Leddy Peppers Professional Nursing 10th Edition Hood Test Bank

TEST BANK
Leddy and Pepper’s Professional Nursing

10th Edition by Hood
Chapters 1 - 22 Complete
Email me [email protected] to get all chapters in form of pdf
Chapter 1 The Professional Nurse
1. Which of the following could eventually change the historical status of nursing as a female-
dominated profession?
a. More men graduating from baccalaureate and higher degree programs

b. The proportion of men in nursing beginning to increase
c. More male graduates of basic nursing programs entering the workplace
d. Salary compensation increasing to attract more men
ANSWER: C
Feedback
A More men graduating from baccalaureate and higher degree programs is not
the best answer because associate degree programs produce the most new
graduates.
B The percentage of men in nursing has increased 50% since 2000.
C The more men who enter the workplace as nurses, the less nursing will be seen as a
female-dominated profession.
D Salary rates do not appear to relate to the recruitment of men into nursing.
DIF: Cognitive Level: Comprehension REF: MCS: 2
2. The racial and ethnic composition of the nursing profession will change to more accurately
reflect the population as a whole when
a. the increased numbers of racial and ethnic minorities enrolled in educational

programs graduate and begin to practice.
b. the number of Asians or Native Hawaiian-Pacific Islanders begins to increase.
c. the percentage of African-American and Hispanic nurses decreases more than the
percentage of white nurses.

d. the nonwhite portion of the general population decreases.
ANSWER: A
Feedback
A A larger percentage of minorities are enrolled in nursing educational programs
than previously.
B Asians and Native Hawaiian-Pacific Islanders are over represented in nursing
compared to their percentage of the general population.
C Not only would the percentage of African-American and Hispanic nurses need to
increase, the percentage of white nurses would have to decrease in order to
more accurately reflect the population as a whole.
D The nonwhite portion of the general population is not likely to decrease.
3. Which of the following is a correct statement about the registered nurse (RN) population?
a. The racial/ethnic composition of RNs closely resembles that of the general

population.
b. The number of men entering nursing has decreased steadily over the last decade.
c. The rate of aging of RNs has slowed for the first time in the past 30 years.
d. The majority of employed RNs working full time must work a second position.
ANSWER: C
Feedback
A The racial/ethnic composition of RNs is increasing, but does not approximate
their percentage of the overall population.
B The number of men entering nursing is increasing.
C The average age of RNs in both 2004 and 2008 was 46. This is a result of
the numbers of RNs under 30 in the workforce.
D According to 2008 data, only 12% of nurses working full time hold second
positions.

DIF: Cognitive Level: Knowledge REF: MCS: 3
4. Which of the following best describes trends in nursing education?
a. Numbers of RNs with bachelors and higher degrees are increasing.

b. Numbers of RNs with associate degrees are decreasing.
c. Foreign-born nurses practicing in the United States are seen as less
knowledgeable because of their lesser educational preparation.
d. Numbers of RNs with diploma educations are increasing.
ANSWER: A
Feedback
A Slightly over 50% of RNs eventually obtain their bachelors of science in nursing
(BSN) or a higher nursing degree.
B The majority of nurses in this country get their initial nursing education in
associate degree in nursing (ADN) programs.
C Foreign-born nurses practicing in the United States may be viewed as less
knowledgeable by their peers because of language and cultural
differences.
D The numbers of diploma-educated nurses are declining.
5. Despite the variety of work settings available to the RN, data from 2008 indicate that
the primary work site for RNs is
a. ambulatory care settings.

b. community health settings.
c. long-term care facilities.
d. acute care hospitals.
ANSWER: D
Feedback
A Ambulatory care settings account for about 10.5% of RNs places of employment.
B Public health and community health settings account for 7.8% of employed RNs.
C Long-term care facilities account for 5.3% of RNs places of employment.
D Statistics show that 62.2% of RNs work in acute care hospitals.
6. One important advantage of clinical ladder programs for hospital-based RNs is that they
a. allow career advancement for nurses who choose to remain at the bedside.
b. encourage nurses to move into management positions in which they can influence
patient care on a broader scale.
c. encourage RNs to become politically active and guide the profession of nursing.
d. provide training to staff nurses so they can move seamlessly across departments.
ANSWER: A
Feedback
A Clinical ladder programs allow nurses to advance professionally while remaining
at the bedside.
B Clinical ladder programs are designed to keep proficient nurses at the bedside.
C Encouraging RNs to become politically active and guide the profession of
nursing is not the goal of clinical ladder programs.
D Clinical ladder programs are not designed to facilitate transfer
between departments.
7. Which of the following statements is correct about community health nursing (CHN)?
a. Prevention and community education are the cornerstones of CHN.

