Nursing in Today's World: Trends, Issues, and Management Eleventh, North American Edition Test Bank
Get hands-on practice with Nursing in Today's World: Trends, Issues, and Management Eleventh, North American Edition Test Bank—your go-to source for mastering exam questions.
Emma Thompson
Contributor
4.4
136
4 months ago
Preview (31 of 117)
Sign in to access the full document!
Nursing-in-Todays-World-Ellis-11 th
TESTBANK
Chapter: Chapter 1: Exploring the Growth of Nursing as a Profession
Multiple Choice
1. Which of the following statements most accurately describes the
practice of medicine in Greece from 800 BC to 300 BC?
A) Greek culture stressed natural causes for disease, a patient-centered
approach, and the necessity of accurate observations and record keeping.
B) Greek culture borrowed medical practices from the countries it
conquered, and physicians were often slaves.
C) Major and minor surgery, childrens diseases, and diseases of the
nervous and urinary systems were described in Greek culture.
D) Medicine men (known first as shamans and later as priests) were
responsible for curing ills of body and mind.
Ans: A
Client Needs: B
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Feedback: Hippocrates, born about 400 BC, was a Greek citizen who
became known as the Father of Modern Medicine. He emphasized natural
causes for disease, a patient-centered approach, and the necessity of
accurate observations and record keeping. These priorities influenced the
practice of medicine both in Greece and beyond. Persia was known to
utilize slaves as physicians, and Rome borrowed medical practices from
the countries it conquered. Ancient India emphasized hygiene and
prevention of sickness and described major and minor surgery, childrens
diseases, and diseases of the nervous and urinary systems. Medicine men
were characteristic of the Mayan and Aztec civilizations.
2. Florence Nightingale fostered the development of nursing as a
profession. What was the basis of her nursing theory?
A) The nurses role is to assist individuals (sick or well) to carry out those
activities that they would perform unaided if they had the necessary
strength, will, or knowledge.
B) The goal of nursing is to put the patient in the best condition for nature
to act upon him, primarily by altering the environment.
TESTBANK
Chapter: Chapter 1: Exploring the Growth of Nursing as a Profession
Multiple Choice
1. Which of the following statements most accurately describes the
practice of medicine in Greece from 800 BC to 300 BC?
A) Greek culture stressed natural causes for disease, a patient-centered
approach, and the necessity of accurate observations and record keeping.
B) Greek culture borrowed medical practices from the countries it
conquered, and physicians were often slaves.
C) Major and minor surgery, childrens diseases, and diseases of the
nervous and urinary systems were described in Greek culture.
D) Medicine men (known first as shamans and later as priests) were
responsible for curing ills of body and mind.
Ans: A
Client Needs: B
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Feedback: Hippocrates, born about 400 BC, was a Greek citizen who
became known as the Father of Modern Medicine. He emphasized natural
causes for disease, a patient-centered approach, and the necessity of
accurate observations and record keeping. These priorities influenced the
practice of medicine both in Greece and beyond. Persia was known to
utilize slaves as physicians, and Rome borrowed medical practices from
the countries it conquered. Ancient India emphasized hygiene and
prevention of sickness and described major and minor surgery, childrens
diseases, and diseases of the nervous and urinary systems. Medicine men
were characteristic of the Mayan and Aztec civilizations.
2. Florence Nightingale fostered the development of nursing as a
profession. What was the basis of her nursing theory?
A) The nurses role is to assist individuals (sick or well) to carry out those
activities that they would perform unaided if they had the necessary
strength, will, or knowledge.
B) The goal of nursing is to put the patient in the best condition for nature
to act upon him, primarily by altering the environment.
Nursing-in-Todays-World-Ellis-11 th
TESTBANK
Chapter: Chapter 1: Exploring the Growth of Nursing as a Profession
Multiple Choice
1. Which of the following statements most accurately describes the
practice of medicine in Greece from 800 BC to 300 BC?
A) Greek culture stressed natural causes for disease, a patient-centered
approach, and the necessity of accurate observations and record keeping.
B) Greek culture borrowed medical practices from the countries it
conquered, and physicians were often slaves.
C) Major and minor surgery, childrens diseases, and diseases of the
nervous and urinary systems were described in Greek culture.
D) Medicine men (known first as shamans and later as priests) were
responsible for curing ills of body and mind.
Ans: A
Client Needs: B
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Feedback: Hippocrates, born about 400 BC, was a Greek citizen who
became known as the Father of Modern Medicine. He emphasized natural
causes for disease, a patient-centered approach, and the necessity of
accurate observations and record keeping. These priorities influenced the
practice of medicine both in Greece and beyond. Persia was known to
utilize slaves as physicians, and Rome borrowed medical practices from
the countries it conquered. Ancient India emphasized hygiene and
prevention of sickness and described major and minor surgery, childrens
diseases, and diseases of the nervous and urinary systems. Medicine men
were characteristic of the Mayan and Aztec civilizations.
2. Florence Nightingale fostered the development of nursing as a
profession. What was the basis of her nursing theory?
A) The nurses role is to assist individuals (sick or well) to carry out those
activities that they would perform unaided if they had the necessary
strength, will, or knowledge.
B) The goal of nursing is to put the patient in the best condition for nature
to act upon him, primarily by altering the environment.
TESTBANK
Chapter: Chapter 1: Exploring the Growth of Nursing as a Profession
Multiple Choice
1. Which of the following statements most accurately describes the
practice of medicine in Greece from 800 BC to 300 BC?
A) Greek culture stressed natural causes for disease, a patient-centered
approach, and the necessity of accurate observations and record keeping.
B) Greek culture borrowed medical practices from the countries it
conquered, and physicians were often slaves.
C) Major and minor surgery, childrens diseases, and diseases of the
nervous and urinary systems were described in Greek culture.
D) Medicine men (known first as shamans and later as priests) were
responsible for curing ills of body and mind.
Ans: A
Client Needs: B
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Feedback: Hippocrates, born about 400 BC, was a Greek citizen who
became known as the Father of Modern Medicine. He emphasized natural
causes for disease, a patient-centered approach, and the necessity of
accurate observations and record keeping. These priorities influenced the
practice of medicine both in Greece and beyond. Persia was known to
utilize slaves as physicians, and Rome borrowed medical practices from
the countries it conquered. Ancient India emphasized hygiene and
prevention of sickness and described major and minor surgery, childrens
diseases, and diseases of the nervous and urinary systems. Medicine men
were characteristic of the Mayan and Aztec civilizations.
2. Florence Nightingale fostered the development of nursing as a
profession. What was the basis of her nursing theory?
A) The nurses role is to assist individuals (sick or well) to carry out those
activities that they would perform unaided if they had the necessary
strength, will, or knowledge.
B) The goal of nursing is to put the patient in the best condition for nature
to act upon him, primarily by altering the environment.
