TRENDS CH. 7

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Questions and Answers

Based on data, the nurse interprets which educational program as producing the most graduate nurses annually?

  • Master's and doctoral programs
  • Associate degree program (correct)
  • Baccalaureate program
  • Diploma program

The student nurse interprets which characteristic as one of graduates from a diploma school of nursing?

  • They are prepared to practice in advanced nursing clinical situations.
  • They are well prepared to function in the institution in which the school is located. (correct)
  • Advanced courses in nursing management and leadership apply to advanced degrees in nursing.
  • They have obtained a general education in nursing theory and sciences that can be applied toward an advanced degree.

What type of program is designed for students who prefer to take classes on the Internet?

  • Online degree programs (correct)
  • University-without-walls programs
  • Career ladder programs
  • BSN completion programs

A new graduate wishes to select a program in nursing that will assist in preparation to care for individuals, families, groups, and communities. The new graduate should select a(n)

<p>baccalaureate program. (C)</p> Signup and view all the answers

A master's degree in nursing differs from a generic nursing degree in what way? A master's degree in nursing

<p>requires a level of specialization to be selected. (A)</p> Signup and view all the answers

The nursing student interprets the phrase “an accredited school of nursing" to mean that

<p>this is a voluntary process by which the school demonstrates meeting of standards above the legal requirements. (D)</p> Signup and view all the answers

A nurse is reviewing regulations to practice in different states. Which of the following credentials is interpreted as mandatory to renew periodically in order to legally practice nursing in a particular state?

<p>The nursing license (C)</p> Signup and view all the answers

A new graduate asks the nurse manager, “What's the meaning of this alphabet soup that's added after this nurse's name: Jane Bigham, RN, CRNA?” The best explanation for the nurse manager to give would be: “It means the nurse is licensed to practice in this state and

<p>has met predetermined standards for certification set by a credentialing group for nurse anesthetists.&quot; (C)</p> Signup and view all the answers

A distinction that can be made between nursing licensure and certification is that licensure is

<p>mandatory, and certification is voluntary. (C)</p> Signup and view all the answers

A nurse professor is discussing the different educational tracks for nurses. The professor interprets which track as the most popular in 1980 versus today?

<p>Diploma (A)</p> Signup and view all the answers

A nurse is comparing the diploma program with the associate's degree program. The nurse identifies which of the following as features of the diploma program and different from that of the associate's degree program?

<p>Graduates of the diploma program are often hired into the hospital where they completed their program. (C)</p> Signup and view all the answers

A young parent with small children who has no prior education wants to enroll in a nursing program. The parent has very limited support and resources. Select the best program for this parent based on this above information.

<p>Associates program (D)</p> Signup and view all the answers

A 28-year-old individual has decided to become a nurse as quickly as possible after having worked in business management for 5 years with a master's degree. The person is married and has 3 young children at home. The individual is motivated and has many resources and a supportive spouse. Select that best nursing program for them based on this information.

<p>Accelerated program (A)</p> Signup and view all the answers

Which action by associate degree prepared nurses indicates their understanding of the importance of higher education?

<p>Returning to college for an advanced degree (C)</p> Signup and view all the answers

Which of the following would be the first action that a foreign nurse should take to practice in the United States?

<p>Contact the board of nursing in the personal desired state to practice nursing in. (A)</p> Signup and view all the answers

Select the following statement that describes the current student population.

<p>The student population tends to be older. (A)</p> Signup and view all the answers

Which of the following causes is most likely to contribute to the nursing shortage?

<p>The aging of the nurse faculty population (D)</p> Signup and view all the answers

A group of nurses is discussing how to choose a graduate program. Which of the following statements would be helpful to the nurses as they decide on a graduate program? (Select all that apply.)

<p>“List your career goals and decide what educational preparation you would need to reach these goals.&quot; (A), &quot;Ask yourself how much time you can spend going to school.” (C), “Look at ACEN or CCNE publications.” (D), “Decide whether you are in a position to relocate if the programs you need are not offered in your area.” (E)</p> Signup and view all the answers

A nurse is contemplating the concerns of nursing education in the future. The nurse concludes that the concerns are (Select all that apply.)

