CProfessional Nursing: Concepts & Challenges, 9th Edition Test Bankhapter 1.Nursing in Today’s Evolving Health Care Environment MULTIPLE CHOICE
1.
... [Show More] Which of the following could eventually change the historical status of nursing as a femaledominated profession? a. More men graduating from baccalaureate and higher degree programs b. The proportion of men in nursing beginning to increase c. More male graduates of basic nursing programs entering the workplace d. Salary compensation increasing to attract more men
ANS: C Feedback
A More men graduating from baccalaureate and higher degree programs is not the best answer because associate degree programs produce the most new graduates.
B The percentage of men in nursing has increased 50% since 2000.
C The more men who enter the workplace as nurses, the less nursing will be seen as a female-dominated profession.
D Salary rates do not appear to relate to the recruitment of men into nursing. DIF: Cognitive Level: Comprehension REF: MCS: 2
2. The racial and ethnic composition of the nursing profession will change to more accurately reflect the population as a whole when
a. The increased numbers of racial and ethnic minorities enrolled in educational programs graduate and begin to practice.
b. The number of Asians or Native Hawaiian-Pacific Islanders begins to increase.
c. The percentage of African-American and Hispanic nurses decreases more than the percentage of white nurses.
d. The nonwhite portion of the general population decreases.
ANS: A Feedback
A A larger percentage of minorities are enrolled in nursing educational programs than previously.
B Asians and Native Hawaiian-Pacific Islanders are over represented in nursing compared to their percentage of the general population.
1 | P a g eC Not only would the percentage of African-American and Hispanic nurses need to
increase, the percentage of white nurses would have to decrease in order to more
accurately reflect the population as a whole.
D The nonwhite portion of the general population is not likely to decrease.
DIF: Cognitive Level: Comprehension REF: MCS: 3
3. Which of the following is a correct statement about the registered nurse (RN) population?
a. The racial/ethnic composition of RNs closely resembles that of the general population.
b. The number of men entering nursing has decreased steadily over the last decade.
c. The rate of aging of RNs has slowed for the first time in the past 30 years.
d. The majority of employed RNs working full time must work a second position.
ANS: C
Feedback
A The racial/ethnic composition of RNs is increasing, but does not approximate their
percentage of the overall population.
B The number of men entering nursing is increasing.
C The average age of RNs in both 2004 and 2008 was 46. This is a result of the
numbers of RNs under 30 in the workforce.
D According to 2008 data, only 12% of nurses working full time hold second
positions.
DIF: Cognitive Level: Knowledge REF: MCS: 3
4. Which of the following best describes trends in nursing education?
a. Numbers of RNs with bachelors and higher degrees are increasing.
b. Numbers of RNs with associate degrees are decreasing.
c. Foreign-born nurses practicing in the United States are seen as less knowledgeable because
of their lesser educational preparation.
d. Numbers of RNs with diploma educations are increasing.
ANS: A
Feedback
A Slightly over 50% of RNs eventually obtain their bachelors of science in nursing (BSN) or
a higher nursing degree.
B The majority of nurses in this country get their initial nursing education in associate
degree in nursing (ADN) programs.
C Foreign-born nurses practicing in the United States may be viewed as less
knowledgeable by their peers because of language and cultural differences.
D The numbers of diploma-educated nurses are declining.
DIF: Cognitive Level: Knowledge REF: MCS: 4
5. Despite the variety of work settings available to the RN, data from 2008 indicate that the
2 | P a g eprimary work site for RNs is
a. ambulatory care settings.
b. community health settings.
c. long-term care facilities.
d. acute care hospitals.
ANS: D
Feedback
A Ambulatory care settings account for about 10.5% of RNs places of employment. B
Public health and community health settings account for 7.8% of employed RNs. C
Long-term care facilities account for 5.3% of RNs places of employment.
D Statistics show that 62.2% of RNs work in acute care hospitals.
