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NURS 206 CHAPTER 1-CONTEMPORARY NURSING EXAM QUESTIONS WITH ANSWERS ASSUARED SUCCESS, Exams of Nursing

NURS 206 CHAPTER 1-CONTEMPORARY NURSING EXAM QUESTIONS WITH ANSWERS ASSUARED SUCCESS

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NURS 206 CHAPTER 1-CONTEMPORARY NURSING EXAM
QUESTIONS WITH ANSWERS ASSUARED SUCCESS
MULTIPLE CHOICE
1. What historical event first led to the recognition of the contribution
of blacks to nursing?
a. Florence Nightingale’s acceptance of black nurses into the first nursing school
b. The contributions of black nurses at the Pennsylvania Hospital, the first
hospital in America
c. Mary Seacole’s efforts to care for soldiers during the Crimean War
d. The work done by wives of wealthy black nobles who carried food and
medicine from house to house during the Middle Ages
ANS: C
Although Nightingale’s school refused Seacole, she was able to make a
difference in the Crimean War
and later was recognized for her
efforts. DIF: Comprehension REF: pp.
8-9
2. World War I contributed to the advancement of health care by:
a. increasing the number of private care hospitals and decreasing the
role of public health services.
b. employing a large number of civilians to provide care to returning
soldiers through the Red Cross.
c. introducing specialists in nursing such as nurse anesthetists.
d. increasing the number of community health
nurses. ANS: C
World War I offered nurses a chance to enter into new fields of specialization, as is
seen in the example
of nurse anesthetists, who became part of surgical teams at the
front lines. DIF: Comprehension REF: p. 11
3. The primary purpose of the Social Security Act of 1935 was to:
a. increase research that focused on minority groups.
b. provide medical care for chemically impaired persons.
c. ensure health care for older adults through a national insurance system.
d. decrease the public’s financial burden by limiting services offered by
local health departments.
ANS: C
By providing health insurance for older adults, the Social Security Act of 1935 set
the precedent for the
passage of the Medicare and Medicaid Acts that followed in 1965, but the act also
provided maternal and
child welfare services, rehabilitation for the mentally and physically challenged,
medical care for blind
individuals and crippled children, and unemployment
benefits. DIF: Comprehension REF: p. 12
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Download NURS 206 CHAPTER 1-CONTEMPORARY NURSING EXAM QUESTIONS WITH ANSWERS ASSUARED SUCCESS and more Exams Nursing in PDF only on Docsity!

QUESTIONS WITH ANSWERS ASSUARED SUCCESS

MULTIPLE CHOICE

  1. What historical event first led to the recognition of the contribution of blacks to nursing? a. Florence Nightingale’s acceptance of black nurses into the first nursing school b. The contributions of black nurses at the Pennsylvania Hospital, the first hospital in America c. Mary Seacole’s efforts to care for soldiers during the Crimean War d. The work done by wives of wealthy black nobles who carried food and medicine from house to house during the Middle Ages ANS: C Although Nightingale’s school refused Seacole, she was able to make a difference in the Crimean War and later was recognized for her efforts. DIF: Comprehension REF: pp. 8-
  2. World War I contributed to the advancement of health care by: a. increasing the number of private care hospitals and decreasing the role of public health services. b. employing a large number of civilians to provide care to returning soldiers through the Red Cross. c. introducing specialists in nursing such as nurse anesthetists. d. increasing the number of community health nurses. ANS: C World War I offered nurses a chance to enter into new fields of specialization, as is seen in the example of nurse anesthetists, who became part of surgical teams at the front lines. DIF: Comprehension REF: p. 11
  3. The primary purpose of the Social Security Act of 1935 was to: a. increase research that focused on minority groups. b. provide medical care for chemically impaired persons. c. ensure health care for older adults through a national insurance system. d. decrease the public’s financial burden by limiting services offered by local health departments. ANS: C By providing health insurance for older adults, the Social Security Act of 1935 set the precedent for the passage of the Medicare and Medicaid Acts that followed in 1965, but the act also provided maternal and child welfare services, rehabilitation for the mentally and physically challenged, medical care for blind individuals and crippled children, and unemployment benefits. DIF: Comprehension REF: p. 12

