Nokea
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: Magnet status hospitals demonstrate higher nurse job satisfaction and lower turnover rates, along with improved quality of care.
You may also like to solve these questions
In teaching a pregnant adolescent about nutrition, what should the nurse include in the care plan?
- A. Determine the weight gain needed to meet adolescent growth and add 35 lb.
- B. Suggest that she does not eat at fast food restaurants to avoid foods of poor nutritional value.
- C. Realize that most adolescents are unwilling to make dietary changes during pregnancy.
- D. Emphasize the need to eliminate common teen snack foods because they are too high in fat and sodium.
Correct Answer: A
Rationale: Rationale for Correct Answer A: The correct answer is A because it addresses the specific nutritional needs of a pregnant adolescent by considering her growth and weight gain requirements. It is essential to determine the appropriate weight gain based on the adolescent's pre-pregnancy weight and BMI to ensure a healthy pregnancy. Adding a standard amount (usually around 35 lb) on top of the recommended weight gain for adolescents accounts for the additional needs of the growing fetus.
Summary of Incorrect Choices:
B: This choice focuses on avoiding fast food restaurants but does not address the specific nutritional needs of a pregnant adolescent.
C: Assuming that most adolescents are unwilling to make dietary changes is a generalization and does not provide tailored guidance for the individual's needs.
D: While emphasizing the need to eliminate unhealthy snacks is important, it does not address the overall nutritional requirements and weight gain needed for a pregnant adolescent.
The healthcare provides prescribes 10 units/L of oxytocin (Pitocin) via IV drips to augment a client labor because she is experiencing a prolonged active phase. Which finding would cause the nurse to immediately discontinue the oxytocin?
- A. Uterus soft
- B. Contraction duration of 100 seconds
- C. Four contractions in 10 minutes
- D. Early deceleration of fetal heart rate
Correct Answer: B
Rationale: Contractions lasting longer than 90 seconds (B) can compromise fetal oxygenation and require discontinuing oxytocin.
Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influence on successful teaching on the gravid client?
- A. The client's readiness to learn
- B. The client's educational background
- C. The order in which the information is presented
- D. The extent to which the pregnancy was planned
Correct Answer: A
Rationale: When teaching any client, readiness to learn (A) is the most important criterion. For example, the client with severe morning sickness in the first trimester may not be 'ready to learn' about ways to relieve morning sickness.
At the present time, which agency governs surrogate parenting?
- A. State law
- B. Federal law
- C. Individual court decision
- D. Protective child services
Correct Answer: C
Rationale: Surrogacy cases are decided individually in court, as there is no overarching state or federal law governing surrogacy.
Which assessment finding should the nursery nurse report to the pediatric healthcare provider?
- A. Blood glucose level of 45 mg/dl
- B. Blood pressure of 82/45 mmHg
- C. Non-bulging anterior fontanel
- D. Central cyanosis when crying
Correct Answer: D
Rationale: An infant who demonstrates central cyanosis when crying (D) is manifesting poor adaptation to extrauterine life which should be reported to the healthcare provider for determination of a possible underlying cardiovascular problem.