DIF: Cognitive Level: Knowledge REF: MCS: 5
6. One important advantage of clinical ladder programs for hospital-based RNs is that they
a. Allow career advancement for nurses who choose to remain at the bedside.
b. Encourage nurses to move into management positions in which they can influence patient
care on a broader scale.
c. Encourage RNs to become politically active and guide the profession of nursing.
d. Provide training to staff nurses so they can move seamlessly across departments.
ANS: A
Feedback
A Clinical ladder programs allow nurses to advance professionally while remaining at
the bedside.
B Clinical ladder programs are designed to keep proficient nurses at the bedside.
C Encouraging RNs to become politically active and guide the profession of nursing is
not the goal of clinical ladder programs.
D Clinical ladder programs are not designed to facilitate transfer between
departments.
DIF: Cognitive Level: Comprehension REF: MCS: 7
7. Which of the following statements is correct about community health nursing (CHN)?
a. Prevention and community education are the cornerstones of CHN.
b. Nursing care is rapidly moving from the home setting to the institutional setting.
c. High-tech care such as ventilators and total parenteral nutrition cannot be handled in
the home.
d. Assessment skills are less important in CHN because patients are not acutely ill.
3 | P a g eANS: A
Feedback
A The community health nurse provides educational programs in health maintenance,
disease prevention, nutrition, and child care.
B Care is moving into the home setting.
C Home care is increasing in complexity.
D Community health nurses must have excellent assessment skills as they do not have
the immediate backup that an acute care facility offers.
DIF: Cognitive Level: Comprehension REF: MCS: 9
8. Which of the following is most essential for the nurse entrepreneur to be successful?
a. Ability to take direction well
b. Excellent time-management skills
c. Avoidance of risks
d. A college degree in business
ANS: B
Feedback
A Nurse entrepreneurs must function autonomously.
B Nurse entrepreneurs must be well organized and efficient.
C Starting a business involves risk.
D A degree in business is not required to be a nurse entrepreneur.
DIF: Cognitive Level: Analysis REF: MCS: 10
9. The major benefit of serving as a military nurse is
a. Broader responsibilities and scope of practice than civilian nurses.
b. Working with entirely baccalaureate-prepared peers on active duty.
c. Serving as an officer on active duty or in the reserves.
d. The financial support to seek advanced degrees
ANS: D
Feedback
A Although military nurses do have broader responsibilities and scopes of practice than
civilian nurses do, this is not the major benefit.
B Although military nurses do work with entirely baccalaureate-prepared peers on
active duty, this is not the major benefit.
C Although military nurses serve as officers on active duty or in the reserves, this is not
the major benefit.
D Advanced education is supported by the military financially and also allows for
4 | P a g epromotion in rank at an accelerated pace.
DIF: Cognitive Level: Comprehension REF: MCS: 13
10. Which of the following statements explains why the school nurse of today is truly a
community health nurse?
a. The school nurse may be called on to care for a student’s family members in underserved
areas.
b. The school nurse’s primary responsibility is centered on the well child.
c. The school nurse’s primary responsibility is to maintain immunization records.
d. The school nurse must be certified in CHN.
ANS: A
Feedback
A In medically underserved areas a school nurse may be called on to care for members
of a childs immediate family.
B Chronically ill, disabled, and physically challenged students are in regular
classrooms.
C School nurses detect developmental problems; counsel and educate children, parents,
and teachers; and maintain immunization records.
D Although school nurses are considered community health nurses, certification in
community health is not required.
DIF: Cognitive Level: Comprehension REF: MCS: 13
11. What has been found about the outcomes of patients cared for in hospitals with a higher
percentage of BSN-prepared nurses as compared to patients in hospitals with a lower percentage
of BSN-prepared nurses?
a. Patient outcomes are more dependent on nurse-patient ratios.
b. Outcomes were better in hospitals with more BSN-prepared nurses.
c. Outcomes were similar in both types of hospitals.
d. Medical patients had better outcomes, but surgical patients fared the same.
ANS: B
Feedback
A Nurse-patient ratio is an important determinant of patient care outcomes but has
not been shown to be more or less important that the percentage of BSN-prepared
nurses providing direct patient care.
