,Chapter 01: Nursing inToday’s Evolving HealthCare Environment Black:
x1 x1 x1 x1 x1 x1 x1 x1 x1
ProfessionalNursing:ConceptsandChallenges,10thEdition
x1 x1 x1 x1 x1 x1 x1
MULTIPLE CHOICE x1
1. Whichofthe following could eventuallychange the historical statusof
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1 nursing as a female-dominated profession? x1 x1 x1 x1
a. More mengraduating frombaccalaureate and higher degree x1 x1 x1 x1 x1 x1 x1
programs
b. The proportionof men in nursing beginning to increase
x1 x1 x1 x1 x1 x1 x1 x1
c. More male graduatesof basic nursing programs entering the x1 x1 x1 x1 x1 x1 x1 x1
workplace
d. Salarycompensation increasing to attract more men x1 x1 x1 x1 x1 x1
ANS: x 1 C
Feedback
A “More mengraduating frombaccalaureate and higher degree programs” isnot x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
the best answer because associate degree programs producethe majorityof new
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
graduates.
x1
B Thepercentage of men in nursing has increased 50% since 2000.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
C The more menwho enter the workplace as nurses, the less nursing will be seen
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
as a female-dominated profession.
x1 x1 x1
D Salaryrates do not appear to relateto the recruitment of men into nursing. x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
PTS: x 1 x 1 1 DIF: CognitiveLevel: Comprehension x1 x1
2. The racialand ethnic compositionof the nursing professionwillchange to more accurately reflect the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
population as a whole when
x1 x1 x1 x1 x1
a. the increased numbers ofracialand ethnic minorities enrolled ineducational
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
programs graduate and begin to practice. x1 x1 x1 x1 x 1
b. the number ofAsians or Native Hawaiian-Pacific Islanders begins to increase.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. the percentage ofAfrican Americanand Hispanic nurses decreases morethanthe
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
percentage of White nurses.
x1 x1 x1 x1
d. the non-White portion ofthe generalpopulation decreases.
x1 x1 x1 x1 x1 x1 x1
ANS: x 1 A
Feedback
A Alarger percentage of minorities are enrolled in nursing educationalprograms
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
than previously. x1
B Asians and Native Hawaiian-Pacific Islanders are over represented in nursing x1 x1 x1 x1 x1 x1 x1 x1 x1
compared to their percentage ofthe general population. x1 x1 x1 x1 x1 x1 x1
, C Not only would the percentage ofAfrican American and Hispanic nurses need
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
to increase, the percentage ofWhite nurses would have to decrease inorderto more
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
accurately reflect the population as a whole.
x1 x1 x1 x1 x1 x1 x1
D The non-White portion ofthe general population is not likelyto decrease.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
PTS: x 1 x 1 1 DIF: CognitiveLevel: Comprehension x1 x1
3. Whichofthe following is a correct statement aboutthe registered nurse (RN) population?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. The racial/ethnic composition ofRNs closely resembles that ofthe general
x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1
population.
b. The number of menentering nursing has decreased steadilyover the last decade.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. The rate of aging ofRNs has slowed for the first time in the past 30 years.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. The majorityofemployed RNs working fulltime must work a second position.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: x 1 C
Feedback
A The racial/ethnic compositionofRNs is increasing, but does not approximate
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
their percentage ofthe overallpopulation. x1 x1 x1 x1 x1
B The number of menentering nursing is increasing.
x1 x1 x1 x1 x1 x1 x1
C The average age ofRNs in both 2004 and 2008 was 46.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
D The average age ofBSN graduates is 25. x1 x1 x1 x1 x1 x1 x1
PTS: x 1 x 1 1 DIF: CognitiveLevel: Knowledge x1 x1
4. Whichofthe following best describes trends in nursing education?
x1 x1 x1 x1 x1 x1 x1 x1 x1
a. 45% of nurses receive their degree froma universitysetting.
x1 x1 x1 x1 x1 x1 x1 x1 x1
b. Numbers ofRNs with associate degrees are decreasing. x1 x1 x1 x1 x1 x1 x1
c. Foreign-born nurses practicing inthe United States are seenas less knowledgeable x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
because of their lesser educational preparation.
x1 x1 x1 x1 x1 x1
d. Numbers of RNs with diploma educations are increasing. x1 x1 x1 x1 x1 x1 x1
ANS: x 1 A
Feedback
A 45% ofnurses report receiving their degree froma university setting.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
B The majorityof nurses inthis countryget their initial nursing education in
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
associate degree innursing (ADN) programs. x1 x1 x1 x1 x1
C Foreign-born nurses practicing inthe United States maybe viewed as less x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1
knowledgeable bytheir peers because of language and culturaldifferences. x1 x1 x1 x1 x1 x1 x1 x1 x1
D The numbers of diploma-educated nurses are declining.
x1 x1 x1 x1 x1 x1
PTS: x 1 x 1 1 DIF: CognitiveLevel: Knowledge x1 x1
5. Despite the varietyof worksettings available to the RN, data indicate that the primarywork site for RNs is
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. ambulatorycare settings. x1 x1
b. communityhealthsettings. x1 x1
, c. long-termcare facilities. x1 x1
d. acute care hospitals. x1 x1
ANS: x 1 D
Feedback
A Ambulatorycare settings account for about 10.5% ofRNs’ places of x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
employment.
