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A nurse is concerned about the risk of delegating tasks to licensed practical nurses and unlicensed assistive personnel. What is the best way for the nurse to determine competency of an inexperienced delegatee?
- A. Actually observe the delegatee perform the assigned task.
- B. Ask the delegatee how many times he/she has performed the task.
- C. Ask the patient if the care provided was satisfactory.
- D. Ask other nurses if they feel the delegatee is competent.
Correct Answer: A
Rationale: The correct answer is A. By actually observing the delegatee perform the assigned task, the nurse can directly assess the competency of the delegatee in real-time. This allows the nurse to evaluate the delegatee's skills, knowledge, and adherence to protocols. Asking the delegatee how many times they have performed the task (B) may not accurately reflect their competency level. Asking the patient if the care provided was satisfactory (C) may not provide an objective assessment of the delegatee's competency. Asking other nurses if they feel the delegatee is competent (D) introduces bias and may not reflect the delegatee's actual abilities.
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The appropriate procedure for addressing a cover letter when the applicant is unsure of the name and title of the person to whom the letter should be addressed is to:
- A. address the letter to "To Whom It May Concern."
- B. address the letter to "Nurse Recruiter."
- C. call the facility to inquire about the name and title of the person.
- D. leave the salutation blank if the name and the title are unknown.
Correct Answer: A
Rationale: The correct answer is A: address the letter to "To Whom It May Concern." This is the appropriate procedure when the applicant is unsure of the recipient's name and title. It is a professional and formal way to address a cover letter when the specific recipient is unknown.
Option B is incorrect as addressing the letter to a generic title like "Nurse Recruiter" may not be appropriate if the recipient does not hold that specific title. Option C may be time-consuming and unnecessary if the applicant can use a more general salutation. Option D is incorrect because leaving the salutation blank can come across as unprofessional and lazy.
The Affordable Care Act of 2011:
- A. requires that by 2020 all newly licensed nurses have a bachelor's degree at minimum.
- B. would provide health care benefits to millions who were previously uninsurable or unable to afford insurance.
- C. caps the amount that hospitals and physicians can charge for procedures.
- D. subsidizes private insurance companies, thereby reducing health care costs for individuals who have chronic or catastrophic illness such as cancer.
Correct Answer: B
Rationale: The correct answer is B because the Affordable Care Act of 2011 aimed to provide health care benefits to millions who were previously uninsurable or unable to afford insurance. This is in line with the main goal of the act, which was to increase access to affordable health care for Americans. Choice A is incorrect as the act does not mandate educational requirements for nurses. Choice C is incorrect as the act does not specifically cap the amount that hospitals and physicians can charge for procedures. Choice D is incorrect as the act focuses on expanding access to health insurance rather than directly subsidizing private insurance companies to reduce costs for individuals with chronic illnesses.
During orientation, a novice nurse sits and "virtually spends" the first few paychecks, envisioning the money going into a personal bank account. In the dream state, the nurse smiles and knows that the pain of nursing school was worth it. Which phase of reality shock is the nurse experiencing?
- A. Honeymoon
- B. Shock or rejection
- C. Recovery
- D. Resolution
Correct Answer: A
Rationale: The nurse is experiencing the "Honeymoon" phase of reality shock. In this phase, individuals feel excited, optimistic, and idealistic about their new role and workplace. The nurse's positive visualization of enjoying the benefits of their hard work during orientation aligns with the honeymoon phase. This phase is characterized by a sense of satisfaction, fulfillment, and a belief that the sacrifices made, such as enduring nursing school, were worth it. The nurse's emotional state of smiling and feeling content reflects the honeymoon phase.
Other choices are incorrect:
B: Shock or rejection - This phase involves feeling overwhelmed, anxious, and doubting one's abilities. The nurse's positive emotions do not align with this phase.
C: Recovery - This phase involves adjusting and finding ways to cope with the challenges of the new role. The nurse is not in a phase of recovery as they are not struggling or adapting to the new environment.
D: Resolution - This phase involves accepting the reality of the new role and moving forward
When the client is unable to make medical decisions for himself or herself, authorization that allows another person to make these decisions is called:
- A. living will.
- B. durable power of attorney.
- C. informed consent.
- D. immunity.
Correct Answer: B
Rationale: The correct answer is B: durable power of attorney. This legal document grants authority to another person, known as the healthcare proxy or agent, to make medical decisions on behalf of the client when they are unable to do so themselves. This is essential for ensuring that the client's wishes are respected and that appropriate medical care is provided.
A: A living will is a document that outlines a person's preferences for medical treatment in case they become incapacitated, but it does not appoint someone to make decisions on their behalf.
C: Informed consent is the process of ensuring that a patient understands the risks and benefits of a medical treatment before giving consent, but it does not authorize someone to make decisions on their behalf.
D: Immunity refers to protection from legal liability and is not relevant to authorizing someone to make medical decisions for a client.
Which item below correctly describes the U.S. Bureau of Labor Statistics predictions by 2020?
- A. Positions that historically required registered nurses will be filled by unlicensed personnel.
- B. The job growth rate for RNs will surpass job growth in all other occupations.
- C. The need for hospital nurses will dramatically decrease.
- D. Hospitals will finally achieve the required RN workforce.
Correct Answer: B
Rationale: The correct answer is B because the U.S. Bureau of Labor Statistics predicts that the job growth rate for RNs will surpass job growth in all other occupations by 2020. This is supported by the increasing demand for healthcare services due to an aging population and advancements in medical technology. Choice A is incorrect as the need for registered nurses is expected to continue due to the complexity of patient care. Choice C is incorrect as the need for hospital nurses is projected to increase, not decrease. Choice D is incorrect as many hospitals still struggle to achieve the required RN workforce due to various factors like turnover and retention issues.