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Sample Test
Chapter 3: Theories and Models of Nursing
 
MULTIPLE CHOICE
 
1.    What
can be expected of a system that has a high degree of nonsummativity?
| 
   A)  | 
  
   There is a low degree of
  interdependence of components.  | 
 
| 
   B)  | 
  
   The system goes from the
  complex to the simple.  | 
 
| 
   C)  | 
  
   Little exchange takes place
  between the system and the environment.  | 
 
| 
   D)  | 
  
   There is a high degree of interdependence
  of components.  | 
 
 
 
ANS: 
D                   
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Analysis | Integrated Process:
Problem Identification | Client Need: Safe and Effective Care Environment
 
2.    How
can most living organisms be classified in general systems theory?
| 
   A)  | 
  
   Open systems  | 
 
| 
   B)  | 
  
   Closed systems  | 
 
| 
   C)  | 
  
   Subsystems  | 
 
| 
   D)  | 
  
   Macrosystems  | 
 
 
 
ANS: 
A                   
PTS:  
1                   
DIF:    Easy
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Comprehension | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
3.    Identify
the major component for the maintenance of health used in the Roy Adaptation
Model of nursing.
| 
   A)  | 
  
   Systems  | 
 
| 
   B)  | 
  
   Lack of illness  | 
 
| 
   C)  | 
  
   Adaptation  | 
 
| 
   D)  | 
  
   Use of medicine  | 
 
 
 
ANS: 
C                   
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Synthesis | Integrated Process:
Assessment | Client Need: Implementation
 
4.    “Stimuli”
in the Roy Adaptation Model is synonymous with which element in systems theory?
| 
   A)  | 
  
   Output  | 
 
| 
   B)  | 
  
   Feedback  | 
 
| 
   C)  | 
  
   Input  | 
 
| 
   D)  | 
  
   Coping  | 
 
 
 
ANS: 
C                   
PTS:  
1                   
DIF:    Hard
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Analysis | Integrated Process:
Assessment | Client Need: Safe and Effective Care Environment
 
5.    How
is health described in the Roy Adaptation Model of nursing?
| 
   A)  | 
  
   A continuum  | 
 
| 
   B)  | 
  
   A lack of illness  | 
 
| 
   C)  | 
  
   A state or process of being
  and becoming an integrated, whole person  | 
 
| 
   D)  | 
  
   A state of physical and
  mental well-being  | 
 
 
 
ANS: 
C                   
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Application | Integrated Process:
Planning | Client Need: Implementation
 
6.    Identify
the two concepts upon which the framework for assessment is based in the Roy
Adaptation Model of nursing.
| 
   A)  | 
  
   Cognator and regulator  | 
 
| 
   B)  | 
  
   Input and stimuli  | 
 
| 
   C)  | 
  
   Output and behavioral
  responses  | 
 
| 
   D)  | 
  
   Focal and contextual  | 
 
 
 
ANS: 
A                   
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Application | Integrated Process:
Assessment | Client Need: Safe and Effective Care Environment
 
7.    In
the Roy Adaptation Model of nursing, the second-level assessment modes are most
closely related to which part of the system?
| 
   A)  | 
  
   Input  | 
 
| 
   B)  | 
  
   Output  | 
 
| 
   C)  | 
  
   Ventral system  | 
 
| 
   D)  | 
  
   Feedback loop  | 
 
 
 
ANS:  B                   
PTS:  
1                   
DIF:    Hard
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Synthesis | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
8.    Why
is it important for nurses to understand and use a nursing theory or model in
practice?
| 
   A)  | 
  
   Nurses with this knowledge
  automatically provide higher quality care.  | 
 
| 
   B)  | 
  
   Understanding models of
  theories demonstrates a nurse’s knowledge level.  | 
 
| 
   C)  | 
  
   Keeping within the practice
  limits provided by a model or theory protects nurses from legal action
  because of failure to follow the scope of nursing practice.  | 
 
| 
   D)  | 
  
   Using models or theories of
  nursing aids practitioners in providing their care in an organized manner.  | 
 
 
 
ANS:  D                   
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Application | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
9.    Identify
the four concepts that are common in most nursing theories.
| 
   A)  | 
  
   Client, health,
  environment, nursing  | 
 
| 
   B)  | 
  
   Care, adaptation, system,
  cure  | 
 
| 
   C)  | 
  
   Nurse, physician, client,
  other providers  | 
 
| 
   D)  | 
  
   Hospital, nursing home,
  clinic, physician’s office  | 
 
 
 
