Question 1

The Affordable Care Act of 2011:

Accepted Answer

A)  requires that by 2020 all newly licensed nurses have a bachelor's degree at minimum. 
B)  would provide health care benefits to millions who were previously uninsurable or unable to afford insurance. 
C)  caps the amount that hospitals and physicians can charge for procedures. 
D)  subsidizes private insurance companies, thereby reducing health care costs for individuals who have chronic or catastrophic illness such as cancer. 
A)  requires that by 2020 all newly licensed nurses have a bachelor's degree at minimum. 
B)  would provide health care benefits to millions who were previously uninsurable or unable to afford insurance. 
C)  caps the amount that hospitals and physicians can charge for procedures. 
D)  subsidizes private insurance companies, thereby reducing health care costs for individuals who have chronic or catastrophic illness such as cancer. B

Question 2

Which statement accurately describes the historical perspective of nursing practice?

Accepted Answer

A)  Nursing has existed to meet the needs of populations, individuals, and aggregates by providing care that is determined by the needs and beliefs of society in different historical contexts. 
B)  As men began to become interested in nursing, it changed into a respected profession based on scientific fact rather than superstition. 
C)  Nursing has historically accepted individuals from all social and ethnic backgrounds. 
D)  The United States has led the way throughout history to advance nursing and health care by providing the first hospital and medical school. 
A)  Nursing has existed to meet the needs of populations, individuals, and aggregates by providing care that is determined by the needs and beliefs of society in different historical contexts. 
B)  As men began to become interested in nursing, it changed into a respected profession based on scientific fact rather than superstition. 
C)  Nursing has historically accepted individuals from all social and ethnic backgrounds. 
D)  The United States has led the way throughout history to advance nursing and health care by providing the first hospital and medical school. A

Question 3

Clara Barton is known for:

Accepted Answer

A)  becoming the first African-American public health nurse. 
B)  establishing the Henry Street Settlement. 
C)  founding the American Red Cross. 
D)  publicizing the inadequacies of hospital-based nursing schools. 
A)  becoming the first African-American public health nurse. 
B)  establishing the Henry Street Settlement. 
C)  founding the American Red Cross. 
D)  publicizing the inadequacies of hospital-based nursing schools. C

Question 4

A newly licensed nurse compares the challenges facing nursing today with those faced by nurses when her mentor graduated in 1990. The mentor states, "Prevention was the focus of nursing when I graduated. We stressed preventive health measures such as smoking cessation education to reduce preventable diseases and prevention to reduce the spread of infectious disease such as AIDS." The mentor asks, "What do you think the challenges will be for nurses graduating now? The correct response would be: (Select all that apply.)

Accepted Answer

A)  coordinating care for a more diverse aging population who have complex health values. 
B)  managing care provided by nurses who are technologically advanced and skilled at interprofessional collaboration. 
C)  providing care to well-informed consumers who are younger with narrow health values. 
D)  redesigning nursing care delivery models to streamline care based on fewer generational differences. 
E)  focusing on care from a systems perspective. 
A)  coordinating care for a more diverse aging population who have complex health values. 
B)  managing care provided by nurses who are technologically advanced and skilled at interprofessional collaboration. 
C)  providing care to well-informed consumers who are younger with narrow health values. 
D)  redesigning nursing care delivery models to streamline care based on fewer generational differences. 
E)  focusing on care from a systems perspective.

Question 5

A care provider sacrifices an animal and waves an herb-filled sack over a client who is complaining of painful joints and chest pain with exertion. This ritual represents health care during:

Accepted Answer

A)  the prehistoric period. 
B)  early civilization in Egypt. 
C)  the Renaissance. 
D)  the Middle Ages. 
A)  the prehistoric period. 
B)  early civilization in Egypt. 
C)  the Renaissance. 
D)  the Middle Ages.

