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A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?
- A. There is stratification of communication in a directed manner between nursing staff and administration.
- B. There is increased job satisfaction of nurses, with a lower staff turnover rate.
- C. Physicians are certified in their respective specialty areas.
- D. All nurses have baccalaureate degrees and certification in their clinical specialty area.
Correct Answer: B
Rationale: The correct answer is B. Magnet status focuses on nursing excellence, including job satisfaction and low turnover rates. A is incorrect as it describes hierarchical communication. C is irrelevant to nursing excellence. D is incorrect as while education and certification are important, they are not mandatory for Magnet status.
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Which resource best describes a health care service representing the tertiary level of prevention?
- A. Stress management seminars
- B. Childbirth education classes for single parents
- C. BSE pamphlet and teaching
- D. Premenstrual syndrome (PMS) support group
Correct Answer: D
Rationale: A PMS support group represents tertiary prevention, addressing a condition post-occurrence. Primary prevention includes stress management, childbirth education, and BSE pamphlets, which focus on health promotion and early detection.
A nurse is caring for a patient who was just diagnosed with VVC. What treatment does the nurse expect to teach the patient about?
- A. metronidazole (anti-protozoal)
- B. penicillin G (antibiotic)
- C. clotrimazole (antifungal)
- D. ampicillin (antibiotic)
Correct Answer: C
Rationale: The correct answer is C: clotrimazole (antifungal). VVC stands for vulvovaginal candidiasis, which is a fungal infection. Clotrimazole is an antifungal medication commonly used to treat VVC by inhibiting the growth of the fungus. Metronidazole (choice A) is an anti-protozoal agent used for parasitic infections, not fungal infections. Penicillin G (choice B) and ampicillin (choice D) are both antibiotics used to treat bacterial infections, not fungal infections like VVC. Therefore, the nurse would expect to teach the patient about using clotrimazole to treat VVC.
While working in the prenatal clinic, nurses care for a very diverse group of clients. Which cultural factor related to health is most likely to drive acceptance of planned interventions?
- A. Educational achievement
- B. Income level
- C. Subcultural group
- D. Individual beliefs
Correct Answer: D
Rationale: Individual beliefs are the most significant factor in driving the acceptance of health care interventions, as personal values often outweigh other influences such as education or income.
A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previWhich of the following actions should the nurse plan to take?
- A. Initiate continuous monitoring of the FHR.
- B. Administer a dose of betamethasone.
- C. Check the cervix for dilation every 8 hr.
- D. Request that the provider prescribe misoprostol PRN.
Correct Answer: A
Rationale: Continuous fetal heart rate monitoring is essential in placenta previa to assess for fetal distress.
Which condition is the most life-threatening virus to the fetus and neonate?
- A. Hepatitis A virus (HAV)
- B. Herpes simplex virus (HSV)
- C. Hepatitis B virus (HBV)
- D. Cytomegalovirus (CMV)
Correct Answer: C
Rationale: Hepatitis B virus (HBV) poses the most significant threat to the fetus and neonate.