A new graduate desires a position in labor and delivery; however, no position is available. What is the best advice for this nurse?
- A. Continue to study to keep skills current and wait for desired position.
- B. Return to college until a position in labor or delivery opens.
- C. Accept another nursing position and transfer into labor and delivery when a position is available.
- D. Practice obstetrical skills in a simulation lab then present evidence of competency to potential employer.
Correct Answer: C
Rationale: The correct answer is C because it offers a practical solution. By accepting another nursing position and transferring to labor and delivery when a position is available, the nurse can gain experience, maintain employment, and potentially build a relationship with the organization. This approach shows flexibility and commitment.
A: Continuing to study is important, but it may not guarantee a position in labor and delivery.
B: Returning to college is unnecessary and may delay entering the workforce.
D: Practicing skills in a simulation lab is beneficial, but it does not address the immediate need for employment in the desired field.
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The demographics of the twenty-first century nursing population indicate that:
- A. individuals entering nursing are second-degree students who average 45 years of age.
- B. more white nurses enter and obtain graduate degrees than any other ethnic group.
- C. the highest level of nursing education for most RNs is an associate degree.
- D. the majority of nurses practice in hospitals.
Correct Answer: C
Rationale: The correct answer is C because the highest level of nursing education for most RNs is an associate degree. This is supported by data showing that a significant proportion of registered nurses have obtained their education through associate degree programs. Additionally, pursuing an associate degree is a common pathway for individuals entering the nursing profession due to its accessibility and shorter duration compared to obtaining a bachelor's or graduate degree.
Choice A is incorrect because while there may be second-degree nursing students entering the field, the average age of individuals entering nursing is typically younger than 45 years old. Choice B is incorrect as there is increasing diversity in the nursing workforce, with nurses from various ethnic backgrounds entering and obtaining graduate degrees. Choice D is incorrect as the majority of nurses are not practicing in hospitals, with many working in other healthcare settings such as clinics, long-term care facilities, and community health centers.
A patient presents with chest pain that increases when lying flat and low-grade fever. Assessment reveals muffled heart sounds, tachycardia, and 3+ edema in the lower extremities. The nurse asks the patient to learn forward, which eases respiratory efforts. The nurse then places the stethoscope at which area on the chest to facilitate auscultation? The above question represents which type of alternate-format question written at which level of Bloom's taxonomy?
- A. Multiple-response item, comprehension level
- B. Hot-spot item, analysis level
- C. Chart/exhibit item, application level
- D. Drag-and-drop item, knowledge level
Correct Answer: B
Rationale: The correct answer is B: Hot-spot item, analysis level. In this scenario, the patient's symptoms suggest pericardial effusion or cardiac tamponade. To facilitate auscultation, the nurse should place the stethoscope at the point of maximal intensity of the heart sounds, which is typically at the apex of the heart or the lower left sternal border. This requires the nurse to analyze the patient's symptoms and apply knowledge of cardiac anatomy to determine the optimal auscultation site.
A: Multiple-response item, comprehension level - This choice involves selecting multiple correct answers from a list of options based on understanding the presented information. It doesn't require the critical thinking and analysis needed in this scenario.
C: Chart/exhibit item, application level - This choice involves interpreting information presented in a chart or exhibit to apply it to a specific situation. While it involves application, it doesn't require the same level of analysis as determining the best auscultation site.
D: Drag-and
Qualified nursing school applicants have continued to be turned away, limiting enrollment due to a shortage of faculty, which is attributed to several factors, including:
- A. nursing faculty are subject to high levels of burnout and job dissatisfaction.
- B. only the number of faculty in Associate Degree programs remain stable.
- C. the mean age of nursing faculty continues to decrease and older faculty mentors have left the profession.
- D. increasing job competition from higher paying clinical sites, even as the economy recovers.
Correct Answer: A
Rationale: The correct answer is A because it directly addresses the shortage of nursing faculty by highlighting the issue of burnout and job dissatisfaction, which leads to faculty turnover and limits enrollment. This explanation aligns with the initial statement that qualified applicants are being turned away due to the shortage of faculty.
Choices B, C, and D are incorrect because they do not directly address the main issue of faculty shortage. B talks about the stability of faculty numbers in Associate Degree programs, which is irrelevant to the shortage. C discusses the decrease in the mean age of nursing faculty and the departure of older mentors, but this does not explain the shortage of faculty. D mentions increasing job competition from clinical sites, which is not the primary reason for the shortage of nursing faculty.
When the job applicant is asked to identify weaknesses, one appropriate reply for the novice nurse might be:
- A. "I have no weaknesses."
- B. "Are you trying to set me up?"
- C. "Delegating to peers."
- D. "Caring requires weakness."
Correct Answer: C
Rationale: The correct answer is C: "Delegating to peers." This response shows self-awareness and willingness to improve by acknowledging a common weakness for novice nurses - difficulty in delegating tasks to peers. It demonstrates a willingness to learn and grow in the role.
A: "I have no weaknesses." - This answer lacks self-awareness and does not show a willingness to improve. It comes across as overconfident.
B: "Are you trying to set me up?" - This response is defensive and unprofessional. It does not address the question directly.
D: "Caring requires weakness." - This answer is vague and does not provide a specific weakness or show a proactive approach to self-improvement.
A nurse is admitting a Mexican-American child, and the mother comments that the child was exposed to mal ojo. The nurse should expect to find which symptom associated with this exposure?
- A. Fever
- B. Nervous tension
- C. Bruising
- D. Somnolence
Correct Answer: B
Rationale: The correct answer is B: Nervous tension. Mal ojo, commonly known as the evil eye, is a belief in many Latin American cultures that certain people have the power to cause harm with their gaze. Symptoms associated with mal ojo typically include nervous tension, irritability, and restlessness. Fever (choice A) is not a common symptom of mal ojo. Bruising (choice C) is also not typically associated with mal ojo. Somnolence (choice D) refers to excessive sleepiness, which is not a common symptom of mal ojo. Therefore, the correct answer is B as it aligns with the cultural belief and expected symptoms of mal ojo.