,Chapter 01: Nursing inToday’s Evolving HealthCare Environment Black:
c3 c3 c3 c3 c3 c3 c3 c3 c3
ProfessionalNursing:ConceptsandChallenges,10thEdition
c3 c3 c3 c3 c3 c3 c3
MULTIPLE CHOICE c3
1. Whichofthe following could eventuallychange the historicalstatusof
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
c3 nursing as a female-dominated profession? c3 c3 c3 c3
a. More mengraduating frombaccalaureate and higher degree c3 c3 c3 c3 c3 c3 c3
programs
b. The proportionof men in nursing beginning to increase
c3 c3 c3 c3 c3 c3 c3 c3
c. More male graduatesof basic nursing programs entering the c3 c3 c3 c3 c3 c3 c3 c3
workplace
d. Salarycompensation increasing to attract more men c3 c3 c3 c3 c3 c3
ANS: c 3 C
Feedback
A “Moremengraduating frombaccalaureate and higher degree programs” is not c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
the best answer because associate degree programs producethe majorityofnew
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
graduates.
c3
B Thepercentage of men in nursing has increased 50% since 2000.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
C The more menwho enter the workplace as nurses, the less nursing will be seen
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
as a female-dominated profession.
c3 c3 c3
D Salaryrates do not appear to relateto the recruitment of men into nursing. c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
PTS: c 3 c 3 1 DIF: CognitiveLevel:Comprehension c3 c3
2. The racialand ethnic compositionofthe nursing professionwillchange to more accuratelyreflect the
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
population as a whole when
c3 c3 c3 c3 c3
a. the increased numbers ofracialand ethnic minorities enrolled ineducational
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
programs graduate and begin to practice. c3 c3 c3 c3 c3
b. the number ofAsians or Native Hawaiian-Pacific Islanders begins to increase.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
c. the percentage ofAfrican Americanand Hispanic nurses decreases morethanthe
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
percentage of White nurses.
c3 c3 c3 c3
d. the non-White portion ofthe generalpopulation decreases.
c3 c3 c3 c3 c3 c3 c3
ANS: c 3 A
Feedback
A Alarger percentage of minorities are enrolled in nursing educationalprograms
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
than previously. c3
B Asians and Native Hawaiian-Pacific Islanders are over represented in nursing c3 c3 c3 c3 c3 c3 c3 c3 c3
compared to their percentage ofthe general population. c3 c3 c3 c3 c3 c3 c3
, C Not only would the percentage ofAfrican American and Hispanic nurses need
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
to increase, the percentage ofWhite nurses would have to decrease inorderto more
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
accurately reflect the population as a whole.
c3 c3 c3 c3 c3 c3 c3
D The non-White portion ofthe general population is not likelyto decrease.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
PTS: c 3 c 3 1 DIF: CognitiveLevel:Comprehension c3 c3
3. Whichofthe following isa correct statement aboutthe registered nurse (RN) population?
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
a. The racial/ethnic composition ofRNs closelyresembles that ofthe general
c3 c3 c3 c3 c3 c3 c3 c3 c3 c 3
population.
b. The number of menentering nursing has decreased steadilyover the last decade.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
c. The rate ofaging ofRNs has slowed for the first time inthe past 30 years.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
d. The majorityofemployed RNs working fulltime must work a second position.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
ANS: c 3 C
Feedback
A The racial/ethnic compositionofRNs is increasing, but does not approximate
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
their percentage ofthe overallpopulation. c3 c3 c3 c3 c3
B The number of menentering nursing is increasing.
c3 c3 c3 c3 c3 c3 c3
C The average age ofRNs in both 2004 and 2008 was 46.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
D The average age ofBSN graduates is 25. c3 c3 c3 c3 c3 c3 c3
PTS: c 3 c 3 1 DIF: CognitiveLevel:Knowledge c3 c3
4. Whichofthe following best describes trends in nursing education?
c3 c3 c3 c3 c3 c3 c3 c3 c3
a. 45% of nurses receive their degree froma universitysetting.
