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A new graduate is excited about finding the first job but doesn't want to make the costly mistake of taking the first job offered or taking a job that doesn't meet her career goals. She learns the best way to know the culture of the potential employer is networking with:
- A. the executives at the competing agency.
- B. alumni that graduated from the same school and work in the area.
- C. nurses currently working in the agency.
- D. friends or people who have been patients at the agency.
Correct Answer: B
Rationale: The correct answer is B: alumni that graduated from the same school and work in the area. Networking with alumni who graduated from the same school and work in the area is the best way to know the culture of the potential employer because they can provide insider insights based on their own experiences. Alumni are likely to offer honest and firsthand information about the work environment, company culture, and career growth opportunities. They can also provide valuable advice on how to navigate the hiring process and make an informed decision. Networking with executives at a competing agency (choice A) may not provide accurate information about the potential employer's culture. Nurses currently working in the agency (choice C) may not have a comprehensive view of the overall culture. Friends or people who have been patients at the agency (choice D) are unlikely to provide relevant insights into the work culture.
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The staff on a nursing unit notes that patient satisfaction varies from month to month. They plot the degree of patient satisfaction each month for 1 year to determine when the periods of greatest dissatisfaction are occurring. The staff uses which type of graph?
- A. Time plot
- B. Pareto chart
- C. Flowchart
- D. Cause-and-effect diagram
Correct Answer: A
Rationale: The correct answer is A: Time plot. A time plot is the most appropriate graph for displaying data over time to identify trends and patterns. In this scenario, plotting patient satisfaction levels monthly over a year allows the staff to analyze fluctuations and identify periods of greatest dissatisfaction accurately.
Summary of other choices:
B: Pareto chart - Pareto charts are used to display the frequency of occurrences in a dataset in descending order. It is not suitable for analyzing trends over time.
C: Flowchart - Flowcharts are used to represent processes and workflows, not suitable for displaying time-series data.
D: Cause-and-effect diagram - Cause-and-effect diagrams are used to identify and analyze potential causes of a problem, not suitable for displaying time-series data.
A nurse is overhead saying, "I don't mind working during the election and holiday. My parents are divorced, money is tight, and honestly I don't trust any politicians anyway. I plan to take a few weeks off next month." She works independently to research strategies to improve patient-centered care for the large number of immigrants that arrived in the area and then works with the team to share ideas. She recommends, "Let's think the suggestions over and come back together next week." This nurse's communication style is consistent with which generation?
- A. Baby Boomers
- B. Traditionalist
- C. Generation X
- D. Millenniums
Correct Answer: C
Rationale: The nurse's communication style of working independently, sharing ideas with the team, and suggesting a collaborative approach aligns with Generation X characteristics. Generation X values independence, work-life balance, and collaboration. Baby Boomers (A) tend to be more hierarchical, Traditionalists (B) prioritize loyalty and respect for authority, and Millennials (D) are known for their tech-savvy and collaborative nature, but the nurse's approach best fits Generation X.
A new nurse researcher is interested in tracing the history of nursing research. The researcher learns that nursing research began with:
- A. the work of Florence Nightingale during the Crimean War.
- B. studies between 1900 and 1940 following Nightingale's work.
- C. studies to improve patient care by doctorally prepared nurses.
- D. studies based on the naturalistic paradigm.
Correct Answer: A
Rationale: The correct answer is A because Florence Nightingale is widely recognized as the pioneer of modern nursing research. During the Crimean War, she collected and analyzed data on patient care outcomes, demonstrating the importance of evidence-based practice in nursing. This laid the foundation for the development of nursing research as a formal discipline.
Choice B is incorrect as nursing research did not start between 1900 and 1940, but rather with Nightingale's work. Choice C is incorrect because the focus of nursing research was not solely on doctorally prepared nurses but on improving patient care in general. Choice D is incorrect as the naturalistic paradigm is just one approach to research and not the starting point for nursing research.
A patient has decided to stop hemodialysis because his renal failure progresses and he wishes to spend more time with family. Palliative care will continue, and the approach will be discussed with the patient and family as needed and at change of shift. The care delivery model in this situation is termed:
- A. partnership.
- B. patient-centered.
- C. case management.
- D. total patient care.
Correct Answer: B
Rationale: The correct answer is B: patient-centered. This model focuses on meeting the individual patient's needs and preferences, involving them in decision-making, and providing care that is respectful and responsive to their values. In this scenario, the patient's decision to stop hemodialysis is respected, and palliative care is provided in alignment with his wishes. Partnerhsip (A) typically involves collaboration between healthcare providers and patients, which is not explicitly mentioned. Case management (C) focuses on coordinating services for complex cases, which is not the primary focus here. Total patient care (D) involves providing all aspects of care directly by the same nurse, which is not the main approach in this scenario.
Three illegal immigrants with no health insurance or money sustained life-threatening injuries during an automobile accident. Two of these individuals had head trauma and lacerated internal organs. The decision was made to provide extended care in the trauma center after emergency surgery was performed to save their lives. The third individual received only minor injuries, which were treated in the emergency department. The care of the two critical clients was based on the ethical principle of:
- A. utilitarianism.
- B. deontology.
- C. autonomy.
- D. veracity.
Correct Answer: A
Rationale: The correct answer is A: utilitarianism. Utilitarianism is an ethical principle that focuses on maximizing overall well-being and minimizing harm. In this scenario, the decision to provide extended care to the two critical individuals with life-threatening injuries aligns with utilitarianism as it prioritizes saving the most lives and reducing suffering. By choosing to allocate resources to those with the most severe injuries, the healthcare providers are aiming to maximize the overall benefit to society.
Summary of why the other choices are incorrect:
B: Deontology focuses on following rules and duties regardless of the consequences. In this case, the decision to provide care based on severity of injuries goes against a strict deontological approach.
C: Autonomy emphasizes respecting individuals' rights to make their own decisions about their care, which is not the primary consideration in this scenario.
D: Veracity pertains to honesty and truthfulness in communication, which is not directly relevant to the decision-making process in this healthcare scenario.