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A hospital refused to purchase a better grade of utility gloves, even after learning that the cheaper utility gloves are easily punctured during routine use. This unsafe situation led nurses to seek unionization. During the pre-election phase for unionization, which actions by union representatives are prohibited by the National Labor Relations Board? (select all that apply)
- A. Scheduling a meeting in the agency's cafeteria to determine employees' interest in unionization
- B. Distributing nondocumented information that female nurses receive lower annual performance evaluations than do male nurses
- C. Distributing information about the benefits of unionization and grievances in a public parking garage located across from the hospital
- D. Suggesting to workers the likelihood of job loss should the union not win the election
Correct Answer: B
Rationale: The correct answer is B because distributing nondocumented information about gender-based performance evaluations violates the National Labor Relations Act, which prohibits making false statements about an employer. This action could potentially mislead employees and interfere with the election process. Choices A, C, and D are not prohibited actions by the National Labor Relations Board. Choice A involves a legal and common method of gauging interest in unionization. Choice C involves providing information about union benefits and grievances, which is a protected activity. Choice D is permissible as long as it does not contain false or coercive statements.
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A patient is eligible to change health care providers and insurance and asks, "I am interested in health promotion activities; I walk, swim, and eat healthy. Which health insurance plan would support these activities rather than just pay for services when I am sick"? Which, if any, health insurance plan would best meet the needs of this patient?
- A. Health Maintenance Organization (HMO).
- B. Fee for Service.
- C. Preferred Provider Organization (PPO).
- D. None, because health insurance plans currently cover only disease management, not preventive care.
Correct Answer: A
Rationale: The correct answer is A: Health Maintenance Organization (HMO). HMOs focus on preventive care and health promotion activities, such as regular check-ups, screenings, and wellness programs. They emphasize keeping patients healthy and offer incentives for healthy behaviors. This aligns with the patient's interest in health promotion activities like walking, swimming, and eating healthy.
Choice B (Fee for Service) typically does not emphasize preventive care and may not provide the support for the patient's health promotion activities.
Choice C (Preferred Provider Organization - PPO) may offer some preventive care services, but HMOs are more structured and proactive in promoting health and wellness.
Choice D is incorrect because many health insurance plans, including HMOs, cover preventive care and health promotion activities to encourage overall well-being.
A Hispanic patient is visited by several family members and the nurse witnessed one visitor who pinches a piece of skin at the waist. The nurse asks the purpose and learns the "provider" is listening for a snap from the abdominal region, which is then repeated several times. The patient most likely suffers from:
- A. mal ojo.
- B. susto.
- C. bilis.
- D. empacho.
Correct Answer: D
Rationale: The correct answer is D: empacho. Empacho is a traditional Hispanic folk illness characterized by a blockage in the digestive system. In this scenario, the behavior of pinching the skin and listening for a snap in the abdominal region aligns with the common practice associated with empacho diagnosis. The family member is likely trying to detect an abnormal sound, indicating a blockage in the intestines. The other choices (A: mal ojo, B: susto, C: bilis) do not fit the description of the observed behavior and symptoms. Mal ojo refers to the evil eye, susto is a fright-related illness, and bilis pertains to an imbalance of bodily fluids, none of which involve the specific diagnostic behavior described in the scenario.
A staff nurse states, "I really enjoyed having dinner with the Chief of Medical Staff and the President of the hospital. We hope to meet again soon." Which source of power does this nurse possess?
- A. Expert
- B. Legitimate
- C. Connection
- D. Reward
Correct Answer: C
Rationale: The correct answer is C: Connection. The nurse's power comes from her ability to network and build relationships with influential individuals like the Chief of Medical Staff and the President of the hospital. This grants her access to information, resources, and opportunities not available to others. This power is based on who she knows rather than her expertise (A), position (B), or ability to offer rewards (D). The nurse's statement implies that her influence stems from her connections, making choice C the most appropriate answer.
Which statement regarding informed consent is correct? Informed consent:
- A. is mandated by federal but not state law.
- B. must reveal expected benefits.
- C. requires concealing any known risks.
- D. allows the RN to communicate information needed so that informed consent can be provided.
Correct Answer: D
Rationale: The correct answer is D because informed consent requires the registered nurse (RN) to communicate all necessary information to the patient so they can make an informed decision. This includes explaining the procedure, potential risks, benefits, alternatives, and any other pertinent information. The RN plays a crucial role in ensuring that the patient understands the information provided before giving consent. Choices A, B, and C are incorrect because informed consent is not solely mandated by federal law, must disclose risks as well as benefits, and should not involve concealing any known risks.
A student nurse who is preparing to graduate and take the licensure examination asks, "What is compulsory licensure?" The appropriate response of the nursing advisor is which of the following?
- A. All candidates wishing to take the licensure examination must pass a drug screen.
- B. Candidates must not have a felony conviction.
- C. To practice as an RN, the nurse must be licensed as an RN.
- D. An impaired nurse must sign a legal document to acknowledge limitations on his or her practice.
Correct Answer: C
Rationale: The correct answer is C because compulsory licensure means that in order to practice as an RN, the nurse must be licensed as an RN. This is a fundamental requirement for anyone wanting to work as a registered nurse to ensure they meet the necessary qualifications and standards set by the licensing board.
Choice A is incorrect as passing a drug screen is not the definition of compulsory licensure. Choice B is incorrect as having a felony conviction may impact eligibility for licensure but is not the definition of compulsory licensure. Choice D is incorrect as acknowledging limitations due to impairment is related to professional conduct but not specifically about licensure requirements.