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Chapter 01: Nursing in Today’s Evolving Health Care Environment
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Black: Professional Nursing: Concepts and Challenges, 10th Edition
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1. Which of the following could eventually change the historical status of
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a. More men graduating from baccalaureate and higher degree L
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programs
b. The proportion of men in nursing beginning to increase
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c. More male graduates of basic nursing programs entering the L
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workplace
d. Salary compensation increasing to attract more men L
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ANS: F T L C

Feedback
A “More men graduating from baccalaureate and higher degree programs” is not L
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the best answer because associate degree programs produce the majority of new
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graduates.
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B The percentage of men in nursing has increased 50% since 2000.
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C The more men who enter the workplace as nurses, the less nursing will be seen
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as a female-dominated profession.
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D Salary rates do not appear to relate to the recruitment of men into nursing. T
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PTS: F T L F T L 1 DIF: Cognitive Level: Comprehension L
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2. The racial and ethnic composition of the nursing profession will change to more accurately reflect the
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a. the increased numbers of racial and ethnic minorities enrolled in educational
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programs graduate and begin to practice. FT L L
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b. the number of Asians or Native Hawaiian-Pacific Islanders begins to increase.
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c. the percentage of African American and Hispanic nurses decreases more than the
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percentage of White nurses.
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d. the non-White portion of the general population decreases.
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ANS: F T L A

Feedback
A A larger percentage of minorities are enrolled in nursing educational programs
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than previously. L
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B Asians and Native Hawaiian-Pacific Islanders are over represented in nursing L
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compared to their percentage of the general population. FT L L
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, C Not only would the percentage of African American and Hispanic nurses need
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to increase, the percentage of White nurses would have to decrease in order to
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more accurately reflect the population as a whole.
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D The non-White portion of the general population is not likely to decrease.
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PTS: F T L F T L 1 DIF: Cognitive Level: Comprehension L
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3. Which of the following is a correct statement about the registered nurse (RN) population?
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a. The racial/ethnic composition of RNs closely resembles that of the general
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population.
b. The number of men entering nursing has decreased steadily over the last decade.
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c. The rate of aging of RNs has slowed for the first time in the past 30 years.
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d. The majority of employed RNs working full time must work a second position.
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ANS: F T L C

Feedback
A The racial/ethnic composition of RNs is increasing, but does not approximate
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their percentage of the overall population. FT L FT L L
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B The number of men entering nursing is increasing.
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C The average age of RNs in both 2004 and 2008 was 46.
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D The average age of BSN graduates is 25. FT L FT L FT L L
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PTS: F T L F T L 1 DIF: Cognitive Level: Knowledge L
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4. Which of the following best describes trends in nursing education?
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a. 45% of nurses receive their degree from a university setting.
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b. Numbers of RNs with associate degrees are decreasing. FT L FT L FT L FT L FT L L
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c. Foreign-born nurses practicing in the United States are seen as less knowledgeable L
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d. Numbers of RNs with diploma educations are increasing. L
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ANS: F T L A

Feedback
A 45% of nurses report receiving their degree from a university setting.
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B The majority of nurses in this country get their initial nursing education in
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associate degree in nursing (ADN) programs. L
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C Foreign-born nurses practicing in the United States may be viewed as less L
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knowledgeable by their peers because of language and cultural differences. FT L FT L L
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D The numbers of diploma-educated nurses are declining.
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PTS: F T L F T L 1 DIF: Cognitive Level: Knowledge L
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5. Despite the variety of work settings available to the RN, data indicate that the primary work site for
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RNs is
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a. ambulatory care settings. L
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b. community health settings. L
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, c. long-term care facilities. L
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d. acute care hospitals. FT L FT L




ANS: F T L D

Feedback
A Ambulatory care settings account for about 10.5% of RNs’ places of L
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employment.
B Public health and community health settings account for 7.8% of employed
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RNs.
C Long-term care facilities account for 5.3% of RNs’ places of employment. L
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D Statistics show that 63.2% of RNs work in acute care hospitals. FT L L
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PTS: F T L F T L 1 DIF: Cognitive Level: Knowledge L
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6. One important advantage of clinical ladder programs for hospital-based RNs is that they
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a. allow career advancement for nurses who choose to remain at the bedside.
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b. encourage nurses to move into management positions in which they can influence L
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patient care on a broader scale. FT L L
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c. encourage RNs to become politically active and guide the profession of nursing. FT L FT L FT L FT L FT L L
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d. provide training to staff nurses so they can move seamlessly across departments.
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ANS: F T L A

Feedback
A Clinical ladder programs allow nurses to advance professionally while L
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remaining at the bedside. FT L L
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B Clinical ladder programs are designed to keep proficient nurses at the bedside. L
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C Encouraging RNs to become politically active and guide the profession of FT L L
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nursing is not the goal of clinical ladder programs. FT L FTL L
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D Clinical ladder programs are not designed to facilitate transfer between L
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departments.

PTS: F T L F T L 1 DIF: Cognitive Level: Comprehension L
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7. Which of the following statements is correct about community health nursing (CHN)?
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a. Prevention and community education are the cornerstones of CHN. FT L FT L L
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b. Nursing care is rapidly moving from the home setting to the institutional setting.
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c. High-tech care such as ventilators and total parenteral nutrition cannot be handled FT L L
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d. Assessment skills are less important in CHN because patients are not acutely ill. FT L L
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ANS: F T L A

Feedback
A The community health nurse provides educational programs in health
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maintenance, disease prevention, nutrition, and child care. L
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B Care is moving into the home setting. FT L L
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C Home care is increasing in complexity. FT L FT L FT L FT L L
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, D Community health nurses must have excellent assessment skills as they do not L
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have the immediate backup that an acute care facility offers.
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PTS: F T L F T L 1 DIF: Cognitive Level: Comprehension FT L FT L




8. Which of the following is true about occupational nurse roles?
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a. They must have the ability to work independently. L
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b. They must have good interpersonal skills. L
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c. They must be skilled at avoiding conflict. L
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d. They must have a minimum of a bachelor’s degree in nursing.
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ANS: F T L B

Feedback
A Occupational nurses must be able to work well independently, and with others. L
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B Occupational nurses must have good interpersonal skills to be successful. L
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C Occupational nurses must be able to manage conflict and stressful situations. L
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D Occupational nurses may practice with an associates degree in nursing. FT L FT L L
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PTS: F T L F T L 1 DIF: Cognitive Level: Analysis FT L FT L




9. The major benefit of serving as a military nurse is
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a. broader responsibilities and scope of practice than civilian nurses. L
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b. working with entirely baccalaureate-prepared peers on active duty. L
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c. serving as an officer on active duty or in the reserves. FT L L
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d. the financial support to seek advanced degrees.
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ANS: F T L D

Feedback
A Although military nurses do have broader responsibilities and scopes of practice FT L L
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than civilian nurses do, this is not the major benefit.
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B Although military nurses do work with entirely baccalaureate-prepared peers on FT L L
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active duty, this is not the major benefit. L
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C Although military nurses serve as officers on active duty or in the reserves, this FT L L
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is not the major benefit.
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D Advanced education is supported by the military financially and also allows for L
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promotion in rank at an accelerated pace. L
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PTS: F T L F T L 1 DIF: Cognitive Level: Comprehension FT L L
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10. Which of the following statements explains why the school nurse of today is truly a community health
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nurse?
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a. The school nurse may be called on to care for a student’s family members in
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underserved areas. L
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b. The school nurse’s primary responsibility is centered on the well child.
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c. The school nurse’s primary responsibility is to maintain immunization records.
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d. The school nurse must be certified in CHN. L
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