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Realities of Canadian Nursing Professional Practice and Power Issues 5th Edition McDonald Mclntyre Test Bank Chapter 1 Nursing Issues: A Call to Political Action 1.
When describing the NCLEX examination, which of the following would the instructor include?
A)
Includes content standardized for baccalaureate education in nursing
B)
Measures minimum technical competencies for safe entry into basic nursing practice
C)
Tests content determined appropriate for practice entry by the American Nurses Association
D)
Requires different passing scores for RNs educated at the ADN level than at the BSN level
Ans:
B
2.
Which of the following would a prospective student expect to find when examining a typical associate degree in nursing (ADN) program?
A)
A maximum requirement for 120 semester hours or 180 quarter units
B)
Similar curricular content as BSN programs, with greater clinical hours
C)
Completion possible within 18 months to 2 years
D)
Additional coursework for preparation to practice in multiple settings
Ans:
D
3.
Raising the educational level for entry into professional nursing
A)
Should be relatively easy due to unanimous support
B)
Is likely to have a short-term effect of reducing the current nursing shortage
C)
May increase recruitment to and retention in the field in the long run
D)
May destabilize the nursing workforce due to increased job satisfaction for ADNs
Ans:
C
4.
Which of the following best reflects most of the RNs working in Canada today?
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A)
They have received an associate degree in nursing (ADN).
B)
They have adequate educational preparation for roles in leadership and management.
C)
There are significant differences in care provided by ADN- and BSNprepared nurses.
D)
Separate NCLEX examinations are supported for BSN- and ADNeducated nurses.
Ans:
A
5.
A nursing instructor is teaching a group of students about grandfathering that may result if the entry level to nursing practice is raised. The instructor determines that the teaching was successful when the students describe it as which of the following?
A)
A way to allow an individual to continue to practice his or her profession or occupation after new qualifications has been enacted into law
B)
A mandate for nurses with greater education and knowledge levels to be responsible for supervising those prepared at lower levels
C)
A necessary requirement by state and federal laws when educational entry requirements change
D)
A concept that is not supported by most professional nursing associations that support raising the entry level for professional nursing practice
Ans:
A
6.
Transitioning from a predominantly ADN educational model of nursing education to a baccalaureate model
A)
Is already occurring in a seamless, integrated manner that maximizes the use of educational resources
B)
Will be relatively inexpensive, given that adequate institutions of higher learning already exist to meet this need
C)
Will require the development of alternative pathways for RN education for learners who may not otherwise be able to pursue additional nursing education
D)
Is primarily limited to nursing education in Canada
Ans:
C
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7.
Which of the following would a nurse identify as a positive force for raising the educational entry level in professional nursing?
A)
There is often little if any difference in pay between BSN- and ADNeducated nurses.
B)
Patient outcomes are better when ADN representation in the staffing mix is high.
C)
Consumers generally have no understanding of the entry-to-practice issue in nursing.
D)
The entry level in nursing is significantly lower than for other health professions.
Ans:
D
8.
A group of students is reviewing for a test on levels of preparation for nurses. Which of the following if stated by the students as reflecting Mildred Montags view of associate degree educational programs indicates that the students have understood the information?
A)
Preparation for beginning, technical practitioners who would provide direct, safe nursing care under the supervision of the professional nurse in an acute-care setting
B)
Preparation of advanced professional nurses capable of the independent judgment and autonomy required to successfully function as RNs in the 21st century
C)
Preparation of professional registered nurses who could function safely in a variety of health care settings including acute care, home care, and public health
D)
Preparation of broadly educated registered nurses with an understanding of cultural, political, economic, and social issues affecting patients and health care delivery
Ans:
A
9.
Which of the following best reflects the suggestions of the 1965 position paper by the American Nurses Association for nursing education?
A)
The education of all those who are licensed to practice nursing should take place ininstitutions of higher education.
B)
Minimum preparation for beginning professional nursing practice should be the associate degree in nursing.
C)
Minimum preparation for beginning technical practice should be the baccalaureate degree in nursing.
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D)
There was no need for assistant nurses in the health care occupations.
Ans:
A
10 .
