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A nurse hopes to improve time management skills using the ABC prioritization approach. Which tasks would be prioritized as "B"? (select all that apply)
- A. Turn in time sheet due in 3 days.
- B. Review dress code policy to give feedback before appointment in the morning.
- C. Perform blood glucose test on a patient admitted with Kussmaul respirations and change in level of consciousness.
- D. Complete patient teaching prior to discharge in 2 hours.
Correct Answer: B
Rationale: The correct answer is B because reviewing the dress code policy to give feedback before an appointment in the morning is time-sensitive and directly impacts the nurse's professional responsibilities. This task falls under the "B" category in the ABC prioritization approach, which prioritizes tasks that are important but not urgent. This task requires attention before the morning appointment to ensure professionalism and compliance.
Tasks A, C, and D are not prioritized as "B" because they are either more urgent or less important compared to reviewing the dress code policy before the morning appointment. Task A is important but not urgent as the time sheet is not due immediately. Task C is categorized as "A" as it involves a critical patient situation that requires immediate attention. Task D is categorized as "C" as it is important and time-sensitive, needing completion before discharge in 2 hours.
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A nurse practicing in the early 1900s was awarded a permissive license. These licenses:
- A. were voluntary; however, a nurse who failed the examination could not use the title RN.
- B. required a maximum of 1 year of formalized nurse training.
- C. allowed nurses who did not pass the licensure examination to still practice.
- D. allowed nurses the choice of taking a written or oral licensure examination.
Correct Answer: A
Rationale: The correct answer is A because permissive licenses in the early 1900s were voluntary but required passing an examination to use the title RN. This ensured a basic level of competency. Choice B is incorrect as there was no specific requirement for the duration of formalized nurse training. Choice C is incorrect as failing the examination would disqualify nurses from practice. Choice D is incorrect as there was typically only one type of licensure examination, not a choice between written or oral.
A patient is admitted with pneumoniThe case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive-pressure ventilation with bronchodilators should be changed to self-administered inhalers, and antibiotics should be changed from intravenous to oral treatment, on the basis of assessment findings. This plan of care is referred to as a:
- A. patient classification system.
- B. clinical pathway.
- C. patient-centered plan of care.
- D. diagnosis-related group (DRG).
Correct Answer: B
Rationale: The correct answer is B: clinical pathway. A clinical pathway is a detailed plan of care that outlines specific interventions and treatments based on assessment findings to guide patient care in a structured manner. In this case, the plan includes specific dates for discontinuing supplemental oxygen, changing ventilation methods, and transitioning antibiotics.
A. Patient classification system: This refers to categorizing patients based on certain criteria for resource allocation and staffing levels, not specific care plans.
C. Patient-centered plan of care: While patient-centered care focuses on individual preferences and needs, it does not necessarily include the structured timeline and interventions outlined in a clinical pathway.
D. Diagnosis-related group (DRG): DRGs are used for billing and payment purposes based on specific diagnoses, not for detailed care plans like the one described in the question.
A nurse who is conducting a staff in-service on the phases of a disaster continuum teaches participants that, during the impact/response stage, activities focus on:
- A. community awareness in anticipation of a terrorist attack or natural disaster.
- B. determining the effectiveness of the disaster medical assistance team (DMAT).
- C. the use of an all-hazards approach.
- D. initiating response activities.
Correct Answer: D
Rationale: The correct answer is D because during the impact/response stage of a disaster, the main focus is on initiating immediate response activities to address the immediate needs of individuals affected by the disaster. This includes activities such as search and rescue, providing medical care, and establishing emergency shelters.
Choice A is incorrect because community awareness and anticipation of disasters typically occur during the preparedness phase, not the impact/response stage.
Choice B is incorrect because determining the effectiveness of DMAT is more relevant to the recovery phase of a disaster, not the immediate response phase.
Choice C is incorrect because the all-hazards approach refers to a comprehensive strategy for addressing various types of disasters, but it does not specifically relate to the activities carried out during the impact/response stage of a disaster.
An RN with a diploma preparation wants to participate in decisions about health care and decides the first step is to obtain a BSN. The nurse enrolls in a nursing program offering self-scheduling and a self-paced curriculum. This nurse is taking advantage of:
- A. educational mobility.
- B. a traditional nursing program.
- C. training for advanced practice nursing.
- D. credit by examination.
Correct Answer: A
Rationale: Rationale for Correct Answer (A - educational mobility):
1. Educational mobility refers to the ability to move between different levels of education in nursing.
2. The nurse with a diploma seeking a BSN is utilizing educational mobility by advancing to a higher level of education.
3. Choosing a program with self-scheduling and a self-paced curriculum allows for flexibility, facilitating educational mobility.
Summary of Incorrect Choices:
B: Traditional nursing programs typically have fixed schedules and structured curricula, not aligned with self-paced learning.
C: Training for advanced practice nursing involves pursuing education beyond a BSN to become an advanced practice nurse, not directly related to obtaining a BSN.
D: Credit by examination allows students to earn credits based on prior knowledge, but it does not specifically relate to pursuing a BSN for educational mobility.
A nurse manager is preparing a budget that does not base annual budgets on the revenue and expenditures of the prior year and has the advantage that outdated information is not integrated into the budget. The manager is using which budget method?
- A. Zero-based
- B. Incremental
- C. Labor
- D. Operational
Correct Answer:
Rationale: Correct Answer: A: Zero-based
Rationale:
1. Zero-based budgeting starts from scratch, evaluating each expense regardless of the prior year.
2. It helps eliminate inefficiencies and ensures resources are allocated to high-priority areas.
3. By not relying on past data, outdated information does not influence the budget decisions.
Summary:
B: Incremental budgeting builds on the previous year's budget, not starting from zero.
C: Labor budget focuses specifically on labor costs, not the overall budgeting approach.
D: Operational budget typically considers historical data and current operations, unlike zero-based budgeting.