ANS:  A                   
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Synthesis | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
10.  What
belief forms the basis for the Orem Self-Care Model?
| 
   A)  | 
  
   The nurse helps the client
  adapt to his or her illness.  | 
 
| 
   B)  | 
  
   The primary goal of health
  care is cure of the client.  | 
 
| 
   C)  | 
  
   Health care is the
  responsibility of each individual.  | 
 
| 
   D)  | 
  
   Health-care goals must be
  established for each client.  | 
 
 
 
ANS: 
C                   
PTS:  
1                   
DIF:    Easy
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Comprehension | Integrated Process:
Problem Identification | Client Need: Safe and Effective Care Environment
 
11.  Identify
the primary goal of nursing in the Orem Self-Care Model.
| 
   A)  | 
  
   Reestablish the absolute
  state of health the client had before his or her illness.  | 
 
| 
   B)  | 
  
   Help the client conduct
  self-care activities to reach the highest level of functioning.  | 
 
| 
   C)  | 
  
   Prevent further injury to
  the client’s biosystems.  | 
 
| 
   D)  | 
  
   Help balance technological
  care with humanistic aspects of care.  | 
 
 
 
ANS: 
B                   
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Analysis | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
12.  Select
a major contribution that King’s model made to the practice of nursing.
| 
   A)  | 
  
   Formalization of the use of
  goals to guide client care  | 
 
| 
   B)  | 
  
   Introduction of the concept
  of care as a key element in nursing care  | 
 
| 
   C)  | 
  
   Use of the idea of
  adaptation as an important client goal  | 
 
| 
   D)  | 
  
   Integration of systems
  theory into nursing care  | 
 
 
 
ANS: 
A                   
PTS:   1                   
DIF:    Hard
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Synthesis | Integrated Process:
Implementation | Client Need: Physiological Integrity
 
13.  What
aspect of Watson’s Model of Human Caring distinguishes it from most other
nursing models?
| 
   A)  | 
  
   Understanding health as a
  dynamic state rather than a static goal  | 
 
| 
   B)  | 
  
   Viewing nursing as a
  process to help clients achieve their greatest potential rather than as a
  curing profession  | 
 
| 
   C)  | 
  
   Use of a philosophical
  approach rather than a systems theory approach  | 
 
| 
   D)  | 
  
   Defining environment as
  both internal and external rather than just external  | 
 
 
 
ANS: 
C                   
PTS:  
1                   
DIF:    Hard
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Synthesis | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
14.  Identify
the most important aspect of caring according to Watson’s Model of Human
Caring.
| 
   A)  | 
  
   Assisting the client to
  adapt to health changes  | 
 
| 
   B)  | 
  
   Assessing the client’s
  health-care needs  | 
 
| 
   C)  | 
  
   Identifying self-care
  problems and needs  | 
 
| 
   D)  | 
  
   Establishing a helping and
  trusting relationship  | 
 
 
 
ANS: 
D                   
PTS:  
1                   
DIF:    Hard
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Synthesis | Integrated Process:
Implementation | Client Need: Safe and Effective Care Environment
 
15.  How
is a “client” most accurately described in Johnson’s Behavioral System Model?
| 
   A)  | 
  
   An individual who is
  responsible for his or her own health care  | 
 
| 
   B)  | 
  
   A behavioral system that is
  an integrated whole  | 
 
| 
   C)  | 
  
   A dynamic entity with both
  input and output  | 
 
| 
   D)  | 
  
   An individual who must
  adapt to illness  | 
 
 
 
ANS: 
B                   
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Application | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
16.  Upon
which principle is Neuman’s Health-Care Systems Model based?
| 
   A)  | 
  
   Use of systems theory only  | 
 
| 
   B)  | 
  
   Behavior as the key to
  preventing illness  | 
 
| 
   C)  | 
  
   Nurse-centered rather than
  client-centered  | 
 
| 
   D)  | 
  
   Alteration of environmental
  stressors leads to health.  | 
 
 
 
ANS: 
D                   
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Comprehension | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
17.  What
is a key function of the nurse in Neuman’s Health-Care Systems Model?
| 
   A)  | 
  
