A college sophomore has become disillusioned with her current ...

[shenderson6]

A college sophomore has become disillusioned with her current field of studies and has begun exploring careers in nursing. To her surprise, she is unable to identify any hospitalbased programs of study in her home state.
 
  Which of the following factors have contributed to
  the demise of hospital-based diploma programs? (Select all that apply.)
 
  A) Increased patient acuity in hospitals
  B) Increased popularity of college- and university-based nursing programs
  C) The growth of managed care and its influence on hospital management
  D) Increased costs to hospitals for maintaining nursing programs
  E) The emergence of the baccalaureate degree as the entry to technical nursing practice

Question 2

Kirsten is a 22-year-old woman who has just been granted admission to an associate degree program at a local college. During her course of study, Kirsten should expect to complete
 
  A) the National Council Licensure Examination (NCLEX).
  B) a preceptorship under the direction of a licensed practical (vocational) nurse.
  C) a major, original research project immediately prior to graduation.
  D) numerous nonnursing courses in a variety of disciplines.

[meltdown117]

Answer to Question 1

Ans: B, D
The elimination of hospital-based programs occurred because hospitals could not
sustain the costs of supporting the programs and because students became more attracted to
programs located in colleges and universities. Patient acuity and managed care have not been
identified as causative factors. The baccalaureate degree has been proposed as the entry to
professional nursing practice, not technical nursing.

Answer to Question 2

Ans: A
In a typical ADN program, approximately 40 of the credits needed for the
associate degree must be fulfilled by general education courses such as English, anatomy,
physiology, speech, psychology, and sociology; the rest are to be fulfilled by nursing courses.
Original research is not a component of undergraduate nursing education, and preceptorships
are normally completely under the direction of an RN. The NCLEX is written after
graduation.