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Chapter 7: The Education of Nurses: On the Leading Edge of Transformation
Test Bank
MULTIPLE CHOICE
1. In 1900, the primary reason for hospital-based nursing education programs was to
a. educate nurses to care for patients in hospitals.
b. provide educational opportunities for women.
c. staff the hospitals that operated the education programs.
d. provide standardized preparation for nurses.
ANS: C
Feedback
A Most nurses worked in homes and very few worked in hospitals.
B The education for women was not a value of society at the time.
C In the hospitals there were few paid staff nurses, and most of the care was
provided by the nursing students.
D The programs of study varied in length, and each school set its standards and
requirements.
2. Which of the following nursing leaders is credited with being one of the earliest nursing
educators in the world?
a. Isabel Hampton Robb
b. Mary Adelaide Nutting
c. Melinda Anne Richards
d. Annie W. Goodrich
ANS: B
Feedback
A Robb studied nursing education.
B Mary Adelaide Nutting was a professor at Teachers College in 1907, and she
was also the first nursing professor.
C Richards was the first trained nurse educated in the United States.
D Goodrich became the first dean of the Yale School of Nursing in 1924.
Feedback
A Consistency in length of programs was not an issue.
B Content was not the issue.
C The Goldmark Report focused on clinical learning experiences of students,
hospital control of schools of nursing, desirability of establishing schools of
nursing in universities, lack of funding for nursing education, and lack of
qualified faculty.
D Nursing curriculum with instruction by physicians was not encouraged.
4. Which American university opened the first nursing school as a separate department within
the university?
a. Harvard
b. Teachers College
c. Columbia
d. Yale
ANS: D
Feedback
A Harvard was not the first American university to open a nursing school as its
own department.
B Teachers College was not the first American university to open a nursing school
as its own department.
C Columbia was not the first American university to open a nursing school as its
own department.
D In 1924, Yale University was the first American university to open a school of
nursing as its own department.
5. Which of the following recommendations resulting from the 1934 study Nursing Schools
Today and Tomorrow still has relevance today?
a. Nursing students should be trained on the job.
b. Nursing students should be used to staff hospitals on the weekends.
c. Nurses should be highly educated.
d. Nurses with highly developed instincts do not require standards of practice.
ANS: C
Feedback
A Nurses should be highly educated in a university setting.
B Students should not be used to staff hospitals.
C The study made five recommendations: nursing education should be established
within higher education; nurses should be highly educated; students should not
be used to staff hospitals; standards of practice should be established; and
students should meet minimal qualifications for graduation.
D Standards of practice should be established.
Feedback
A Diploma programs of nursing began in the late 1800s and were the earliest form
of nursing education.
B Associate nursing degree programs began in 1952.
C Bachelor's degree programs began in 1909 but became commonplace only in the
mid-1900s.
D Nurses are not grandfathered into licensure.
7. The single most important reason for the decline in the number of hospital-based diploma
programs was
a. shift in hospital occupancy from acute care to home care.
b. increase in hospital-based medical residency programs competing for educational
dollars.
c. beginning of associate degree programs that were shorter in length.
d. diploma education's position outside the mainstream of higher education.
ANS: D
Feedback
A The increase in complexity of health care led to the need for more advanced
educational preparation for nurses.
B Although it became more difficult for hospitals to fund diploma programs, this
was not the most important reason for their decline.
C The advent of associate degree programs led to the decline in diploma programs,
because associate degree programs are located in academic settings.
D The movement of nursing education into the educational mainstream, that is,
colleges and universities, was responsible for the rapid decrease in diploma
programs.
8. Which of the following is a primary reason for the initial slow growth of bachelor's degree
nursing programs in the United States?
a. Belief that hands-on training received in hospital-based diploma programs was
superior to the theoretical-focused content in bachelor's degree programs
b. Belief that hospital-based diploma programs were more scientifically based
c. Belief that students prepared in hospital-based diploma programs were more
compassionate caregivers
d. Belief that hospital-based education programs facilitated career mobility
ANS: A
Feedback
A There was a great deal of acceptance of the hands-on teaching received in
diploma programs.
B Bachelor's degree programs are more theoretically focused.
C There is no difference in perception of caring between the programs.
D Bachelor's degree education facilitates career mobility.
Feedback
A The Brown Report recommended that more men and minorities be recruited into
nursing.
B The Brown Report recommendations did not address admission requirements of
universities.
C The Brown Report recommended moving nursing education into academic
settings.
