NUR 313 CONTEMPORARY ISSUES IN
PROFESSIONAL NURSING MIDTERM EXAM
A professor is presenting a lecture on the age of nurses in the work force today. Which
statement by one of the student nurses indicates that the teaching has been effective?
A) "In the past decade, the rate of aging of nurses has increased steadily."
B) "The average age of graduates from nursing programs is 25 years old."
C) "Older nurses are likely to remain in the workforce because the nursing field is
reasonably protected from layoffs experienced by other professions." Correct
D) "One-third of the current workforce is younger than 50 years old."
(Chapter 1) - Answer -C
The increasing number of older nurses who are in the workforce is possibly due to the
recent economic downturn, which resulted in high unemployment rates. The nursing
field is reasonably protected from layoffs that other professions often experience. In the
past decade, the rate of aging nurses has decreased. The average age of graduating
nurses from all nursing programs is 31 years old. One-third of the current workforce is
older than 50 years of age.
The nurse manager has hired a nurse from another country. What action should the
nurse manager take, in order to make the new nurse's transition easier?
A) Allow the new nurse to choose a preceptor.
B) Encourage the new nurse to enroll in a higher education program.
C) Educate the current staff about the new nurse's background.
D) Give the new nurse an assignment as part of training.
(Chapter 1) - Answer -C
Foreign educated nurses often face many challenges when they join the workforce in
the United States. Peers may not see them as knowledgeable, and often devalue them.
The nurse manager should educate the current staff about the new nurse, even allowing
the new nurse to discuss the country of origin. The nurse manager should strive to
make the nurse's transition smooth, by selecting a great preceptor and ensuring the
proper amount of training. Immediately encouraging the new nurse to pursue more
education may be overwhelming, and giving the new nurse as assignment right away
would not be appropriate.
An international nurse recruiter is looking at factors that would push nurses to seek
employment in another country. What should the recruiter expect to push nurses
towards migration?
A) Personal safety
B) Poor working conditions
C) Professional incentives
,D) Better quality of life
(Chapter 1) - Answer -B
Factors that push nurses to seek employment in other countries include: poor working
conditions, poor compensation, political instability and lack of opportunities for career
development. Personal safety, professional incentives and better quality of life are
factors that pull nurses emigrate.
What action should the nurse recruiter take to successfully recruit (pull) a nurse from a
foreign country?
A) Offer the nurse costly benefits.
B) Offer a position with minimal career development.
C) Offer comparable working conditions.
D) Offer personal incentives such as increased pay.
(Chapter 1) - Answer -D
Which statement by the nursing student on theory-based nursing practice indicates a
need for further teaching?
A) "Theory-based nursing practice inhibits autonomy."
B) "Nursing theory develops analytical skills."
C) "Theory provides the language to explain what nurses do."
D) "Theory provides a nursing-based guide for practice."
(Chapter 13 (9 in 8th edition)) - Answer -A
Nursing theory provides a language for the nurse to explain what nurses do, as well as
provide a nursing-based guide for practice. Use of nursing theory develops analytical
skills, as well as contributes to professional autonomy.
The nurse is caring for a terminally ill patient who is near the end of life. The patient has
expressed her desire to not be alone when she dies. Which action by the nurse shows
an incorporation of Watson's caring theory into practice?
A) Strictly following visiting hours.
B ) Impose a time limit for each visitor.
C) Coordinate routine medication passes with visits.
D) Help the patient create a schedule of visitors for each day.
(Chapter 13 (9 in 8th edition)) - Answer -D
Jean Watson's caring theory focuses on the nurse-patient relationship, and creating a
deeper level of caring. The patient has expressed a desire to be with others at the end
of life. It is important that the nurse help the patient create a schedule of visitors each
day, to fulfill the request. The nurse should not strictly follow visiting hours, impose a
,time limit on visitors or interrupt visits with routine medications. Rather, the nurse should
coordinate medication passes around the patient's visits.
