Question 1

An analysis of the three major types of basic nursing education would reveal to the student that the biggest difference in programs is that:

Accepted Answer

Diploma graduates were envisioned as complete bedside nurses.The ADN nurse is a technical nurse trained to function under direct BSN supervision.

Question 2

The student of nursing history learns what information about the advent of nursing education?

Accepted Answer

The earliest nursing education occurred in hospital-based programs patterned after the Nightingale model of collegiate nursing education.However, anticollegiate forces prevailed, and the diploma process became the standard for nursing education.Baccalaureate programs did not catch on well until after World War II.Physicians recognized the value of a trained nursing staff.

Question 3

An advanced-degree nurse working in a hospital is responsible for evaluating and synthesizing new knowledge and applying it to the population with whom he or she works.Other nurses recognize that this nurse probably has which degree?

Accepted Answer

The clinical practice doctorate in nursing is the DNP.This degree would prepare the nurse to translate and apply knowledge to the clinical setting rather than be responsible for generating new knowledge.The DNSc (or DNS)degree is a research-focused degree culminating in preparing and defending the student's dissertation.The PhD is another degree awarded to nurses completing a research-focused doctoral level program.The holder of this degree must also prepare and defend a dissertation based on original research.The ND degree, originally intended for research utilization, has lost favor, with only four schools granting it in 2004.With the advent of the DNP program, ND programs made the transition to the DNP model.

Question 4

In comparing and contrasting licensed practical nursing (LPN)programs with associate degree (ADN)programs, the potential nursing student notices similarities between the two, including: (Select all that apply.)

Accepted Answer

Both the LPN and ADN programs envision nurses who will be supervised by higher prepared RNs.Both the LPN and ADN programs prepare nurses who are considered technical in nature.Whereas the LPN takes the NCLEX-PN examination, the ADN graduate takes the NCLEX-RN examination.LPN programs often do not carry college credit, which makes it difficult to matriculate into RN programs.LPN programs generally are 9 to 15 months long, whereas ADN programs are typically 2 years in duration.

Question 5

A university nursing dean is particularly interested in attracting more male students.What action by the dean would most likely result in the best outcome for this goal?

Accepted Answer

The answer of A university nursing dean is particularly interested...

Question 6

A hospital-based nursing administrator is responsible for the diploma nursing program affiliated with that hospital.In deciding to keep the program open, the administrator develops changes that address a major historical concern with this type of program.In doing so, the administrator would most likely:

Accepted Answer

Diploma students were traditionally expected to staff the hospital with which their program was affiliated, often to the detriment of their educational experiences.This exploitation was described in several important studies of nursing education.Traditional diploma programs do not offer college credit, no matter who teaches the courses.Diploma programs were expensive to operate and expensive to students, and this had a part in their decreasing numbers.Federal funding (through a variety of means)is available for individual students, and although it is administered by institutions, it is not granted to the institution itself.Requiring doctorally prepared faculty would not address an historic concern with diploma education.

Question 7

A high school guidance counselor is working with a student who wants to attend a baccalaureate nursing school.The counselor explains that the main considerations when choosing a nursing program are: (Select all that apply.)

Accepted Answer

Accessibility is one of three major considerations when choosing a nursing program.Cost is one of the three major considerations when choosing a nursing program.Quality is one of the three major considerations when choosing a nursing program.Location may be important to students either wishing or not wishing to relocate, but it is not generally one of the major considerations in choosing a program.Nearly all baccalaureate programs are designed to be 4 years in length, assuming a full-time load.

Question 8

A prospective nursing student is researching nursing schools.One of the schools is fully accredited by the CCNE, has no history of adverse actions taken by its state board of nursing, and is staffed by faculty members who appear to be appropriately credentialed for their positions.What inference can the student make about this program?

Accepted Answer

The information described means that the school at least meets basic requirements; however, it does not help rank it.Perhaps a better measure of the rank of schools can be found in the percentage of first-time writers of the board examination who are successful over several years.

Question 9

A registered nurse is considering doctoral programs but is concerned with accessibility.Which type of program is probably most accessible to this RN?

Accepted Answer

The practice-focused doctoral programs are growing rapidly as APRN programs are converting to the DNP.The clinical nurse leader is a master's level education.The ND programs are being phased out.The research-focused programs are less accessible than the practice-focused programs.

Question 10

In evaluating the success of a clinical nurse leader (CNL)program, a nursing dean would determine that program goals had been met when graduates were able to successfully: (Select all that apply.)

Accepted Answer

One of the two major roles of the CNL is to oversee the care coordination of a distinct group of patients.The other major role of the CNL is to provide direct patient care in complex situations.CNLs design and implement care and are accountable for care outcomes, but they do not necessarily serve in departmental leadership positions.CNLs are considered generalists, not specialists.The CNL role is not designed as a direct supervisory role, such as a charge nurse.

Question 11

A nurse practicing in a specialty area wishes to be recognized for the specialized skill set and knowledge obtained in order to be an effective member of the health care team serving that particular patient population.The nurse would best complete this goal by:

Accepted Answer

There are no secondary licenses.

