A new nurse decides to use the Internet to apply for possible positions. How does applying online compare to applying by more traditional methods? (select all that apply)
- A. Regardless of how one applies, it is important to check the resume for correctness.
- B. Follow-up with Internet applications is no sooner than 90 days compared to a 1-week follow-up for traditional applications.
- C. Researching the mission and philosophy of the agency is not necessary with Internet searches and applications.
- D. The resume and cover letter should be reviewed by someone with excellent skills in grammar and writing to ensure the first impression is one of professionalism and attention to detail.
Correct Answer: A
Rationale: The correct answer is A because regardless of the method of application, it is crucial to check the resume for correctness to present oneself professionally. This step is essential to avoid any errors or mistakes that could negatively impact the application process.
Choice B is incorrect because the timeframe for follow-up does not solely depend on the method of application; it varies by company and industry.
Choice C is incorrect as researching the mission and philosophy of the agency is important for both online and traditional applications to tailor the application to the specific organization.
Choice D is incorrect as the importance of having the resume and cover letter reviewed for grammar and writing skills applies to both online and traditional applications to make a positive first impression.
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Which nurse best portrays nursing as a "knowledge worker"?
- A. Nurse in matched scrubs with lab coat, hair back, small stud earrings
- B. Nurse in mismatched scrubs, no lab coat, large hoop earrings
- C. Nurse in white uniform with apron with no jewelry/hair back
- D. Nurse with nose ring and eyebrow piercing with starched white uniform and cap
Correct Answer: A
Rationale: The correct answer is A because the nurse in matched scrubs with a lab coat and minimal jewelry portrays professionalism and adherence to safety standards. The lab coat signifies a commitment to infection control and respect for the clinical environment. The hair being pulled back ensures cleanliness and prevents hair from falling into a patient's wound. Small stud earrings are safe and do not pose a risk of injury to the nurse or patient.
Choice B is incorrect because mismatched scrubs and large hoop earrings may not reflect professionalism or attention to detail, which are crucial in nursing practice.
Choice C is incorrect as the nurse in a white uniform with apron and no jewelry may seem traditional but lacks the modern approach and attention to safety standards displayed by choice A.
Choice D is incorrect because the nurse with nose and eyebrow piercings, despite wearing a starched white uniform and cap, may not be perceived as a professional and may not adhere to conservative workplace standards.
When first diagnosed with Parkinson disease, how can the patient and family best avoid future ethical dilemmas concerning the patient's care?
- A. Work with the patient and family to create an advanced plan of care.
- B. Explain to the family that the patient's cognitive function will deteriorate as time passes.
- C. Discuss the patient's religious and spiritual concerns to identify potential problems.
- D. Identify which family members will be in control of decision making for the patient.
Correct Answer: A
Rationale: The correct answer is A: Work with the patient and family to create an advanced plan of care. This is the best way to avoid ethical dilemmas because it involves proactive decision-making and communication among all parties involved. By creating an advanced plan of care, the patient and family can outline the patient's preferences, values, and goals for future care, ensuring that decisions align with the patient's wishes. This helps prevent potential conflicts and ensures that everyone is on the same page regarding the patient's care.
Choices B, C, and D are incorrect:
B: Explaining cognitive decline does not directly address how to avoid ethical dilemmas and may cause unnecessary distress.
C: Discussing religious and spiritual concerns is important but may not specifically address future ethical dilemmas related to care decisions.
D: Identifying family members in control of decision-making does not necessarily prevent ethical dilemmas and may overlook the patient's autonomy and preferences.
A pregnant woman reports back pain and wants to try a complementary alternative medicine (CAM) therapy. The nurse knows that which CAM would be contraindicated?
- A. Magnet therapy
- B. Aromatherapy
- C. Imagery
- D. Therapeutic touch
Correct Answer: A
Rationale: The correct answer is A: Magnet therapy. Magnet therapy is contraindicated in pregnancy due to the risk of unknown effects on the fetus. Magnets may interfere with the body's natural magnetic fields, potentially causing harm to the developing baby. Aromatherapy (B), imagery (C), and therapeutic touch (D) are generally considered safe during pregnancy when performed by trained professionals and with appropriate precautions. Aromatherapy uses essential oils, imagery involves mental visualization techniques, and therapeutic touch uses energy-based techniques that do not pose significant risks to the pregnant woman or the fetus.
A nurse tallies the patient satisfaction surveys and approves the use of an agency nurse because of the high census. This nurse is involved in which nursing role?
- A. Change agent
- B. Educator
- C. Manager
- D. Coordinator
Correct Answer: C
Rationale: The correct answer is C: Manager. In this scenario, the nurse is making decisions related to staffing and resource management based on patient census, which falls under the responsibilities of a nurse manager. A manager oversees the organization and coordination of nursing care to ensure efficient and effective delivery. The other choices - Change agent, Educator, and Coordinator - do not directly align with the decision-making process related to staffing and resource management as seen in the scenario.
A nurse learns of a mass casualty disaster following a known terrorist attack. On arriving at the scene, the nurse knows that:
- A. the response of local hospitals will be dictated by the federal government.
- B. the same ground rules practiced in other settings and during smaller crises will be applicable.
- C. the least experienced nurses will be assigned to triage low-risk victims and victims who have no chance of survival.
- D. multiple incident commanders ensure a quick, effective response.
Correct Answer: B
Rationale: The correct answer is B because in a mass casualty disaster following a terrorist attack, the same ground rules practiced in other settings and during smaller crises will be applicable. This is because the scale and complexity of the disaster require established protocols and procedures to manage the situation effectively.
Choice A is incorrect because the response of local hospitals may not necessarily be dictated by the federal government in such situations. Choice C is incorrect because assigning the least experienced nurses to triage patients based on their perceived risk or chances of survival is not ethical or effective. Choice D is incorrect because having multiple incident commanders can lead to confusion and delays in decision-making during a crisis.