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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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When reviewing the literature on the effects of Medicaid on health care for the poor, the nurse researcher found that the poor:
- A. have less access than even the uninsured.
- B. receive many unnecessary treatments.
- C. lack consistent providers.
- D. abuse preventive services.
Correct Answer: C
Rationale: The correct answer is C because lacking consistent providers is a common issue among the poor utilizing Medicaid. This impacts continuity of care, leading to fragmented health services and poor health outcomes. Choice A is incorrect as Medicaid does provide some level of access to healthcare. Choice B is incorrect as unnecessary treatments are not a common issue among the poor on Medicaid. Choice D is incorrect as preventive services are underutilized rather than abused by the poor on Medicaid.
Which of the following are concepts related to nursing theory? (select all that apply)
- A. Environment
- B. Health
- C. Nursing
- D. Relevance
Correct Answer: A
Rationale: The correct answer is A: Environment. Nursing theory often includes the concept of environment, which encompasses physical, social, and psychological factors influencing a patient's health. This concept helps nurses understand the context in which care is provided and how it impacts health outcomes.
Incorrect choices:
B: Health - While health is a fundamental aspect of nursing, it is not specific to nursing theory concepts.
C: Nursing - This is a broad term encompassing the profession itself, not a specific concept within nursing theory.
D: Relevance - This term is not directly associated with nursing theory concepts and does not provide a framework for understanding nursing practice.
A nurse practicing on a unit where domestic violence is common wants to learn how to apply nursing theory to practice on this unit. She considers the interrelatedness of the constructs of Watson's Theory of Caring and designs:
- A. conceptual model of caring.
- B. hypothesis of the impact of caring on domestic violence.
- C. proposition of how caring is conceptualized.
- D. theory of scientific inquiry.
Correct Answer: A
Rationale: The correct answer is A: conceptual model of caring. In this scenario, the nurse wants to apply nursing theory to practice in a unit dealing with domestic violence. Watson's Theory of Caring emphasizes the importance of the nurse-patient relationship, which is central when addressing sensitive issues like domestic violence. By considering the interrelatedness of the constructs of this theory, the nurse can develop a conceptual model that guides her practice in providing caring and compassionate care to domestic violence survivors. This model will help her incorporate key elements of caring, such as empathy and respect, into her nursing interventions.
Summary:
B: Hypothesis of the impact of caring on domestic violence - This choice is incorrect as it focuses on the impact of caring on domestic violence, rather than the application of a nursing theory to practice.
C: Proposition of how caring is conceptualized - This choice is incorrect as it only addresses the conceptualization of caring, not the practical application of a nursing theory to practice.
D: Theory of scientific
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.
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.