   Identify the level at which
  a disruption in the client’s internal stability has taken place.  | 
 
| 
   B)  | 
  
   Return the client to a
  state of adaptation.  | 
 
| 
   C)  | 
  
   Set goals for the
  fulfillment of clients’ needs.  | 
 
| 
   D)  | 
  
   Assist the client to reach
  his or her greatest potential.  | 
 
 
 
ANS: 
A                   
PTS:   1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Analysis | Integrated Process:
Implementation | Client Need: Safe and Effective Care Environment
 
18.  In
what way have advanced practice nurses most contributed to the development of
theories and models in nursing?
| 
   A)  | 
  
   Using their advanced
  education to develop new, more realistic theories  | 
 
| 
   B)  | 
  
   Challenging theorists to
  publish their theories in language everyone can understand  | 
 
| 
   C)  | 
  
   Requiring theorists to
  modify their theories to meet the needs of independent practice  | 
 
| 
   D)  | 
  
   Testing theories in actual
  nursing practice situations  | 
 
 
 
ANS: 
D                   
PTS:  
1                   
DIF:    Hard
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Synthesis | Integrated Process:
Implementation | Client Need: Safe and Effective Care Environment
 
19.  When
a number of middle range theories are used to investigate the same or similar
concepts over a period of time, they:
| 
   A)  | 
  
   Lose their ability to be identified
  as independent models.  | 
 
| 
   B)  | 
  
   Often produce conflicting
  results that negate their ability to identify and prove a basic hypothesis
  concerning their research topic.  | 
 
| 
   C)  | 
  
   Can be woven together to
  reinforce or even in some cases, to form the fabric of a new major nursing
  theory.  | 
 
| 
   D)  | 
  
   Are often using the same
  data.  | 
 
 
 
ANS: 
C                   
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Synthesis | Integrated Process: Planning
| Client Need: Safe and Effective Care Environment
 
20.  Identify
the statement below that is not an
accurate characterization of middle range nursing theories.
| 
   A)  | 
  
   Middle range theories and
  models are recent developments in nursing research.  | 
 
| 
   B)  | 
  
   A middle range theory is a
  set of relatively concrete concepts or propositions.  | 
 
| 
   C)  | 
  
   Middle range theories are
  less comprehensive and more focused than the major nursing theories.  | 
 
| 
   D)  | 
  
   Middle range models develop
  from middle range theories.  | 
 
 
 
ANS:  A                   
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Application | Integrated Process:
Problem Identification | Client Need: Safe and Effective Care Environment
 
21.  Identify
the statement that is most accurate concerning middle range nursing theories.
| 
   A)  | 
  
   They are not used
  extensively in high-level nursing research.  | 
 
| 
   B)  | 
  
   They form the foundation
  for the current evidenced-based practice movement.  | 
 
| 
   C)  | 
  
   Nursing researchers dislike
  them because they do not focus on abstract concepts.  | 
 
| 
   D)  | 
  
   They often are developed
  into major nursing theories.  | 
 
 
 
ANS: 
B                   
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Application | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
22.  Identify
the primary role of the nurse in Swanson’s Theory of Caring.
| 
   A)  | 
  
   To motivate clients to
  maintain and improve their health  | 
 
| 
   B)  | 
  
   To guide clients in finding
  and understanding the meaning of their lives  | 
 
| 
   C)  | 
  
   To guide the client through
  discussions of their experiences so that they believe that their problems are
  understood  | 
 
| 
   D)  | 
  
   To reinforce all of the
  client’s actions that they undertake to protect themselves from harm, either
  internal or external and are shown in actions toward others and the
  environment in general  | 
 
 
 
ANS: 
C                   
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Synthesis | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
23.  Which
of the following is an essential element in Parse’s the Man-Living-Health
Model?
| 
   A)  | 
  
   Understanding the patterns
  of how clients made the successful transition to wellness  | 
 
| 
   B)  | 
  
   Invoking the principle of
  nonsummativity  | 
 
| 
   C)  | 
  
   Viewing the client as an
  open system that exchanges energy and information with the environment  | 
 
| 
   D)  | 
  
   The client’s ability to
  make free choices  | 
 
 
 
ANS: 
D                   
PTS:   1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Application | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
24.  Identify
the primary role of the nurse in Parse’s the Man-Living-Health Model.
| 
   A)  | 
  