c3 c3 c3 c3 c3 c3 c3 c3 c3
b. Numbers ofRNs with associate degrees are decreasing. c3 c3 c3 c3 c3 c3 c3
c. Foreign-bornnurses practicing inthe United States are seenas less knowledgeable c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
because of their lesser educational preparation.
c3 c3 c3 c3 c3 c3
d. Numbers of RNs with diploma educations are increasing. c3 c3 c3 c3 c3 c3 c3
ANS: c 3 A
Feedback
A 45% ofnurses report receiving their degree froma university setting.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
B The majorityofnurses inthis countryget their initial nursing education in
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
associate degree innursing (ADN) programs. c3 c3 c3 c3 c3
C Foreign-bornnurses practicing inthe United States maybe viewed as less c3 c3 c3 c3 c3 c3 c3 c3 c 3 c3 c3
knowledgeable bytheir peers because of language and culturaldifferences. c3 c3 c3 c3 c3 c3 c3 c3 c3
D The numbers ofdiploma-educated nurses are declining.
c3 c3 c3 c3 c3 c3
PTS: c 3 c 3 1 DIF: CognitiveLevel:Knowledge c3 c3
5. Despite the varietyofworksettings available tothe RN, data indicate that the primarywork site for RNs is
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
a. ambulatorycare settings. c3 c3
b. communityhealthsettings. c3 c3
, c. long-termcare facilities. c3 c3
d. acute care hospitals. c3 c3
ANS: c 3 D
Feedback
A Ambulatorycare settings account for about 10.5% ofRNs’ places of c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
employment.
B Public health and community health settings account for 7.8% ofemployed
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
RNs.
C Long-termcare facilities account for 5.3% ofRNs’ places ofemployment. c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
D Statistics show that 63.2%ofRNs work in acute care hospitals. c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
PTS: c 3 c 3 1 DIF: CognitiveLevel:Knowledge c3 c3
6. One important advantage ofclinical ladder programs for hospital-based RNs is that they
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
a. allowcareer advancement for nurses who chooseto remain at the bedside.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
b. encouragenurses to move into management positions in whichtheycan influence c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
patient care on a broader scale. c3 c3 c3 c3 c3
c. encourage RNs to become politicallyactive and guide the profession ofnursing. c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
d. provide training to staff nurses so theycan move seamlesslyacross departments.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
ANS: c 3 A
Feedback
A Clinical ladder programs allow nursesto advance professionallywhile c3 c3 c3 c3 c3 c3 c3 c3
remaining at the bedside. c3 c3 c3
B Clinical ladder programs are designed to keepproficient nursesat the bedside.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
C Encouraging RNs to become politicallyactive and guide the professionof c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
nursing is not the goalofclinical ladder programs. c3 c3 c3 c3 c3 c3 c3 c3
D Clinical ladder programs are not designed to facilitatetransfer between c3 c3 c3 c3 c3 c3 c3 c3 c3
departments.
PTS: c 3 c 3 1 DIF: CognitiveLevel:Comprehension c3 c3
7. Whichofthe following statements iscorrect about community healthnursing (CHN)?
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
a. Prevention and communityeducation are the cornerstones ofCHN. c3 c3 c3 c3 c3 c3 c3 c3
b. Nursing care is rapidlymoving fromthe home setting to the institutionalsetting.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
c. High-techcare suchas ventilators andtotalparenteralnutritioncannot be handled in the c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
home.
