Nokea
A manager just finished the last annual performance review of the staff, reviews the unexpected expenditures for the month due to use of agency nurses, and shares the latest quality indicators with the staff nurses. This manager is performing which management function?
- A. Directing
- B. Planning
- C. Organizing
- D. Controlling
Correct Answer: D
Rationale: The correct answer is D: Controlling. Controlling involves monitoring performance, comparing it to objectives, and taking corrective actions. In this scenario, the manager is reviewing unexpected expenditures and quality indicators to ensure they align with goals and standards. Directing focuses on guiding and motivating employees. Planning involves setting goals and determining actions to achieve them. Organizing involves arranging resources and tasks.
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A nurse is evaluating Levin's Theory of Conservation to determine if it can be applied to patients in the initial phases of chemotherapy treatment. During this phase of theory acceptance, the nurse wants to determine if all the concepts of energy, structural integrity, personal integrity, and social integrity are included in the care of cancer treatment. The nurse is applying which criteria of theory acceptance?
- A. Inclusiveness
- B. Consistency
- C. Accuracy
- D. Fruitfulness
Correct Answer: A
Rationale: The correct answer is A: Inclusiveness. In this scenario, the nurse is evaluating if Levin's Theory of Conservation includes all the concepts related to energy, structural integrity, personal integrity, and social integrity in the care of cancer treatment. Inclusiveness as a criterion of theory acceptance involves determining if a theory encompasses all relevant concepts and variables within a certain domain. By ensuring that all key components are addressed, the theory can be considered comprehensive and applicable to various situations.
Choice B: Consistency, refers to the internal logical coherence of a theory, which is not the focus of the nurse's evaluation in this case.
Choice C: Accuracy, pertains to the degree to which a theory accurately reflects reality, which is not directly related to the nurse's current evaluation.
Choice D: Fruitfulness, involves the ability of a theory to generate new research and insights, which is not the primary concern for the nurse's assessment of the theory's applicability to cancer treatment.
A Southeast Asian woman brings her baby into the clinic because the baby is lethargic. The nurse determines that the baby has had diarrhea and vomiting for several days, resulting in dehydration. Physical examination reveals small, round burns on the abdomen. These burns probably are the result of cigarettes or burning cotton used to:
- A. try to quiet the child and is considered child abuse.
- B. bring out toxic wind from the body.
- C. balance heat loss from the body.
- D. brush the body with ruda to allow spirits to return.
Correct Answer: A
Rationale: The correct answer is A: try to quiet the child and is considered child abuse. The small, round burns on the baby's abdomen are likely caused by cigarettes or burning cotton as a form of child abuse known as "cigarette burns." This type of abuse is characterized by deliberately causing harm to a child by burning them with cigarettes or other hot objects. The other choices (B, C, D) are incorrect as they do not address the intentional harm and abuse inflicted upon the child in this scenario. Choice B about bringing out toxic wind is not a valid cultural or medical practice and is not relevant in this context. Choice C about balancing heat loss is not related to the burns observed. Choice D about brushing the body with ruda for spirits to return is not a known or appropriate intervention for addressing burns or abuse.
A patient is admitted with hypotension, shortness of breath, flushing, and hives. All levels of staff have been trained to assess vital signs. Given budget restrictions and proper delegation rules, to which care provider would the RN delegate the task of obtaining the initial blood pressure reading?
- A. RN
- B. LPN/LVN
- C. Unlicensed assistive personnel (UAP)
- D. Use the blood pressure obtained in the ambulance, because it was assessed via electronic monitoring.
Correct Answer: C
Rationale: The correct answer is C. The Unlicensed Assistive Personnel (UAP) can be delegated the task of obtaining the initial blood pressure reading because this task is within their scope of practice and does not require specialized nursing knowledge or assessment skills. The UAP can be trained and supervised to accurately measure blood pressure, freeing up the RN to focus on assessing the patient's overall condition and providing necessary interventions. Delegating this task to the UAP is cost-effective and efficient, allowing the RN to prioritize critical nursing assessments and interventions for the patient's presenting symptoms.
Incorrect choices:
A: RN - The RN should not perform tasks that can be safely delegated to other members of the healthcare team to optimize efficiency and resource utilization.
B: LPN/LVN - While LPNs/LVNs have more advanced training than UAPs, obtaining a blood pressure reading is a basic task that can be appropriately delegated to UAPs.
D: Using the blood pressure obtained in the ambulance - This option does
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.
This certificate of inspection is health policy enforced at which level of government?
- A. Local
- B. State
- C. Federal
- D. International
Correct Answer: B
Rationale: The correct answer is B: State. State governments are responsible for enforcing health policies such as certificates of inspection within their own jurisdiction. They have the authority to regulate and monitor health standards at the state level. Local governments (A) typically focus on implementing policies within their specific region, while federal governments (C) oversee broader health policies that apply across the entire country. International (D) level does not have jurisdiction over local health policies. Therefore, the state level is the most appropriate answer for enforcing a certificate of inspection in this context.