
22. Nurses are caring for clients from a variety of cultures primarily as a result of:
1 Increased ease of travel and mobility
2 Political unrest in many foreign countries
3 Increased incidence of contagious diseases
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4 Poor health care in underdeveloped countries
ANS: 1
Because the worlds population is more mobile, both immigration and travel have shown an increase
over the last decades. Nursing practice will require the management and delivery of care for clients from
many different cultures.
Although immigration to this country has been impacted by political strife in other countries, it is not the
primary factor in an increasingly culturally diverse client population.
Increased incidence of contagious diseases has little impact on the cultural diversity of the client
population.
Although poor health care services may contribute to some influx of foreign clients, it is not the primary
factor in an increasingly culturally diverse client population.
DIF: C REF: 5 OBJ: Analysis TOP: Nursing Process: Assessment
1 Increased ease of travel and mobility
2 Political unrest in many foreign countries
3 Increased incidence of contagious diseases
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4 Poor health care in underdeveloped countries
ANS: 1
Because the worlds population is more mobile, both immigration and travel have shown an increase
over the last decades. Nursing practice will require the management and delivery of care for clients from
many different cultures.
Although immigration to this country has been impacted by political strife in other countries, it is not the
primary factor in an increasingly culturally diverse client population.
Increased incidence of contagious diseases has little impact on the cultural diversity of the client
population.
Although poor health care services may contribute to some influx of foreign clients, it is not the primary
factor in an increasingly culturally diverse client population.
DIF: C REF: 5 OBJ: Analysis TOP: Nursing Process: Assessment
Loading page 20...
MSC: NCLEX test plan designation: Psychosocial Integrity/Cultural Diversity
23. Risk for injury during client transfer is minimized most effectively by:
1 Implementation of lift teams
2 Yearly personnel training sessions
3 Using mechanical lifts when possible
4 Use of evidence-based techniques
ANS: 4
Injuries to both caregiver and client occur during client transfer. The caregiver is at risk for
musculoskeletal injuries. The client is at risk for falls as well as musculoskeletal injuries. There is a shift
from ineffective, injury-prone client transfer techniques to evidence-based practices for safe client
handling.
The implementation of a lift team is directly supported by evidence-based research (EBR). Yearly training
sessions are important but the specific training is determined first by EBR. The use of mechanical lifts is
directly supported by evidence-based research (EBR).
DIF: C REF: 6 OBJ: Analysis TOP: Nursing Process: Planning
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Accident Prevention MULTIPLE
RESPONSE
1. Which of the following activities reflect the nurses role in health promotion and wellness?
(Select all that apply.)
1 Screening the local homeless population for head lice
2 Monitoring blood pressures at a community health fair
3 Organizing a foot race to benefit national cancer research
4 Consulting a teenage mother on breast-feeding techniques
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23. Risk for injury during client transfer is minimized most effectively by:
1 Implementation of lift teams
2 Yearly personnel training sessions
3 Using mechanical lifts when possible
4 Use of evidence-based techniques
ANS: 4
Injuries to both caregiver and client occur during client transfer. The caregiver is at risk for
musculoskeletal injuries. The client is at risk for falls as well as musculoskeletal injuries. There is a shift
from ineffective, injury-prone client transfer techniques to evidence-based practices for safe client
handling.
The implementation of a lift team is directly supported by evidence-based research (EBR). Yearly training
sessions are important but the specific training is determined first by EBR. The use of mechanical lifts is
directly supported by evidence-based research (EBR).
DIF: C REF: 6 OBJ: Analysis TOP: Nursing Process: Planning
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Accident Prevention MULTIPLE
RESPONSE
1. Which of the following activities reflect the nurses role in health promotion and wellness?
(Select all that apply.)
1 Screening the local homeless population for head lice
2 Monitoring blood pressures at a community health fair
3 Organizing a foot race to benefit national cancer research
4 Consulting a teenage mother on breast-feeding techniques
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5 Providing literature on smoking cessation to client families
6 Presenting a nursing workshop on the care of diabetic ulcers
ANS: 1, 2, 4, 5
Nursing responds to this greater concern for health promotion by providing programs in the community
such as health fairs and wellness programs; educational programs for specific diseases; and client and
family teaching activities in hospitals, clinics, primary care facilities, and other health care settings.
