Chapter 13: Workforce Advocacy for a Professional Nursing Practice Environment
Cherry and Jacob: Contemporary Nursing: Issues, Trends, and Management, 8th
Edition
MULTIPLE CHOICE
1. What should the RN do when asked to accept a patient assignment that he or she may feel
unqualified to manage?
a. Accept the assignment as appropriate if assigned by a legitimate power.
b. Be primarily concerned with the number of patients being assigned.
c. Ask how other nurses have handled the assignment in the past.
d. Determine whether he or she is familiar with the types of patients being assigned.
ANS: D
Nurses should always think critically about assignments so they can communicate what makes
them uncomfortable about a particular assignment. If nurses do not have the knowledge or
experience required for patient assignments, then modification of the assignments is in order
to ensure patient safety.
DIF: Application
2. What workplace factor has been found to contribute to the nursing shortage?
a. Movement of nurses into acute care settings
b. The use of unlicensed assistive personnel to replace RNs
c. A severe lack of males who have chosen nursing as a career
d. An aging nursing workforce
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ANS: D
Research validates that an aging population and an aging nursing workforce are significant
contributors to the nursing shortage issue.
DIF: Comprehension
3. In the last years what have studies conducted to determine enrollment trends in nursing
schools found related to the predicted nursing shortage?
a. A greater number of individuals chose nursing as a career but could not meet
entrance requirements.
b. More young people chose to enter the profession of nursing.
c. Fewer career opportunities exist in the profession of nursing and fewer
opportunities are projected to exist for women.
d. Men have dominated the profession, and women feel that they have experienced
discrimination.
ANS: B
An unexpected number of young people entered the nursing workforce from 2002 to 2009,
causing faster growth in the supply than anticipated.
DIF: Comprehension
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, TEST BANK FOR CONTEMPORARY NURSING 8TH EDITION BY CHERRY
4. What factor has attributed to a situation where qualified nursing school applicants have
continued to be turned away, limiting enrollment due to a shortage of faculty?
a. Nursing faculties are subject to high levels of burnout and job dissatisfaction.
b. Only the number of faculty in Associate Degree programs remains stable.
c. The mean age of nursing faculty continues to decrease and older faculty mentors
have left the profession.
d. Increasing job competition from higher paying clinical sites, even as the economy
recovers
ANS: D
Academic institutions, especially those faced with budget cuts, generally cannot compete with
nonacademic employers. Faculty salaries continue to be a major contributor to the nursing
shortage.
DIF: Comprehension
5. What is the key to organizational success for health care facilities?
a. Recruiting younger, more energetic nurses
b. Offering incentives such as sign-on bonuses
c. Hiring highly qualified advanced practice nurses
d. Making effect to retaining practicing professional nurses
ANS: D
Past nursing shortages have proved that retention of professional nurses is the key to any
organization’s success. Nurses want to work in an environment that supports decision making
and effective nurse-physician relationships. The ability of an organization to retain nurses
primarily depends on the creation of an environment that is conducive to professional
autonomy. NURSINGKING.COM
DIF: Comprehension
6. A new graduate nurse is applying for the exciting first position and states, “I am only applying
to Magnet hospitals because those work environments:
a. attract physicians who are the best health care providers to improve quality of
care.”
b. require all registered nurses to be certified in practice.”
c. not only attract but also retain professional nurses.”
d. discourage nurses from advancing their current level of education and I don’t want
to return to school for many years.”
ANS: C
Magnet hospitals have been identified as both attracting and retaining professional nurses.
Magnet hospital nurses have higher levels of autonomy, greater control over the practice
setting, and better relationships with physicians.
DIF: Comprehension
7. Which situation would be considered a workforce advocacy issue that is reportable to the state
nurses association or the Center for American Nurses if it is not resolved at the local level?
a. Nurses prefer to wear navy blue scrubs, but the institution requires burgundy
scrubs, which interferes with autonomy.
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