C) The focus of nursing is the spiritual subjective aspects of both the nurse
and the patient and the caring moment relating to the time when the nurse
and the patient first come together.
D) The focus of nursing is the care of human beings who are viewed as
open systems in constant interaction with their environments.
Ans: B
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 2
Feedback: Florence Nightingale, in her Notes on Nursing: What It Is and
What It Is Not, described the nurses role as one that would put the patient
in the best condition for nature to act upon him (Nightingale, 1954, p. 133),
a definition that often is quoted today. This action was prioritized over
physically assisting the patient. Watson emphasized the spiritual
subjective aspects of the nurse and the patient, and the open systems
concept is central to Kings theory of nursing.
3. Which one of the following statements accurately describes an element
of the process of providing a definition of nursing?
A) Researchers can pinpoint the period in history when nursing first
evolved.
B) Nurses agree on a single definition of nursing, partly because of the
history of nursing.
C) There is an obvious distinction between nursing and medicine.
D) Nursing theorists developed definitions of nursing consistent with their
conceptual frameworks.
Ans: D
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 7, 8
Feedback: As nursing has grown into a true profession, many nursing
theorists have developed definitions of nursing consistent with their
conceptual frameworks; these frameworks provide the foundation for any
given definition of nursing. The historical emergence of nursing did not
take place at one particular time, and there are multiple definitions of
nursing. While nursing and medicine indeed differ, the distinctions
between the two professions are not always clear.
and the patient and the caring moment relating to the time when the nurse
and the patient first come together.
D) The focus of nursing is the care of human beings who are viewed as
open systems in constant interaction with their environments.
Ans: B
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 2
Feedback: Florence Nightingale, in her Notes on Nursing: What It Is and
What It Is Not, described the nurses role as one that would put the patient
in the best condition for nature to act upon him (Nightingale, 1954, p. 133),
a definition that often is quoted today. This action was prioritized over
physically assisting the patient. Watson emphasized the spiritual
subjective aspects of the nurse and the patient, and the open systems
concept is central to Kings theory of nursing.
3. Which one of the following statements accurately describes an element
of the process of providing a definition of nursing?
A) Researchers can pinpoint the period in history when nursing first
evolved.
B) Nurses agree on a single definition of nursing, partly because of the
history of nursing.
C) There is an obvious distinction between nursing and medicine.
D) Nursing theorists developed definitions of nursing consistent with their
conceptual frameworks.
Ans: D
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 7, 8
Feedback: As nursing has grown into a true profession, many nursing
theorists have developed definitions of nursing consistent with their
conceptual frameworks; these frameworks provide the foundation for any
given definition of nursing. The historical emergence of nursing did not
take place at one particular time, and there are multiple definitions of
nursing. While nursing and medicine indeed differ, the distinctions
between the two professions are not always clear.
4. A nurse wishes to document nursing actions using a standardized
language. Which of the following systems might the nurse use?
A) NANDA International (NANDA-I)
B) Nursing Outcomes Classification (NOC)
C) Minimum Data Set for Nursing Home Resident Assessment and Care
Screening (MDS)
D) Nursing Interventions Classification (NIC)
Ans: D
Client Needs: A-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Communication and Documentation
Objective: 12
Nursing Interventions Classification
Feedback: Started in 1996 at the University of Iowa, the Nursing
Interventions Classification (NIC) is a comprehensive, standardized
language that describes actions that nurses perform in all settings and in
all specialties and includes both physiologic and psychosocial
interventions. NANDA and NOC provide standardized language for nursing
diagnoses and outcomes. The MDS is an assessment tool specific to long-
term care settings.
5. An RN who practices in a community clinic recognizes the need for a
standardized classification and documentation system. Which of the
following systems of nursing care classification and documentation would
best fit the RNs needs?
A) NANDA International (NANDA-I)
B) Nursing Outcomes Classification (NOC)
C) The Omaha System
D) Patient Care Data Set (PCDS)
Ans: C
Client Needs: A-1
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Communication and Documentation
Objective: 13
,The Omaha System
Feedback: The Omaha System is a research-based comprehensive practice
documentation standardized taxonomy designed to document client care
from admission to discharge. It was designed as a three-part,
comprehensive yet brief approach to documentation and information
language. Which of the following systems might the nurse use?
A) NANDA International (NANDA-I)
B) Nursing Outcomes Classification (NOC)
C) Minimum Data Set for Nursing Home Resident Assessment and Care
Screening (MDS)
D) Nursing Interventions Classification (NIC)
Ans: D
Client Needs: A-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Communication and Documentation
Objective: 12
Nursing Interventions Classification
Feedback: Started in 1996 at the University of Iowa, the Nursing
Interventions Classification (NIC) is a comprehensive, standardized
language that describes actions that nurses perform in all settings and in
all specialties and includes both physiologic and psychosocial
interventions. NANDA and NOC provide standardized language for nursing
diagnoses and outcomes. The MDS is an assessment tool specific to long-
term care settings.
5. An RN who practices in a community clinic recognizes the need for a
standardized classification and documentation system. Which of the
following systems of nursing care classification and documentation would
best fit the RNs needs?
A) NANDA International (NANDA-I)
B) Nursing Outcomes Classification (NOC)
C) The Omaha System
D) Patient Care Data Set (PCDS)
Ans: C
Client Needs: A-1
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Communication and Documentation
Objective: 13
,The Omaha System
Feedback: The Omaha System is a research-based comprehensive practice
documentation standardized taxonomy designed to document client care
from admission to discharge. It was designed as a three-part,
comprehensive yet brief approach to documentation and information
management for multidisciplinary healthcare professionals who practice
in community settings. NANDA and NOC provide frameworks only for
nursing diagnoses and outcomes, while the PCDS is specific to hospital
settings.
6. The number and size of nursing schools in the United States grew
significantly in the years of the early 20th century. Which of the following
characteristics was emphasized in these schools?
A) A thorough knowledge of anatomy, physiology, and epidemiology
B) Critical thinking, assertiveness, and autonomy
C) An understanding of the relationship among mind, body, and spirit
D) Religious devotion and subservience to authority
Ans: D
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Easy
Integrated Process: Nursing Process
Objective: 3
Characteristics of the Early Schools
Feedback: In early nursing schools, the nurse in training was expected to
yield to her superiors and demonstrate the obedience characteristics of a
good soldier with actions governed by the dedication to duty derived from
religious devotion. These expectations superseded the importance of
critical thinking, scientific knowledge, or the holistic nature of health.
7. Florence Nightingale is acknowledged as one of the individuals who
contributed most significantly to the development of nursing as a
profession. What other phenomenon contributed most to this
development?
A) Labor-saving technology that freed many women from working in the
home
B) The social recognition of the importance of public funding for the
treatment of disease
C) Increased understanding of the pathophysiology of illness and the
importance of infection control
D) The high mortality rates that existed during times of war
Ans: D
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
in community settings. NANDA and NOC provide frameworks only for
nursing diagnoses and outcomes, while the PCDS is specific to hospital
settings.
