Nokea
A nurse is interested in studying the rituals of a tribe living in remote areas of AfricThe researcher is accepted into the tribe and observes firsthand the rituals practiced. Themes were analyzed to arrive at a description of the culture including rituals. The nurse is practicing which type of research?
- A. Qualitative, Ethnography
- B. Qualitative, Phenomenology
- C. Quantitative, Quasi-experimental
- D. Quantitative, Secondary data analysis
Correct Answer: A
Rationale: The correct answer is A: Qualitative, Ethnography. Ethnography involves studying a culture through direct observation and interaction, which aligns with the nurse's approach of observing the tribe's rituals firsthand. This type of research focuses on understanding cultural practices and behaviors in their natural context, making it suitable for studying the tribe's rituals.
Choice B: Qualitative, Phenomenology focuses on exploring individuals' lived experiences and perceptions, not cultural practices like rituals. Choice C: Quantitative, Quasi-experimental involves manipulating variables in controlled settings, not ethnographic observation. Choice D: Quantitative, Secondary data analysis involves analyzing existing numerical data, not direct observation of cultural rituals.
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As part of a quality assurance project, a nurse is to round on every patient daily for 1 month to ensure the intravenous tubing is labeled with date hung and nurse's initials. The nurse is hoping to be promoted to a full-time position within the quality department, and her success on this project is very important to her receiving the position. The nurse retains all other assignments, and she is often interrupted to help other staff or answer call lights. The nurse discusses her concerns with the manager, who frees her for 1 hour each day to make rounds. During this 1 hour each day the nurse will organize herself and environment by practicing the:
- A. art of "no detourism."
- B. reducing stacked-desk syndrome.
- C. art of "wastebasketry."
- D. managing e-mail and memo mania.
Correct Answer: B
Rationale: The correct answer is B: reducing stacked-desk syndrome. This term refers to the practice of organizing tasks and environment to prevent work from piling up. In this scenario, the nurse is given 1 hour each day to focus solely on the quality assurance project, helping her prevent tasks from accumulating and ensuring she can complete her rounds efficiently. This practice enhances productivity and enables the nurse to manage her workload effectively.
Choice A, "art of 'no detourism,'" is irrelevant in this context as it does not address the issue of organizing tasks and environment. Choice C, "art of 'wastebasketry,'" is not applicable as it pertains to the skill of decision-making and prioritization, which is not the primary concern in this scenario. Choice D, "managing e-mail and memo mania," is also not directly related to the nurse's need to organize herself and environment for the quality assurance project.
The Karnofsky prognostication scale is most appropriately used to screen patients with which medical diagnoses?
- A. Respiratory diseases
- B. Cancers
- C. Cardiac diseases
- D. AIDS
Correct Answer: D
Rationale: The Karnofsky Prognostication Scale is commonly used in patients with terminal illness, such as AIDS, to assess their functional status and predict their prognosis. Patients with AIDS often experience rapid decline in health, making this scale useful in determining their overall well-being and potential outcomes.
Incorrect choices:
A: Respiratory diseases - The Karnofsky scale is not commonly used for screening patients with respiratory diseases.
B: Cancers - While the Karnofsky scale can be used for cancer patients, it is most commonly associated with terminal illnesses like AIDS.
C: Cardiac diseases - The Karnofsky scale is not typically used for screening patients with cardiac diseases.
An older adult has atrial fibrillation, which causes the heart to have an irregular rhythm. The client uses imagery to alter the dysrhythmiThe client is using which type of complementary alternative medicine (CAM)?
- A. Ayurveda
- B. Dosha
- C. Homeopathy
- D. Biofeedback
Correct Answer: D
Rationale: The correct answer is D: Biofeedback. Biofeedback is a type of CAM that involves using electronic devices to help individuals gain awareness and control over physiological processes, such as heart rate and muscle tension. In this case, the older adult is using imagery as a form of biofeedback to alter the dysrhythmia. Ayurveda (A) and Dosha (B) are traditional Indian systems of medicine based on balancing bodily energies, not directly related to using imagery for heart rhythm control. Homeopathy (C) is a system of alternative medicine based on the concept that "like cures like" and uses highly diluted substances, not imagery or biofeedback techniques.
A hospital refused to purchase a better grade of utility gloves, even after learning that the cheaper utility gloves are easily punctured during routine use. This unsafe situation led nurses to seek unionization. During the pre-election phase for unionization, which actions by union representatives are prohibited by the National Labor Relations Board? (select all that apply)
- A. Scheduling a meeting in the agency's cafeteria to determine employees' interest in unionization
- B. Distributing nondocumented information that female nurses receive lower annual performance evaluations than do male nurses
- C. Distributing information about the benefits of unionization and grievances in a public parking garage located across from the hospital
- D. Suggesting to workers the likelihood of job loss should the union not win the election
Correct Answer: B
Rationale: The correct answer is B because distributing nondocumented information about gender-based performance evaluations violates the National Labor Relations Act, which prohibits making false statements about an employer. This action could potentially mislead employees and interfere with the election process. Choices A, C, and D are not prohibited actions by the National Labor Relations Board. Choice A involves a legal and common method of gauging interest in unionization. Choice C involves providing information about union benefits and grievances, which is a protected activity. Choice D is permissible as long as it does not contain false or coercive statements.
A valuable tool for determining whether a potential employer is suitable for your career goals is to:
- A. call The Joint Commission (TJC) to ask whether the organization meets required standards.
- B. assess the work climate by walking through the facility.
- C. review financial statements of the institution.
- D. ask what they can do for you rather than what you can do for them.
Correct Answer: B
Rationale: The correct answer is B because assessing the work climate by walking through the facility allows you to gain firsthand insight into the organization's culture, values, and overall environment. By observing how employees interact, the cleanliness of the facility, and the general atmosphere, you can assess if it aligns with your career goals and preferences. This method provides tangible and direct evidence that can help you make an informed decision.
Choice A is incorrect because contacting The Joint Commission is not relevant to evaluating a potential employer's suitability for your career goals. Choice C is incorrect as reviewing financial statements may not provide insights into the work environment and culture. Choice D is incorrect because focusing solely on what the employer can do for you may not give a comprehensive understanding of whether the organization is a good fit for your career aspirations.