Chapter 01: Nursing in Today’s Evolving Health Care Environment
Black: Professional Nursing: Concepts and Challenges, 10th Edition
MULTIPLE CHOICE
1. Which of the following could eventually change the historical status of T T T T T T T T
nursing as a female-dominated profession?
T T T T
a. More men graduating from baccalaureate and higher degree
T T T T T T T
programs
b. The proportion of men in nursing beginning to increase
T T T T T T T T
c. More male graduates of basic nursing programs entering the
T T T T T T T T
workplace
d. Salary compensation increasing to attract more men
T T T T T T
ANS: C T
Feedback
A “More men graduating from baccalaureate and higher degree programs” is not
T T T T T T T T T T
the best answer because associate degree programs produce the majority of new
T T T T T T T T T T T T
graduates.
B The percentage of men in nursing has increased 50% since 2000.
T T T T T T T T T T
C The more men who enter the workplace as nurses, the less nursing will be seen
T T T T T T T T T T T T T T
as a female-dominated profession.
T T T
D Salary rates do not appear to relate to the recruitment of men into nursing.
T T T T T T T T T T T T T
PTS: T T 1 DIF: Cognitive Level: Comprehension T T
2. The racial and ethnic composition of the nursing profession will change to more accurately reflect the
T T T T T T T T T T T T T T T T
population as a whole when T T T T
a. the increased numbers of racial and ethnic minorities enrolled in educational
T T T T T T T T T T
programs graduate and begin to practice. T T T T T
b. the number of Asians or Native Hawaiian-Pacific Islanders begins to increase.
T T T T T T T T T T
c. the percentage of African American and Hispanic nurses decreases more than the
T T T T T T T T T T T T
percentage of White nurses. T T T
d. the non-White portion of the general population decreases.
T T T T T T T
ANS: A T
Feedback
A A larger percentage of minorities are enrolled in nursing educational programs
T T T T T T T T T T
than previously. T
B Asians and Native Hawaiian-Pacific Islanders are over represented in nursing
T T T T T T T T T
compared to their percentage of the general population. T T T T T T T
, C Not only would the percentage of African American and Hispanic nurses need
T T T T T T T T T T T
to increase, the percentage of White nurses would have to decrease in order to more
T T T T T T T T T T T T T T T
accurately reflect the population as a whole. T T T T T T
D The non-White portion of the general population is not likely to decrease.
T T T T T T T T T T T
PTS: T T 1 DIF: Cognitive Level: Comprehension T T
3. Which of the following is a correct statement about the registered nurse (RN) population?
T T T T T T T T T T T T T
a. The racial/ethnic composition of RNs closely resembles that of the general
T T T T T T T T T T
population.
b. The number of men entering nursing has decreased steadily over the last decade.
T T T T T T T T T T T T
c. The rate of aging of RNs has slowed for the first time in the past 30 years.
T T T T T T T T T T T T T T T T
d. The majority of employed RNs working full time must work a second position.
T T T T T T T T T T T T
ANS: C T
Feedback
A The racial/ethnic composition of RNs is increasing, but does not approximate
T T T T T T T T T T
their percentage of the overall population.
T T T T T
B The number of men entering nursing is increasing.
T T T T T T T
C The average age of RNs in both 2004 and 2008 was 46.
T T T T T T T T T T T
D The average age of BSN graduates is 25.
T T T T T T T
PTS: T T 1 DIF: Cognitive Level: Knowledge T T
4. Which of the following best describes trends in nursing education?
T T T T T T T T T
a. 45% of nurses receive their degree from a university setting.
T T T T T T T T T
b. Numbers of RNs with associate degrees are decreasing.
T T T T T T T
c. Foreign-born nurses practicing in the United States are seen as less knowledgeable
T T T T T T T T T T T T
because of their lesser educational preparation.
T T T T T
d. Numbers of RNs with diploma educations are increasing.
T T T T T T T
ANS: A T
Feedback
A 45% of nurses report receiving their degree from a university setting.
T T T T T T T T T T
B The majority of nurses in this country get their initial nursing education in
T T T T T T T T T T T T
associate degree in nursing (ADN) programs. T T T T T
C Foreign-born nurses practicing in the United States may be viewed as less T T T T T T T T T T T
knowledgeable by their peers because of language and cultural differences. T T T T T T T T T
D The numbers of diploma-educated nurses are declining.
T T T T T T
PTS: T T 1 DIF: Cognitive Level: Knowledge T T
5. Despite the variety of work settings available to the RN, data indicate that the primary work site for
T T T T T T T T T T T T T T T T T T
RNs is
T
a. ambulatory care settings. T T
b. community health settings. T T
, c. long-term care facilities. T T
d. acute care hospitals. T T
ANS: D T
Feedback
A Ambulatory care settings account for about 10.5% of RNs’ places of T T T T T T T T T T
employment.
