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An RN with a diploma preparation wants to participate in decisions about health care and decides the first step is to obtain a BSN. The nurse enrolls in a nursing program offering self-scheduling and a self-paced curriculum. This nurse is taking advantage of:
- A. educational mobility.
- B. a traditional nursing program.
- C. training for advanced practice nursing.
- D. credit by examination.
Correct Answer: A
Rationale: Rationale for Correct Answer (A - educational mobility):
1. Educational mobility refers to the ability to move between different levels of education in nursing.
2. The nurse with a diploma seeking a BSN is utilizing educational mobility by advancing to a higher level of education.
3. Choosing a program with self-scheduling and a self-paced curriculum allows for flexibility, facilitating educational mobility.
Summary of Incorrect Choices:
B: Traditional nursing programs typically have fixed schedules and structured curricula, not aligned with self-paced learning.
C: Training for advanced practice nursing involves pursuing education beyond a BSN to become an advanced practice nurse, not directly related to obtaining a BSN.
D: Credit by examination allows students to earn credits based on prior knowledge, but it does not specifically relate to pursuing a BSN for educational mobility.
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In attempting to decide which services should be offered to a community, the public health nurse decides to implement hypertension screening and treatment because most of the residents are hypertensive. This decision is based on the principle of:
- A. veracity.
- B. values.
- C. utilitarianism.
- D. autonomy.
Correct Answer: C
Rationale: The correct answer is C: utilitarianism. Utilitarianism is the ethical principle that actions should be chosen based on their ability to maximize overall happiness or well-being. In this scenario, implementing hypertension screening and treatment for a community where most residents are hypertensive aligns with utilitarianism as it aims to benefit the greatest number of people by improving their health outcomes. This decision focuses on the overall good of the community, making it the most ethical choice.
Rationale for why other choices are incorrect:
A: Veracity is the principle of truthfulness. While honesty is important in healthcare decision-making, it is not the primary factor in this scenario.
B: Values refer to personal beliefs and principles. While values may influence decision-making, the primary focus in this scenario is on maximizing community health outcomes.
D: Autonomy is the principle of respecting individuals' right to make their own decisions. While autonomy is important in healthcare, it is not the guiding principle in this scenario where the focus is
Which experience is best designed to support a nursing student's preparation for interprofessional team participation?
- A. Attending a seminar on interprofessional team cooperation
- B. Completing a preceptorship with an advanced practice nurse
- C. Carrying for three patients with varying medical diagnoses
- D. Presenting patient information at the daily care planning meeting on a mental health unit
Correct Answer: B
Rationale: The correct answer is B, completing a preceptorship with an advanced practice nurse. This experience allows the nursing student to directly work with and learn from a more experienced healthcare professional, gaining firsthand knowledge of interprofessional collaboration, communication, and teamwork. The preceptorship provides practical, real-world exposure to interprofessional team dynamics and allows for mentorship and guidance.
A: Attending a seminar may provide theoretical knowledge but lacks the practical application and direct experience of working within a team.
C: Caring for patients with varying medical diagnoses is important for developing clinical skills but may not specifically focus on interprofessional team participation.
D: Presenting patient information at a meeting involves communication skills but does not offer the same level of hands-on experience in interprofessional teamwork as a preceptorship.
A graduate nurse should begin the job search knowing that:
- A. few jobs are available for RNs because of a failing health care economy.
- B. it would be more promising to apply to a rural hospital than to an urban hospital.
- C. although efforts have been made to reduce expenditures for health care, the need for RNs remains stable.
- D. the demand for nurses to work in acute care hospitals has decreased because most services are being shifted to outpatient and ambulatory settings.
Correct Answer: C
Rationale: The correct answer is C because efforts to reduce healthcare expenditures do not necessarily impact the need for RNs, which remains stable. This is supported by the ongoing demand for nurses in various healthcare settings. Choice A is incorrect as the demand for RNs is generally high. Choice B is incorrect because job availability depends on various factors beyond just the location of the hospital. Choice D is incorrect as the need for nurses in acute care hospitals remains significant despite the shift towards outpatient and ambulatory settings.
When working with the family of a patient receiving palliative care, what is the nurse's initial intervention?
- A. Determining who will be the patient's durable power of attorney
- B. Identifying what types of help the family will need to care for the patient
- C. Completely an assessment of the family's strengths and weaknesses
- D. Discuss the dynamics of the family with the patient
Correct Answer: B
Rationale: The correct initial intervention for the nurse when working with the family of a patient receiving palliative care is to identify what types of help the family will need to care for the patient (Choice B). This is because understanding the family's needs and resources is essential for providing effective support. By identifying the specific types of assistance required, the nurse can tailor the care plan to meet the family's needs, enhancing the quality of care provided to the patient.
Determining the patient's durable power of attorney (Choice A) is important but usually comes later in the process after understanding the family's needs. Completing an assessment of the family's strengths and weaknesses (Choice C) is valuable but not the initial step. Discussing the dynamics of the family with the patient (Choice D) may be relevant but is not the priority when initiating support for the family.
During height and weight assessments at a school's health fair, a child admits to drinking a cup of coffee with his mother every morning, and another child reports enjoying a morning cup of coffee on the commute to school. These two children are both below average on the height chart, and the nurse states, "Drinking coffee stunts a child's growth." This logical fallacy is referred to as:
- A. appeal to common practice.
- B. confusing cause and effect.
- C. ad hominem abusive.
- D. red herring.
Correct Answer: B
Rationale: The correct answer is B: confusing cause and effect. The nurse's statement implies that drinking coffee causes the children to be below average in height, which is a logical fallacy. Height is determined by genetics, nutrition, and overall health factors, not by drinking coffee. The nurse is mistakenly attributing the children's height to their coffee consumption without considering other relevant factors. This error in reasoning is known as confusing cause and effect.
A: Appeal to common practice is when an argument is justified based on the fact that many people do it, which is not relevant to the coffee consumption issue.
C: Ad hominem abusive is attacking the person making the argument rather than addressing the argument itself, which is not the case here.
D: Red herring is when irrelevant information is used to distract from the main issue, which is not the case in this scenario.