The single most important reason for the decline in the number of hospital-based diploma programs was

a. shift in hospital occupancy from acute care to home care.
b. increase in hospital-based medical residency programs competing for educational dollars.
c. beginning of associate degree programs that were shorter in length.
d. diploma education's position outside the mainstream of higher education.


ANS: D

A
The increase in complexity of health care led to the need for more advanced educational preparation for nurses.
B
Although it became more difficult for hospitals to fund diploma programs, this was not the most important reason for their decline.
C
The advent of associate degree programs led to the decline in diploma programs, because associate degree programs are located in academic settings.
D
The movement of nursing education into the educational mainstream, that is, colleges and universities, was responsible for the rapid decrease in diploma programs.

Nursing

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Cultural _______________ is the term used to describe the process of working effectively within the cultural context of another person

Fill in the blank(s) with correct word

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When visiting a local senior center, a community health nurse engages several of the older adults in a discussion about immunizations. Which statement best reflects the importance of older adult immunization?

A) "We're at greater risk of dying from the flu or pneumonia." B) "You don't get the flu from the flu shot." C) "The doctor told us that we should get it." D) "Many of us get the shot here at the center for free."

Nursing

A nurse is teaching a group of older women about chronic diseases. During the class the nurse asks the women which chronic disease is an older women more likely to experience? Which response by the group would indicate that the women understand?

a. Cirrhosis b. Bronchitis c. Osteoporosis d. Chronic obstructive pulmonary disease (COPD)

Nursing

Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after several years of severe neglect by her birth family

The adoptive family has been reporting that Ellie is angry a lot, manipulative with her teachers, and does not seek positive attention. The nurse working with Ellie will need to: 1. Provide education on decreasing stimuli in the home environment that triggers the anger. 2. Realize Ellie may have attachment issues related to her previous history and will need to encourage the family to be active in her care. 3. Support the family in the decision-making process of continuing to let Ellie live in the home. 4. Discuss inpatient therapy to decrease Ellie's manipulative behavior patterns.

Nursing