b. Nursing care is rapidly moving from the home setting to the institutional setting.
c. High-tech care such as ventilators and total parenteral nutrition cannot be handled
in the home.
d. Assessment skills are less important in CHN because patients are not acutely ill.
ANSWER: A
Feedback
A The community health nurse provides educational programs in health
maintenance, disease prevention, nutrition, and child care.
B Care is moving into the home setting.
C Home care is increasing in complexity.
D Community health nurses must have excellent assessment skills as they do not
have the immediate backup that an acute care facility offers.
8. Which of the following is most essential for the nurse entrepreneur to be successful?
a. Ability to take direction well

b. Excellent time-management skills
c. Avoidance of risks
d. A college degree in business
ANSWER: B
Feedback
A Nurse entrepreneurs must function autonomously.
B Nurse entrepreneurs must be well organized and efficient.
C Starting a business involves risk.
D A degree in business is not required to be a nurse entrepreneur.
DIF: Cognitive Level: Analysis REF: MCS: 10
9. The major benefit of serving as a military nurse is
a. broader responsibilities and scope of practice than civilian nurses.

b. working with entirely baccalaureate-prepared peers on active duty.
c. serving as an officer on active duty or in the reserves.
d. the financial support to seek advanced degrees
ANSWER: D
Feedback
A Although military nurses do have broader responsibilities and scopes of practice
than civilian nurses do, this is not the major benefit.
B Although military nurses do work with entirely baccalaureate-prepared peers on
active duty, this is not the major benefit.
C Although military nurses serve as officers on active duty or in the reserves, this is
not the major benefit.
D Advanced education is supported by the military financially and also allows for
promotion in rank at an accelerated pace.
10. Which of the following statements explains why the school nurse of today is truly a
community health nurse?
a. The school nurse may be called on to care for a students family members in
underserved areas.
b. The school nurses primary responsibility is centered on the well child.
c. The school nurses primary responsibility is to maintain immunization records.
d. The school nurse must be certified in CHN.
ANSWER: A
Feedback
A In medically underserved areas a school nurse may be called on to care
for members of a childs immediate family.
B Chronically ill, disabled, and physically challenged students are in regular
classrooms.
C School nurses detect developmental problems; counsel and educate children,
parents, and teachers; and maintain immunization records.
D Although school nurses are considered community health nurses, certification in
community health is not required.
11. What has been found about the outcomes of patients cared for in hospitals with a higher
percentage of BSN-prepared nurses as compared to patients in hospitals with a lower
percentage of BSN-prepared nurses?
a. Patient outcomes are more dependent on nurse-patient ratios.

b. Outcomes were better in hospitals with more BSN-prepared nurses.
c. Outcomes were similar in both types of hospitals.
d. Medical patients had better outcomes, but surgical patients fared the same.
ANSWER: B
Feedback
A Nurse-patient ratio is an important determinant of patient care outcomes but has
not been shown to be more or less important that the percentage of BSN-
prepared nurses providing direct patient care.
B Research by Aiken, et al, (2003) showed that patient outcomes were better in
hospitals where higher percentages of BSN-prepared nurses were employed.
C Research by Aiken, et al, (2003) showed that patient outcomes were better in
hospitals where higher percentages of BSN-prepared nurses were employed.
D Aiken, et al (2003) studied orthopedic, general surgical, and vascular surgery
patients and found the outcomes were improved for these patients in hospitals
with a higher percentage of BSN-prepared nurses.
12. Faith community nursing (FCN) was founded on which of the following premises?
a. Nurses faith beliefs do not play a part in healing.