D The Brown Report recommended that schools of nursing be moved to
institutions of higher learning.
10. Which of the following is true about bachelor's of science in nursing (BSN) education?
a. Faculty must be BSN prepared.
b. It is recommended by professional organizations as preparation for entry into
practice.
c. It requires 3 years to complete.
d. Faculty are not given full faculty status in the university.
ANS: B
Feedback
A Faculty in BSN programs have master's or doctorate degrees.
B Many nursing organizations have advocated for the BSN as the beginning
educational preparation for the profession of nursing.
C The BSN degree requires 4 years to complete.
D Faculty in nursing now have full faculty status.
Feedback
A The ANA position paper advocated for education in colleges and universities.
B The issue of minimum educational requirement for entry into practice is not
likely to change until there are safeguards in place that ensure that all nurses
currently in practice continue to feel that they are valued members of the
profession. This provision continues to be controversial today.
C The technical level of nursing was supported in community and junior colleges.
D There is little evidence to support traditional educational methods used in
nursing education.
12. Which type of basic nursing education program graduates the largest number of RNs in the
United States today?
a. Diploma programs
b. Associate degree programs
c. BSN programs
d. Nurse practitioner programs
ANS: B
Feedback
A Diploma programs are on the decline in enrollment and number of programs
operating.
B Associate degree programs graduate the most nurses today.
C BSN program enrollments have increased but are still lower than associate
degree program enrollments.
D Nurse practitioner programs are advanced practice master's-level programs. The
question refers to basic RN preparation.
13. Who is credited with developing the model of associate degree nursing education?
a. Esther Lucille Brown
b. Annie W. Goodrich
c. Mildred Montag
d. National League for Nursing
ANS: C
Feedback
A Esther Lucille Brown wrote the Brown Report.
B Annie W. Goodrich was the first dean of nursing.
C Mildred Montag developed a model of associate degree nursing.
D The National League for Nursing did not develop the model of associate degree
nursing.
14. What is the purpose of articulated models or systems for nursing education?
a. Increasing curriculum similarities in nursing programs
b. Allowing nurses to work in nursing as they gain additional education
c. Increasing the numbers of nursing education programs
d. Facilitating opportunities for nurses to move up the educational ladder with ease
ANS: D
Feedback
A Articulation has not made the programs more similar.
B Although articulation models allow a person to move with greater ease from one
level to another with less repetition of coursework, articulation systems do not
address the ability to work and attend school simultaneously any more than any
other nursing education program.
C Articulation model educational programs have been slow to develop because of
the work required to keep all the courses congruent with each other, and
increased educational programs have not resulted.
D Articulated models allow a nursing student/nurse to enter and leave at different
points. Articulated systems provide flexibility for the nurse to gain more
education.
Feedback
A Distance education allows flexibility, particularly for working people in
locations where there is no campus, and enables them to return to school.
B The requirements are just as stringent as traditional courses, but the method of
participation is flexible.
C Distance learning does not negate the need for clinical components of courses.
D Faculty requirements are the same.
Feedback
A The AACN does not accredit educational programs.
B Although the CCNE accredits educational programs, it only accredits bachelor's
and higher degree programs.
C The NLNAC accredits LPN/LVN, associate degree, BSN, and MSN programs.
D The NLNCEP develops accreditation programs and criteria for different levels of
education but does not carry out the accreditation process.
17. Which of the following is a part of the history of doctoral education in nursing?
a. The nurse scientist program was discontinued after more universities began
offering doctoral programs in nursing.
b. The first doctoral degree (PhD) was offered at the University of Pittsburgh.
c. The number of doctoral programs in nursing has doubled since 1990.
d. The largest numbers of doctoral programs are practice-focused.
ANS: A
Feedback
A In the 1970s, there was a major increase in doctoral programs in nursing. This
provided an education in nursing that developed research skills and provided
nursing faculty. Therefore, the nurse scientist program was discontinued in 1975.
B The first doctoral degree in nursing (PhD) was offered at New York University
in 1934. Teachers College at Columbia had offered a degree in nursing
education (EdD).
C In 1990, there were 48 doctoral programs in nursing, and by 2007 there were
166, actually more than tripling the number.
D Sixty-eight percent of the doctoral programs are research-focused, while 32%
are practice-focused.
18. In 2004, the AACN proposed a new doctoral degree, the doctor of nursing practice (DNP).
What is the focus of the DNP degree in nursing?
a. Nursing research
b. Nursing quality improvement
c. Advanced clinical practice
d. Nursing theory development
ANS: C
Feedback
A The research degree is the PhD.