Question 6

A client asks the nurse, "Can you explain Medicare, an amendment to the Social Security Act?" The nurse responds that Medicare:

Accepted Answer

A)  led to many hospital closings, along with a decrease in acute care hospital-based nursing care. 
B)  provided medical insurance to those younger adults or children who were not eligible for private insurance because of catastrophic illnesses such as cancer. 
C)  provided preventive care for women, infants, and children. 
D)  ensured that individuals ages 65 and older and those with end-stage renal disease or permanent disabilities had health care insurance. 
A)  led to many hospital closings, along with a decrease in acute care hospital-based nursing care. 
B)  provided medical insurance to those younger adults or children who were not eligible for private insurance because of catastrophic illnesses such as cancer. 
C)  provided preventive care for women, infants, and children. 
D)  ensured that individuals ages 65 and older and those with end-stage renal disease or permanent disabilities had health care insurance.

Question 7

Which group in early civilization is credited with developing a pharmacopoeia to classify more than 700 drugs used in caring for the sick?

Accepted Answer

Egyptians
A pharmacopoeia that

Question 8

The use of herbs has become a popular alternative to prescription drugs in today's health care milieu. During which other historical periods did health practices focus on the use of herbs?

Accepted Answer

A)  Prehistoric times and the Middle Ages 
B)  Civil War period and World War I 
C)  Renaissance and Reformation periods and the Colonial American period 
D)  Crimean War and Civil War periods 
A)  Prehistoric times and the Middle Ages 
B)  Civil War period and World War I 
C)  Renaissance and Reformation periods and the Colonial American period 
D)  Crimean War and Civil War periods

Question 9

What historical event first led to the recognition of the contribution of African Americans to nursing?

Accepted Answer

A)  Florence Nightingale's acceptance of African-American nurses into the first nursing school 
B)  The contributions of African-American nurses at the Pennsylvania Hospital, the first hospital in America 
C)  Mary Seacole's efforts to care for soldiers during the Crimean War 
D)  The work done by wives of wealthy African-American nobles who carried food and medicine from house to house during the Middle Ages 
A)  Florence Nightingale's acceptance of African-American nurses into the first nursing school 
B)  The contributions of African-American nurses at the Pennsylvania Hospital, the first hospital in America 
C)  Mary Seacole's efforts to care for soldiers during the Crimean War 
D)  The work done by wives of wealthy African-American nobles who carried food and medicine from house to house during the Middle Ages

Question 10

It has been said that "history repeats itself because no one was listening the first time." Which statement is true when comparing the nursing care provided in the Civil War (1861 to 1865) to that provided during the Crimean War?

Accepted Answer

A)  Epidemics such as smallpox and typhoid were the primary emphasis of nursing care in both wars. 
B)  Soldiers were housed in substandard conditions, but due to Nightingale's push for sanitary conditions, in the Civil War soldiers were housed in aseptic conditions. 
C)  African-American nurses were widely accepted by society and the profession, receiving equal compensation during the Civil War due in large part to the efforts of Mary Seacole during the Crimean War. 
D)  Both Nightingale (Crimean War) and Dix (Civil War) completed nursing training before accepting positions as nurses in the wars. 
A)  Epidemics such as smallpox and typhoid were the primary emphasis of nursing care in both wars. 
B)  Soldiers were housed in substandard conditions, but due to Nightingale's push for sanitary conditions, in the Civil War soldiers were housed in aseptic conditions. 
C)  African-American nurses were widely accepted by society and the profession, receiving equal compensation during the Civil War due in large part to the efforts of Mary Seacole during the Crimean War. 
D)  Both Nightingale (Crimean War) and Dix (Civil War) completed nursing training before accepting positions as nurses in the wars.

Question 11

World War I contributed to the advancement of health care by:

Accepted Answer

A)  increasing the number of private care hospitals and decreasing the role of public health services. 
B)  employing a large number of civilians to provide care to returning soldiers through the Red Cross. 
C)  introducing specialists in nursing such as nurse anesthetists. 
D)  increasing the number of community health nurses. 
A)  increasing the number of private care hospitals and decreasing the role of public health services. 
B)  employing a large number of civilians to provide care to returning soldiers through the Red Cross. 
C)  introducing specialists in nursing such as nurse anesthetists. 
D)  increasing the number of community health nurses.

Question 12

A prospective nursing student who researches universities that offer a baccalaureate degree in nursing would want to ensure that the program is accredited by the:

Accepted Answer

A)  American Nurses Association. 
B)  Commission on Collegiate Nursing Education. 
C)  National Institutes of Health. 
D)  National Nursing Council. 
A)  American Nurses Association. 
B)  Commission on Collegiate Nursing Education. 
C)  National Institutes of Health. 
D)  National Nursing Council.

