Question 1

An estimated 75% of today's nursing students are considered &#34;nontraditional.&#34; This challenges the clinical nursing instructor to&#10;A) individualize instruction where appropriate while maintaining standards&#10;B) apply adult learning principles in the design of learning experiences&#10;C) draw on students' past experiences as a resource for group learning&#10;D) all of the above&#10;E) only b and c

Accepted Answer

all of the above. Options a., b., and c. each describe characteristic of adult education, which is appropriate since "nontraditional" students are older than "traditional" students.

Question 2

Which of the following student characteristics does not fit the definition of &#34;nontraditional&#34; when applied to nursing students?&#10;A) Began college shortly after graduating from high school&#10;B) Attends the program on a part-time basis&#10;C) Commutes to the college from home&#10;D) Is the primary caretaker of one or more school-aged children&#10;E) Speaks English as a second language

Accepted Answer

Began college shortly after graduating high school. "Nontraditional" students characteristically delay the start of a college education for several years following completion of high school. The other options are descriptive of "nontraditional" students, who may have one or several of these characteristics.

Question 3

Generational differences between the clinical nursing instructor and the students she is teaching may be manifested in students'&#10;A) respect for authority&#10;B) work ethic&#10;C) comfort with technology&#10;D) attention to details&#10;E) conceptualization of clinical problems

Accepted Answer

comfort with technology. Most clinical nursing instructors belong to a generation different than that of most of their students, who tend to represent the millennial generation and who tend to be more comfortable with technology that those older than they are.

Question 4

An increased reliance on simulation-based learning in the clinical component of nursing courses can be attributed, in part, to&#10;A) &#8593; availability of sophisticated educational technology&#10;B) &#8595; availability of essential clinical experiences&#10;C) &#8593; competition for clinical placements&#10;D) both a and b&#10;E) both b and c

Accepted Answer

both b and c. While the increased availability of educational technology has made possible the use of more sophisticated simulations, the increase in reliance on simulation-based learning as a component of clinical courses is a result of the difficulties encountered in finding suitable clinical placements for students.

Question 5

Students are able to &#34;stop in and out&#34; of nursing programs, allowing them flexibility in completing degree requirements. A major issue for the clinical nursing instructor in relation to this is ensuring that students&#10;A) are motivated to complete program requirements&#10;B) have necessary prerequisite knowledge and skills for the experience&#10;C) remain aware of educational standards guiding clinical experiences&#10;D) continue to form a cohesive learning group&#10;E) are adequately oriented to the clinical facility

Accepted Answer

have necessary prerequisite knowledge and skills for the experience. Clinical experiences have traditionally been tightly aligned with the associated theoretical coursework. As students are able to "stop in and out" of the nursing program, this integration may be lost and students may need to refresh or relearn the theoretical content required for success in the clinical area.

Question 6

Competition for clinical placements often results in a shortened clinical day. This is likely to impact on the student's ability to&#10;A) achieve learning objectives for the experience&#10;B) use time effectively&#10;C) develop a sense of the pace of unit activities&#10;D) communicate adequately with assigned patients&#10;E) function safely in the clinical environment

Accepted Answer

use time effectively. Students have difficulty in setting priorities for their work in the clinical area and are notoriously slow in completing direct care activities. The shortened clinical day tends to exacerbate these difficulties.

Question 7

Shortened hospital stays affect clinical nursing education by&#10;A) providing limited time in which students can develop skills&#10;B) reducing students' exposure to usual illness-recovery trajectories&#10;C) increasing the sense of fragmentation for both patients and students&#10;D) all of the above&#10;E) both b and c

Accepted Answer

all of the above. Repeated experiences in performing a technical skill helps to reinforce learning, and this repetition may be thwarted by the shortened hospital stay of patients students work with. Since much of recovery from an episode of illness takes place in rehabilitation or home settings, students are not exposed to the usual illness-recovery trajectory for many patients. Shortened hospital stays lessen the likelihood of patients developing relationships with health care providers, including students, increasing the sense of fragmented care.

Question 8

Limited health care resources often result in increased reliance on unskilled workers, with nursing care delivered by and through others. This challenges the clinical nursing instructor to&#10;A) decrease the time spent on skill development&#10;B) utilize more off-unit experiences&#10;C) provide students with experience in delegation&#10;D) all of the above&#10;E) all but b

Accepted Answer

provide students with experience in delegation. In order to function in the "real" world in which nursing is practiced, students need to develop the ability to deliver care through others while remaining responsible for patients' response to treatment.

Question 9

The health care system has been described as chaotic. What factors are contributing to this?&#10;A) Economic constraints&#10;B) Political forces&#10;C) Regulatory pressures&#10;D) Technological advances&#10;E) All of the above

Accepted Answer

All of the above. Multiple, often interacting pressures have contributed to the sense that the health care system is chaotic.

Question 10

a shift from a pay-for-services reimbursement model to a pay-for-outcomes model is responsible, in part, for&#10;A) increased need for nurses trained in sophisticated management techniques&#10;B) decreased need for nurses, alleviating the predicted nursing shortage&#10;C) shortened inpatient hospital stays&#10;D) rise in readmission rates due to complications&#10;E) none of the above

Accepted Answer

shortened inpatient hospital stays. The shift to a pay-for-outcomes model of reimbursement for health care services has led to a reliance on length of stay as a primary indicator of efficient and effective care.

Deck 2: The Changing Environment of Clinical Nursing Education