TESTg BANKg FOR
ProfessionalgNursing:gConceptsg&gChallenges,g9thgEdition
By:gBethgBlackgPhD,gRN,gFAANg(Author)
Chapterg1.NursinggingToday’sgEvolvinggHealthgCaregEnv
ironment
Chapterg2.ThegHistorygandgSocialgContextgofgNursinggC
hapterg3.Nursing’sgPathwaygtogProfessionalismgChapter
g4.NursinggEducationgingangEvolvinggHealthgCaregEnviron
ment
Chapterg5.BecominggagProfessionalgNurse:g DefininggNursingga
ndgSocializationgintogPractice
Chapterg6.NursinggasgagRegulatedgPractice:g LegalgIssuesgChap
terg7.Ethics:g BasicgConceptsgforgProfessionalgNursinggPractice
Chapterg8.ConceptualgandgPhilosophicalgFoundationsgofg
ProfessionalgNursinggPractice
Chapterg9.NursinggTheory:g ThegBasisgforgProfessionalgNursing
gChapterg10.ThegSciencegofgNursinggandgEvidence-
BasedgPractice
Chapterg11.DevelopinggNursinggJudgmentgThroughgCriticalgThinking
Chapterg12.CommunicationgandgCollaborationgingProfessionalgNursing
Chapterg13.Nurses,gPatients,gandgFamilies:g CaringgatgthegIntersectiongofgHealth,gIllness,gandgC
ulture
Chapterg14.HealthgCaregingthegUnitedgStates
Chapterg15.PoliticalgActivismgingNursing:g Communities,gOrganizations,gGovernment
Chapterg16.NursinggChallenge:g TogContinuegtogEvolve
Chapterg1.NursinggingToday’sgEvolvinggHealthgCaregEnvironmentgMULTIP
LEgCHOICE
1. Whichgofgthegfollowinggcouldgeventuallygchangegtheghistoricalgstatusgofgnursinggasg
agfemale-gdominatedgprofession?
a. Moregmenggraduatinggfromgbaccalaureategandghighergdegreegprograms
b. Thegproportiongofgmengingnursinggbeginninggtogincrease
c. Moregmaleggraduatesgofgbasicgnursinggprogramsgenteringgthegworkplace
d. Salarygcompensationgincreasinggtogattractgmoregmen
ANS:gC
Feedback
A Moregmenggraduatinggfromgbaccalaureategandghighergdegreegprogramsgisgnotgthegbe
stganswergbecausegassociategdegreegprogramsgproducegthegmostgnewggraduates.
B Thegpercentagegofgmengingnursingghasgincreasedg50%gsinceg2000.
C Thegmoregmengwhogentergthegworkplacegasgnurses,gtheglessgnursinggwillgbegseengas
gagfemale-dominatedgprofession.
,D Salarygratesgdognotgappeargtogrelategtogthegrecruitmentgofgmengintognursin
g.gDIF:gCognitivegLevel:gComprehensiongREF:gMCS:g2
2. Thegracialgandgethnicgcompositiongofgthegnursinggprofessiongwillgchangegtogmor
egaccuratelygreflectgthegpopulationgasgagwholegwhen
a. thegincreasedgnumbersgofgracialgandgethnicgminoritiesgenrolledgingeducationalgprogram
sggraduategandgbegingtogpractice.
b. thegnumbergofgAsiansgorgNativegHawaiian-PacificgIslandersgbeginsgtogincrease.
c. thegpercentagegofgAfrican-
AmericangandgHispanicgnursesgdecreasesgmoregthangthegpercentagegofgwhitegnurs
es.
d. thegnonwhitegportiongofgtheggeneralgpopulationgdecreases.
ANS:gA
Feedback
A Aglargergpercentagegofgminoritiesgaregenrolledgingnursinggeducationalgprogramsgtha
ngpreviously.
B AsiansgandgNativegHawaiian-
PacificgIslandersgaregovergrepresentedgingnursinggcomparedgtogtheirgpercentagegofgthegg
eneralgpopulation.
C NotgonlygwouldgthegpercentagegofgAfrican-
AmericangandgHispanicgnursesgneedgtogincrease,gthegpercentagegofgwhitegnursesg
wouldghavegtogdecreasegingordergtogmoregaccuratelygreflectgthegpopulationgasgag
whole.
