Contemporary Nursing Issues, Trends, & Management 6th Edition by Barbara Cherry- Test Bank

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Contemporary Nursing Issues, Trends, & Management 6th Edition by Barbara Cherry- Test Bank

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Chapter 02: The Contemporary Image of Professional Nursing

Test Bank

 

MULTIPLE CHOICE

 

1. Which item below correctly describes the U.S. Bureau of Labor Statistics predictions by 2020?

a.	Positions that historically required registered nurses will be filled by unlicensed personnel.
b.	The job growth rate for RNs will surpass job growth in all other occupations.
c.	The need for hospital nurses will dramatically decrease.
d.	Hospitals will finally achieve the required RN workforce.

 

 

 

2. What effect did the movie One Flew Over the Cuckoo’s Nest have on health care?

a.	Funding for mental health care increased, allowing the point of care to change from the community to standardized institutional care.
b.	The public and the nursing profession were made aware of the rights of vulnerable populations.
c.	Nurses were seen as advocates for individuals who cannot advocate for themselves.
d.	Funding for nursing traineeships was eliminated.

 

 

3. Which nurse died after deliberately acquiring two bites from yellow fever carrier mosquitoes to enable her to provide care to soldiers with yellow fever during the Spanish-American War?

a.	Florence Nightingale
b.	Margaret Hoolihan
c.	Clara Maas
d.	Sairy Gamp

 

 

 

4. A bronze statue of a nurse in battle fatigues who is obviously exhausted but demonstrates caring by holding a soldier’s head is an artistic representation of nurses who served in which war?

a.	World War I
b.	World War II
c.	Spanish-American War
d.	Vietnam War

 

 

 

5. What was the purpose of the Nurse Reinvestment Act of 2002?

a.	Provided disability insurance to RNs who contract a life-threatening illness while on duty
b.	Funded public service announcements that promote unlicensed caregivers as an alternative to professional nurses
c.	Focused on nurse retention and safety enhancement grants
d.	Provided pediatric nursing training grants

 

 

 

6. Potential nursing students are concerned about choosing a profession with job security and ask the recruiter, “Because more people are choosing nursing, will I have a job in a few years?” The recruiter answer that by 2025, on the basis of the U.S. Bureau of Labor Statistics prediction:

a.	positions that have historically required RNs will be filled by foreign nurses.
b.	the nursing shortage will increase twofold, the largest shortage in almost 50 years.
c.	the need for hospital nurses will dramatically decrease as nurses reenter the profession.
d.	hospitals will finally achieve the required RN workforce, reducing the need for more RNs.

 

 

 

7. Charles Dickens’ character Sairy Gamp:

a.	portrayed nurses as trained professional individuals who put others before themselves.
b.	chose nursing because she had no other avenue for employment.
c.	was a prostitute who took advantage of sick old men.
d.	characterized nurses as being at the forefront of technology and autonomy.

 

 

 

8. What does the Spirit of Nursing statue honor?

a.	Florence Nightingale’s accomplishments in public health
b.	Edith Cavell’s attempt to help the victims of the Tuskegee experiment seek treatment
c.	Clara Maas, who found the cure for yellow fever during WWII
d.	All military nurses for their bravery and compassion

 

 

 

9. Although the media portrayed nursing in a negative light in M*A*S*H through the character of a promiscuous, uncaring nurse, it also provided Americans with a promising glimpse of:

a.	nurses who can be promiscuous and still help doctors.
b.	the fact that caring is not as important as the desire to serve one’s country.
c.	the ability of nurses to cope with the dreadfulness of war by using humor.
d.	the contributions of male military nurses.

 

 

10. With the crisis in health care and the nursing shortage, why is the image of nursing still important?

a.	Nursing care is often delivered during a time of uncertainty, and the image of nurses during this time can reinforce trust in the nurse-patient relationship.
b.	Physicians have a distinctive body of knowledge that identifies them as professionals, whereas nursing has yet to develop a unique body of knowledge on which to base practice.
c.	Nurses must present a unified image if they hope to ever establish nursing as a profession.
d.	The dynamic state of today’s health care requires nurses to move from a caring image to one of technologic competence.