6. The number and size of nursing schools in the United States grew
significantly in the years of the early 20th century. Which of the following
characteristics was emphasized in these schools?
A) A thorough knowledge of anatomy, physiology, and epidemiology
B) Critical thinking, assertiveness, and autonomy
C) An understanding of the relationship among mind, body, and spirit
D) Religious devotion and subservience to authority
Ans: D
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Easy
Integrated Process: Nursing Process
Objective: 3
Characteristics of the Early Schools
Feedback: In early nursing schools, the nurse in training was expected to
yield to her superiors and demonstrate the obedience characteristics of a
good soldier with actions governed by the dedication to duty derived from
religious devotion. These expectations superseded the importance of
critical thinking, scientific knowledge, or the holistic nature of health.
7. Florence Nightingale is acknowledged as one of the individuals who
contributed most significantly to the development of nursing as a
profession. What other phenomenon contributed most to this
development?
A) Labor-saving technology that freed many women from working in the
home
B) The social recognition of the importance of public funding for the
treatment of disease
C) Increased understanding of the pathophysiology of illness and the
importance of infection control
D) The high mortality rates that existed during times of war
Ans: D
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
The Nightingale Influence
Feedback: The death and disease that accompanied conflicts such as the
Crimean War and the Civil War provided the impetus for much of the
development of the nursing profession. Nursing did not primarily grow out
of the availability of a female workforce, public funding for health, or
increased scientific knowledge.
8. Nurses have historically had difficulty identifying a single,
comprehensive definition of nursing. What factor most accounts for this
difficulty in agreeing on a definition for nursing?
A) It can be challenging to reconcile the theoretical and practical aspects of
nursing.
B) Nursing exists in the psychomotor (hands-on) domain rather than in the
cognitive domain.
C) Compared with medicine, nursing has a relatively short history.
D) Nurses have traditionally been reluctant to acknowledge the outcomes
of their practice.
Ans: A
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 5
Developing a Definition for Nursing
Feedback: A major factor that has made it difficult to define nursing is that
it is taught as encompassing both theoretic and practical aspects, but it is
pursued (and continues to be defined) primarily through practice, until
recently a little-studied area. Nursing spans psychomotor and cognitive
domains, and it has a very long history. Nurses have often failed to
document and publish the results of their practice, but there is no
indication that nurses tended not to acknowledge their influence on health.
9. One of the challenges that nurses have faced in the past, and which
continues to the present, is the need to distinguish the practice of nursing
from that of medicine. Which of the following statements best conveys a
defining characteristic of nursing?
A) Education within a formal, credential-granting setting
B) An emphasis on objective, rather than subjective, health assessment
C) A holistic perspective on the health of individuals
D) A recognition that health is not always attainable for all individuals
Ans: C
Client Needs: A-1
Feedback: The death and disease that accompanied conflicts such as the
Crimean War and the Civil War provided the impetus for much of the
development of the nursing profession. Nursing did not primarily grow out
of the availability of a female workforce, public funding for health, or
increased scientific knowledge.
8. Nurses have historically had difficulty identifying a single,
comprehensive definition of nursing. What factor most accounts for this
difficulty in agreeing on a definition for nursing?
A) It can be challenging to reconcile the theoretical and practical aspects of
nursing.
B) Nursing exists in the psychomotor (hands-on) domain rather than in the
cognitive domain.
C) Compared with medicine, nursing has a relatively short history.
D) Nurses have traditionally been reluctant to acknowledge the outcomes
of their practice.
Ans: A
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 5
Developing a Definition for Nursing
Feedback: A major factor that has made it difficult to define nursing is that
it is taught as encompassing both theoretic and practical aspects, but it is
pursued (and continues to be defined) primarily through practice, until
recently a little-studied area. Nursing spans psychomotor and cognitive
domains, and it has a very long history. Nurses have often failed to
document and publish the results of their practice, but there is no
indication that nurses tended not to acknowledge their influence on health.
9. One of the challenges that nurses have faced in the past, and which
continues to the present, is the need to distinguish the practice of nursing
from that of medicine. Which of the following statements best conveys a
defining characteristic of nursing?
A) Education within a formal, credential-granting setting
B) An emphasis on objective, rather than subjective, health assessment
C) A holistic perspective on the health of individuals
D) A recognition that health is not always attainable for all individuals
Ans: C
Client Needs: A-1
Loading page 6...
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 6
Distinguishing Nursing from Medicine
Feedback: Nursing is concerned with caring for the person from a holistic
perspective in a variety of health-related situations. Both nursing and
medicine are taught in formal educational settings, though these settings
differ. Nursing does not denigrate subjective health assessment nor does it
claim that health is unattainable for some individuals.
10. Society has sometimes questioned whether nursing can be considered
to be a true profession and whether nurses can be considered to be
professionals. What characteristic of nursing is among the characteristics
that social scientists use to define a profession?
A) The median annual nursing wage is greater than $45,000.
B) Nurses use the scientific method to enhance their body of knowledge.
C) Nurses can be held legally accountable for their actions.
D) Nursing has a demonstrated commitment to the well-being of the
public.
Ans: B
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 7
Table 1.8
Feedback: Social scientists have identified seven criteria for a profession,
including the use of the scientific method to enhance knowledge. Earnings
and commitment to the public are not among the defining characteristics
of a profession. Autonomy and accountability are criteria that are used to
define a profession, but legal accountability for actions is not restricted to
professionals.
11. Among the traditions that exist in nursing education is a passing of the
lamp ceremony that is sometimes conducted during graduation. This
ceremony communicates
A) the light that nursing provides in communities and society.
B) an acknowledgment of the contributions made by important nurses in
history.
C) the continuity of care from practicing nurses to newly graduated nurses.
D) the need to continually build the nurses base of knowledge.
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 6
Distinguishing Nursing from Medicine
Feedback: Nursing is concerned with caring for the person from a holistic
perspective in a variety of health-related situations. Both nursing and
medicine are taught in formal educational settings, though these settings
differ. Nursing does not denigrate subjective health assessment nor does it
claim that health is unattainable for some individuals.
10. Society has sometimes questioned whether nursing can be considered
to be a true profession and whether nurses can be considered to be
professionals. What characteristic of nursing is among the characteristics
that social scientists use to define a profession?
A) The median annual nursing wage is greater than $45,000.
B) Nurses use the scientific method to enhance their body of knowledge.
C) Nurses can be held legally accountable for their actions.
D) Nursing has a demonstrated commitment to the well-being of the
public.
Ans: B
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 7
Table 1.8
Feedback: Social scientists have identified seven criteria for a profession,
including the use of the scientific method to enhance knowledge. Earnings
and commitment to the public are not among the defining characteristics
of a profession. Autonomy and accountability are criteria that are used to
define a profession, but legal accountability for actions is not restricted to
professionals.