   To motivate clients to
  maintain and improve their health  | 
 
| 
   B)  | 
  
   To guide clients in finding
  and understanding the meaning of their lives  | 
 
| 
   C)  | 
  
   To guide the client through
  discussions of their experiences so that they believe that their problems are
  understood  | 
 
| 
   D)  | 
  
   To reinforce all of the
  client’s actions that they undertake to protect themselves from harm, either
  internal or external and are shown in actions toward others and the
  environment in general  | 
 
 
 
ANS: 
B                   
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Application | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
MULTIPLE RESPONSE
 
1.    Select
all of the factors that are key to Pender’s Health Promotion Model that are
linked to a person’s motivation to improve his or her health status.
| 
   A)  | 
  
   How important it is to be
  healthy  | 
 
| 
   B)  | 
  
   How much control he or she
  has over his or her health  | 
 
| 
   C)  | 
  
   How the health-care system
  addresses his or her needs  | 
 
| 
   D)  | 
  
   What it means to him or her
  to be healthy  | 
 
| 
   E)  | 
  
   What types of diseases and
  illnesses he or she overcame in the past  | 
 
| 
   F)  | 
  
   What the benefits and
  barriers are to health improvement  | 
 
 
 
ANS:  A, B, D, F     
PTS:   1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Application | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
2.    Select
all of the caring processes that are essential in Swanson’s Theory of Caring
for the successful transition to health experienced by clients.
| 
   A)  | 
  
   Loving  | 
 
| 
   B)  | 
  
   Maintaining hope  | 
 
| 
   C)  | 
  
   Knowing  | 
 
| 
   D)  | 
  
   Being with  | 
 
| 
   E)  | 
  
   Doing for  | 
 
| 
   F)  | 
  
   Enabling  | 
 
 
 
ANS:  C, D, E, F      
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Application | Integrated Process:
Assessment | Client Need: Safe and Effective Care Environment
 
3.    Select
all of the characteristics of middle range nursing theories.
| 
   A)  | 
  
   They contain only a few basic
  ideas or concepts.  | 
 
| 
   B)  | 
  
   They have a large number of
  variables.  | 
 
| 
   C)  | 
  
   They tend to focus on one
  or two problems at a time.  | 
 
| 
   D)  | 
  
   Their primary focus is
  human beings, environment, health care, or nursing.  | 
 
| 
   E)  | 
  
   They are more abstract than
  the major nursing theories.  | 
 
| 
   F)  | 
  
   They are more easily
  applied to practice hypotheses.  | 
 
 
 
ANS:  A, C, D, F     
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Application | Integrated Process: Assessment
| Client Need: Safe and Effective Care Environment
 
4.    Select
all of the elements that are considered key to the King’s model of nursing.
| 
   A)  | 
  
   Action  | 
 
| 
   B)  | 
  
   Transaction  | 
 
| 
   C)  | 
  
   Rejection  | 
 
| 
   D)  | 
  
   Feedback  | 
 
| 
   E)  | 
  
   Teaching  | 
 
| 
   F)  | 
  
   Interaction  | 
 
 
 
ANS:  A, B, D, F     
PTS:  
1                   
DIF:    Medium
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Comprehension | Integrated Process:
Problem Identification | Client Need: Safe and Effective Care Environment
 
COMPLETION
 
1.    Fill
in the blank with the correct word(s) to complete the following statement:
The nursing profession uses the term ______________ when
attempting to explain apparent relationships between observed behaviors and
their effects on a client’s health.
 
ANS:  theory
 
PTS:  
1                   
DIF:    Medium        
TOP:   Theories and Models of Nursing
KEY:  Cognitive Domain: Analysis | Integrated Process:
Implementation | Client Need: Safe and Effective Care Environment
 
Chapter 4: The Process of Educating Nurses
 
MULTIPLE CHOICE
 
1.    What
is a type of nursing education program conducted in junior and community
colleges that is nominally 2 years in length?
| 
   A)  | 
  
   Diploma program  | 
 
| 
   B)  | 
  
   Baccalaureate program  | 
 
| 
   C)  | 
  
   Associate degree program  | 
 
| 
   D)  | 
  
   Professional nursing
  program  | 
 
 
 
ANS: 
C                   
PTS:  
1                   
DIF:    Easy
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Comprehension | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
2.    Identify
an important similarity between the various types of educational programs for
nurses.
| 
   A)  | 
  
   There is homogeneity of
  entering students.  | 
 
| 
   B)  | 
  
   No state or national
  approval is required.  | 
 
| 
   C)  | 
  
   The same courses are taught
  in all programs.  | 
 
| 
   D)  | 
  
   Clinical experience is required
  to gain certain knowledge and skills.  | 
 
 
 