When reviewing the demographics related to ADN and BSN programs, which of the following would be an expected finding?
A)
ADN program graduates tend to be younger than graduates of baccalaureate programs.
B)
ADN program graduates tend to be more diverse in race, gender, and age than baccalaureate-prepared nurses.
C)
ADN program graduates are more likely to be single or divorced than baccalaureate graduates.
D)
ADN program graduates typically have at least twice as many children as nurses educated in baccalaureate programs.
Ans:
B
11 .
Which of the following was the most likely cause fueling the debate about entry to practice?
A)
Browns publication of Nursing for the Future
B)
Mildred Montags dissertation
C)
ANAs 1965 position paper
D)
The Veterans Administrations requirement for BSN
Ans:
C
12 .
A nurse is presenting a discussion to a group of local high school students about nursing and the various types of educational programs available. One of the students asks, Whats the difference between a nurse with an associates degree and one with a baccalaureate degree? Which response would be most appropriate?
A)
Both can be licensed as registered nurses, but an associates degree education requires morenursing coursework units.
B)
Both take the same test for licensure, but a nurse with a baccalaureate degree must get a higher score to pass.
C)
Employers have routinely paid baccalaureate degree nurses a higher starting salary than associates degree nurses.
D)
The outcomes for patients cared for by baccalaureate-prepared nurses appear to be better than those for associates degree nurses.
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Ans: 13 .
D Which of the following would be considered an important factor related to changes in health care that would emphasize the need for a BSN degree for entry to practice?
A)
Shift from community settings to acute care
B)
Rapid advances in health care technology and complexity
C)
The need to work as a dependent member of the team
D)
Dramatic increase in curative care
Ans:
B
14 .
After reviewing different health professions and their required entry-level degree, a student identifies which profession as requiring the lowest degree level?
A)
Pharmacy
B)
Social work
C)
Speech pathology
D)
Nursing
Ans:
D
15 .
Which of the following organizations recommends that the nursing profession have multiple entry points?
A)
American Nurses Association (ANA)
B)
National League for Nursing (NLN)
C)
Nurse Alliance of Service Employees International Union (SEIU)
D)
American Nephrology Nurses Association (ANNA)
Ans:
B
16 .
When reviewing the factors involved with obtaining advanced education, which of the following would a nurse expect as being the chief obstacle?
A)
Cost
B)
Age of the nurse
C)
Gender
D)
Ethnic minority status
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Ans: 17 .
A After teaching a group of students about the two levels of preparation for registered nurses, the instructor determines that the teaching was successful when the students identify which of the following as a characteristic of technical nurses?
A)
Four-year program of education in a college or university
B)
Achievement of a baccalaureate degree
C)
In-depth coverage of nursing research
D)
Ability to provide care in acute-care settings
Ans:
D
18 .
A group of students are reviewing material about the proliferation of ADN education in preparation for a quiz the next day. The students demonstrate understanding of the material when they identify which of the following as a characteristic of the 1960s?
A)
Associates degree programs were just beginning.
B)
Diploma education was on the decline.
C)
The majority of nurses were educated in colleges and universities.
D)
Enrollment in baccalaureate programs was decreasing.
Ans:
A
19 .
A nurse manager who is preparing a presentation for a group of staff nurses about educational opportunities for returning to school will be integrating research information about incentives for doing so. Which of the following would the nurse include?
A)
Equality of treatment
B)
Lack of recognition for past education
C)
Creation of a credible professional identity
D)
Working within a structured format
Ans:
C
20 . A)
Which of the following effects has been identified as reflective of the education gap between nursing and other professions? The perspective that nursing is elitist due to lack of entry standards
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B)
Increased appeal of nursing as an emerging workforce
C)
View of nurses as second-class citizens in health care
D)
Licensure not equating with professional status
Ans:
C
Chapter 2 Race and Racialization in Health, Healthcare, and Nursing Education 1.
Which of the following would the instructor need to integrate into the discussion when preparing a teaching plan for a class on ethnic and gender diversity in nursing?
A)
It has kept pace with changing population demographics, with statistics matching the changes.
B)
It has increased significantly in the past decade due to federal, state, and professional association initiatives.
