Foundations and Adult Health Nursing 8th Ed Test Bank

• Antepartal Care
• Preparation for Childbirth
• Nursing Process for Normal Pregnancy
• Get Ready for the NCLEX® Examination!
• 27 Labor and Delivery
• Birth Planning
• Normal Labor
• Labor and Delivery
• Nursing Assessment and Interventions
• Nursing Process for Normal Labor
• Medical Interventions
• Get Ready for the NCLEX® Examination!
• 28 Care of the Mother and Newborn
• Anatomic and Physiologic Changes of the Mother
• Transfer From the Recovery Area
• Nursing Assessment of and Interventions for the Mother
• Maintenance of Safety
• Psychosocial Assessment
• Nursing Process for the Postpartum Mother
• Anatomy and Physiology of the Healthy Newborn
• Nursing Assessment and Interventions for the Newborn
• Get Ready for the NCLEX® Examination!
• 29 Care of the High-Risk Mother, Newborn, and Family With Special Needs
• Complications of Pregnancy
• Bleeding Disorders
• Complications Related to Infection
• Complications Related to Existing Medical Conditions
• Complications Related to Age
• Adoption
• Contraception
• Postpartum Thrombophlebitis
• Complications Related to the Newborn
• Complications Related to Postpartum Mental Health Disorders
• Nursing Process for the Mother and Newborn at Risk
• Get Ready for the NCLEX® Examination!
• 30 Health Promotion for the Infant, Child, and Adolescent
• Healthy People 2020
• Dental Health
• Injury Prevention
• Get Ready for the NCLEX® Examination!
• 31 Basic Pediatric Nursing Care
• History of Child Care: Then and Now
• Pediatric Nursing
• Physical Assessment of the Pediatric Patient
• Factors That Influence Growth and Development
• Child Maltreatment
• Hospitalization of a Child
• Common Pediatric Procedures
• Safety
• Get Ready for the NCLEX® Examination!
• 32 Care of the Child With a Physical and Mental or Cognitive Disorder
• Physical Disorders
• Mental and Cognitive Disorders
• Get Ready for the NCLEX® Examination!
• 33 Health Promotion and Care of the Older Adult
• Health and Wellness in the Aging Adult
• Healthy Aging
• Psychosocial Concerns of the Older Adult
• Aging Body
• Safety and Security Issues for Older Adults
• Continuum of Older Adult Care
• Get Ready for the NCLEX® Examination!
• Unit V Fundamentals of Mental Health Nursing
• 34 Concepts of Mental Health
• Historical Overview
• Basic Concepts Related to Mental Health
• How Illness Affects Mental Health
• Crisis
• Application of the Nursing Process
• Get Ready for the NCLEX® Examination!
• 35 Care of the Patient With a Psychiatric Disorder
• Types of Psychiatric Disorders
• Treatment Methods
• Application of the Nursing Process
• Get Ready for the NCLEX® Examination!
• 36 Care of the Patient With an Addictive Personality
• Addiction
• Stages of Dependence
• Alcohol Abuse and Alcoholism
• Drug Abuse
• Chemically Impaired Nurses
• Get Ready for the NCLEX® Examination!
• Unit VI Fundamentals of Community Health Nursing
• 37 Home Health Nursing
• Home Health Care Defined
• Historical Overview
• Types of Home Care Agencies
• Changes in Home Health Care
• Service Components
• Typical Home Health Process
• Quality Assurance, Assessment, and Improvement
• Reimbursement Sources
• Cultural Considerations
• Nursing Process for Home Health Care
• Conclusion
• Get Ready for the NCLEX® Examination!
• 38 Long-Term Care
• Settings for Long-Term Care
• Safety Issues in the Long-Term Care Setting
• Nursing Process
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• 39 Rehabilitation Nursing
• Need for Rehabilitation
• Chronic Illness and Disability
• Scope of Individuals Requiring Rehabilitation
• Goals of Rehabilitation
• Cornerstones of Rehabilitation
• Comprehensive Rehabilitation Plan
• Rehabilitation Team
• Family and Family-Centered Care
• Cross-Cultural Rehabilitation
• Issues in Rehabilitation
• Chronic Conditions Necessitating Rehabilitation Therapy
• Polytrauma and Rehabilitation Nursing
• Disability
• Pediatric Rehabilitation Nursing
• Gerontologic Rehabilitation Nursing
• Conclusion
• Get Ready for the NCLEX® Examination!
• 40 Hospice Care
• Historical Overview
• Palliative Versus Curative Care
• Criteria for Admission to Hospice
• Goals of Hospice
• Interdisciplinary Team
• Palliative Care/Hospice
• Patient and Caregiver Teaching
• Ethical Issues in Hospice Care
• Future of Hospice Care
• Get Ready for the NCLEX® Examination!
• Unit VII Adult Health Nursing
• 41 Introduction to Anatomy and Physiology
• Anatomical Terminology
• Abdominal Regions
• Abdominopelvic Quadrants
• Structural Levels of Organization
• Get Ready for the NCLEX® Examination!
• 42 Care of the Surgical Patient
• Perioperative Nursing
• Preoperative Phase
• Intraoperative Phase
• Postoperative Phase
• Nursing Process for the Surgical Patient
• Discharge: Providing General Information
• Get Ready for the NCLEX® Examination!
• 43 Care of the Patient With an Integumentary Disorder
• Anatomy and Physiology of the Skin
• Assessment of the Skin
• Psychosocial Assessment
• Pressure Injuries
• Viral Disorders of the Skin
• Bacterial Disorders of the Skin
• Fungal Infections of the Skin
• Inflammatory Disorders of the Skin
• Parasitic Diseases of the Skin
• Tumors of the Skin
• Disorders of the Appendages
• Burns
• Nursing Process for the Patient With an Integumentary Disorder
• Patient Problem
• Get Ready for the NCLEX® Examination!
• 44 Care of the Patient With a Musculoskeletal Disorder
• Disorders of the Musculoskeletal System
• Get Ready for the NCLEX® Examination!
• 45 Care of the Patient With a Gastrointestinal Disorder
• Disorders of the Mouth
• Disorders of the Esophagus
• Disorders of the Stomach
• Disorders of the Intestines
• Reference
