TEST BANK
CH. 1: Beginning the_ Journey
Q: 1
Which societal changes have promoted the_ nurse’s return to school and further education? (Select all that
apply.)
1. Patients have increasingly more complex and varied health needs.
2. Previously unknown diseases are being identified.
3. New technologies are being developed that require continual knowledge updates.
4. Patients are staying longer in the_ hospital.
5. There is a relative increase in the_ number of children in the_ population.
ANSWER: 1, 2, 3
RAT: Changes in society have placed new demands on nurses. The_ population is aging and these older
patients have more complex and varied health problems. New diseases related to social and environmental
problems are being identified. Scientific discoveries and new technologies require the_ nurse to continually
update his or her knowledge base in order to provide safe and competent care. Patients are going home from
the_ hospital earlier (not staying longer), so much more care is being provided in community and outpatient
settings. The_ population is aging so there is not a relative increase in the_ number of children in the_
population.
LEVEL: Understanding
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: VI.C.1. Appreciate the_ necessity for all health professionals to seek lifelong,
continuous learning of information technology skills.
AACN: I.9. Value the_ ideal of lifelong learning to support excellence in nursing practice.
NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and
constant evolution of technology.
Nursing/Integrated Concepts: Planning; Nursing Process
Learning Outcome: 1. Examine changes in society that promotes the_ nurse’s return to school for further
education.
Page#: p. 1
Q: 2
Which statement regarding age trends of RNs is correct?
1
,TEST BANK
1. The_ average age of persons holding RN licensure has remained the_ same for the_ last 10 years.
2. The_ average age of male RN graduates is decreasing while the_ age for female RN graduates is
increasing.
3. The_ average age of RN graduates has increased.
4. Overall, the_ average age of practicing RNs has decreased.
ANSWER: 3
RAT: The_ average age of RNs has increased. In 2000, the_ average age of RNs was 45.2 years; in 2013,
the_ average age of RNs had increased to 50 years. There is no information in the_ text regarding age as it
applies to gender.
LEVEL: Understanding
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: VI.C.1. Appreciate the_ necessity for all health professionals to seek lifelong,
continuous learning of information technology skills.
AACN: I.9. Value the_ ideal of lifelong learning to support excellence in nursing practice.
NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and
constant evolution of technology.
Nursing/Integrated Concepts: Assessment; Nursing Process
Learning Outcome: 2. Examine changes in the_ profession that promotes the_ nurse’s return to school for
further education.
Page#: p. 2
Q: 3
According to the_ 2013 National Workforce Survey, what is the_ highest level of educational preparation for
the_ majority of RNs?
1. Diploma
2. Associate degree
3. Baccalaureate degree
4. Master’s degree
ANSWER: 3
RAT: According to The_ 2013 National Nursing Workforce Survey of Registered Nurses by the_ National
Council of State Boards of Nursing and The_ Forum of State Nursing Workforce Centers, 8% of nurses hold a
2
,TEST BANK
diploma, 29% of nurses hold an associate degree, 36% of nurses hold a baccalaureate degree, and 13.9% of
nurses hold a master’s or doctoral degree as their highest level of educational preparation.
LEVEL: Remembering
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: VI.C.1. Appreciate the_ necessity for all health professionals to seek lifelong,
continuous learning of information technology skills.
AACN: I.9. Value the_ ideal of lifelong learning to support excellence in nursing practice.
NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and
constant evolution of technology.
Nursing/Integrated Concepts: Assessment; Nursing Process
Learning Outcome: 2. Examine changes in the_ profession that promotes the_ nurse’s return to school for
further education.
Page#: pp. 3–4
Q: 4
How have the_ practice settings for nurses changed since 1980?
1. There has been little or no change in these settings.
2. The_ settings have shifted from the_ community to the_ hospital.
3. There has been a shift from the_ hospital to long-term care settings.
4. They have shifted from acute-care to community or primary care settings.
ANSWER: 4
RAT: The_ focus of professional nursing practice is shifting from acute hospital-based illness care to primary
outpatient-based community care, emphasizing health promotion and illness/injury preventions. The_
percentage of RNs working in hospitals decreased from 66% in 1980 to 56.2% in 2004.
