Nokea
A graduate nurse should begin the job search knowing that:
- A. few jobs are available for RNs because of a failing health care economy.
- B. it would be more promising to apply to a rural hospital than to an urban hospital.
- C. although efforts have been made to reduce expenditures for health care, the need for RNs remains stable.
- D. the demand for nurses to work in acute care hospitals has decreased because most services are being shifted to outpatient and ambulatory settings.
Correct Answer: C
Rationale: The correct answer is C because efforts to reduce healthcare expenditures do not necessarily impact the need for RNs, which remains stable. This is supported by the ongoing demand for nurses in various healthcare settings. Choice A is incorrect as the demand for RNs is generally high. Choice B is incorrect because job availability depends on various factors beyond just the location of the hospital. Choice D is incorrect as the need for nurses in acute care hospitals remains significant despite the shift towards outpatient and ambulatory settings.
You may also like to solve these questions
A nurse is newly employed by a state-owned hospital that provides health care insurance requiring a deductible paid by the employee with the majority of the premium cost covered by the employer. The insurance provided to the nurse is:
- A. private health insurance.
- B. a federal insurances program known as PPACA.
- C. state-subsidized Medicaid insurance.
- D. single-payer system coverage.
Correct Answer: A
Rationale: The correct answer is A: private health insurance. In this scenario, the nurse's insurance is provided by the state-owned hospital, meaning it is not a federal program like PPACA (B) or state-subsidized Medicaid (C). Additionally, it is not a single-payer system (D) since the employer is covering the majority of the premium cost, indicating a private insurance plan. Private health insurance typically involves a deductible paid by the employee, as mentioned in the question. Therefore, the nurse's insurance in this case aligns with the characteristics of private health insurance, making choice A the correct answer.
A nurse is concerned about the risk of delegating tasks to licensed practical nurses and unlicensed assistive personnel. What is the best way for the nurse to determine competency of an inexperienced delegatee?
- A. Actually observe the delegatee perform the assigned task.
- B. Ask the delegatee how many times he/she has performed the task.
- C. Ask the patient if the care provided was satisfactory.
- D. Ask other nurses if they feel the delegatee is competent.
Correct Answer: A
Rationale: The correct answer is A. By actually observing the delegatee perform the assigned task, the nurse can directly assess the competency of the delegatee in real-time. This allows the nurse to evaluate the delegatee's skills, knowledge, and adherence to protocols. Asking the delegatee how many times they have performed the task (B) may not accurately reflect their competency level. Asking the patient if the care provided was satisfactory (C) may not provide an objective assessment of the delegatee's competency. Asking other nurses if they feel the delegatee is competent (D) introduces bias and may not reflect the delegatee's actual abilities.
A novice nurse is unsure of his ability to insert a nasogastric tube for one of the assigned patients who is vomiting coffee ground emesis. The novice nurse waits, hoping that someone with more experience will volunteer to do the job, or he just waits until the end of the shift. This nurse is practicing:
- A. energy management.
- B. priority setting.
- C. procrastination.
- D. introspection.
Correct Answer: C
Rationale: The correct answer is C: procrastination. Procrastination is the act of delaying or avoiding a task that needs to be accomplished. In this scenario, the novice nurse is avoiding the task of inserting a nasogastric tube for a patient who needs it due to uncertainty and fear. Waiting for someone else to volunteer or delaying the task until the end of the shift are clear examples of procrastination. Energy management (A) involves efficiently allocating time and resources, which is not demonstrated here. Priority setting (B) would involve recognizing the urgency of the situation and taking appropriate action. Introspection (D) refers to self-reflection and analyzing one's thoughts and feelings, which is not the primary issue at hand in this scenario.
A nurse is assisting with the delivery of twins. The first infant is placed on the scale to be weighed. The physician requests an instrument stat. The nurse turns to hand the instrument to the physician, and the infant falls off the scale. When evaluating the incident, the nurse and her manager list contributory factors such as the need for two nurses when multiple births are known, and the location of the scale so far from the delivery field. These nurses are performing a(n):
- A. standardization of care.
- B. root cause analysis.
- C. process variation.
- D. analysis of a deployment flowchart.
Correct Answer: B
Rationale: The correct answer is B: root cause analysis. Root cause analysis involves identifying the underlying causes of an incident to prevent its recurrence. In this scenario, the nurse and manager are examining factors contributing to the infant falling off the scale. They are looking beyond the immediate event to understand the systemic issues that led to the incident, such as the need for additional staff during multiple births and the placement of the scale far from the delivery field. By conducting a root cause analysis, they aim to address these underlying issues and prevent similar incidents in the future.
A: Standardization of care refers to consistent application of best practices, which is not the focus of the nurse and manager's actions in this situation.
C: Process variation involves analyzing inconsistencies in processes, which is not the primary concern in this incident.
D: Analysis of a deployment flowchart examines the flow of resources in a process, which is not directly related to identifying the root causes of the incident.
Which actions would result in a greater number of nurses entering and staying in practice, given today's state of nursing? (select all that apply)
- A. Determine why few black women enter graduate school.
- B. Provide incentives for minorities and men to enter nursing.
- C. Obtain grant funding to increase the number of faculty members and scholarship availability for students entering baccalaureate nursing programs.
- D. Survey nurses to determine why their job satisfaction is lower than that of other health care professions.
Correct Answer: B
Rationale: The correct answer is B: Provide incentives for minorities and men to enter nursing. This is because increasing diversity in the nursing profession can help address shortages and improve patient care. Incentives can attract underrepresented groups and address disparities.
A, determining why few black women enter graduate school, may address a specific subgroup but not the broader issue of nursing shortages.
C, obtaining grant funding for faculty and scholarships, may help improve education opportunities but may not directly address the retention and recruitment of nurses.
D, surveying nurses about job satisfaction, is important but may not directly address attracting more nurses into the profession or keeping them in practice.