11. Among the traditions that exist in nursing education is a passing of the
lamp ceremony that is sometimes conducted during graduation. This
ceremony communicates
A) the light that nursing provides in communities and society.
B) an acknowledgment of the contributions made by important nurses in
history.
C) the continuity of care from practicing nurses to newly graduated nurses.
D) the need to continually build the nurses base of knowledge.
Loading page 7...
Ans: C
Client Needs: A-1
Cognitive Level: Knowledge
Difficulty: Easy
Integrated Process: Nursing Process
Objective: 9
Ceremonies Associated with Nursing Programs
Feedback: Some schools use the tradition of a passing of the lamp. A
representative of the graduating class hands a lamp to a representative of
the next graduating class, thus reinforcing the concept of the continual
caring represented in nursing. This ceremony does not primarily
emphasize the light of the profession, the contribution of nurses in history
(though the lamp symbolizes the lamp carried by Florence Nightingale), or
the need to add to existing knowledge.
12. A nurse who provides care on a medical unit at a community hospital
is concerned about negative portrayals of nurses in the media. Why should
this nurse be concerned with the image of nurses and nursing?
A) A negative image of nursing can dissuade potential nurses from
entering the profession.
B) A negative image of nursing reduces patients adherence to treatment
regimens.
C) A negative image of nursing interferes with professional accountability
in hospital settings.
D) A negative image of nursing reduces the development of nursing
knowledge.
Ans: A
Client Needs: C
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Communication and Documentation
Objective: 10
The Image of Nursing Today
Feedback: Negative attitudes about nursing may discourage many capable
prospective nurses, who will choose another career that offers greater
appeal in stature, status, and salary. The image of nursing is not noted to
influence patient adherence to treatment or accountability. A negative
image may indirectly limit nursing knowledge through reduced funding for
research, but this phenomenon is less pronounced than the effect on
potential nurses.
Client Needs: A-1
Cognitive Level: Knowledge
Difficulty: Easy
Integrated Process: Nursing Process
Objective: 9
Ceremonies Associated with Nursing Programs
Feedback: Some schools use the tradition of a passing of the lamp. A
representative of the graduating class hands a lamp to a representative of
the next graduating class, thus reinforcing the concept of the continual
caring represented in nursing. This ceremony does not primarily
emphasize the light of the profession, the contribution of nurses in history
(though the lamp symbolizes the lamp carried by Florence Nightingale), or
the need to add to existing knowledge.
12. A nurse who provides care on a medical unit at a community hospital
is concerned about negative portrayals of nurses in the media. Why should
this nurse be concerned with the image of nurses and nursing?
A) A negative image of nursing can dissuade potential nurses from
entering the profession.
B) A negative image of nursing reduces patients adherence to treatment
regimens.
C) A negative image of nursing interferes with professional accountability
in hospital settings.
D) A negative image of nursing reduces the development of nursing
knowledge.
Ans: A
Client Needs: C
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Communication and Documentation
Objective: 10
The Image of Nursing Today
Feedback: Negative attitudes about nursing may discourage many capable
prospective nurses, who will choose another career that offers greater
appeal in stature, status, and salary. The image of nursing is not noted to
influence patient adherence to treatment or accountability. A negative
image may indirectly limit nursing knowledge through reduced funding for
research, but this phenomenon is less pronounced than the effect on
potential nurses.
Loading page 8...
13. Megan, a 21-year-old junior college student, has been frustrated by her
unsuccessful attempts to gain entry to the nursing program at the local
university despite her strong academic record and work experience.
Which of the following factors has most contributed to the limited number
of seats available in many nursing programs?
A) Technological developments that have decreased the projected need for
nurses
B) The tendency of practicing nurses to delay retirement until after the age
of 65 years
C) The high cost to educational institutions of providing nursing education
D) The negative image of nursing in the media and popular culture
Ans: C
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 10
Page and Header: Nursings Image and the Nursing Shortage
Feedback: A factor affecting the nursing supply is the limited number of
spaces in nursing programs. Because nursing education is costly, many
educational institutions have not been able to increase the size of their
programs in the past decade. This trend is not attributable to technological
change, increased length of service, or the negative image of nursing.
14. Mrs. Jimenez is a 28-year-old pregnant woman who is in labor. Due to
the fact that her labor was progressing very slowly, she was started on an
infusion of oxytocin, a drug used to increase the progression of her labor.
In the planning of Mrs. Jimenezs care, the nurse has documented a Risk of
Fluid Volume Excess in light of this common adverse effect of oxytocin. The
nurse has demonstrated the use of what nursing classification system?
A) The Minimum Data Set (MDS)
B) Nursing Outcomes Classification (NOC)
C) Nursing Interventions Classification (NIC)
D) NANDA International (NANDA-I)
Ans: D
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Communication and Documentation
Objective: 12
NANDA International
unsuccessful attempts to gain entry to the nursing program at the local
university despite her strong academic record and work experience.
Which of the following factors has most contributed to the limited number
of seats available in many nursing programs?
A) Technological developments that have decreased the projected need for
nurses
B) The tendency of practicing nurses to delay retirement until after the age
of 65 years
C) The high cost to educational institutions of providing nursing education
D) The negative image of nursing in the media and popular culture
Ans: C
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 10
Page and Header: Nursings Image and the Nursing Shortage
Feedback: A factor affecting the nursing supply is the limited number of
spaces in nursing programs. Because nursing education is costly, many
educational institutions have not been able to increase the size of their
programs in the past decade. This trend is not attributable to technological
change, increased length of service, or the negative image of nursing.
14. Mrs. Jimenez is a 28-year-old pregnant woman who is in labor. Due to
the fact that her labor was progressing very slowly, she was started on an
infusion of oxytocin, a drug used to increase the progression of her labor.
In the planning of Mrs. Jimenezs care, the nurse has documented a Risk of
Fluid Volume Excess in light of this common adverse effect of oxytocin. The
nurse has demonstrated the use of what nursing classification system?
A) The Minimum Data Set (MDS)
B) Nursing Outcomes Classification (NOC)
C) Nursing Interventions Classification (NIC)
D) NANDA International (NANDA-I)
Ans: D
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Communication and Documentation
Objective: 12
NANDA International
Loading page 9...
Feedback: Risk of Fluid Volume Excess is an example of a nursing
diagnosis, which is the focus of NANDA-I. This does not denote an
intervention or desired outcome. The MDS is an assessment tool specific to
long-term care settings.
15. During the years of the 20th century, there was exponential growth in
the number and quality of research studies that were conducted about
nurses and nursing. What factor provided the original motivation for these
studies?
