Nokea
A client who is reading a newspaper asks, "This article about health care states that many providers of health care lack effectiveness. What is the difference between effectiveness and efficiency?" The nurse explains that:
- A. effective means performing the correct test or intervention whereas efficiency refers to the wise use of supplies and resources for the desired outcome.
- B. effective refers to competence in clinical practice and efficiency describes quick completion of the task.
- C. efficiency means wasting and meeting a minimum standard and effectiveness refers to taking all the time needed to exceed expectations.
- D. efficiency refers to speed and effectiveness refers to the usefulness of the implementation.
Correct Answer: A
Rationale: Step 1: Define effectiveness and efficiency - Effectiveness is achieving the intended outcome, while efficiency is achieving the outcome with minimal waste.
Step 2: Analyze option A - It correctly defines effectiveness as performing the correct test or intervention and efficiency as the wise use of supplies and resources for the desired outcome.
Step 3: Justification - The nurse explains that many healthcare providers lack effectiveness, indicating they are not achieving the desired outcomes, which aligns with the definition of effectiveness in option A.
Step 4: Summary of incorrect choices - B incorrectly defines efficiency as quick completion of tasks, C confuses efficiency with wastage, and D incorrectly associates efficiency with speed rather than minimal waste.
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A patient is admitted for a hysterectomy, and the RN develops and implements the plan of care but also delegates to the LPN/LVN the responsibility of administering oral medications. While off duty, this RN receives a call requesting a change in the plan of care because the patient has developed deep vein thrombosis. The nurse who originally planned the care is practicing which type of nursing care delivery?
- A. Modular
- B. Primary
- C. Team
- D. Functional
Correct Answer: B
Rationale: The correct answer is B: Primary nursing care delivery. In primary nursing, one nurse assumes 24-hour responsibility for planning, implementing, and evaluating the care of a patient. In this scenario, the RN developed and implemented the plan of care and delegated specific tasks to the LPN/LVN. The RN remains responsible for the overall care even while off duty, as evidenced by receiving a call regarding a change in the plan of care. The other choices are incorrect because:
A: Modular nursing involves a team of healthcare providers working together, sharing responsibilities, and providing care collectively.
C: Team nursing involves a team of healthcare providers with different levels of expertise working collaboratively to deliver patient care.
D: Functional nursing divides tasks among different team members based on their skill sets, which is not the case in the scenario provided.
A nurse who wishes to practice in another state: (select all that apply)
- A. must retake the NCLEX-RN for that state.
- B. should determine whether the state is a compact state.
- C. may obtain licensure by endorsement.
- D. must revoke licensure in the current state because nurses cannot be licensed in more than one state concurrently.
Correct Answer: B
Rationale: Step-by-step rationale:
1. Determining if the state is a compact state is important because nurses from compact states can practice in other compact states without obtaining additional licenses.
2. If the state is not a compact state, the nurse can obtain licensure by endorsement, which means transferring their license to the new state without retaking the NCLEX-RN.
3. Revoking licensure in the current state is not necessary, as nurses can hold licenses in multiple states through either compact agreements or endorsement.
Therefore, the correct answer is B. Choice A is incorrect because the nurse does not have to retake the NCLEX-RN. Choice C is incorrect because obtaining licensure by endorsement is an option. Choice D is incorrect as nurses can hold licenses in multiple states.
A nurse who is participating in a health fair asks, "Other than nursing, what are some opportunities for careers in the health care professions, and what education is required?" The nurse informs participants that a baccalaureate degree is required as the minimum standard for the role of:
- A. speech therapist.
- B. occupational therapist.
- C. nurse-midwife.
- D. nurse anesthetist.
Correct Answer: D
Rationale: The correct answer is D: nurse anesthetist. Nurse anesthetists require a minimum of a baccalaureate degree in nursing as a prerequisite for their advanced practice role. They then need to complete a master's or doctoral program in nurse anesthesia. This advanced education and training enable nurse anesthetists to provide anesthesia care in various healthcare settings.
Incorrect answers:
A: Speech therapists require a master's degree in speech-language pathology.
B: Occupational therapists require a master's degree in occupational therapy.
C: Nurse-midwives require a master's degree in nurse-midwifery or a related field.
In summary, the minimum education requirement of a baccalaureate degree aligns with the role of a nurse anesthetist, making choice D the correct answer.
A new graduate nurse is preparing for an interview for her first position and knows that: (select all that apply)
- A. the primary goal for the first job is to complete orientation and should be considered as an extension of nursing school.
- B. appointments for interviews should be scheduled immediately after graduation to avoid rushing into a position.
- C. self-confidence can be improved with self-talk, which reminds the graduate that peers from her school are effective practitioners.
- D. work history of even nonmedical positions can demonstrate commitment and reliability so letters from these employers should be in portfolio.
Correct Answer: A
Rationale: The correct answer is A because the primary goal for a new graduate nurse in their first job is to successfully complete the orientation process. This is crucial for transitioning from the academic setting to the professional nursing environment. Completing orientation ensures that the nurse is equipped with the necessary knowledge and skills to provide safe and effective patient care.
Choice B is incorrect because scheduling interviews immediately after graduation may not allow the nurse enough time to prepare adequately for the interview process.
Choice C is incorrect because while self-confidence is important, relying solely on past achievements of peers may not be a sustainable source of confidence in a new work environment.
Choice D is incorrect because while work history and letters of recommendation can be valuable, they may not necessarily be the primary focus during the initial stages of a new nurse's career.
Troops from the United States participating in a peace mission in a foreign country were the victims of suicide bombers and many soldiers were evacuated back home to receive specialized medical care. The nation's medical responses will be augmented by:
- A. the federally coordinated National Disaster Medical System.
- B. local homeland communities where troops receive care.
- C. the Medical Reserve Corps, which organizes and utilizes public health, nursing, medical, and other volunteers.
- D. the National Incident Management System, which guides government, nongovernmental organizations, and the private sector to work seamlessly during disaster situations.
Correct Answer: A
Rationale: The correct answer is A: the federally coordinated National Disaster Medical System (NDMS). This system is specifically designed to provide medical care and support during disasters, including incidents involving mass casualties like the suicide bombing in the question. NDMS can rapidly deploy medical teams, equipment, and supplies to support local medical responses.
Choice B is incorrect because local homeland communities may not have the necessary resources and capabilities to handle a large-scale medical emergency like this. Choice C is incorrect because while the Medical Reserve Corps can provide additional support, it may not have the same level of coordination and resources as the NDMS. Choice D is incorrect as the National Incident Management System focuses on overall coordination of all emergency response efforts, not specifically medical care.