Question 13

Place the role of nurses in chronological order from the Civil War to World War II. Put a comma and space between each answer choice (for example: a, b, c, d).

Accepted Answer

A)  Nurses who served during war were given rank as officers. 
B)  No nurses were formally trained. 
C)  Public health nursing and occupational nursing were begun. 
D)  The nurse anesthetist was introduced. 
A)  Nurses who served during war were given rank as officers. 
B)  No nurses were formally trained. 
C)  Public health nursing and occupational nursing were begun. 
D)  The nurse anesthetist was introduced.

Question 14

Nursing in the 1990s was characterized by:

Accepted Answer

A)  men leaving nursing to enter the armed services. 
B)  traditional 8-hour shifts to nurse burnout and compassion fatigue. 
C)  a focus on preventable diseases. 
D)  a decrease in nursing research. 
A)  men leaving nursing to enter the armed services. 
B)  traditional 8-hour shifts to nurse burnout and compassion fatigue. 
C)  a focus on preventable diseases. 
D)  a decrease in nursing research.

Question 15

Occupational health nursing features beliefs similar to those of which early nursing pioneer?

Accepted Answer

A)  Lillian Wald 
B)  Florence Nightingale 
C)  Clara Barton 
D)  Mary Seacole 
A)  Lillian Wald 
B)  Florence Nightingale 
C)  Clara Barton 
D)  Mary Seacole

Question 16

The clinical nurse leader (CNL): (Select all that apply.)

Accepted Answer

A)  requires certification as an advanced practice nurse. 
B)  provides care at the bedside while collaborating with other members of the health care team. 
C)  focuses on clinical practice rather than administration or education. 
D)  is an advanced practice nurse whose practice is limited to the acute care setting. 
E)  has a clinically focused doctoral degree in nursing, which provides prescriptive authority. 
A)  requires certification as an advanced practice nurse. 
B)  provides care at the bedside while collaborating with other members of the health care team. 
C)  focuses on clinical practice rather than administration or education. 
D)  is an advanced practice nurse whose practice is limited to the acute care setting. 
E)  has a clinically focused doctoral degree in nursing, which provides prescriptive authority.

Question 17

A nurse who has practiced for 1 year on a medical-surgical unit is very interested in a position in the operating room. She traces the nursing history of surgery to learn how nursing has evolved in this practice. To determine if, historically, surgery methods advanced the practice of nursing, select the correct statements. (Select all that apply.)

Accepted Answer

A)  The Ancient Egyptians were the first to use anesthesia in the operating room. 
B)  The "Barbers" of the Middle Ages used sterile techniques to reduce wound infections. 
C)  The Indian culture from 274 to 236 BC had hospitals staffed with female nurses who practiced much like today's nurses. 
D)  During the Renaissance, advances in nursing education, including surgery, were nonexistent. 
E)  Following World War II, nurses practiced in mobile army surgical hospitals, where medical and surgical techniques were further refined. 
A)  The Ancient Egyptians were the first to use anesthesia in the operating room. 
B)  The "Barbers" of the Middle Ages used sterile techniques to reduce wound infections. 
C)  The Indian culture from 274 to 236 BC had hospitals staffed with female nurses who practiced much like today's nurses. 
D)  During the Renaissance, advances in nursing education, including surgery, were nonexistent. 
E)  Following World War II, nurses practiced in mobile army surgical hospitals, where medical and surgical techniques were further refined.

Question 18

The primary purpose of the Social Security Act of 1935 was to:

Accepted Answer

A)  increase research that focused on minority groups. 
B)  provide medical care for chemically impaired persons. 
C)  ensure health care for older adults through a national insurance system. 
D)  decrease the public's financial burden by limiting services offered by local health departments. 
A)  increase research that focused on minority groups. 
B)  provide medical care for chemically impaired persons. 
C)  ensure health care for older adults through a national insurance system. 
D)  decrease the public's financial burden by limiting services offered by local health departments.

