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A nurse is delegating to the newly hired nursing unlicensed assistive personnel (UAP) the task of assisting with oral hygiene, knowing that this assignment "does not require decisions based on the nursing process." The nurse is correctly using which of the five rights of delegation?
- A. Supervision
- B. Communication
- C. Person
- D. Circumstance
Correct Answer: C
Rationale: Correct Answer: C - Person
Rationale:
- The five rights of delegation are Right Task, Right Circumstances, Right Person, Right Direction/Communication, and Right Supervision.
- In this scenario, choosing the Right Person means delegating tasks to individuals with appropriate skills and abilities, such as UAP assisting with oral hygiene.
- This choice is correct as the nurse is delegating a task that falls within the UAP's scope of practice without requiring nursing process decisions.
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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.
Qualified nursing school applicants have continued to be turned away, limiting enrollment due to a shortage of faculty, which is attributed to several factors, including:
- A. nursing faculty are subject to high levels of burnout and job dissatisfaction.
- B. only the number of faculty in Associate Degree programs remain stable.
- C. the mean age of nursing faculty continues to decrease and older faculty mentors have left the profession.
- D. increasing job competition from higher paying clinical sites, even as the economy recovers.
Correct Answer: A
Rationale: The correct answer is A because it directly addresses the shortage of nursing faculty by highlighting the issue of burnout and job dissatisfaction, which leads to faculty turnover and limits enrollment. This explanation aligns with the initial statement that qualified applicants are being turned away due to the shortage of faculty.
Choices B, C, and D are incorrect because they do not directly address the main issue of faculty shortage. B talks about the stability of faculty numbers in Associate Degree programs, which is irrelevant to the shortage. C discusses the decrease in the mean age of nursing faculty and the departure of older mentors, but this does not explain the shortage of faculty. D mentions increasing job competition from clinical sites, which is not the primary reason for the shortage of nursing faculty.
A nurse is informed that the Federal Bureau of Investigation has determined that a bomb has been detected and is in the possession of a known terrorist group. The government buildings in the local community are the target. This situation is termed a(n):
- A. all-hazards approach.
- B. biologic event.
- C. credible threat.
- D. natural disaster.
Correct Answer: C
Rationale: The correct answer is C: credible threat. In this scenario, a credible threat refers to a specific and tangible indication that a harmful event may occur. The information provided by the FBI about a bomb in possession of a known terrorist group targeting government buildings is a clear example of a credible threat. This term is specifically used in emergency management to indicate a situation where there is a realistic possibility of harm.
A is incorrect because an all-hazards approach involves preparing for and responding to a wide range of potential disasters, not specifically a bomb threat. B is incorrect because a biologic event refers to an outbreak of a biological agent, not a bomb threat. D is incorrect because a natural disaster involves events caused by natural forces, not intentional acts by terrorist groups.
A patient has decided to stop hemodialysis because his renal failure progresses and he wishes to spend more time with family. Palliative care will continue, and the approach will be discussed with the patient and family as needed and at change of shift. The care delivery model in this situation is termed:
- A. partnership.
- B. patient-centered.
- C. case management.
- D. total patient care.
Correct Answer: B
Rationale: The correct answer is B: patient-centered. This model focuses on meeting the individual patient's needs and preferences, involving them in decision-making, and providing care that is respectful and responsive to their values. In this scenario, the patient's decision to stop hemodialysis is respected, and palliative care is provided in alignment with his wishes. Partnerhsip (A) typically involves collaboration between healthcare providers and patients, which is not explicitly mentioned. Case management (C) focuses on coordinating services for complex cases, which is not the primary focus here. Total patient care (D) involves providing all aspects of care directly by the same nurse, which is not the main approach in this scenario.
A nurse is admitting a Mexican-American child, and the mother comments that the child was exposed to mal ojo. The nurse should expect to find which symptom associated with this exposure?
- A. Fever
- B. Nervous tension
- C. Bruising
- D. Somnolence
Correct Answer: B
Rationale: The correct answer is B: Nervous tension. Mal ojo, commonly known as the evil eye, is a belief in many Latin American cultures that certain people have the power to cause harm with their gaze. Symptoms associated with mal ojo typically include nervous tension, irritability, and restlessness. Fever (choice A) is not a common symptom of mal ojo. Bruising (choice C) is also not typically associated with mal ojo. Somnolence (choice D) refers to excessive sleepiness, which is not a common symptom of mal ojo. Therefore, the correct answer is B as it aligns with the cultural belief and expected symptoms of mal ojo.