ANS: 
D                   
PTS:  
1                   
DIF:    Medium
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Analysis | Integrated Process:
Implementation | Client Need: Safe and Effective Care Environment
 
3.    Select
an important element found in baccalaureate nursing programs that is usually
not found in other types of nursing education programs.
| 
   A)  | 
  
   Use of both classroom and
  clinical experiences for learning  | 
 
| 
   B)  | 
  
   Limiting enrollment to
  students with the highest ability  | 
 
| 
   C)  | 
  
   Comprehensive curriculum  | 
 
| 
   D)  | 
  
   Development of the total
  intellectual skills of the individual  | 
 
 
 
ANS: 
D                   
PTS:  
1                   
DIF:    Hard
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Synthesis | Integrated Process:
Planning |Client Need: Safe and Effective Care Environment
 
4.    Which
contribution of Florence Nightingale had the greatest impact on nursing
education?
| 
   A)  | 
  
   Recognizing that formal,
  systematic education in both theory and practice was essential for the
  preparation of high-quality nurses  | 
 
| 
   B)  | 
  
   Advocating that all nurses
  be educated in universities so that nursing care would meet the standards
  established by the government  | 
 
| 
   C)  | 
  
   Forcing physicians and
  hospitals to recognize that clinical practice was not as important as the
  theory-based learning obtained in the classroom  | 
 
| 
   D)  | 
  
   Enforcing the requirement
  that all nursing instructors have a master’s degree in nursing to provide the
  highest quality education possible for students  | 
 
 
 
ANS: 
A                   
PTS:  
1                   
DIF:    Medium
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Analysis | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
5.    Which
statement best describes nursing education in the United States during the
1800s and early 1900s?
| 
   A)  | 
  
   It was high quality with a
  balance between classroom education and clinical practice.  | 
 
| 
   B)  | 
  
   Strict criteria were
  established for nursing education by the NLN and the ANA to guarantee
  high-quality education.  | 
 
| 
   C)  | 
  
   There were no formal
  nursing education programs during this time period; nurses were trained in
  apprenticeships only.  | 
 
| 
   D)  | 
  
   There was little or no
  classroom education, and students learned through hands-on experience during
  their 12- to 14-hour shifts on the hospital units.  | 
 
 
 
ANS: 
D                   
PTS:  
1                   
DIF:    Medium
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Analysis | Integrated Process:
Problem Identification | Client Need: Safe and Effective Care Environment
 
6.    Identify
a major benefit of the diploma-type training programs for nurses.
| 
   A)  | 
  
   Nurses from these programs
  were assertive and could stand up to physicians who made unrealistic demands.  | 
 
| 
   B)  | 
  
   Nurses from diploma
  programs were proficient in basic nursing skills and could assume a hospital
  position with minimal orientation.  | 
 
| 
   C)  | 
  
   Nurses trained in diploma
  programs were often limited to employment in the institutions where they were
  trained.  | 
 
| 
   D)  | 
  
   All diploma schools were
  regulated by the NLN criteria and met strict standards for educating
  students.  | 
 
 
 
ANS: 
B                   
PTS:  
1                   
DIF:    Medium
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Application | Integrated Process:
Intervention | Client Need: Psychosocial Integrity
 
7.    Which
practice of diploma nursing programs most concerned the state boards of
nursing?
| 
   A)  | 
  
   Excessive use of classroom
  time during the program  | 
 
| 
   B)  | 
  
   Mandatory housing of the
  students in a closed dormitory near the hospital  | 
 
| 
   C)  | 
  
   Use of the students as
  unpaid hospital personnel during their education programs  | 
 
| 
   D)  | 
  
   High failure rates of
  diploma graduates on the NCLEX examinations  | 
 
 
 
ANS:  C                   
PTS:  
1                   
DIF:    Medium
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Application | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
8.    How
can the concept of a career ladder in education best be described?
| 
   A)  | 
  
   Specialized programs for
  associate degree or diploma RNs to attain a baccalaureate degree  | 
 
| 
   B)  | 
  
   The ability of staff nurses
  to be promoted based on their clinical skills  | 
 
| 
   C)  | 
  
   The relationship between
  one level of nursing education and the next level of education  | 
 
| 
   D)  | 
  
   After nurses pass the NCLEX
  examination, they are all considered professionals.  | 
 