LEVEL: Understanding
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: VI.C.1. Appreciate the_ necessity for all health professionals to seek lifelong,
continuous learning of information technology skills.
AACN: II.3. Demonstrate an awareness of complex organizational systems.
3
, TEST BANK
NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and
constant evolution of technology.
Nursing/Integrated Concepts: Planning; Nursing Process
Learning Outcome: 2. Examine changes in the_ profession that promotes the_ nurse’s return to school for
further education.
Page#: p. 2
Q: 5
What statement about specialty certification in nursing is true?
1. Specialty certification guarantees increase in salary for the_ nurse.
2. Healthcare agencies rarely recognize certifications by nursing specialty groups.
3. The_ nurse who works in hospital practice must hold at least one specialty certification.
4. The_ nurse must demonstrate extensive experience and continuing education in the_ specialty area.
ANSWER: 4
RAT: To be eligible to take the_ certification exam, the_ nurse must demonstrate extensive experience and
continuing education in the_ specialty area. Although there is no guarantee that the_ nurse’s salary will be
increased, healthcare agencies do recognize these certifications. There is no requirement that the_ nurse hold
a specialty certification to work in a hospital; however, work in specialty areas, such as the_ emergency
department, critical care areas, or surgery, may require certification.
LEVEL: Understanding
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: VI.C.1. Appreciate the_ necessity for all health professionals to seek lifelong,
continuous learning of information technology skills.
AACN: I.9. Value the_ ideal of lifelong learning to support excellence in nursing practice.
NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and
constant evolution of technology
Nursing/Integrated Concepts: Assessment; Nursing Process
Learning Outcome: 2. Examine changes in the_ profession that promotes the_ nurse’s return to school for
further education.
Page#: p. 6
4
CH. 1: Beginning the_ Journey
Q: 1
Which societal changes have promoted the_ nurse’s return to school and further education? (Select all that
apply.)
1. Patients have increasingly more complex and varied health needs.
2. Previously unknown diseases are being identified.
3. New technologies are being developed that require continual knowledge updates.
4. Patients are staying longer in the_ hospital.
5. There is a relative increase in the_ number of children in the_ population.
ANSWER: 1, 2, 3
RAT: Changes in society have placed new demands on nurses. The_ population is aging and these older
patients have more complex and varied health problems. New diseases related to social and environmental
problems are being identified. Scientific discoveries and new technologies require the_ nurse to continually
update his or her knowledge base in order to provide safe and competent care. Patients are going home from
the_ hospital earlier (not staying longer), so much more care is being provided in community and outpatient
settings. The_ population is aging so there is not a relative increase in the_ number of children in the_
population.
LEVEL: Understanding
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: VI.C.1. Appreciate the_ necessity for all health professionals to seek lifelong,
continuous learning of information technology skills.
AACN: I.9. Value the_ ideal of lifelong learning to support excellence in nursing practice.
NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and
constant evolution of technology.
Nursing/Integrated Concepts: Planning; Nursing Process
Learning Outcome: 1. Examine changes in society that promotes the_ nurse’s return to school for further
education.
Page#: p. 1
Q: 2
Which statement regarding age trends of RNs is correct?
1
,TEST BANK
1. The_ average age of persons holding RN licensure has remained the_ same for the_ last 10 years.
2. The_ average age of male RN graduates is decreasing while the_ age for female RN graduates is
increasing.
3. The_ average age of RN graduates has increased.
4. Overall, the_ average age of practicing RNs has decreased.
ANSWER: 3
RAT: The_ average age of RNs has increased. In 2000, the_ average age of RNs was 45.2 years; in 2013,
the_ average age of RNs had increased to 50 years. There is no information in the_ text regarding age as it
applies to gender.
