Professional Nursing: Concepts & Challenges, 9th Edition
Test Bank
Chapter 1.Nursing in Today’s Evolving Health Care Environment
MULTIPLE00CHOICE
1. Which00of00the00following00could00eventually00change00the00historical00status00of00nursing00
as00a00female-00dominated00profession?
a. More00men00graduating00from00baccalaureate00and00higher00degree00programs
b. The00proportion00of00men00in00nursing00beginning00to00increase
c. More00male00graduates00of00basic00nursing00programs00entering00the00workplace
d. Salary00compensation00increasing00to00attract00more00men
ANS:00C
Feedback
A More00men00graduating00from00baccalaureate00and00higher00degree00programs00is00n
ot00the00best00answer00because00associate00degree00programs00produce00the00most00
new00graduates.
B The00percentage00of00men00in00nursing00has00increased0050%00since002000.
C The00more00men00who00enter00the00workplace00as00nurses,00the00less00nursing00will0
0be00seen00as00a00female-dominated00profession.
D Salary00rates00do00not00appear00to00relate00to00the00recruitment00of00men00into00nursing.
DIF:00Cognitive00Level:00Comprehension00REF:00MCS:002
2. The00racial00and00ethnic00composition00of00the00nursing00profession00will00change00to00mor
e00accurately00reflect00the00population00as00a00whole00when
a. The00increased00numbers00of00racial00and00ethnic00minorities00enrolled00in00educational
00programs00graduate00and00begin00to00practice.
b. The00number00of00Asians00or00Native00Hawaiian-Pacific00Islanders00begins00to00increase.
c. The00percentage00of00African-
American00and00Hispanic00nurses00decreases00more00than00the00percentage00of00w
hite00nurses.
, d. The00nonwhite00portion00of00the00general00population00decreases.
ANS:00A
Feedback
A A00larger00percentage00of00minorities00are00enrolled00in00nursing00educational00prog
rams00than00previously.
B Asians00and00Native00Hawaiian-
Pacific00Islanders00are00over00represented00in00nursing00compared00to00their00
percentage00of00the00general00population.
C00Not00only00would00the00percentage00of00African-
American00and00Hispanic00nurses00need00to00increase,00the00percentage00of00whit
e00nurses00would00have00to00decrease00in00order00to00more00accurately00reflect00th
e00population00as00a00whole.
D00The00nonwhite00portion00of00the00general00population00is00not00likely00to00decrease.
DIF:00Cognitive00Level:00Comprehension00REF:00MCS:003
3. Which00of00the00following00is00a00correct00statement00about00the00registered00nurse00(RN)00population?
a. The00racial/ethnic00composition00of00RNs00closely00resembles00that00of00the00general00populati
on.
b. The00number00of00men00entering00nursing00has00decreased00steadily00over00the00last00decade.
c. The00rate00of00aging00of00RNs00has00slowed00for00the00first00time00in00the00past003000years.
d. The00majority00of00employed00RNs00working00full00time00must00work00a00second00position.
ANS:00C
Feedback
A The00racial/ethnic00composition00of00RNs00is00increasing,00but00does00not00approxi
mate00their00percentage00of00the00overall00population.
B The00number00of00men00entering00nursing00is00increasing.
C The00average00age00of00RNs00in00both00200400and00200800was0046.00This00is00
a00result00of00the00numbers00of00RNs00under003000in00the00workforce.
D According00to00200800data,00only0012%00of00nurses00working00full00time00h
old00second00positions.
DIF:00Cognitive00Level:00Knowledge00REF:00MCS:003
4. Which00of00the00following00best00describes00trends00in00nursing00education?
a. Numbers00of00RNs00with00bachelors00and00higher00degrees00are00increasing.
b. Numbers00of00RNs00with00associate00degrees00are00decreasing.
,c. Foreign-
born00nurses00practicing00in00the00United00States00are00seen00as00less00knowledgeable00beca
use00of00their00lesser00educational00preparation.
d. Numbers00of00RNs00with00diploma00educations00are00increasing.
ANS:00A
Feedback
A Slightly00over0050%00of00RNs00eventually00obtain00their00bachelors00of00science00in00nu
rsing00(BSN)00or00a00higher00nursing00degree.
B The00majority00of00nurses00in00this00country00get00their00initial00nursing00education00
in00associate00degree00in00nursing00(ADN)00programs.
C Foreign-
born00nurses00practicing00in00the00United00States00may00be00viewed00as00le
ss00knowledgeable00by00their00peers00because00of00language00and00cultural0
0differences.
D The00numbers00of00diploma-educated00nurses00are00declining.
DIF:00Cognitive00Level:00Knowledge00REF:00MCS:004
5. Despite00the00variety00of00work00settings00available00to00the00RN,00data00from00200800ind
icate00that00the00primary00work00site00for00RNs00is
a. ambulatory00care00settings.
b. community00health00settings.
c. long-term00care00facilities.
d. acute00care00hospitals.
ANS:00D
Feedback
A00 Ambulatory00care00settings00account00for00about0010.5%00of00RNs00places00of00 employment.