b. The spiritual aspect takes precedence over the physical body in healing.
c. Spiritual health is central to a persons well-being.
d. Faith community nurses must receive formal training as a minister or clergy.
ANSWER: C
Feedback
A The nurses spiritual journey is believed to be an essential aspect of this nursing
role.
B Patients are treated holistically under FCN.
C FCN is based on the belief that spiritual health is central to well-being.
D Faith community nurses do not need to have formal training as a ministers.
13. One important advantage of the evolution of nursing informatics is that
a. it allows any RN to become a certified informatics nurse.

b. informatics nurses are best able to design systems with the needs and skills of
nurses who use them.
c. informatics nurses will reduce the need for direct caregivers to document care.
d. benefits of informatics advancements include improved patient safety and
increased variability of care.
ANSWER: B
Feedback
A Although all nurses may use informatics, a nurse specializing in informatics
should have a BSN and additional knowledge and experience in the field of
informatics.
B Informatics nurses understand how the information needs to be used and how to
make the systems work for the nurses.
C Direct caregivers will still need to document the care provided.
D Benefits do include improved patient safety, but decreased variability of care
is expected with informatics systems.
14. Which of the following nursing roles is not considered an advanced practice role?
a. Certified nurse-midwife (CNM)

b. Community health nurse
c. Certified nurse practitioner (CNP)
d. Clinical nurse specialist (CNS)
ANSWER: B
Feedback
A A CNM is an advanced practice role.
B The community health nurse is not an advanced practice role.
C CNP is an advanced practice role.
D CNS is an advanced practice role.
15. NPs are advanced practice nurses who
a. are required to have physician collaboration or supervision.

b. function under a set of universal advanced practitioner laws.
c. cannot receive direct reimbursement for their services.
d. can diagnose and treat common and chronic conditions.
ANSWER: D
Feedback
A The laws governing the practice of NPs vary from state to state, including the
degree of supervision required and how they may be reimbursed for their
services.
Chapter 2 The History Behind the Development of Professional Nursing

1. Which early nursing leader founded the first training school for nurses that would
later become a model for early nursing education?
a. Dorothea Dix
b. Florence Nightingale
c. Clara Barton
d. Mary Ann Bickerdyke
ANSWER: B
Feedback
A Dorothea Dix is best known as an advocate for the mentally ill, and she created a
brief training program at two New York hospitals for women who wished to
serve as nurses in the Civil War.
B Florence Nightingale founded the first training school for nurses at St. Thomass
Hospital in London in 1806. This became the model for nursing education in the
United States.
C Clara Barton is known for founding the American Red Cross.
D Mary Ann Bickerdyke is best known for nursing services during the Civil War.
2. Who was the first educated African-American professional nurse?
a. Linda Richards
b. Phoebe Pember
c. Sojourner Truth
d. Mary Eliza Mahoney
ANSWER: D
Feedback
A Linda Richards was the first trained nurse in the United States.
B Phoebe Pember was one of the first women placed in charge of a hospital.
C Sojourner Truth was a famous abolitionist who served as a nurse for the Union
forces in the Civil War.
D Mary Eliza Mahoney was the first African-American professional nurse; she was
educated at the New England Hospital for Women and Children.
3. To which early nursing leader is attributed the founding of the American Red Cross?
a. Clara Barton
b. Dorothea Dix
c. Florence Nightingale
d. Lavinia Lloyd Dock
ANSWER: A
Feedback
A Founding the American Red Cross is attributed to Clara Barton.
B Dorothea Dix was superintendent of women nurses of the Union Army.
C Florence Nightingale was an English pioneer in nursing.
D Lavinia Lloyd Dock was influential in forming the National League for Nursing
(NLN).

