m m
ProfessionalmNursing:mConceptsmandmChallenges,10THmEditionmbymBethmBlack||Co
mpletemGuide
,Chapterm1.mNursingminmToday’smEvolvingmHealthmCaremEnvironmentmMULT
IPLEmCHOICE
1. Whichmofmthemfollowingmcouldmeventuallymchangemthemhistoricalmstatusmofmnursingmasmamfemale
-
dominatedmprofession?
a. Moremmenmgraduatingmfrommbaccalaureatemandmhighermdegreemprograms
b. Themproportionmofmmenminmnursingmbeginningmtomincrease
c. Moremmalemgraduatesmofmbasicmnursingmprogramsmenteringmthemworkplace
d. Salarymcompensationmincreasingmtomattractmmoremmen
CORRECTmANS:mC
Rationale
A Moremmenmgraduatingmfrommbaccalaureatemandmhighermdegreemprogramsmismnotmthem
bestmanswermbecausemassociatemdegreemprogramsmproducemthemmostmnewmgraduates.
B Thempercentagemofmmenminmnursingmhasmincreasedm50%msincem2000.
C ThemmoremmenmwhomentermthemworkplacemasmRNs,mthemlessmnursingmwillmbemseenm
asmamfemale-dominatedmprofession.
D Salarymratesmdomnotmappearmtomrelatemtomthemrecruitmentmofmmenmintomnursing.
DIF:mCognitivemLevel:mComprehensionmREF:mMCS:m2
2. Themracialmandmethnicmcompositionmofmthemnursingmprofessionmwillmchangemtommoremaccur
atelymreflectmthempopulationmasmamwholemwhen
a. Themincreasedmnumbersmofmracialmandmethnicmminoritiesmenrolledminmeducationalmprogr
amsmgraduatemandmbeginmtompractice.
b. ThemnumbermofmAsiansmormNativemHawaiian-PacificmIslandersmbeginsmtomincrease.
c. ThempercentagemofmAfrican-
AmericanmandmHispanicmRNsmdecreasesmmoremthanmthempercentagemofmwhitemRN
s.
, d. Themnonwhitemportionmofmthemgeneralmpopulationmdecreases.
CORRECTmANS:mA
Rationale
A Amlargermpercentagemofmminoritiesmaremenrolledminmnursingmeducationalmprogramsmt
hanmpreviously.
B AsiansmandmNativemHawaiian-
PacificmIslandersmaremovermrepresentedminmnursingmcomparedmtomtheirmpercen
tagemofmthemgeneralmpopulation.
CmNotmonlymwouldmthempercentagemofmAfrican-
AmericanmandmHispanicmRNsmneedmtomincrease,mthempercentagemofmwhitemRNsmw
ouldmhavemtomdecreaseminmordermtommoremaccuratelymreflectmthempopulationmasmam
whole.
DmThemnonwhitemportionmofmthemgeneralmpopulationmismnotmlikelymtomdecrease.
DIF:mCognitivemLevel:mComprehensionmREF:mMCS:m3
3. WhichmofmthemfollowingmismamcorrectmstatementmaboutmthemregisteredmRNm(RN)mpopulation?
a. Themracial/ethnicmcompositionmofmRNsmcloselymresemblesmthatmofmthemgeneralmpopulation.
b. Themnumbermofmmenmenteringmnursingmhasmdecreasedmsteadilymovermthemlastmdecade.
c. ThemratemofmagingmofmRNsmhasmslowedmformthemfirstmtimeminmthempastm30myears.
d. ThemmajoritymofmemployedmRNsmworkingmfullmtimemmustmworkmamsecondmposition.
CORRECTmANS:mC
Rationale
A Themracial/ethnicmcompositionmofmRNsmismincreasing,mbutmdoesmnotmapproximatemt
heirmpercentagemofmthemoverallmpopulation.
B Themnumbermofmmenmenteringmnursingmismincreasing.
C ThemaveragemagemofmRNsminmbothm2004mandm2008mwasm46.mThismismamresultm
ofmthemnumbersmofmRNsmunderm30minmthemworkforce.
D Accordingmtom2008mdata,monlym12%mofmRNsmworkingmfullmtimemholdmseco
ndmpositions.
DIF:mCognitivemLevel:mKnowledgemREF:mMCS:m3
4. Whichmofmthemfollowingmbestmdescribesmtrendsminmnursingmeducation?
a. NumbersmofmRNsmwithmbachelorsmandmhighermdegreesmaremincreasing.
b. NumbersmofmRNsmwithmassociatemdegreesmaremdecreasing.
, c. Foreign-
bornmRNsmpracticingminmthemUnitedmStatesmaremseenmasmlessmknowledgeablembecausemofmth
eirmlessermeducationalmpreparation.
d. NumbersmofmRNsmwithmdiplomameducationsmaremincreasing.
CORRECTmANS:mA
Rationale
A Slightlymoverm50%mofmRNsmeventuallymobtainmtheirmbachelorsmofmscienceminmnursingm(
BSN)mormamhighermnursingmdegree.
B ThemmajoritymofmRNsminmthismcountrymgetmtheirminitialmnursingmeducationminmassoci
atemdegreeminmnursingm(ADN)mprograms.
C Foreign-
bornmRNsmpracticingminmthemUnitedmStatesmmaymbemviewedmasmlessmknowl
edgeablembymtheirmpeersmbecausemofmlanguagemandmculturalmdifferences.
D Themnumbersmofmdiploma-educatedmRNsmaremdeclining.
DIF:mCognitivemLevel:mKnowledgemREF:mMCS:m4
5. DespitemthemvarietymofmworkmsettingsmavailablemtomthemRN,mdatamfromm2008mindicatemth
atmthemprimarymworkmsitemformRNsmis
a. ambulatorymcaremsettings.
b. communitymhealthmsettings.
c. long-termmcaremfacilities.
d. acutemcaremhospitals.
CORRECTmANS:mD
Rationale
AmAmbulatorymcaremsettingsmaccountmformaboutm10.5%mofmRNsmplacesmofmemployment.
Bm Publicmhealthmandmcommunitymhealthmsettingsm accountmform7.8%mofmemployedm RNs.
Cm Long-termmcaremfacilitiesmaccountmform5.3%mofmRNsmplacesmofmemployment.
Dm Statisticsmshowmthatm62.2%mofmRNsmworkminmacutemcaremhospitals.
DIF:mCognitivemLevel:mKnowledgemREF:mMCS:m5
6. Onemimportantmadvantagemofmclinicalmladdermprogramsmformhospital-basedmRNsmismthatmthey