 
 
ANS: 
A                   
PTS:  
1                   
DIF:    Hard
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Synthesis | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
9.    What
are common characteristics usually found in LPN educational programs?
| 
   A)  | 
  
   Located on college campus,
  2 years in length, require no clinical experiences  | 
 
| 
   B)  | 
  
   Theory-oriented curriculum,
  wide scope of practice, highly selective admission  | 
 
| 
   C)  | 
  
   Technically oriented,
  located in vocational technical schools or community colleges, 9 to 12 months
  in length  | 
 
| 
   D)  | 
  
   Clinical experience in
  advanced care areas, located in community colleges, prepare nurses for
  professional practice  | 
 
 
 
ANS: 
C                   
PTS:  
1                   
DIF:    Medium
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Application | Integrated Process:
Evaluation | Client Need: Safe and Effective Care Environment
 
10.  Which
category of advanced practice nurses is the most widely accepted by the public?
| 
   A)  | 
  
   Expanded practice nurses  | 
 
| 
   B)  | 
  
   Clinical nurse specialists  | 
 
| 
   C)  | 
  
   Certified nurses  | 
 
| 
   D)  | 
  
   Nurse practitioners  | 
 
 
 
ANS: 
D                   
PTS:  
1                   
DIF:    Medium
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Application | Integrated Process:
Problem Identification | Client Need: Safe and Effective Care Environment
 
11.  Identify
the primary position advocated by the 1964 ANA Position Paper on Education for
Nurses.
| 
   A)  | 
  
   Any nursing education
  program is acceptable as long as the graduates take and pass the NCLEX
  examination.  | 
 
| 
   B)  | 
  
   Baccalaureate education
  should be the basic level of preparation for professional nurses.  | 
 
| 
   C)  | 
  
   Associate degree education
  should be the basic level of preparation for professional nurses.  | 
 
| 
   D)  | 
  
   Only nurses educated at the
  master degree or higher level should be considered professional nurses.  | 
 
 
 
ANS: 
B                   
PTS:  
1                   
DIF:    Hard
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Synthesis | Integrated Process:
Planning | Client Need: Physiological Integrity
 
12.  What
is the most important consequence of the ANA Position Paper on Education for
Nurses?
| 
   A)  | 
  
   Increased numbers of
  associate degree programs  | 
 
| 
   B)  | 
  
   Large numbers of students
  graduating with baccalaureate degrees in nursing  | 
 
| 
   C)  | 
  
   Resistance to the proposal
  by hospitals and diploma nursing programs  | 
 
| 
   D)  | 
  
   Demand for a clear
  distinction between technical and professional nursing programs  | 
 
 
 
ANS: 
D                   
PTS:  
1                   
DIF:    Medium
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Evaluation | Integrated Process:
Evaluation | Client Need: Safe and Effective Care Environment
 
13.  Identify
two key requirements for entry into a master’s degree nursing program.
| 
   A)  | 
  
   Baccalaureate degree in
  nursing, satisfactory score on the GRE or MAT  | 
 
| 
   B)  | 
  
   At least 3 years of
  experience as an RN, associate degree in nursing  | 
 
| 
   C)  | 
  
   Three letters of reference,
  certificate of health status  | 
 
| 
   D)  | 
  
   Associate degree in
  nursing, 3.0 or higher GPA  | 
 
 
 
ANS: 
A                   
PTS:  
1                   
DIF:    Medium
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Application | Integrated Process:
Problem Identification | Client Need: Safe and Effective Care Environment
 
14.  What
is a trend found in doctoral-level programs that has developed since the 1970s?
| 
   A)  | 
  
   Movement toward
  generalization of knowledge  | 
 
| 
   B)  | 
  
   More emphasis on the
  clinical than on the academic nature of nursing  | 
 
| 
   C)  | 
  
   Increased use of
  research-based teaching strategies  | 
 
| 
   D)  | 
  
   Movement away from the
  independence of educational needs  | 
 
 
 
ANS: 
B                   
PTS:  
1                   
DIF:    Hard
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Synthesis | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
15.  Identify
an important function that a nurse serving as a case manager would be required
to perform.
| 
   A)  | 
  
   Overseeing client care
  during rehabilitation at home  | 
 
| 
   B)  | 
  
   Using provider-centered
  models to control health-care costs  | 
 
| 
   C)  | 
  
   Guiding the care provided
  by physicians over the course of an illness  | 
 
| 
   D)  | 
  
   Ensuring the high quality
  of care at all points of interaction with the health-care system  | 
 