Question 19

The practice of public health nursing and the Henry Street Settlement are credited to:

Accepted Answer

A)  Mary Breckenridge. 
B)  Mary Seacole. 
C)  Clara Barton. 
D)  Lillian Wald. 
A)  Mary Breckenridge. 
B)  Mary Seacole. 
C)  Clara Barton. 
D)  Lillian Wald.

Question 20

A comparison of nursing in the 1980s to nursing in the 1990s reveals that:

Accepted Answer

A)  in the 1990s nursing experienced a significant reduction occurred in preventable diseases caused by unsafe/unhealthy lifestyles. 
B)  tuberculosis was the primary concern for nursing in the 1980s, whereas the AIDS epidemic emerged and was its focus during the 1990s. 
C)  a decrease in ambulatory services in the 1980s prompted an increase in public health nurses in the 1990s. 
D)  the demand for advanced practice nurses increased in the 1980s and the 1990s as a result of the economy and concern about the health of the nation. 
A)  in the 1990s nursing experienced a significant reduction occurred in preventable diseases caused by unsafe/unhealthy lifestyles. 
B)  tuberculosis was the primary concern for nursing in the 1980s, whereas the AIDS epidemic emerged and was its focus during the 1990s. 
C)  a decrease in ambulatory services in the 1980s prompted an increase in public health nurses in the 1990s. 
D)  the demand for advanced practice nurses increased in the 1980s and the 1990s as a result of the economy and concern about the health of the nation.

Exam 1: The Evolution of Professional Nursing

The Affordable Care Act of 2011:

Which statement accurately describes the historical perspective of nursing practice?

Clara Barton is known for:

A care provider sacrifices an animal and waves an herb-filled sack over a client who is complaining of painful joints and chest pain with exertion. This ritual represents health care during:

A client asks the nurse, "Can you explain Medicare, an amendment to the Social Security Act?" The nurse responds that Medicare:

Which group in early civilization is credited with developing a pharmacopoeia to classify more than 700 drugs used in caring for the sick?

The use of herbs has become a popular alternative to prescription drugs in today's health care milieu. During which other historical periods did health practices focus on the use of herbs?

What historical event first led to the recognition of the contribution of African Americans to nursing?

It has been said that "history repeats itself because no one was listening the first time." Which statement is true when comparing the nursing care provided in the Civil War (1861 to 1865) to that provided during the Crimean War?

World War I contributed to the advancement of health care by:

A prospective nursing student who researches universities that offer a baccalaureate degree in nursing would want to ensure that the program is accredited by the:

Place the role of nurses in chronological order from the Civil War to World War II. Put a comma and space between each answer choice (for example: a, b, c, d).

Nursing in the 1990s was characterized by:

Occupational health nursing features beliefs similar to those of which early nursing pioneer?

The clinical nurse leader (CNL): (Select all that apply.)

The primary purpose of the Social Security Act of 1935 was to:

The practice of public health nursing and the Henry Street Settlement are credited to:

A comparison of nursing in the 1980s to nursing in the 1990s reveals that:

The Contemporary Image of Professional Nursing

The Influence of Contemporary Trends and Issues on Nursing Education

Nursing Licensure and Certification

Theories of Nursing Practice

Nursing Research and Evidence-Based Practice

Paying for Health Care in America: Rising Costs and Challenges

Legal Issues in Nursing and Health Care

Ethical and Bioethical Issues in Nursing and Health Care

Cultural Competency and Social Issues in Nursing and Health Care

Complementary and Alternative Healing

Workforce Advocacy and the Nursing Shortage

Collective Bargaining and Unions in Today’s Workplace

Information Technology in the Clinical Setting

Emergency Preparedness and Response for Today’s World

Nursing Leadership and Management

Budgeting Basics for Nurses

Effective Communication and Conflict Resolution

Effective Delegation and Supervision

Staffing and Nursing Care Delivery Models

Quality Improvement and Patient Safety

Quality and Safety in Nursing Education in Nursing: The QSEN Project

Health Policy and Politics: Get Involved!

Making the Transition from Student to Professional Nurse

Managing Time: The Path to High Self-Performance

Contemporary Nursing Roles and Career Opportunities

Job Search: Finding Your Match

NCLEX-RN Examination

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