B There is not a nursing doctoral degree designed specifically to address quality
improvement.
C The DNP degree is designed to be a clinical practice degree. It would replace the
master's degree for nurse practitioners and nurse-midwives, placing them on
equal footing with other disciplines.
D The PhD degree is most appropriate for theory development and advancement.
19. Which of the following is the primary distinction between licensure and certification?
a. Certification is required to practice nursing.
b. Licensure is granted automatically on completion of an accredited nursing
program.
c. Certification validates a high level of proficiency.
d. Licensure is voluntary.
ANS: C
Feedback
A Licensure, not certification, is required to practice nursing.
B Licensure is not automatically granted on completion of a nursing program.
C Certification validates a high level of proficiency and knowledge.
D The NCLEX examination must be completed successfully. Certification is
voluntary, but licensure is not.
Feedback
A Mandatory continuing education is a state government's way of ensuring that
nurses remain up to date.
B Ensuring that nurses remain competent in psychomotor skills is not a test of
psychomotor competency.
C Staff development deals with competency and institutional updates.
D The number of continuing education hours required varies among states.
MULTIPLE RESPONSE
Feedback
Correct Nightingale saw the benefit to affiliation with a teaching hospital but
thought that the teaching mission should be separate from the service
mission. Nightingale saw instruction as a valued activity worthy of
reimbursement and involving more than allowing one to learn by
watching. Nightingale thought that nursing was more than just on-the-job
training and required knowledge upon which to base nursing activities.
Incorrect Nightingale saw nursing as a profession for women only and that the
women should be selected based on certain criteria. Nightingale thought
that nursing education should be publicly funded.
2. Why is accreditation of nursing education programs is important? (Select all that apply.)
a. It assures students that their educational program is offering quality education.
b. Acceptance into graduate programs in nursing depends on graduation from an
accredited program.
c. It serves as stimulus for programs to initiate periodic self-examination and
self-improvement.
d. It has established standards to allow graduates to take licensure examinations.
e. Graduating from an accredited program ensures successful completion of the
licensure exam.
ANS: A, B, C
Feedback
Correct For an educational program to be accredited, it must meet criteria that
protect the quality of education. Graduate programs use the program's
accreditation status to assure the quality of education the potential student
has received in preparation for graduate study. As part of the accreditation
process, the educational program must complete a self-study and show
how the school meets each standard.
Incorrect The standards that educational programs need to meet to allow their
graduates to take the licensure examination are determined by each state,
not by accrediting bodies. Graduation from any program of nursing does
not guarantee passage of the licensure exam.
3. Which factors contribute to threatening the current and future supply of nurses? (Select all
that apply.)
a. The number of qualified applicants has decreased.
b. Seventy-five percent of current faculty may retire over the next decade.
c. Overall numbers of applicants to doctoral programs has decreased.
d. Faculty vacancies are having an impact on large numbers of schools.
e. More men are entering nursing and choosing faculty positions.
ANS: B, D
Feedback
Correct It is projected that as many as 75% of current faculty will retire by 2019.
This will impact large numbers of schools and can limit enrollment.
Incorrect The number of qualified applicants has increased, but more than 30,000
applicants were turned away from bachelor's degree programs for "lack of
capacity." More men are entering nursing, which should help increase
recruitment of other men into the field. More male faculty could also help
recruitment of men into nursing. There is continued demand for doctoral
education in nursing.
4. Over the last two decades a number of organizations issued reports identifying changes
needed in nursing education to prepare nurses for practice in the twenty-first century. Which
of the following suggestions were included in these reports? (Select all that apply.)
a. Recruitment of students and faculty to reflect the multicultural nature of society
b. More focus on knowledge and skills to care for acutely ill individuals
c. Increased informatics training to improve access to information
d. Limiting discussion of the quality improvement measures in the health care system
e. Curricula emphasizing interdisciplinary teamwork and collaboration
ANS: A, C, E
Feedback
Correct The changes "recruitment of students and faculty to reflect the
multicultural nature of society," "increased informatics training to improve
access to information" and "curricula emphasizing interdisciplinary
teamwork and collaboration" were made in several nursing reports and in
the 2003 Institute of Medicine report.
Incorrect The reports stated that there should be increased focus on chronic illness
and that a quality improvement process of the health care system must be
included in the education of health care providers.
Author: Various
Language: English