QUESTIONS WITH ANSWERS ASSUARED SUCCESS

  1. A client asks the nurse, “Can you explain Medicare, an amendment to the Social Security Act?” The nurse responds that Medicare: a. led to many hospital closings, along with a decrease in acute care hospital–based nursing care. b. provided medical insurance to those younger adults or children who were not eligible for private insurance because of catastrophic illnesses such as cancer. c. provided preventive care for women, infants, and children. d. ensured that individuals ages 65 and older and those with end-stage renal disease or permanent disabilities had health care insurance. ANS: D The Medicare program provides hospital insurance, Part A, and medical insurance, Part B, to all people ages 65 and older who are eligible to receive Social Security benefits; people with total, permanent disabilities; and people with end-stage renal disease. DIF: Comprehension REF: p. 14
  2. A comparison of nursing in the 1980s to nursing in the 1990s reveals that: a. in the 1990s nursing experienced a significant reduction occurred in preventable diseases caused by unsafe/unhealthy lifestyles. b. tuberculosis was the primary concern for nursing in the 1980s, whereas the AIDS epidemic emerged and was its focus during the 1990s. c. a decrease in ambulatory services in the 1980s prompted an increase in public health nurses in the 1990s. d. the demand for advanced practice nurses increased in the 1980s and the 1990s as a result of the economy and concern about the health of the nation. ANS: D The numbers of advanced nurse practitioners increased as evidence of their cost- effectiveness as providers of primary and preventive health care became established. DIF: Comprehension REF: pp. 16-
  3. Which statement accurately describes the historical perspective of nursing practice? a. Nursing has existed to meet the needs of populations, individuals, and aggregates by providing care that is determined by the needs and beliefs of society in different historical contexts. b. As men began to become interested in nursing, it changed into a respected profession based on scientific fact rather than superstition. c. Nursing has historically accepted individuals from all social and ethnic backgrounds. d. The United States has led the way throughout history to advance nursing and health care by providing the first hospital and medical school.

QUESTIONS WITH ANSWERS ASSUARED SUCCESS

to health prevention in the present time, with care based on health needs and beliefs of the time. DIF: Comprehension REF: p. 3 |pp. 18-

  1. The use of herbs has become a popular alternative to prescription drugs in today’s health care milieu. During which other historical periods did health practices focus on the use of herbs? a. Prehistoric times and the Middle Ages b. Civil War period and World War I c. Renaissance and Reformation periods and the Colonial American period d. Crimean War and Civil War periods ANS: A During prehistoric times, tribes used herbs to rid themselves of disease; in the Middle Ages, women used herbs. DIF: Comprehension REF: p. 6
  2. A care provider sacrifices an animal and waves an herb-filled sack over a client who is complaining of painful joints and chest pain with exertion. This ritual represents health care during: a. the prehistoric period. b. early civilization in Egypt. c. the Renaissance. d. the Middle Ages. ANS: A During prehistoric times, illness was thought to be caused by evil spirits that providers attempted to scare away through rituals and dances. DIF: Comprehension REF: p. 3
  3. A prospective nursing student who researches universities that offer a baccalaureate degree in nursing would want to ensure that the program is accredited by the: a. American Nurses Association. b. Commission on Collegiate Nursing Education. c. National Institutes of Health. d. National Nursing Council. ANS: B The Commission on Collegiate Nursing Education (CCNE) is the agency that exclusively accredits baccalaureate and graduate-degree nursing programs. DIF: Comprehension REF: p. 4, Box 1- 10.Nursing in the 1990s was characterized by: a. men leaving nursing to enter the armed services. b. traditional 8-hour shifts to nurse burnout and compassion fatigue.

QUESTIONS WITH ANSWERS ASSUARED SUCCESS

c. a focus on preventable diseases. d. a decrease in nursing research.

QUESTIONS WITH ANSWERS ASSUARED SUCCESS

13.It has been said that “history repeats itself because no one was listening the first time.”

QUESTIONS WITH ANSWERS ASSUARED SUCCESS

Which statement is true when comparing the nursing care provided in the Civil War (1861 to 1865) to that provided during the Crimean War? a. Epidemics such as smallpox and typhoid were the primary emphasis of nursing care in both wars. b. Soldiers were housed in substandard conditions, but due to Nightingale’s push for sanitary conditions, in the Civil War soldiers were housed in aseptic conditions. c. Black nurses were widely accepted by society and the profession, receiving equal compensation during the Civil War due in large part to the efforts of Mary Seacole during the Crimean War. d. Both Nightingale (Crimean War) and Dix (Civil War) completed nursing training before accepting positions as nurses in the wars. ANS: A Numerous epidemics plagued the country, including syphilis, gonorrhea, malaria, smallpox, and typhoid. DIF: Application REF: p. 9 MULTIPLE RESPONSE

