A group of workers wish to seek union representation that would protect all workers in the agency, including unlicensed assistive personnel and non-nursing employees such as a nutritionist and dietary workers. The type of union being sought is the strongest collective group and is known by what term?
- A. A right-to-work bargaining organization
- B. An occupational union
- C. Industrial unionism
- D. Union shop
Correct Answer: C
Rationale: The correct answer is C: Industrial unionism. Industrial unionism represents all workers in a particular industry, regardless of their job roles. In this scenario, the workers seeking union representation include various non-nursing employees, making industrial unionism the most suitable option to protect all workers in the agency.
A: A right-to-work bargaining organization focuses on individual rights and does not necessarily represent all workers collectively.
B: An occupational union typically represents workers in a specific occupation or trade, not all workers in an industry.
D: A union shop requires all workers to join the union after a probationary period, which may not apply to all workers in this scenario.
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Which professional organization was the first to focus on licensed practical nurses (LPNs)?
- A. National Association for Practical Nurse Education and Services (NAPNES)
- B. National Federation of Licensed Practical Nurses (NFLPN)
- C. National League for Nursing (NLN)
- D. American Nurses Association (ANA)
Correct Answer: A
Rationale: The correct answer is A: National Association for Practical Nurse Education and Services (NAPNES). NAPNES was the first organization to focus specifically on licensed practical nurses (LPNs) when it was established in 1941. This organization was founded with the primary goal of promoting and supporting practical nursing education and services. The other choices are incorrect because: B (NFLPN) primarily focuses on advocating for LPNs but was not the first organization; C (NLN) focuses on nursing education in general, not specifically on LPNs; and D (ANA) is a broader organization representing all nurses, not solely LPNs. Therefore, based on the historical context and focus of the organization, A is the correct answer.
While supervising the care of several clients, which action requires intervention by the charge nurse?
- A. A nurse photocopies a client's diagnostic test results.
- B. An assistive personnel documents the client's vital signs on the client's paper-based graphic record.
- C. The unit secretary faxes a client's laboratory results to the provider.
- D. An RN stays with a client to discuss her understanding of her vital signs that were requested.
Correct Answer: A
Rationale: The correct answer is A because photocopying a client's diagnostic test results without proper authorization violates the client's privacy and confidentiality. It is a breach of HIPAA regulations.
- Choice B is correct as assistive personnel can document vital signs on the client's record under supervision.
- Choice C is acceptable as long as the unit secretary is authorized to fax the client's results.
- Choice D is appropriate as it involves educating the client about her vital signs, promoting client understanding and autonomy.
A healthcare professional is reviewing the plan of care for a client following a total hip arthroplasty. Which of the following procedural plans is the healthcare professional following?
- A. patient classification categories
- B. diagnostic related groups
- C. Care map / clinical practice guideline
- D. functional nursing
Correct Answer: C
Rationale: The correct answer is C: Care map / clinical practice guideline. In this scenario, the healthcare professional is using a Care Map or clinical practice guideline to review the plan of care for the client post total hip arthroplasty. Care maps provide a structured, step-by-step approach to care delivery based on evidence-based practices, ensuring consistency and quality of care.
Choice A, patient classification categories, does not involve a specific plan of care but rather categorizes patients based on acuity levels. Choice B, diagnostic related groups, is a payment classification system that groups patients with similar diagnoses and treatments for reimbursement purposes, not for developing care plans. Choice D, functional nursing, is a care delivery system where tasks are divided among staff based on their function, which is not the same as following a procedural plan like a care map.
When teaching about community preparedness for a community group, the nurse should explain that the components of the national disaster medical system (NDMS) provide assistance in what form?
- A. making available a nationwide bomb disposal squad team for the rapid removal of explosive devices
- B. Facilitating patient evacuation from the disaster area to a non-affected area
- C. organizing ground for detonation of bombs by bomb squad
- D. providing mental health care for victims and healthcare providers in the community
Correct Answer: B
Rationale: The correct answers are B and C. The NDMS is designed to provide medical response during disasters, assist in patient movement, and offer definitive care to disaster victims. This includes organizing teams of healthcare providers with specialized skills and equipment to respond effectively to emergencies. Patient evacuation from disaster areas to safer locations is also a key function of the NDMS to ensure the well-being of those affected by the disaster. Options A and D are incorrect because the NDMS does not provide bomb disposal services and is primarily focused on medical response rather than mental health care.
A healthcare provider is planning the discharge of a newborn who requires apnea monitoring at home. To which of the following community agencies should the healthcare provider anticipate referring the guardian of the newborn?
- A. Child Protective Services
- B. Public Health
- C. Home Health
- D. Women, Infants, and Children (WIC)
Correct Answer: C
Rationale: The correct answer is C: Home Health. The rationale is that Home Health agencies provide skilled nursing services for patients at home, including apnea monitoring for newborns. They can offer training to the guardian on how to use the equipment properly.
Incorrect choices:
A: Child Protective Services - This agency is not relevant for providing medical care or monitoring.
B: Public Health - While public health agencies may provide some services, they typically do not offer home monitoring equipment or training.
D: Women, Infants, and Children (WIC) - WIC provides supplemental nutrition, not medical monitoring services.