Alternative Careers In Nursing

~ Exam ~

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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.

26. Which of the following are patients who might require rehab services?
  a. Stroke victims.

  b. Head injury victims.

  c. Diabetics.

  d. Both a and b.

27. A study done in the San Francisco Bay Area indicates that home health:
  a. Is not a viable career option for the future.

  b. Will experience the fastest employment growth of any sector of health care.

  c. Will have difficulty getting reimbursement from insurance companies.
28. The home health nurse will need to:
  a. Assess medical, psycho-social and family needs.

  b. Act autonomously.
  c. Make recommendations to the physician regarding the patient’s care.

  d. All of the above.

29. In medical and pharmaceutical sales, nurses are valued for their:
  a. Scientific knowledge and credibility.

  b. Tendency to work long hours, weekends and holidays.

  c. Experience in giving care.

30. Characteristics of a successful sales representative would include:
  a. Preferring to work with a peer group.

  b. A high energy level.

  c. A quiet and reserved personality.

  d. All of the above.

31. Medical sales is an exciting career opportunity for nurses who:
  a. Enjoy business.

  b. Like to work autonomously.

  c. Would like to directly influence their earning potential.
  d. All of the above.

32. Some of the activities of a marketing executive might include:
  a. Involvement with press releases.

  b. Networking at professional functions.

  c. Taking an order for desired products.
  d. All of the above.

  e. Both and b.

33. Because of the autonomy of a marketing position, the nurse would need to:
  a. Rely heavily on peers for motivation.
  b. Have a relaxed attitude about scheduling activities of the job.

  c. Be self-motivated and focused on goals.

  d. Take clients out to lunch on a regular basis.

34. Evidence of the growing field of Medical-Legal Nurse Consultants is seen in:
  a. The proliferation of continuing education courses on this subject.

  b. Increased membership of the Association of Legal Nurse Consultants from 35 in 1989 to 700 n 1992.
  c. The increased number of medical malpractice cases.

35. In order to be a Legal Nurse Consultant:
  a. A nurse must possess a law degree.
  b. A nurse must be an expert in all areas of the law.
  c. A nurse is qualified based on nursing expertise alone, and obtaining some education in law is helpful.

36. It is the roll of the Legal Nurse Consultant to:
  a. Prepare attorneys so well that they are as knowledgeable and comfortable with the medical issues of their cases as they are with the liability issues.
  b. Represent a defendant in court.

  c. Function as an attorney’s secretary.

  d. All of the above.

37. In the area of biotechnology, a nurse might find a position:
  a. Assisting in research.

  b. Compiling and verifying data.

  c. Assisting with trials of the product.

  d. All of the above.
38. Opportunities for medical writers would include writing:
  a. A personal health column of a local newspaper.
  b. Package inserts which accompany pharmaceuticals.
  c. Medical and health news for television and radio.
  d. All of the above.
39. Some important qualities of a medical writer would include:
  a. A genuine love for writing.
  b. A desire to spend long hours at a computer.

  c. Essential journalistic abilities.

  d. Both a and c.

40. A nursing opportunity in a foreign country would generally require:
  a. A knowledge of the language of the destination.
  b. That the nurse be willing to work long hours in a primitive conditions.

  c. A love for travel.

41. The military’s recruitment of nurses:
  a. Has been affected by the economy.
  b. Has not been affected by the economy; the needs are continuous.

  c. Is strictly limited to the area of med-surg nursing.
42. Some of the benefits offered to nurses in the military would include:
  a. Rank as a commissioned officer.

  b. Tuition assistance.

  c. On-base housing or a housing allowance.
  d. All of the above.

43. A nursing opportunity unique to the air Force is:
  a. Training as a pilot.

  b. Paramedic.
  c. Flight nursing.

  d. All of the above.

44. Nurses may find opportunities with the U.S. Public Health Services in which of the following areas?
  a. The clinical center research hospital in Bethesda, Maryland.

  b. Public health and clinical nursing in the Indian Health Service.

  c. Consultation in such fields as environmental health and nursing research.

  d. All of the above.

45. A successful entrepreneur:
  a. Relies on others for ideas and motivation.

  b. Has self-confidence and an internal locus of control.

  c. Has a lot of capital to get started.

46. It is important to assess which of the following areas to determine if one has an entrepreneurial personality?
  a. Entrepreneurial orientation/internal locus of control.

  b. Interpersonal skills.

  c. Business and management skills.

  d. All of the above.

47. A good small business idea for which there is a serious shortage is:
  a. Massage therapy.
  b. Nurse consulting.

  c. Medical transcription.

  d. All of the above.

48. In making a career change it is important to:
  a. Rely on the influence of others.

  b. Know oneself.

  c. Develop a goal-directed plan.

  d. Both b and c.

49. In choosing a career path it is important to evaluate:
  a. Where your friends are working.

  b. Values, needs and interest themes.
  c. What you can do to earn the highest income.

50. An informational interview is:
  a. The same thing as interviewing for a particular position.
  b. Not very helpful in making a career change.
  c. A good means of gathering information about a field or position you are interested in.

  d. None of the above.