B Research by Aiken, et al, (2003) showed that patient outcomes were better in
hospitals where higher percentages of BSN-prepared nurses were employed.
C Research by Aiken, et al, (2003) showed that patient outcomes were better in
hospitals where higher percentages of BSN-prepared nurses were employed.
D Aiken, et al (2003) studied orthopedic, general surgical, and vascular surgery
patients and found the outcomes were improved for these patients in hospitals
5 | P a g ewith a higher percentage of BSN-prepared nurses.
DIF: Cognitive Level: Knowledge REF: MCS: 7
12. Faith community nursing (FCN) was founded on which of the following premises?
a. Nurses faith beliefs do not play a part in healing.
b. The spiritual aspect takes precedence over the physical body in healing.
c. Spiritual health is central to a person’s well-being.
d. Faith community nurses must receive formal training as a minister or clergy.
ANS: C
Feedback
A The nurse’s spiritual journey is believed to be an essential aspect of this nursing role.
B Patients are treated holistically under FCN.
C FCN is based on the belief that spiritual health is central to well-being.
D Faith community nurses do not need to have formal training as a ministers.
DIF: Cognitive Level: Comprehension REF: MCS: 16
13. One important advantage of the evolution of nursing informatics is that
a. It allows any RN to become a certified informatics nurse.
b. Informatics nurses are best able to design systems with the needs and skills of
nurses who use them.
c. Informatics nurses will reduce the need for direct caregivers to document care.
d. Benefits of informatics advancements include improved patient safety and increased
variability of care.
ANS: B
Feedback
A Although all nurses may use informatics, a nurse specializing in informatics
should have a BSN and additional knowledge and experience in the field of
informatics.
B Informatics nurses understand how the information needs to be used and how to
make the systems work for the nurses.
C Direct caregivers will still need to document the care provided.
D Benefits do include improved patient safety, but decreased variability of care is expected
with informatics systems.
DIF: Cognitive Level: Comprehension REF: MCS: 17
14. Which of the following nursing roles is not considered an advanced practice role?
a. Certified nurse-midwife (CNM)
b. Community health nurse
c. Certified nurse practitioner (CNP)
d. Clinical nurse specialist (CNS)
6 | P a g eANS: B
Feedback
A A CNM is an advanced practice role.
B The community health nurse is not an advanced practice role.
C CNP is an advanced practice role.
D CNS is an advanced practice role.
DIF: Cognitive Level: Comprehension REF: MCS: 17
15. NPs are advanced practice nurses who
a. are required to have physician collaboration or supervision.
b. function under a set of universal advanced practitioner laws.
c. cannot receive direct reimbursement for their services.
d. can diagnose and treat common and chronic conditions.
ANS: D
Feedback
A The laws governing the practice of NPs vary from state to state, including the
degree of supervision required and how they may be reimbursed for their services.
B The laws governing the practice of NPs vary from state to state, including the
degree of supervision required and how they may be reimbursed for their services.
C The laws governing the practice of NPs vary from state to state, including the
degree of supervision required and how they may be reimbursed for their services.
D NPs are prepared to handle a wide range of basic health problems.
DIF: Cognitive Level: Comprehension REF: MCS: 18
16. The clinical nurse leader (CNL) is a recently proposed role. The responsibilities of the
person in this role include which of the following?
a. Oversee and manage care delivery in specific settings.
b. Manage and streamline operations in multiple nursing units.
c. Replace the outdated CNS role.
d. Provide daily care to a specific subset of patients with similar needs.
ANS: A
Feedback
A The CNL role is intended to provide the highest quality of nursing care by having masters-
prepared nurses involved in the care of a distinct group of patients.
B The CNL role was not intended as a managerial or administrative role.
C The CNS role is not outdated, and some controversy exists because some CNSs view this
new role as possibly disenfranchising them.
7 | P a g eD CNLs may on occasion provide direct patient care, but not on a daily basis.
