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A nonprofit organization that distributes to governmental agencies, the public, business, and health care professionals knowledge related to health care for the purpose of improving health is the:
- A. Institute for Safe Medication Practices.
- B. Institute of Medicine.
- C. National Committee for Quality Assurance.
- D. The Joint Commission.
Correct Answer: B
Rationale: The correct answer is B: Institute of Medicine. The Institute of Medicine is known for disseminating knowledge related to health care through government agencies, the public, business, and health care professionals to improve health outcomes. The organization conducts research and provides evidence-based recommendations to address health care challenges.
A: Institute for Safe Medication Practices focuses specifically on promoting safe medication practices, not a broad range of health care knowledge dissemination.
C: National Committee for Quality Assurance primarily focuses on accrediting and certifying health care organizations based on quality standards, rather than broadly distributing health care knowledge.
D: The Joint Commission is responsible for accrediting health care organizations and institutions, ensuring they meet quality and safety standards, but not specifically for distributing health care knowledge to various stakeholders.
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Occupational health nursing features beliefs similar to those of which early nursing pioneer?
- A. Lillian Wald
- B. Florence Nightingale
- C. Clara Barton
- D. Mary Seacole
Correct Answer: B
Rationale: The correct answer is B: Florence Nightingale. Occupational health nursing shares beliefs with Florence Nightingale as she emphasized the importance of proper sanitation, hygiene, and preventive care in nursing practice. Nightingale's focus on maintaining a healthy environment aligns with the core principles of occupational health nursing. Lillian Wald is known for her work in public health nursing, Clara Barton for founding the American Red Cross, and Mary Seacole for her contributions during the Crimean War. While these pioneers made significant contributions to nursing, their beliefs and focus areas differ from those of occupational health nursing.
A nurse is preparing a scholarly publication on the prevalence of hepatitis A worldwide. The most efficient and effective means of conducting an Internet search to gather information for this publication is to use:
- A. a search engine such as Google or Yahoo.
- B. a consumer health website.
- C. a decision support system.
- D. MEDLINE database.
Correct Answer: D
Rationale: The correct answer is D: MEDLINE database. MEDLINE is a reputable database that provides access to a vast array of peer-reviewed medical literature, making it an excellent resource for scholarly publications. Here's the rationale:
1. Credibility: MEDLINE contains high-quality, peer-reviewed articles from reputable medical journals, ensuring the information obtained is reliable and accurate.
2. Specificity: The database is focused on medical research, including studies on hepatitis A, providing targeted and relevant information for the nurse's publication.
3. Efficiency: Search results in MEDLINE are organized and easily accessible, allowing the nurse to efficiently gather information without sifting through irrelevant sources.
4. Up-to-date: MEDLINE is regularly updated with the latest research findings, ensuring the nurse has access to the most current information on hepatitis A.
In summary, using MEDLINE is the best choice for the nurse as it offers credible, specific, efficient, and up-to-date information compared to the other options.
One of the major trends that currently influences nursing education and practice is:
- A. increased technology in the field of critical care.
- B. a narrowing scope of practice for nurses.
- C. incivility or disregard of others' rights in social interactions.
- D. a decrease in ethnicity due to international programs allowing students to study from a distance.
Correct Answer: A
Rationale: The correct answer is A: increased technology in the field of critical care. This trend is shaping nursing education and practice by improving patient care, enhancing efficiency, and requiring nurses to adapt to new technologies. The advancements in critical care technology have revolutionized the way healthcare is delivered and have become essential in providing high-quality patient care. This trend highlights the importance of nurses staying current with the latest technologies to deliver optimal care.
Choice B is incorrect because there is actually an expanding scope of practice for nurses as they take on more responsibilities and roles in healthcare. Choice C is incorrect as incivility and disregard of others' rights would not be considered a major trend shaping nursing education and practice. Choice D is incorrect as international programs increasing diversity in nursing education and practice would not result in a decrease in ethnicity.
Nurses in a unionized hospital are paid "compensatory pay" when working holidays equal to the number of hours worked with no extra compensation. Although they have suggested changes during the annual survey of employee satisfaction, management refuses to consider another system for compensatory pay. A trained member listened to both nurses and management to make recommendations that were not legally binding. This type of settlement is termed:
- A. picketing.
- B. binding arbitration.
- C. mediation.
- D. grievance.
Correct Answer: C
Rationale: The correct answer is C: mediation. In this scenario, a trained member listened to both parties (nurses and management) and made recommendations that were not legally binding. Mediation involves a neutral third party facilitating communication and negotiation between conflicting parties to help them reach a mutually acceptable resolution. It is non-binding, unlike binding arbitration, where a decision is imposed on the parties. Picketing involves organized striking by employees to protest against employer practices. Grievance is a formal complaint process within an organization. Mediation is the appropriate term for this non-binding settlement process in this context.
A nurse is completing the degree requirements for an advanced practice role as a nurse practitioner and is concerned about certification requirements. Which statement concerning certification for advanced practice is true?
- A. All states require certification for all specialty roles that are identified as advanced practice.
- B. Nurse anesthetists and nurse-midwives are the only advanced practice role that require certification in the state nurse practice acts.
- C. Scope of practice remains unclear in state nurse practice acts due to the increasing number of new advanced practice roles.
- D. Certification is automatic when the nurse applies for an advanced practice license.
Correct Answer: A
Rationale: The correct answer is A because most states require certification for all specialty roles identified as advanced practice. This is crucial for ensuring that nurse practitioners have met specific educational and clinical practice requirements to provide safe and competent care.
Explanation for why other choices are incorrect:
B: Nurse anesthetists and nurse-midwives are not the only advanced practice roles that require certification in most states. Other roles such as nurse practitioners and clinical nurse specialists also require certification.
C: The increasing number of new advanced practice roles does not necessarily mean that the scope of practice remains unclear in state nurse practice acts. Certification requirements help define the scope of practice for each role.
D: Certification is not automatic when applying for an advanced practice license. Nurses must complete specific educational programs and pass certification exams to obtain certification for their chosen specialty role.