While admirable, organizing a benefit for cancer research is not an activity directed towards health
promotion and wellness but rather towards research that will benefit the population as a whole rather
than specific individuals.
Presenting a workshop on a specific nursing intervention is not an activity directed toward health
promotion and wellness but rather towards professional development of the nurses.
DIF: A REF: 5 OBJ: Comprehension TOP: Nursing Process: Planning
MSC: NCLEX test plan designation: Health Promotion and Maintenance/Programs
2. Changes in recent population demographics that have impacted the delivery of nursing care
include the following: (Select all that apply.)
1 Increased birth rates
2 Increased life expectancy
3 Decreasing rural population
4 Expanding urban settlement
5 Advances in medical modalities
6 Availability of free public education
5 Providing literature on smoking cessation to client families
6 Presenting a nursing workshop on the care of diabetic ulcers
ANS: 1, 2, 4, 5
Nursing responds to this greater concern for health promotion by providing programs in the community
such as health fairs and wellness programs; educational programs for specific diseases; and client and
family teaching activities in hospitals, clinics, primary care facilities, and other health care settings.
While admirable, organizing a benefit for cancer research is not an activity directed towards health
promotion and wellness but rather towards research that will benefit the population as a whole rather
than specific individuals.
Presenting a workshop on a specific nursing intervention is not an activity directed toward health
promotion and wellness but rather towards professional development of the nurses.
DIF: A REF: 5 OBJ: Comprehension TOP: Nursing Process: Planning
MSC: NCLEX test plan designation: Health Promotion and Maintenance/Programs
2. Changes in recent population demographics that have impacted the delivery of nursing care
include the following: (Select all that apply.)
1 Increased birth rates
2 Increased life expectancy
3 Decreasing rural population
4 Expanding urban settlement
5 Advances in medical modalities
6 Availability of free public education
Loading page 22...
ANS: 2, 3, 4
Demographic changes affect the population. Changes influencing health care in recent decades include
the population shift from rural areas to urban centers; the increased life span; the higher incidence of
chronic, long-term illness; and the increased incidence of diseases such as alcoholism and lung cancer.
Nursing responds to such changes by exploring new methods to provide care, by changing educational
emphases, and by establishing practice standards.
Recent birth rates have declined.
Advances in medical modalities and availability of free public education do not reflect changes in
population demographics but rather health care advances and social services.
Chapter 2. Health Care Delivery System MULTIPLE CHOICE
1. Regulatory interventions were initiated to reduce the rise in health care costs. These
interventions include:
1 Prospective payment systems
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2 State limits on health care fees
3 Federal guidelines for treatment
4 Court review of insurance coverage
ANS: 1
Demographic changes affect the population. Changes influencing health care in recent decades include
the population shift from rural areas to urban centers; the increased life span; the higher incidence of
chronic, long-term illness; and the increased incidence of diseases such as alcoholism and lung cancer.
Nursing responds to such changes by exploring new methods to provide care, by changing educational
emphases, and by establishing practice standards.
Recent birth rates have declined.
Advances in medical modalities and availability of free public education do not reflect changes in
population demographics but rather health care advances and social services.
Chapter 2. Health Care Delivery System MULTIPLE CHOICE
1. Regulatory interventions were initiated to reduce the rise in health care costs. These
interventions include:
1 Prospective payment systems
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2 State limits on health care fees
3 Federal guidelines for treatment
4 Court review of insurance coverage
ANS: 1
Loading page 23...
As a means to reduce health care costs, in 1983 Congress established the prospective payment system in
which hospitals are reimbursed a set dollar amount for each diagnosis-related group, regardless of the
length of stay or use of services in the hospital.
State limits on health care fees have not been used nationwide to reduce health care costs. Federal
guidelines for treatment have not been used to reduce the cost of health care. Rather, the focus has
been on financial reimbursement.
Court review of insurance coverage has not been a primary intervention to lower health care costs.
DIF: A REF: 16 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
2. Levels of prevention are used by the nurse to provide a framework or guide for nursing
interventions. Focus is based on the clients needs and the care or service that is provided. An example of
a true health promotion service is a(n):
1 Aerobic dance class
2 Immunization clinic
3 Diabetic support group
4 Smoking cessation clinic
ANS: 1
Examples of health promotion activities include exercise classes, prenatal care, well-baby care, nutrition
counseling, and family planning.