4. What were some of the application requirements of nursing education programs in the 1900s?
a. Male, intelligent, strong

b. Female, sensitive, subservient
c. Female, docile, from poor background
d. Male, high breeding, independent
ANSWER: B
Feedback
A Men were not thought to be sensitive enough for nursing.
B Sensitivity, breeding, intelligence, ladylike behavior, and submission to authority
were highly desired personal traits for nursing students.
C High breeding was desirable for nursing education program applicants.
D Men were not desired nursing education program applicants.
5. Which of the following statements best describes how the Chicago Worlds Fair of
1893 became a pivotal point in the history of nursing education in the United States?
a. Florence Nightingales work on sanitation and its relationship to mortality rates

was finally recognized.
b. The organization today known as the NLN was formed to address issues in
nursing education.
c. The American Nurses Association (ANA) was formed to oversee nursing
education in the United States.
d. The International Council of Nurses (ICN) was formed to enhance collaboration
between practicing nurses and educators.
ANSWER: B
Feedback
A Florence Nightingales paper was on scientific training of nurses.
B Several influential nursing leaders met at the Chicago Worlds Fair and started the
National League for Nursing Educationthe precursor to the NLN.
C The NLN, not the ANA, was formed to oversee nursing education in the United
States.
D The ICN was not founded until 1899 and is not involved in U.S. education of
nurses.
6. Which early nursing organization is credited with first recommending state registration
for nurses?
a. ICN
b. NLN
c. ANA
d. National Association of Colored Graduate Nurses
ANSWER: A
Feedback
A The ICN was formed to unite all nursing organizations. The topic of the first
meeting was registration for nurses by each country and state.
B The NLN was formed to oversee nursing education in the United States.
C The ANA was formed to enhance collaboration between practicing nurses and
educators.
D The National Association of Colored Graduate Nurses was formed to develop
leadership among African-American nurses.
7. Which of the following nursing leaders, because of her work in the Henry Street
Settlement, is considered the founder of public health nursing?
a. Margaret Sanger
b. Clara Barton
c. Lillian Wald
d. Lavinia Lloyd Dock
ANSWER: C
Feedback
A Margaret Sanger is known for her work on birth control with immigrant women
from the Lower East Side of New York City.
B Clara Barton founded the American Red Cross.
C Lillian Wald founded the Henry Street Settlement, the first formalized public
health nursing project.
D Lavinia Lloyd Dock was instrumental in the formation of the NLN.
8. Despite the caring efforts of early public health nurses in the Henry Street Settlement,
racial disparity left many people underserved. Which of the following African-American
public health nurses was instrumental in providing excellent nursing care to underserved
families despite these social challenges?
a. Jessie Sleet Scales

b. Margaret Sanger
c. Lavinia Lloyd Dock
d. Anita M. McGee
ANSWER: A
Feedback
A Jessie Sleet Scales established the Stillman House, a part of the Henry Street
Settlement that provided care to African Americans.
B Margaret Sanger worked to provide immigrant women on the Lower East Side of
New York City with birth control information.
C Lavinia Lloyd Dock founded the NLN.
D Anita M. McGee was a physician appointed as head of the Hospital Corps, who
recruited nurses for the Spanish-American War of 1898.
9. Which one of the following events occurring during the first decade of the twentieth
century brought sweeping changes to nursing?
a. It was required that all practicing nurses be licensed.

b. Permissive licensing laws allowed registered nurses (RNs) to practice without a
license if they registered with the state.
c. All states required a standardized licensing examination.
d. Nurses had to pass a licensing examination to use the title RN.
ANSWER: D
Feedback
A Practicing nurses did not have to be licensed but could not use the title.
B Permissive licensing laws required all nurses using the title RN to be licensed.
C Licensing examinations were not standardized until 1950.
D Licensure laws were passed that required all people using the title of RN to be
licensed.
10. What was the most significant impact on the profession of nursing made by
Mary Breckenridge in her role as a frontier nurse?
a. She demonstrated that nurses could provide primary care in rural settings.
b. She demonstrated that female nurses could protect themselves in unsettled rural
environments.
c. She demonstrated that nurses were capable of teaching new mothers to care
for babies.
d. She demonstrated that nurses could provide care to many clients despite
geographic boundaries.
ANSWER: A
Feedback
A Mary Breckenridge established frontier nursing services. She provided primary
care to women and babies and demonstrated that nurses could provide
primary care.
B Safety was not the primary impact of the success of frontier nursing.
C Although she was a nurse-midwife, this was not the most significant impact.
D Demonstrating that nurses could provide care to many clients despite geographic
boundaries was not the most significant impact made by Mary Breckenridge.
11. Which of the following trends in health care delivery that began in the second half of
the twentieth century continues today?
a. Widespread use of team nursing to address the nursing shortage

