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

Question 1

Which experience is best designed to support a nursing student's preparation for interprofessional team participation?

A) Attending a seminar on interprofessional team cooperation
B) Completing a preceptorship with an advanced practice nurse
C) Carrying for three patients with varying medical diagnoses
D) Presenting patient information at the daily care planning meeting

Answer 1

Presenting patient information at the daily care planning meeting

Question 2

What term is used to identify that a student nurse's competency is determined based on actual client care rather than traditional testing methods?

A) Core practice competencies
B) Continuing competence
C) Distance learning
D) Performance-based assessment

Answer 2

Performance-based assessment

Question 3

When focusing on addressing issues identified by the 2000 Institute of Medicine report,the nursing faculty will access information associated with which initiative?

A) Quality and Safety in Nursing Education
B) Competency Outcomes and Performance Model (COPA)
C) The National Organization of Nurse Practitioner Faculties (NONPF)
D) Academic Center for Evidence-Based Practice (ACE)

Answer 3

Quality and Safety in Nursing Education

Question 4

What demographic change has the greatest impact on the practice of nurses,nursing students,and faculty?

A) The increasing percentage of adults aged 50-55 years
B) Increasing numbers of obese children and adults
C) Changes responsible for families becoming more nuclear
D) Social programs that are essentially eliminating poverty

Question 5

Which nursing model is referred to as the "class without walls" since it is not limited by geographic location?

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

Question 6

Which factor has steadily grown in its negative influence on nursing education and practice?

A) The implementation of technology
B) The narrowing scope of nursing practice
C) Societal displays of incivility
D) Distant learning programs

Question 7

The number of reported medical errors demonstrates a need for what priority intervention?

A) Simulation experiences
B) Performance competency exercises
C) Comprehensive instructor-constructed examinations
D) Detailed care planning exercises

Question 8

Which trend is an effect of the nursing shortage on nursing education and ultimately a safety issue regarding client care?

A) Only devoted qualified nurses are continuing to provide bedside nursing because of the complexity of care required,resulting in excellent client care.
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 9

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 what characteristic of the nursing profession?

A) Educational mobility
B) Transitioning
C) Creative scheduling
D) Flexible progression

Question 10

Which statement accurately describes the focus of the various types of nursing programs?

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 11

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

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

Question 12

The NCLEX examination is created and administered by which nursing body?

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 13

A person interested in employment in the health care sector has less than 1 year to devote to education and wants to focus on functional aspects of patient care 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 14

When preparing to complete a competency examination involving a neurologic assessment in a simulation laboratory,the nurse reviews the critical elements,which consist of what components?

A) The steps that propose a risk of injury or death to a client
B) The required criteria incorporated into the assessment for the desired outcome
C) The fundamental strategies unique to complex dynamic care environments
D) The objective data used to determine the likelihood that the client will recover

Question 15

Although the use of technology and the Internet provide nursing faculty and students with unlimited resources and current information,what undesirable outcome has become associated with this trend?

A) Getting distracted and spending a disproportionate amount of time looking for relevant content
B) Additional time must be made available to study and revise curricula because special skills are 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 underdeveloped.

Question 16

A nurse uses that health care concern as an example to best describe globalization of health care needs?

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 member of a nursing students study group comments,"We spend some time early in the class discussing key facts then most of the time working through case studies,then practicing on the simulator rather than caring for 'real' patients." This teaching-learning style represents what form of nursing education?

A) Skill-based learning
B) Objective Structured Clinical Examinations (OSCE)
C) Peer-to-peer learning
D) Practice-based competency

Question 18

A student asks,"What are core competencies?" The nursing instructor demonstrates an understanding of core competencies when providing what response?

A) "They are a part of a trend used in nursing education to reduce attrition in prelicensure students."
B) "They are the skills necessary to provide for safe,competent nursing practice."
C) "They are remediation for students is unable to perform psychomotor skills correctly."
D) "They are critical thinking exercises aimed to improve reading and math skills."

Question 19

A new trend in nursing education that is consistent with real-world practice is focused on what activity?

A) Establishing appropriate outcomes
B) Writing both cognitive and affective objectives
C) Designing patient-centered clinical goals
D) Deciding upon effective subjective appraisals

Question 20

What was the first university to establish a department of nursing to offer nursing graduates a baccalaureate degree?

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

Question 21

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

Question 22

A nurse is concerned that the policy of using povidone-iodine 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 is engaging in what activities? (Select all that apply. )

A) Applying evidence-based practice to the clinical setting
B) Using critical thinking to change procedures performed in the care of foot ulcers
C) Is participating in research to provide cost-effective care (soap is less expensive than povidone-iodine)
D) Is demonstrating 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 23

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