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A faculty member explains to students that one concern of the
American Nurses Association's 1965 position statement
designating the baccalaureate degree (BSN)as the educational
entry point for nursing is that A)diploma programs remain the
most popular educational program for nurses. B)it is difficult to
monitor other programs for congruency with BSN programs.
C)multiple educational paths create confusion for the public
and the profession. D)some states are creating different
licensure exams for different pathways. - ANSWER C
The existence of multiple entry paths for nursing education is
confusing both to the public and to aspiring nursing
students,who may have difficulty understanding and
comprehending the differences and what they mean. Diploma
programs have declined sharply in number,with only 47
programs remaining in the United States in 2013. The ANA does
not monitor different programs to evaluate congruency with
BSN programs. States are not creating different licensure
examinations for graduates of different programs.

,2|Page


A hospital-based nursing administrator is responsible for the
diploma nursing program affiliated with that hospital.In
deciding to keep the program open,the administrator develops
changes that address a major historical concern with this type
of program.In doing so,the administrator would most likely
A)arrange for faculty from the local college to teach science
courses. B)limit the hours students are expected to work in the
hospital. C)lower the tuition rate and apply for increased federal
student grants. D)require nursing faculty to be doctorally
prepared to remain on staff. - ANSWER B
Diploma students were traditionally expected to staff the
hospital with which their program was affiliated,often to the
detriment of their educational experiences.This exploitation
was described in several important studies of nursing
education. Traditional diploma programs do not offer college
credit,no matter who teaches the courses. Diploma programs
were expensive to operate and expensive to students,and this
had a part in their decreasing numbers.Federal funding
(through a variety of means)is available for individual
students,and although it is administered by institutions,it is not
granted to the institution itself. Requiring doctorally prepared
faculty would not address an historic concern with diploma
education.

, 3|Page


In analyzing trends within the profession that are correlated to
the rise in baccalaureate nursing (BSN)programs,the nurse
historian would outline that A)degree inflation is contributing to
the demand for BSN programs. B)increased social status and
pay correspond to education at the college level. C)men in
nursing demand an increase in BSN programs compared with
other programs. D)the rise in doctorally prepared nurses
corresponds to an increase in BSN programs. - ANSWER D
BSN programs were often hampered by the lack of faculty
prepared to teach at the collegiate level,which led to a
reluctance of colleges and universities to establish BSN
programs.Doctoral programs have been preparing nurse
scholars and researchers,who have contributed to nursing's
scientific backbone.The rise in these programs can be seen as a
parallel development with the rise in BSN programs. The
proliferation of advanced degrees in nursing is not the result of
degree inflation;rather,it is a response to the increased
sophistication and complexity of the health care environment
today. Although nurses today do enjoy better pay and improved
social status than in the past,this trend is not strongly
correlated to the rise in BSN programs. Men in nursing are not a
driving force for the increase in BSN programs.

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