b. Massive movement of nurses out of acute care and into home care
c. Advent of primary care to replace specialized care
d. Provision of care to the poor, elderly, and disabled through Medicare
and Medicaid
ANSWER: D
Feedback
A Team nursing is rarely used today.
B More nurses work in acute care today than in home care.
C After World War II, specialization became popular.
D Two amendments to the Social Security Act in 1965 designed to ensure access to
health care for elderly, poor, and disabled Americans were the establishment of
Medicare and Medicaid.

12. A recent trend in nursing has been an increase in the number of men and women with
degrees in other fields or other careers applying to nursing programs. What is the single
most important reason for this trend?
a. Nursing as a career has gained increased status and prestige.

b. Nursing salaries have outpaced many other fields.
c. A nursing career provides both job security and meaningful employment.
d. Working conditions in nursing have improved.
ANSWER: C
Feedback
A While true, nursings increased status and prestige is not a significant factor in the
trend of people choosing it as a second career.
B Salary is not a major factor.
C The current appeal to men and women with degrees in other fields is that nursing
can provide job opportunities, economic security, and the opportunity to help
others.
D Working conditions are not identified as a reason for choosing a second career in
nursing.
13. What specialty of nursing was considered well suited for men at a time when other
areas were excluding men from practicing?
a. Obstetric nursing
b. Pediatric nursing
c. Psychiatric nursing
d. Nurse educator
ANSWER: C
Feedback
A Obstetric nursing was not considered an appropriate area for men in nursing.
B Pediatric nursing was not considered an appropriate area for men in nursing.
C Psychiatric nursing was considered well suited for men because it required physical
stamina and strength.
D Education was not a specialty considered well suited for men in nursing.
14. When surveyed, what is the primary reason given by men for entering nursing?
a. To make a difference
b. High salaries
c. Flexible schedules
d. Opportunity for travel
ANSWER: A
Feedback
A Men who want to make a difference in peoples lives find nursing an appealing
career choice
B Economic and job security are important factors for men entering nursing, but more
significant is the opportunity to make a difference in peoples lives.
C Flexible schedules, where provided, are an attractive incentive for employment,
but that is not as significant as being able to make a difference in peoples
lives.
D Opportunity for travel is available for travel and military nurses, otherwise it is
not an important aspect of nursing as a career.
15. What was the purpose of the Hill-Burton Act?
a. It established funding for the construction of hospitals.

b. It provided women in the service with military rank.
c. It established and funded the Frontier Nursing Service.
d. It created the Cadet Nurse Corps.
ANSWER: A
Feedback
A The 1946 Hill-Burton Act provided funding for the construction of hospitals.
B Congress passed a bill in 1920 that allowed women to hold military rank.
C The Frontier Nursing Service, originally known as the Kentucky Committee for
Mothers and Babies, was established by Mary Breckinridge.
D The Cadet Nurse Corps was an alliance between military and collegiate nursing
programs to train nurses and was funded by Congress.
16. When surveyed, which profession was chosen by the general public as highest in honesty
and ethics?
a. Physician
b. Pharmacist
c. Nurse
d. Attorney
ANSWER: C
Feedback
A Physicians were not ranked over nurses.
B Pharmacists were not ranked over nurses.
C Gallup polls from 1999 to 2010 rated nursing as the top profession in honesty
and ethics.
D Attorneys were not ranked over nurses in honesty and ethics. DIF:
Cognitive Level: Knowledge REF: MCS: 40

