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A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?
- A. There is stratification of communication in a directed manner between nursing staff and administration.
- B. There is increased job satisfaction of nurses, with a lower staff turnover rate.
- C. Physicians are certified in their respective specialty areas.
- D. All nurses have baccalaureate degrees and certification in their clinical specialty area.
Correct Answer: B
Rationale: The correct answer is B because increased job satisfaction and lower staff turnover are key indicators of Magnet status, which focuses on nursing excellence and quality care. This is supported by research showing a correlation between Magnet hospitals and positive nurse outcomes. Choices A, C, and D are incorrect as they do not directly align with the criteria for Magnet status, which primarily emphasizes nursing excellence rather than physician certification or educational requirements for nurses.
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A nurse is working with an active labor patient who is in preterm labor and has been designated as high risk. The patient is very apprehensive and asks the nurse, “Is everything going to be all right?” The nurse replies, “Yes, everything will be okay.” Following delivery via an emergency cesarean birth, the newborn undergoes resuscitation and does not survive. The patient is distraught over the outcome and blames the nurse for telling her that everything would be okay. Which ethical principle did the nurse violate?
- A. Autonomy N R I G B.C M U S N T O
- B. Fidelity
- C. Beneficence
- D. Accountability
Correct Answer: C
Rationale: The correct answer is C: Beneficence. The nurse violated the ethical principle of beneficence by providing false reassurance to the patient, leading to unrealistic expectations and potential harm. Beneficence is about acting in the best interest of the patient and ensuring their well-being. By misleading the patient, the nurse failed to uphold this principle.
A: Autonomy is the right of the patient to make their own decisions. The nurse did not directly violate the patient's autonomy in this scenario.
B: Fidelity is about being faithful to commitments and promises. The nurse did not violate fidelity, as there was no explicit promise made that was broken.
D: Accountability is about taking responsibility for one's actions. While accountability is important, it is not the primary ethical principle violated in this case.
A nurse is assessing a client who gave birth 1 week ago. The client states, 'I don't know what's wrong. I love my baby, but I feel so let down and I seem to cry for no reason.' The nurse should identify that the client is experiencing which of the following emotional responses to birth?
- A. Postpartum depression
- B. Taking-in phase
- C. Postpartum blues
- D. Taking-hold phase
Correct Answer: C
Rationale: Postpartum blues is a common emotional response occurring within the first two weeks postpartum. Symptoms include mood swings, tearfulness, and sadness due to hormonal changes. It is self-limiting, unlike postpartum depression, which is more severe and persistent.
A nurse is reviewing evidence-based teaching and learning principles. Which situation is most conducive to learning with patients of other cultures?
- A. An auditorium is being used as a classroom for 300 students.
- B. A teacher who speaks very little Spanish is teaching a class of Hispanic students.
- C. A class is composed of students of various ages and educational backgrounds.
- D. An Asian nurse provides nutritional information to a group of pregnant Asian women.
Correct Answer: D
Rationale: The correct answer is D because it demonstrates cultural competence by matching the nurse's background with the patients'. This helps establish trust, understanding, and effective communication. The nurse is more likely to be familiar with cultural norms and preferences, making the teaching more culturally relevant and impactful.
A: An auditorium setting with a large number of students may not allow for individualized cultural considerations.
B: Language barriers can hinder effective communication and understanding, impacting learning outcomes.
C: While diversity can enrich learning, the varying backgrounds may not necessarily address specific cultural needs as effectively as a tailored approach.
Which factor is least likely to influence the decision to undergo genetic testing?
- A. Anxiety and altered family relationships
- B. Cost of testing or denial of insurance benefits
- C. Imperfection of test results
- D. Ethnic and socioeconomic disparity associated with genetic testing
Correct Answer: B
Rationale: Testing is not 100% accurate and has a high percentage of false-negative results. An individual may not take these results seriously and subsequently fail to have testing completed or to seek necessary follow-up consultation. Anxiety and altered family relationships are often the result of genetic testing. The results of genetic testing may be difficult to keep confidential, and family members may feel pressured to have testing performeDecisions about genetic testing are shaped by socioeconomic status and the ability to pay for the testing. Some types of genetic testing are expensive and are not covered by insurance benefits. Caucasian middle-class families have greater access to genetic screening; therefore, this population is less at likely to decide against genetic testing.
In the acronym BRAIDED, which letter is used to identify the key components of informed consent that the nurse must document?
- A. B stands for birth control.
- B. R stands for reproduction.
- C. A stands for alternatives.
- D. I stands for ineffective.
Correct Answer: C
Rationale: In BRAIDED, 'A' stands for alternatives, representing the key component of informed consent that includes information about other viable methods.