A) The entry of larger number of men into nursing schools and the nursing
profession
B) A desire to lessen the knowledge gap between nurses and physicians
C) The low quality of nursing schools and nursing graduates
D) Allocation of federal and state funding for nursing research
Ans: C
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 11
Studies for and About Nursing
Feedback: In the early 20th century, nurses, doctors, friends, and critics of
nursing became concerned that the preparation being offered was
inadequate. Before the problem could be corrected, it was necessary to
learn more about the programs and how nurses were being used in the
employment market. To accomplish this, studies about nursing and nurses
were initiated. These studies did not primarily result from increased
funding opportunities, the entry of men into the profession, or the
knowledge gap between doctors and nurses.
diagnosis, which is the focus of NANDA-I. This does not denote an
intervention or desired outcome. The MDS is an assessment tool specific to
long-term care settings.
15. During the years of the 20th century, there was exponential growth in
the number and quality of research studies that were conducted about
nurses and nursing. What factor provided the original motivation for these
studies?
A) The entry of larger number of men into nursing schools and the nursing
profession
B) A desire to lessen the knowledge gap between nurses and physicians
C) The low quality of nursing schools and nursing graduates
D) Allocation of federal and state funding for nursing research
Ans: C
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 11
Studies for and About Nursing
Feedback: In the early 20th century, nurses, doctors, friends, and critics of
nursing became concerned that the preparation being offered was
inadequate. Before the problem could be corrected, it was necessary to
learn more about the programs and how nurses were being used in the
employment market. To accomplish this, studies about nursing and nurses
were initiated. These studies did not primarily result from increased
funding opportunities, the entry of men into the profession, or the
knowledge gap between doctors and nurses.
Loading page 10...
Chapter: Chapter 2: Educational Preparation for Nursing
Multiple Choice
1. Manuel has a baccalaureate degree in biology and wishes to make a
career change to eventually become an advanced practice RN. Which of the
following courses of study would be the most time-efficient choice to meet
his educational goals?
A) Masters degree in nursing
B) Baccalaureate degree in nursing
C) Doctoral degree in nursing
D) Associate degree in nursing
Ans: D
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 2
Characteristics of Associate Degree Education
Feedback: Students may be admitted to masters programs in nursing with
a baccalaureate degree in another discipline and are granted a masters
degree in nursing after completing an established 2-year program of study
that prepares them for RN licensure. However, people who already possess
baccalaureate or higher degrees in other fields sometimes seek admission
to an associate degree program, often because it can be completed in a
shorter period of time than would be needed to earn another
baccalaureate degree (though accelerated baccalaureate programs are
becoming more common).
2. Which nursing report recommended that nursing education move away
from the system of apprenticeship that predominated at the time and
move toward a planned program of education similar to that offered by
other professions?
A) The Surgeon Generals Consultant Group Report on Nursing
B) The Brown Report
C) The American Nurses Association Position Paper
D) The Pew Health Profession Commission Study
Ans: B
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Multiple Choice
1. Manuel has a baccalaureate degree in biology and wishes to make a
career change to eventually become an advanced practice RN. Which of the
following courses of study would be the most time-efficient choice to meet
his educational goals?
A) Masters degree in nursing
B) Baccalaureate degree in nursing
C) Doctoral degree in nursing
D) Associate degree in nursing
Ans: D
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 2
Characteristics of Associate Degree Education
Feedback: Students may be admitted to masters programs in nursing with
a baccalaureate degree in another discipline and are granted a masters
degree in nursing after completing an established 2-year program of study
that prepares them for RN licensure. However, people who already possess
baccalaureate or higher degrees in other fields sometimes seek admission
to an associate degree program, often because it can be completed in a
shorter period of time than would be needed to earn another
baccalaureate degree (though accelerated baccalaureate programs are
becoming more common).
2. Which nursing report recommended that nursing education move away
from the system of apprenticeship that predominated at the time and
move toward a planned program of education similar to that offered by
other professions?
A) The Surgeon Generals Consultant Group Report on Nursing
B) The Brown Report
C) The American Nurses Association Position Paper
D) The Pew Health Profession Commission Study
Ans: B
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Loading page 11...
The Brown Report
Feedback: In Nursing for the Future, Brown (1948) recommended that
nursing education move away from the system of apprenticeship that
predominated at the time and move toward a planned program of
education similar to that offered by other professions. This predated the
Surgeon Generals Consultant Group Report on Nursing, the American
Nurses Association Position Paper, and the Pew Health Profession
Commission Study.
3. Which of the following accurately states a major position of the ANA
Position Paper on Educational Preparation?
A) The education of those who are licensed to practice nursing should take
place in hospitals.
B) Minimum preparation for beginning professional nursing practice at the
present time should be an associate degree in nursing.
C) Minimum preparation for beginning technical nursing practice at the
present time should be a baccalaureate degree in nursing.
D) Education for assistants in health service occupations should be short,
intensive preservice programs in vocational educational institutions.
Ans: D
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 5
Display 2.2
Feedback: One of the four major positions of the ANA Position Paper on
Educational Preparation is that education for assistants in the health
service occupations should be short, intensive preservice programs in
vocational education institutions, rather than on-the-job training
programs. It also states that the education of all those who are licensed to
practice nursing should take place in institutions of higher education, not
in hospitals. The paper specifies an associate degree as the minimum for
technical nursing and a baccalaureate degree for professional nursing.
4. Sister Calista Roy identified an adaptation model that characterizes the
individual as being in constant interaction with a changing environment,
therefore requiring adaptation. Which of the following identifies an
adaptive mode listed in her theory?
A) Role function
B) Nutrition
C) Spirituality
Feedback: In Nursing for the Future, Brown (1948) recommended that
nursing education move away from the system of apprenticeship that
predominated at the time and move toward a planned program of
education similar to that offered by other professions. This predated the
Surgeon Generals Consultant Group Report on Nursing, the American
Nurses Association Position Paper, and the Pew Health Profession
Commission Study.
3. Which of the following accurately states a major position of the ANA
Position Paper on Educational Preparation?
A) The education of those who are licensed to practice nursing should take
place in hospitals.
B) Minimum preparation for beginning professional nursing practice at the
present time should be an associate degree in nursing.
C) Minimum preparation for beginning technical nursing practice at the
present time should be a baccalaureate degree in nursing.
D) Education for assistants in health service occupations should be short,
intensive preservice programs in vocational educational institutions.
Ans: D
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 5
Display 2.2
Feedback: One of the four major positions of the ANA Position Paper on
Educational Preparation is that education for assistants in the health
service occupations should be short, intensive preservice programs in
vocational education institutions, rather than on-the-job training
programs. It also states that the education of all those who are licensed to
practice nursing should take place in institutions of higher education, not
in hospitals. The paper specifies an associate degree as the minimum for
technical nursing and a baccalaureate degree for professional nursing.
4. Sister Calista Roy identified an adaptation model that characterizes the
individual as being in constant interaction with a changing environment,
therefore requiring adaptation. Which of the following identifies an
adaptive mode listed in her theory?
A) Role function
B) Nutrition
C) Spirituality
Loading page 12...
