Chapter 01: Nursing in Today’s Evolving Health Care Environment
Black: Professional Nursing: Concepts and Challenges, 10th Edition
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 majority of 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.
PTS: 1 DIF: Cognitive Level: Comprehension
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 non-White 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 non-White portion of the general population is not likely to decrease.
PTS: 1 DIF: Cognitive Level: Comprehension
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.
D The average age of BSN graduates is 25.
PTS: 1 DIF: Cognitive Level: Knowledge
4. Which of the following best describes trends in nursing education?
a. 45% of nurses receive their degree from a university setting.
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 45% of nurses report receiving their degree from a university setting.
B The majority of nurses in this country get their initial nursing education in
associate degree in nursing (ADN) programs.
C Foreign-born nurses practicing in the United States may be viewed as less
knowledgeable by their peers because of language and cultural differences.
D The numbers of diploma-educated nurses are declining.
PTS: 1 DIF: Cognitive Level: Knowledge
5. Despite the variety of work settings available to the RN, data indicate that the primary work site for
RNs is
a. ambulatory care settings.
b. community health settings.
, c. long-term care facilities.
d. acute care hospitals.
ANS: D
Feedback
A Ambulatory care settings account for about 10.5% of RNs’ places of
employment.
B Public health and community health settings account for 7.8% of employed
RNs.
C Long-term care facilities account for 5.3% of RNs’ places of employment.
D Statistics show that 63.2% of RNs work in acute care hospitals.
PTS: 1 DIF: Cognitive Level: Knowledge
6. One important advantage of clinical ladder programs for hospital-based RNs is that they
a. allow career advancement for nurses who choose to remain at the bedside.
b. encourage nurses to move into management positions in which they can influence
patient care on a broader scale.
c. encourage RNs to become politically active and guide the profession of nursing.
d. provide training to staff nurses so they can move seamlessly across departments.
ANS: A
Feedback
A Clinical ladder programs allow nurses to advance professionally while
remaining at the bedside.
B Clinical ladder programs are designed to keep proficient nurses at the bedside.
C Encouraging RNs to become politically active and guide the profession of
nursing is not the goal of clinical ladder programs.
D Clinical ladder programs are not designed to facilitate transfer between
departments.
PTS: 1 DIF: Cognitive Level: Comprehension
7. Which of the following statements is correct about community health nursing (CHN)?
a. Prevention and community education are the cornerstones of CHN.
b. Nursing care is rapidly moving from the home setting to the institutional setting.
c. High-tech care such as ventilators and total parenteral nutrition cannot be handled
in the home.
d. Assessment skills are less important in CHN because patients are not acutely ill.
ANS: A
Feedback
A The community health nurse provides educational programs in health
maintenance, disease prevention, nutrition, and child care.
B Care is moving into the home setting.
C Home care is increasing in complexity.
, D Community health nurses must have excellent assessment skills as they do not
have the immediate backup that an acute care facility offers.
PTS: 1 DIF: Cognitive Level: Comprehension
8. Which of the following is true about occupational nurse roles?
a. They must have the ability to work independently.
b. They must have good interpersonal skills.
c. They must be skilled at avoiding conflict.
d. They must have a minimum of a bachelor’s degree in nursing.
ANS: B
Feedback
A Occupational nurses must be able to work well independently, and with others.
B Occupational nurses must have good interpersonal skills to be successful.
C Occupational nurses must be able to manage conflict and stressful situations.
D Occupational nurses may practice with an associates degree in nursing.
PTS: 1 DIF: Cognitive Level: Analysis
9. The major benefit of serving as a military nurse is
a. broader responsibilities and scope of practice than civilian nurses.
b. working with entirely baccalaureate-prepared peers on active duty.
c. serving as an officer on active duty or in the reserves.
d. the financial support to seek advanced degrees.
ANS: D
Feedback
A Although military nurses do have broader responsibilities and scopes of practice
than civilian nurses do, this is not the major benefit.
B Although military nurses do work with entirely baccalaureate-prepared peers on
active duty, this is not the major benefit.
C Although military nurses serve as officers on active duty or in the reserves, this
is not the major benefit.
D Advanced education is supported by the military financially and also allows for
promotion in rank at an accelerated pace.
PTS: 1 DIF: Cognitive Level: Comprehension
10. Which of the following statements explains why the school nurse of today is truly a community health
nurse?
a. The school nurse may be called on to care for a student’s family members in
underserved areas.
b. The school nurse’s primary responsibility is centered on the well child.
c. The school nurse’s primary responsibility is to maintain immunization records.
d. The school nurse must be certified in CHN.
