Professional Nursing: Concepts & Challenges, 9th Edition
Test Bank
Chapter 1.Nursing in Today’s Evolving Health Care
Environment21MULTIPLE21CHOICE
1. Which21of21the21following21could21eventually21change21the21historical21status21of21nursing21
as21a21female-21dominated21profession?
a. More21men21graduating21from21baccalaureate21and21higher21degree21programs
b. The21proportion21of21men21in21nursing21beginning21to21increase
c. More21male21graduates21of21basic21nursing21programs21entering21the21workplace
d. Salary21compensation21increasing21to21attract21more21men
ANS:21C
Feedback
A More21men21graduating21from21baccalaureate21and21higher21degree21programs21is21n
ot21the21best21answer21because21associate21degree21programs21produce21the21most21
new21graduates.
B The21percentage21of21men21in21nursing21has21increased2150%21since212000.
C The21more21men21who21enter21the21workplace21as21nurses,21the21less21nursing21will2
1be21seen21as21a21female-dominated21profession.
D Salary21rates21do21not21appear21to21relate21to21the21recruitment21of21men21into21nursing.
DIF:21Cognitive21Level:21Comprehension21REF:21MCS:212
2. The21racial21and21ethnic21composition21of21the21nursing21profession21will21change21to21mor
e21accurately21reflect21the21population21as21a21whole21when
a. The21increased21numbers21of21racial21and21ethnic21minorities21enrolled21in21educational
21programs21graduate21and21begin21to21practice.
b. The21number21of21Asians21or21Native21Hawaiian-Pacific21Islanders21begins21to21increase.
c. The21percentage21of21African-
American21and21Hispanic21nurses21decreases21more21than21the21percentage21of21w
hite21nurses.
, d. The21nonwhite21portion21of21the21general21population21decreases.
ANS:21A
Feedback
A A21larger21percentage21of21minorities21are21enrolled21in21nursing21educational21prog
rams21than21previously.
B Asians21and21Native21Hawaiian-
Pacific21Islanders21are21over21represented21in21nursing21compared21to21their21
percentage21of21the21general21population.
C21Not21only21would21the21percentage21of21African-
American21and21Hispanic21nurses21need21to21increase,21the21percentage21of21whit
e21nurses21would21have21to21decrease21in21order21to21more21accurately21reflect21th
e21population21as21a21whole.
D21The21nonwhite21portion21of21the21general21population21is21not21likely21to21decrease.
DIF:21Cognitive21Level:21Comprehension21REF:21MCS:213
3. Which21of21the21following21is21a21correct21statement21about21the21registered21nurse21(RN)21population?
a. The21racial/ethnic21composition21of21RNs21closely21resembles21that21of21the21general21populati
on.
b. The21number21of21men21entering21nursing21has21decreased21steadily21over21the21last21decade.
c. The21rate21of21aging21of21RNs21has21slowed21for21the21first21time21in21the21past213021years.
d. The21majority21of21employed21RNs21working21full21time21must21work21a21second21position.
ANS:21C
Feedback
A The21racial/ethnic21composition21of21RNs21is21increasing,21but21does21not21approxi
mate21their21percentage21of21the21overall21population.
B The21number21of21men21entering21nursing21is21increasing.
C The21average21age21of21RNs21in21both21200421and21200821was2146.21This21is21
a21result21of21the21numbers21of21RNs21under213021in21the21workforce.
D According21to21200821data,21only2112%21of21nurses21working21full21time21h
old21second21positions.
DIF:21Cognitive21Level:21Knowledge21REF:21MCS:213
4. Which21of21the21following21best21describes21trends21in21nursing21education?
a. Numbers21of21RNs21with21bachelors21and21higher21degrees21are21increasing.
b. Numbers21of21RNs21with21associate21degrees21are21decreasing.
,c. Foreign-
born21nurses21practicing21in21the21United21States21are21seen21as21less21knowledgeable21beca
use21of21their21lesser21educational21preparation.
d. Numbers21of21RNs21with21diploma21educations21are21increasing.
ANS:21A
Feedback
A Slightly21over2150%21of21RNs21eventually21obtain21their21bachelors21of21science21in21nu
rsing21(BSN)21or21a21higher21nursing21degree.
B The21majority21of21nurses21in21this21country21get21their21initial21nursing21education21
in21associate21degree21in21nursing21(ADN)21programs.
C Foreign-
born21nurses21practicing21in21the21United21States21may21be21viewed21as21le
ss21knowledgeable21by21their21peers21because21of21language21and21cultural2
1differences.
D The21numbers21of21diploma-educated21nurses21are21declining.
DIF:21Cognitive21Level:21Knowledge21REF:21MCS:214
5. Despite21the21variety21of21work21settings21available21to21the21RN,21data21from21200821ind
icate21that21the21primary21work21site21for21RNs21is
a. ambulatory21care21settings.
b. community21health21settings.
c. long-term21care21facilities.
d. acute21care21hospitals.
ANS:21D
Feedback
A21 Ambulatory21care21settings21account21for21about2110.5%21of21RNs21places21of21 employment.
