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Chapterg1.NursinggingToday’sgEvolvinggHealthgCaregEnvironment
MULTIPLEgCHOICE
1. Whichgofgthegfollowinggcouldgeventuallygchangegtheghistoricalgstatusgofgnursinggasgagfemal
e-gdominatedgprofession?
a. Moregmenggraduatinggfromgbaccalaureategandghighergdegreegprograms
b. Thegproportiongofgmengingnursinggbeginninggtogincrease
c. Moregmaleggraduatesgofgbasicgnursinggprogramsgenteringgthegworkplace
d. Salarygcompensationgincreasinggtogattractgmoregmen
ANS:gC
Feedback
A Moregmenggraduatinggfromgbaccalaureategandghighergdegreegprogramsgisgnotgth
egbestganswergbecausegassociategdegreegprogramsgproducegthegmostgnewgraduat
es.
B Thegpercentagegofgmengingnursingghasgincreasedg50%gsinceg2000.
C Thegmoregmengwhogentergthegworkplacegasgnurses,gtheglessgnursinggwillgbegseeng
asgagfemale-dominatedgprofession.
D Salarygratesgdognotgappeargtogrelategtogthegrecruitmentgofgmengintognursing.
DIF:gCognitivegLevel:gComprehensiongREF:gMCS:g2
2. Thegracialgandgethnicgcompositiongofgthegnursinggprofessiongwillgchangegtogmoregaccuratel
ygreflectgthegpopulationgasgagwholegwhen
a. thegincreasedgnumbersgofgracialgandgethnicgminoritiesgenrolledgineducationa
lgprogramsggraduategandgbegingtogpractice.
b. thegnumbergofgAsiansgorgNativegHawaiian-PacificgIslandersgbeginsgtogincrease.
c. thegpercentagegofgAfrican-
AmericangandgHispanicgnursesgdecreasesgmoregthanthegpercentagegofgwhitegnur
ses.
,d. thegnonwhitegportiongofgtheggeneralgpopulationgdecreases.
ANS:gA
Feedback
A Aglargergpercentagegofgminoritiesgaregenrolledgingnursinggeducationalgprogram
sgthangpreviously.
B AsiansgandgNativegHawaiian-
PacificgIslandersgaregovergrepresentedginnursinggcomparedgtogtheirgpercenta
gegofgtheggeneralgpopulation.
C NotgonlygwouldgthegpercentagegofgAfrican-
AmericangandgHispanicgnursesgneedgtogincrease,gthegpercentagegofgwhitegnursesg
wouldghavegtogdecreasegingordergtogmoregaccuratelygreflectgthegpopulationgasgag
whole.
D Thegnonwhitegportiongofgtheggeneralgpopulationgisgnotglikelygtogdecrease.
DIF:gCognitivegLevel:gComprehensiongREF:gMCS:g3
3. Whichgofgthegfollowinggisgagcorrectgstatementgaboutgthegregisteredgnurseg(RN)gpopulation?
a. Thegracial/ethnicgcompositiongofgRNsgcloselygresemblesgthatgofgtheggenera
lgpopulation.
b. Thegnumbergofgmengenteringgnursingghasgdecreasedgsteadilygovergtheglastdecade.
c. ThegrategofgaginggofgRNsghasgslowedgforgthegfirstgtimegingthegpastg30gyears.
d. ThegmajoritygofgemployedgRNsgworkinggfullgtimegmustgworkgagsecondgposition.
ANS:gC
Feedback
A Thegracial/ethnicgcompositiongofgRNsgisgincreasing,gbutgdoesgnotgapproximat
egtheirgpercentagegofgthegoverallgpopulation.
B Thegnumbergofgmengenteringgnursinggisgincreasing.
C ThegaveragegagegofgRNsgingbothg2004gandg2008gwasg46.gThisgisgagresultgofgt
hegnumbersgofgRNsgunderg30gingthegworkforce.
D Accordinggtog2008gdata,gonlyg12%gofgnursesgworkinggfullgtimegholdgsecon
dgpositions.