D) Genetic makeup
Ans: A
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 9
Feedback: Roy identifies four adaptive modes, or ways in which a person
adapts through: (1) physiologic needs, (2) self-concept, (3) role function,
and (4) interdependence relations. Nutrition, spirituality, and genetic
makeup are not discrete concepts within this theory.
5. Mr. Van is a 79-year-old widower who is being transferred to a long-
term facility following hip replacement surgery. The nurse in charge of his
care hopes to provide holistic nursing care for him based on his response
to the interaction between his internal and external environment. This
approach represents the model of care proposed by which of the following
theorists?
A) Dorothy Johnson
B) Madeleine Leininger
C) Dorothea Orem
D) Myra Levine
Ans: D
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 9
Feedback: Levine supports a holistic approach to nursing based on
recognition of the total response of the person to the interaction between
the internal and the external environment. This approach is not specified
by Johnson, Leininger, or Orem.
Multiple Selection
6. A college sophomore has become disillusioned with her current field of
studies and has begun exploring careers in nursing. To her surprise, she is
unable to identify any hospital-based programs of study in her home state.
Which of the following factors have contributed to the demise of hospital-
based diploma programs? (Select all that apply.)
A) Increased patient acuity in hospitals
B) Increased popularity of college- and university-based nursing programs
C) The growth of managed care and its influence on hospital management
Ans: A
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 9
Feedback: Roy identifies four adaptive modes, or ways in which a person
adapts through: (1) physiologic needs, (2) self-concept, (3) role function,
and (4) interdependence relations. Nutrition, spirituality, and genetic
makeup are not discrete concepts within this theory.
5. Mr. Van is a 79-year-old widower who is being transferred to a long-
term facility following hip replacement surgery. The nurse in charge of his
care hopes to provide holistic nursing care for him based on his response
to the interaction between his internal and external environment. This
approach represents the model of care proposed by which of the following
theorists?
A) Dorothy Johnson
B) Madeleine Leininger
C) Dorothea Orem
D) Myra Levine
Ans: D
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 9
Feedback: Levine supports a holistic approach to nursing based on
recognition of the total response of the person to the interaction between
the internal and the external environment. This approach is not specified
by Johnson, Leininger, or Orem.
Multiple Selection
6. A college sophomore has become disillusioned with her current field of
studies and has begun exploring careers in nursing. To her surprise, she is
unable to identify any hospital-based programs of study in her home state.
Which of the following factors have contributed to the demise of hospital-
based diploma programs? (Select all that apply.)
A) Increased patient acuity in hospitals
B) Increased popularity of college- and university-based nursing programs
C) The growth of managed care and its influence on hospital management
Loading page 13...
D) Increased costs to hospitals for maintaining nursing programs
E) The emergence of the baccalaureate degree as the entry to technical
nursing practice
Ans: B, D
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Hospital-Based Programs Today
Feedback: The elimination of hospital-based programs occurred because
hospitals could not sustain the costs of supporting the programs and
because students became more attracted to programs located in colleges
and universities. Patient acuity and managed care have not been identified
as causative factors. The baccalaureate degree has been proposed as the
entry to professional nursing practice, not technical nursing.
Multiple Choice
7. Kirsten is a 22-year-old woman who has just been granted admission to
an associate degree program at a local college. During her course of study,
Kirsten should expect to complete
A) the National Council Licensure Examination (NCLEX).
B) a preceptorship under the direction of a licensed practical (vocational)
nurse.
C) a major, original research project immediately prior to graduation.
D) numerous nonnursing courses in a variety of disciplines.
Ans: A
Client Needs: A-1
Cognitive Level: Application
Difficulty: Easy
Integrated Process: Nursing Process
Objective: 1
Characteristics of Associate Degree Education
Feedback: In a typical ADN program, approximately 40% of the credits
needed for the associate degree must be fulfilled by general education
courses such as English, anatomy, physiology, speech, psychology, and
sociology; the rest are to be fulfilled by nursing courses. Original research
is not a component of undergraduate nursing education, and
preceptorships are normally completely under the direction of an RN. The
NCLEX is written after graduation.
E) The emergence of the baccalaureate degree as the entry to technical
nursing practice
Ans: B, D
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Hospital-Based Programs Today
Feedback: The elimination of hospital-based programs occurred because
hospitals could not sustain the costs of supporting the programs and
because students became more attracted to programs located in colleges
and universities. Patient acuity and managed care have not been identified
as causative factors. The baccalaureate degree has been proposed as the
entry to professional nursing practice, not technical nursing.
Multiple Choice
7. Kirsten is a 22-year-old woman who has just been granted admission to
an associate degree program at a local college. During her course of study,
Kirsten should expect to complete
A) the National Council Licensure Examination (NCLEX).
B) a preceptorship under the direction of a licensed practical (vocational)
nurse.
C) a major, original research project immediately prior to graduation.
D) numerous nonnursing courses in a variety of disciplines.
Ans: A
Client Needs: A-1
Cognitive Level: Application
Difficulty: Easy
Integrated Process: Nursing Process
Objective: 1
Characteristics of Associate Degree Education
Feedback: In a typical ADN program, approximately 40% of the credits
needed for the associate degree must be fulfilled by general education
courses such as English, anatomy, physiology, speech, psychology, and
sociology; the rest are to be fulfilled by nursing courses. Original research
is not a component of undergraduate nursing education, and
preceptorships are normally completely under the direction of an RN. The
NCLEX is written after graduation.
Loading page 14...
8. Ben is a 30-year-old man who has applied for an accelerated
baccalaureate program at a university because the 15-month program of
study will allow him to accommodate his family and financial
responsibilities. In order to be granted admission, what will Ben most
likely require?
A) A varied work history that demonstrates initiative and responsibility
B) A baccalaureate degree in another field
C) A mentor or sponsor within the nursing field
D) Volunteer experience in a health-related setting
Ans: B
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 3
Accelerated Programs
Feedback: Building on previous learning experiences, accelerated
programs are designed to transition adults with baccalaureate and
graduate degrees in other fields into nursing. A strong work history,
volunteer experience, and an available mentor in the field are all assets for
success, but these are less likely to be absolutely required for admission.
9. Julia has just graduated with her Bachelor of Science in Nursing degree
from her state university and has begun seeking employment. However,
she is anxious about her level of clinical competence due to the fact that
she completed far fewer clinical hours than many practicing nurses. Which
of the following has the potential to ease Julias transition to practice?
A) Completing a residency or internship at the hospital where she will be
employed
B) Auditing courses in a nonnursing, health-related discipline
C) Working for several months as a nursing assistant in order to gain
confidence
D) Taking online courses in advanced nursing practice
Ans: A
Client Needs: A-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 2
Residencies and Structured Orientation for the New Graduate
baccalaureate program at a university because the 15-month program of
study will allow him to accommodate his family and financial
responsibilities. In order to be granted admission, what will Ben most
likely require?