B00 Public00 health00 and00community00 health00 settings00 account00 for00 7.8%00 of00 employed00 RNs.
C0 0 Long-term00care00facilities00account00for005.3%00of00RNs00places00of00employment.
D0 0 Statistics00show00that0062.2%00of00RNs00work00in00acute00care00hospitals.
DIF:00Cognitive00Level:00Knowledge00REF:00MCS:005
6. One00important00advantage00of00clinical00ladder00programs00for00hospital-
based00RNs00is00that00they
, a. Allow00career00advancement00for00nurses00who00choose00to00remain00at00the00bedside.
b. Encourage00nurses00to00move00into00management00positions00in00which00they00can00influe
nce00patient00care00on00a00broader00scale.
c. Encourage00RNs00to00become00politically00active00and00guide00the00profession00of00nursing.
d. Provide00training00to00staff00nurses00so00they00can00move00seamlessly00across00departments.
ANS:00A
Feedback
A Clinical00ladder00programs00allow00nurses00to00advance00professionally00while00rem
aining00at00the00bedside.
B Clinical00ladder00programs00are00designed00to00keep00proficient00nurses00at00the00bedside.
C Encouraging00RNs00to00become00politically00active00and00guide00the00profession00
of00nursing00is00not00the00goal00of00clinical00ladder00programs.
D Clinical00ladder00programs00are00not00designed00to00facilitate00transfer00
between00departments.
DIF:00Cognitive00Level:00Comprehension00REF:00MCS:007
7. Which00of00the00following00statements00is00correct00about00community00health00nursing00(CHN)?
a. Prevention00and00community00education00are00the00cornerstones00of00CHN.
b. Nursing00care00is00rapidly00moving00from00the00home00setting00to00the00institutional00setting.
c. High-
tech00care00such00as00ventilators00and00total00parenteral00nutrition00cannot00be00handled0
0in00the00home.
d. Assessment00skills00are00less00important00in00CHN00because00patients00are00not00acutely00ill.
ANS:00A
Feedback
A The00community00health00nurse00provides00educational00programs00in00health00main
tenance,00disease00prevention,00nutrition,00and00child00care.
B Care00is00moving00into00the00home00setting.
C Home00care00is00increasing00in00complexity.
D Community00health00nurses00must00have00excellent00assessment00skills00as00they00d
o00not00have00the00immediate00backup00that00an00acute00care00facility00offers.
DIF:00Cognitive00Level:00Comprehension00REF:00MCS:009
8. Which00of00the00following00is00most00essential00for00the00nurse00entrepreneur00to00be00successful?
a. Ability00to00take00direction00well
Test Bank
Chapter 1.Nursing in Today’s Evolving Health Care Environment
MULTIPLE00CHOICE
1. Which00of00the00following00could00eventually00change00the00historical00status00of00nursing00
as00a00female-00dominated00profession?
a. More00men00graduating00from00baccalaureate00and00higher00degree00programs
b. The00proportion00of00men00in00nursing00beginning00to00increase
c. More00male00graduates00of00basic00nursing00programs00entering00the00workplace
d. Salary00compensation00increasing00to00attract00more00men
ANS:00C
Feedback
A More00men00graduating00from00baccalaureate00and00higher00degree00programs00is00n
ot00the00best00answer00because00associate00degree00programs00produce00the00most00
new00graduates.
B The00percentage00of00men00in00nursing00has00increased0050%00since002000.
C The00more00men00who00enter00the00workplace00as00nurses,00the00less00nursing00will0
0be00seen00as00a00female-dominated00profession.
D Salary00rates00do00not00appear00to00relate00to00the00recruitment00of00men00into00nursing.
DIF:00Cognitive00Level:00Comprehension00REF:00MCS:002
2. The00racial00and00ethnic00composition00of00the00nursing00profession00will00change00to00mor
e00accurately00reflect00the00population00as00a00whole00when
a. The00increased00numbers00of00racial00and00ethnic00minorities00enrolled00in00educational
00programs00graduate00and00begin00to00practice.
b. The00number00of00Asians00or00Native00Hawaiian-Pacific00Islanders00begins00to00increase.
c. The00percentage00of00African-
American00and00Hispanic00nurses00decreases00more00than00the00percentage00of00w
hite00nurses.
, d. The00nonwhite00portion00of00the00general00population00decreases.
ANS:00A
Feedback
A A00larger00percentage00of00minorities00are00enrolled00in00nursing00educational00prog
rams00than00previously.
B Asians00and00Native00Hawaiian-
Pacific00Islanders00are00over00represented00in00nursing00compared00to00their00
percentage00of00the00general00population.
C00Not00only00would00the00percentage00of00African-
American00and00Hispanic00nurses00need00to00increase,00the00percentage00of00whit
e00nurses00would00have00to00decrease00in00order00to00more00accurately00reflect00th
e00population00as00a00whole.
D00The00nonwhite00portion00of00the00general00population00is00not00likely00to00decrease.
