Professional Nursing: Concepts & Challenges, 9th Edition
Test Bank
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 Asians and Native Hawaiian-Pacific Islanders are over represented in nursing
compared to their percentage of the general population.
C Not only would the percentage of African-American and Hispanic nurses need to
increase, the percentage of white nurses would have to decrease in order to more
accurately reflect the population as a whole.
D The nonwhite portion of the general population is not likely to decrease.
DIF: Cognitive Level: Comprehension REF: MCS: 3
3. Which of the following is a correct statement about the registered nurse (RN) population?
a. The racial/ethnic composition of RNs closely resembles that of the general population.
b. The number of men entering nursing has decreased steadily over the last decade.
c. The rate of aging of RNs has slowed for the first time in the past 30 years.
d. The majority of employed RNs working full time must work a second position.
ANS: C
Feedback
A The racial/ethnic composition of RNs is increasing, but does not approximate their
percentage of the overall population.
B The number of men entering nursing is increasing.
C The average age of RNs in both 2004 and 2008 was 46. This is a result of the
numbers of RNs under 30 in the workforce.
D According to 2008 data, only 12% of nurses working full time hold second
positions.
DIF: Cognitive Level: Knowledge REF: MCS: 3
4. Which of the following best describes trends in nursing education?
a. Numbers of RNs with bachelors and higher degrees are increasing.
b. Numbers of RNs with associate degrees are decreasing.
,c. Foreign-born nurses practicing in the United States are seen as less knowledgeable because
of their lesser educational preparation.
d. Numbers of RNs with diploma educations are increasing.
ANS: A
Feedback
A Slightly over 50% of RNs eventually obtain their bachelors of science in nursing (BSN)
or a higher nursing degree.
B The majority of nurses in this country get their initial nursing education in associate
degree in nursing (ADN) programs.
C Foreign-born nurses practicing in the United States may be viewed as less
knowledgeable by their peers because of language and cultural differences.
D The numbers of diploma-educated nurses are declining.
DIF: Cognitive Level: Knowledge REF: MCS: 4
5. Despite the variety of work settings available to the RN, data from 2008 indicate that the
primary work site for RNs is
a. ambulatory care settings.
b. community health settings.
c. long-term care facilities.
d. acute care hospitals.
ANS: D
Feedback
As1 Ambulatorys1cares1settingss1accounts1fors1abouts110.5%s1ofs1RNss1placess1ofs1 employment.
Bs1 Publics1 healths1 ands1 communitys1 healths1 settingss1 accounts1 fors1 7.8%s1ofs1 employeds1 RNs.
Cs 1 Long-terms1cares1facilitiess1accounts1fors15.3%s1ofs1RNss1placess1ofs1employment.
Ds 1 Statisticss1shows1thats162.2%s1ofs1RNss1works1ins1acutes1cares1hospitals.
DIF:s1Cognitives1Level:s1Knowledges1REF:s1MCS:s15
6. Ones1importants1advantages1ofs1clinicals1ladders1programss1fors1hospital-
baseds1RNss1iss1thats1they
, a. Allows1careers1advancements1fors1nursess1whos1chooses1tos1remains1ats1thes1bedside.
b. Encourages1nursess1tos1moves1intos1managements1positionss1ins1whichs1theys1cans1influenc
es1patients1cares1ons1as1broaders1scale.
c. Encourages1RNss1tos1becomes1politicallys1actives1ands1guides1thes1professions1ofs1nursing.
d. Provides1trainings1tos1staffs1nursess1sos1theys1cans1moves1seamlesslys1acrosss1departments.
ANS:s1A
Feedback
A Clinicals1ladders1programss1allows1nursess1tos1advances1professionallys1whiles1remai
nings1ats1thes1bedside.
B Clinicals1ladders1programss1ares1designeds1tos1keeps1proficients1nursess1ats1thes1bedside.
C Encouragings1RNss1tos1becomes1politicallys1actives1ands1guides1thes1professions1ofs
1nursings1iss1nots1thes1goals1ofs1clinicals1ladders1programs.
D Clinicals1ladders1programss1ares1nots1designeds1tos1facilitates1transfers1b
etweens1departments.
DIF:s1Cognitives1Level:s1Comprehensions1REF:s1MCS:s17
7. Whichs1ofs1thes1followings1statementss1iss1corrects1abouts1communitys1healths1nursings1(CHN)?
a. Preventions1ands1communitys1educations1ares1thes1cornerstoness1ofs1CHN.
b. Nursings1cares1iss1rapidlys1movings1froms1thes1homes1settings1tos1thes1institutionals1setting.
c. High-
techs1cares1suchs1ass1ventilatorss1ands1totals1parenterals1nutritions1cannots1bes1handleds1in
s1thes1home.
d. Assessments1skillss1ares1lesss1importants1ins1CHNs1becauses1patientss1ares1nots1acutelys1ill.
ANS:s1A
Feedback
A Thes1communitys1healths1nurses1providess1educationals1programss1ins1healths1maint
enance,s1diseases1prevention,s1nutrition,s1ands1childs1care.
B Cares1iss1movings1intos1thes1homes1setting.
C Homes1cares1iss1increasings1ins1complexity.
D Communitys1healths1nursess1musts1haves1excellents1assessments1skillss1ass1theys1dos1
nots1haves1thes1immediates1backups1thats1ans1acutes1cares1facilitys1offers.
DIF:s1Cognitives1Level:s1Comprehensions1REF:s1MCS:s19
8. Whichs1ofs1thes1followings1iss1mosts1essentials1fors1thes1nurses1entrepreneurs1tos1bes1successful?
a. Abilitys1tos1takes1directions1well
Test Bank
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 Asians and Native Hawaiian-Pacific Islanders are over represented in nursing
compared to their percentage of the general population.