  1. What uniquely twenty-first century issue challenges today’s professional nurse. (select all that apply) a. Caring for an aging population b. Increased patient acuity c. Access to health care services d. Expanding technology e. Increasing intercultural patient population ANS: A, B, D, E Professional nurses in the twenty-first century are faced with many challenges including an aging patient population. Professional nurses in the twenty-first century are faced with many challenges including an increase in high acuity patients. Professional nurses in the twenty-first century are faced with many challenges including an ever expanding array of technologies that affect patient care. Professional nurses in the twenty-first century are faced with many challenges including the existence of an intercultural patient population. DIF: Comprehension REF: p. 18
  2. A newly licensed nurse compares the challenges facing nursing today with those faced by nurses when her mentor graduated in 1990. The mentor states, “Prevention was the focus of nursing when I graduated. We stressed preventive health measures such as smoking cessation education to reduce preventable diseases and

QUESTIONS WITH ANSWERS ASSUARED SUCCESS

now? The correct response would be: (select all that apply) a. coordinating care for a more diverse aging population who have complex health values. b. managing care provided by nurses who are technologically advanced and skilled at interprofessional collaboration. c. providing care to well-informed consumers who are younger with narrow health values. d. redesigning nursing care delivery models to streamline care based on fewer generational differences. e. focusing on care from a systems perspective. ANS: A, B, E Our society, thus our patients/consumers, is aging and better informed about health care options, with health values as diverse as the various populations of patients served. Nurses educated in the twenty-first century are introduced to advanced technologies throughout the curriculum, but a gap still exists between the potential benefits of technology and the use made of it to reduce errors and improve patient care; interprofessional collaboration is a challenge with incivility and workplace violence increasing. Today’s nurses must view health care from a systems perspective rather than a nursing unit perspective to decrease errors/costs that arise from system errors. DIF: Analysis REF: pp. 18-

  1. A nurse who has practiced for 1 year on a medical-surgical unit is very interested in a position in the operating room. She traces the nursing history of surgery to learn how nursing has evolved in this practice. To determine if, historically, surgery methods advanced the practice of nursing, select the correct statements. (select all that apply) a. The Ancient Egyptians were the first to use anesthesia in the operating room. b. The “Barbers” of the Middle Ages used sterile techniques to reduce wound infections. c. The Indian culture from 274 to 236 BC had hospitals staffed with female nurses who practiced much like today’s nurses. d. During the Renaissance, advances in nursing education, including surgery, were nonexistent. e. Following World War II, nurses practiced in mobile army surgical hospitals, where medical and surgical techniques were further refined. ANS: D, E During the Renaissance, major advancements were made in pharmacology, chemistry, and medical

QUESTIONS WITH ANSWERS ASSUARED SUCCESS

knowledge, including anatomy, physiology, and surgery with new emphasis given to medical education, but nursing education was practically nonexistent. Following World War II, nurses volunteered for the Korean War, where care was provided in MASH units and surgical techniques were defined. DIF: Application REF: p. 7 |pp. 13- COMPLETION

  1. Which group in early civilization is credited with developing a pharmacopoeia to classify more than 700 drugs used in caring for the sick? ANS: Egyptians A pharmacopoeia that classified more than 700 drugs was written by the Egyptians to assist in the care and management of disease. DIF: Knowledge REF: p. 3 Chapter 03: The Influence of Contemporary Trends and Issues on Nursing Education Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Management, 7th Edition MULTIPLE CHOICE
  2. A current trend is for students to be evaluated to determine whether they demonstrate competence in the actual client care environment or with a standardized patient. This process occurs in addition to or instead of traditional pencil-and-paper evaluations. This type of evaluation is referred to as: a. core practice competencies. b. continuing competence. c. distance learning. d. performance-based assessment. ANS: D Performance-based assessment is the evaluation of abilities based on an objective demonstration of specific required competencies. This may include performance in actual or simulated situations. DIF: Knowledge REF: p. 44
  3. One of the major trends that currently influences nursing education and practice is: a. increased technology in the field of critical care. b. a narrowing scope of practice for nurses. c. incivility or disregard of others’ rights in social interactions. d. a decrease in ethnicity due to international programs allowing students to study from a distance. ANS: C Incivility has escalated and can be demonstrated by the common practice of text-

QUESTIONS WITH ANSWERS ASSUARED SUCCESS

DIF: Comprehension REF: pp. 46- 3.Although the use of technology and the Internet provides nursing faculty and students with unlimited resources and current information, an outcome associated with this trend is that: a. users of electronic resources spend a disproportionate amount of time looking for pertinent content. b. additional time is available to study and revise curricula because special skills are not needed to access information via the Internet. c. immediate results and outcomes are expected from students and faculty, thus enhancing time management. d. skills that require problem solving and reflective abilities are developed. ANS: A Students can easily become distracted by pursuit of the intriguing web of links they encounter while they search websites to complete assignments or find pertinent content. DIF: Analysis REF: pp. 41-

