Chapterg1.NursinggingToday’sgEvolvinggHealthgCaregEnvironmentgMULTIP
LEgCHOICE
Whichgofgthegfollowinggbestgdescribesgtrendsgingnursinggeducation?
a. NumbersgofgRNsgwithgbachelorsgandghighergdegreesgaregincreasing.
b. NumbersgofgRNsgwithgassociategdegreesgaregdecreasing.
c. Foreign-
borngnursesgpracticinggingthegUnitedgStatesgaregseengasglessgknowledgeablegbecaus
egofgtheirglessergeducationalgpreparation.
d. NumbersgofgRNsgwithgdiplomageducationsgaregincreasing.
ANS:gA
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A Slightlygoverg50%gofgRNsgeventuallygobtaingtheirgbachelorsgofgsciencegingnursin
gg(BSN)gorgaghighergnursinggdegree.
B Thegmajoritygofgnursesgingthisgcountryggetgtheirginitialgnursinggeducationgingassociat
egdegreegingnursingg(ADN)gprograms.
C Foreign-
borngnursesgpracticinggingthegUnitedgStatesgmaygbegviewedgasglessgknowle
dgeablegbygtheirgpeersgbecausegofglanguagegandgculturalgdifferences.
D Thegnumbersgofgdiploma-educatedgnursesgaregdeclining.
DIF:gCognitivegLevel:gKnowledgegREF:gMCS:g4
4. DespitegthegvarietygofgworkgsettingsgavailablegtogthegRN,gdatagfromg2008gindicategth
atgthegprimarygworkgsitegforgRNsgis
a. ambulatorygcaregsettings.
b. communityghealthgsettings.
c. long-termgcaregfacilities.
d. acutegcareghospitals.
ANS:gD
Feedback
,Ag Ambulatorygcaregsettingsgaccountgforgaboutg10.5%gofgRNsgplacesgofgemployment.
Bg Publicghealthgandgcommunityghealthgsettingsgaccountgforg7.8%gofgemployedgRNs.
Cg Long-termgcaregfacilitiesgaccountgforg5.3%gofgRNsgplacesgofgemployment.
Dg Statisticsgshowgthatg62.2%gofgRNsgworkgingacutegcareghospitals
.gDIF:gCognitivegLevel:gKnowledgegREF:gMCS:g5
1. Whichgofgthegfollowinggcouldgeventuallygchangegtheghistoricalgstatusgofgnursinggasgagfemal
e-gdominatedgprofession?
a. Moregmenggraduatinggfromgbaccalaureategandghighergdegreegprograms
b. Thegproportiongofgmengingnursinggbeginninggtogincrease
c. Moregmaleggraduatesgofgbasicgnursinggprogramsgenteringgthegworkplace
d. Salarygcompensationgincreasinggtogattractgmoregmen
ANS:gC
Feedback
A Moregmenggraduatinggfromgbaccalaureategandghighergdegreegprogramsgisgnotgthegbe
stganswergbecausegassociategdegreegprogramsgproducegthegmostgnewggraduates.
B Thegpercentagegofgmengingnursingghasgincreasedg50%gsinceg2000.
C Thegmoregmengwhogentergthegworkplacegasgnurses,gtheglessgnursinggwillgbegseengas
gagfemale-dominatedgprofession.
D Salarygratesgdognotgappeargtogrelategtogthegrecruitmentgofgmengintognursing.
DIF:gCognitivegLevel:gComprehensiongREF:gMCS:g2
2. Thegracialgandgethnicgcompositiongofgthegnursinggprofessiongwillgchangegtogmoregaccuratel
ygreflectgthegpopulationgasgagwholegwhen
a. Thegincreasedgnumbersgofgracialgandgethnicgminoritiesgenrolledgingeducationa
lgprogramsggraduategandgbegingtogpractice.
b. ThegnumbergofgAsiansgorgNativegHawaiian-PacificgIslandersgbeginsgtogincrease.
,c. ThegpercentagegofgAfrican-
AmericangandgHispanicgnursesgdecreasesgmoregthangthegpercentagegofgwhitegnurs
es.
d. Thegnonwhitegportiongofgtheggeneralgpopulationgdecreases.
ANS:gA
Feedback
A Aglargergpercentagegofgminoritiesgaregenrolledgingnursinggeducationalgprogramsgtha
ngpreviously.