 

 

11. Nurses can combat the nursing shortage by:

a.	joining unions, which influence employers to provide incentives such as pay raises and free child care, thus encouraging the large percentage of nonworking nurses to return to the workforce.
b.	demanding that the requirements of the qualifying examination for foreign nurses should be reduced, so they are eligible to sit for the licensure examination.
c.	working more hours with a higher nurse/patient ratio.
d.	advocating for funds to pay for nursing education and a safer work environment.

 

 

 

12. The demographics of the twenty-first century nursing population indicate that:

a.	individuals entering nursing are second-degree students who average 45 years of age.
b.	more white nurses enter and obtain graduate degrees than any other ethnic group.
c.	the highest level of nursing education for most RNs is an associate degree.
d.	the majority of nurses practice in hospitals.

 

 

 

13. A nursing student asks, “I wonder if the reason that the nursing shortage is so severe is that registered nurses are unhappy with their jobs.” To research the answer, the National Survey of Registered Nurses was reviewed and found:

a.	registered nurses change employers every year to prevent burnout and to keep the nursing shortage from increasing.
b.	nursing faculty are aging or leaving academia due to increased work demands and generational difference from students.
c.	practicing registered nurses are satisfied with their job and most remain with same employer they worked for the previous year.
d.	registered nurses were the least satisfied with their job of all health care providers.

 

 

 

14. A registered nurse is on break and checking emails. One email contains a picture of a celebrity who is a patient in the hospital, and on the same floor, where the nurse works. Included with the photo is a message, “check out my Facebook,” which contains additional photographs of the patient. The nurse immediately deletes the picture to prevent having to report the “friend” to supervisors. Based on the action of the nurse who received the message, which statement is correct?

a.	The nurse is not at risk for having his/her license suspended since removing the photos made them temporary and invisible to all others.
b.	Because the nurse did not send the message and immediately deleted the photo, there is no risk for discipline.
c.	Failing to report receiving the message places the nurse at risk for discipline.
d.	Because the patient is on the same floor as the one on which the nurse works, the information can be ethically and legally shared.

 

 

 

15. A nurse executive is concerned that the mortality rate in his/her hospital exceeds the national average and searches the literature finding Aiken’s 2011 Survey on the effects of nurse staffing and education on mortality, including work environment. If Aiken’s recommendations are followed, which change would be most effective?

a.	Increasing staffing ratios to include more nurses of all levels of educational preparation on all shifts
b.	Employing bachelor’s prepared nurses who participate in interprofessional rounds with attending physicians where their voices are heard
c.	Ensuring nurse managers and administrators have at minimum a Master’s degree
d.	Encouraging all unlicensed assistive personnel to attend educational programs to be certified

 

 

DIF:    Application    REF:   p. 29

 

16. A student nurse signs the nurses’ notes in the patient’s record as, Mary Smith, RN (pending graduation 2015). According to the International Council of Nurses, which individual can use the title “nurse”?

a.	Any student nurse who has completed at least 50% of the education program in which he or she is enrolled
b.	Any graduate of an accredited nursing program who has taken the NCLEX-RN® and is waiting on test results
c.	The nursing assistant who is assigned by the registered nurse to “help out” by performing health histories on newly admitted stable patients
d.	An individual who has successfully passed the NCLEX-RN®

 

 

 

17. A physician complains to administration that the nurse working last evening is unethical, based on observing the nurse educate the patient about a new medication ordered. The physician demanded the nurse be reprimanded and reminded that only physicians have the educational background to teach patients about new medications. Which comment and action by the administrator would be most effective in changing nurse-physician relationships in this instance?

a.	Inform the nurse, “You will be suspended for 3 days for going beyond your job description,” and enforce the 3-day suspension because the physician did not write the order to “teach the patient about the new medication”
b.	Advise the physician that only nurses can teach patients about medications; the physician’s role is to only prescribe. No action will be taken against the nurse.
c.	After investigating the situation, thank the physician while also providing information that patient education related to medication is within the scope of practice of registered nurses. Share the physician’s concern and administrator’s response with the nurse so both parties are aware of the resolution of the concerns.
d.	Contact the patient’s family and ask, “Do you prefer that all teaching related to medications be performed by the physician rather than the nurse” to determine what action to take.