,DIF:gCognitivegLevel:gKnowledgegREF:gMCS:g3
4. Whichgofgthegfollowinggbestgdescribesgtrendsgingnursinggeducation?
a. NumbersgofgRNsgwithgbachelorsgandghighergdegreesgaregincreasing.
b. NumbersgofgRNsgwithgassociategdegreesgaregdecreasing.
c. Foreign-
borngnursesgpracticinggingthegUnitedgStatesgaregseengasglessgknowl
edgeablegbecausegofgtheirglessergeducationalgpreparation.
d. NumbersgofgRNsgwithgdiplomageducationsgaregincreasing.
ANS:gA
Feedback
A Slightlygoverg50%gofgRNsgeventuallygobtaingtheirgbachelorsgofgsciencegingnursin
gg(BSN)gorgaghighergnursinggdegree.
B Thegmajoritygofgnursesgingthisgcountryggetgtheirginitialgnursinggeducationgi
ngassociategdegreegingnursingg(ADN)gprograms.
C Foreign-
borngnursesgpracticinggingthegUnitedgStatesgmaygbegviewedgasglessgknowl
edgeablegbygtheirgpeersgbecausegofglanguagegandgculturaldifferences.
D Thegnumbersgofgdiploma-educatedgnursesgaregdeclining.
DIF:gCognitivegLevel:gKnowledgegREF:gMCS:g4
5. DespitegthegvarietygofgworkgsettingsgavailablegtogthegRN,gdatagfromg2008gindicategthatth
egprimarygworkgsitegforgRNsgis
a. ambulatorygcaregsettings.
b. communityghealthgsettings.
c. long-termgcaregfacilities.
d. acutegcareghospitals.
ANS:gD
Feedback
, AgAmbulatorygcaregsettingsgaccountgforgaboutg10.5%gofgRNsgplacesgofgemployment.g
BgPublicghealthgandgcommunityghealthgsettingsgaccountgforg7.8%gofgemployedgRNs.
gCgLong-termgcaregfacilitiesgaccountgforg5.3%gofgRNsgplacesgofgemployment.
DgStatisticsgshowgthatg62.2%gofgRNsgworkgingacutegcareghospitals.
DIF:gCognitivegLevel:gKnowledgegREF:gMCS:g5
6. Onegimportantgadvantagegofgclinicalgladdergprogramsgforghospital-basedgRNsgisgthatgthey
a. allowgcareergadvancementgforgnursesgwhogchoosegtogremaingatgthegbedside.
b. encouragegnursesgtogmovegintogmanagementgpositionsgingwhichgtheygcanginfluenc
egpatientgcaregongagbroadergscale.
c. encouragegRNsgtogbecomegpoliticallygactivegandgguidegthegprofessiongofgnursing.
d. providegtraininggtogstaffgnursesgsogtheygcangmovegseamlesslygacrossdepartments.
ANS:gA
Feedback
A Clinicalgladdergprogramsgallowgnursesgtogadvancegprofessionallygwhileremainin
ggatgthegbedside.
B Clinicalgladdergprogramsgaregdesignedgtogkeepgproficientgnursesgatgthegbedside.
C EncouraginggRNsgtogbecomegpoliticallygactivegandgguidegthegprofessiono
fgnursinggisgnotgtheggoalgofgclinicalgladdergprograms.
D Clinicalgladdergprogramsgaregnotgdesignedgtogfacilitategtransferbetwee
ngdepartments.
DIF:gCognitivegLevel:gComprehensiongREF:gMCS:g7
7. Whichgofgthegfollowinggstatementsgisgcorrectgaboutgcommunityghealthgnursing(CHN)?
a. PreventiongandgcommunitygeducationgaregthegcornerstonesgofgCHN.
b. Nursinggcaregisgrapidlygmovinggfromgtheghomegsettinggtogtheginstitutionalgsetting.
c. High-
techgcaregsuchgasgventilatorsgandgtotalgparenteralgnutritiongcannotgbehandledgingt
heghome.