<p>the changing student profile, (B), career mobility (C), the aging population, (D), the shift from inpatient to outpatient nursing services, (E)</p> Signup and view all the answers

Which action by health care facilities show implementation of the recommendations set by the Institute of Medicine? (Select all that apply.)

<p>Encourage nurses to be lifelong learners. (B), Implement measures that will offer assistance to nurses who are pursuing doctoral degrees. (C), Set up a reward system for nurses who receive their baccalaureate degree. (E)</p> Signup and view all the answers

The Tri-Council for Nursing Policy recently stated that “every student and nurse should have access to additional nursing education “(AACN, 2012). What changes would educational institutions need to make in order to support this statement? (Select all that apply.)

<p>Implement distance learning (A), Set up simulation labs (C), Expand nursing programs to meet the needs for health care reform (E)</p> Signup and view all the answers

Associate degree programs have brought a change in the type of student who enrolls in the program. Which of the following students are contributing to that change? (Select all that apply.)

<p>A 26-year-old African American woman with two children (B), A 40-year-old man who works steady (C), A 25-year-old Hispanic woman (D), A 28-year-old white man with a master's degree in finance (E)</p> Signup and view all the answers

A student has been deciding between applying for nursing at the community college or a university and ultimately chooses the university. The student has an adequate understanding of the university's baccalaureate program when making which statement(s)? (Select all that apply.)

<p>“I will develop independent nursing judgment.” (A), &quot;I am excited to be involved in research.&quot; (D), “I am excited to learn critical decision-making skills.” (E)</p> Signup and view all the answers

The nurse educator is being interviewed about the many different educational programs that allow nurses to achieve higher education. The educator states that the following educational programs were created based on the recommendation of the Institute of Medicine (Select all that apply.)

<p>&quot;accelerated programs.&quot; (A), “external degree programs.&quot; (B), “BSN completion programs.” (C), “career ladder programs.” (E)</p> Signup and view all the answers

Which statement by a nurse indicates an understanding of online nurse education programs? (Select all that apply.)

<p>The online program requires no travel. (C), The online program provides education for adults who cannot relocate to continue their education. (E)</p> Signup and view all the answers

Flashcards

Highest output of graduate nurses?

Associate degree nursing programs produce the most graduate nurses annually.

Diploma school characteristic?

Hospital-based programs, offering clinical experience and preparing nurses for the location.

Online degree programs

Programs designed for students to take classes via the internet.

Baccalaureate nursing program focus

A program to care for individuals, families, groups, and communities.

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Master's degree distinction

A master's degree in nursing that requires the nurse to have a selected area of specialization.

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Accredited nursing school meaning

A voluntary process where schools meet high educational standards, guaranteeing quality education.

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Nursing license requirement

Mandatory to renew to legally practice nursing in a state.

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CRNA meaning

A registered nurse with certification as a nurse anesthetist.

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Diploma program result?

A program often resulting in being hired into the hospital in which they trained in.

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Foreign nurse's first action in the US

The initial step is to contact the board of nursing in their desired state.

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Cause of nursing shortage?

The aging of nurse faculty is likely to contribute to the nursing shortage.

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Concerns for nursing education

Career mobility, changing student profile, aging population, and inpatient/outpatient shift.

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Healthcare facilities supporting nursing

Rewarding baccalaureate degrees, encouraging lifelong learning, aiding doctoral pursuits.

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Changes in nursing education institutions

Expanding programs, distance learning, and setting up simulation labs.

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Associate degree student body

Older individuals, minorities and a variety of individuals with educational and economical experience

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Focus of baccalaureate programs

Developing critical decision-making skills, independent judgment, and research skills.

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Programs from the Institute of Medicine

BSN completion, career ladder, external degree, and accelerated programs.

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Online program understandings

They provide education for adults who cannot relocate and have no travel requirements.

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Difference between nursing license and certification?

Nursing license are mandatory, and certification is voluntary

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Most popular education in 1980?

Diploma programs were the most popular educational track.

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Result of a diploma program?

