CHALLENGES, 9TH EDITION BY BETH PERRY BLACK
Chapteri1.NursingiiniToday’siEvolvingiHealthiCareiEnvironment
MULTIPLEiCHOICE
1. Whichiofitheifollowingicouldieventuallyichangeitheihistoricalistatusiofinursingiasiaifemale-
idominatediprofession?
a. Moreimenigraduatingifromibaccalaureateiandihigheridegreeiprograms
b. Theiproportioniofimeniininursingibeginningitoiincrease
c. Moreimaleigraduatesiofibasicinursingiprogramsienteringitheiworkplace
d. Salaryicompensationiincreasingitoiattractimoreimen
ANS:iC
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A Moreimenigraduatingifromibaccalaureateiandihigheridegreeiprogramsiisinotitheib
estiansweribecauseiassociateidegreeiprogramsiproduceitheimostinewigraduates.
B Theipercentageiofimeniininursingihasiincreasedi50%isincei2000.
C Theimoreimeniwhoienteritheiworkplaceiasinurses,itheilessinursingiwillibeiseeniasiaif
emale-dominatediprofession.
D Salaryiratesidoinotiappearitoirelateitoitheirecruitmentiofimeniintoinursing.
DIF:iCognitiveiLevel:iComprehensioniREF:iMCS:i2
2. Theiracialiandiethnicicompositioniofitheinursingiprofessioniwillichangeitoimoreiaccuratelyire
flectitheipopulationiasiaiwholeiwhen
a. theiincreasedinumbersiofiracialiandiethniciminoritiesienrollediinieducationalip
rogramsigraduateiandibeginitoipractice.
b. theinumberiofiAsiansioriNativeiHawaiian-PacificiIslandersibeginsitoiincrease.
c. theipercentageiofiAfrican-
AmericaniandiHispanicinursesidecreasesimoreithanitheipercentageiofiwhiteinurses.
,d. theinonwhiteiportioniofitheigeneralipopulationidecreases.
ANS:iA
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A Ailargeripercentageiofiminoritiesiareienrollediininursingieducationaliprogramsit
hanipreviously.
B AsiansiandiNativeiHawaiian-
PacificiIslandersiareioverirepresentediininursingicompareditoitheiripercentagei
ofitheigeneralipopulation.
C NotionlyiwoulditheipercentageiofiAfrican-
AmericaniandiHispanicinursesineeditoiincrease,itheipercentageiofiwhiteinursesiwo
uldihaveitoidecreaseiiniorderitoimoreiaccuratelyireflectitheipopulationiasiaiwhole.
D Theinonwhiteiportioniofitheigeneralipopulationiisinotilikelyitoidecrease.
DIF:iCognitiveiLevel:iComprehensioniREF:iMCS:i3
3. Whichiofitheifollowingiisiaicorrectistatementiaboutitheiregisteredinursei(RN)ipopulation?
a. Theiracial/ethnicicompositioniofiRNsicloselyiresemblesithatiofitheigeneralip
opulation.
b. Theinumberiofimenienteringinursingihasidecreasedisteadilyioveritheilastidecade.
c. TheirateiofiagingiofiRNsihasislowediforitheifirstitimeiinitheipasti30iyears.
d. TheimajorityiofiemployediRNsiworkingifullitimeimustiworkiaisecondiposition.
ANS:iC
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A Theiracial/ethnicicompositioniofiRNsiisiincreasing,ibutidoesinotiapproximateit
heiripercentageiofitheioverallipopulation.
B Theinumberiofimenienteringinursingiisiincreasing.
C TheiaverageiageiofiRNsiinibothi2004iandi2008iwasi46.iThisiisiairesultiofitheinu
mbersiofiRNsiunderi30iinitheiworkforce.
D Accordingitoi2008idata,ionlyi12%iofinursesiworkingifullitimeiholdisecondip
ositions.
, DIF:iCognitiveiLevel:iKnowledgeiREF:iMCS:i3
4. Whichiofitheifollowingibestidescribesitrendsiininursingieducation?
a. NumbersiofiRNsiwithibachelorsiandihigheridegreesiareiincreasing.
b. NumbersiofiRNsiwithiassociateidegreesiareidecreasing.
c. Foreign-
borninursesipracticingiinitheiUnitediStatesiareiseeniasilessiknowledg
eableibecauseiofitheirilesserieducationalipreparation.
d. NumbersiofiRNsiwithidiplomaieducationsiareiincreasing.
ANS:iA
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A Slightlyioveri50%iofiRNsieventuallyiobtainitheiribachelorsiofiscienceiininursingi(
BSN)ioriaihigherinursingidegree.
B Theimajorityiofinursesiinithisicountryigetitheiriinitialinursingieducationiinia
ssociateidegreeiininursingi(ADN)iprograms.
C Foreign-
borninursesipracticingiinitheiUnitediStatesimayibeiviewediasilessiknowledg
eableibyitheiripeersibecauseiofilanguageiandiculturalidifferences.
D Theinumbersiofidiploma-educatedinursesiareideclining.
DIF:iCognitiveiLevel:iKnowledgeiREF:iMCS:i4
5. DespiteitheivarietyiofiworkisettingsiavailableitoitheiRN,idataifromi2008iindicateithatitheipr
imaryiworkisiteiforiRNsiis
a. ambulatoryicareisettings.
b. communityihealthisettings.
c. long-termicareifacilities.
d. acuteicareihospitals.
ANS:iD
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