D Thegnonwhitegportiongofgtheggeneralgpopulationgisgnotglikelygtogdecreas
e.gDIF:gCognitivegLevel:gComprehensiongREF:gMCS:g3
3. Whichgofgthegfollowinggisgagcorrectgstatementgaboutgthegregisteredgnurseg(RN)gpopulation?
a. Thegracial/ethnicgcompositiongofgRNsgcloselygresemblesgthatgofgtheggeneralgpopulation.
b. Thegnumbergofgmengenteringgnursingghasgdecreasedgsteadilygovergtheglastgdecade.
c. ThegrategofgaginggofgRNsghasgslowedgforgthegfirstgtimegingthegpastg30gyears.
d. ThegmajoritygofgemployedgRNsgworkinggfullgtimegmustgworkgagsecondgposition.
ANS:gC
Feedback
A Thegracial/ethnicgcompositiongofgRNsgisgincreasing,gbutgdoesgnotgapproximategthei
rgpercentagegofgthegoverallgpopulation.
B Thegnumbergofgmengenteringgnursinggisgincreasing.
C ThegaveragegagegofgRNsgingbothg2004gandg2008gwasg46.gThisgisgagresultgofgthegnumbersg
ofgRNsgunderg30gingthegworkforce.
D Accordinggtog2008gdata,gonlyg12%gofgnursesgworkinggfullgtimegholdgsecondgposition
s.gDIF:gCognitivegLevel:gKnowledgegREF:gMCS:g3
4. Whichgofgthegfollowinggbestgdescribesgtrendsgingnursinggeducation?
a. NumbersgofgRNsgwithgbachelorsgandghighergdegreesgaregincreasing.
b. NumbersgofgRNsgwithgassociategdegreesgaregdecreasing.
c. Foreign-
borngnursesgpracticinggingthegUnitedgStatesgaregseengasglessgknowledgeablegbecaus
egofgtheirglessergeducationalgpreparation.
d. NumbersgofgRNsgwithgdiplomageducationsgaregincreasing.
ANS:gA
Feedback
,A Slightlygoverg50%gofgRNsgeventuallygobtaingtheirgbachelorsgofgsciencegingnursingg(BS
N)gorgaghighergnursinggdegree.
B Thegmajoritygofgnursesgingthisgcountryggetgtheirginitialgnursinggeducationgingassociat
egdegreegingnursingg(ADN)gprograms.
C Foreign-
borngnursesgpracticinggingthegUnitedgStatesgmaygbegviewedgasglessgknowledgeablegbygthei
rgpeersgbecausegofglanguagegandgculturalgdifferences.
D Thegnumbersgofgdiploma-
educatedgnursesgaregdeclining.gDIF:gCognitivegLevel:gKnowle
dgegREF:gMCS:g4
5. DespitegthegvarietygofgworkgsettingsgavailablegtogthegRN,gdatagfromg2008gindicategthatgth
egprimarygworkgsitegforgRNsgis
a. ambulatorygcaregsettings.
b. communityghealthgsettings.
c. long-termgcaregfacilities.
d. acutegcareghospitals.
ANS:gD
Feedback
AgAmbulatorygcaregsettingsgaccountgforgaboutg10.5%gofgRNsgplacesgofgemployment.gBgPublicg
healthgandgcommunityghealthgsettingsgaccountgforg7.8%gofgemployedgRNs.gCgLong-
termgcaregfacilitiesgaccountgforg5.3%gofgRNsgplacesgofgemployment.
DgStatisticsgshowgthatg62.2%gofgRNsgworkgingacutegcareghospitals.gDI
F:gCognitivegLevel:gKnowledgegREF:gMCS:g5
6. Onegimportantgadvantagegofgclinicalgladdergprogramsgforghospital-basedgRNsgisgthatgthey
a. allowgcareergadvancementgforgnursesgwhogchoosegtogremaingatgthegbedside.
b. encouragegnursesgtogmovegintogmanagementgpositionsgingwhichgtheygcanginfluencegpatie
ntgcaregongagbroadergscale.
c. encouragegRNsgtogbecomegpoliticallygactivegandgguidegthegprofessiongofgnursing.
d. providegtraininggtogstaffgnursesgsogtheygcangmovegseamlesslygacrossgdepartments.