c3
d. Assessment skills are less important inCHN because patients are not acutely ill. c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
ANS: c 3 A
Feedback
A The communityhealthnurse provides educationalprograms in health
c3 c3 c3 c3 c3 c3 c3 c3
maintenance,diseaseprevention, nutrition, and child care. c3 c3 c3 c3 c3 c3
B Care is moving into the home setting. c3 c3 c3 c3 c3 c3
C Home care is increasing incomplexity. c3 c3 c3 c3 c3
c3 c3 c3 c3 c3 c3 c3 c3 c3
ProfessionalNursing:ConceptsandChallenges,10thEdition
c3 c3 c3 c3 c3 c3 c3
MULTIPLE CHOICE c3
1. Whichofthe following could eventuallychange the historicalstatusof
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
c3 nursing as a female-dominated profession? c3 c3 c3 c3
a. More mengraduating frombaccalaureate and higher degree c3 c3 c3 c3 c3 c3 c3
programs
b. The proportionof men in nursing beginning to increase
c3 c3 c3 c3 c3 c3 c3 c3
c. More male graduatesof basic nursing programs entering the c3 c3 c3 c3 c3 c3 c3 c3
workplace
d. Salarycompensation increasing to attract more men c3 c3 c3 c3 c3 c3
ANS: c 3 C
Feedback
A “Moremengraduating frombaccalaureate and higher degree programs” is not c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
the best answer because associate degree programs producethe majorityofnew
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
graduates.
c3
B Thepercentage of men in nursing has increased 50% since 2000.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
C The more menwho enter the workplace as nurses, the less nursing will be seen
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
as a female-dominated profession.
c3 c3 c3
D Salaryrates do not appear to relateto the recruitment of men into nursing. c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
PTS: c 3 c 3 1 DIF: CognitiveLevel:Comprehension c3 c3
2. The racialand ethnic compositionofthe nursing professionwillchange to more accuratelyreflect the
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
population as a whole when
c3 c3 c3 c3 c3
a. the increased numbers ofracialand ethnic minorities enrolled ineducational
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
programs graduate and begin to practice. c3 c3 c3 c3 c3
b. the number ofAsians or Native Hawaiian-Pacific Islanders begins to increase.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
c. the percentage ofAfrican Americanand Hispanic nurses decreases morethanthe
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
percentage of White nurses.
c3 c3 c3 c3
d. the non-White portion ofthe generalpopulation decreases.
c3 c3 c3 c3 c3 c3 c3
ANS: c 3 A
Feedback
A Alarger percentage of minorities are enrolled in nursing educationalprograms
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
than previously. c3
B Asians and Native Hawaiian-Pacific Islanders are over represented in nursing c3 c3 c3 c3 c3 c3 c3 c3 c3
compared to their percentage ofthe general population. c3 c3 c3 c3 c3 c3 c3
, C Not only would the percentage ofAfrican American and Hispanic nurses need
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
to increase, the percentage ofWhite nurses would have to decrease inorderto more
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
accurately reflect the population as a whole.
c3 c3 c3 c3 c3 c3 c3
D The non-White portion ofthe general population is not likelyto decrease.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
PTS: c 3 c 3 1 DIF: CognitiveLevel:Comprehension c3 c3
3. Whichofthe following isa correct statement aboutthe registered nurse (RN) population?
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
a. The racial/ethnic composition ofRNs closelyresembles that ofthe general
c3 c3 c3 c3 c3 c3 c3 c3 c3 c 3
population.
b. The number of menentering nursing has decreased steadilyover the last decade.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
c. The rate ofaging ofRNs has slowed for the first time inthe past 30 years.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
d. The majorityofemployed RNs working fulltime must work a second position.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
ANS: c 3 C
Feedback
A The racial/ethnic compositionofRNs is increasing, but does not approximate
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
their percentage ofthe overallpopulation. c3 c3 c3 c3 c3
B The number of menentering nursing is increasing.
c3 c3 c3 c3 c3 c3 c3
C The average age ofRNs in both 2004 and 2008 was 46.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
D The average age ofBSN graduates is 25. c3 c3 c3 c3 c3 c3 c3
PTS: c 3 c 3 1 DIF: CognitiveLevel:Knowledge c3 c3
4. Whichofthe following best describes trends in nursing education?
c3 c3 c3 c3 c3 c3 c3 c3 c3
a. 45% of nurses receive their degree froma universitysetting.