17. In 2002 which major American corporation partnered with nursing to design a
media campaign to promote the image of nursing?
a. Johnson & Johnson

b. Baxter
c. Microsoft
d. Wal-Mart
ANSWER: A
Feedback
A In 2003 Johnson & Johnson began a $20 million campaignCampaign for
Nursings Futureto enhance the image of nursing, to recruit new nurses
and educators, and to retain nurses.
B Baxter did not launch a media campaign to promote the image of nursing.
C Microsoft did not launch a media campaign to promote the image of nursing.
D Wal-Mart did not launch a media campaign to promote the image of nursing.
18. A shift in population growth is expected to place stress on nursing resources. Which
age- group is expected to experience the greatest population growth in the next
decade?
a. Older than 85 years of age

b. 75 to 85 years of age
c. 35 to 65 years of age
d. 18 to 35 years of age
ANSWER: A
Feedback
A People older than 85 years, known as the very old, represent the fastest-growing
segment of the total population.
B Although the 75 to 85 age-group is growing, it is not the fastest-growing segment
of the population.
C The group of individuals 35 to 65 years of age is not expected to grow as
dramatically as is the group termed very old.
D The 18 to 35 age-group is not expected to be the fastest-growing segment of the
population in the next decade.
19. In which practice area was the first clinical nurse specialist (CNS) role developed?
a. Mother-baby
b. Psychiatric nursing
c. Intensive care nursing
d. Emergency nursing
ANSWER: B
Feedback
A The first CNS role was developed in psychiatric nursing in the 1960s.
B The first CNS role was developed in psychiatric nursing in the 1960s.
C The first CNS role was developed in psychiatric nursing in the 1960s.
D The first CNS role was developed in psychiatric nursing in the 1960s.
20. Which of the following was an unsuccessful attempt by the American Medical
Association (AMA) to alleviate the nursing shortage of the time?
a. Creation of the nurse manager position

b. Creation of the registered care technician
c. Recruitment of RNs from English-speaking countries
d. Redistribution of qualified nurses to certain geographic locations
ANSWER: B
Feedback
A The nurse manager position was not created by the AMA.
B In response to the nursing shortage in the late 1980s, the AMA proposed a nurse
extender called the registered care technician.
C The recruitment of foreign nurses was not a proposal of the AMA.
D Travel nursing was not a proposal of the AMA.
21. The first trained nurse in the United States graduated in 1873 and later became
the supervisor of the Boston Training School. Who was this nurse?
a. Mary Ann Bickerdyke

b. Dorothea Dix
c. Linda Richards
d. Sallie Thompkins
ANSWER: C
Feedback
A Mary Ann Bickerdyke was an uneducated widow who organized the camp
hospital in Cairo, Illinois, during the Civil War.
B Dorothea Dix, a well-known advocate for the mentally ill, was instrumental in
creating a month-long training program in two New York hospitals to train
women wishing to serve in the Civil War.
C In 1872 Linda Richards became the first student to enroll in the inaugural class of five
students in the first American nurses training school run by Dr. Susan Dimock. She
graduated 1 year later.
D Sallie Thompkins established a hospital in Richmond, Virginia, and was
commissioned a captain of Cavalry, unassigned by Confederate
President Jefferson Davis.

22. During the Great Depression, staffing of hospitals changed with an impact lasting to
the current day. What was this change?
a. The employment of graduate nurses in hospitals

b. The need for increased private duty nurses and rural health nurses decreased
the number of nurses seeking employment in hospitals
c. The opening of more schools of nursing in hospitals
d. The increased number of collegiate schools of nursing, which allowed hospitals to
increase the educational requirements for the staff
ANSWER: A
Feedback
A Hospitals were forced to close their schools of nursing; families were no longer
able to afford private duty nurses in their homes; and hospitals hired the
unemployed graduate nurses to care for the increased numbers of patients
seeking care in hospitals.
B Although there was a need for nurses in rural areas supported by the Civil Works
Administration, the number of private duty nurses decreased due to the
inability of families to afford them.
C For economical reasons, hospitals could not afford to fund schools of nursing.
D Although the number of collegiate schools increased, most nurses in hospitals were
prepared in diploma programs.
23. What was the most important influence of war on nursing?
a. It allowed for the development of hospitals.

b. Nurses were able to perform medical procedures during war.
c. Improved medical care increased soldiers survival rates.
d. It provided for the creation of new technology to make work easier.
ANSWER: B
Feedback
A Wars allowed nurses to stretch the boundaries of their profession. Nurses have
led the way in furthering their discipline by responding to needs during
wartime.
B Wars allowed nurses to stretch the boundaries of their profession. Nurses have
wartime.
C Wars allowed nurses to stretch the boundaries of their profession. Nurses have
wartime.
D Wars allowed nurses to stretch the boundaries of their profession. Nurses have
wartime.
24. Florence Nightingale is often credited as being the first nurse researcher. This designation
is based on
a. her methods of reorganizing British hospitals.