ANS:gA
Feedback
A Clinicalgladdergprogramsgallowgnursesgtogadvancegprofessionallygwhilegremaininggatgth
egbedside.
B Clinicalgladdergprogramsgaregdesignedgtogkeepgproficientgnursesgatgthegbedside.
C EncouraginggRNsgtogbecomegpoliticallygactivegandgguidegthegprofessiongofgnursinggisgn
otgtheggoalgofgclinicalgladdergprograms.
D Clinicalgladdergprogramsgaregnotgdesignedgtogfacilitategtransfergbetweengdepartments
.gDIF:gCognitivegLevel:gComprehensiongREF:gMCS:g7
7. Whichgofgthegfollowinggstatementsgisgcorrectgaboutgcommunityghealthgnursingg(CHN)?
a. PreventiongandgcommunitygeducationgaregthegcornerstonesgofgCHN.
b. Nursinggcaregisgrapidlygmovinggfromgtheghomegsettinggtogtheginstitutionalgsetting.
c. High-
techgcaregsuchgasgventilatorsgandgtotalgparenteralgnutritiongcannotgbeghandledgingthegho
me.
d. AssessmentgskillsgareglessgimportantgingCHNgbecausegpatientsgaregnotgacutelygill.
ANS:gA
, Feedback
A Thegcommunityghealthgnursegprovidesgeducationalgprogramsginghealthgmaintenance
,gdiseasegprevention,gnutrition,gandgchildgcare.
B Caregisgmovinggintogtheghomegsetting.
C Homegcaregisgincreasinggingcomplexity.
D Communityghealthgnursesgmustghavegexcellentgassessmentgskillsgasgtheygdognotghavegth
egimmediategbackupgthatgangacutegcaregfacilitygoffers.
DIF:gCognitivegLevel:gComprehensiongREF:gMCS:g9
8. Whichgofgthegfollowinggisgmostgessentialgforgthegnursegentrepreneurgtogbegsuccessful?
a. Abilitygtogtakegdirectiongwell
b. Excellentgtime-managementgskills
c. Avoidancegofgrisks
d. Agcollegegdegreegingbusiness
ANS:gB
Feedback
A Nursegentrepreneursgmustgfunctiongautonomously.
B Nursegentrepreneursgmustgbegwellgorganizedgandgefficient.
C Startinggagbusinessginvolvesgrisk.
D Agdegreegingbusinessgisgnotgrequiredgtogbegagnursegentrepreneu
r.gDIF:gCognitivegLevel:gAnalysisgREF:gMCS:g10
9. Thegmajorgbenefitgofgservinggasgagmilitarygnursegis
a. broadergresponsibilitiesgandgscopegofgpracticegthangciviliangnurses.
b. workinggwithgentirelygbaccalaureate-preparedgpeersgongactivegduty.
c. servinggasgangofficergongactivegdutygorgingthegreserves.
d. thegfinancialgsupportgtogseekgadvancedgdegrees
ANS:gD
Feedback
A Althoughgmilitarygnursesgdoghavegbroadergresponsibilitiesgandgscopesgofgpracticegtha
ngciviliangnursesgdo,gthisgisgnotgthegmajorgbenefit.
B Althoughgmilitarygnursesgdogworkgwithgentirelygbaccalaureate-
preparedgpeersgongactivegduty,gthisgisgnotgthegmajorgbenefit.
C Althoughgmilitarygnursesgservegasgofficersgongactivegdutygorgingthegreserves,gthisgisgnotgt
hegmajorgbenefit.
D Advancedgeducationgisgsupportedgbygthegmilitarygfinanciallygandgalsogallowsgfo
rgpromotiongingrankgatgangacceleratedgpace.
DIF:gCognitivegLevel:gComprehensiongREF:gMCS:g13
10. Whichgofgthegfollowinggstatementsgexplainsgwhygthegschoolgnursegofgtodaygisgtrulyg
agcommunityghealthgnurse?
a. Thegschoolgnursegmaygbegcalledgongtogcaregforgagstudentsgfamilygmembersgingunderserve
dgareas.
b. Thegschoolgnursesgprimarygresponsibilitygisgcenteredgongthegwellgchild.
