Cheating in the Classroom

Cheating is always a potential problem in the university or college setting. It is very problematic for students, in that their learning is being circumvented. Cheaters will be less competent as graduates. Would you want, for instance, an accountant performing audits in your office who cheated his way through business school? Specialties Educators Article

Students who cheat also run the risk of being expelled, if caught. Cheating is problematic from an ethical standpoint, in that students who cheat in school will likely behave unethically in real life scenarios, placing the public at risk. The nursing student who cheats or plagiarizes will later become the nurse who falsifies client records and covers up medication errors.

Cheating is problematic for college programs, in that the integrity and competency of the entire program of study are at stake. If a school of nursing, for instance, has a reputation for student dishonesty, then the public loses respect for that nursing program. Employers will be reticent in hiring new grads from that program, due to the notoriety. The entire program suffers. Honest students are placed at a disadvantage because of the actions of the cheaters.

Types of cheating that occur in the classroom involve much more than the "traditional" passing of notes during exams and the sideways furtive glance at a neighbor's test. Students may store "cheat notes" in baseball caps, pullover jackets (sleeves or capes), written on the inside labels of water bottles, "tattooed" on forearms or scribbled on desktops. More techno-savvy forms of cheating involve the use of texting with cell phones, i-pods, buying textbook test banks over the internet, and sharing information about the exams via virtual means. Entire websites exist to give students advice on the latest techniques of cheating.

What can nurse educators do to safeguard the learning process in the classroom during quizzes and examinations?

Here is a list of suggestions that is by no means comprehensive:

  • Help students know and understand the nursing school's honor code, as well as the ana code of ethics. Also, cover the university or college's academic dishonesty policy and consequences for indiscretions.
  • Require students to spread out during testing (every other seat), if possible. Rotate seating during examinations.
  • Use proctors to circulate throughout the classroom during the test. A rule of thumb is one proctor per every 25 students in a room.
  • Avoid using standard test banks. Create your own multiple choice test items or alter the test bank questions substantially.
  • Use more than one version of the test during each examination. Change examination items significantly from semester to semester.
  • Require students to sign a "no cheating" affirmation on each test.
  • Do not allow cell phones, i-pods, pullover jackets, or baseball caps during the examination. Labels must be removed from water bottles. Bookbags and notebooks should be stored away from the desk (preferably in the aisle).
  • Do not allow students to take unproctored tests online. This is only asking for trouble.
  • If the cps "clicker" system is being used, require students to leave their clickers in the classroom (or remove batteries) after completing the test. Otherwise, students can get together in the hall to compare answers and they can still access and change their responses until the exam is officially "closed out" by the instructor.

I have found, in my experience, that the vast majority of nursing students are honest and ethical. Actual incidents of cheating are rare. Therefore, I caution educators to always treat students with respect and dignity. Avoid creating a suspicious environment in which everyone is "assumed" to be cheating. Cheating is a serious offense and students should be considered "innocent" unless caught in the very act. Still, instructors must remain vigilant. Hopefully, the advice given in this column will help the nurse educator prevent and detect any cheating that may be occurring in the classroom.

I wonder about the on line testing that is becoming more prevalent in my school. It is a wonderful convenience, but how many students stick to the closed book requirement I wonder? It seems that it is the wave of the futurue, but I think it might be doing the education of nurses a disservice. What are you finding out there?

The men in our classes developed weak bladders during tests. I'm sure their blackberries were very helpful to them. One fellow was a pied piper of cheating who also goaded other students to not participate in class, including post clinical conferences. When caught red-handed not being at a clinical he was allowed to stay in the program and is now an employed nurse. I have also witnessed employed foreign trained RNs giggle and be unable to respond to simple questions during lecture, fail basic CPR during continuing education classes then magically pass the written test all of them with one wrong minutes later. I hope that they are just nervous testers and have some sort of conscience and hone their skills.

Yes, I agree. Cheating is completely unacceptable.

My attitude is: I would not want to be cared for by a nurse who cheated his/her way through their studies and training. If they have no conscience about cheating, then they most likely won't have a problem with falsifying the patient's records or denying medication errors that occur.

And worse yet, if someone cheats in their studies because they couldn't be bothered learning, then what kind of a nurse will they make anyway? It simply indicates that if they cheat, then they are not serious about nursing - so that means they aren't going to give you the best possible care anyway. :crying2: I know I'm only a student, but its my sincere desire to learn as much as possible about nursing and caring for others. In fact, it is quite disheartening and upsetting to see other student nurses who don't bother studying thoroughly -- are they a nurse purely for the money, and because its "just another job"? ... or for love and care for others??? I know what I believe the answer is !! :uhoh3:

Specializes in Gerontological, cardiac, med-surg, peds.
I wonder about the on line testing that is becoming more prevalent in my school. It is a wonderful convenience, but how many students stick to the closed book requirement I wonder? It seems that it is the wave of the futurue, but I think it might be doing the education of nurses a disservice. What are you finding out there?