B21 Public21 health21 and21community21 health21 settings21 account21 for21 7.8%21 of21 employed21 RNs.
C2 1 Long-term21care21facilities21account21for215.3%21of21RNs21places21of21employment.
D2 1 Statistics21show21that2162.2%21of21RNs21work21in21acute21care21hospitals.
DIF:21Cognitive21Level:21Knowledge21REF:21MCS:215
6. One21important21advantage21of21clinical21ladder21programs21for21hospital-
based21RNs21is21that21they
, a. Allow21career21advancement21for21nurses21who21choose21to21remain21at21the21bedside.
b. Encourage21nurses21to21move21into21management21positions21in21which21they21can21influe
nce21patient21care21on21a21broader21scale.
c. Encourage21RNs21to21become21politically21active21and21guide21the21profession21of21nursing.
d. Provide21training21to21staff21nurses21so21they21can21move21seamlessly21across21departments.
ANS:21A
Feedback
A Clinical21ladder21programs21allow21nurses21to21advance21professionally21while21rem
aining21at21the21bedside.
B Clinical21ladder21programs21are21designed21to21keep21proficient21nurses21at21the21bedside.
C Encouraging21RNs21to21become21politically21active21and21guide21the21profession21
of21nursing21is21not21the21goal21of21clinical21ladder21programs.
D Clinical21ladder21programs21are21not21designed21to21facilitate21transfer21
between21departments.
DIF:21Cognitive21Level:21Comprehension21REF:21MCS:217
7. Which21of21the21following21statements21is21correct21about21community21health21nursing21(CHN)?
a. Prevention21and21community21education21are21the21cornerstones21of21CHN.
b. Nursing21care21is21rapidly21moving21from21the21home21setting21to21the21institutional21setting.
c. High-
tech21care21such21as21ventilators21and21total21parenteral21nutrition21cannot21be21handled2
1in21the21home.
d. Assessment21skills21are21less21important21in21CHN21because21patients21are21not21acutely21ill.
ANS:21A
Feedback
A The21community21health21nurse21provides21educational21programs21in21health21main
tenance,21disease21prevention,21nutrition,21and21child21care.
B Care21is21moving21into21the21home21setting.
C Home21care21is21increasing21in21complexity.
D Community21health21nurses21must21have21excellent21assessment21skills21as21they21d
o21not21have21the21immediate21backup21that21an21acute21care21facility21offers.
DIF:21Cognitive21Level:21Comprehension21REF:21MCS:219
8. Which21of21the21following21is21most21essential21for21the21nurse21entrepreneur21to21be21successful?
a. Ability21to21take21direction21well
Test Bank
Chapter 1.Nursing in Today’s Evolving Health Care
Environment21MULTIPLE21CHOICE
1. Which21of21the21following21could21eventually21change21the21historical21status21of21nursing21
as21a21female-21dominated21profession?
a. More21men21graduating21from21baccalaureate21and21higher21degree21programs
b. The21proportion21of21men21in21nursing21beginning21to21increase
c. More21male21graduates21of21basic21nursing21programs21entering21the21workplace
d. Salary21compensation21increasing21to21attract21more21men
ANS:21C
Feedback
A More21men21graduating21from21baccalaureate21and21higher21degree21programs21is21n
ot21the21best21answer21because21associate21degree21programs21produce21the21most21
new21graduates.
B The21percentage21of21men21in21nursing21has21increased2150%21since212000.
C The21more21men21who21enter21the21workplace21as21nurses,21the21less21nursing21will2
1be21seen21as21a21female-dominated21profession.
D Salary21rates21do21not21appear21to21relate21to21the21recruitment21of21men21into21nursing.
DIF:21Cognitive21Level:21Comprehension21REF:21MCS:212
2. The21racial21and21ethnic21composition21of21the21nursing21profession21will21change21to21mor
e21accurately21reflect21the21population21as21a21whole21when
a. The21increased21numbers21of21racial21and21ethnic21minorities21enrolled21in21educational
21programs21graduate21and21begin21to21practice.
b. The21number21of21Asians21or21Native21Hawaiian-Pacific21Islanders21begins21to21increase.
c. The21percentage21of21African-
American21and21Hispanic21nurses21decreases21more21than21the21percentage21of21w
hite21nurses.
, d. The21nonwhite21portion21of21the21general21population21decreases.
ANS:21A
Feedback
A A21larger21percentage21of21minorities21are21enrolled21in21nursing21educational21prog
rams21than21previously.
B Asians21and21Native21Hawaiian-
Pacific21Islanders21are21over21represented21in21nursing21compared21to21their21
percentage21of21the21general21population.
C21Not21only21would21the21percentage21of21African-
American21and21Hispanic21nurses21need21to21increase,21the21percentage21of21whit
e21nurses21would21have21to21decrease21in21order21to21more21accurately21reflect21th
e21population21as21a21whole.
D21The21nonwhite21portion21of21the21general21population21is21not21likely21to21decrease.
