Nokea
A current trend is for students to be evaluated to determine whether they demonstrate competence in the actual client care environment or with a standardized patient. This process occurs in addition to or instead of traditional pencil-and-paper evaluations. This type of evaluation is referred to as:
- A. core practice competencies.
- B. continuing competence.
- C. distance learning.
- D. performance-based assessment.
Correct Answer: D
Rationale: The correct answer is D: performance-based assessment. This type of evaluation focuses on assessing students' ability to perform tasks and demonstrate competence in real-world scenarios, such as client care environments or with standardized patients. It is a more practical and hands-on approach compared to traditional pencil-and-paper evaluations. Core practice competencies (A) refer to essential skills and knowledge required for a specific profession. Continuing competence (B) involves ongoing professional development to maintain skills and knowledge. Distance learning (C) is a method of education that does not require physical presence in a traditional classroom setting. Performance-based assessment best aligns with the description provided in the question, making it the correct choice.
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A nursing student asks, "I wonder if the reason that the nursing shortage is so severe is that registered nurses are unhappy with their jobs." To research the answer, the National Survey of Registered Nurses was reviewed and found:
- A. registered nurses change employers every year to prevent burnout and to keep the nursing shortage from increasing.
- B. nursing faculty are aging or leaving academia due to increased work demands and generational difference from students.
- C. practicing registered nurses are satisfied with their job and most remain with same employer they worked for the previous year.
- D. registered nurses were the least satisfied with their job of all health care providers.
Correct Answer: C
Rationale: Step 1: The question asks about the reason for the nursing shortage and references the National Survey of Registered Nurses.
Step 2: Choice C states that practicing registered nurses are satisfied with their jobs and most remain with the same employer they worked for the previous year.
Step 3: This suggests that the nursing shortage is not due to registered nurses being unhappy with their jobs and leaving.
Step 4: Therefore, the correct answer is C, as it directly addresses the misconception presented in the question.
Step 5: Choices A, B, and D are incorrect because they do not align with the information provided in the National Survey of Registered Nurses and do not address the actual reason for the nursing shortage.
A novice nurse is placed in charge just after orientation ends. Which statement by the novice nurse would ensure a smooth delegation experience when delegating to an experienced staff member?
- A. "You have the patients in rooms 1 to
- B. "I need your help; let me know your suggestions."
- C. "You’re experienced, so take over and decide."
- D. "I’m in charge, so do as I say."
Correct Answer: B
Rationale: The correct answer is B because it demonstrates respect for the experienced staff member's expertise by asking for their input and suggestions. This approach fosters open communication, encourages collaboration, and shows a willingness to learn from others. Choice A lacks clarity and assumes the staff member knows the patients in question. Choice C is presumptuous and dismissive of the staff member's autonomy. Choice D is authoritarian and does not promote a positive working relationship. Ultimately, choice B promotes teamwork and mutual respect, leading to a smoother delegation process.
An RN delegates to an experienced LPN/LVN the task of administering oral medications to a group of patients. The LPN/LVN accepts the assignment, and the RN knows that the LPN/LVN has had the training and has acquired the skills needed to complete the task. The RN then observes the LPN/LVN recording a patient's medication administration just before entering the patient's room. The priority intervention by the RN is to:
- A. check the patient's drug packages to ensure that the correct drugs were given.
- B. stop the LPN/LVN immediately and discuss the possible consequences of his actions in a nonjudgmental manner.
- C. contact the nurse manager and ask that the LPN/LVN's license be suspended.
- D. call the pharmacy and ask for replacement medications for the patients.
Correct Answer: B
Rationale: The correct answer is B: stop the LPN/LVN immediately and discuss the possible consequences of his actions in a nonjudgmental manner. This is the priority intervention because it addresses the immediate issue of potentially incorrect documentation and allows for clarity and understanding between the RN and LPN/LVN. It promotes open communication and a chance to correct any errors that may have occurred.
Choice A is incorrect because checking the drug packages after the fact does not address the issue of potentially incorrect documentation and missed medications.
Choice C is incorrect as it is an extreme response that does not promote a collaborative and educational approach to resolving the situation.
Choice D is incorrect as calling the pharmacy for replacement medications is not necessary at this stage and does not address the immediate concern of potentially incorrect documentation.
A Mexican-American patient is attacked and beaten. This patient is at risk for "fright disease," which is known as:
- A. susto.
- B. empacho.
- C. bilis.
- D. mal ojo.
Correct Answer: A
Rationale: The correct answer is A: susto. Susto is a cultural-bound syndrome in Mexican-American culture characterized by emotional distress due to a frightening or traumatic experience. This patient, having been attacked and beaten, is at risk for susto due to the emotional impact of the incident. Empacho refers to indigestion, bilis to anger, and mal ojo to the evil eye, none of which are directly related to the emotional distress caused by a traumatic event like in the case of susto.
In today's world of fast, effective communication, what is the most commonly used means of societal communication?
- A. Facial expression
- B. Spoken word
- C. Written messages
- D. Electronic messaging
Correct Answer: D
Rationale: The correct answer is D: Electronic messaging. In today's fast-paced world, electronic messaging, such as emails, text messages, and social media, is the most commonly used means of societal communication due to its immediacy, convenience, and widespread accessibility. It allows people to communicate quickly across long distances and reach a large audience efficiently. Facial expressions (A) are important but limited in reach. Spoken word (B) is also crucial but less prevalent in today's digital age. Written messages (C) are still used but electronic messaging has largely replaced traditional written communication for its speed and efficiency.