B Public health and community health settings account for 7.8% of employed
T T T T T T T T T T
RNs.
C Long-term care facilities account for 5.3% of RNs’ places of employment.
T T T T T T T T T T
D Statistics show that 63.2% of RNs work in acute care hospitals.
T T T T T T T T T T
PTS: T T 1 DIF: Cognitive Level: Knowledge T T
6. One important advantage of clinical ladder programs for hospital-based RNs is that they
T T T T T T T T T T T T
a. allow career advancement for nurses who choose to remain at the bedside.
T T T T T T T T T T T
b. encourage nurses to move into management positions in which they can influence
T T T T T T T T T T T
patient care on a broader scale. T T T T T
c. encourage RNs to become politically active and guide the profession of nursing.
T T T T T T T T T T T
d. provide training to staff nurses so they can move seamlessly across departments.
T T T T T T T T T T T
ANS: A T
Feedback
A Clinical ladder programs allow nurses to advance professionally while
T T T T T T T T
remaining at the bedside. T T T
B Clinical ladder programs are designed to keep proficient nurses at the bedside.
T T T T T T T T T T T
C Encouraging RNs to become politically active and guide the profession ofT T T T T T T T T T
nursing is not the goal of clinical ladder programs.
T T T T T T T T
D Clinical ladder programs are not designed to facilitate transfer between
T T T T T T T T T
departments.
PTS: T T 1 DIF: Cognitive Level: Comprehension T T
7. Which of the following statements is correct about community health nursing (CHN)?
T T T T T T T T T T T
a. Prevention and community education are the cornerstones of CHN.
T T T T T T T T
b. Nursing care is rapidly moving from the home setting to the institutional setting.
T T T T T T T T T T T T
c. High-tech care such as ventilators and total parenteral nutrition cannot be handled
T T T T T T T T T T T T
in the home. T T
d. Assessment skills are less important in CHN because patients are not acutely ill.
T T T T T T T T T T T T
ANS: A T
Feedback
A The community health nurse provides educational programs in health
T T T T T T T T
maintenance, disease prevention, nutrition, and child care. T T T T T T
B Care is moving into the home setting.
T T T T T T
C Home care is increasing in complexity.
T T T T T
, D Community health nurses must have excellent assessment skills as they do not
T T T T T T T T T T T
have the immediate backup that an acute care facility offers.
T T T T T T T T T
PTS: T T 1 DIF: Cognitive Level: Comprehension T T
8. Which of the following is true about occupational nurse roles?
T T T T T T T T T
a. They must have the ability to work independently.
T T T T T T T
b. They must have good interpersonal skills.
T T T T T
c. They must be skilled at avoiding conflict.
T T T T T T
d. They must have a minimum of a bachelor’s degree in nursing.
T T T T T T T T T T
ANS: B T
Feedback
A Occupational nurses must be able to work well independently, and with others. T T T T T T T T T T T
B Occupational nurses must have good interpersonal skills to be successful. T T T T T T T T T
C Occupational nurses must be able to manage conflict and stressful situations. T T T T T T T T T T
D Occupational nurses may practice with an associates degree in nursing. T T T T T T T T T
PTS: T T 1 DIF: Cognitive Level: Analysis T T
9. The major benefit of serving as a military nurse is
T T T T T T T T T
a. broader responsibilities and scope of practice than civilian nurses.
T T T T T T T T
b. working with entirely baccalaureate-prepared peers on active duty.
T T T T T T T
c. serving as an officer on active duty or in the reserves.
T T T T T T T T T T
d. the financial support to seek advanced degrees.
T T T T T T
ANS: D T
Feedback
A Although military nurses do have broader responsibilities and scopes of practice
T T T T T T T T T T T
than civilian nurses do, this is not the major benefit.
T T T T T T T T T
B Although military nurses do work with entirely baccalaureate-prepared peers on
T T T T T T T T T
active duty, this is not the major benefit.
T T T T T T T
C Although military nurses serve as officers on active duty or in the reserves, this
T T T T T T T T T T T T T
is not the major benefit.
T T T T
D Advanced education is supported by the military financially and also allows for
T T T T T T T T T T T
promotion in rank at an accelerated pace. T T T T T T
PTS: T T 1 DIF: Cognitive Level: Comprehension T T
10. Which of the following statements explains why the school nurse of today is truly a community health
T T T T T T T T T T T T T T T T T
nurse?
a. The school nurse may be called on to care for a student’s family members in
T T T T T T T T T T T T T T
underserved areas. T
b. The school nurse’s primary responsibility is centered on the well child.
T T T T T T T T T T
c. The school nurse’s primary responsibility is to maintain immunization records.
T T T T T T T T T
d. The school nurse must be certified in CHN.