An immunization clinic is an example of an illness prevention service.
A diabetic support group may be an example of a rehabilitation service to adapt to a change in lifestyle.
A smoking cessation clinic may be a part of rehabilitation or offered as an illness prevention service.
DIF: A REF: 19 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
3. There are many types of health care delivery agencies. An example of a secondary level care
agency is a:
1 School
2 Nursing home
which hospitals are reimbursed a set dollar amount for each diagnosis-related group, regardless of the
length of stay or use of services in the hospital.
State limits on health care fees have not been used nationwide to reduce health care costs. Federal
guidelines for treatment have not been used to reduce the cost of health care. Rather, the focus has
been on financial reimbursement.
Court review of insurance coverage has not been a primary intervention to lower health care costs.
DIF: A REF: 16 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
2. Levels of prevention are used by the nurse to provide a framework or guide for nursing
interventions. Focus is based on the clients needs and the care or service that is provided. An example of
a true health promotion service is a(n):
1 Aerobic dance class
2 Immunization clinic
3 Diabetic support group
4 Smoking cessation clinic
ANS: 1
Examples of health promotion activities include exercise classes, prenatal care, well-baby care, nutrition
counseling, and family planning.
An immunization clinic is an example of an illness prevention service.
A diabetic support group may be an example of a rehabilitation service to adapt to a change in lifestyle.
A smoking cessation clinic may be a part of rehabilitation or offered as an illness prevention service.
DIF: A REF: 19 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
3. There are many types of health care delivery agencies. An example of a secondary level care
agency is a:
1 School
2 Nursing home
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3 Drug rehabilitation center
4 State-owned psychiatric hospital
ANS: 4
A state-owned psychiatric hospital is an example of the secondary level of care in which clients who
present with signs and symptoms of disease are diagnosed and treated.
A school is an example of preventive or primary care. A nursing home is an example of continuing care.
A drug rehabilitation center is an example of restorative care. DIF: A REF: 20 OBJ: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
4. Which of the following fits within the occupational safety and health categories?
1 Noise exposure
2 Firearms safety
3 Swimming lessons
4 Motorcycle helmets
ANS: 1
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3 Drug rehabilitation center
4 State-owned psychiatric hospital
ANS: 4
A state-owned psychiatric hospital is an example of the secondary level of care in which clients who
present with signs and symptoms of disease are diagnosed and treated.
A school is an example of preventive or primary care. A nursing home is an example of continuing care.
A drug rehabilitation center is an example of restorative care. DIF: A REF: 20 OBJ: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
4. Which of the following fits within the occupational safety and health categories?
1 Noise exposure
2 Firearms safety
3 Swimming lessons
4 Motorcycle helmets
ANS: 1
Loading page 25...
Exposure to environmental hazards within the workplace, such as noise exposure, is one aspect of
occupational safety and health.
Firearms do not fit within the occupational safety and health category. Swimming lessons do no fit
within the occupational safety and health category. Motorcycle helmets do not fit within the
occupational safety and health category. DIF: A REF: 20 OBJ: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
5. A contractual agreement between a hospital and a corporation to pay the health care expenses
of the corporations employees is an example of a(n):
1 PPO
2 HMO
3 Private insurance
4 Third-party payment
ANS: 1
A preferred provider organization (PPO) is characterized by a contractual agreement between a set of
providers (e.g., hospitals, physicians, or clinics) and a purchaser (e.g., the corporations insurance plan).
Comprehensive health services are provided at a discount to the companies
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occupational safety and health.
Firearms do not fit within the occupational safety and health category. Swimming lessons do no fit
within the occupational safety and health category. Motorcycle helmets do not fit within the
occupational safety and health category. DIF: A REF: 20 OBJ: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
5. A contractual agreement between a hospital and a corporation to pay the health care expenses
of the corporations employees is an example of a(n):
1 PPO
2 HMO
3 Private insurance
4 Third-party payment
ANS: 1
A preferred provider organization (PPO) is characterized by a contractual agreement between a set of
providers (e.g., hospitals, physicians, or clinics) and a purchaser (e.g., the corporations insurance plan).
