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Chapter 5: The Evolution of Licensure, Certification, and Nursing Organizations
MULTIPLE CHOICE
1.What measure can nurses use to establish a nurse support network?
| A) | Insist that all nurses follow the same path to success. |
| B) | Avoid criticizing each other in public. |
| C) | Set very high standards for care. |
| D) | Advocate for a multi-entry level education system. |
ANS:BPTS:1DIF:Medium
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment
2.What is the primary goal for establishing licensure of nurses?
| A) | Guarantee high-quality nurses. |
| B) | Increase tax revenues for the state. |
| C) | Set a minimum level of competency to protect the public. |
| D) | Maintain high numbers of nurses in the profession. |
ANS:CPTS:1DIF:Medium
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment
3.Identify the basic requirement found in a mandatory nurse practice act.
| A) | Nurses must be employed under the general supervision of a licensed physician. |
| B) | Nurses must be currently licensed in the state where they wish to practice nursing. |
| C) | Nurses must graduate from a school accredited by a national nursing organization. |
| D) | Nurses must be enrolled at least yearly in courses approved by the state to meet requirements for continuing education. |
ANS:BPTS:1DIF:Medium
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment
4.What is the primary form of RN licensure currently used in the United States?
| A) | Optional |
| B) | Compulsory |
| C) | Customary |
| D) | Traditional |
ANS:BPTS:1DIF:Easy
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY:Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment
5.In relationship to a profession, what is the primary purpose of professional organizations?
| A) | Collect dues and fund research. |
| B) | Monitor professional practice and discipline incompetent practitioners. |
| C) | Fund political actions groups. |
| D) | Establish standards for maintaining high-quality practice in the profession. |
ANS:DPTS:1DIF:Medium
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Integrity
6.Which term is used to identify the listing of names of individuals on an official roster when they have met certain pre-established criteria?
| A) | Certification |
| B) | Licensure |
| C) | Registration |
| D) | Practitioner |
ANS:CPTS:1DIF:Medium
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment
7.Identify the primary function of permissive licensure.
| A) | Protects only the title “Registered Nurse” |
| B) | Allows anyone to use the title “Registered Nurse” |
| C) | Used by states to maintain quality and control over nurses |
| D) | Allows institutions to use foreign nurses as RNs |
ANS:APTS:1DIF:Hard
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Evaluation | Integrated Process: Evaluation | Client Need: Physiological Integrity
8.Select the most serious problem encountered when institutional licensure is used.
| A) | The standards are too difficult for most nurses to meet. |
| B) | It makes moving from one institution to another more difficult. |
| C) | Many qualified individuals are excluded from the profession. |
| D) | There are no external controls to determine a minimum level of ability. |
ANS:DPTS:1DIF:Hard
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY:Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment
9.What type of credentialing indicates that an individual has achieved a high level of expertise and knowledge in an area of practice?
| A) | Licensure |
| B) | Certification |
| C) | Professionalism |
| D) | Registration |
ANS:BPTS:1DIF:Medium
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment
10.Identify the primary purpose of the National League for Nursing.
| A) | Establish standards of practice to ensure high-quality care. |
| B) | Maintain and improve the standards of nursing education. |
| C) | Increase the political power of nurses to influence legislation. |
| D) | Prevent unqualified nurses from practicing in hospitals. |
ANS:BPTS:1DIF:Easy
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment
11.Identify a primary goal of the American Nurses Association.
| A) | Promote the professional growth and development of all nurses. |
| B) | Maintain and improve the standards of nursing education. |
| C) | Limit access to health-care services to individuals in need. |
| D) | Control the independence of practice by nurses to those with BS degrees. |
ANS:APTS:1DIF:Easy
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment
12.Which group composes the primary membership in the American Nurses Association?
| A) | Schools of nursing |
| B) | Health-care facilities such as hospitals |
| C) | Individual nurses |
| D) | State nursing organizations |
ANS:DPTS:1DIF:Medium
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment
13.Identify a key service provided by the American Nurses Association.
| A) | Accrediting schools of nursing |
| B) | Improving the standards for higher education in nursing |
| C) | Improving health and nursing care throughout the world |
| D) | Testing and certifying advanced practice nurses |
ANS:DPTS:1DIF:Easy
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY:Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment
14.What is the primary goal of the National Student Nurses Organization?
| A) | Changing curricula in schools of nursing to allow more students to graduate |
| B) | Eliminating poor and unprofessional nursing professors from schools of nursing |
| C) | Maintaining high standards of education in schools of nursing |
| D) | Keeping unqualified students from entering the profession |
ANS:CPTS:1DIF:Medium
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment
15.What is the most significant benefit to a student who belongs to the National Student Nurses Association?
| A) | Receiving the official publication, Imprint, along with the membership |
| B) | Experiencing firsthand the operation, activities, and professionalism of a national organization |
| C) | Obtaining one of the many large cash scholarships available through the organization |
| D) | Joining an elite group that has a great deal of power and a wide range of control over other students |
ANS:BPTS:1DIF:Medium
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment
16.Identify the primary advantage that grassroots organizations have over large, well-established organizations.
| A) | Members are very passionate about only one or two issues. |
| B) | The organization is usually well funded from local sources. |
| C) | Membership is drawn from a diverse, more representative population. |
| D) | The organization deals with issues that have national significance. |
ANS:APTS:1DIF:Hard
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment
17.Why is it important to determine if the goals and purposes of a specialty organization are at odds with the goals and purposes of the American Nurses Association?
| A) | Divergent goals produce better dialog between groups of nurses to improve both the quality and the options for care. |
| B) | Nurses will have a choice between several distinct options and can make more informed decisions about which organization to belong to. |
| C) | Legislators can become easily confused if they receive conflicting information from several different groups of nurses. |
| D) | The health-care system has become so complex that only a wide range of options for the provision of health care can successfully be used. |
ANS:CPTS:1DIF:Hard
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment
COMPLETION
1.Fill in the blanks with the correct word(s) to complete the following statement:
One of the most important factors in recent changes that have occurred in the health-care system is demands by __________ __________ for higher quality care.
ANS: health-care; consumers
PTS:1DIF:Medium
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment
2.Fill in the blanks with the correct word(s) to complete the following statement:
The primary driving force in the history of the development of licensure for nurses was _____________ _____________ of nursing care and protection of the public.
ANS: inconsistent; quality
PTS:1DIF:Hard
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment
MULTIPLE RESPONSE
1.Select all of the items characteristics of the New York State Licensure Bill of 1904.
| A) | Required hospitals to accept nursing students for training |
| B) | Required nursing schools to be registered with the state board of regents |
| C) | Formulated rules for the examination of nurses |
| D) | Established the minimum length of basic nursing programs at 1 year |
| E) | Established a State Board of Nursing |
ANS:B, C, EPTS:1DIF:Hard
TOP: The Evolution of Licensure, Certification, and Nursing Organizations
KEY:Cognitive Domain: Analysis | Integrated Process: Implementation | Client Need: Safe and Effective Care Environment
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