Question 1

A nursing student asks, "I wonder if the reason that the nursing shortage is so severe is that registered nurses are unhappy with their jobs." To research the answer, the National Survey of Registered Nurses was reviewed and found:

Accepted Answer

According to the latest National Sample Survey of Registered Nurses (NSSR),79.8% of practicing RNs were satisfied with their job and 88.4% were with the same employer as they had been in the preceding year (U.S.Department of Health and Human Services,2010).Among all RNs,nursing faculty are the most satisfied (86.6%).

Question 2

Which nurse died after deliberately acquiring two bites from yellow fever carrier mosquitoes to enable her to provide care to soldiers with yellow fever during the Spanish-American War?

Accepted Answer

Correct:Clara Maas is noted as the nurse who deliberately acquired two bites from yellow fever carrier mosquitoes to enable her to provide care to soldiers with yellow fever.
Incorrect:a.Florence Nightingale is the founder of professional nursing.
b.Margaret Hoolihan is a character on a TV show,not an actual nurse.
d.Sairy Gamp is a character in a Charles Dickens novel.

Question 3

A physician complains to administration that the nurse working last evening is unethical, based on observing the nurse educate the patient about a new medication ordered. The physician demanded the nurse be reprimanded and reminded that only physicians have the educational background to teach patients about new medications. Which comment and action by the administrator would be most effective in changing nurse-physician relationships in this instance?

Accepted Answer

Correct:Investigating the situation to provide evidence is the first step.Once the facts are known,action can be taken.In this instance,including the ethics committee would help ensure an unbiased decision.
Incorrect:a.The nurse should not be suspended unless an error occurred.
b.Both physicians and nurses are prepared to teach patients.
d.The patient's family should not be involved at this point.The scope of practice of the RN allows for patient teaching.

Question 4

What effect did the movie One Flew Over the Cuckoo's Nest have on health care?

Accepted Answer

Correct:One Flew Over the Cuckoo's Nest reminded us that all individuals have rights and that it is the responsibility of the public and health care professionals to ensure that these rights are protected.
Incorrect:a.The context for the care of patients with mental disability did not change as a result of the movie.
c.One Flew Over the Cuckoo's Nest portrayed nurses as the enforcers of the system.
d.Funding for nursing traineeships was not eliminated.Rather,the Nurse Training Act was established in 1964.

Question 5

What does the Spirit of Nursing statue honor?

Accepted Answer

Correct:The statue the Spirit of Nursing was created to honor all military nurses.
Incorrect:a.The statue does not seek to honor Florence Nightingale.
b.Nurse Rivers was the nurse who attempted to help the victims of the Tuskegee experiment.
c.The statue does not honor Clara Maas,and Clara Maas did not find the cure for yellow fever.

Question 6

The demographics of the twenty-first century nursing population indicate that:

Accepted Answer

Correct:Fifty-six percent of nurses practice in hospitals.
Incorrect:a.There is an influx of new graduates less than age 30,which has slowed the aging of the profession.
b.More African-Americans are entering graduate school.
c.The highest level of nursing education is most often the baccalaureate degree.

Question 7

Which nurse best portrays nursing as a "knowledge worker"?

Accepted Answer

Correct:Nursing scrubs have become a popular alternative to the traditional white uniform; clean wrinkle free matching scrubs presented a professional image.Small stud earrings reduce risk of injury to nurse when caring for confused or combative patients.
Incorrect:b.Mismatched scrubs may be interpreted as someone who doesn't take an interest in the profession or lacks time management.
c.White uniforms have been replaced by scrubs in most healthcare facilities.The apron was used by student nurses from the past who also were restricted from wearing jewelry.Having the hair pulled back continues today to adhere to infection control policies that prevent hair from entering sterile fields or falling in patients personal space.Many feel the white uniform is associated with a time when nurses had less voice in patient care and were "handmaidens" to physicians.
d.Caps were discontinued due to infection control.Most healthcare agencies prohibit nurses from visible piercing other than one small stud earring per ear.

