week 6: chapter 21: Licensure, credentialling, and entry to practice in nursing Flashcards
The study of credentialing in nursing draws attention to which of the following?
a. The layers of the health care system
b. Ways for nurses to specialize
c. The growth of nursing as a profession
d. The credentialing that has already occurred in medical education
ANS: C
The study of credentialing in nursing draws attention to the growth and development of nursing as a profession.
Which one of the following statements represents a defining characteristic of a specialized knowledge base?
a. Knowledge and skills are concrete.
b. Knowledge and skills are simple.
c. Knowledge and skills are complex.
d. Knowledge and skills are defined.
ANS: C
The defining characteristics of a specialized knowledge base include that knowledge and skills are complex, and only a few have the ability to acquire them.
Which following option represents one of the earliest forms of credentialing in nursing?
a. The employment of laywomen as nurses
b. Nurses working together with midwives
c. Evidence of graduation from a school of nursing
d. Certification in a nursing specialty, for example, intensive care nursing
ANS: C
Nursing schools in Canada in the early twentieth century followed the Nightingale model of nurse education, which saw graduation as a form of credentialing.
What was the main reason for nursing leaders to secure legislation for registration?
a. To protect nurses
b. To protect the public
c. To secure nursing positions
d. To ensure nursing educators were adequately prepared
ANS: B
The main reason for nursing leaders to secure legislation for registration was to ensure that the educated would be differentiated from the uneducated for the protection of the public.
Which of the following is one of the two main credentialing mechanisms in nursing?
a. Personal
b. Legal
c. Professional
d. Empirical
ANS: C
The two main credentialing mechanisms in nursing are professional and educational mechanisms.
In which year did Canadian Nurse begin publication?
a. 1900
b. 1905
c. 1910
d. 1915
ANS: B
The journal Canadian Nurse was first published in 1905.
Which of the following was a powerful social force in the early 1900s that influenced the drive for legislating the registration of nurses?
a. Wartime needs
b. Women acquiring the right to vote
c. The socioeconomic movement
d. The declining birth rate and the increasing mortality rate
ANS: A
The two powerful social forces in the early 1900s that influenced the drive for legislating the registration of nurses were the women’s movement and the wartime needs for nursing care, both on the battlefront and behind the lines.
“Licensure” in nursing refers to which one of the following?
a. The right to practise a profession
b. The listing of members of a profession
c. Evidence that practice standards have been individualized
d. The provision of valuable demographic and personal information
ANS: A
Licensure refers to the granting by a government body to a member in good standing of the exclusive right to practise a profession, as well as use of the protected title.
Is it possible to be licensed as a nurse, but not be registered?
a. No
b. Yes
c. Yes, temporarily—for less than one year
d. Not unless the nurse has a baccalaureate nursing degree
ANS: A
No. In order to have licensure as a nurse, one must also be registered.
Licensure laws were designed to protect which following group?
a. Nurses, from physicians
b. Nurses, from competition
c. Universities, from hospital schools of nursing
d. The public, from unethical and incompetent practitioners
ANS: D
Licensure laws were designed to protect the public from unethical and incompetent practitioners, not to protect the nursing profession from competition.
In most Canadian provinces, evidence of current nursing knowledge and skills is demonstrated in which of the following ways?
a. The nurse demonstrates a minimum number of in-services per year.
b. The nurse demonstrates participation in mandatory continuing education.
c. The nurse demonstrates a record of satisfactory nursing practice.
d. The nurse demonstrates a certain number of practice days per year.
ANS: C
Most provinces require a certain number of days of employment within a specified time and a record of satisfactory practice as evidence of current knowledge and skills.
During which decade did the nurse practitioner movement begin in Canada?
a. 1950s
b. 1960s
c. 1970s
d. 1980s
ANS: B
The nurse practitioner movement began in Canada in the 1960s.
Which university created the first outpost nursing program in Canada?
a. McGill University
b. Dalhousie University
c. University of Toronto
d. University of British Columbia
ANS: B
Dalhousie University in Nova Scotia developed the first outpost nursing program in Canada, in 1967.
Which following reason is cited for the trend toward increasingly complex nursing specialties?
a. Specialization courses are available online.
b. There is a nurse surplus and no jobs.
c. Nurses are influenced by the tremendous increases in knowledge.
d. There is competition between nurse practitioners and general practitioners.
ANS: C
Nursing is being influenced by the tremendous increases in knowledge in every area of nursing practice, and the outcome has been the development of discrete and increasingly complex nursing specialties.
Which one of the following features of nursing is a focus within specialized practice?
a. Age
b. Gender
c. Family structure
d. Nursing diagnosis
ANS: A
Specialized practice refers to a focus on a certain feature of nursing and includes age, health problems, medical diagnosis, the environment of care, and the type of care.