B Public health and community health settings account for 7.8% of employed
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
RNs.
C Long-termcare facilities account for 5.3% of RNs’ places of employment. x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
D Statistics show that 63.2%of RNs work in acute care hospitals. x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
PTS: x 1 x 1 1 DIF: CognitiveLevel: Knowledge x1 x1
6. One important advantage ofclinical ladder programs for hospital-based RNs is that they
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. allowcareer advancement for nurses who choose to remain at the bedside.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
b. encourage nurses to move into management positions in whichtheycan influence x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
patient care on a broader scale. x1 x1 x1 x1 x1
c. encourage RNs to become politicallyactive and guide the profession of nursing. x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. provide training to staff nurses so theycan move seamlesslyacross departments.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: x 1 A
Feedback
A Clinical ladder programs allow nursesto advance professionallywhile x1 x1 x1 x1 x1 x1 x1 x1
remaining at the bedside. x1 x1 x1
B Clinical ladder programs are designed to keep proficient nurses at the bedside.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
C Encouraging RNs to become politicallyactive and guide the professionof x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nursing is not the goalofclinical ladder programs. x1 x1 x1 x1 x1 x1 x1 x1
D Clinical ladder programs are not designed to facilitatetransfer between x1 x1 x1 x1 x1 x1 x1 x1 x1
departments.
PTS: x 1 x 1 1 DIF: CognitiveLevel: Comprehension x1 x1
7. Whichofthe following statements iscorrect about community healthnursing (CHN)?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Prevention and communityeducation are the cornerstones ofCHN. x1 x1 x1 x1 x1 x1 x1 x1
b. Nursing care is rapidlymoving fromthe home setting to the institutional setting.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. High-techcare such as ventilators andtotalparenteralnutritioncannot be handled in the x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
home.
x1
d. Assessment skills are less important inCHN because patients are not acutely ill. x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: x 1 A
Feedback
A The communityhealthnurse provides educationalprograms in health
x1 x1 x1 x1 x1 x1 x1 x1
maintenance,diseaseprevention, nutrition, and child care. x1 x1 x1 x1 x1 x1
B Care is moving into the home setting. x1 x1 x1 x1 x1 x1
C Home care is increasing incomplexity. x1 x1 x1 x1 x1
x1 x1 x1 x1 x1 x1 x1 x1 x1
ProfessionalNursing:ConceptsandChallenges,10thEdition
x1 x1 x1 x1 x1 x1 x1
MULTIPLE CHOICE x1
1. Whichofthe following could eventuallychange the historical statusof
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1 nursing as a female-dominated profession? x1 x1 x1 x1
a. More mengraduating frombaccalaureate and higher degree x1 x1 x1 x1 x1 x1 x1
programs
b. The proportionof men in nursing beginning to increase
x1 x1 x1 x1 x1 x1 x1 x1
c. More male graduatesof basic nursing programs entering the x1 x1 x1 x1 x1 x1 x1 x1
workplace
d. Salarycompensation increasing to attract more men x1 x1 x1 x1 x1 x1
ANS: x 1 C
Feedback
A “More mengraduating frombaccalaureate and higher degree programs” isnot x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
the best answer because associate degree programs producethe majorityof new
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
graduates.
x1
B Thepercentage of men in nursing has increased 50% since 2000.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
C The more menwho enter the workplace as nurses, the less nursing will be seen
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
as a female-dominated profession.
x1 x1 x1
D Salaryrates do not appear to relateto the recruitment of men into nursing. x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
PTS: x 1 x 1 1 DIF: CognitiveLevel: Comprehension x1 x1
2. The racialand ethnic compositionof the nursing professionwillchange to more accurately reflect the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
population as a whole when
x1 x1 x1 x1 x1
a. the increased numbers ofracialand ethnic minorities enrolled ineducational
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
programs graduate and begin to practice. x1 x1 x1 x1 x 1
b. the number ofAsians or Native Hawaiian-Pacific Islanders begins to increase.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. the percentage ofAfrican Americanand Hispanic nurses decreases morethanthe
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
percentage of White nurses.
x1 x1 x1 x1
d. the non-White portion ofthe generalpopulation decreases.
x1 x1 x1 x1 x1 x1 x1
ANS: x 1 A
Feedback
A Alarger percentage of minorities are enrolled in nursing educationalprograms
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
than previously. x1
B Asians and Native Hawaiian-Pacific Islanders are over represented in nursing x1 x1 x1 x1 x1 x1 x1 x1 x1
compared to their percentage ofthe general population. x1 x1 x1 x1 x1 x1 x1
, C Not only would the percentage ofAfrican American and Hispanic nurses need
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
to increase, the percentage ofWhite nurses would have to decrease inorderto more
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
accurately reflect the population as a whole.
