Nokea
A client who is nonambulatory notifies the nurse that their trash can is on fire. After the nurse confirms the presence of the fire, which of the following actions should the nurse take next?
- A. Activate the emergency fire alarm.
- B. Extinguish the fire.
- C. Evacuate the client.
- D. Confine the fire.
Correct Answer: D
Rationale: The correct answer is D: Confine the fire. This is the most appropriate action because the nurse's first priority is to ensure the safety of the client by containing the fire to prevent it from spreading and causing harm. By confining the fire, the nurse can help protect the client and other individuals in the vicinity. Activating the fire alarm (choice A) may be necessary but should come after the fire is confined. Extinguishing the fire (choice B) may put the nurse and client at risk without proper training or equipment. Evacuating the client (choice C) should only be done if the fire cannot be quickly and safely confined.
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As part of Magnet Recognition, you are asked to present your evidence-based practice poster at a national conference. The health care facility supports your participation. Where would information about your participation in the conference need to be communicated? (Select all that apply.)
- A. In a communication to all staff nurses to inspire them.
- B. At a conference within the health care facility.
- C. In an email to a friend.
- D. In a presentation with select individuals.
Correct Answer: A
Rationale: The correct answer is A. By communicating your participation to all staff nurses, you can inspire them to engage in evidence-based practice. This fosters a culture of learning and innovation. Choice B is incorrect because the conference is external and not held within the health care facility. Choice C is irrelevant as it involves informing a friend rather than the professional environment. Choice D is also incorrect as it limits the audience to select individuals, missing the opportunity to spread awareness and inspire a broader group within the facility.
A group of physicians comes into conflict with the nursing staff of a unit over when AM vital signs are recorded. What type of technique might be used that respects the professionalism of both parties?
- A. Accommodating
- B. Collaboration
- C. Avoiding
- D. Competing
Correct Answer: B
Rationale: The correct answer is B: Collaboration. Collaboration involves both parties working together to find a mutually beneficial solution. In this scenario, collaborating with the physicians and nursing staff allows for open communication, respect for each other's expertise, and finding a compromise on when to record vital signs. Accommodating (A) involves giving in to one party's preferences, while avoiding (C) involves ignoring the conflict altogether. Competing (D) focuses on one party winning at the expense of the other, which does not respect the professionalism of both parties. Collaboration is the most effective technique as it values input from all parties and fosters a positive working relationship.
The belief that effort will lead to a specific performance level in an individual is known as:
- A. Rewards.
- B. Expectancy.
- C. Valence.
- D. Instrumentality.
Correct Answer: B
Rationale: The correct answer is B: Expectancy. Expectancy theory posits that individuals believe that their effort will lead to a specific level of performance. This belief in the relationship between effort and performance is crucial in determining motivation. Rewards (A) refer to the outcomes of the performance, not the belief in effort-performance connection. Valence (C) is the value a person places on a specific reward, not the belief in effort-performance link. Instrumentality (D) is the belief that performance will lead to a certain outcome, not the belief in effort-performance relationship.
A typical budget takes time to prepare. What timetable should the nurse manager plan for the budgeting process?
- A. 9-12 months
- B. 3-6 months
- C. 1-2 months
- D. Over two years
Correct Answer: B
Rationale: The correct answer is B (3-6 months) because this timeframe allows for adequate planning, data collection, analysis, and stakeholder input without being too rushed or prolonged. 9-12 months (A) is too long, leading to potential inefficiencies and outdated information. 1-2 months (C) is too short, risking errors and overlooking crucial details. Over two years (D) is excessive and may lead to budgeting based on outdated or irrelevant information. B strikes the right balance for a thorough and efficient budgeting process.
The decades between the 1960s and 1980s brought about many changes in nursing. Which of the following contributed to advances in nursing?
- A. Decreased demand for health care
- B. Development of specialty care disciplines
- C. Gender discrimination
- D. Advances in technology leading to more generalized care
Correct Answer: B
Rationale: The correct answer is B: Development of specialty care disciplines. During the 1960s-1980s, nursing saw significant advancements as specialty care disciplines emerged, leading to improved patient care and enhanced skills among nurses. Specialty care disciplines expanded nursing knowledge and expertise, allowing for tailored and specialized care for specific patient populations. This shift towards specialization elevated the status of nursing and promoted better outcomes for patients.
Summary:
- A: Decreased demand for health care is incorrect as the period actually saw an increased demand due to population growth and advancements in medical treatments.
- C: Gender discrimination, while a significant issue in nursing history, did not directly contribute to advances in nursing during this specific time period.
- D: Advances in technology did impact nursing care, but it did not lead to more generalized care; instead, it often facilitated the development of specialized care disciplines.