b. her use of data on the morbidity and mortality of soldiers in hospitals in Scutari.
c. demonstration that trained nurses provided better nursing care.
d. publication of Notes on Nursing, the first scholarly nursing publication.
ANSWER: B
Feedback
A Although Nightingale reformed both the British Army and British civilian hospitals
on the basis of data she collected, the reformations were not researched.
B Nightingale was educated in statistics and used the detailed data collected
to effectively argue the case for the reform of the British Army hospital
system.
C Nightingale founded the first training school after she had gained fame based on
the hospital reforms supported by her data collection during the Crimean War.
D The publication reflected Nightingales philosophical thoughts on nursing.
25. The nursing profession is responsible for improving its own image. The most
effective avenue for changing the image of nursing is to
a. write letters expressing concerns to those responsible for negative images on
television and in films.
b. have nurses as consultants to the media to ensure that the media producers have
accurate information about nursing.
c. have nurses appear and behave professionally and explain what nurses do in
each patient interaction.
d. support the Johnson & Johnson campaign by distributing their information about
nursing to students interested in nursing.
ANSWER: C
Feedback
A While appropriate, writing letters to professionals in television and film is not the
most effective avenue for changing the image of nursing.
B While appropriate, having nursing consultants to the media is not the most
effective avenue for changing the image of nursing.
C The major avenue for changing the image of nursing occurs one nurse-patient
encounter at a time, where nurses look and behave professionally and
demonstrate what it is nurses do.
D While supporting Johnson & Johnsons Campaign for Nursings Future is
appropriate, it is not the most effective avenue for changing the image of
nursing.
DIF: Cognitive Level: Application REF: MCS: 42
26. The diversity of the population entering the health care system is a challenge for
nurses because
a. the portion of minorities in nursing is greater than the portion of minorities in the
general population.
b. educators are culturally competent leaders for nurses and students.
c. lessons about culture and cultural differences are not part of progressive
education programs.
d. ethnic minority group nurses are approximately 12% of nurses.
ANSWER: D
Feedback
A Only 12% of nurses are minorities, but approximately 31% of the general
population is identified as a minority.
B Managers, educators, and other nursing leaders will require training so they can
be culturally competent leaders for nurses and students who may have
backgrounds different from their own.
C Culture and cultural differences are part of progressive education programs.
However, understanding of health and illness in the context of cultural heritage is
not consistently addressed in the health care system.
D Approximately 1 in 10 nurses identify themselves as a member of a minority
group. This might make it difficult for patients who identify as ethnic minorities
to feel comfortable or confident with the health care system.
27. Biomedical technology involves the use of complex machines or devices in patient care
situations. Because of the highly technological environment in which nurses work, it is
important that nurses
a. assume total responsibility for monitoring data generated by these devices.

b. use human touch and words of reassurance frequently to convey caring.
c. maintain the devices safety by assuring routine assessment by physicians.
d. be careful not to frighten the patient and family with information about the
device.
ANSWER: B
Feedback
A The monitoring and safety of machines and devices are most often the
responsibility of nurses and technicians.
B The use of technology needs to be combined with caring to maintain patient and
family satisfaction. Technology must never take the place of human-to-human
contact.
C The monitoring and safety of machines and devices are most often the
responsibility of nurses and technicians.
D The patient and family need information about the use of the device, as well as
the meaning of the information produced, to decrease stress and anxiety.
DIF: Cognitive Level: Application REF: MCS: 46
28. Margaret Sanger, as a nurse and activist, worked on the Lower East Side of New York
City in the early 1900s with immigrant women. What was the focus of her work?
a. Sanitation to prevent disease transmission

b. Health education for children
c. Providing nursing care to underserved African-American families
d. Safe contraception and family planning for women
ANSWER: D
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A Sanitation to prevent disease transmission may have been part of her work in her
early years, but Sanger devoted her life to the birth control movement and
became a national figure in that cause.
B Health education for children may have been part of her work in her early years,
but Sanger devoted her life to the birth control movement and became a
national figure in that cause.
C Providing nursing care to underserved African-American families may have been
part of her work in her early years, but Sanger devoted her life to the birth
control movement and became a national figure in that cause.
D Margaret Sanger, inspired by the death of an immigrant woman from a self-
attempted abortion, became determined to teach women about birth
control.
Chapter 3 Contextual, Philosophical, and Ethical Elements of Professional Nursing