 

 

 

18. Which nurse best portrays nursing as a “knowledge worker”?

a.	Nurse in matched scrubs with lab coat, hair back, small stud earrings
b.	Nurse in mismatched scrubs, no lab coat, large hoop earrings
c.	Nurse in white uniform with apron with no jewelry/hair back
d.	Nurse with nose ring and eyebrow piercing with starched white uniform and cap

 

 

 

MULTIPLE RESPONSE

 

1. According to current data related to the nursing shortage: (Select all that apply.)

a.	salaries of nurses are competitive with those of other professionals such as teachers.
b.	only 16.8% of nurses are minorities.
c.	overall, nurses are satisfied with their jobs but leave the profession because of fear of contracting fatal diseases.
d.	the employment opportunities for nurses continue to be strong.
e.	staff nurses are returning to school to obtain certificates to teach nursing.

 

 

2. A group of new graduate nurses is asked to speak to a group of politicians to describe the current state of professional nursing and how best to alleviate the nursing shortage. Which statements accurately portray professional nursing today and tomorrow? (Select all that apply.)

a.	More RNs attain a bachelor’s degree than an associate degree or diploma.
b.	Because of pressure to shorten length of stay in hospitals, more RNs practice in outpatient settings and home health than in acute care settings.
c.	The most popular advanced practice specialty is nurse anesthesia.
d.	White nurses are more likely to enter graduate school than nurses from other ethnic groups.
e.	Nursing represents the largest health care professional group, followed by medical doctors.

 

 

 

3. Which actions would result in a greater number of nurses entering and staying in practice, given today’s state of nursing? (Select all that apply.)

a.	Determine why few African-American women enter graduate school.
b.	Provide incentives for minorities and men to enter nursing.
c.	Obtain grant funding to increase the number of faculty members and scholarship availability for students entering baccalaureate nursing programs.
d.	Survey nurses to determine why their job satisfaction is lower than that of other health care professions.
e.	Develop ad campaigns that target younger students.

 

 

4. The Nurses of America’s media campaign raised awareness of which aspects of nursing? (Select all that apply.)

a.	Nurses are expert clinicians.
b.	A higher nurse/patient ratio is needed.
c.	Nurses are invisible in the news media.
d.	Nurses are caring.
e.	Nurses are well paid.

 

 

 

OTHER

 

1. Place the five most ethical professionals in descending order, according to the 2011 Gallop Poll ranking. Put a comma and space between each answer choice (for example: a, b, c, d).
2. Police officers
3. High school teachers
4. Medical doctors
5. Nurses
6. Pharmacists

Chapter 04: Nursing Licensure and Certification

Test Bank

 

MULTIPLE CHOICE

 

1. The advanced practice nurse who is seeking information about requirements for practice in a specialized area should contact the:

a.	American Nurses Association (ANA).
b.	National League for Nursing (NLN).
c.	American Nurses Credentialing Center (ANCC).
d.	National Council of State Boards of Nursing (NCSBN).

 

 

 

2. The primary purpose of licensure for RNs is to:

a.	prevent others from using the title nurse.
b.	demonstrate a specialized body of knowledge.
c.	protect the public.
d.	enhance recognition for the profession.

 

 

3. Nurse practice acts:

a.	are written and passed by legislators.
b.	cannot be influenced by special interest groups.
c.	reflect only the concerns of RNs.
d.	are affected by the practice of dentists.

 

 

4. To ensure that nursing legislation is current and is reviewed by specific dates, if a nurse practice act fails to be reviewed, it is automatically rescinded under which law?

a.	Nurse review act
b.	Sunset legislation
c.	Mandatory revocation
d.	Grandfathering

 

 

 

5. Current trends in telecommunications and increased mobility of nurses have led to approval of a mutual recognition model of nursing regulation, in which nurses are allowed to practice in states that are compact states without obtaining a license in each state. On which website would a nurse find a list of current compact states?

a.	National League for Nursing (NLN)
b.	National Council of State Boards of Nursing (NCSBN)
c.	American Association of Colleges of Nursing (AACN)
d.	Commission on Collegiate Nursing Education (CCNE)

 

 

6. The first field of nursing to certify advanced practitioners was the field of:

a.	adult nurse practitioners.
b.	nurse-midwifery.
c.	clinical nurse specialist.
d.	nurse anesthesia.