Comprehensive health services are provided at a discount to the companies
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Loading page 26...
under contract. Enrollees are limited to a list of preferred hospitals, physicians, and providers. An
enrollee pays more out-of-pocket expenses for using a provider not on the list.
A Medicare HMO is the same as a managed care organization (all care provided by a primary care
physician) but designed to cover costs of senior citizens.
Private insurance is the traditional fee-for-service plan where payment is computed after services are
provided based on the number of services used.
Third-party payment is when an entity (other than the client or health care provider) reimburses health
care expenses. Third-party payers include insurance companies, governmental agencies, and employers.
DIF: A REF: 18 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
6. The Medicaid insurance program is best described as:
1 Acute care hospital insurance for the older adult population
2 A funded health care program for older and disabled persons
3 A state-regulated health care program for persons of low income
4 A fee-for-service insurance plan that supports preventive health care
ANS: 3
Medicaid is a federally funded, state-operated program of medical assistance to people with low
incomes. Individual states determine eligibility and benefits.
This option describes Medicare.
This option describes Medicare Part A. This option does not describe Medicaid. DIF: A REF: 18 OBJ:
Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
7. Quality health care is an innovative approach to delivering health care. The major factor for its
success is that it:
1 Focuses on the nursing process
2 Uses outcomes to manage client care
enrollee pays more out-of-pocket expenses for using a provider not on the list.
A Medicare HMO is the same as a managed care organization (all care provided by a primary care
physician) but designed to cover costs of senior citizens.
Private insurance is the traditional fee-for-service plan where payment is computed after services are
provided based on the number of services used.
Third-party payment is when an entity (other than the client or health care provider) reimburses health
care expenses. Third-party payers include insurance companies, governmental agencies, and employers.
DIF: A REF: 18 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
6. The Medicaid insurance program is best described as:
1 Acute care hospital insurance for the older adult population
2 A funded health care program for older and disabled persons
3 A state-regulated health care program for persons of low income
4 A fee-for-service insurance plan that supports preventive health care
ANS: 3
Medicaid is a federally funded, state-operated program of medical assistance to people with low
incomes. Individual states determine eligibility and benefits.
This option describes Medicare.
This option describes Medicare Part A. This option does not describe Medicaid. DIF: A REF: 18 OBJ:
Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
7. Quality health care is an innovative approach to delivering health care. The major factor for its
success is that it:
1 Focuses on the nursing process
2 Uses outcomes to manage client care
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3 Is used exclusively in the acute care setting
4 Allows a high degree of flexibility delivering the care
ANS: 2
Health care providers are defining and measuring quality in terms of outcomes. An outcome is a
measure of what actually does or does not happen as a result of a process of care.
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The focus in quality health care is on the outcome, not the process.
Quality health care is not used exclusively in the acute care setting. It may be used in various health care
settings.
Because quality health care is based on achieving outcomes, it does not allow a high degree of flexibility
for the nurse in delivering care.
DIF: A REF: 27 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
8. Case management is one strategy for coordinating health care services. What best describes this
caregiving approach?
1 Continuity of care is the primary concern.
4 Allows a high degree of flexibility delivering the care
ANS: 2
Health care providers are defining and measuring quality in terms of outcomes. An outcome is a
measure of what actually does or does not happen as a result of a process of care.
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The focus in quality health care is on the outcome, not the process.
Quality health care is not used exclusively in the acute care setting. It may be used in various health care
settings.
Because quality health care is based on achieving outcomes, it does not allow a high degree of flexibility
for the nurse in delivering care.
DIF: A REF: 27 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
8. Case management is one strategy for coordinating health care services. What best describes this
caregiving approach?
1 Continuity of care is the primary concern.
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2 This focus of care may be more expensive.
3 The physician is the coordinator of client care.
4 It is designed to provide minimal to moderate levels of care.
ANS: 1
With the case management model of care, the case manager coordinates the efforts of all disciplines to
achieve the most efficient and appropriate plan of care. Continuity of care is of primary importance.
If the efforts of all disciplines are well managed, repetition or delays may be avoided with a resultant
shortened hospital stay. Therefore this focus of care may not be more expensive.