Online "closed-book" testing WITHOUT proctors is NOT a good idea. I would estimate that the temptation to "look" at notes or the textbook is too great for at least 75% of the students (and this is probably a very low estimate). This practice is now forbidden at my university. All online tests/ quizzes/ exams (that count as a grade) MUST be proctored.

I believe my university instituted this policy as the credibility of online programs is being brought into question due to the cheating issue. Many people consider online degrees as "inferior" to degrees obtained from a brick-and-mortar college with "seated" classrooms due to this reason.

Specializes in Gerontological, cardiac, med-surg, peds.
The men in our classes developed weak bladders during tests. I'm sure their blackberries were very helpful to them. One fellow was a pied piper of cheating who also goaded other students to not participate in class, including post clinical conferences. When caught red-handed not being at a clinical he was allowed to stay in the program and is now an employed nurse. I have also witnessed employed foreign trained RNs giggle and be unable to respond to simple questions during lecture, fail basic CPR during continuing education classes then magically pass the written test all of them with one wrong minutes later. I hope that they are just nervous testers and have some sort of conscience and hone their skills.

Guess we need to install port-o-potties in each classroom. (just joking, I think...) I have oftened wondered about the possible breach of security that occurs when students are allowed to exit the classroom for bathroom breaks during examinations. However, I don't want to be too strict. Some examinations can take over 2 hrs to complete. I wouldn't want someone telling me I couldn't go during an examination, if I felt the sudden urge. I think one practical solution would be to have a proctor "escort" the student to the bathrooms and to inspect the bathrooms before and after for evidence of cheat notes, etc.

Specializes in Community Health, Med-Surg, Home Health.

This makes me wonder about the on line RN courses. They take an exam after each module (I forget what word they use for it). Is Excelsior's exams the same as NCLEX, where the test questions from from a pool, or is it that 'each one can teach one' so to speak and keep passing information to their friends after they take the exams?

Specializes in Trauma,ER,CCU/OHU/Nsg Ed/Nsg Research.
This makes me wonder about the on line RN courses. They take an exam after each module (I forget what word they use for it). Is Excelsior's exams the same as NCLEX, where the test questions from from a pool, or is it that 'each one can teach one' so to speak and keep passing information to their friends after they take the exams?

Excelsior's exams are taken at Pearson testing centers, and are as closely monitored as the NCLEX. The study guides are huge, and the test bank is humongous. Nobody gets the same test questions, essentially.

It's impossible to cheat in that program. ;)

Specializes in ICU, School Nurse, Med/Surg, Psych.

I taught for about 2 years. I had some cheaters in class and was not allowed by the administration to so much as ask them to leave my classroom (daddy had a lot of $$) but overall 90% of my students earned their grades. There is no way those horribly spelled papers with 2nd grade grammar errors were purchased!!

Specializes in Gerontological, cardiac, med-surg, peds.
Excelsior's exams are taken at Pearson testing centers, and are as closely monitored as the NCLEX. The study guides are huge, and the test bank is humongous. Nobody gets the same test questions, essentially.

It's impossible to cheat in that program. ;)

BBFRN is right. For further information about Excelsior's secure test taking procedures, please see these links:

Registering for Excelsior College Exams

Scheduling Your Excelsior College Exams

This booklet describes the extensive psychometric statistical evaluation of test items used on Excelsior examinations: Excelsior College Exams Technical Hand Book

Specializes in Gerontological, cardiac, med-surg, peds.
I was recently at my chemo therapy class where there is this test at the very end. I was surprised when some nurses (not students, RNS), from the university (OHSU) were boldly going over the answers and then arguing over one, too much!!! And the irony to this cheating business, I and others witnessed this. I was to put it mildly, shocked. I even told the instructors (from OHSU) about it while they were grading the tests and they didn't even flinch. Isn't that strange? Shouldn't a university have higher standards?

Yes, this depends on the context. Was this a teaching type seminar with practice (learning) examinations in which group discussion was allowed? Or was this an official course for credit of some sort? What were the course ground rules? It depends on what the course objectives were and what the syllabus allowed...

Specializes in Gerontological, cardiac, med-surg, peds.
I taught for about 2 years. I had some cheaters in class and was not allowed by the administration to so much as ask them to leave my classroom (daddy had a lot of $$) but overall 90% of my students earned their grades. There is no way those horribly spelled papers with 2nd grade grammar errors were purchased!!

If you don't have backing from the nursing or college administration, then it's a lost cause. You were wise to leave. Not all nursing programs programs are like that. Most have high standards of integrity and support their faculty in enforcing rules of ethical conduct.

we have to check our papers with turnitin.com. our college pays for it. i think the instructors said to expect about 30% (whatever formula the web site uses to determine words not your own). i was extremely proud since my paper showed only 5% and every part of that was my references, which can be attributed to using apa format for them, so there was no real way to change it.

that cell phone texting thing is rampant, i had to email an instructor concerning it, though i didn't know who did it. for someone with add, it is very distracting to hear things like that in the background as well. they watched things much closer after that time.