N138 Midterm Exam Questions And
Answers.
What are the primary work settings for RN's? - Correct answer 1)
Hospitals 63.2% (where most nurses work!)
An increase of 25% in the past decade (HRSA, 2013). 39.6%
work in inpatient units in community hospitals. Others work in
specialty hospitals, long-term hospitals, and psychiatric units.
1.1% of RNs work in VA hospitals
2) Ambulatory care (outpatient) 10.5%
Nurse-based practices, physician-based practices, and free-
standing emergency and surgical centers
3) Public and community health 7.8%
4) Home health 6.4%
5) Extended care facilities (e.g. SNFs) 5.3%
6) Others - 6.8% ... school nursing, nursing associations, local,
state or federal governmental agencies, state boards of nursing,
or insurance companies
What are the trends in nursing education? - Correct answer - The
number of diploma programs (hospital based) has steadily
declined, educating only 4% of all new RNs in 2013
- Most nurses (53%) have initial ADN programs education
- 39% reported having an ADN and 36% having a BSN as their
first degree or credential.
,- Many ADN-prepared RNs eventually return to school to
complete a BSN degree, often online
Currently, about 55% of RNs have BSN or higher degrees
- Globalization and the international migration of nurses has
resulted in an increase of internationally educated nurses (3.7% in
2004 to 5.6% in 2008).
How do BSN nurses affect outcomes to patients in hospitals? -
Correct answer Patients on surgical units with more BSN-prepared
nurses had fewer complications than patients on units with fewer
BSN nurses.
Hospitals with a higher percentage of nurses with a BS in Nursing
had both a higher standard of patient care and a lower incidence
of patient post-surgical mortality
Understand the variety of practice settings for nurses and the
related practice styles, philosophies, benefits and challenges -
Correct answer 1) Hospitals
- Within the last 150 years: Nursing practice shifted from informal
home and community settings to hospitals
_ Medical centers offer comprehensive specialty services, such
as cancer centers, heart centers, etc
- Community-based hospitals have less severe patients; typically
identify, stabilize and transport those to high level of care
- Entry-level positions require RN licensure
- Bachelor's degrees are required to advance on the clinical
ladder or to assume management positions.
- Nurse managers often require a Master's degree.
2) Communities
- Lillian Wald was the founder of community nursing.
- Government and private agencies
- Home health and cost-effectiveness
, - Knowledge and skills of the home health nurse
3) Medical Offices
- Nurses work in tandem with physicians, NPs, and their patients
- Office-based nursing activities
- Nursing knowledge and skills
- Communication skills
4) Workplace
- Occupational and environmental health nurses provide basic
health care services, health education, screenings, and
emergency treatment to employees in the workplace
- "Good employee health reduces absenteeism, insurance costs,
and worker errors, thereby improving company profitability"
- Roles/responsibilities
- Knowledge/skills
5) Armed Forces
- Peacetime and wartime settings
- Military nurses have broader responsibilities and scope of
practice than do civilian nurses
- Major benefit is the opportunity for advanced education
6) Schools
- "Specialized practice of professional nursing that advances the
well-being, academic success, life-long achievement, and health
of students"
- Counseling, health curriculum, routine illness, and emergencies
- Specific issues: Abuse, school violence, and obesity
7) End-of-Life Settings
- Palliative care (relief to those with serious illnesses) and hospice
(end of life)
Answers.
What are the primary work settings for RN's? - Correct answer 1)
Hospitals 63.2% (where most nurses work!)
An increase of 25% in the past decade (HRSA, 2013). 39.6%
work in inpatient units in community hospitals. Others work in
specialty hospitals, long-term hospitals, and psychiatric units.
1.1% of RNs work in VA hospitals
2) Ambulatory care (outpatient) 10.5%
Nurse-based practices, physician-based practices, and free-
standing emergency and surgical centers
3) Public and community health 7.8%
4) Home health 6.4%
5) Extended care facilities (e.g. SNFs) 5.3%
6) Others - 6.8% ... school nursing, nursing associations, local,
state or federal governmental agencies, state boards of nursing,
or insurance companies
What are the trends in nursing education? - Correct answer - The
number of diploma programs (hospital based) has steadily
declined, educating only 4% of all new RNs in 2013
- Most nurses (53%) have initial ADN programs education
- 39% reported having an ADN and 36% having a BSN as their
first degree or credential.
,- Many ADN-prepared RNs eventually return to school to
complete a BSN degree, often online
Currently, about 55% of RNs have BSN or higher degrees
- Globalization and the international migration of nurses has
resulted in an increase of internationally educated nurses (3.7% in
2004 to 5.6% in 2008).
How do BSN nurses affect outcomes to patients in hospitals? -
Correct answer Patients on surgical units with more BSN-prepared
nurses had fewer complications than patients on units with fewer
BSN nurses.
Hospitals with a higher percentage of nurses with a BS in Nursing
had both a higher standard of patient care and a lower incidence
of patient post-surgical mortality
Understand the variety of practice settings for nurses and the
related practice styles, philosophies, benefits and challenges -
Correct answer 1) Hospitals
- Within the last 150 years: Nursing practice shifted from informal
home and community settings to hospitals
_ Medical centers offer comprehensive specialty services, such
as cancer centers, heart centers, etc
- Community-based hospitals have less severe patients; typically
identify, stabilize and transport those to high level of care
- Entry-level positions require RN licensure
- Bachelor's degrees are required to advance on the clinical
ladder or to assume management positions.
- Nurse managers often require a Master's degree.
2) Communities
- Lillian Wald was the founder of community nursing.
- Government and private agencies
- Home health and cost-effectiveness
, - Knowledge and skills of the home health nurse
3) Medical Offices
- Nurses work in tandem with physicians, NPs, and their patients
- Office-based nursing activities
- Nursing knowledge and skills
- Communication skills
4) Workplace
- Occupational and environmental health nurses provide basic
health care services, health education, screenings, and
emergency treatment to employees in the workplace
- "Good employee health reduces absenteeism, insurance costs,
and worker errors, thereby improving company profitability"
- Roles/responsibilities
- Knowledge/skills
5) Armed Forces
- Peacetime and wartime settings
- Military nurses have broader responsibilities and scope of
practice than do civilian nurses
- Major benefit is the opportunity for advanced education
6) Schools
- "Specialized practice of professional nursing that advances the
well-being, academic success, life-long achievement, and health
of students"
- Counseling, health curriculum, routine illness, and emergencies
- Specific issues: Abuse, school violence, and obesity
7) End-of-Life Settings
- Palliative care (relief to those with serious illnesses) and hospice
(end of life)