DIF: Cognitive Level: Knowledge REF: MCS: 20
MULTIPLE RESPONSE
1. Hospice and palliative care nursing is a rapidly developing specialty in nursing. Which facts
have contributed to this growth? (Select all that apply.)
a. End-of-life care is largely the responsibility of nurses.
b. End-of-life needs are expected to increase with the aging population.
c. Nursing curricula have prepared nurses to deal effectively with dying patients and their
families.
d. Palliative care is a new focus of advanced practice nurses.
e. Hospice and palliative care nurses work in a variety of settings.
ANS: A, B, E
Feedback
Correct
End-of-life care is largely the responsibility of nurses is correct because
palliative care reflects the holistic philosophy of nursing, and comfort and
relief have always been nursing responsibilities. End-of-life needs are
expected to increase with the aging population is correct because as the
population ages there will be a greater demand for end-of-life care as the
number of individuals needing care increases. Hospice and palliative care
nurses work in a variety of settings is correct because palliative care takes
place in hospitals, homes, hospices, skilled nursing homes, etc.
Incorrect Nursing curricula have prepared nurses to deal effectively with dying
patients and their families is incorrect because nursing educational
programs have not prepared nurses well as the content related to end-of-
life issues and palliative care has been limited. Palliative care is a new focus
of
advanced practice nurses is incorrect because palliative care has been a
focus of many nurses, not just advanced practice nurses.
DIF: Cognitive Level: Comprehension REF: pp. 14-15
2. CNSs may (Select all that apply.)
a. manage an inpatient nursing unit.
b. develop educational programs for nursing staff.
c. conduct practice outcomes research.
d. prescribe medications for common illnesses.
e. attend or assist in the delivery of low-risk newborns.
ANS: A, B, C
Feedback
Correct CNSs are prepared with an advanced nursing degree and the skills to function
in a variety of settings and functional roles.
8 | P a g eIncorrect CNSs do not have prescribing authority. CNMs attend or assist at the delivery of
low-risk newborns.
Chapter 2.The History and Social Context of Nursing
MULTIPLE CHOICE
1. Which early nursing leader founded the first training school for nurses that would later
become a model for early nursing education?
a. Dorothea Dix
b. Florence Nightingale
c. Clara Barton
d. Mary Ann Bickerdyke
ANS: B
Feedback
A Dorothea Dix is best known as an advocate for the mentally ill, and she created a
brief training program at two New York hospitals for women who wished to serve
as nurses in the Civil War.
B Florence Nightingale founded the first training school for nurses at St. Thomass
Hospital in London in 1806. This became the model for nursing education in the
United States.
C Clara Barton is known for founding the American Red Cross.
D Mary Ann Bickerdyke is best known for nursing services during the Civil War.
DIF: Cognitive Level: Knowledge REF: MCS: 25
2. Who was the first educated African-American professional nurse?
a. Linda Richards
b. Phoebe Pember
c. Sojourner Truth
d. Mary Eliza Mahoney
ANS: D
Feedback
A Linda Richards was the first trained nurse in the United States.
B Phoebe Pember was one of the first women placed in charge of a hospital.
C Sojourner Truth was a famous abolitionist who served as a nurse for the Union forces in
the Civil War.
D Mary Eliza Mahoney was the first African-American professional nurse; she was educated at
the New England Hospital for Women and Children.
DIF: Cognitive Level: Knowledge REF: MCS: 27
3. To which early nursing leader is attributed the founding of the American Red Cross?
9 | P a g ea. Clara Barton
b. Dorothea Dix
c. Florence Nightingale
d. Lavinia Lloyd Dock
ANS: A
Feedback
A Founding the American Red Cross is attributed to Clara Barton.
B Dorothea Dix was superintendent of women nurses of the Union Army.
C Florence Nightingale was an English pioneer in nursing.
D Lavinia Lloyd Dock was influential in forming the National League for Nursing (NLN).
