Chitty: Professional Nursing: Concepts and Challenges, 6th Edition Chapter 1: Nursing Today Test Bank MULTIPLE CHOICE 1. Which of the following could eventually change the historic status of nursing as a female-dominated profession? a. More men graduating from baccalaureate and higher degree programs b. The portion of men in nursing continuing to increase c. More male graduates of basic nursing programs entering the workplace d. Salary compensation increasing to attract more men ANS:C FeedbackA“More men graduating from baccalaureate and higher degree programs” is not the best answer because associate degree programs produce the most new graduates.

BThe percentage of men in nursing has stabilized. CThe more men who enter the workplace as nurses, the less nursing will be seen as a female-dominated profession DSalary rates do not appear to relate to the recruitment of men into nursing. DIF:Cognitive Level: ComprehensionREF:Page 2 2. The racial and ethnic composition of the nursing profession will change to more accurately reflect the population as a whole when a.The increased numbers of racial and ethnic minorities enrolled in educational programs graduate and begin to practice. b.

The retention rate of nonwhite nurses remains at the current level. c. The percentage of African-American and Hispanic nurses increases more than the percentage of white nurses. d.

The nonwhite portion of the general population decreases. ANS:A Feedback AA larger percentage of minorities are enrolled in nursing educational programs than previously. BThe retention rate of nonwhite nurses currently is decreasing.CNot only would the percentage of African-American and Hispanic nurses need to increase, the percentage of white nurses would have to decrease in order to more accurately reflect the population as a whole. DThe nonwhite portion of the general population is not likely to decrease. DIF:Cognitive Level: ComprehensionREF:Page 3 3.

Which of the following is a correct statement about the registered nurse population? a. The racial/ethnic composition of registered nurses closely resembles that of the general population. b. The number of men entering nursing has decreased steadily over the last decade. c.The average age of registered nurses is rising as people pursuing second careers enter the nursing profession.

d. The majority of employed registered nurses are working full time. ANS:C Feedback AThe percentage of registered nurses who are from minority racial or ethnic backgrounds decreased between 2000 and 2004. BThe number of men entering nursing is increasing. CMany new nurses are beginning second careers and are older than typical college graduates. The percentage of nursing graduates younger than 30 years of age dropped from 9.

1% to 8. 1% between 2000 and 2004. DFewer than two thirds of employed registered nurses work full time.DIF:Cognitive Level: KnowledgeREF:Page 4 4. Which of the following best describes trends in nursing education? a. Numbers of registered nurses with baccalaureate and higher degrees are increasing.

b. Numbers of registered nurses with associate degrees are increasing. c. Foreign-born nurses practicing in the United States have less educational preparation than American-born nurses. d.

Numbers of registered nurses with diploma educations are increasing. ANS:A Feedback AThere has been a slight increase in baccalaureate and higher degree-prepared registered nurses since 2000. BThere has been a slight decrease in associate degree-prepared nurses.CForeign-born nurses practicing in the United States generally have more educational preparation than American-born nurses.

DThe numbers of diploma-educated nurses are declining. DIF:Cognitive Level: KnowledgeREF:Page 5 5. Despite the variety of work settings available to the registered nurse, data from 2004 indicate that the primary work site for registered nurses is a. Ambulatory care settings b.

Community health settings c. Long-term care facilities d. Acute care hospitals ANS:D Feedback AAmbulatory care settings account for about 11. 5% of registered nurses’ places of employment.

BPublic health and community health settings account for 14. 9% of employed registered nurses. CLong-term care facilities account for 6. 3% of registered nurses’ places of employment. DStatistics show that 56.

2% of registered nurses work in acute care hospitals. DIF:Cognitive Level: KnowledgeREF:Page 6 6. One important advantage of clinical ladder programs for hospital-based registered nurses is that they a. Allow career advancement for nurses who choose to remain at the bedside b. Encourage nurses to move into management positions in which they can influence patient care on a broader scale c.

Encourage registered nurses to become politically active and guide the profession of nursing d. Provide training to staff nurses so they can move seamlessly across departments ANS:A Feedback AClinical ladder programs allow nurses to advance professionally while remaining at the bedside. BClinical ladder programs are designed to keep proficient nurses at the bedside. CEncouraging registered nurses to become politically active and guide the profession of nursing is not the goal of clinical ladder programs. DClinical ladder programs are not designed to facilitate transfer between departments.

DIF:Cognitive Level: ComprehensionREF:Page 7 7.Which of the following statements is correct about community health nursing (CHN)? a. Prevention and community education are the cornerstones of CHN. b. Nursing care is rapidly moving from the home setting to the institutional setting.

c. High-tech care such as maintenance of ventilators and TPN cannot be handled in the home environment. d. Assessment skills are less important in CHN because patients are not acutely ill. ANS:A Feedback AThe community health nurse provides educational programs in health maintenance, disease prevention, nutrition, and child care.

BCare is moving into the home setting. CHome care is increasing in complexity.DCommunity health nurses must have excellent assessment skills as they do not have the immediate backup that an acute care facility offers. DIF:Cognitive Level: ComprehensionREF:Page 9 - 10 8.

Which of the following is most essential for the nurse entrepreneur to be successful? a. Ability to take direction well b. Excellent time-management skills c. Avoidance of risks d. A college degree in business ANS:B Feedback ANurse entrepreneurs must function autonomously. BNurse entrepreneurs must be well organized and efficient.

CStarting a business involves risk. DA degree in business is not required to be a nurse entrepreneur.DIF:Cognitive Level: ComprehensionREF:Page 11 9. The major benefit of serving as a military nurse is a.

Broader responsibilities and scope of practice than civilian nurses b. Working with entirely baccalaureate-prepared peers on active duty c. Serving as an officer on active duty or in the reserves d. The financial support to seek advanced degrees ANS:D Feedback AAlthough military nurses do have broader responsibilities and scopes of practice than civilian nursest is, this is not the major benefit. BAlthough military nurses do work with entirely baccalaureate-prepared peers on active uty, this is not the major benefit.

CAlthough military nurses serve as an officers on active duty or in the reserves, this is not the major benefit. DAdvanced education is supported by the military financially and also allows for promotion in rank at an accelerated pace. DIF:Cognitive Level: ComprehensionREF:Page 14 10. Which of the following statements explains why the school nurse of today is truly a community health nurse? a.

The school nurse may be called on to care for a student’s family members in underserved areas. b. The school nurse’s primary responsibility is centered on the well child. c.The school nurse’s primary responsibility is to maintain immunization records. d.

The school nurse must be certified in community health nursing. ANS:A Feedback AIn medically underserved areas a school nurse may be called on to care for members of a child’s immediate family. BChronically ill, disabled, and physically challenged students are in regular classrooms. CSchool nurses detect developmental problems; counsel and educate children, parents, and teachers; and maintain immunization records.

DAlthough school nurses are considered community health nurses, certification in community health is not required.