 
 
ANS: 
A                   
PTS:  
1                   
DIF:    Medium
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Analysis | Integrated Process:
Problem Identification | Client Need: Physiological Integrity
 
16.  What
is the key element in relationship-centered nursing care?
| 
   A)  | 
  
   Focus on care as it is
  given in the community setting  | 
 
| 
   B)  | 
  
   Use of high-level advanced
  nursing skills in the care of the client  | 
 
| 
   C)  | 
  
   Clients’ trust in the role
  and skills of the nurse in the healing process  | 
 
| 
   D)  | 
  
   Responsiveness to societal
  changes in a consumer-driven economy  | 
 
 
 
ANS: 
C                   
PTS:  
1                   
DIF:    Medium
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Synthesis | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
17.  Identify
the primary purpose for the development of the Quality and Safety Education for
Nurses (QSEN) project?
| 
   A)  | 
  
   Increase the number of
  students in nursing programs.  | 
 
| 
   B)  | 
  
   Shift nursing education to
  a more medical model due to the increased client acuity.  | 
 
| 
   C)  | 
  
   Focus nursing education on
  competencies to reduce the number of medical errors.  | 
 
| 
   D)  | 
  
   Decrease the number of associate
  degree nursing programs.  | 
 
 
 
ANS: 
C                   
PTS:  
1                   
DIF:    Medium
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Synthesis | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
MULTIPLE RESPONSE
 
1.    Select
all of the elements that are found in the Pew Health Professions Commission
Report on the reform for nursing education.
| 
   A)  | 
  
   Increasing the use of
  computer technology and interactive software  | 
 
| 
   B)  | 
  
   Preparing all nursing
  faculty at the doctoral level  | 
 
| 
   C)  | 
  
   Promoting interdisciplinary
  education  | 
 
| 
   D)  | 
  
   Developing cultural
  sensitivity  | 
 
| 
   E)  | 
  
   Limiting nursing class size
  to no more than 40 students  | 
 
| 
   F)  | 
  
   Expanding the scientific
  basis of the programs  | 
 
 
 
ANS:  A, C, D, F     
PTS:  
1                   
DIF:    Hard
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Evaluation | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
2.    Select
all of the elements that were found as assumptions in the ANA Position Paper on
Nursing Education.
| 
   A)  | 
  
   Nursing education should
  meet the increasing need for nurses as quickly as possible.  | 
 
| 
   B)  | 
  
   The professional
  practitioner is responsible for the nature and quality of all nursing care
  clients receive.  | 
 
| 
   C)  | 
  
   Education for those in the
  health-care professions must increase in depth and breadth as scientific
  knowledge expands.  | 
 
| 
   D)  | 
  
   Community colleges are able
  to prepare nurses just as well as 4-year colleges.  | 
 
| 
   E)  | 
  
   The demand for the services
  of nurses will continue to increase.  | 
 
 
 
ANS:  B, C,
E           PTS:  
1                   
DIF:    Hard
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Evaluation | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
3.    Select
all of the elements that are QSEN competencies.
| 
   A)  | 
  
   Quality Improvement  | 
 
| 
   B)  | 
  
   Outcome Based Education  | 
 
| 
   C)  | 
  
   Teamwork and Collaboration  | 
 
| 
   D)  | 
  
   Informatics  | 
 
 
 
ANS:  A, C,
D          PTS:  
1                   
DIF:    Medium
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Evaluation | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
COMPLETION
 
1.    Fill
in the blanks with the correct word(s) to complete the following statement:
Nursing care that is client-focused and revolves around the
client’s trust in, value of, and understanding of the nurse’s skills is called
_______________ _______________.
 
ANS:  relationship; centered
 
PTS:  
1                   
DIF:   
Hard             
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Evaluation | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
 
2.    Fill
in the blank with the correct word(s) to complete the following statement:
In 1996, the American Association of Colleges of Nursing
presented a position paper emphasizing the belief that the _______________
degree should be the minimal requirement for entry into the nursing profession.
 
ANS:  baccalaureate
 
PTS:  
1                   
DIF:    Hard             
TOP:   The Process of Educating Nurses
KEY:  Cognitive Domain: Evaluation | Integrated Process:
Planning | Client Need: Safe and Effective Care Environment
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