Nokea
A nurse is caring for a client who just consented to an elective abortion. The nurse is unsure of his or her own values as they relate to this issue. The nurse must:
- A. know his or her own values and how these values relate to beliefs and the philosophy of nursing.
- B. rid the impurities in his or her value system.
- C. ignore his or her own values.
- D. realize that values do not change and that they cannot be influenced by others.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Understanding one's values: It is essential for the nurse to know their own values and how these impact their nursing practice.
2. Relationship to beliefs and nursing philosophy: Knowing one's values helps align with the ethical principles and philosophy of nursing.
3. Ethical decision-making: By understanding personal values, the nurse can make informed and ethical decisions in the care of the client.
4. Professional integrity: Being aware of personal values promotes professional integrity and ensures the nurse's actions are in line with ethical standards.
Summary:
- Option B is incorrect as the focus should be on understanding and reconciling one's values rather than eliminating them.
- Option C is incorrect as ignoring one's values can lead to ethical dilemmas and compromise the quality of care.
- Option D is incorrect as values are subject to change and can be influenced by various factors, including professional experiences and education.
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A nurse walks up to a computer in the hallway and presses the index finger to the sensor, thereby gaining access to patient datA few moments later another nurse performs the same steps and is granted access. A visitor who is watching from a room walks over and places the index finger on the sensor, only to receive an "error and access denied" message. Security is being maintained by:
- A. robot technology.
- B. biometric technology.
- C. telehealth.
- D. ubiquitous computing.
Correct Answer: B
Rationale: The correct answer is B: biometric technology. Biometric technology uses unique physical characteristics, such as fingerprints, to verify identity. In this scenario, the nurse and the other authorized person were granted access because their fingerprints matched the stored data. The visitor was denied access because their fingerprint did not match.
A: Robot technology is not related to verifying identity through fingerprints.
C: Telehealth is a method of providing healthcare remotely and is not related to access control.
D: Ubiquitous computing refers to the idea of computing technology being everywhere, but it is not directly related to biometric security measures like fingerprint scanning.
Care delivery using the team-based approach is used on a telemetry nursing unit. The team consists of one registered nurse (RN), two licensed practical nurses (LPNs), and one unlicensed assistive personnel (UAP). Staff have been charged to improve quality of care while ensuring cost containment. Which assignments would meet both criteria?
- A. The RN administers all medications to all patients.
- B. The LPN performs sterile dressings and IV tubing changes on all central lines.
- C. The experienced UAP places telemetry electrodes and attaches to cardiac monitor.
- D. The RN administers an enema to a stable patient who has an order "administer fleet enema PRN when no bowel movement in 2 days."
Correct Answer: B
Rationale: The correct answer is B because it aligns with improving quality of care and cost containment. LPNs are trained to perform sterile procedures like dressing changes and IV tubing changes, which can enhance patient outcomes. This assignment allows the RN to focus on tasks that require their specialized skills, promoting quality care. Furthermore, utilizing LPNs for these tasks is more cost-effective than having an RN perform them.
Choices A, C, and D are incorrect:
A: Having the RN administer all medications to all patients is not utilizing the team effectively. LPNs and UAPs can handle medication administration under appropriate supervision.
C: While experienced UAPs can assist with attaching telemetry electrodes, this task does not fully utilize the skills of the LPNs and RN to improve care quality.
D: Administering an enema is within the scope of an LPN's practice, and assigning this task to the RN is not the most efficient use of resources.
As a patient's condition moves toward their impending death, which nursing intervention demonstrates how the focus of palliative care change?
- A. The patient is encouraged to discuss their spiritual needs.
- B. The patient is educated concerning the physical changes associated with the dying process.
- C. The patient's advance care plan is formulated and implemented.
- D. The patient's comfort needs are identified.
Correct Answer: D
Rationale: The correct answer is D because as a patient approaches death, the focus of palliative care shifts towards providing comfort and symptom management to improve their quality of life. Identifying and addressing the patient's comfort needs becomes crucial in ensuring a peaceful and dignified end-of-life experience.
A: While discussing spiritual needs can be important, the primary focus shifts towards physical comfort in the final stages of life.
B: Educating the patient about physical changes is important, but it may not be the priority as the focus shifts towards comfort care.
C: Advance care planning is essential but may have already been addressed before the patient reaches the impending death stage.
The demographics of the twenty-first century nursing population indicate that:
- A. individuals entering nursing are second-degree students who average 45 years of age.
- B. more white nurses enter and obtain graduate degrees than any other ethnic group.
- C. the highest level of nursing education for most RNs is an associate degree.
- D. the majority of nurses practice in hospitals.
Correct Answer: C
Rationale: The correct answer is C because the highest level of nursing education for most RNs is an associate degree. This is supported by data showing that a significant proportion of registered nurses have obtained their education through associate degree programs. Additionally, pursuing an associate degree is a common pathway for individuals entering the nursing profession due to its accessibility and shorter duration compared to obtaining a bachelor's or graduate degree.
Choice A is incorrect because while there may be second-degree nursing students entering the field, the average age of individuals entering nursing is typically younger than 45 years old. Choice B is incorrect as there is increasing diversity in the nursing workforce, with nurses from various ethnic backgrounds entering and obtaining graduate degrees. Choice D is incorrect as the majority of nurses are not practicing in hospitals, with many working in other healthcare settings such as clinics, long-term care facilities, and community health centers.
A nurse is hoping for a promotion and seeks the help of a coach to improve time management skills. The first task assigned by the coach is for the nurse to list all external distractors that prevent organization and completion of tasks. The nurse would include:
- A. waiting for oncoming shift to start walking rounds.
- B. failure to delegate tasks to the licensed practical nurse and unlicensed assistive personnel and instead, completing task herself.
- C. talking with a patient's family member who is also a personal friend.
- D. spending time thinking about the vacation to the beach.
Correct Answer: A
Rationale: The correct answer is A because waiting for the oncoming shift to start walking rounds is an external distractor that can affect time management. The nurse cannot control when the shift starts, leading to potential delays in task completion.
Incorrect choices:
B: Failure to delegate tasks is an internal issue, not an external distractor.
C: Talking with a patient's family member who is a personal friend is a boundary issue, not necessarily an external distractor.
D: Thinking about a vacation is also an internal distraction, not an external one.
In summary, the correct answer focuses on an external factor that the nurse cannot directly control, affecting time management, while the other choices are related to internal issues or personal boundaries.