x1 x1 x1 x1 x1 x1 x1
D The non-White portion ofthe general population is not likelyto decrease.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
PTS: x 1 x 1 1 DIF: CognitiveLevel: Comprehension x1 x1
3. Whichofthe following is a correct statement aboutthe registered nurse (RN) population?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. The racial/ethnic composition ofRNs closely resembles that ofthe general
x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1
population.
b. The number of menentering nursing has decreased steadilyover the last decade.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. The rate of aging ofRNs has slowed for the first time in the past 30 years.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. The majorityofemployed RNs working fulltime must work a second position.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: x 1 C
Feedback
A The racial/ethnic compositionofRNs is increasing, but does not approximate
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
their percentage ofthe overallpopulation. x1 x1 x1 x1 x1
B The number of menentering nursing is increasing.
x1 x1 x1 x1 x1 x1 x1
C The average age ofRNs in both 2004 and 2008 was 46.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
D The average age ofBSN graduates is 25. x1 x1 x1 x1 x1 x1 x1
PTS: x 1 x 1 1 DIF: CognitiveLevel: Knowledge x1 x1
4. Whichofthe following best describes trends in nursing education?
x1 x1 x1 x1 x1 x1 x1 x1 x1
a. 45% of nurses receive their degree froma universitysetting.
x1 x1 x1 x1 x1 x1 x1 x1 x1
b. Numbers ofRNs with associate degrees are decreasing. x1 x1 x1 x1 x1 x1 x1
c. Foreign-born nurses practicing inthe United States are seenas less knowledgeable x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
because of their lesser educational preparation.
x1 x1 x1 x1 x1 x1
d. Numbers of RNs with diploma educations are increasing. x1 x1 x1 x1 x1 x1 x1
ANS: x 1 A
Feedback
A 45% ofnurses report receiving their degree froma university setting.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
B The majorityof nurses inthis countryget their initial nursing education in
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
associate degree innursing (ADN) programs. x1 x1 x1 x1 x1
C Foreign-born nurses practicing inthe United States maybe viewed as less x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1
knowledgeable bytheir peers because of language and culturaldifferences. x1 x1 x1 x1 x1 x1 x1 x1 x1
D The numbers of diploma-educated nurses are declining.
x1 x1 x1 x1 x1 x1
PTS: x 1 x 1 1 DIF: CognitiveLevel: Knowledge x1 x1
5. Despite the varietyof worksettings available to the RN, data indicate that the primarywork site for RNs is
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. ambulatorycare settings. x1 x1
b. communityhealthsettings. x1 x1
, c. long-termcare facilities. x1 x1
d. acute care hospitals. x1 x1
ANS: x 1 D
Feedback
A Ambulatorycare settings account for about 10.5% ofRNs’ places of x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
employment.
B Public health and community health settings account for 7.8% of employed
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
RNs.
C Long-termcare facilities account for 5.3% of RNs’ places of employment. x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
D Statistics show that 63.2%of RNs work in acute care hospitals. x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
PTS: x 1 x 1 1 DIF: CognitiveLevel: Knowledge x1 x1
6. One important advantage ofclinical ladder programs for hospital-based RNs is that they
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. allowcareer advancement for nurses who choose to remain at the bedside.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
b. encourage nurses to move into management positions in whichtheycan influence x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
patient care on a broader scale. x1 x1 x1 x1 x1
c. encourage RNs to become politicallyactive and guide the profession of nursing. x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. provide training to staff nurses so theycan move seamlesslyacross departments.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: x 1 A
Feedback
A Clinical ladder programs allow nursesto advance professionallywhile x1 x1 x1 x1 x1 x1 x1 x1
remaining at the bedside. x1 x1 x1
B Clinical ladder programs are designed to keep proficient nurses at the bedside.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
C Encouraging RNs to become politicallyactive and guide the professionof x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nursing is not the goalofclinical ladder programs. x1 x1 x1 x1 x1 x1 x1 x1
D Clinical ladder programs are not designed to facilitatetransfer between x1 x1 x1 x1 x1 x1 x1 x1 x1
departments.
PTS: x 1 x 1 1 DIF: CognitiveLevel: Comprehension x1 x1
7. Whichofthe following statements iscorrect about community healthnursing (CHN)?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Prevention and communityeducation are the cornerstones ofCHN. x1 x1 x1 x1 x1 x1 x1 x1
b. Nursing care is rapidlymoving fromthe home setting to the institutional setting.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. High-techcare such as ventilators andtotalparenteralnutritioncannot be handled in the x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
home.
x1
d. Assessment skills are less important inCHN because patients are not acutely ill. x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: x 1 A
Feedback
A The communityhealthnurse provides educationalprograms in health
x1 x1 x1 x1 x1 x1 x1 x1
maintenance,diseaseprevention, nutrition, and child care. x1 x1 x1 x1 x1 x1
B Care is moving into the home setting. x1 x1 x1 x1 x1 x1
C Home care is increasing incomplexity. x1 x1 x1 x1 x1