Graduates from diploma programs are often hired into the hospital where they completed their program.

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Best program for a young parent with limited support?

Associate's program.

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Best option for a individual with masters?

Accelerated program.

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Higher degree action

Returning to college for an advanced degree.

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Nursing credentials?

Mandatory licensure, voluntary certification.

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Study Notes

Educational Programs for Nurses

  • Associate degree nursing programs began in 1951
  • Since 1951, these programs have grown to over 900, producing the most graduates annually

Most Common Type of Preparation

  • Associate degree programs account for 45.4% of the registered nurse educational preparation
  • Baccalaureate degree programs account for 34.2% of educational preparation
  • Initial preparation in a diploma program accounts for 20.4% of educational preparation

Diploma School of Nursing Characteristics

  • Graduates are well-prepared to function in the institution the school is located
  • Hospital-based programs provide extensive clinical experience
  • Diploma programs may include general education subjects such as biology, physical and social sciences
  • Nursing courses are generally not transferable to an educational institution for advanced degrees
  • Many diploma programs have become degree-granting institutions
  • Graduates are prepared as beginning practitioners in acute, intermediate, long-term, and ambulatory health care facilities
  • These programs do not prepare students to practice or obtain courses in advanced areas of nursing as part of their basic education program

Online Education Programs

  • ADN, BSN, master's, and doctoral degrees are obtainable through online education programs
  • BSN completion programs are baccalaureate programs for students with a diploma or associate degree in nursing
  • Individuals in BSN completion programs hold a current license to practice as a nurse
  • Career ladder programs focus on the articulation of educational programs, permitting advanced placement without credit loss or repetition
  • University-without-walls programs provide students with the opportunity to obtain credit for life, professional experiences, and college-level knowledge/skills to work toward a baccalaureate degree

Baccalaureate Programs

  • Graduates are prepared to provide health promotion and restoration for individuals, families, groups, and communities
  • Care is provided in institutional and community settings.
  • Practical nurses are not prepared to care for varying individuals in different settings
  • Associate-prepared nurses generally continue onto a higher degree upon graduation and aren't as prepared as baccalaureate nurses

Master's Degrees In Nursing

  • A level of specialization must be selected, such as education, administration, or a specific clinical area
  • A nurse can be an educator without a master's degree, but it is preferred
  • A generic degree in nursing prepares the student to become a basic practitioner
  • This generic degree allows students to be eligible to take NCLEX upon graduation from a diploma, associate degree, or baccalaureate nursing program

Accredited Nursing Schools

  • Accreditation is a voluntary process, demonstrating that educational standards are met above legal requirements
  • Accreditation guarantees students the opportunity to gain a quality education
  • Generic, BSN completion, and advanced degree programs obtain accreditation via the Accreditation Commission for Education in Nursing (ACEN)
  • Accreditation Commission for Education in Nursing (ACEN) was formerly the National League for Nursing Accrediting Commission (NLNAC)
  • Accreditation is also obtainable by the Commission on Collegiate Nursing Education (CCNE)
  • The state board of nursing approves or grants the school the right to operate in the state
  • The American Nurses Association is the professional organization for graduates of nursing programs

Nursing Licenses

  • All states require a periodic renewal of a nursing license
  • State requirements vary for obtaining and maintaining nursing licenses
  • Some states may require continuing education credits to renew licenses yearly
  • Other states may consider continuing education credits optional for professional growth
  • Accreditation is a voluntary process for schools to maintain educational standards
  • Certification is voluntarily obtained after the graduate is licensed and meets the criteria to be certified by the respective organization, like the Critical Care Nurse's Association

CRNA Meaning

  • CRNA is a registered nurse with certification as a nurse anesthetist
  • Interest in certification in nursing practice has grown significantly within the past 40 years
  • A nursing license indicates minimum competency
  • A certification credential indicates preparation beyond the minimum level
  • An RN cannot be certified as a rehabilitation nursing assistant, but as a rehabilitation registered nurse
  • Registries for nursing do not provide credentials
  • State board of nursing and a certification board confer credentials to registered nurses

