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A novice nurse is unsure how to correctly administer an injection using the Z-track method. What is the best approach for learning this procedure?
- A. Read the procedure manual and follow the steps exactly.
- B. Make an appointment at the skills laboratory of the former nursing school to practice.
- C. Ask to observe the skill as it is being performed; then perform it under direct supervision.
- D. Try to remember how the task was previously performed during a simulation.
Correct Answer: C
Rationale: The correct answer is C: Ask to observe the skill as it is being performed; then perform it under direct supervision. This approach allows the novice nurse to learn through observation and hands-on practice under direct supervision, ensuring proper technique and safety. By observing the skill first, the nurse can understand the correct steps and potential challenges. Performing the skill under supervision provides real-time feedback and guidance. This method promotes active learning and confidence-building.
Rationale for incorrect choices:
A: Reading the procedure manual is helpful but may not provide the necessary hands-on experience and immediate feedback required for skill acquisition.
B: Practicing in a skills laboratory can be beneficial, but it may not offer the opportunity for direct supervision and feedback from experienced professionals.
D: Trying to remember from a previous simulation may not be reliable and lacks the real-time guidance and correction needed for skill mastery.
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What uniquely twenty-first century issue challenges today's professional nurse. (select all that apply)
- A. Caring for an aging population
- B. Increased patient acuity
- C. Access to health care services
- D. Expanding technology
Correct Answer: A
Rationale: The correct answer is A: Caring for an aging population. This is a uniquely twenty-first-century issue as advancements in healthcare have increased life expectancy, leading to a larger elderly population with complex healthcare needs. Nurses must adapt their skills and knowledge to provide specialized care for this demographic.
B: Increased patient acuity is a common challenge but not unique to the twenty-first century. Nurses have always dealt with varying levels of patient acuity.
C: Access to health care services is an ongoing issue that has been prevalent for many years, not specifically unique to the twenty-first century.
D: Expanding technology is also a significant challenge for nurses in the modern era, but it is not uniquely a twenty-first-century issue as technology has been advancing for decades.
In today's world of fast, effective communication, what is the most commonly used means of societal communication?
- A. Facial expression
- B. Spoken word
- C. Written messages
- D. Electronic messaging
Correct Answer: D
Rationale: The correct answer is D: Electronic messaging. In today's fast-paced world, electronic messaging, such as emails, text messages, and social media, is the most commonly used means of societal communication due to its immediacy, convenience, and widespread accessibility. It allows people to communicate quickly across long distances and reach a large audience efficiently. Facial expressions (A) are important but limited in reach. Spoken word (B) is also crucial but less prevalent in today's digital age. Written messages (C) are still used but electronic messaging has largely replaced traditional written communication for its speed and efficiency.
A nurse works on a unit where electronic health records (EHR) are being initiated and asks, "What is meant by 'meaningful use' standards that are in our education packet?" The best answer is that "meaningful use":
- A. identifies a set of EHR proficiencies and benchmarks that EHR systems must meet to be certain that they are functioning to their maximum capacity and meeting this standard allows companies/organizations to qualify for funds to defray cost of the EHR from Medicare.
- B. refers to training competencies that all users must achieve to be able to access and transfer patient data/information.
- C. refers to a requirement that at least 50% plus one of all patients have data entered into the EHR.
- D. the requirement that rigorous confidentiality security is in place to protect all patient information from sources which have no right to the data.
Correct Answer: A
Rationale: The correct answer is A because "meaningful use" standards in EHR refer to specific criteria that healthcare providers must meet to receive incentives for using EHR effectively. This includes improving quality, safety, efficiency, and reducing health disparities. By meeting these benchmarks, providers can qualify for funds from Medicare.
Choice B is incorrect because "meaningful use" is not just about training competencies but about how EHR systems are used to improve patient care.
Choice C is incorrect as it misinterprets the concept of meaningful use. It is not about a specific percentage of patients with data entered, but about the overall impact of EHR on healthcare delivery.
Choice D is incorrect because while confidentiality and security are important aspects of EHR, they are not the sole focus of meaningful use standards.
A patient states, "My cancer is in remission finally after all that chemotherapy, my friend used the same chemotherapy and wasn't so lucky. I want to continue participating in spiritual care and 'mind games' to keep my memory intact. I am also enrolled in Tai chi, but I just can't stop thinking about my sick lung." This patient adheres to which principle underlying alternative healing?
- A. A negative alteration in the body produces a parallel effect on the mind and spirit.
- B. The body can heal itself with the help of complementary alternative therapies.
- C. Approaches to therapy are individualized.
- D. There is a focus on the total lifestyle.
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct:
1. The patient believes in the power of complementary alternative therapies to help the body heal itself.
2. This aligns with the principle underlying alternative healing, which emphasizes the body's innate ability to heal.
3. By engaging in spiritual care, mind games, Tai chi, and focusing on memory and lung health, the patient is supporting the body's natural healing processes.
4. This choice is correct as it reflects the patient's belief in utilizing alternative therapies to support the body's healing mechanisms.
Summary of why other choices are incorrect:
A. This choice suggests a negative alteration affecting the mind and spirit, which is not directly related to the patient's belief in complementary alternative therapies for healing.
C. While individualized approaches to therapy are important in alternative healing, this choice does not directly address the patient's belief in the body's ability to heal itself.
D. While focusing on total lifestyle is important in alternative healing, this choice does not directly
A concerned nursing student calls the office of an elected official to voice support for the bill to ban smoking in all public places. The secretary asks, "Are you a constituent?" What does the term constituent mean?
- A. A member of a professional organization who supports the organization's political issue
- B. A citizen who is registered and is eligible to vote for a representative
- C. An elected official who proposes legislation to be considered as a potential law
- D. A member of the House of Representatives who is seeking support for a particular bill
Correct Answer: B
Rationale: The correct answer is B because a constituent refers to a citizen who is registered and eligible to vote for a representative. In this scenario, the nursing student is calling the office of an elected official, indicating that they are a citizen who can vote for that official.
Choice A is incorrect as it refers to a member of a professional organization, not a citizen eligible to vote. Choice C is incorrect as it refers to an elected official, not a citizen. Choice D is incorrect as it refers to a member of the House of Representatives, not a citizen eligible to vote.