Factors that pull nurses to emigrate include: personal incentives such as better pay,
safer working conditions and career development. Factors that push nurses to seek
employment in other countries include poor working conditions, poor compensation,
political instability and lack of opportunities for career development.
The nurse educator is providing a lecture on practice settings for nurses. Which
statement from a new nurse indicates that the teaching has been effective?
A) "The most common practice setting for new nurses is home care."
B) "Hospitals remain the primary worksite for RNs."
C) "Nursing homes employ 10% of the nursing workforce."
D) "Many new nurses gain experience in medical offices."
(Chapter 1) - Answer -B
Hospitals remain the primary worksite for RNs, with 63.2% of RNs employed in either
the inpatient or outpatient setting, which is where many new nurses gain experience
and strengthen skills. Nursing homes employ 5.3% of nurses in the workforce.
The nurse professor is giving a lecture on the origin of nursing practice and care. Which
statement by one of the students indicates that the teaching has been effective?
A) "Nursing care originated in the home and community settings."
B) "Nursing care originated in the hospital setting."
C) "It is unsure where nursing care originated."
D) "Nursing care likely originated in medical offices."
(Chapter 1) - Answer -A
Nursing care originated and was practiced informally in the home and community
settings. Over the last 150 years, nursing care moved into the hospital settings. In more
modern times, nursing care became available in medical offices.
The nurse manager wants to encourage staff nurses to enroll in an RN-BSN program.
Which patient centered outcomes are likely to encourage the staff nurses to obtain a
higher degree level?
A) Nurses with advanced degrees are given more vacation days.
B) Patients cared for by BSN (or higher) prepared nurses have more positive outcomes.
C) Patient satisfaction scores are higher with BSN (or higher) prepared nurses.
D) Patients won't use their call lights as much.
(Chapter 1) - Answer -B
Research has indicated that patients cared for by BSN or higher-prepared RNs have
more positive outcomes. Patients have less complications and better quality of care.
, The nurse educator is giving a presentation on military nursing. Which statement by one
of the attendees indicates that the teaching has been effective?
A) "Military nurses are required to hold an associates degree for active duty."
B) "Military nurses must have at least 5 years of critical care experience."
C) "Military nurses have great opportunities for advanced education."
D) "Military nurses must be 18 to begin active duty."
(Chapter 1) - Answer -C
Military nurses have great opportunities for advanced education, and are supported
during schooling. Tuition, books, moving expenses and even salary are often supplied.
Military nurses are required to hold a BSN for active duty and be between the ages of
21 and 46½ to enter active duty. They are not required to have any specialized previous
experience.
The hospice nurse is caring for a patient who is actively dying. Which actions are
supported by the Hospice Standards of Practice?
A) Reassure the family that the patient is going to be ok.
B) Withhold pain medication so that the patient can communicate with the family.
C) Turn the patient every 2 hours, even if the patient appears to be in pain.
D) Provide culturally sensitive care to the patient and family.
(Chapter 1) - Answer -D
Hospice care strives to improve the patient's quality of life and reduce suffering. It would
be appropriate for the nurse to provide care to the patient and family that is culturally
sensitive. The nurse should sit down with the family and explain the goal of hospice and
methods to keep the patient comfortable, while honoring the dignity of the patient.
The nurse is attending a lecture on the advancements in telehealth. Which statement
from a colleague indicates that the teaching has been effective?
A) "Patient data cannot be remotely monitored."
B) "Telehealth expands healthcare access to underserved populations."
C) "Telehealth is a separate nursing specialty."
D) "The fastest growing applications of these technologies are inpatient hospitals."
(Chapter 1) - Answer -B
Telehealth expands healthcare access to underserved populations, to individuals in
both rural and urban settings. Patient data is remotely monitored-including blood
pressure, blood glucose, oxygen level, etc. Telehealth is not a separate nursing
specialty, but is a part of other nursing roles. While few nurses use telehealth, the fast
growing applications of these technologies are telephone triage, remote monitoring and
homecare.