Question 12

A faculty member explains to students that one concern of the American Nurses Association's 1965 position statement designating the baccalaureate degree (BSN)as the educational entry point for nursing is that:

Accepted Answer

The existence of multiple entry paths for nursing education is confusing both to the public and to aspiring nursing students, who may have difficulty understanding and comprehending the differences and what they mean.Diploma programs have declined sharply in number, with only 47 programs remaining in the United States in 2013.The ANA does not monitor different programs to evaluate congruency with BSN programs.States are not creating different licensure examinations for graduates of different programs.

Question 13

A nurse is discussing certification with a co-worker and explains that goals of the certification process include: (Select all that apply.)

Accepted Answer

Certification is directed to endorsing demonstrated knowledge and skill associated with high-quality performance in a specialty area.Certification also enhances professionalism and allows the public and other professionals to recognize those with professional achievements.Certification does serve as a quality control activity, because nurses who obtain certification must demonstrate superior knowledge and clinical behaviors.Certification does not include boosting pay scales as a goal, although in some institutions, certified nurses do receive a monetary benefit.Although many certification exams require a BSN, differentiating practice is not a goal of certification.

Question 14

A potential nursing student is worried about the cost of attending a baccalaureate degree program.After examining the available options, the student would conclude that which of the following is probably the best route for an affordable education?

Accepted Answer

Working part time will probably not gain the student enough income to make a significant difference in the cost of attending college.

Question 15

A recent high school graduate wants to pursue registered nursing education in the local community.What type of program would this student most likely investigate?

Accepted Answer

The associate degree program is often offered at local community colleges.Baccalaureate programs are usually found at larger colleges or universities.The few remaining diploma programs are associated with hospitals.Because the nurse wants RN education, a licensed practical nurse program would not be considered.

Question 16

To discriminate between the two major branches of doctoral education for nurses, the aspiring student would classify the differences between them as primarily:

Accepted Answer

The main difference between the two programs of study is that the research-focused programs (PhD and DNSc)produce scholars who are capable of generating new knowledge, but the practice-focused programs (DNP)produce highly specialized practitioners who use knowledge in the clinical setting.The DNSc program is gradually being phased out.Both types of doctoral programs have cognate core courses.The DNP programs do prepare their graduates in highly skilled systems thinking, but the research-focused programs do not restrict their emphasis to the creation of new systems.Tool generation may be part of a research study but is not necessarily a component.

Question 17

In analyzing trends within the profession that are correlated to the rise in baccalaureate nursing (BSN)programs, the nurse historian would outline that:

Accepted Answer

BSN programs were often hampered by the lack of faculty prepared to teach at the collegiate level, which led to a reluctance of colleges and universities to establish BSN programs.Doctoral programs have been preparing nurse scholars and researchers, who have contributed to nursing's scientific backbone.The rise in these programs can be seen as a parallel development with the rise in BSN programs.The proliferation of advanced degrees in nursing is not the result of degree inflation; rather, it is a response to the increased sophistication and complexity of the health care environment today.Although nurses today do enjoy better pay and improved social status than in the past, this trend is not strongly correlated to the rise in BSN programs.Men in nursing are not a driving force for the increase in BSN programs.

Question 18

A nursing dean in a baccalaureate nursing (BSN)program wishes to create a program that meets the needs of multiple and diverse students, responds to current trends, and increases enrollment.What modification to the existing program would best meet this goal?

Accepted Answer

A large group of diploma and associate degree (ADN)nurses could benefit from seamless entry points and BSN tracts designed especially for them.Another group of potential BSN-prepared nurses consists of individuals changing careers after completing degrees in other fields.Programs to address the needs of these students have proliferated.RN-BSN and accelerated nursing programs that are seamless and easy to navigate would go far in helping nursing meet the goal of the National Advisory Council for Nursing Education that at least two thirds of the nursing workforce hold a BSN or higher degree.Programs that offer specialized tracts for RNs and second-degree students would also help ease the nursing shortage because they are typically shorter in duration.Although the inclusion of community health nursing was an early differentiator between diploma and BSN programs, BSN programs have expanded well beyond this, and coursework for the BSN is more varied and complex than just simply adding a course in community health nursing.Bringing faculty and classes to major hospitals might make it more convenient for non-BSN nurses to complete their degrees, but the logistics would be difficult, and enrollment might be small.This also only capitalizes on the non-BSN nurse working in hospitals and does not address the needs of second-degree students or those employed in other settings.Alternative days and times for classroom and clinical experiences may help those who are juggling family or work commitments but would not address current trends in nursing or specifically meet the needs of students with diverse educational backgrounds.

Question 19

A panel of nursing deans and faculty has met to discuss increasing the number of baccalaureate-prepared nurses in a mostly rural state.What collaborative project could the panel design that would be best for meeting this goal?

Accepted Answer

Programs designed to capture non-nursing majors who wish to enter nursing are growing in popularity, but this does not improve accessibility for the rural population.

Question 20

A member of a state board of nursing explains to senior nursing students that liberal arts, communication, and health care policy are all appropriate subjects for study in a BSN program because:

Accepted Answer

BSN-prepared nurses are able to function as generalists and as entry-level leaders in a multitude of settings, leading to the need for inclusion of topics other than nursing care in their education.Consumers are more educated today than before, but this is not germane to the inclusion of these topics in nursing education.Diversity is increasing, but this is not related to the need for education in liberal arts and health care policy.These topics are not taught so that nurses can teach their patients.

Quiz 2: Academic Progression