C)
It is far more limited than in the population at large despite less successful efforts to increase it.
D)
It not an issue because all nurses are educated to provide high-quality, culturally sensitive, and proficient health care.
Ans:
C
2.
In preparing a research paper on diversity in nursing, a nurse is reviewing the literature about current Canada demographic census data. Which of the following would be an expected finding?
A)
Canada population has experienced minimal diversification over the past 30 years.
B)
Hispanic population is still the largest minority group in Canada.
C)
Blacks are now the largest minority in Canada.
D)
Ethnic minorities will comprise almost two thirds of the population of Canada by 2025.
Ans:
B
3. A)
When evaluating demographic data of the nursing population, which of the following would be noted? Almost half of all RNs in Canada are from one or more racial or ethnic minority backgrounds.
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B)
Minority representation in nursing is about the same as that of the general population of Canada .
C)
Minority representation in nursing has seen a dramatic decline over the past 10 to 15 years.
D)
Fewer than 13% of full-time faculty members in BSN and graduate programs represent racial or ethnic minority groups.
Ans:
D
4.
Which of the following best reflects diversity in the field of health care management?
A)
Females and males are equally represented.
B)
Minorities and Whites are equally represented.
C)
A gap exists between male and female representation but women are rapidly closing in.
D)
Minorities are underrepresented, especially in top-tier management jobs.
Ans:
D
5.
A nurse is preparing a presentation for a career seminar for a group of male and female high school students and young adults at a local community center about nursing. Which of the following would be most important for the nurse to include when discussing males in nursing?
A)
Account for the fastest growing minority segment in nursing, with almost 50% of nurses now being male
B)
Often face stereotypes of being different or homosexual due to their close working relationship with women
C)
Have numerous role models from which to mentor, especially in terms of male faculty role models in nursing
D)
Are less capable, caring, compassionate, and nurturing due to their genetic makeup than female nurses
Ans:
B
6. A)
When describing the minority status of men in nursing, which of the following would be most appropriate to include? Often results in advantages, including hiring and promotion, that help rather than hinder their careers, unlike women in male-dominated professions
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B)
Often results in an economic disadvantage to male nurses, with male nurses earning up to 10% less than their female counterparts
C)
Is difficult to change because traditional health care organizations were organized and managed along the lines of matriarchal family structures favoring female dominance
D)
Is likely to improve because males are leaving nursing due to job dissatisfaction at a proportionately lower rate than women
Ans:
A
7.
A nursing student is to participate in a debate to discuss affirmative action as a means to recruit men into nursing. Which of the following would the student need to incorporate into the argument?
A)
Little promise for increasing male recruitment because it was ineffective in recruiting women into other traditionally male-dominated professions such as medicine
B)
Eagerly supported by legislative bodies and the health care professions as a means for increasing ethnic and gender diversity in nursing
C)
Successfully used to increase the presence of some underrepresented minorities in health care
D)
Most likely results in an overrepresentation of ethnic minorities and men in nursing based on history of use
Ans:
C
8.
Concerns about generational diversity in nursing center on the fact that
A)
The nursing profession lacks the generational diversity that is seen in the population it serves.
B)
Different values systems of the different generations greatly impact the settings in which they work.
C)
Generational diversity provides a variety of perspectives and outlooks that alter workplace balance and decrease productivity.
D)
Generational diversity is new to nursing with no more than two generations of nurses having typically worked side by side.
Ans:
B
9.
A nurse working on the unit belongs to Generation X. Which of the following would most likely apply?
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A)
Born between 1925 and 1942 and often respectful of authority, supportive of hierarchy, and disciplined
B)
Called the silent generation and tend to have more traditional work values and ethics
C)
Taught to think as individuals from a young age and to express themselves creatively and independently
D)
Possibly lack interest in lifetime employment at one place, instead valuing greater work-hour flexibility and a need to define success in their own terms
Ans:
D
10 .
A group of nursing professionals is working locally to increase the diversity in nursing. When exploring the various efforts and methods, which of the following would the group need to keep in mind?
A)
Wide support by professional organizations such as the American Nurses Association and American Organization of Nurse Executives is lacking.