PROFESSIONAL NURSING MIDTERM EXAM
A professor is presenting a lecture on the age of nurses in the work force today. Which
statement by one of the student nurses indicates that the teaching has been effective?
A) "In the past decade, the rate of aging of nurses has increased steadily."
B) "The average age of graduates from nursing programs is 25 years old."
C) "Older nurses are likely to remain in the workforce because the nursing field is
reasonably protected from layoffs experienced by other professions." Correct
D) "One-third of the current workforce is younger than 50 years old."
(Chapter 1) - Answer -C
The increasing number of older nurses who are in the workforce is possibly due to the
recent economic downturn, which resulted in high unemployment rates. The nursing
field is reasonably protected from layoffs that other professions often experience. In the
past decade, the rate of aging nurses has decreased. The average age of graduating
nurses from all nursing programs is 31 years old. One-third of the current workforce is
older than 50 years of age.
The nurse manager has hired a nurse from another country. What action should the
nurse manager take, in order to make the new nurse's transition easier?
A) Allow the new nurse to choose a preceptor.
B) Encourage the new nurse to enroll in a higher education program.
C) Educate the current staff about the new nurse's background.
D) Give the new nurse an assignment as part of training.
(Chapter 1) - Answer -C
Foreign educated nurses often face many challenges when they join the workforce in
the United States. Peers may not see them as knowledgeable, and often devalue them.
The nurse manager should educate the current staff about the new nurse, even allowing
the new nurse to discuss the country of origin. The nurse manager should strive to
make the nurse's transition smooth, by selecting a great preceptor and ensuring the
proper amount of training. Immediately encouraging the new nurse to pursue more
education may be overwhelming, and giving the new nurse as assignment right away
would not be appropriate.
An international nurse recruiter is looking at factors that would push nurses to seek
employment in another country. What should the recruiter expect to push nurses
towards migration?
A) Personal safety
B) Poor working conditions
C) Professional incentives
,D) Better quality of life
(Chapter 1) - Answer -B
Factors that push nurses to seek employment in other countries include: poor working
conditions, poor compensation, political instability and lack of opportunities for career
development. Personal safety, professional incentives and better quality of life are
factors that pull nurses emigrate.
What action should the nurse recruiter take to successfully recruit (pull) a nurse from a
foreign country?
A) Offer the nurse costly benefits.
B) Offer a position with minimal career development.
C) Offer comparable working conditions.
D) Offer personal incentives such as increased pay.
(Chapter 1) - Answer -D
Which statement by the nursing student on theory-based nursing practice indicates a
need for further teaching?
A) "Theory-based nursing practice inhibits autonomy."
B) "Nursing theory develops analytical skills."
C) "Theory provides the language to explain what nurses do."
D) "Theory provides a nursing-based guide for practice."
(Chapter 13 (9 in 8th edition)) - Answer -A
Nursing theory provides a language for the nurse to explain what nurses do, as well as
provide a nursing-based guide for practice. Use of nursing theory develops analytical
skills, as well as contributes to professional autonomy.
The nurse is caring for a terminally ill patient who is near the end of life. The patient has
expressed her desire to not be alone when she dies. Which action by the nurse shows
an incorporation of Watson's caring theory into practice?
A) Strictly following visiting hours.
B ) Impose a time limit for each visitor.
C) Coordinate routine medication passes with visits.
D) Help the patient create a schedule of visitors for each day.
(Chapter 13 (9 in 8th edition)) - Answer -D
Jean Watson's caring theory focuses on the nurse-patient relationship, and creating a
deeper level of caring. The patient has expressed a desire to be with others at the end
of life. It is important that the nurse help the patient create a schedule of visitors each
day, to fulfill the request. The nurse should not strictly follow visiting hours, impose a
,time limit on visitors or interrupt visits with routine medications. Rather, the nurse should
coordinate medication passes around the patient's visits.
