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A nurse is heard making this comment, "I believe human dignity is based on perceived self-worth while caring is based on perceived role in society that forms the basis of nursing practice." This nurse is:
- A. demonstrating a model of human dignity.
- B. evaluating the relevance of Leininger's Theory.
- C. applying Mishel's Theory of Disease Uncertainty.
- D. making a proposition concerning the constructs of nursing practice.
Correct Answer: D
Rationale: Step-by-step rationale for why answer choice D is correct:
1. The nurse's statement suggests a proposition concerning the constructs of nursing practice, linking human dignity and caring to nursing roles.
2. The nurse is not demonstrating a model of human dignity (A), as they are discussing the relationship between human dignity and nursing practice, not modeling it.
3. The nurse is not evaluating the relevance of Leininger's Theory (B), as the statement does not mention cultural care theory, which is central to Leininger's work.
4. The nurse is not applying Mishel's Theory of Disease Uncertainty (C), as the statement does not discuss uncertainty in illness situations, which is the focus of Mishel's theory.
In summary, answer choice D is correct because the nurse is making a proposition regarding the constructs of nursing practice based on the relationship between human dignity and caring in nursing roles.
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A group of registered nurses with ADN degrees are concerned that the minimum educational standard for licensure as a registered nurse is being raised to the bachelor's (BSN) level. After contacting the American Nurses Association, they learn they will be "grandfathered" in. Under the "grandfather clause," nurses with associate degrees will:
- A. be required to complete a bridge program to earn a BSN and then be tested only on material that was not part of the ASN curriculum.
- B. continue to use the title "registered nurse."
- C. have 10 years to obtain a BSN or the license will be revoked.
- D. use whatever title is established for associate degree nurses.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. The "grandfather clause" typically allows individuals to maintain current status or privileges despite changes in requirements.
2. The clause ensures that nurses with ADN degrees can continue using the title "registered nurse" without needing to upgrade to a BSN.
3. This aligns with the principle of honoring past qualifications while moving forward with new standards.
4. Choice A is incorrect as it introduces additional requirements beyond what the clause typically allows.
5. Choice C is incorrect as it imposes a strict time limit, which is not a common practice under grandfather clauses.
6. Choice D is incorrect as it suggests using a new title, which contradicts the purpose of grandfathering in existing qualifications.
A novice nurse notices a patient is pacing the floor and twisting his hands. When the nurse enters the room, the patient stares at her and mumbles, "Can't anyone understand what I want?" while smiling and reaching out to shake the nurse's hand. The nurse recognizes a risk for violence based on which clinical findings? (select all that apply)
- A. Glaring at the nurse
- B. Nervousness, twisting of hands
- C. Murmuring when talking
- D. Diagnosis of a terminal illness
Correct Answer: A
Rationale: The correct answer is A because glaring at the nurse indicates potential aggression and hostility, which are red flags for violence risk. Glaring can be a non-verbal sign of anger or frustration, signaling a potential escalation. In contrast, nervousness and twisting of hands (choice B) may indicate anxiety or distress but not necessarily violence. Murmuring when talking (choice C) may suggest communication difficulties but does not directly indicate violence risk. Lastly, a diagnosis of a terminal illness (choice D) is not directly related to the immediate risk of violence in this scenario.
Three illegal immigrants with no health insurance or money sustained life-threatening injuries during an automobile accident. Two of these individuals had head trauma and lacerated internal organs. The decision was made to provide extended care in the trauma center after emergency surgery was performed to save their lives. The third individual received only minor injuries, which were treated in the emergency department. The care of the two critical clients was based on the ethical principle of:
- A. utilitarianism.
- B. deontology.
- C. autonomy.
- D. veracity.
Correct Answer: A
Rationale: The correct answer is A: utilitarianism. Utilitarianism is an ethical principle that focuses on maximizing overall well-being and minimizing harm. In this scenario, the decision to provide extended care to the two critical individuals with life-threatening injuries aligns with utilitarianism as it prioritizes saving the most lives and reducing suffering. By choosing to allocate resources to those with the most severe injuries, the healthcare providers are aiming to maximize the overall benefit to society.
Summary of why the other choices are incorrect:
B: Deontology focuses on following rules and duties regardless of the consequences. In this case, the decision to provide care based on severity of injuries goes against a strict deontological approach.
C: Autonomy emphasizes respecting individuals' rights to make their own decisions about their care, which is not the primary consideration in this scenario.
D: Veracity pertains to honesty and truthfulness in communication, which is not directly relevant to the decision-making process in this healthcare scenario.
A nurse on the unit is heard saying, "I am not going to document that I used four catheters to start that IV; it doesn't matter anyway." What action can help the staff nurse understand the financial budget goals of the unit?
- A. Have the nurse work in payroll for a week.
- B. Enroll the staff in continuing education units (CEU) for personal finance.
- C. Ask the nurse to represent the unit on the budget planning committee.
- D. Make the nurse responsible for monitoring all disposable equipment and supplies.
Correct Answer: C
Rationale: Rationale: Choice C is correct because asking the nurse to represent the unit on the budget planning committee will directly expose them to the financial budget goals. This involvement will provide insight into the importance of accurate documentation and resource utilization. It offers a practical understanding of how decisions impact the unit's financial health.
Summary:
A: Working in payroll does not directly connect the nurse to the unit's financial goals.
B: Personal finance CEUs are not specific to the unit's budget goals.
D: Monitoring supplies is important but does not provide a comprehensive understanding of the unit's financial budget goals.
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.