LEVEL: Understanding
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: VI.C.1. Appreciate the_ necessity for all health professionals to seek lifelong,
continuous learning of information technology skills.
AACN: I.9. Value the_ ideal of lifelong learning to support excellence in nursing practice.
NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and
constant evolution of technology.
Nursing/Integrated Concepts: Assessment; Nursing Process
Learning Outcome: 2. Examine changes in the_ profession that promotes the_ nurse’s return to school for
further education.
Page#: p. 2
Q: 3
According to the_ 2013 National Workforce Survey, what is the_ highest level of educational preparation for
the_ majority of RNs?
1. Diploma
2. Associate degree
3. Baccalaureate degree
4. Master’s degree
ANSWER: 3
RAT: According to The_ 2013 National Nursing Workforce Survey of Registered Nurses by the_ National
Council of State Boards of Nursing and The_ Forum of State Nursing Workforce Centers, 8% of nurses hold a
2
,TEST BANK
diploma, 29% of nurses hold an associate degree, 36% of nurses hold a baccalaureate degree, and 13.9% of
nurses hold a master’s or doctoral degree as their highest level of educational preparation.
LEVEL: Remembering
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: VI.C.1. Appreciate the_ necessity for all health professionals to seek lifelong,
continuous learning of information technology skills.
AACN: I.9. Value the_ ideal of lifelong learning to support excellence in nursing practice.
NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and
constant evolution of technology.
Nursing/Integrated Concepts: Assessment; Nursing Process
Learning Outcome: 2. Examine changes in the_ profession that promotes the_ nurse’s return to school for
further education.
Page#: pp. 3–4
Q: 4
How have the_ practice settings for nurses changed since 1980?
1. There has been little or no change in these settings.
2. The_ settings have shifted from the_ community to the_ hospital.
3. There has been a shift from the_ hospital to long-term care settings.
4. They have shifted from acute-care to community or primary care settings.
ANSWER: 4
RAT: The_ focus of professional nursing practice is shifting from acute hospital-based illness care to primary
outpatient-based community care, emphasizing health promotion and illness/injury preventions. The_
percentage of RNs working in hospitals decreased from 66% in 1980 to 56.2% in 2004.
LEVEL: Understanding
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: VI.C.1. Appreciate the_ necessity for all health professionals to seek lifelong,
continuous learning of information technology skills.
AACN: II.3. Demonstrate an awareness of complex organizational systems.
3
, TEST BANK
NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and
constant evolution of technology.
Nursing/Integrated Concepts: Planning; Nursing Process
Learning Outcome: 2. Examine changes in the_ profession that promotes the_ nurse’s return to school for
further education.
Page#: p. 2
Q: 5
What statement about specialty certification in nursing is true?
1. Specialty certification guarantees increase in salary for the_ nurse.
2. Healthcare agencies rarely recognize certifications by nursing specialty groups.
3. The_ nurse who works in hospital practice must hold at least one specialty certification.
4. The_ nurse must demonstrate extensive experience and continuing education in the_ specialty area.
ANSWER: 4
RAT: To be eligible to take the_ certification exam, the_ nurse must demonstrate extensive experience and
continuing education in the_ specialty area. Although there is no guarantee that the_ nurse’s salary will be
increased, healthcare agencies do recognize these certifications. There is no requirement that the_ nurse hold
a specialty certification to work in a hospital; however, work in specialty areas, such as the_ emergency
department, critical care areas, or surgery, may require certification.
LEVEL: Understanding
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: VI.C.1. Appreciate the_ necessity for all health professionals to seek lifelong,
continuous learning of information technology skills.
AACN: I.9. Value the_ ideal of lifelong learning to support excellence in nursing practice.
NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and
constant evolution of technology
Nursing/Integrated Concepts: Assessment; Nursing Process
Learning Outcome: 2. Examine changes in the_ profession that promotes the_ nurse’s return to school for
further education.
Page#: p. 6
4