Question 8

What was the purpose of the Nurse Reinvestment Act of 2002?

Accepted Answer

Correct:This act provided nursing scholarships,public service announcements promoting nursing as a career,faculty loan cancellation programs,geriatric training grants,and nurse retention and safety enhancement grants.
Incorrect:a.This act does not provide disability insurance to RNs.
b.These funds do not promote unlicensed caregivers as an alternative to professional nurses.
d.This act provides for geriatric training grants,not pediatric training grants.

Question 9

Potential nursing students are concerned about choosing a profession with job security and ask the recruiter, "Because more people are choosing nursing, will I have a job in a few years?" The recruiter answer that by 2025, on the basis of the U.S. Bureau of Labor Statistics prediction:

Accepted Answer

Correct:According to the U.S.Bureau of Labor Statistics,the nursing shortage is predicted to be twice as large as any previous shortage since Medicare and Medicaid in 1965.
Incorrect:a.The number of foreign nurses arriving in the United States is not sufficient to cure the shortage,and a large number of these nurses are unsuccessful on the NCLEX-RN,resulting in an inability of foreign RNs to practice.
c.Although slightly more than half of all nurses practice in hospitals,84.8% of its licensed members are currently in nursing practice.Thus,reentering RNs will not dramatically reduce the shortage.
d.Even by 2025,it is projected that the United States will need 260,000 more RNs than will be available.

Question 10

Charles Dickens' character Sairy Gamp:

Accepted Answer

Correct:Sairy Gamp endured nursing because of the lack of other opportunities.
Incorrect:a.Sairy Gamp did not portray a professional image of nursing,but that of an untrained caregiver who profited from the sick and dying.
c.Sairy Gamp was a nurse who used her position to take advantage of her patients.
d.Dickens' portrayal of a nurse does not suggest that the nurse is at the forefront of technology and autonomy.

Question 11

A student nurse signs the nurses' notes in the patient's record as, Mary Smith, RN (pending graduation 2015). According to the International Council of Nurses, which individual can use the title "nurse"?

Accepted Answer

Correct:According to the International Council of Nurses,the title "nurse" is reserved for the registered nurse.Only an individual who has passed the NCLEX-RN can use the title.
Incorrect:a.A student nurse should not use the title "nurse," rather should indicate that he or she is a student nurse and sign accordingly.
b.Until an individual is notified that he/she has passed the NCLEX-RN,the title "nurse" is not used.
c.The nursing assistant who accepts the "role" of the registered nurse may not use the title and is practicing outside the bounds of the role of certified UAP.

Question 12

According to current data related to the nursing shortage: (Select all that apply.)

Accepted Answer

Correct:b.Only 16.8% of nurses are minorities.
d.RNs have one of the highest growth rates of employment of all occupations.
Incorrect:a.Salaries are not a problem related to the nursing shortage.Most facilities are willing to increase salaries and benefits for nurses.
c.It has not been documented that nurses are afraid of contracting a fatal disease.Nurses take precautions to reduce this risk.
e.There is a shortage of nursing faculty,and graduate education is required rather than certificates to teach nursing.

Question 13

With the crisis in health care and the nursing shortage, why is the image of nursing still important?

Accepted Answer

Correct:A person who seeks health care is entering a world of uncertainty.The nurse provides continuity and compassion and stabilizes the environment of the patient.
Incorrect:b.Nursing has a unique body of knowledge.
c.Nursing is a profession.Unification will enhance the professional goals for nursing.
d.Caring will always be part of the nursing image,and nurses have already moved into the technologic realm.

Question 14

A nurse executive is concerned that the mortality rate in his/her hospital exceeds the national average and searches the literature finding Aiken's 2011 Survey on the effects of nurse staffing and education on mortality, including work environment. If Aiken's recommendations are followed, which change would be most effective?

