Alternative Careers In Nursing

~ Exam ~

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This test has 25 questions.

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1. In ancient civilizations (around 750 B.C.) care of the sick outside the home was delegated to:
  a. Widows.
  b. Men.
  c. Outcast women, such as prisoners and prostitutes.

  d. Both a and c
2. During the Reformation of the sixteenth century the following changes occurred:
  a. Young women were responsible for care of the sick outside the home.

  b. Monasteries closed, leaving a huge void in health care.

  c. Male nurses almost completely disappeared and nursing became primarily female dominated.
  d. Deaconesses and other elderly women performed nursing duties.

  e. All of the above except a.

3. The accomplishments of Florence Nightingale include which of the following:
  a. Improved and reformed laws affecting health, morals and the poor.
  b. Reformed hospitals and improved workhouses and infirmaries.

  c. Instituted an army medical school.

  d. All of the above.
4. Florence Nightingale was a controversial woman of her time because:
  a. She was educated.

  b. She aggressively fought for change in a man’s world.

  c. Her idea to educate respectable young women as nurses was not accepted by the medical community.

  d. All of the above.

5. In regards to continuing education, Nightingale felt that:
  a. After their initial training, it was not necessary for nurses to be further educated.

  b. Nurses should continually seek to further their education.

  c. Education was wasted on nurses.

6. Most graduate nurses under Nightingale’s training found work as:
  a. Floor supervisors.

  b. Instructors.
  c. Private duty nurses in homes of the affluent.

  d. Public health nurses.

7. In the two decades surrounding the turn of the century, nurses pioneered in the following areas:
  a. Community health/public health nursing.
  b. School nursing.

  c. Industrial nursing.
  d. Army and Navy Nurse Corps.

  e. All of the above.

8. In 1903, North Carolina, New Jersey and New York became the first three states to:
  a. Allow nurses to be trained.

  b. Register nurses under new standards set by law.

  c. Reduce the number of hours that women could work per day.

9. The first birth control clinic in America:
  a. Was established by Margaret Higgins Sanger in the early 20th century.
  b. Was enthusiastically accepted by law-makers at that time.
  c. Was developed as a result of the many deaths caused by women’s self-abortion tactics.
  d. Both a and c.

10. After World War I, a nursing shortage occurred due to:
  a. The image of nursing as arduous, low paying work.

  b. Lack of funds for nursing education.

  c. Competition with non-licenses nurses for jobs.

  d. All of the above.

11. Accreditation of nursing programs was put into effect by:
  a. Dr. Richard Olding Beard.
  b. Florence Nightingale.

  c. The National League for Nursing.

  d. None of the above.

12. Managed care aims to:
  a. Prevent patients from receiving much needed care.

  b. Integrate clinical and financial aspects of patient care.
  c. Identify variables that prevent the patient and physician from reaching an achievable outcome within a reasonable period of time.
  d. Both b and c.

13. Several aspects of managed care include:
  a. Assessment of the patient’s problem.
  b. Planning, procurement, delivery and coordination of services.

  c. Monitoring to assure that the multiple service needs of the client are met.

  d. All of the above.

14. Nurses may find which of the following types of positions with an insurance company?
  a. Discharge Planning.
  b. Hospital Review.
  c. Quality Assurance.
  d. Utilization Review.
  e. All of the above.

15. Nurses making the shift from giving direct patient care to working for an insurance company should:
  a. Feel comfortable in the business side of health care.

  b. Want to continue offering direct patient care.
  c. Not like to deal with extensive paperwork.
  d. None of the above.

16. The function of an Employee Assistance Program is to:
  a. Provide extensive counseling at the worksite for the employee.
  b. Provide financial assistance.

  c. Contain costs of mental health or chemical dependency treatment through the implementation of prevention strategies.
  d. All of the above.

17. Nurses working as EAP counselors must:
  a. Have a strong psychiatric and chemical dependency background.

  b. Have excellent assessment skills.

  c. Have excellent consultation skills.

  d. All of the above.

18. The QA/UR nurse:
  a. Is a fact-finder and problem-solver.

  b. Does not need to understand Medicare, Medicaid and other payor source guidelines.

  c. Assists clinical staff to contain care within the guidelines of the payor.

  d. Both a and c.

19. For the nurse without QA/UR experience, all of the following are good ways to break into the field except:
  a. Educating oneself as much as possible.
  b. Seeking a position within a hospital.
  c. Networking with colleagues.

  d. Seeking a position with a non-hospital based employer.

20. The occupational health nurse is primarily concerned with:
  a. Administering first aid to injured workers.

  b. Worker’s compensation cases.

  c. The preventive approach to health care, which includes early disease detection, health teaching and counseling.

21. The focus of the occupational health nurse is turning more and more to health problems that are not caused by the job, but affect job performance such as:
  a. Drug and alcohol problems.
  b. Family relations.
  c. Stress.
  d. All of the above.

22. Changes in federal law now require long term care facilities to:
  a. Increase their census.
  b. Use more registered and licensed nurses.

  c. Stop using nurse’s aids.

  d. All of the above.

23. Working with the elderly requires:
  a. Someone who is results oriented and likes to see a disease process cured.

  b. A non-accepting attitude towards death.

  c. Patience, gentleness and understanding.

  d. All of the above.
24. Rehabilitation is a growing area of health care because:

  a. Technology has increased the survival rate of trauma victims.

  b. It has been proven that rehabilitation is less costly than acute care services.

  c. Reimbursement for rehab is generally better than for other health care services.

  d. All of the above.

25. All of the following are goals of rehabilitation except:
  a. To encourage dependence on rehab staff.

  b. To help patients achieve their highest potential.
  c. To adapt to their disabilities or illnesses.

  d. To work towards independence.