C Not only would the percentage of African-American and Hispanic nurses need to
increase, the percentage of white nurses would have to decrease in order to more
accurately reflect the population as a whole.
D The nonwhite portion of the general population is not likely to decrease.
DIF: Cognitive Level: Comprehension REF: MCS: 3
3. Which of the following is a correct statement about the registered nurse (RN) population?
a. The racial/ethnic composition of RNs closely resembles that of the general population.
b. The number of men entering nursing has decreased steadily over the last decade.
c. The rate of aging of RNs has slowed for the first time in the past 30 years.
d. The majority of employed RNs working full time must work a second position.
ANS: C
Feedback
A The racial/ethnic composition of RNs is increasing, but does not approximate their
percentage of the overall population.
B The number of men entering nursing is increasing.
C The average age of RNs in both 2004 and 2008 was 46. This is a result of the
numbers of RNs under 30 in the workforce.
D According to 2008 data, only 12% of nurses working full time hold second
positions.
DIF: Cognitive Level: Knowledge REF: MCS: 3
4. Which of the following best describes trends in nursing education?
a. Numbers of RNs with bachelors and higher degrees are increasing.
b. Numbers of RNs with associate degrees are decreasing.
,c. Foreign-born nurses practicing in the United States are seen as less knowledgeable because
of their lesser educational preparation.
d. Numbers of RNs with diploma educations are increasing.
ANS: A
Feedback
A Slightly over 50% of RNs eventually obtain their bachelors of science in nursing (BSN)
or a higher nursing degree.
B The majority of nurses in this country get their initial nursing education in associate
degree in nursing (ADN) programs.
C Foreign-born nurses practicing in the United States may be viewed as less
knowledgeable by their peers because of language and cultural differences.
D The numbers of diploma-educated nurses are declining.
DIF: Cognitive Level: Knowledge REF: MCS: 4
5. Despite the variety of work settings available to the RN, data from 2008 indicate that the
primary work site for RNs is
a. ambulatory care settings.
b. community health settings.
c. long-term care facilities.
d. acute care hospitals.
ANS: D
Feedback
As1 Ambulatorys1cares1settingss1accounts1fors1abouts110.5%s1ofs1RNss1placess1ofs1 employment.
Bs1 Publics1 healths1 ands1 communitys1 healths1 settingss1 accounts1 fors1 7.8%s1ofs1 employeds1 RNs.
Cs 1 Long-terms1cares1facilitiess1accounts1fors15.3%s1ofs1RNss1placess1ofs1employment.
Ds 1 Statisticss1shows1thats162.2%s1ofs1RNss1works1ins1acutes1cares1hospitals.
DIF:s1Cognitives1Level:s1Knowledges1REF:s1MCS:s15
6. Ones1importants1advantages1ofs1clinicals1ladders1programss1fors1hospital-
baseds1RNss1iss1thats1they
, a. Allows1careers1advancements1fors1nursess1whos1chooses1tos1remains1ats1thes1bedside.
b. Encourages1nursess1tos1moves1intos1managements1positionss1ins1whichs1theys1cans1influenc
es1patients1cares1ons1as1broaders1scale.
c. Encourages1RNss1tos1becomes1politicallys1actives1ands1guides1thes1professions1ofs1nursing.
d. Provides1trainings1tos1staffs1nursess1sos1theys1cans1moves1seamlesslys1acrosss1departments.
ANS:s1A
Feedback
A Clinicals1ladders1programss1allows1nursess1tos1advances1professionallys1whiles1remai
nings1ats1thes1bedside.
B Clinicals1ladders1programss1ares1designeds1tos1keeps1proficients1nursess1ats1thes1bedside.
C Encouragings1RNss1tos1becomes1politicallys1actives1ands1guides1thes1professions1ofs
1nursings1iss1nots1thes1goals1ofs1clinicals1ladders1programs.
D Clinicals1ladders1programss1ares1nots1designeds1tos1facilitates1transfers1b
etweens1departments.
DIF:s1Cognitives1Level:s1Comprehensions1REF:s1MCS:s17
7. Whichs1ofs1thes1followings1statementss1iss1corrects1abouts1communitys1healths1nursings1(CHN)?
a. Preventions1ands1communitys1educations1ares1thes1cornerstoness1ofs1CHN.
b. Nursings1cares1iss1rapidlys1movings1froms1thes1homes1settings1tos1thes1institutionals1setting.
c. High-
techs1cares1suchs1ass1ventilatorss1ands1totals1parenterals1nutritions1cannots1bes1handleds1in
s1thes1home.
d. Assessments1skillss1ares1lesss1importants1ins1CHNs1becauses1patientss1ares1nots1acutelys1ill.
ANS:s1A
Feedback
A Thes1communitys1healths1nurses1providess1educationals1programss1ins1healths1maint
enance,s1diseases1prevention,s1nutrition,s1ands1childs1care.
B Cares1iss1movings1intos1thes1homes1setting.
C Homes1cares1iss1increasings1ins1complexity.
D Communitys1healths1nursess1musts1haves1excellents1assessments1skillss1ass1theys1dos1
nots1haves1thes1immediates1backups1thats1ans1acutes1cares1facilitys1offers.
DIF:s1Cognitives1Level:s1Comprehensions1REF:s1MCS:s19
8. Whichs1ofs1thes1followings1iss1mosts1essentials1fors1thes1nurses1entrepreneurs1tos1bes1successful?
a. Abilitys1tos1takes1directions1well