 

 

 

7. A graduate of a nursing school in the United States plans to practice nursing in Paris, France. To request licensure to practice in Paris, the nurse:

a.	must contact the Graduates of Foreign Nursing Schools to complete a special examination.
b.	realizes that education in the United States is so generalized that he or she is eligible to practice in other countries without additional licensure.
c.	is required to take a language proficiency examination for the primary language of that particular country, as well as a cultural assessment test, prior to licensure.
d.	should contact the International Council of Nurses or the nursing regulatory board of that country.

 

 

 

8. A nurse who is licensed in Georgia and moves to Oregon:

a.	must check Oregon’s nurse practice act related to licensure for endorsement.
b.	will automatically be grandfathered in as a licensed registered nurse.
c.	may request certification in Oregon rather than licensure, so as not to have to retake the NCLEX-RN®.
d.	should contact the American Nurses Credentialing Center to determine whether he or she is eligible to practice in an another state.

 

 

9. When practicing in a compact state:

a.	the nurse must abide solely by the practice act of the largest state.
b.	patients’ rights in relation to the nurse practice act are protected by the mutual recognition model.
c.	the nurse must pay for a license in all states that participate in the mutual recognition model.
d.	the nurse must refer to the nurse practice act for the list of skills that can be performed.

 

 

 

10. When participating in a nurse licensure compact, the nurse:

a.	is held responsible for complying with the nursing practice laws in the state where practicing at the time care is rendered.
b.	must purchase a license in each state but does not retake the licensure exam.
c.	determines residency based on the state where educated as registered nurse.
d.	may practice using one license in any state or territory in the United States that recognizes the NCLEX® as the source of licensure.

 

 

 

11. A new graduate from a master’s entry program in nursing announces, “I just passed my clinical nurse leader certification exam.” Certification as a clinical nurse leader:

a.	is granted by the state boards of nursing.
b.	denotes minimum level of knowledge and skills to practice safely.
c.	allows independent nursing practice, often in primary care.
d.	recognizes achievement of advanced skills and knowledge.

 

 

 

12. A nurse holds a license in one state but wishes to practice in a second state that is not participating in a nurse licensure compact agreement. The nurse is granted licensure on payment of a fee but does not retake the licensure exam. The nurse obtains licensure in the second state:

a.	by licensure and by endorsement.
b.	through mandatory continuing education.
c.	by the statutory process known as being grandfathered.
d.	through sunset legislation.

 

 

 

13. A nurse practicing in the early 1900s was awarded a permissive license. These licenses:

a.	were voluntary; however, a nurse who failed the exam could not use the title RN.
b.	required a maximum of 1 year of formalized nurse training.
c.	allowed nurses who did not pass the licensure exam to still practice.
d.	allowed nurses the choice of taking a written or oral licensure exam.

 

 

 

14. A group of registered nurses with associate degrees (ASN) are concerned that the minimum educational standard for licensure as a registered nurse is being raised to the bachelor’s (BSN) level. After contacting the American Nurses Association, they learn they will be “grandfathered” in. Under the “grandfather clause,” nurses with associate degrees will:

a.	be required to complete a bridge program to earn a BSN and then be tested only on material that was not part of the ASN curriculum.
b.	continue to use the title “registered nurse.”
c.	have 10 years to obtain a BSN or the license will be revoked.
d.	use whatever title is established for associate degree nurses.

 

 

 

15. Who establishes the “rules” for nursing practice?

a.	Individual State Boards of Nursing
b.	Employer, based on area of practice
c.	United States Department of Health and Human Services
d.	Local health officials

 

 

 

16. A nurse is completing the degree requirements for an advanced practice role as a nurse practitioner and is concerned about certification requirements. Which statement concerning certification for advanced practice is true?

a.	All states require certification for all specialty roles that are identified as advanced practice.
b.	Nurse anesthetists and nurse-midwives are the only advanced practice role that require certification in the state nurse practice acts.
c.	Scope of practice remains unclear in state nurse practice acts due to the increasing number of new advanced practice roles.
d.	Certification is automatic when the nurse applies for an advanced practice license.