Accepted Answer

Aiken (2011) found that simply increasing the number of RNs was not the only answer to reduce mortality.Increasing the number of BSN-prepared nurses along with developing a positive work environment had the most impact on reducing mortality.The impact on reducing mortality by increasing the educational level of nurse managers/administrators and certified unlicensed assistive personnel was not documented.

Question 15

A group of new graduate nurses is asked to speak to a group of politicians to describe the current state of professional nursing and how best to alleviate the nursing shortage. Which statements accurately portray professional nursing today and tomorrow? (Select all that apply.)

Accepted Answer

Correct:a.Recipients of BSN degrees represent the largest graduating educational profile (47.2%).
e.Nurses make up the largest group of health care professionals.
Incorrect:b.Slightly more than half of all nurses practice in acute care hospitals.
c.Nurse practitioners constitute the majority of advanced practice nurses (APRNs).
d.Minority nurses are more likely to enter graduate school than white nurses.

Question 16

A bronze statue of a nurse in battle fatigues who is obviously exhausted but demonstrates caring by holding a soldier's head is an artistic representation of nurses who served in which war?

Accepted Answer

Correct:This statue represents the caring provided by nurses during the Vietnam War.
Incorrect:a.There is no statue that represents nursing during World War I.
b.There is no statue that represents nursing during World War II.
c.There is no statue that represents nursing during the Spanish-American War.

Question 17

Which item below correctly describes the U.S. Bureau of Labor Statistics predictions by 2020?

Accepted Answer

Correct:In 2020,the United States is projected to have only 64% of the registered nursing workforce required to meet the demand for RNs.
Incorrect:a.Unlicensed personnel will not be filling positions for nurses because this group does not have the education needed to provide such care.
c.The need for hospital nurses will dramatically increase,not decrease.
d.Hospitals will not have enough nurses as stated per statistics.

Question 18

Although the media portrayed nursing in a negative light in M*A*S*H through the character of a promiscuous, uncaring nurse, it also provided Americans with a promising glimpse of:

Accepted Answer

Correct:The sitcom M*A*S*H did show humor as a coping mechanism for nurses in a war setting.
Incorrect:a.M*A*S*H's portrayal of promiscuous nurses has no merit because nurses assist physicians.
b.The sitcom addressed both factors as part of the nurse's role in the military.
d.No male nurses were portrayed in the sitcom.

Question 19

Nurses can combat the nursing shortage by:

Accepted Answer

Correct:Advocating for funds to pay for nursing education and a safer work environment is a positive strategy,as can be seen by results attained after the Reinvestment Act P.L.107-205 provided $20 million for nursing scholarships,public service announcements,faculty loan cancellation programs,geriatric training grants,and nurse retention and safety enhancement grants.This is the best defense against the nursing shortage.Nursing graduates in many states have increased in number,and enrollment in nursing schools is also on the rise.
Incorrect:a.Unions are not the answer to the nursing shortage.This approach would make access to health care more difficult,and the nursing shortage would only increase because efforts to attract nurses from younger generations would be reduced by the fact that funding for exposure to nursing would most likely decrease.
b.Lowering standards would increase the chance for errors,cause patient care standards to become lower,and harm the image of nursing.
c.As the acuity level of patients increases,the nurse/patient ratio should be lowered.Facts reveal that lower nurse/patient ratios reduce errors and decrease mortality rates.

Question 20

A registered nurse is on break and checking emails. One email contains a picture of a celebrity who is a patient in the hospital, and on the same floor, where the nurse works. Included with the photo is a message, "check out my Facebook," which contains additional photographs of the patient. The nurse immediately deletes the picture to prevent having to report the "friend" to supervisors. Based on the action of the nurse who received the message, which statement is correct?

Accepted Answer

Correct:Failing to report the image can result in discipline.
Incorrect:a.Removing a posting or a picture from a website does not make it unavailable because it is retrievable.
b.Nurses who have received patient pictures and not immediately reported the problem have been subject to the same discipline as nurses who sent the pictures.
d.Information posted on social media can be viewed by others who are not providing health care-even the public.

Quiz 2: The Contemporary Image of Professional Nursing