c3 c3 c3 c3 c3 c3 c3 c3 c3
b. Numbers ofRNs with associate degrees are decreasing. c3 c3 c3 c3 c3 c3 c3
c. Foreign-bornnurses practicing inthe United States are seenas less knowledgeable c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
because of their lesser educational preparation.
c3 c3 c3 c3 c3 c3
d. Numbers of RNs with diploma educations are increasing. c3 c3 c3 c3 c3 c3 c3
ANS: c 3 A
Feedback
A 45% ofnurses report receiving their degree froma university setting.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
B The majorityofnurses inthis countryget their initial nursing education in
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
associate degree innursing (ADN) programs. c3 c3 c3 c3 c3
C Foreign-bornnurses practicing inthe United States maybe viewed as less c3 c3 c3 c3 c3 c3 c3 c3 c 3 c3 c3
knowledgeable bytheir peers because of language and culturaldifferences. c3 c3 c3 c3 c3 c3 c3 c3 c3
D The numbers ofdiploma-educated nurses are declining.
c3 c3 c3 c3 c3 c3
PTS: c 3 c 3 1 DIF: CognitiveLevel:Knowledge c3 c3
5. Despite the varietyofworksettings available tothe RN, data indicate that the primarywork site for RNs is
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
a. ambulatorycare settings. c3 c3
b. communityhealthsettings. c3 c3
, c. long-termcare facilities. c3 c3
d. acute care hospitals. c3 c3
ANS: c 3 D
Feedback
A Ambulatorycare settings account for about 10.5% ofRNs’ places of c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
employment.
B Public health and community health settings account for 7.8% ofemployed
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
RNs.
C Long-termcare facilities account for 5.3% ofRNs’ places ofemployment. c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
D Statistics show that 63.2%ofRNs work in acute care hospitals. c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
PTS: c 3 c 3 1 DIF: CognitiveLevel:Knowledge c3 c3
6. One important advantage ofclinical ladder programs for hospital-based RNs is that they
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
a. allowcareer advancement for nurses who chooseto remain at the bedside.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
b. encouragenurses to move into management positions in whichtheycan influence c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
patient care on a broader scale. c3 c3 c3 c3 c3
c. encourage RNs to become politicallyactive and guide the profession ofnursing. c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
d. provide training to staff nurses so theycan move seamlesslyacross departments.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
ANS: c 3 A
Feedback
A Clinical ladder programs allow nursesto advance professionallywhile c3 c3 c3 c3 c3 c3 c3 c3
remaining at the bedside. c3 c3 c3
B Clinical ladder programs are designed to keepproficient nursesat the bedside.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
C Encouraging RNs to become politicallyactive and guide the professionof c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
nursing is not the goalofclinical ladder programs. c3 c3 c3 c3 c3 c3 c3 c3
D Clinical ladder programs are not designed to facilitatetransfer between c3 c3 c3 c3 c3 c3 c3 c3 c3
departments.
PTS: c 3 c 3 1 DIF: CognitiveLevel:Comprehension c3 c3
7. Whichofthe following statements iscorrect about community healthnursing (CHN)?
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
a. Prevention and communityeducation are the cornerstones ofCHN. c3 c3 c3 c3 c3 c3 c3 c3
b. Nursing care is rapidlymoving fromthe home setting to the institutionalsetting.
c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
c. High-techcare suchas ventilators andtotalparenteralnutritioncannot be handled in the c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
home.
c3
d. Assessment skills are less important inCHN because patients are not acutely ill. c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3
ANS: c 3 A
Feedback
A The communityhealthnurse provides educationalprograms in health
c3 c3 c3 c3 c3 c3 c3 c3
maintenance,diseaseprevention, nutrition, and child care. c3 c3 c3 c3 c3 c3
B Care is moving into the home setting. c3 c3 c3 c3 c3 c3
C Home care is increasing incomplexity. c3 c3 c3 c3 c3