 

 

DIF:    Comprehension                              REF:   p. 72

 

17. Nurses in Tennessee, Mississippi, and Arkansas gather for a conference related to improving quality and safety in practice and nursing education. They are awarded continuing education (CE) credit for participation and evaluation of the conference. One nurse from California states, “I need these CEs to renew my license.” The nurse from Mississippi replies, “You do not need CEs for license renewal or advance practice certification renewal.” Which statement about CEs would help these nurses?

a.	All states require proof of continuing education for renewal of license with the number of hours varying.
b.	The purpose of continuing education is to ensure competence of the workforce after graduation, but each state determines if CEs are required.
c.	Continuing education is required if nurses work across state lines.
d.	Initial licensure provides evidence of a minimum safety and competence, so it is illegal for states to require continuing education for renewal of license.

 

 

 

MULTIPLE RESPONSE

 

1. A nurse who wishes to practice in another state: (Select all that apply.)

a.	must retake the NCLEX®-RN for that state.
b.	should determine whether the state is a compact state.
c.	may obtain licensure by endorsement.
d.	must revoke licensure in the current state because nurses cannot be licensed in more than one state concurrently.

 

 

 

2. Which statements concerning licensure as a registered nurse are correct? (Select all that apply.)

a.	Nurses who graduate from different types of nursing education programs are granted different types of licenses, those with a baccalaureate degree having the most expanded role.
b.	A nursing license cannot be revoked, only suspended.
c.	Each nurse practice act describes requirements for initial licensure.
d.	It is illegal for states to ask about the mental or physical status of an applicant.
e.	Students who graduate in the top 10% of their class are exempt from taking the NCLEX®-RN for licensure.
f.	Candidates for licensure must present proof of graduation as required by the state.

 

 

 

3. A group of graduates were just notified that they had successfully passed the licensure examination. During the orientation process at the hospital, one asks, “I am looking at my license, but I don’t really know the duties performed by the board of nursing.” The staff development nurse explains that the board of nursing: (Select all that apply.)

a.	grants nursing licensure.
b.	constructs the licensure examination.
c.	assigns disciplinary action when the nurse acts in a manner that results in harm to a patient.
d.	members are appointed.
e.	conducts certification examinations for advanced practice nurses.

 

 

4. A nursing student is in the final term of an Associate Science of Nursing (ASN) program and is preparing for licensure. Prior to licensure the candidate must provide evidence of: (Select all that apply.)

a.	graduation from a nursing program.
b.	graduation from high school or high school equivalency.
c.	evidence of current malpractice insurance.
d.	evidence of plan to continue study to obtain a minimum of a BSN within 2 years.
e.	validation of skills competence provided by a certifying agency.

 

 

 

COMPLETION

 

1. The primary purpose of licensure is protection of the ___________.

 

 

OTHER

 

1. Nurses today accept licensure as part of the journey to becoming a registered nurse, but this has not always been true. Trace the history of licensure and place each phase in chronological order. Put a comma and space between each answer choice (for example: a, b, c, d, e).

a.	Mandatory licensure with standardized NCLEX by State Board Pool with individual content tested
b.	Each nation and state examined and licensed nurses with a voluntary permissive license issued
c.	Registry of nurses instituted to ensure competency of hospital training programs
d.	NCLEX®-RN exam administered to nursing content integrated in one exam section
e.	ANA designed model practice acts to base licensure exam

 

 

 

2. Licensure has undergone many stages. Place these stages in chronological order. Put a comma and space between each answer choice (for example: a, b, c, d, e).

a.	The International Council of Nurses passed a resolution stating that each nation and state must examine and license its own nurses.
b.	Hospitals established training programs to prepare staff to work in their institutions.
c.	The model nurse practice act provided guidelines for state boards of nursing.
d.	Much variability was noted between states regarding nursing education requirements.
e.	Permissive licensure standardized the minimum education requirement at 2 years.