DIF: Cognitive Level: Knowledge REF: MCS: 26
4. What were some of the application requirements of nursing education programs in the 1900s?
a. Male, intelligent, strong
b. Female, sensitive, subservient
c. Female, docile, from poor background
d. Male, high breeding, independent
ANS: B
Feedback
A Men were not thought to be sensitive enough for nursing.
B Sensitivity, breeding, intelligence, ladylike behavior, and submission to authority were
highly desired personal traits for nursing students.
C High breeding was desirable for nursing education program applicants.
D Men were not desired nursing education program applicants.
DIF: Cognitive Level: Knowledge REF: MCS: 27
5. Which of the following statements best describes how the Chicago Worlds Fair of 1893
became a pivotal point in the history of nursing education in the United States?
a. Florence Nightingales work on sanitation and its relationship to mortality rates was
finally recognized.
b. The organization today known as the NLN was formed to address issues in nursing
education.
c. The American Nurses Association (ANA) was formed to oversee nursing
education in the United States.
d. The International Council of Nurses (ICN) was formed to enhance collaboration
between practicing nurses and educators.
ANS: B
10 | P a g eFeedback
A Florence Nightingales paper was on scientific training of nurses.
B Several influential nursing leaders met at the Chicago Worlds Fair and started the
National League for Nursing Educationthe precursor to the NLN.
C The NLN, not the ANA, was formed to oversee nursing education in the United States.
D The ICN was not founded until 1899 and is not involved in U.S. education of nurses.
DIF: Cognitive Level: Comprehension REF: MCS: 28
6. Which early nursing organization is credited with first recommending state registration for
nurses?
a. ICN
b. NLN
c. ANA
d. National Association of Colored Graduate Nurses
ANS: A
Feedback
A The ICN was formed to unite all nursing organizations. The topic of the first meeting
was registration for nurses by each country and state.
B The NLN was formed to oversee nursing education in the United States.
C The ANA was formed to enhance collaboration between practicing nurses and
educators.
D The National Association of Colored Graduate Nurses was formed to develop leadership
among African-American nurses.
DIF: Cognitive Level: Knowledge REF: MCS: 28
7. Which of the following nursing leaders, because of her work in the Henry Street Settlement, is
considered the founder of public health nursing?
a. Margaret Sanger
b. Clara Barton
c. Lillian Wald
d. Lavinia Lloyd Dock
ANS: C
Feedback
A Margaret Sanger is known for her work on birth control with immigrant women from
the Lower East Side of New York City.
B Clara Barton founded the American Red Cross.
C Lillian Wald founded the Henry Street Settlement, the first formalized public health
nursing project.
11 | P a g eD Lavinia Lloyd Dock was instrumental in the formation of the NLN.
DIF: Cognitive Level: Knowledge REF: MCS: 28
8. Despite the caring efforts of early public health nurses in the Henry Street Settlement, racial
disparity left many people underserved. Which of the following African-American public health
nurses was instrumental in providing excellent nursing care to underserved families despite
these social challenges?
a. Jessie Sleet Scales
b. Margaret Sanger
c. Lavinia Lloyd Dock
d. Anita M. McGee
ANS: A
Feedback
A Jessie Sleet Scales established the Stillman House, a part of the Henry Street Settlement
that provided care to African Americans.
B Margaret Sanger worked to provide immigrant women on the Lower East Side of New
York City with birth control information.
C Lavinia Lloyd Dock founded the NLN.
D Anita M. McGee was a physician appointed as head of the Hospital Corps, who
recruited nurses for the Spanish-American War of 1898.
DIF: Cognitive Level: Comprehension REF: MCS: 29
9. Which one of the following events occurring during the first decade of the twentieth century
brought sweeping changes to nursing?
a. It was required that all practicing nurses be licensed.
b. Permissive licensing laws allowed registered nurses (RNs) to practice without a license if
they registered with the state.
c. All states required a standardized licensing examination.
d. Nurses had to pass a licensing examination to use the title RN.
ANS: D
Feedback
A Practicing nurses did not have to be licensed but could not use the title.
B Permissive licensing laws required all nurses using the title RN to be licensed.