Black: Professional Nursing: Concepts and Challenges, 10th Edition
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 majority of 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.
PTS: 1 DIF: Cognitive Level: Comprehension
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 non-White 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 non-White portion of the general population is not likely to decrease.
PTS: 1 DIF: Cognitive Level: Comprehension
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.
D The average age of BSN graduates is 25.
PTS: 1 DIF: Cognitive Level: Knowledge
4. Which of the following best describes trends in nursing education?
a. 45% of nurses receive their degree from a university setting.
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 45% of nurses report receiving their degree from a university setting.
B The majority of nurses in this country get their initial nursing education in
associate degree in nursing (ADN) programs.
C Foreign-born nurses practicing in the United States may be viewed as less
knowledgeable by their peers because of language and cultural differences.
D The numbers of diploma-educated nurses are declining.
PTS: 1 DIF: Cognitive Level: Knowledge
5. Despite the variety of work settings available to the RN, data indicate that the primary work site for
RNs is
a. ambulatory care settings.
b. community health settings.
, c. long-term care facilities.
d. acute care hospitals.
ANS: D
Feedback
A Ambulatory care settings account for about 10.5% of RNs’ places of
employment.
B Public health and community health settings account for 7.8% of employed
RNs.
C Long-term care facilities account for 5.3% of RNs’ places of employment.
D Statistics show that 63.2% of RNs work in acute care hospitals.
PTS: 1 DIF: Cognitive Level: Knowledge
6. One important advantage of clinical ladder programs for hospital-based RNs is that they
a. allow career advancement for nurses who choose to remain at the bedside.
b. encourage nurses to move into management positions in which they can influence
patient care on a broader scale.
c. encourage RNs to become politically active and guide the profession of nursing.
d. provide training to staff nurses so they can move seamlessly across departments.
ANS: A
Feedback
A Clinical ladder programs allow nurses to advance professionally while
remaining at the bedside.
B Clinical ladder programs are designed to keep proficient nurses at the bedside.
C Encouraging RNs to become politically active and guide the profession of
nursing is not the goal of clinical ladder programs.
D Clinical ladder programs are not designed to facilitate transfer between
departments.
PTS: 1 DIF: Cognitive Level: Comprehension
7. Which of the following statements is correct about community health nursing (CHN)?
a. Prevention and community education are the cornerstones of CHN.
b. Nursing care is rapidly moving from the home setting to the institutional setting.
c. High-tech care such as ventilators and total parenteral nutrition cannot be handled
in the home.
d. Assessment skills are less important in CHN because patients are not acutely ill.
ANS: A
Feedback
A The community health nurse provides educational programs in health
maintenance, disease prevention, nutrition, and child care.
B Care is moving into the home setting.
C Home care is increasing in complexity.
, D Community health nurses must have excellent assessment skills as they do not
have the immediate backup that an acute care facility offers.
PTS: 1 DIF: Cognitive Level: Comprehension
8. Which of the following is true about occupational nurse roles?
a. They must have the ability to work independently.
b. They must have good interpersonal skills.
c. They must be skilled at avoiding conflict.
d. They must have a minimum of a bachelor’s degree in nursing.
ANS: B
Feedback
A Occupational nurses must be able to work well independently, and with others.
B Occupational nurses must have good interpersonal skills to be successful.
C Occupational nurses must be able to manage conflict and stressful situations.
D Occupational nurses may practice with an associates degree in nursing.
PTS: 1 DIF: Cognitive Level: Analysis
9. The major benefit of serving as a military nurse is
a. broader responsibilities and scope of practice than civilian nurses.
b. working with entirely baccalaureate-prepared peers on active duty.
c. serving as an officer on active duty or in the reserves.
d. the financial support to seek advanced degrees.
ANS: D
Feedback
A Although military nurses do have broader responsibilities and scopes of practice
than civilian nurses do, this is not the major benefit.
B Although military nurses do work with entirely baccalaureate-prepared peers on
active duty, this is not the major benefit.
C Although military nurses serve as officers on active duty or in the reserves, this
is not the major benefit.
D Advanced education is supported by the military financially and also allows for
promotion in rank at an accelerated pace.
PTS: 1 DIF: Cognitive Level: Comprehension
10. Which of the following statements explains why the school nurse of today is truly a community health
nurse?
a. The school nurse may be called on to care for a student’s family members in
underserved areas.
b. The school nurse’s primary responsibility is centered on the well child.
c. The school nurse’s primary responsibility is to maintain immunization records.
d. The school nurse must be certified in CHN.