A) A varied work history that demonstrates initiative and responsibility
B) A baccalaureate degree in another field
C) A mentor or sponsor within the nursing field
D) Volunteer experience in a health-related setting
Ans: B
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 3
Accelerated Programs
Feedback: Building on previous learning experiences, accelerated
programs are designed to transition adults with baccalaureate and
graduate degrees in other fields into nursing. A strong work history,
volunteer experience, and an available mentor in the field are all assets for
success, but these are less likely to be absolutely required for admission.
9. Julia has just graduated with her Bachelor of Science in Nursing degree
from her state university and has begun seeking employment. However,
she is anxious about her level of clinical competence due to the fact that
she completed far fewer clinical hours than many practicing nurses. Which
of the following has the potential to ease Julias transition to practice?
A) Completing a residency or internship at the hospital where she will be
employed
B) Auditing courses in a nonnursing, health-related discipline
C) Working for several months as a nursing assistant in order to gain
confidence
D) Taking online courses in advanced nursing practice
Ans: A
Client Needs: A-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 2
Residencies and Structured Orientation for the New Graduate
Loading page 15...
Feedback: Internships and residencies for new graduates have been
instituted by hospitals to ease the transition from the role of student to
that of staff by providing the opportunity to increase clinical skills and
knowledge as well as self-confidence. Taking more academic courses
and/or working as a nursing assistant are unlikely to increase Julias
confidence and competence in her clinical nursing role.
10. According to the ANA Position Paper on Educational Preparation,
which of the following four individuals is adequately prepared to provide
care?
A) A nursing assistant who has just completed an on-the-job training
program in a local hospital
B) A nurse who graduated from a hospital-based diploma program
C) A nurse in a high-acuity setting who possesses an associate degree in
nursing (ADN) degree
D) A nursing assistant who graduated from the training program at a
community college
Ans: D
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 5
Display 2.2
Feedback: The ANA Position Paper specifies that education for assistants
in the health service occupations should be short, intensive preservice
programs in vocational education institutions, rather than on-the-job
training programs. The Paper also specifies a minimum of an ADN degree
for all nursing practice and a baccalaureate degree for professional nursing
(e.g., in high-acuity settings).
11. Nurse. L. provides care in a state that has mandatory continuing
education requirements for nurses. What are the consequences of this
policy for Nurse L.?
A) Nurse L. must demonstrate a commitment to making practice
improvements.
B) Nurse L. must have a baccalaureate degree in order to provide
professional nursing care.
C) Nurse L. is obliged to update her diploma to an associate degree.
D) Nurse L. must demonstrate continuing education for license renewal.
Ans: D
Client Needs: A-1
instituted by hospitals to ease the transition from the role of student to
that of staff by providing the opportunity to increase clinical skills and
knowledge as well as self-confidence. Taking more academic courses
and/or working as a nursing assistant are unlikely to increase Julias
confidence and competence in her clinical nursing role.
10. According to the ANA Position Paper on Educational Preparation,
which of the following four individuals is adequately prepared to provide
care?
A) A nursing assistant who has just completed an on-the-job training
program in a local hospital
B) A nurse who graduated from a hospital-based diploma program
C) A nurse in a high-acuity setting who possesses an associate degree in
nursing (ADN) degree
D) A nursing assistant who graduated from the training program at a
community college
Ans: D
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 5
Display 2.2
Feedback: The ANA Position Paper specifies that education for assistants
in the health service occupations should be short, intensive preservice
programs in vocational education institutions, rather than on-the-job
training programs. The Paper also specifies a minimum of an ADN degree
for all nursing practice and a baccalaureate degree for professional nursing
(e.g., in high-acuity settings).
11. Nurse. L. provides care in a state that has mandatory continuing
education requirements for nurses. What are the consequences of this
policy for Nurse L.?
A) Nurse L. must demonstrate a commitment to making practice
improvements.
B) Nurse L. must have a baccalaureate degree in order to provide
professional nursing care.
C) Nurse L. is obliged to update her diploma to an associate degree.
D) Nurse L. must demonstrate continuing education for license renewal.
Ans: D
Client Needs: A-1
Loading page 16...
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 6
Continuing Education
Feedback: Mandatory continuing education affects licensure, meaning that
any nurse renewing a license in a state requiring (mandating) continuing
education will have to satisfy that requirement. However, this does not
necessarily mean that a nurse must update his or her degree or diploma or
undertake practice improvements.
12. The administrators of a large, university hospital have expressed a
commitment to differentiated nursing practice. Which of the following
most clearly exemplifies differentiated practice?
A) Each nurse performs a role that is commensurate with his or her
education and experience level.
B) Each nurse in the hospital is expected to provide competent care in a
variety of different settings.
C) Nurses demonstrate evidence of continuing education in two or more
different specialties.
D) Each nurse in the hospital possesses an ADN or baccalaureate degree in
nursing.
Ans: A
Client Needs: A-1
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 7
Differentiated Practice
Feedback: Differentiated nursing practice can be defined as the practice of
structuring nursing roles on the basis of education, experience, and
competence. It does not necessarily specify the provision of care in diverse
settings, evidence of continuing education, or the possession of a nursing
degree.
13. A nurse manager who oversees the provision of community-based care
to a large number of clients has been mandated to implement
differentiated care over the next year. In order to carry out this directive,
the nurse manager must be able to
A) teach each nurse to become a generalist rather than a specialist.
B) identify the evidence that underlies the nursing care that is provided.
C) clearly identify the specific roles and tasks that these nurses perform.
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 6
Continuing Education
Feedback: Mandatory continuing education affects licensure, meaning that
any nurse renewing a license in a state requiring (mandating) continuing
education will have to satisfy that requirement. However, this does not
necessarily mean that a nurse must update his or her degree or diploma or
undertake practice improvements.
12. The administrators of a large, university hospital have expressed a
commitment to differentiated nursing practice. Which of the following
most clearly exemplifies differentiated practice?
A) Each nurse performs a role that is commensurate with his or her
education and experience level.
B) Each nurse in the hospital is expected to provide competent care in a
variety of different settings.
C) Nurses demonstrate evidence of continuing education in two or more
different specialties.
D) Each nurse in the hospital possesses an ADN or baccalaureate degree in
nursing.
Ans: A
Client Needs: A-1
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 7
Differentiated Practice
Feedback: Differentiated nursing practice can be defined as the practice of
structuring nursing roles on the basis of education, experience, and
competence. It does not necessarily specify the provision of care in diverse
settings, evidence of continuing education, or the possession of a nursing
degree.
13. A nurse manager who oversees the provision of community-based care
to a large number of clients has been mandated to implement
differentiated care over the next year. In order to carry out this directive,
the nurse manager must be able to
A) teach each nurse to become a generalist rather than a specialist.
B) identify the evidence that underlies the nursing care that is provided.
C) clearly identify the specific roles and tasks that these nurses perform.
Loading page 17...
D) hire more licensed practical (vocational) nurses.