C Licensing examinations were not standardized until 1950.
D Licensure laws were passed that required all people using the title of RN to be licensed.
DIF: Cognitive Level: Comprehension REF: MCS: 30
12 | P a g e10. What was the most significant impact on the profession of nursing made by Mary
Breckenridge in her role as a frontier nurse?
a. She demonstrated that nurses could provide primary care in rural settings.
b. She demonstrated that female nurses could protect themselves in unsettled
rural environments.
c. She demonstrated that nurses were capable of teaching new mothers to care for babies.
d. She demonstrated that nurses could provide care to many clients despite
geographic boundaries.
ANS: A
Feedback
A Mary Breckenridge established frontier nursing services. She provided primary
care to women and babies and demonstrated that nurses could provide
primary care.
B Safety was not the primary impact of the success of frontier nursing.
C Although she was a nurse-midwife, this was not the most significant impact.
D Demonstrating that nurses could provide care to many clients despite geographic boundaries
was not the most significant impact made by Mary Breckenridge.
DIF: Cognitive Level: Comprehension REF: MCS: 32
11. Which of the following trends in health care delivery that began in the second half of the
twentieth century continues today?
a. Widespread use of team nursing to address the nursing shortage
b. Massive movement of nurses out of acute care and into home care
c. Advent of primary care to replace specialized care
d. Provision of care to the poor, elderly, and disabled through Medicare and Medicaid
ANS: D
Feedback
A Team nursing is rarely used today.
B More nurses work in acute care today than in home care.
C After World War II, specialization became popular.
D Two amendments to the Social Security Act in 1965 designed to ensure access to health care
for elderly, poor, and disabled Americans were the establishment of Medicare and Medicaid.
DIF: Cognitive Level: Comprehension REF: MCS: 34
12. A recent trend in nursing has been an increase in the number of men and women with
degrees in other fields or other careers applying to nursing programs. What is the single most
important reason for this trend?
a. Nursing as a career has gained increased status and prestige.
13 | P a g eb. Nursing salaries have outpaced many other fields.
c. A nursing career provides both job security and meaningful employment.
d. Working conditions in nursing have improved.
ANS: C
Feedback
A While true, nursings increased status and prestige is not a significant factor in the trend
of people choosing it as a second career.
B Salary is not a major factor.
C The current appeal to men and women with degrees in other fields is that nursing
can provide job opportunities, economic security, and the opportunity to help others.
D Working conditions are not identified as a reason for choosing a second career in
nursing.
DIF: Cognitive Level: Knowledge REF: MCS: 39
13. What specialty of nursing was considered well suited for men at a time when other areas
were excluding men from practicing?
a. Obstetric nursing
b. Pediatric nursing
c. Psychiatric nursing
d. Nurse educator
ANS: C
Feedback
A Obstetric nursing was not considered an appropriate area for men in nursing.
B Pediatric nursing was not considered an appropriate area for men in nursing.
C Psychiatric nursing was considered well suited for men because it required physical stamina
and strength.
D Education was not a specialty considered well suited for men in nursing.
DIF: Cognitive Level: Knowledge REF: MCS: 37
14. When surveyed, what is the primary reason given by men for entering nursing?
a. To make a difference
b. High salaries
c. Flexible schedules
d. Opportunity for travel
ANS: A
14 | P a g eFeedback
A Men who want to make a difference in peoples lives find nursing an appealing career choice
B Economic and job security are important factors for men entering nursing, but more significant is the opportunity to make a difference in peoples lives.
C Flexible schedules, where provided, are an attractive incentive for employment, but that is not as significant as being able to make a difference in peoples lives.
D Opportunity for travel is available for travel and military nurses, otherwise it is not an important aspect of nursing as a career.
DIF: Cognitive Level: Knowledge REF: MCS: 38
15. What was the purpose of the Hill-Burton Act? a. It established funding for the construction of hospitals. b. It provided women in the service with military rank.
c. It established and funded the Frontier Nursing Service. d. It created the Cadet Nurse Corps. [Show Less]