• Get Ready for the NCLEX® Examination!
• 46 Care of the Patient With a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder
• Laboratory and Diagnostic Examinations in the Assessment of the Hepatobiliary and Pancreatic Systems
• Disorders of the Liver, Biliary Tract, Gallbladder, and Exocrine Pancreas
• Nursing Process for the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder
• Get Ready for the NCLEX® Examination!
• 47 Care of the Patient With a Blood or Lymphatic Disorder
• Disorders of the Hematologic System
• Disorders of the Lymphatic System
• Get Ready for the NCLEX® Examination!
• 48 Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder
• Disorders of the Cardiovascular System
• Disorders of the Heart
• Disorders of the Peripheral Vascular System
• Get Ready for the NCLEX® Examination!
• 49 Care of the Patient With a Respiratory Disorder
• Assessment of the Respiratory System
• Disorders of the Upper Airway
• Disorders of the Lower Airway
• Get Ready for the NCLEX® Examination!
• 50 Care of the Patient With a Urinary Disorder
• Disorders of the Urinary System
• Get Ready for the NCLEX® Examination!
• 51 Care of the Patient With an Endocrine Disorder
• Disorders of the Pituitary Gland (Hypophysis)
• Disorders of the Thyroid and Parathyroid Glands
• Disorders of the Adrenal Glands
• Disorders of the Pancreas
• Get Ready for the NCLEX® Examination!
• 52 Care of the Patient With a Reproductive Disorder
• Disturbances of Menstruation
• Inflammatory and Infectious Disorders of the Female Reproductive Tract
• Disorders of the Female Reproductive System
• Cancer of the Female Reproductive Tract
• Disorders of the Female Breast
• Inflammatory and Infectious Disorders of the Male Reproductive System
• Disorders of Male Genital Organs
• Cancer of the Male Reproductive Tract
• Sexually Transmitted Infections
• Get Ready for the NCLEX® Examination!
• 53 Care of the Patient With a Sensory Disorder
• Anatomic Structures and Physiologic Functions of the Visual System
• Disorders of the Eye
• Anatomy and Physiology of the Ear
• Nursing Considerations for Care of the Patient With an Ear Disorder
• Disorders of the Ear
• Other Special Senses
• Get Ready for the NCLEX® Examination!
• 54 Care of the Patient With a Neurologic Disorder
• Common Disorders of the Neurologic System
• Other Disorders of the Neurologic System
• Get Ready for the NCLEX® Examination!
• 55 Care of the Patient With an Immune Disorder
• Disorders of the Immune System
• Get Ready for the NCLEX® Examination!
• 56 Care of the Patient With HIV
• Nursing and the History of HIV Disease
• Transmission of HIV
• Pathophysiology
• Spectrum of HIV Infection
• Laboratory and Diagnostic Examinations
• Therapeutic Management
• Nursing Interventions
• Prevention of HIV Infection
• Outlook
• Get Ready for the NCLEX® Examination!
• 57 Care of the Patient With Cancer
• Oncology
• Development, Prevention, and Detection of Cancer
• Hereditary Cancers
• Cancer Prevention and Early Detection
• Pathophysiology of Cancer
• Diagnosis of Cancer
• Cancer Therapies
• Advanced Cancer
• Get Ready for the NCLEX® Examination!
• Unit VIII From Graduate to Professional
• 58 Professional Roles and Leadership
• Functioning as a Graduate
• Transition From Student to Graduate
• Licensure Examination
• Nurse Practice Acts
• State Board of Nursing
• Mentoring and Networking
• Career Opportunities
• Leadership and Management
• Malpractice Insurance
• Get Ready for the NCLEX® Examination!
• Appendixes
• Appendix A Abbreviations
• Appendix B Laboratory Reference Values*
• appendix C Answers to Review Questions for the NCLEX® Examination
• References
• Glossary

Chapter 01: The Evolution of Nursing
Cooper: Foundations of Nursing, 8th 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: 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: 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.

DIF: Cognitive Level: Comprehension REF: 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: 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: 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: 16 OBJ: 8 | 9
TOP: Interdisciplinary approach KEY: Nursing Process Step: N/A

MSC: NCLEX: N/A
7. How may a newly licensed LPN/LVN practice?
a. Independently in a hospital setting
b. With an experienced LPN/LVN
c. Under the supervision of a health care provider or RN
d. As a sole health care provider in a clinic setting
ANS: C
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
DIF: Cognitive Level: Knowledge REF: 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: 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: 12 | 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
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: 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: 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: 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
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: 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: 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: 12 | 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: 14 OBJ: 4 | 8
TOP: Environmental factors
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance
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: 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: 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: 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
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: 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: 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: 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