ProfessionalgNursing:gConceptsg&gChallenges,g9thgEdition
By:gBethgBlackgPhD,gRN,gFAANg(Author)
Chapterg1.NursinggingToday’sgEvolvinggHealthgCaregEnv
ironment
Chapterg2.ThegHistorygandgSocialgContextgofgNursinggC
hapterg3.Nursing’sgPathwaygtogProfessionalismgChapter
g4.NursinggEducationgingangEvolvinggHealthgCaregEnviron
ment
Chapterg5.BecominggagProfessionalgNurse:g DefininggNursingga
ndgSocializationgintogPractice
Chapterg6.NursinggasgagRegulatedgPractice:g LegalgIssuesgChap
terg7.Ethics:g BasicgConceptsgforgProfessionalgNursinggPractice
Chapterg8.ConceptualgandgPhilosophicalgFoundationsgofg
ProfessionalgNursinggPractice
Chapterg9.NursinggTheory:g ThegBasisgforgProfessionalgNursing
gChapterg10.ThegSciencegofgNursinggandgEvidence-
BasedgPractice
Chapterg11.DevelopinggNursinggJudgmentgThroughgCriticalgThinking
Chapterg12.CommunicationgandgCollaborationgingProfessionalgNursing
Chapterg13.Nurses,gPatients,gandgFamilies:g CaringgatgthegIntersectiongofgHealth,gIllness,gandgC
ulture
Chapterg14.HealthgCaregingthegUnitedgStates
Chapterg15.PoliticalgActivismgingNursing:g Communities,gOrganizations,gGovernment
Chapterg16.NursinggChallenge:g TogContinuegtogEvolve
Chapterg1.NursinggingToday’sgEvolvinggHealthgCaregEnvironmentgMULTIP
LEgCHOICE
1. Whichgofgthegfollowinggcouldgeventuallygchangegtheghistoricalgstatusgofgnursinggasg
agfemale-gdominatedgprofession?
a. Moregmenggraduatinggfromgbaccalaureategandghighergdegreegprograms
b. Thegproportiongofgmengingnursinggbeginninggtogincrease
c. Moregmaleggraduatesgofgbasicgnursinggprogramsgenteringgthegworkplace
d. Salarygcompensationgincreasinggtogattractgmoregmen
ANS:gC
Feedback
A Moregmenggraduatinggfromgbaccalaureategandghighergdegreegprogramsgisgnotgthegbe
stganswergbecausegassociategdegreegprogramsgproducegthegmostgnewggraduates.
B Thegpercentagegofgmengingnursingghasgincreasedg50%gsinceg2000.
C Thegmoregmengwhogentergthegworkplacegasgnurses,gtheglessgnursinggwillgbegseengas
gagfemale-dominatedgprofession.
,D Salarygratesgdognotgappeargtogrelategtogthegrecruitmentgofgmengintognursin
g.gDIF:gCognitivegLevel:gComprehensiongREF:gMCS:g2
2. Thegracialgandgethnicgcompositiongofgthegnursinggprofessiongwillgchangegtogmor
egaccuratelygreflectgthegpopulationgasgagwholegwhen
a. thegincreasedgnumbersgofgracialgandgethnicgminoritiesgenrolledgingeducationalgprogram
sggraduategandgbegingtogpractice.
b. thegnumbergofgAsiansgorgNativegHawaiian-PacificgIslandersgbeginsgtogincrease.
c. thegpercentagegofgAfrican-
AmericangandgHispanicgnursesgdecreasesgmoregthangthegpercentagegofgwhitegnurs
es.
d. thegnonwhitegportiongofgtheggeneralgpopulationgdecreases.
ANS:gA
Feedback
A Aglargergpercentagegofgminoritiesgaregenrolledgingnursinggeducationalgprogramsgtha
ngpreviously.
B AsiansgandgNativegHawaiian-
PacificgIslandersgaregovergrepresentedgingnursinggcomparedgtogtheirgpercentagegofgthegg
eneralgpopulation.
C NotgonlygwouldgthegpercentagegofgAfrican-
AmericangandgHispanicgnursesgneedgtogincrease,gthegpercentagegofgwhitegnursesg
wouldghavegtogdecreasegingordergtogmoregaccuratelygreflectgthegpopulationgasgag
whole.