  1. A new trend in nursing education that is consistent with real-world practice is focused on: a. outcomes. b. objectives. c. goals. d. subjective appraisals. ANS: A Outcomes and criteria establish real expectations for clinical practice and have a powerful influence on nursing education and practice at all levels. Outcomes are used in all areas of nursing in the nursing process. DIF: Knowledge REF: p. 43
  2. The practice of nurses, nursing students, and faculty is affected by demographic changes due to: a. the growing percentage of adults ages 50 to 55 years. b. increasing numbers of obese children and adults. c. changes by which families are becoming more nuclear. d. social programs that are essentially eliminating poverty. ANS: B The United States is experiencing an epidemic of obesity with major consequences for health and the health care system. DIF: Knowledge REF: p. 46
  3. The first university to offer nursing graduates a baccalaureate degree was: a. Columbia Teachers College. b. Yale University.

QUESTIONS WITH ANSWERS ASSUARED SUCCESS

c. Harvard University.

QUESTIONS WITH ANSWERS ASSUARED SUCCESS

preceptorships for students.

QUESTIONS WITH ANSWERS ASSUARED SUCCESS

b. The number of applicants to nursing programs has risen, but enrollment is limited because of a decrease in the number of available scholarships and grants. c. With an increase in the number of nurses who are entering graduate school to escape bedside nursing, students will soon enjoy a lower faculty/student ratio. d. Students may be assigned to preceptors who have not yet developed expertise in the field of interest. ANS: D Qualified preceptors are few. DIF: Analysis REF: p. 49

  1. The NCLEX® examination is created and administered by the: a. American Association of Colleges of Nursing (AACN). b. American Nurses Association (ANA). c. National Council of State Boards of Nursing (NCSBN). d. National League for Nursing (NLN). ANS: C The NCSBN coordinates licensure activities on a national level and creates and administers the licensure examination (NCLEX®). DIF: Knowledge REF: p. 57, Box 3- 12.A student is planning to enroll in prerequisite courses after graduating from high school and is researching options for nursing programs. During a career fair the student compares different types of nursing education programs and discovers that: a. diploma programs focus on family and community, with an emphasis on health promotion. b. most practicing RNs graduated from diploma programs because this was the first type of RN program. c. baccalaureate programs focus on technical and hands-on nursing skills in diverse community settings. d. master’s programs such as that for the clinical nurse leader provide entry into practice with a focus on interdisciplinary and bedside nursing care for complex client populations. ANS: D A clinical nurse leader oversees the care coordination of groups of clients and actively provides direct client care in complex situations, evaluates client outcomes, and has the decision-making authority to change care plans when necessary. DIF: Comprehension REF: p. 55 13.When preparing to complete a competency examination involving a neurologic

QUESTIONS WITH ANSWERS ASSUARED SUCCESS

outcome. c. fundamental strategies unique to complex dynamic care environments. d. objective data that can be used to determine the likelihood that the client will recover. ANS: B Critical elements include the application of mandatory principles that must be used according to established practice standards. DIF: Comprehension REF: p. 40 14.An RN with a diploma preparation wants to participate in decisions about health care and decides the first step is to obtain a BSN. The nurse enrolls in a nursing program offering self- scheduling and a self-paced curriculum. This nurse is taking advantage of: a. educational mobility. b. a traditional nursing program. c. training for advanced practice nursing. d. credit by examination. ANS: A Education mobility is the progressive movement from one level or type of education to another—in this instance, diploma to BSN. Programs are aimed to make the transition possible through creative flexible scheduling. DIF: Application REF: p. 56 15.A nursing student scores 95% on the written examination for the adult health course. To be successful in this course, this same student must then perform an indwelling catheter insertion and wound care in a simulated environment meeting core competencies. The student asks, “What are core competencies?” The nursing instructor replies, “Core competencies are: a. a trend used in nursing education to reduce attrition in prelicensure students.” b. those skills necessary for safe, competent nursing practice.” c. educational opportunities that provide remediation when student is unable to perform psychomotor skills correctly.” d. critical thinking exercises aimed to improve reading and math skills.” ANS: B Core competencies are those skills and elements that are fundamental and essential for safe, competent practice. DIF: Comprehension REF: pp. 39- 16.A nurse realizes that a health care concern related to globalization was: a. the emergence of epidemic hepatitis A.

QUESTIONS WITH ANSWERS ASSUARED SUCCESS

b. the pandemic of H1N1 “swine flu.” c. reemergence of polio.