DIF:00Cognitive00Level:00Comprehension00REF:00MCS:003
3. Which00of00the00following00is00a00correct00statement00about00the00registered00nurse00(RN)00population?
a. The00racial/ethnic00composition00of00RNs00closely00resembles00that00of00the00general00populati
on.
b. The00number00of00men00entering00nursing00has00decreased00steadily00over00the00last00decade.
c. The00rate00of00aging00of00RNs00has00slowed00for00the00first00time00in00the00past003000years.
d. The00majority00of00employed00RNs00working00full00time00must00work00a00second00position.
ANS:00C
Feedback
A The00racial/ethnic00composition00of00RNs00is00increasing,00but00does00not00approxi
mate00their00percentage00of00the00overall00population.
B The00number00of00men00entering00nursing00is00increasing.
C The00average00age00of00RNs00in00both00200400and00200800was0046.00This00is00
a00result00of00the00numbers00of00RNs00under003000in00the00workforce.
D According00to00200800data,00only0012%00of00nurses00working00full00time00h
old00second00positions.
DIF:00Cognitive00Level:00Knowledge00REF:00MCS:003
4. Which00of00the00following00best00describes00trends00in00nursing00education?
a. Numbers00of00RNs00with00bachelors00and00higher00degrees00are00increasing.
b. Numbers00of00RNs00with00associate00degrees00are00decreasing.
,c. Foreign-
born00nurses00practicing00in00the00United00States00are00seen00as00less00knowledgeable00beca
use00of00their00lesser00educational00preparation.
d. Numbers00of00RNs00with00diploma00educations00are00increasing.
ANS:00A
Feedback
A Slightly00over0050%00of00RNs00eventually00obtain00their00bachelors00of00science00in00nu
rsing00(BSN)00or00a00higher00nursing00degree.
B The00majority00of00nurses00in00this00country00get00their00initial00nursing00education00
in00associate00degree00in00nursing00(ADN)00programs.
C Foreign-
born00nurses00practicing00in00the00United00States00may00be00viewed00as00le
ss00knowledgeable00by00their00peers00because00of00language00and00cultural0
0differences.
D The00numbers00of00diploma-educated00nurses00are00declining.
DIF:00Cognitive00Level:00Knowledge00REF:00MCS:004
5. Despite00the00variety00of00work00settings00available00to00the00RN,00data00from00200800ind
icate00that00the00primary00work00site00for00RNs00is
a. ambulatory00care00settings.
b. community00health00settings.
c. long-term00care00facilities.
d. acute00care00hospitals.
ANS:00D
Feedback
A00 Ambulatory00care00settings00account00for00about0010.5%00of00RNs00places00of00 employment.
B00 Public00 health00 and00community00 health00 settings00 account00 for00 7.8%00 of00 employed00 RNs.
C0 0 Long-term00care00facilities00account00for005.3%00of00RNs00places00of00employment.
D0 0 Statistics00show00that0062.2%00of00RNs00work00in00acute00care00hospitals.
DIF:00Cognitive00Level:00Knowledge00REF:00MCS:005
6. One00important00advantage00of00clinical00ladder00programs00for00hospital-
based00RNs00is00that00they
, a. Allow00career00advancement00for00nurses00who00choose00to00remain00at00the00bedside.
b. Encourage00nurses00to00move00into00management00positions00in00which00they00can00influe
nce00patient00care00on00a00broader00scale.
c. Encourage00RNs00to00become00politically00active00and00guide00the00profession00of00nursing.
d. Provide00training00to00staff00nurses00so00they00can00move00seamlessly00across00departments.
ANS:00A
Feedback
A Clinical00ladder00programs00allow00nurses00to00advance00professionally00while00rem
aining00at00the00bedside.
B Clinical00ladder00programs00are00designed00to00keep00proficient00nurses00at00the00bedside.
C Encouraging00RNs00to00become00politically00active00and00guide00the00profession00
of00nursing00is00not00the00goal00of00clinical00ladder00programs.
D Clinical00ladder00programs00are00not00designed00to00facilitate00transfer00
between00departments.
DIF:00Cognitive00Level:00Comprehension00REF:00MCS:007
7. Which00of00the00following00statements00is00correct00about00community00health00nursing00(CHN)?
a. Prevention00and00community00education00are00the00cornerstones00of00CHN.
b. Nursing00care00is00rapidly00moving00from00the00home00setting00to00the00institutional00setting.
c. High-
tech00care00such00as00ventilators00and00total00parenteral00nutrition00cannot00be00handled0
0in00the00home.
d. Assessment00skills00are00less00important00in00CHN00because00patients00are00not00acutely00ill.
ANS:00A
Feedback
A The00community00health00nurse00provides00educational00programs00in00health00main
tenance,00disease00prevention,00nutrition,00and00child00care.
B Care00is00moving00into00the00home00setting.
C Home00care00is00increasing00in00complexity.
D Community00health00nurses00must00have00excellent00assessment00skills00as00they00d
o00not00have00the00immediate00backup00that00an00acute00care00facility00offers.
DIF:00Cognitive00Level:00Comprehension00REF:00MCS:009
8. Which00of00the00following00is00most00essential00for00the00nurse00entrepreneur00to00be00successful?
a. Ability00to00take00direction00well
