Chapter 25: The Future of Nursing

Chapter 25: The Future of Nursing

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Which are past events that have affected the development of professional nursing?

1. The entertainment industry
2. Presidential elections
3. Social movements
4. Natural disasters

Correct Answer: 3

Rationale: Social movements and technological advancements have directly affected professional nursing development. World War II and the period following were times of major change for health care, for nursing, and for women. WWII caused a shortage of nurses due to many women choosing “war workers men’s jobs” due to increased pay and the challenge of the work. The entertainment industry, presidential elections, and natural disasters have not directly affected the development of professional nursing.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: V.6. Explore the impact of socio-cultural, economic, legal, and political factors influencing healthcare delivery and practice.

NLN Competencies: Knowledge and Science; Practice; Systematically reflect on practice as a basis for the generation of new knowledge and innovation

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Identify past events that have shaped and molded nursing.

Page Number: p. 477

Question 2

For which reason was the 2-year associate degree in nursing developed?

1. Distance education
2. Nursing shortages
3. Advanced practice roles
4. Consumerism

Correct Answer: 2

Rationale: In response to the WWII nursing shortage and in line with the desire of professional nursing organizations in the United States to advance nursing’s professional standing, a 2-year associate degree nursing program was developed for the junior/community colleges. The other options did not influence the development of the associate degree.

Cognitive Level: Remembering

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: V.6. Explore the impact of socio-cultural, economic, legal, and political factors influencing healthcare delivery and practice.

NLN Competencies: Knowledge and Science; Practice; Systematically reflect on practice as a basis for the generation of new knowledge and innovation

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Identify past events that have shaped and molded nursing.

Page Number: p. 477

Question 3

The inability to reach consensus on the “entry into practice” preparation for nursing has caused which outcome?

1. A unified approach to professional regulation and licensure
2. Differentiated practice
3. Divisiveness among nurses with different educational preparation
4. The current nursing shortage

Correct Answer: 3

Rationale: As professional nursing moved toward the goal of requiring the baccalaureate degree as the minimum credential for professional practice, RN-BSN transition programs were developed to enable the ADN nurse to move upward. RN-MSN programs have also been developed to enhance career mobility. Although these developments have advanced nursing, the continued inability to reach consensus on the “entry into practice” preparation for nursing has resulted in divisiveness among nurses with different educational preparation.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: V.6. Explore the impact of socio-cultural, economic, legal, and political factors influencing healthcare delivery and practice.

NLN Competencies: Knowledge and Science; Practice; Systematically reflect on practice as a basis for the generation of new knowledge and innovation

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Identify past events that have shaped and molded nursing.

Page Number: p. 478

Question 4

What has caused nurses’ responsibilities in the hospital to broaden over the years?

1. Higher graduation rates from colleges of nursing
2. NCLEX standards
3. An edict from the National Council of State Boards of Nursing
4. Technological advances

Correct Answer: 4

Rationale: The electronic health record is rapidly becoming the norm. Instead of spending hours on manual recording, the nurse can spend that time with the client. Because the computer is often in the hospital room, at the clinic, or even in the home, the client can also share and participate in the development of the record. Increased graduates from schools of nursing would increase the numbers of available nurses in the workplace and decrease the workload on individual nurses. The NCLEX test is to test basic safe practice for a nurse entering the workplace, and does not determine the nurses’ responsibilities once employed. The National Council of State Boards of Nursing are involved in the licensure processes of nurses and not job related responsibilities within the workplace.

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: V.6. Explore the impact of socio-cultural, economic, legal, and political factors influencing healthcare delivery and practice.

NLN Competencies: Knowledge and Science; Practice; Systematically reflect on practice as a basis for the generation of new knowledge and innovation

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Identify past events that have shaped and molded nursing.

Page Number: p. 479