Ans: C
Client Needs: A-1
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 7
Differentiated Practice
Feedback: Differentiated practice requires that the specific roles that are
performed in the provision of care be clearly identified and delineated.
This is necessary in order to appropriately match individual care providers
to particular tasks and functions. Nurses do not need to become
generalists nor are more practical nurses necessarily required. Evidence
underlying nursing care should be identified, but this is not necessary for
differentiated care.
14. Pressure from students and the healthcare industry has prompted the
nursing educators at a college to implement new technology into the
nursing education that they provide. Which of the following statements is
true of technological change and nursing education?
A) Technology is typically high in colleges and universities but low in
hospitals and other care settings.
B) Many of the purported educational benefits of technology have not been
demonstrated in the nursing literature.
C) Computer literacy is high among students but most nursing educators
lack computer skills.
D) The costs of integrating new technology into nursing education can be
prohibitive.
Ans: D
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 8
Feedback: High-technology equipment is often expensive, a fact that often
presents a challenge to educational institutions. The benefits of technology
in learning have been demonstrated and computer literacy is nearly
universal. Hospitals are high-technology work environments.
15. The faculty members of a college-based school of nursing have taken
action to increase the teaching and clinical time in the curriculum that is
Ans: C
Client Needs: A-1
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 7
Differentiated Practice
Feedback: Differentiated practice requires that the specific roles that are
performed in the provision of care be clearly identified and delineated.
This is necessary in order to appropriately match individual care providers
to particular tasks and functions. Nurses do not need to become
generalists nor are more practical nurses necessarily required. Evidence
underlying nursing care should be identified, but this is not necessary for
differentiated care.
14. Pressure from students and the healthcare industry has prompted the
nursing educators at a college to implement new technology into the
nursing education that they provide. Which of the following statements is
true of technological change and nursing education?
A) Technology is typically high in colleges and universities but low in
hospitals and other care settings.
B) Many of the purported educational benefits of technology have not been
demonstrated in the nursing literature.
C) Computer literacy is high among students but most nursing educators
lack computer skills.
D) The costs of integrating new technology into nursing education can be
prohibitive.
Ans: D
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 8
Feedback: High-technology equipment is often expensive, a fact that often
presents a challenge to educational institutions. The benefits of technology
in learning have been demonstrated and computer literacy is nearly
universal. Hospitals are high-technology work environments.
15. The faculty members of a college-based school of nursing have taken
action to increase the teaching and clinical time in the curriculum that is
Loading page 18...
devoted to community-based nursing. Which of the following phenomena
provides the most valid rationale for this change?
A) Public mistrust of hospitals is increasing and many individuals prefer to
remain at home.
B) The number of patients who qualify for Medicare and Medicaid is
increasing.
C) Patients are typically discharged from the hospital much earlier than in
the past.
D) Evidence demonstrates that students learn more in the community than
in the hospital.
Ans: C
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 8
Increasing Community-Based Practice Experiences
Feedback: Earlier hospital discharge to the home and an increasing
emphasis on prevention has created new demands on nursing in the
community. This shift is not rooted in mistrust of hospitals, a lack of
learning in hospitals, or trends in Medicare and Medicaid.
provides the most valid rationale for this change?
A) Public mistrust of hospitals is increasing and many individuals prefer to
remain at home.
B) The number of patients who qualify for Medicare and Medicaid is
increasing.
C) Patients are typically discharged from the hospital much earlier than in
the past.
D) Evidence demonstrates that students learn more in the community than
in the hospital.
Ans: C
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 8
Increasing Community-Based Practice Experiences
Feedback: Earlier hospital discharge to the home and an increasing
emphasis on prevention has created new demands on nursing in the
community. This shift is not rooted in mistrust of hospitals, a lack of
learning in hospitals, or trends in Medicare and Medicaid.
Loading page 19...
Chapter: Chapter 3: Credentials for Healthcare Providers
Multiple Choice
1. What is the major advantage of sunset laws?
A) Nurses can modify their standards of practice on a daily basis.
B) They guarantee that the legislature will review and evaluate agencies
and programs.
C) The legislature can close facilities that do not meet governmental
requirements.
D) Facilities must renew their accreditation in a specified amount of time.
Ans: B
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Sunset Laws and Nurse Practice Acts
Feedback: Because sunset laws are set to expire at a specified point in
time, legislatures are obligated to review and evaluate them prior to
expiry. Sunset laws do not directly influence the nurses standards of
practice, the quality of healthcare facilities, or the accreditation process.
2. A nurse who is licensed to practice in Pennsylvania decides to seek a
nursing position in Florida. This nurse would obtain this license by which
of the following methods?
A) Licensure by endorsement
B) Licensure by examination
C) Licensure by renewal
D) Reciprocal licensure
Ans: A
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Communication and Documentation
Objective: 6
Obtaining a Nursing License
Feedback: The method of obtaining a license when the nurse is already
licensed in another jurisdiction is called licensure by endorsement; this is
an alternative to license by examination. This transfer is not termed
reciprocal licensure or licensure by renewal.
3. A nursing board asks the court to stop a nurse from practicing until it
investigates allegations that the nurse was providing care while under the
Multiple Choice
1. What is the major advantage of sunset laws?
A) Nurses can modify their standards of practice on a daily basis.
B) They guarantee that the legislature will review and evaluate agencies
and programs.
C) The legislature can close facilities that do not meet governmental
requirements.
D) Facilities must renew their accreditation in a specified amount of time.
Ans: B
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Sunset Laws and Nurse Practice Acts
Feedback: Because sunset laws are set to expire at a specified point in
time, legislatures are obligated to review and evaluate them prior to
expiry. Sunset laws do not directly influence the nurses standards of
practice, the quality of healthcare facilities, or the accreditation process.
2. A nurse who is licensed to practice in Pennsylvania decides to seek a
nursing position in Florida. This nurse would obtain this license by which
of the following methods?
A) Licensure by endorsement
B) Licensure by examination
C) Licensure by renewal
D) Reciprocal licensure
Ans: A
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Communication and Documentation
Objective: 6
Obtaining a Nursing License
Feedback: The method of obtaining a license when the nurse is already
licensed in another jurisdiction is called licensure by endorsement; this is
an alternative to license by examination. This transfer is not termed
reciprocal licensure or licensure by renewal.
3. A nursing board asks the court to stop a nurse from practicing until it
investigates allegations that the nurse was providing care while under the
Loading page 20...
Loading page 21...
Loading page 22...
Loading page 23...
Loading page 24...
Loading page 25...
Loading page 26...
Loading page 27...
Loading page 28...
Loading page 29...
Loading page 30...
Loading page 31...
30 more pages available. Scroll down to load them.
Preview Mode
Sign in to access the full document!
100%
Study Now!
XY-Copilot AI
Unlimited Access
Secure Payment
Instant Access
24/7 Support
Document Chat
Document Details
Subject
Nursing