D Thegnonwhitegportiongofgtheggeneralgpopulationgisgnotglikelygtogdecreas
e.gDIF:gCognitivegLevel:gComprehensiongREF:gMCS:g3
3. Whichgofgthegfollowinggisgagcorrectgstatementgaboutgthegregisteredgnurseg(RN)gpopulation?
a. Thegracial/ethnicgcompositiongofgRNsgcloselygresemblesgthatgofgtheggeneralgpopulation.
b. Thegnumbergofgmengenteringgnursingghasgdecreasedgsteadilygovergtheglastgdecade.
c. ThegrategofgaginggofgRNsghasgslowedgforgthegfirstgtimegingthegpastg30gyears.
d. ThegmajoritygofgemployedgRNsgworkinggfullgtimegmustgworkgagsecondgposition.
ANS:gC
Feedback
A Thegracial/ethnicgcompositiongofgRNsgisgincreasing,gbutgdoesgnotgapproximategthei
rgpercentagegofgthegoverallgpopulation.
B Thegnumbergofgmengenteringgnursinggisgincreasing.
C ThegaveragegagegofgRNsgingbothg2004gandg2008gwasg46.gThisgisgagresultgofgthegnumbersg
ofgRNsgunderg30gingthegworkforce.
D Accordinggtog2008gdata,gonlyg12%gofgnursesgworkinggfullgtimegholdgsecondgposition
s.gDIF:gCognitivegLevel:gKnowledgegREF:gMCS:g3
4. Whichgofgthegfollowinggbestgdescribesgtrendsgingnursinggeducation?
a. NumbersgofgRNsgwithgbachelorsgandghighergdegreesgaregincreasing.
b. NumbersgofgRNsgwithgassociategdegreesgaregdecreasing.
c. Foreign-
borngnursesgpracticinggingthegUnitedgStatesgaregseengasglessgknowledgeablegbecaus
egofgtheirglessergeducationalgpreparation.
d. NumbersgofgRNsgwithgdiplomageducationsgaregincreasing.
ANS:gA
Feedback
,A Slightlygoverg50%gofgRNsgeventuallygobtaingtheirgbachelorsgofgsciencegingnursingg(BS
N)gorgaghighergnursinggdegree.
B Thegmajoritygofgnursesgingthisgcountryggetgtheirginitialgnursinggeducationgingassociat
egdegreegingnursingg(ADN)gprograms.
C Foreign-
borngnursesgpracticinggingthegUnitedgStatesgmaygbegviewedgasglessgknowledgeablegbygthei
rgpeersgbecausegofglanguagegandgculturalgdifferences.
D Thegnumbersgofgdiploma-
educatedgnursesgaregdeclining.gDIF:gCognitivegLevel:gKnowle
dgegREF:gMCS:g4
5. DespitegthegvarietygofgworkgsettingsgavailablegtogthegRN,gdatagfromg2008gindicategthatgth
egprimarygworkgsitegforgRNsgis
a. ambulatorygcaregsettings.
b. communityghealthgsettings.
c. long-termgcaregfacilities.
d. acutegcareghospitals.
ANS:gD
Feedback
AgAmbulatorygcaregsettingsgaccountgforgaboutg10.5%gofgRNsgplacesgofgemployment.gBgPublicg
healthgandgcommunityghealthgsettingsgaccountgforg7.8%gofgemployedgRNs.gCgLong-
termgcaregfacilitiesgaccountgforg5.3%gofgRNsgplacesgofgemployment.
DgStatisticsgshowgthatg62.2%gofgRNsgworkgingacutegcareghospitals.gDI
F:gCognitivegLevel:gKnowledgegREF:gMCS:g5
6. Onegimportantgadvantagegofgclinicalgladdergprogramsgforghospital-basedgRNsgisgthatgthey
a. allowgcareergadvancementgforgnursesgwhogchoosegtogremaingatgthegbedside.
b. encouragegnursesgtogmovegintogmanagementgpositionsgingwhichgtheygcanginfluencegpatie
ntgcaregongagbroadergscale.
c. encouragegRNsgtogbecomegpoliticallygactivegandgguidegthegprofessiongofgnursing.
d. providegtraininggtogstaffgnursesgsogtheygcangmovegseamlesslygacrossgdepartments.