Licensure vs. Certification

  • Licensure is mandatory, and certification is voluntary
  • Educational credentials indicate not only academic achievement but also a minimum level of competency
  • Licensure protects public by requiring demonstration of minimum competency
  • Nurses take the NCLEX Exam for the state board of nursing to get permission to practice nursing
  • Licensure renewal is based on the individual's state of residence requirements
  • Certification renewal depends on the certifying organization
  • Licensure is not approved by the ANA
  • Licensure is approved by the State Board of Nursing belonging to the National Council of State Boards of Nursing
  • Certification does not signify the ability to give safe care
  • Initial licensure as an RN determines a safe, competent practitioner
  • Certification denotes specialization in an area of nursing practice
  • In 1980, diploma programs were the most popular
  • Currently, associate's degrees account for 45.4% of nursing degrees

Diploma vs. Associate's Degree

  • Graduates of diploma programs are often hired into hospitals where they completed the program
  • Graduates of diploma and associate's programs are not restricted in their area of work
  • Wages are not limited by the degree program
  • All nurses take the same licensure exam, regardless of degree program

Young Parents in Nursing Programs

  • Associate's programs are best suited for young parents without prior education, limited support, and resources
  • Associate’s programs are shorter, allowing quick access to the workforce

Accelerated Nursing Programs

  • Accelerated programs are best for individuals with a master's degree because this shows achievement/goals
  • People who want to quickly become a nurse due to motivation, experience, resources and support

Higher Education Importance

  • Associate degree-prepared nurses return to college for an advanced degree
  • Continuing education is not considered higher education
  • Higher education includes baccalaureate, master's, or doctoral degrees

Foreign Nurses

  • Foreign nurses should contact the board of nursing in their desired state to practice
  • The desired state board of nursing will provide information regarding Commission on Graduates of Foreign Nursing Schools (CGFNS) certification, NCLEX examination, and licensure requirements

Current Student Population

  • Tends to be older, married, and with families
  • Minority individuals, foreign students, and poor individuals look to nursing for career opportunities

Nursing Shortage

  • Aging nurse faculty will contribute to shortages
  • About 75% of current faculty is expected to retire by 2019
  • Approximately 1800 full-time faculty members leave their positions each year
  • Retirement of many nursing faculty impacts the ability of programs to have adequate staff

Graduate Program Selection

  • Focus on Accreditation Commission for Education in Nursing (ACEN) or Commission on Collegiate Nursing Education (CCNE) publications
  • Focus on listing career goals
  • Determine how much time can be spent going to school
  • Decide if able to relocate
  • Do not choose schools where friends attend

Concerns in Nursing Education

  • Career mobility
  • Changing student profile
  • Aging population
  • Shift from inpatient to outpatient nursing services
  • General interest in nursing is not a concern at this time

Institute of Medicine Recommendations

  • Health care facilities set up reward systems for nurses who receive a baccalaureate degree
  • Encourage nurses to be life-long learners
  • Implement measures to assist nurses pursuing doctoral degrees.

The Tri-Council for Nursing Policy

  • Every student and nurse needs access to additional nursing education
  • Educational institutions are expanding programs
  • Educational institutions should implement distance learning and simulation labs
  • Increasing program costs and lessening the workload doesn't support the Tri-Council for Nursing Policy

Associate Degree Programs

  • Associate degree programs attract more diverse student populations
  • More diverse populations include older individuals, minorities, and people with all levels of educational/economic experience

Baccalaureate Program Understanding

  • Students will develop critical decision-making skills
  • Students will develop independent nursing judgement
  • Students will be involved in research
  • Baccalaureate programs are 4-5 years and involve liberal arts courses

Institute of Medicine (IOM) Recommendations

  • BSN completion programs
  • Career ladder programs
  • External degree programs
  • Accelerated programs
  • These programs allow nurses to achieve higher education

Understanding Online Nurse Education

  • Online programs provide education for adults who cannot relocate
  • Some programs require a brief visit to campus, but most require no travel
  • They typically offer the full range of nursing programs from an RN, BSN completion programs through a doctoral degree in nursing
  • It is not less work

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