1. Which of the following was recognized earliest as a true profession?
a. Ministry
b. Teaching
c. Social work
d. Engineering
ANSWER: A
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TEST BANK

Leddy and Pepper’s Professional Nursing

a. More men graduating from baccalaureate and higher degree programs

DIF: Cognitive Level: Comprehension REF: MCS: 2

a. the increased numbers of racial and ethnic minorities enrolled in educational

Email me [email protected] to get all chapters in form of pdf

DIF: Cognitive Level: Comprehension REF: MCS: 3

a. The racial/ethnic composition of RNs closely resembles that of the general

Email me [email protected] to get all chapters in form of pdf

4. Which of the following best describes trends in nursing education?

a. Numbers of RNs with bachelors and higher degrees are increasing.

DIF: Cognitive Level: Knowledge REF: MCS: 4

a. ambulatory care settings.

DIF: Cognitive Level: Knowledge REF: MCS: 5

DIF: Cognitive Level: Comprehension REF: MCS: 7

a. Prevention and community education are the cornerstones of CHN.

DIF: Cognitive Level: Comprehension REF: MCS: 9

a. Ability to take direction well

DIF: Cognitive Level: Analysis REF: MCS: 10

9. The major benefit of serving as a military nurse is

a. broader responsibilities and scope of practice than civilian nurses.

DIF: Cognitive Level: Comprehension REF: MCS: 13

DIF: Cognitive Level: Comprehension REF: MCS: 13

a. Patient outcomes are more dependent on nurse-patient ratios.

DIF: Cognitive Level: Knowledge REF: MCS: 7

a. Nurses faith beliefs do not play a part in healing.

DIF: Cognitive Level: Comprehension REF: MCS: 16

13. One important advantage of the evolution of nursing informatics is that

a. it allows any RN to become a certified informatics nurse.

a. Certified nurse-midwife (CNM)

DIF: Cognitive Level: Comprehension REF: MCS: 17

15. NPs are advanced practice nurses who

a. are required to have physician collaboration or supervision.

Chapter 2 The History Behind the Development of Professional Nursing

DIF: Cognitive Level: Knowledge REF: MCS: 25

2. Who was the first educated African-American professional nurse?

DIF: Cognitive Level: Knowledge REF: MCS: 27

DIF: Cognitive Level: Knowledge REF: MCS: 26

a. Male, intelligent, strong

DIF: Cognitive Level: Knowledge REF: MCS: 27

a. Florence Nightingales work on sanitation and its relationship to mortality rates

DIF: Cognitive Level: Comprehension REF: MCS: 28

DIF: Cognitive Level: Knowledge REF: MCS: 28

DIF: Cognitive Level: Knowledge REF: MCS: 28

a. Jessie Sleet Scales

DIF: Cognitive Level: Comprehension REF: MCS: 29

a. It was required that all practicing nurses be licensed.

DIF: Cognitive Level: Comprehension REF: MCS: 30

DIF: Cognitive Level: Comprehension REF: MCS: 32

a. Widespread use of team nursing to address the nursing shortage

DIF: Cognitive Level: Comprehension REF: MCS: 34

a. Nursing as a career has gained increased status and prestige.

DIF: Cognitive Level: Knowledge REF: MCS: 39

DIF: Cognitive Level: Knowledge REF: MCS: 37

DIF: Cognitive Level: Knowledge REF: MCS: 38

15. What was the purpose of the Hill-Burton Act?

a. It established funding for the construction of hospitals.

DIF: Cognitive Level: Knowledge REF: MCS: 33

Cognitive Level: Knowledge REF: MCS: 40

a. Johnson & Johnson