ANS:gA
Feedback
A Clinicalgladdergprogramsgallowgnursesgtogadvancegprofessionallygwhilegremaininggatgth
egbedside.
B Clinicalgladdergprogramsgaregdesignedgtogkeepgproficientgnursesgatgthegbedside.
C EncouraginggRNsgtogbecomegpoliticallygactivegandgguidegthegprofessiongofgnursinggisgn
otgtheggoalgofgclinicalgladdergprograms.
D Clinicalgladdergprogramsgaregnotgdesignedgtogfacilitategtransfergbetweengdepartments
.gDIF:gCognitivegLevel:gComprehensiongREF:gMCS:g7
7. Whichgofgthegfollowinggstatementsgisgcorrectgaboutgcommunityghealthgnursingg(CHN)?
a. PreventiongandgcommunitygeducationgaregthegcornerstonesgofgCHN.
b. Nursinggcaregisgrapidlygmovinggfromgtheghomegsettinggtogtheginstitutionalgsetting.
c. High-
techgcaregsuchgasgventilatorsgandgtotalgparenteralgnutritiongcannotgbeghandledgingthegho
me.
d. AssessmentgskillsgareglessgimportantgingCHNgbecausegpatientsgaregnotgacutelygill.
ANS:gA
, Feedback
A Thegcommunityghealthgnursegprovidesgeducationalgprogramsginghealthgmaintenance
,gdiseasegprevention,gnutrition,gandgchildgcare.
B Caregisgmovinggintogtheghomegsetting.
C Homegcaregisgincreasinggingcomplexity.
D Communityghealthgnursesgmustghavegexcellentgassessmentgskillsgasgtheygdognotghavegth
egimmediategbackupgthatgangacutegcaregfacilitygoffers.
DIF:gCognitivegLevel:gComprehensiongREF:gMCS:g9
8. Whichgofgthegfollowinggisgmostgessentialgforgthegnursegentrepreneurgtogbegsuccessful?
a. Abilitygtogtakegdirectiongwell
b. Excellentgtime-managementgskills
c. Avoidancegofgrisks
d. Agcollegegdegreegingbusiness
ANS:gB
Feedback
A Nursegentrepreneursgmustgfunctiongautonomously.
B Nursegentrepreneursgmustgbegwellgorganizedgandgefficient.
C Startinggagbusinessginvolvesgrisk.
D Agdegreegingbusinessgisgnotgrequiredgtogbegagnursegentrepreneu
r.gDIF:gCognitivegLevel:gAnalysisgREF:gMCS:g10
9. Thegmajorgbenefitgofgservinggasgagmilitarygnursegis
a. broadergresponsibilitiesgandgscopegofgpracticegthangciviliangnurses.
b. workinggwithgentirelygbaccalaureate-preparedgpeersgongactivegduty.
c. servinggasgangofficergongactivegdutygorgingthegreserves.
d. thegfinancialgsupportgtogseekgadvancedgdegrees
ANS:gD
Feedback
A Althoughgmilitarygnursesgdoghavegbroadergresponsibilitiesgandgscopesgofgpracticegtha
ngciviliangnursesgdo,gthisgisgnotgthegmajorgbenefit.
B Althoughgmilitarygnursesgdogworkgwithgentirelygbaccalaureate-
preparedgpeersgongactivegduty,gthisgisgnotgthegmajorgbenefit.
C Althoughgmilitarygnursesgservegasgofficersgongactivegdutygorgingthegreserves,gthisgisgnotgt
hegmajorgbenefit.
D Advancedgeducationgisgsupportedgbygthegmilitarygfinanciallygandgalsogallowsgfo
rgpromotiongingrankgatgangacceleratedgpace.
DIF:gCognitivegLevel:gComprehensiongREF:gMCS:g13
10. Whichgofgthegfollowinggstatementsgexplainsgwhygthegschoolgnursegofgtodaygisgtrulyg
agcommunityghealthgnurse?
a. Thegschoolgnursegmaygbegcalledgongtogcaregforgagstudentsgfamilygmembersgingunderserve
dgareas.
b. Thegschoolgnursesgprimarygresponsibilitygisgcenteredgongthegwellgchild.
