,Professional Nursing: Concepts &
Challenges, 9th Edition
Beth Black PhD, RN, FAAN (Author)
Chapter 1.Nursing in Today’s Evolving Health Care
Environment
Chapter 2.The History and Social Context of Nursing
Chapter 3.Nursing’s Pathway to Professionalism
Chapter 4.Nursing Education in an Evolving Health Care
Environment
Chapter 5.Becoming a Professional Nurse: Defining Nursing
and Socialization into Practice
Chapter 6.Nursing as a Regulated Practice: Legal Issues
Chapter 7.Ethics: Basic Concepts for Professional Nursing
Practice
Chapter 8.Conceptual and Philosophical Foundations of
Professional Nursing Practice
Chapter 9.Nursing Theory: The Basis for Professional Nursing
Chapter 10.The Science of Nursing and Evidence-Based
Practice
Chapter 11.Developing Nursing Judgment Through Critical Thinking
Chapter 12.Communication and Collaboration in Professional Nursing
Chapter 13.Nurses, Patients, and Families: Caring at the Intersection of Health, Illness, and
Culture
Chapter 14.Health Care in the United States
Chapter 15.Political Activism in Nursing: Communities, Organizations, Government
Chapter 16.Nursing Challenge: To Continue to Evolve
,Chapter 1.Nursing in Today’s Evolving Health Care Environment
MULTIPLE CHOICE
1. Which of the following could eventually change the historical status of nursing as a
female- dominated profession?
a. More men graduating from baccalaureate and higher degree programs
b. The proportion of men in nursing beginning to increase
c. More male graduates of basic nursing programs entering the workplace
d. Salary compensation increasing to attract more men
ANS: C
Feedback
A More men graduating from baccalaureate and higher degree programs is not the best
answer because associate degree programs produce the most new graduates.
B The percentage of men in nursing has increased 50% since 2000.
C The more men who enter the workplace as nurses, the less nursing will be seen as a
female-dominated profession.
D Salary rates do not appear to relate to the recruitment of men into
nursing.DIF: Cognitive Level: Comprehension REF: MCS: 2
2. The racial and ethnic composition of the nursing profession will change to more
accurately reflect the population as a whole when
a. the increased numbers of racial and ethnic minorities enrolled in educational programs
graduate and begin to practice.
b. the number of Asians or Native Hawaiian-Pacific Islanders begins to increase.
c. the percentage of African-American and Hispanic nurses decreases more than the
percentage of white nurses.
d. the nonwhite portion of the general population decreases.
ANS: A
Feedback
A A larger percentage of minorities are enrolled in nursing educational programs than
previously.
B AsiansaandaNativeaHawaiian-
PacificaIslandersaareaoverarepresentedainanursingacomparedatoatheirapercentageaofatheag
eneralapopulation.
C NotaonlyawouldatheapercentageaofaAfrican-
AmericanaandaHispanicanursesaneedatoaincrease,atheapercentageaofawhiteanursesa
wouldahaveatoadecreaseainaorderatoamoreaaccuratelyareflectatheapopulationaasaaa
whole.
D Theanonwhiteaportionaofatheageneralapopulationaisanotalikelyatoadecreas
e.DIF:aCognitiveaLevel:aComprehensionaREF:aMCS:a3
3. Whichaofatheafollowingaisaaacorrectastatementaaboutathearegisteredanursea(RN)apopulation?
a. Thearacial/ethnicacompositionaofaRNsacloselyaresemblesathataofatheageneralapopulation.
b. Theanumberaofamenaenteringanursingahasadecreasedasteadilyaoverathealastadecade.
c. ThearateaofaagingaofaRNsahasaslowedaforatheafirstatimeainatheapasta30ayears.
, d. TheamajorityaofaemployedaRNsaworkingafullatimeamustaworkaaasecondaposition.
ANS:aC
Feedback
A Thearacial/ethnicacompositionaofaRNsaisaincreasing,abutadoesanotaapproximateathe
irapercentageaofatheaoverallapopulation.
B Theanumberaofamenaenteringanursingaisaincreasing.
C TheaaverageaageaofaRNsainabotha2004aanda2008awasa46.aThisaisaaaresultaofatheanumbersa
ofaRNsaundera30ainatheaworkforce.
D Accordingatoa2008adata,aonlya12%aofanursesaworkingafullatimeaholdasecondaposition
s.aDIF:aCognitiveaLevel:aKnowledgeaREF:aMCS:a3
4. Whichaofatheafollowingabestadescribesatrendsainanursingaeducation?
a. NumbersaofaRNsawithabachelorsaandahigheradegreesaareaincreasing.
b. NumbersaofaRNsawithaassociateadegreesaareadecreasing.
c. Foreign-
bornanursesapracticingainatheaUnitedaStatesaareaseenaasalessaknowledgeableabecaus
eaofatheiralesseraeducationalapreparation.
d. NumbersaofaRNsawithadiplomaaeducationsaareaincreasing.
ANS:aA
Feedback
A Slightlya overa50%aofaRNsaeventuallyaobtainatheirabachelorsaofascienceainanursin
ga(BSN)oraaahigheranursingadegree.
B Theamajorityaofanursesainathisacountryagetatheirainitialanursingaeducationainaassocia
teadegreeainanursinga(ADN)aprograms.
C Foreign-
bornanursesapracticingainatheaUnitedaStatesamayabeaviewedaasalessaknowledgeableabyathe
irapeersabecauseaofalanguageaandaculturaladifferences.
D Theanumbersaofadiploma-
educatedanursesaareadeclining.aDIF:aCognitiveaLevel:aKnowle
dgeaREF:aMCS:a4
5. DespiteatheavarietyaofaworkasettingsaavailableatoatheaRN,adataafroma2008aindicateathatat
heaprimaryaworkasiteaforaRNsais
a. ambulatoryacareasettings.
b. communityahealthasettings.
c. long-termacareafacilities.
d. acuteacareahospitals.
ANS:aD
Feedback
AaAmbulatoryacareasettingsaaccountaforaabouta10.5%aofaRNsaplacesaofaemployment.aBaPublicahe
althaandacommunityahealthasettingsaaccountafora7.8%aofaemployedaRNs.aCaLong-
termacareafacilitiesaaccountafora5.3%aofaRNsaplacesaofaemployment.
DaStatisticsashowathata62.2%aofaRNsaworkainaacuteacareahospitals.aD
IF:aCognitiveaLevel:aKnowledgeaREF:aMCS:a5
6. Oneaimportantaadvantageaofaclinicalaladderaprogramsaforahospital-basedaRNsaisathatathey
a. allowacareeraadvancementaforanursesawhoachooseatoaremainaatatheabedside.
b. encourageanursesatoamoveaintoamanagementapositionsainawhichatheyacanainfluenceapatie