10TH EDITION By Beth Perry Black /GRADED A+2026
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Professional Nursing: Concepts & Challenges, 10th Edition x x x x x x
By: Beth Black PhD, RN, FAAN (Author)
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Chapter 1.Nursing in Today’s Evolving Health Care
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Environment
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Chapter 2.The History and Social Context of Nursing
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Chapter 3.Nursing’s Pathway to Professionalism
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Chapter 4.Nursing Education in an Evolving Health Care
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Environment
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Chapter 5.Becoming a Professional Nurse: Defining Nursing
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and Socialization into Practice
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Chapter 6.Nursing as a Regulated Practice: Legal Issues
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Chapter 7.Ethics: Basic Concepts for Professional Nursing
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Practice
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Chapter 8.Conceptual and Philosophical Foundations of
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Professional Nursing Practice
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Chapter 9.Nursing Theory: The Basis for Professional Nursing
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Chapter 10.The Science of Nursing and Evidence-Based
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Practice
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Chapter 11.Developing Nursing Judgment Through Critical Thinking
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Chapter 12.Communication and Collaboration in Professional Nursing
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Chapter 13.Nurses, Patients, and Families: Caring at the Intersection of Health, Illness, and
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Culture
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Chapter 14.Health Care in the United States
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Chapter 15.Political Activism in Nursing: Communities, Organizations, Government
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Chapter 16.Nursing Challenge: To Continue to Evolve
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Chapter 1.Nursing in Today’s Evolving Health Care Environment
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MULTIPLE CHOICE
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1. Which of the following could eventually change the historical status of nursing as a
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female- dominated profession?
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a. More men graduating from baccalaureate and higher degree programs
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b. The proportion of men in nursing beginning to increase
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c. More male graduates of basic nursing programs entering the workplace
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d. Salary compensation increasing to attract more men
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ANS: C x
Feedback
A More men graduating from baccalaureate and higher degree programs is not the best
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answer because associate degree programs produce the most new 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 as a
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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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DIF: Cognitive Level: Comprehension REF: MCS: 2
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2. The racial and ethnic composition of the nursing profession will change to more
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accurately reflect the population as a whole when
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a. the increased numbers of racial and ethnic minorities enrolled in educational programs
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graduate and begin to practice.
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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 nonwhite portion of the general population decreases.
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ANS: A x
Feedback
A A larger percentage of minorities are enrolled in nursing educational programs than
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previously. x
B Asians and Native Hawaiian-Pacific Islanders are over represented in nursing compared
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to their percentage of the general population.
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C Not only would the percentage of African-American and Hispanic nurses need to
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increase, the percentage of white nurses would have to decrease in order to more
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accurately reflect the population as a whole.
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D The nonwhite portion of the general population is not likely to decrease.
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DIF: Cognitive Level: Comprehension REF: MCS: 3
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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 population.
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b. The number of men entering nursing has decreased steadily over the last 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: C x
Feedback
A The racial/ethnic composition of RNs is increasing, but does not approximate their
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percentage of the overall population.
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B The number of men entering nursing is increasing.
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C The average age of RNs in both 2004 and 2008 was 46. This is a result of the numbers of
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RNs under 30 in the workforce.
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D According to 2008 data, only 12% of nurses working full time hold second positions.
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DIF: Cognitive Level: Knowledge REF: MCS: 3
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4. Despite the variety of work settings available to the RN, data from 2008 indicate that the
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primary work site for RNs is
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a. ambulatory care settings. x x
b. community health settings. x x
c. long-term care facilities. x x
d. acute care hospitals. x x
ANS: D x
Feedback
A Ambulatory care settings account for about 10.5% of RNs places of employment. B Public
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health and community health settings account for 7.8% of employed RNs. C Long-term care
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facilities account for 5.3% of RNs places of employment.
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D Statistics show that 62.2% of RNs work in acute care hospitals.
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, DIF: Cognitive Level: Knowledge REF: MCS: 5
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5. Which of the following best describes trends in nursing education?
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a. Numbers of RNs with bachelors and higher degrees are increasing.
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b. Numbers of RNs with associate degrees are decreasing.x x x x x x x
c. Foreign-born nurses practicing in the United States are seen as less knowledgeable x x x x x x x x x x x
because of their lesser educational preparation.
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d. Numbers of RNs with diploma educations are increasing.
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ANS: A x
Feedback
A Slightly over 50% of RNs eventually obtain their bachelors of science in nursing (BSN)
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or a higher nursing degree.
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B The majority of nurses in this country get their initial nursing education in associate
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degree in nursing (ADN) programs.
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C Foreign-born nurses practicing in the United States may be viewed as less knowledgeable
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by their peers because of language and cultural differences.
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D The numbers of diploma-educated nurses are declining.
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DIF: Cognitive Level: Knowledge REF: MCS: 4
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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 influence patient
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care on a broader scale.
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c. encourage RNs to become politically active and guide the profession of nursing.
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d. provide training to staff nurses so they can move seamlessly across departments.
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ANS: A x
Feedback
A Clinical ladder programs allow nurses to advance professionally while remaining at the
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bedside. x
B Clinical ladder programs are designed to keep proficient nurses at the bedside.
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C Encouraging RNs to become politically active and guide the profession of nursing is not
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the goal of clinical ladder programs.
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D Clinical ladder programs are not designed to facilitate transfer between departments.
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DIF: Cognitive Level: Comprehension REF: MCS: 7
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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. x x x x x x x x
b. Nursing care is rapidly moving from the home setting to the institutional setting.
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c. High-tech care such as ventilators and total parenteral nutrition cannot be handled in the
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home. x
d. Assessment skills are less important in CHN because patients are not acutely ill.
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ANS: A x