Factors that pull nurses to emigrate include: personal incentives such as better pay,
safer working conditions and career development. Factors that push nurses to seek
employment in other countries include poor working conditions, poor compensation,
political instability and lack of opportunities for career development.
The nurse educator is providing a lecture on practice settings for nurses. Which
statement from a new nurse indicates that the teaching has been effective?
A) "The most common practice setting for new nurses is home care."
B) "Hospitals remain the primary worksite for RNs."
C) "Nursing homes employ 10% of the nursing workforce."
D) "Many new nurses gain experience in medical offices."
(Chapter 1) - Answer -B
Hospitals remain the primary worksite for RNs, with 63.2% of RNs employed in either
the inpatient or outpatient setting, which is where many new nurses gain experience
and strengthen skills. Nursing homes employ 5.3% of nurses in the workforce.
The nurse professor is giving a lecture on the origin of nursing practice and care. Which
statement by one of the students indicates that the teaching has been effective?
A) "Nursing care originated in the home and community settings."
B) "Nursing care originated in the hospital setting."
C) "It is unsure where nursing care originated."
D) "Nursing care likely originated in medical offices."
(Chapter 1) - Answer -A
Nursing care originated and was practiced informally in the home and community
settings. Over the last 150 years, nursing care moved into the hospital settings. In more
modern times, nursing care became available in medical offices.
The nurse manager wants to encourage staff nurses to enroll in an RN-BSN program.
Which patient centered outcomes are likely to encourage the staff nurses to obtain a
higher degree level?
A) Nurses with advanced degrees are given more vacation days.
B) Patients cared for by BSN (or higher) prepared nurses have more positive outcomes.
C) Patient satisfaction scores are higher with BSN (or higher) prepared nurses.
D) Patients won't use their call lights as much.
(Chapter 1) - Answer -B
Research has indicated that patients cared for by BSN or higher-prepared RNs have
more positive outcomes. Patients have less complications and better quality of care.
, The nurse educator is giving a presentation on military nursing. Which statement by one
of the attendees indicates that the teaching has been effective?
A) "Military nurses are required to hold an associates degree for active duty."
B) "Military nurses must have at least 5 years of critical care experience."
C) "Military nurses have great opportunities for advanced education."
D) "Military nurses must be 18 to begin active duty."
(Chapter 1) - Answer -C
Military nurses have great opportunities for advanced education, and are supported
during schooling. Tuition, books, moving expenses and even salary are often supplied.
Military nurses are required to hold a BSN for active duty and be between the ages of
21 and 46½ to enter active duty. They are not required to have any specialized previous
experience.
The hospice nurse is caring for a patient who is actively dying. Which actions are
supported by the Hospice Standards of Practice?
A) Reassure the family that the patient is going to be ok.
B) Withhold pain medication so that the patient can communicate with the family.
C) Turn the patient every 2 hours, even if the patient appears to be in pain.
D) Provide culturally sensitive care to the patient and family.
(Chapter 1) - Answer -D
Hospice care strives to improve the patient's quality of life and reduce suffering. It would
be appropriate for the nurse to provide care to the patient and family that is culturally
sensitive. The nurse should sit down with the family and explain the goal of hospice and
methods to keep the patient comfortable, while honoring the dignity of the patient.
The nurse is attending a lecture on the advancements in telehealth. Which statement
from a colleague indicates that the teaching has been effective?
A) "Patient data cannot be remotely monitored."
B) "Telehealth expands healthcare access to underserved populations."
C) "Telehealth is a separate nursing specialty."
D) "The fastest growing applications of these technologies are inpatient hospitals."
(Chapter 1) - Answer -B
Telehealth expands healthcare access to underserved populations, to individuals in
both rural and urban settings. Patient data is remotely monitored-including blood
pressure, blood glucose, oxygen level, etc. Telehealth is not a separate nursing
specialty, but is a part of other nursing roles. While few nurses use telehealth, the fast
growing applications of these technologies are telephone triage, remote monitoring and
homecare.
