Deck 3: The Influence of Contemporary Trends and Issues on Nursing Education

Question 1

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.

Answer 1

incivility or disregard of others' rights in social interactions.

Question 2

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."

Answer 2

those skills necessary for safe, competent nursing practice."

Question 3

A potential nursing student is visiting the website of some nursing programs and notes that the school states, "The curriculum is built on the Essentials of Baccalaureate Education to ensure that this nursing program meets the standards set for educating nurses at the baccalaureate level." Which organization oversees professional nursing programs and establishes these essentials?

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)

Answer 3

American Association of Colleges of Nursing (AACN)

Question 4

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).

Question 5

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.

Question 6

In preparing students for professional nursing practice in the twenty-first century, where should the emphasis be placed?

A) Care coordination, direct care for complex clients, and outcomes evaluation
B) Chemistry, biostatistics, and computer programming
C) Illness care, hospice, and ethics
D) Psychomotor skills, obstetrics, and epidemiology

Question 7

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.

Question 8

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.

Question 9

The Southern Poverty Law Center would be consulted in which situation?

A) An elderly patient can't afford needed medications because his adult child uses the money for gambling.
B) A group of immigrants are paid half the wages as the citizens of the country receive.
C) Single mothers living below poverty level sell their government-subsidized food to purchase items such as make-up and gasoline for their cars.
D) A gang of teenagers target students who participate in alternate lifestyle choices.

Question 10

A member of a nursing students study group comments, "I wish our instructor would just tell us the important information that we will be tested on in our course and on NCLEX. Instead, we spend some time early in the class discussing key facts then the most of the time working through case studies, then practicing on the simulator rather than caring for 'real' patients." This teaching-learning style represents:

A) memorization of basic facts presented early in the lecture.
B) Objective Structured Clinical Examinations (OSCE).
C) peer-to-peer learning.
D) practice-based competency.

Question 11

Which nursing model is referred to as the "class without walls"?

A) Articulation
B) Career ladder (2 + 2)
C) External degree
D) Second degree

Question 12

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.

Question 13

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.

Question 14

When preparing to complete a competency exam involving a neurologic assessment in a simulation laboratory, the nurse reviews the critical elements, which consist of:

A) those steps that result in life or death of a client.
B) required criteria that must be incorporated into the assessment for the desired 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.

Question 15

The first university to offer nursing graduates a baccalaureate degree was:

A) Columbia Teachers College.
B) Yale University.
C) Harvard University.
D) the New York Regents Program.

Question 16

A nurse realizes that a health care concern related to globalization was:

A) the emergence of epidemic hepatitis A.
B) the pandemic of H1N1 "swine flu."
C) reemergence of polio.
D) an increase in chronic illnesses.

Question 17

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.

Question 18

A student nurse is preparing a presentation that requires identification of outcomes for the care of heart failure patients. Which is a correctly written outcome?

A) Develop a teaching program to address physical activities that improve cardiac function.
B) Consider the clinical manifestations associated with Level 4 heart failure.
C) List the most common pharmaceutical approaches to reduce preload in heart failure patients.
D) Consider the economic impact that recidivism has on the patient and health care facility.

Question 19

Which trend is an effect of the nursing shortage on nursing education?

A) Only devoted qualified nurses are continuing to provide bedside nursing because of the complexity of care required, resulting in excellent preceptorships for students.
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.

Question 20

A standardized means of determining initial proficiency at the entry level into nursing is:

A) certification in medical-surgical nursing.
B) the National Certification Licensure Examination (NCLEX).
C) comprehensive instructor-constructed examinations.
D) the ability of the student to answer questions concerning the care provided to a patient during the senior nursing courses.

Question 21

A nurse is concerned that the policy of using povidone-iodine (Betadine) to clean foot ulcers may lead to unwarranted allergic reactions and drying of surrounding tissue. A literature review is performed to determine the "best practice" related to care of foot ulcers. This nurse: (Select all that apply.)

A) is applying evidence-based practice to the clinical setting.
B) is using critical thinking to change procedures performed in the care of foot ulcers.
C) is minimally educated at the master's level and participating in research to provide cost-effective care (soap is less expensive than povidone-iodine).
D) lacks clinical competence in health assessment and in application of theory to the clinical setting.
E) is using information to problem-solve and ensure safe, competent care.

Question 22

A person interested in employment in the health care sector has less than 1 year to pursue his/her education and wants to focus on functional aspects of patient care. He/She desires to work in a long-term facility. Which type of nursing program should this person request information about?

A) Bachelor's degree in nursing (BSN)
B) Licensed practical nurse (LPN)
C) Associate degree in nursing
D) Master's degree in nursing

Question 23

According to Lenburg, the use of practice-based assessments in nursing education is aimed toward the target of __________.

Question 24

The oldest, most traditional type of program that prepares a candidate for RN licensure is the hospital-based _________ program.