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A nurse entering the job market wants to be certain that the first position is rewarding and allows for growth as a registered nurse. According to the Hallmarks of the Professional Nursing Environment, the nurse should ask:
- A. about the philosophy related to clinical care to determine the role of RNs in deciding outcomes related quality outcomes.
- B. if professional development opportunities are supported through paid leave and tuition reimbursement.
- C. how compensation packages compare to others in the same area and nationally.
- D. what the projected need for RNs is in the next 5 years and current turnover rate.
Correct Answer: B
Rationale: The correct answer is B because professional development opportunities supported through paid leave and tuition reimbursement are crucial for a nurse's growth. This allows for continuous learning, skill enhancement, and career advancement. It indicates that the organization values its nurses and invests in their development. The other choices, A, C, and D, while important in their own right, do not directly address the nurse's growth and professional development. Choice A focuses on the philosophy of care, not personal growth. Choice C is mainly about compensation, not professional development. Choice D pertains to workforce planning, not individual career advancement.
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Despite the presence of safety aids such as handrails in the bathrooms at an assisted living facility, the number of fractures due to unsteady ambulation upon arising from the bed and when attempting to perform activities of daily living has increased. Which complementary alternative medicine (CAM) would be an effective intervention for this population?
- A. Yoga
- B. Acupuncture
- C. Tai chi
- D. Magnet therapy
Correct Answer: C
Rationale: Rationale: Tai chi is the correct answer because it focuses on improving balance, strength, and flexibility, which are essential for preventing falls in the elderly. Tai chi's slow, controlled movements can help improve stability and reduce the risk of fractures.
Summary:
A (Yoga) focuses more on flexibility and relaxation, not specifically on balance and stability.
B (Acupuncture) is not a physical activity and does not directly address the issue of unsteady ambulation.
D (Magnet therapy) lacks scientific evidence to support its effectiveness in improving balance and preventing falls.
A researcher calculated the risk-to-benefit ratio and concluded that no harmful effects were associated with a survey of college sophomores. The researcher was applying the principles of:
- A. beneficence.
- B. human dignity.
- C. justice.
- D. human rights.
Correct Answer: A
Rationale: The correct answer is A: beneficence. Beneficence refers to the ethical principle of maximizing benefits and minimizing harm in research. In this scenario, the researcher calculated the risk-to-benefit ratio and concluded that no harmful effects were associated with the survey of college sophomores. By considering the well-being of the research participants and ensuring that the benefits outweigh any potential risks, the researcher demonstrated the application of beneficence.
Summary:
Choice A is correct because it aligns with the ethical principle of beneficence in research. Choices B, C, and D are incorrect as they do not directly relate to the consideration of risks and benefits in research involving human participants.
The nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers is called a:
- A. nurse manager.
- B. case manager.
- C. coordinator of patient-centered care delivery.
- D. team leader in team nursing care delivery.
Correct Answer: B
Rationale: The correct answer is B: case manager. A case manager is responsible for coordinating care for a patient from admission to discharge, collaborating with various healthcare providers. This role involves managing the patient's overall care plan, ensuring continuity and efficiency. The other choices are incorrect because:
A: Nurse manager focuses on managing nursing staff and unit operations, not individual patient care.
C: Coordinator of patient-centered care delivery may oversee care coordination but does not necessarily follow the patient throughout the entire care journey.
D: Team leader in team nursing care delivery is focused on leading a specific nursing team, not managing the patient's entire care process.
A physician shares with the patient's family that, while a central line was being inserted, the patient's lungs were inadvertently punctured, which required oxygen administration. The physician also explains that a chest x-ray indicated the lung remained intact and no additional treatment was required. The physician's role in this instance is based on the legal principle of:
- A. comparative negligence.
- B. gross negligence.
- C. disclosure.
- D. the Emergency Medical Treatment and Active Labor Act (EMTALA).
Correct Answer: C
Rationale: The correct answer is C: disclosure. In this scenario, the physician shared information about the accidental lung puncture with the patient's family, demonstrating transparency and honesty. This aligns with the legal principle of disclosure, which emphasizes the importance of informing patients and their families about relevant medical information. The physician's actions foster trust and open communication, ensuring that the patient and family are informed about the situation.
Choice A: comparative negligence, is incorrect because it involves assessing the degree of negligence by both parties involved, which is not applicable in this context.
Choice B: gross negligence, is incorrect because the physician's actions do not demonstrate recklessness or a complete disregard for the patient's safety.
Choice D: the Emergency Medical Treatment and Active Labor Act (EMTALA), is incorrect because this law primarily addresses the provision of emergency medical care and ensuring access to necessary services, not the disclosure of medical errors.
The nurse manager meets with upper management to share strategic goals agreed upon by her staff for their individual nursing unit as the first step to begin budget negotiations. One strategic goal is that staff will have access to technology that will allow them to incorporate point-of-care devices for all RNs. The second goal is to improve RNs' ability to recognize critical indicators that a patient's health status is deteriorating through advanced health assessment skills. During the meeting the manager discusses the strategy options and selecting the one that works for the unit. Which type of budget development is used?
- A. Iterative
- B. Top-down
- C. Participatory
- D. Zero-based
Correct Answer: C
Rationale: The correct answer is C: Participatory. In participatory budget development, input is gathered from various levels within the organization, such as staff and managers. In this scenario, the nurse manager met with her staff to establish strategic goals before budget negotiations, indicating a participatory approach. This allows for staff buy-in and ownership of the goals.
A: Iterative budget development involves refining a budget through multiple rounds of review, which is not explicitly mentioned in the scenario.
B: Top-down budget development is characterized by decisions made by upper management without input from lower levels, contradicting the scenario where staff provided input.
D: Zero-based budgeting starts from scratch without considering previous budgets, which is not evident in the scenario where goals were established based on staff input.
In summary, the participatory budget development is the appropriate choice in this scenario as it aligns with the collaborative approach taken by the nurse manager and her staff in setting strategic goals before budget negotiations.