B)
Historically, efforts focused on change-by-drift strategies, although more proactive efforts and attention to the issue are underway.
C)
The numerous professional associations that represent almost every ethnic group in nursing are primarily responsible.
D)
Professional associations such as the American Assembly for Men in Nursing and the Bureau of Health Professions typically demonstrate resistance.
Ans:
B
11 .
After describing the impact of the lack of diversity in nursing, an instructor determines that the teaching was successful when the students identify which of the following?
A)
The nursing workforce needs to be slightly less diverse than the populations served.
B)
Minority health care professionals typically work in communities with high degrees of service.
C)
Lack of diversity in nursing and health disparities are inextricably linked.
D)
Increased numbers of the White nursing workforce in underserved areas improve access of underrepresented groups.
Ans:
C
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12 .
A group of students is reviewing material in preparation for an examination on ethnic diversity in nursing. The students demonstrate understanding of the material when they identify which ethnic group as having the lowest representation in the nursing workforce?
A)
Hispanics
B)
African Americans
C)
Asians
D)
American Indians
Ans:
D
13 .
Which of the following would most likely contribute to low recruitment and retention rates for underrepresented groups?
A)
Ready access to advanced preparation in the natural sciences
B)
Adequately developed reading and writing skills
C)
Increased economic advantages
D)
Increased risk of inferior preparatory education
Ans:
D
14 .
When describing the various factors associated with the retention of minority students, which of the following would be of least importance?
A)
Financial support
B)
Secondary educational preparation
C)
Social adjustment
D)
Degree level of the program
Ans:
D
15 .
A student who is applying for a Nursing Workforce Diversity (NWD) grant must demonstrate which of the following?
A)
Cultural sensitivity for others
B)
Educationally disadvantaged background
C)
Adequate financial family support
D)
Participation in a preadmission program
Ans:
B
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16 .
When reviewing the most recent data related to the number of men in nursing, which of the following most likely would be noted?
A)
Remained fairly constant
B)
Dropped by one half
C)
Almost quadrupled
D)
Increased by just under 6%
Ans:
C
17 .
Which of the following ethnic professional associations appeared first?
A)
National Black Nurses Association
B)
National Association of Hispanic Nurses
C)
The Philippine Nurses Association of America
D)
National Alaska Native American Indian Nurses Association
Ans:
A
18 .
After teaching a group of students about the different generations represented in nursing, the instructor confirms that the students demonstrate understanding when they identify which generation as the digital natives?
A)
Baby boomers
B)
Generation X
C)
Veteran generation
D)
Generation Y
Ans:
D
19 .
A student is assigned to research professional organizations for position statements related to diversity in nursing. For which organization would the student have difficulty finding a position statement?
A)
American Association of Colleges of Nursing (AACN)
B)
American Nurses Association (ANA)
C)
American Organization of Nurse Executives (AONE)
D)
International Council of Nurses (ICN)
Ans:
D
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20 .
A new graduate, who is 34 years old, has just started working on the nursing unit. From which generation would this nurse be?
A)
Veteran generation
B)
Baby boomer
C)
Generation X
D)
Generation Y
Ans:
C
Chapter 3 Homelessness as a Health Equity and Social Justice Concern in Nursing MULTIPLE CHOICE 1. A nurse was shocked when late one night she saw a former high school friend going through a trash bin outside a fast-food restaurant and pulling out half-eaten food. Which of the following is the most likely explanation for a healthy young adult engaging in such behavior? a .
He ate his meal but wanted more and had no more money.
b .
He had full-time employment, but with such a low salary it was inadequate to meet basic expenses.
c .
A friend had thrown his meal away, and he thought he could find his friends untouched food.
d .
He was doing this to fulfill an obligation of fraternity initiation at the college.
ANS: B The causes of poverty are complex and include decreased earnings, increased unemployment rates, and inadequate education and job skills. DIF: Cognitive Level: Apply (Application) REF: pp. 410-411 2. Which of the following racial groups experiences the highest incidence of poverty? a .
Non-Hispanic Whites
b .
Blacks
c .
Hispanics
d .
Asians
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