T T T T T T T
Black: Professional Nursing: Concepts and Challenges, 10th Edition
MULTIPLE CHOICE
1. Which of the following could eventually change the historical status of T T T T T T T T
nursing as a female-dominated profession?
T T T T
a. More men graduating from baccalaureate and higher degree
T T T T T T T
programs
b. The proportion of men in nursing beginning to increase
T T T T T T T T
c. More male graduates of basic nursing programs entering the
T T T T T T T T
workplace
d. Salary compensation increasing to attract more men
T T T T T T
ANS: C T
Feedback
A “More men graduating from baccalaureate and higher degree programs” is not
T T T T T T T T T T
the best answer because associate degree programs produce the majority of new
T T T T T T T T T T T T
graduates.
B The percentage of men in nursing has increased 50% since 2000.
T T T T T T T T T T
C The more men who enter the workplace as nurses, the less nursing will be seen
T T T T T T T T T T T T T T
as a female-dominated profession.
T T T
D Salary rates do not appear to relate to the recruitment of men into nursing.
T T T T T T T T T T T T T
PTS: T T 1 DIF: Cognitive Level: Comprehension T T
2. The racial and ethnic composition of the nursing profession will change to more accurately reflect the
T T T T T T T T T T T T T T T T
population as a whole when T T T T
a. the increased numbers of racial and ethnic minorities enrolled in educational
T T T T T T T T T T
programs graduate and begin to practice. T T T T T
b. the number of Asians or Native Hawaiian-Pacific Islanders begins to increase.
T T T T T T T T T T
c. the percentage of African American and Hispanic nurses decreases more than the
T T T T T T T T T T T T
percentage of White nurses. T T T
d. the non-White portion of the general population decreases.
T T T T T T T
ANS: A T
Feedback
A A larger percentage of minorities are enrolled in nursing educational programs
T T T T T T T T T T
than previously. T
B Asians and Native Hawaiian-Pacific Islanders are over represented in nursing
T T T T T T T T T
compared to their percentage of the general population. T T T T T T T
, C Not only would the percentage of African American and Hispanic nurses need
T T T T T T T T T T T
to increase, the percentage of White nurses would have to decrease in order to more
T T T T T T T T T T T T T T T
accurately reflect the population as a whole. T T T T T T
D The non-White portion of the general population is not likely to decrease.
T T T T T T T T T T T
PTS: T T 1 DIF: Cognitive Level: Comprehension T T
3. Which of the following is a correct statement about the registered nurse (RN) population?
T T T T T T T T T T T T T
a. The racial/ethnic composition of RNs closely resembles that of the general
T T T T T T T T T T
population.
b. The number of men entering nursing has decreased steadily over the last decade.
T T T T T T T T T T T T
c. The rate of aging of RNs has slowed for the first time in the past 30 years.
T T T T T T T T T T T T T T T T
d. The majority of employed RNs working full time must work a second position.
T T T T T T T T T T T T
ANS: C T
Feedback
A The racial/ethnic composition of RNs is increasing, but does not approximate
T T T T T T T T T T
their percentage of the overall population.
T T T T T
B The number of men entering nursing is increasing.
T T T T T T T
C The average age of RNs in both 2004 and 2008 was 46.
T T T T T T T T T T T
D The average age of BSN graduates is 25.
T T T T T T T
PTS: T T 1 DIF: Cognitive Level: Knowledge T T
4. Which of the following best describes trends in nursing education?
T T T T T T T T T
a. 45% of nurses receive their degree from a university setting.
T T T T T T T T T
b. Numbers of RNs with associate degrees are decreasing.
T T T T T T T
c. Foreign-born nurses practicing in the United States are seen as less knowledgeable
T T T T T T T T T T T T
because of their lesser educational preparation.
T T T T T
d. Numbers of RNs with diploma educations are increasing.
T T T T T T T
ANS: A T
Feedback
A 45% of nurses report receiving their degree from a university setting.
T T T T T T T T T T
B The majority of nurses in this country get their initial nursing education in
T T T T T T T T T T T T
associate degree in nursing (ADN) programs. T T T T T
C Foreign-born nurses practicing in the United States may be viewed as less T T T T T T T T T T T
knowledgeable by their peers because of language and cultural differences. T T T T T T T T T
D The numbers of diploma-educated nurses are declining.
T T T T T T
PTS: T T 1 DIF: Cognitive Level: Knowledge T T
5. Despite the variety of work settings available to the RN, data indicate that the primary work site for
T T T T T T T T T T T T T T T T T T
RNs is
T
a. ambulatory care settings. T T
b. community health settings. T T
, c. long-term care facilities. T T
d. acute care hospitals. T T
ANS: D T
Feedback
A Ambulatory care settings account for about 10.5% of RNs’ places of T T T T T T T T T T
employment.