B AsiansgandgNativegHawaiian-
PacificgIslandersgaregovergrepresentedgingnursinggcomparedgtogtheirgpercentag
egofgtheggeneralgpopulation.
C NotgonlygwouldgthegpercentagegofgAfrican-
AmericangandgHispanicgnursesgneedgtogincrease,gthegpercentagegofgwhitegnursesg
wouldghavegtogdecreasegingordergtogmoregaccuratelygreflectgthegpopulationgasgag
whole.
D Thegnonwhitegportiongofgtheggeneralgpopulationgisgnotglikelygtogdecrease.
DIF:gCognitivegLevel:gComprehensiongREF:gMCS:g3
5. Whichgofgthegfollowinggisgagcorrectgstatementgaboutgthegregisteredgnurseg(RN
)gpopulation?
a. Thegracial/ethnicgcompositiongofgRNsgcloselygresemblesgthatgofgtheggenera
lgpopulation.
b. Thegnumbergofgmengenteringgnursingghasgdecreasedgsteadilygovergtheglastgdecade.
c. ThegrategofgaginggofgRNsghasgslowedgforgthegfirstgtimegingthegpastg30gyears.
d. ThegmajoritygofgemployedgRNsgworkinggfullgtimegmustgworkgagsecondgposition.
ANS:gC
Feedback
A Thegracial/ethnicgcompositiongofgRNsgisgincreasing,gbutgdoesgnotgapproximategthei
rgpercentagegofgthegoverallgpopulation.
B Thegnumbergofgmengenteringgnursinggisgincreasing.
C ThegaveragegagegofgRNsgingbothg2004gandg2008gwasg46.gThisgisgagresultgofgt
hegnumbersgofgRNsgunderg30gingthegworkforce.
D Accordinggtog2008gdata,gonlyg12%gofgnursesgworkinggfullgtimegholdgsecondgposition
s.gDIF:gCognitivegLevel:gKnowledgegREF:gMCS:g3
, 6. Onegimportantgadvantagegofgclinicalgladdergprogramsgforghospital-
basedgRNsgisgthatgthey
a. Allowgcareergadvancementgforgnursesgwhogchoosegtogremaingatgthegbedside.
b. Encouragegnursesgtogmovegintogmanagementgpositionsgingwhichgtheygcanginfluenc
egpatientgcaregongagbroadergscale.
c. EncouragegRNsgtogbecomegpoliticallygactivegandgguidegthegprofessiongofgnursing.
d. Providegtraininggtogstaffgnursesgsogtheygcangmovegseamlesslygacrossgdepartments.
ANS:gA
Feedback
A Clinicalgladdergprogramsgallowgnursesgtogadvancegprofessionallygwhilegremainingga
tgthegbedside.
B Clinicalgladdergprogramsgaregdesignedgtogkeepgproficientgnursesgatgthegbedside.
C EncouraginggRNsgtogbecomegpoliticallygactivegandgguidegthegprofessiongofgnursinggi
sgnotgtheggoalgofgclinicalgladdergprograms.
D Clinicalgladdergprogramsgaregnotgdesignedgtogfacilitategtransfergbetweengdepartments.
DIF:gCognitivegLevel:gComprehensiongREF:gMCS:g7
7. Whichgofgthegfollowinggstatementsgisgcorrectgaboutgcommunityghealthgnursingg(CHN)?
a. PreventiongandgcommunitygeducationgaregthegcornerstonesgofgCHN.
b. Nursinggcaregisgrapidlygmovinggfromgtheghomegsettinggtogtheginstitutionalgsetting.
c. High-
techgcaregsuchgasgventilatorsgandgtotalgparenteralgnutritiongcannotgbeghandledgingtheg
home.
d. AssessmentgskillsgareglessgimportantgingCHNgbecausegpatientsgaregnotgacutelygill.
ANS:gA
Feedback
A Thegcommunityghealthgnursegprovidesgeducationalgprogramsginghealthgmaintenance
,gdiseasegprevention,gnutrition,gandgchildgcare.
B Caregisgmovinggintogtheghomegsetting.
C Homegcaregisgincreasinggingcomplexity.
D Communityghealthgnursesgmustghavegexcellentgassessmentgskillsgasgtheygdognotghav
egthegimmediategbackupgthatgangacutegcaregfacilitygoffers.
DIF:gCognitivegLevel:gComprehensiongREF:gMCS:g9
8. Whichgofgthegfollowinggisgmostgessentialgforgthegnursegentrepreneurgtogbegsuccessful?