The physician may or may not be the coordinator of client care. The case manager typically is a nurse or
social worker.
Case management is not entirely based on the level of care required. DIF: A REF: 21 OBJ: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care/ Case
Management
9. The payment mechanism that Medicare uses within its health care financing is:
1 Capitation
2 Fixed payments
3 Direct contracting
4 Prospective payment
ANS: 2
Inpatient hospital services for Medicare clients are reimbursed a set amount for each DRG, regardless of
the clients length of stay or use of services in the hospital.
Capitation is the payment mechanism in which providers receive a fixed amount per enrollee of a health
care plan.
3 The physician is the coordinator of client care.
4 It is designed to provide minimal to moderate levels of care.
ANS: 1
With the case management model of care, the case manager coordinates the efforts of all disciplines to
achieve the most efficient and appropriate plan of care. Continuity of care is of primary importance.
If the efforts of all disciplines are well managed, repetition or delays may be avoided with a resultant
shortened hospital stay. Therefore this focus of care may not be more expensive.
The physician may or may not be the coordinator of client care. The case manager typically is a nurse or
social worker.
Case management is not entirely based on the level of care required. DIF: A REF: 21 OBJ: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care/ Case
Management
9. The payment mechanism that Medicare uses within its health care financing is:
1 Capitation
2 Fixed payments
3 Direct contracting
4 Prospective payment
ANS: 2
Inpatient hospital services for Medicare clients are reimbursed a set amount for each DRG, regardless of
the clients length of stay or use of services in the hospital.
Capitation is the payment mechanism in which providers receive a fixed amount per enrollee of a health
care plan.
Loading page 29...
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The payment mechanism that Medicare uses is not direct contracting.
Medicare is not based on fixed payments, but rather on a set dollar amount according to the DRG.
DIF: A REF: 27 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
10. A student nurse visiting a nurse-managed clinic should expect to see which of the following
services offered?
1 Physical therapy
2 Same-day surgery
3 Family support services
4 Ongoing psychiatric therapy
ANS: 3
Nurse-managed clinics focus on health promotion and health education, disease prevention, chronic
disease management, and support for self-care and caregivers.
Physical therapy is not typically offered in a nurse-managed clinic. Same-day surgery is not offered in a
nurse-managed clinic.
Psychiatric therapy is not offered in a nurse-managed clinic. DIF: A REF: 21 OBJ: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
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The payment mechanism that Medicare uses is not direct contracting.
Medicare is not based on fixed payments, but rather on a set dollar amount according to the DRG.
DIF: A REF: 27 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
10. A student nurse visiting a nurse-managed clinic should expect to see which of the following
services offered?
1 Physical therapy
2 Same-day surgery
3 Family support services
4 Ongoing psychiatric therapy
ANS: 3
Nurse-managed clinics focus on health promotion and health education, disease prevention, chronic
disease management, and support for self-care and caregivers.
Physical therapy is not typically offered in a nurse-managed clinic. Same-day surgery is not offered in a
nurse-managed clinic.
Psychiatric therapy is not offered in a nurse-managed clinic. DIF: A REF: 21 OBJ: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
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11. A disabled client requiring restorative care should be referred to a(n):
1 Nursing home
2 Subacute care unit
3 Home health care agency
4 Ambulatory health center
ANS: 3
A home health care agency provides health services to individuals and families in their home to
promote, maintain, or restore health, or to maximize the level of independence while minimizing the
effects of disability and illness.
A nursing home is a long-term care setting in which clients receive 24-hour intermediate and custodial
care.
A subacute care unit is not the best referral for restorative care.
An ambulatory health center is not the best referral for restorative care. DIF: A REF: 16 OBJ:
Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
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1 Nursing home
2 Subacute care unit
3 Home health care agency
4 Ambulatory health center
ANS: 3
A home health care agency provides health services to individuals and families in their home to
promote, maintain, or restore health, or to maximize the level of independence while minimizing the
effects of disability and illness.
A nursing home is a long-term care setting in which clients receive 24-hour intermediate and custodial
care.
A subacute care unit is not the best referral for restorative care.
An ambulatory health center is not the best referral for restorative care. DIF: A REF: 16 OBJ:
Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
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Subject
Nursing