GETTING STARTED IN TEACHING FOR
NURSING AND THE HEALTH
PROFESSIONS
1ST EDITION
• AUTHOR(S)JUDITH A. HALSTEAD;
DIANE M. BILLINGS
TEST BANK
1
Reference
Ch. 1 — Introduction to curriculum development
Stem
A graduate nursing faculty committee is reviewing a legacy
curriculum that produces graduates who struggle with care
coordination in community settings. As the curriculum lead, you
must decide how to prioritize revisions. Which initial
curriculum-development action most effectively aligns with
competency-based curriculum principles?
Page | 1
,A. Conduct a curriculum mapping exercise against current
competency frameworks and stakeholder expectations.
B. Replace existing courses with a single integrated course on
community health.
C. Immediately add more clinical practicum hours focused on
community placements.
D. Hire adjunct faculty who specialize in community nursing and
delegate redesign to them.
Correct answer: A
Rationales
Correct (A): Mapping identifies gaps, redundancies, and
alignment with competencies and stakeholder needs; it
provides data to inform targeted changes consistent with
competency-based curriculum design. Mapping supports
evidence-based prioritization before structural or resourcing
changes.
Incorrect (B): Creating a single integrated course without
mapping risks misalignment, unanticipated gaps, and loss of
scaffolding. It’s a structural change that should follow needs
analysis.
Incorrect (C): Increasing practicum hours may help but is a
narrow, resource-heavy solution and may not address curricular
content or competency alignment revealed by mapping.
Incorrect (D): Outsourcing redesign to adjuncts avoids faculty
ownership and may impair sustainability and alignment with
program outcomes.
Page | 2
,Teaching point
Begin with curriculum mapping to align outcomes, content, and
assessment.
Citation
Halstead, J. A., & Billings, D. M. (2025). Getting Started in
Teaching for Nursing and the Health Professions (1st Ed.). Ch. 1.
2
Reference
Ch. 1 — Introduction to curriculum development
Stem
During a program review you find students perform well on
knowledge tests but weakly on clinical judgment and
interprofessional communication. As a faculty developer, which
curriculum evaluation strategy most directly identifies whether
assessments measure the intended competencies?
A. Survey graduates about employment satisfaction.
B. Perform blueprinting of assessments to competency
outcomes.
C. Increase the number of multiple-choice exams to improve
reliability.
D. Implement a standardized end-of-program OSCE without
reviewing current assessment alignment.
Correct answer: B
Page | 3
, Rationales
Correct (B): Blueprinting links each assessment item to specific
competencies and outcomes, revealing coverage gaps and
misalignment between what’s taught and what’s assessed—
essential for competency-based programs.
Incorrect (A): Graduate satisfaction gives broad feedback but
won’t identify specific assessment-to-competency mapping
issues.
Incorrect (C): More MCQs can increase reliability but won't
measure clinical judgment or communication if content isn't
aligned; format must match competency.
Incorrect (D): Adding an OSCE may help but should follow
alignment review; introducing new assessments without
blueprinting risks redundancy or misplacement.
Teaching point
Blueprint assessments to program competencies before
changing assessment formats.
Citation
Halstead, J. A., & Billings, D. M. (2025). Getting Started in
Teaching for Nursing and the Health Professions (1st Ed.). Ch. 1.
3
Reference
Faculty role and responsibilities in curriculum development
Page | 4
NURSING AND THE HEALTH
PROFESSIONS
1ST EDITION
• AUTHOR(S)JUDITH A. HALSTEAD;
DIANE M. BILLINGS
TEST BANK
1
Reference
Ch. 1 — Introduction to curriculum development
Stem
A graduate nursing faculty committee is reviewing a legacy
curriculum that produces graduates who struggle with care
coordination in community settings. As the curriculum lead, you
must decide how to prioritize revisions. Which initial
curriculum-development action most effectively aligns with
competency-based curriculum principles?
Page | 1
,A. Conduct a curriculum mapping exercise against current
competency frameworks and stakeholder expectations.
B. Replace existing courses with a single integrated course on
community health.
C. Immediately add more clinical practicum hours focused on
community placements.
D. Hire adjunct faculty who specialize in community nursing and
delegate redesign to them.
Correct answer: A
Rationales
Correct (A): Mapping identifies gaps, redundancies, and
alignment with competencies and stakeholder needs; it
provides data to inform targeted changes consistent with
competency-based curriculum design. Mapping supports
evidence-based prioritization before structural or resourcing
changes.
Incorrect (B): Creating a single integrated course without
mapping risks misalignment, unanticipated gaps, and loss of
scaffolding. It’s a structural change that should follow needs
analysis.
Incorrect (C): Increasing practicum hours may help but is a
narrow, resource-heavy solution and may not address curricular
content or competency alignment revealed by mapping.
Incorrect (D): Outsourcing redesign to adjuncts avoids faculty
ownership and may impair sustainability and alignment with
program outcomes.
Page | 2
,Teaching point
Begin with curriculum mapping to align outcomes, content, and
assessment.
Citation
Halstead, J. A., & Billings, D. M. (2025). Getting Started in
Teaching for Nursing and the Health Professions (1st Ed.). Ch. 1.
2
Reference
Ch. 1 — Introduction to curriculum development
Stem
During a program review you find students perform well on
knowledge tests but weakly on clinical judgment and
interprofessional communication. As a faculty developer, which
curriculum evaluation strategy most directly identifies whether
assessments measure the intended competencies?
A. Survey graduates about employment satisfaction.
B. Perform blueprinting of assessments to competency
outcomes.
C. Increase the number of multiple-choice exams to improve
reliability.
D. Implement a standardized end-of-program OSCE without
reviewing current assessment alignment.
Correct answer: B
Page | 3
, Rationales
Correct (B): Blueprinting links each assessment item to specific
competencies and outcomes, revealing coverage gaps and
misalignment between what’s taught and what’s assessed—
essential for competency-based programs.
Incorrect (A): Graduate satisfaction gives broad feedback but
won’t identify specific assessment-to-competency mapping
issues.
Incorrect (C): More MCQs can increase reliability but won't
measure clinical judgment or communication if content isn't
aligned; format must match competency.
Incorrect (D): Adding an OSCE may help but should follow
alignment review; introducing new assessments without
blueprinting risks redundancy or misplacement.
Teaching point
Blueprint assessments to program competencies before
changing assessment formats.
Citation
Halstead, J. A., & Billings, D. M. (2025). Getting Started in
Teaching for Nursing and the Health Professions (1st Ed.). Ch. 1.
3
Reference
Faculty role and responsibilities in curriculum development
Page | 4
