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The staff nurse delegates AM care for two patients to the UAP (Unlicensed Assistive Person). What principle of delegation is the nurse following?
- A. Delegation requires a situation with clearly defined superiors.
- B. Delegation can only exist with a subordinate.
- C. Delegation is a tool used by various healthcare professionals.
- D. You can delegate only those tasks.
Correct Answer: D
Rationale: The correct answer is D because delegation involves transferring responsibility for a task while retaining accountability for the outcome. The nurse has delegated specific tasks (AM care) to the UAP, which aligns with the principle that only certain tasks can be delegated. Choice A is incorrect because delegation does not require clearly defined superiors, but rather defined tasks. Choice B is incorrect as delegation can also occur between peers or team members. Choice C is incorrect as delegation is not exclusive to healthcare professionals but is a common practice in various industries.
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When a Nurse Manager leaves the facility, and one of the remaining managers is given that assignment in addition to her current load without the open position being filled, this is an example of which of the following?
- A. Job enlargement
- B. Proactive management
- C. Time log
- D. Prioritizing
Correct Answer: A
Rationale: The correct answer is A: Job enlargement. Job enlargement involves adding more tasks of a similar level of complexity to an existing job role. In this scenario, the manager is given additional responsibilities without a new hire, which expands the scope of their role. This aligns with the concept of job enlargement.
Explanation for why other choices are incorrect:
B: Proactive management typically involves taking preventive actions to address potential issues before they occur. This situation does not involve proactive measures.
C: Time log refers to tracking and recording time spent on various tasks, which is not relevant to the scenario described.
D: Prioritizing involves determining the order of importance of tasks. While prioritizing may be necessary in this situation, it is not the best fit for the scenario provided.
An RN knows that sometimes, when working through an ethical dilemma, the decision makers are unable to arrive at a mutually agreed upon decision. Which of the following is a reason why an agreement cannot be reached?
- A. One or more of the parties may be able to reconcile their values.
- B. The patient’s point of view is recognized as valuable.
- C. The dilemma involves two or more equally unpleasant choices.
- D. The institution is unable to honor the patient’s request.
Correct Answer: C
Rationale: The correct answer is C because when an ethical dilemma involves two or more equally unpleasant choices, it can be challenging for decision-makers to come to a consensus. This is known as a moral dilemma, where there is no clear right or wrong option, making it difficult to reach an agreement. In such cases, individuals may have strong convictions about different courses of action, leading to a deadlock in decision-making.
Incorrect choices:
A: One or more of the parties may be able to reconcile their values - This choice suggests that parties can find common ground by adjusting their values, which is not always possible in complex ethical dilemmas.
B: The patient’s point of view is recognized as valuable - While recognizing the patient's perspective is important, it may not directly address the core reason why an agreement cannot be reached.
D: The institution is unable to honor the patient’s request - This choice focuses on institutional constraints rather than the fundamental nature of ethical dilemmas and decision-making processes.
In which order will the nurse take these steps to prepare NPH 20 units and regular insulin 2 units using the same syringe? (Put a comma and a space between each answer choice [A, B, C, D, E]).
- A. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw regular insulin, Inject 2 units of air into regular insulin vial, Withdraw 20 units of NPH.
- B. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw regular insulin, Inject 2 units of air into regular insulin vial, Withdraw 20 units of NPH.
- C. Rotate NPH vial, Inject 20 units of air into NPH vial, Inject 2 units of air into regular insulin vial, Withdraw regular insulin, Withdraw 20 units of NPH.
- D. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw 20 units of NPH, Inject 2 units of air into regular insulin vial, Withdraw regular insulin.
Correct Answer: C
Rationale: The correct order is C. First, rotate the NPH vial to mix the insulin. Then, inject 20 units of air into the NPH vial to prevent a vacuum. Next, inject 2 units of air into the regular insulin vial to maintain pressure. After that, withdraw the regular insulin to avoid contamination. Finally, withdraw 20 units of NPH, ensuring the correct dosage. This order ensures proper mixing, prevents contamination, and maintains accurate dosing. Other choices have incorrect sequences that may result in inaccurate dosing or contamination.
A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect?
- A. Blood pressure 144/82 mm Hg
- B. Urine specific gravity 1.03
- C. Neck vein distention
- D. Urine specific gravity 1.01
Correct Answer: A
Rationale: The correct answer is A. The elevated blood pressure of 144/82 mm Hg indicates dehydration due to vomiting and diarrhea, leading to hypovolemia. This is a compensatory mechanism by the body to maintain perfusion. Option B, urine specific gravity of 1.03, indicates concentrated urine and dehydration, but not as specific as elevated blood pressure. Option C, neck vein distention, is more indicative of heart failure or fluid overload rather than dehydration. Option D, urine specific gravity of 1.01, indicates diluted urine and is not consistent with dehydration. Therefore, based on the symptoms and the compensatory mechanism of the body, an elevated blood pressure is the most likely finding in a client with vomiting and diarrhea.
Which of the following is likely to facilitate union activity?
- A. Managers communicating effectively with employees
- B. Managers listening to concerns of employees
- C. Belief that low wages cause job dissatisfaction
- D. Belief that supervisors are not understanding of unionizing
Correct Answer: C
Rationale: Step 1: Low wages may lead to job dissatisfaction, prompting employees to seek unionization for better pay.
Step 2: A direct correlation exists between low wages and union activity due to dissatisfaction.
Step 3: This belief can motivate employees to band together for collective bargaining.
Step 4: Effective communication or listening by managers does not directly facilitate union activity.
Step 5: The perception of supervisors' understanding is secondary to the root cause of dissatisfaction.