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