DIF:21Cognitive21Level:21Comprehension21REF:21MCS:213
3. Which21of21the21following21is21a21correct21statement21about21the21registered21nurse21(RN)21population?
a. The21racial/ethnic21composition21of21RNs21closely21resembles21that21of21the21general21populati
on.
b. The21number21of21men21entering21nursing21has21decreased21steadily21over21the21last21decade.
c. The21rate21of21aging21of21RNs21has21slowed21for21the21first21time21in21the21past213021years.
d. The21majority21of21employed21RNs21working21full21time21must21work21a21second21position.
ANS:21C
Feedback
A The21racial/ethnic21composition21of21RNs21is21increasing,21but21does21not21approxi
mate21their21percentage21of21the21overall21population.
B The21number21of21men21entering21nursing21is21increasing.
C The21average21age21of21RNs21in21both21200421and21200821was2146.21This21is21
a21result21of21the21numbers21of21RNs21under213021in21the21workforce.
D According21to21200821data,21only2112%21of21nurses21working21full21time21h
old21second21positions.
DIF:21Cognitive21Level:21Knowledge21REF:21MCS:213
4. Which21of21the21following21best21describes21trends21in21nursing21education?
a. Numbers21of21RNs21with21bachelors21and21higher21degrees21are21increasing.
b. Numbers21of21RNs21with21associate21degrees21are21decreasing.
,c. Foreign-
born21nurses21practicing21in21the21United21States21are21seen21as21less21knowledgeable21beca
use21of21their21lesser21educational21preparation.
d. Numbers21of21RNs21with21diploma21educations21are21increasing.
ANS:21A
Feedback
A Slightly21over2150%21of21RNs21eventually21obtain21their21bachelors21of21science21in21nu
rsing21(BSN)21or21a21higher21nursing21degree.
B The21majority21of21nurses21in21this21country21get21their21initial21nursing21education21
in21associate21degree21in21nursing21(ADN)21programs.
C Foreign-
born21nurses21practicing21in21the21United21States21may21be21viewed21as21le
ss21knowledgeable21by21their21peers21because21of21language21and21cultural2
1differences.
D The21numbers21of21diploma-educated21nurses21are21declining.
DIF:21Cognitive21Level:21Knowledge21REF:21MCS:214
5. Despite21the21variety21of21work21settings21available21to21the21RN,21data21from21200821ind
icate21that21the21primary21work21site21for21RNs21is
a. ambulatory21care21settings.
b. community21health21settings.
c. long-term21care21facilities.
d. acute21care21hospitals.
ANS:21D
Feedback
A21 Ambulatory21care21settings21account21for21about2110.5%21of21RNs21places21of21 employment.
B21 Public21 health21 and21community21 health21 settings21 account21 for21 7.8%21 of21 employed21 RNs.
C2 1 Long-term21care21facilities21account21for215.3%21of21RNs21places21of21employment.
D2 1 Statistics21show21that2162.2%21of21RNs21work21in21acute21care21hospitals.
DIF:21Cognitive21Level:21Knowledge21REF:21MCS:215
6. One21important21advantage21of21clinical21ladder21programs21for21hospital-
based21RNs21is21that21they
, a. Allow21career21advancement21for21nurses21who21choose21to21remain21at21the21bedside.
b. Encourage21nurses21to21move21into21management21positions21in21which21they21can21influe
nce21patient21care21on21a21broader21scale.
c. Encourage21RNs21to21become21politically21active21and21guide21the21profession21of21nursing.
d. Provide21training21to21staff21nurses21so21they21can21move21seamlessly21across21departments.
ANS:21A
Feedback
A Clinical21ladder21programs21allow21nurses21to21advance21professionally21while21rem
aining21at21the21bedside.
B Clinical21ladder21programs21are21designed21to21keep21proficient21nurses21at21the21bedside.
C Encouraging21RNs21to21become21politically21active21and21guide21the21profession21
of21nursing21is21not21the21goal21of21clinical21ladder21programs.
D Clinical21ladder21programs21are21not21designed21to21facilitate21transfer21
between21departments.
DIF:21Cognitive21Level:21Comprehension21REF:21MCS:217
7. Which21of21the21following21statements21is21correct21about21community21health21nursing21(CHN)?
a. Prevention21and21community21education21are21the21cornerstones21of21CHN.
b. Nursing21care21is21rapidly21moving21from21the21home21setting21to21the21institutional21setting.
c. High-
tech21care21such21as21ventilators21and21total21parenteral21nutrition21cannot21be21handled2
1in21the21home.
d. Assessment21skills21are21less21important21in21CHN21because21patients21are21not21acutely21ill.
ANS:21A
Feedback
A The21community21health21nurse21provides21educational21programs21in21health21main
tenance,21disease21prevention,21nutrition,21and21child21care.
B Care21is21moving21into21the21home21setting.
C Home21care21is21increasing21in21complexity.
D Community21health21nurses21must21have21excellent21assessment21skills21as21they21d
o21not21have21the21immediate21backup21that21an21acute21care21facility21offers.
DIF:21Cognitive21Level:21Comprehension21REF:21MCS:219
8. Which21of21the21following21is21most21essential21for21the21nurse21entrepreneur21to21be21successful?
a. Ability21to21take21direction21well