B Public health and community health settings account for 7.8% of employed
T T T T T T T T T T
RNs.
C Long-term care facilities account for 5.3% of RNs’ places of employment.
T T T T T T T T T T
D Statistics show that 63.2% of RNs work in acute care hospitals.
T T T T T T T T T T
PTS: T T 1 DIF: Cognitive Level: Knowledge T T
6. One important advantage of clinical ladder programs for hospital-based RNs is that they
T T T T T T T T T T T T
a. allow career advancement for nurses who choose to remain at the bedside.
T T T T T T T T T T T
b. encourage nurses to move into management positions in which they can influence
T T T T T T T T T T T
patient care on a broader scale. T T T T T
c. encourage RNs to become politically active and guide the profession of nursing.
T T T T T T T T T T T
d. provide training to staff nurses so they can move seamlessly across departments.
T T T T T T T T T T T
ANS: A T
Feedback
A Clinical ladder programs allow nurses to advance professionally while
T T T T T T T T
remaining at the bedside. T T T
B Clinical ladder programs are designed to keep proficient nurses at the bedside.
T T T T T T T T T T T
C Encouraging RNs to become politically active and guide the profession ofT T T T T T T T T T
nursing is not the goal of clinical ladder programs.
T T T T T T T T
D Clinical ladder programs are not designed to facilitate transfer between
T T T T T T T T T
departments.
PTS: T T 1 DIF: Cognitive Level: Comprehension T T
7. Which of the following statements is correct about community health nursing (CHN)?
T T T T T T T T T T T
a. Prevention and community education are the cornerstones of CHN.
T T T T T T T T
b. Nursing care is rapidly moving from the home setting to the institutional setting.
T T T T T T T T T T T T
c. High-tech care such as ventilators and total parenteral nutrition cannot be handled
T T T T T T T T T T T T
in the home. T T
d. Assessment skills are less important in CHN because patients are not acutely ill.
T T T T T T T T T T T T
ANS: A T
Feedback
A The community health nurse provides educational programs in health
T T T T T T T T
maintenance, disease prevention, nutrition, and child care. T T T T T T
B Care is moving into the home setting.
T T T T T T
C Home care is increasing in complexity.
T T T T T
, D Community health nurses must have excellent assessment skills as they do not
T T T T T T T T T T T
have the immediate backup that an acute care facility offers.
T T T T T T T T T
PTS: T T 1 DIF: Cognitive Level: Comprehension T T
8. Which of the following is true about occupational nurse roles?
T T T T T T T T T
a. They must have the ability to work independently.
T T T T T T T
b. They must have good interpersonal skills.
T T T T T
c. They must be skilled at avoiding conflict.
T T T T T T
d. They must have a minimum of a bachelor’s degree in nursing.
T T T T T T T T T T
ANS: B T
Feedback
A Occupational nurses must be able to work well independently, and with others. T T T T T T T T T T T
B Occupational nurses must have good interpersonal skills to be successful. T T T T T T T T T
C Occupational nurses must be able to manage conflict and stressful situations. T T T T T T T T T T
D Occupational nurses may practice with an associates degree in nursing. T T T T T T T T T
PTS: T T 1 DIF: Cognitive Level: Analysis T T
9. The major benefit of serving as a military nurse is
T T T T T T T T T
a. broader responsibilities and scope of practice than civilian nurses.
T T T T T T T T
b. working with entirely baccalaureate-prepared peers on active duty.
T T T T T T T
c. serving as an officer on active duty or in the reserves.
T T T T T T T T T T
d. the financial support to seek advanced degrees.
T T T T T T
ANS: D T
Feedback
A Although military nurses do have broader responsibilities and scopes of practice
T T T T T T T T T T T
than civilian nurses do, this is not the major benefit.
T T T T T T T T T
B Although military nurses do work with entirely baccalaureate-prepared peers on
T T T T T T T T T
active duty, this is not the major benefit.
T T T T T T T
C Although military nurses serve as officers on active duty or in the reserves, this
T T T T T T T T T T T T T
is not the major benefit.
T T T T
D Advanced education is supported by the military financially and also allows for
T T T T T T T T T T T
promotion in rank at an accelerated pace. T T T T T T
PTS: T T 1 DIF: Cognitive Level: Comprehension T T
10. Which of the following statements explains why the school nurse of today is truly a community health
T T T T T T T T T T T T T T T T T
nurse?
a. The school nurse may be called on to care for a student’s family members in
T T T T T T T T T T T T T T
underserved areas. T
b. The school nurse’s primary responsibility is centered on the well child.
T T T T T T T T T T
c. The school nurse’s primary responsibility is to maintain immunization records.
T T T T T T T T T
d. The school nurse must be certified in CHN.
T T T T T T T
