,Professional Nursing: Concepts &
Challenges, 9th Edition
Beth Black PhD, RN, FAAN (Author)
Chapter 1.Nursing in Today’s Evolving Health Care
Environment
Chapter 2.The History and Social Context of Nursing
Chapter 3.Nursing’s Pathway to Professionalism
Chapter 4.Nursing Education in an Evolving Health Care
Environment
Chapter 5.Becoming a Professional Nurse: Defining Nursing
and Socialization into Practice
Chapter 6.Nursing as a Regulated Practice: Legal Issues
Chapter 7.Ethics: Basic Concepts for Professional Nursing
Practice
Chapter 8.Conceptual and Philosophical Foundations of
Professional Nursing Practice
Chapter 9.Nursing Theory: The Basis for Professional Nursing
Chapter 10.The Science of Nursing and Evidence-Based
Practice
Chapter 11.Developing Nursing Judgment Through Critical Thinking
Chapter 12.Communication and Collaboration in Professional Nursing
Chapter 13.Nurses, Patients, and Families: Caring at the Intersection of Health, Illness, and
Culture
Chapter 14.Health Care in the United States
Chapter 15.Political Activism in Nursing: Communities, Organizations, Government
Chapter 16.Nursing Challenge: To Continue to Evolve
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 i over i50% iof iRNs ieventually iobtain itheir ibachelors iof iscience iin
inursing i(BSN)or ia ihigher inursing idegree.
B The imajority iof inurses iin ithis icountry iget itheir iinitial inursing ieducation iin
iassociate idegree iin inursing i(ADN) iprograms.
C Foreign-born inurses ipracticing iin ithe iUnited iStates imay ibe iviewed ias iless
iknowledgeable iby itheir ipeers ibecause iof ilanguage iand icultural idifferences.
D The inumbers iof idiploma-educated inurses iare
ideclining. iDIF: iCognitive iLevel: iKnowledge iREF: iMCS: i4
5. Despite ithe ivariety iof iwork isettings iavailable ito ithe iRN, idata ifrom i2008 iindicate ithat
ithe iprimary iwork isite ifor iRNs iis
a. ambulatory icare isettings.
b. community ihealth isettings.
c. long-term icare ifacilities.
d. acute icare ihospitals.
ANS: iD
Feedback
A iAmbulatory icare isettings iaccount ifor iabout i10.5% iof iRNs iplaces iof iemployment. iB iPublic
ihealth iand icommunity ihealth isettings iaccount ifor i7.8% iof iemployed iRNs. iC iLong-term icare
ifacilities iaccount ifor i5.3% iof iRNs iplaces iof iemployment.
D iStatistics ishow ithat i62.2% iof iRNs iwork iin iacute icare ihospitals.
iDIF: iCognitive iLevel: iKnowledge iREF: iMCS: i5
6. One iimportant iadvantage iof iclinical iladder iprograms ifor ihospital-based iRNs iis ithat ithey
a. allow icareer iadvancement ifor inurses iwho ichoose ito iremain iat ithe ibedside.
b. encourage inurses ito imove iinto imanagement ipositions iin iwhich ithey ican iinfluence
ipatient icare ion ia ibroader iscale.
c. encourage iRNs ito ibecome ipolitically iactive iand iguide ithe iprofession iof inursing.
d. provide itraining ito istaff inurses iso ithey ican imove iseamlessly iacross idepartments.
ANS: iA
Feedback
A Clinical iladder iprograms iallow inurses ito iadvance iprofessionally iwhile iremaining iat
ithe ibedside.
B Clinical iladder iprograms iare idesigned ito ikeep iproficient inurses iat ithe ibedside.
C Encouraging iRNs ito ibecome ipolitically iactive iand iguide ithe iprofession iof inursing iis
inot ithe igoal iof iclinical iladder iprograms.
D Clinical iladder iprograms iare inot idesigned ito ifacilitate itransfer ibetween
idepartments. iDIF: iCognitive iLevel: iComprehension iREF: iMCS: i7
7. Which iof ithe ifollowing istatements iis icorrect iabout icommunity ihealth inursing i(CHN)?
a. Prevention iand icommunity ieducation iare ithe icornerstones iof iCHN.
b. Nursing icare iis irapidly imoving ifrom ithe ihome isetting ito ithe iinstitutional isetting.
c. High-tech icare isuch ias iventilators iand itotal iparenteral inutrition icannot ibe ihandled iin
ithe ihome.
d. Assessment iskills iare iless iimportant iin iCHN ibecause ipatients iare inot iacutely iill.
ANS: iA