Nokea
A nurse is interviewing for a job and recently read the American Nurses Association's (ANA) recommendation for questions to ask regarding before accepting employment. Which questions should the nurse ask?
- A. Do you have flexible scheduling?
- B. What are the expectations for advancement?
- C. How long do staff nurses stay before resigning?
- D. What is the mission of the parent organization?
Correct Answer: D
Rationale: The correct answer is D because understanding the mission of the parent organization is crucial for aligning personal values with the organizational goals. This knowledge can help the nurse assess if their values and beliefs are in line with the organization's mission, leading to better job satisfaction and performance.
A: Flexible scheduling is important but not specified in ANA's recommendations.
B: Advancement expectations are important, but not a priority in ANA's recommendations.
C: Staff retention is relevant, but not emphasized in ANA's recommendations.
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A nurse is concerned that the policy of using povidone-iodine (Betadine) to clean foot ulcers may lead to unwarranted allergic reactions and drying of surrounding tissue. A literature review is performed to determine the "best practice" related to care of foot ulcers. This nurse: (select all that apply)
- A. is applying evidence-based practice to the clinical setting.
- B. is using critical thinking to change procedures performed in the care of foot ulcers.
- C. is minimally educated at the master's level and participating in research to provide cost-effective care (soap is less expensive than povidone-iodine).
- D. lacks clinical competence in health assessment and in application of theory to the clinical setting.
Correct Answer: A
Rationale: The correct answer is A because the nurse is using evidence-based practice by conducting a literature review to determine the best practice for caring for foot ulcers. Evidence-based practice involves integrating the best available evidence with clinical expertise and patient values to make informed decisions about patient care. This nurse is ensuring that the care provided is based on current research and best practices, which can lead to better patient outcomes.
Choices B, C, and D are incorrect because they do not directly relate to the nurse's action of conducting a literature review to determine best practices for foot ulcer care. Choice B mentions critical thinking but does not specifically address evidence-based practice. Choice C focuses on cost-effectiveness and level of education, which are not relevant to the nurse's evidence-based practice. Choice D refers to clinical competence, which is not the main focus of the nurse's action in this scenario.
The Health Care Reform Act provides insurance for all U.S. citizens and legal residents presenting far-reaching ethical considerations related to diverse individual patient health care beliefs for those delivering nursing care. Nurses must consider their civil rights under the rights of conscience and how new health care agendas such as the Patient Protection and Affordable Care Act (PPACA) could affect their practice in situations that may conflict with their own belief system. Today's practicing nurse must:
- A. remember it is one's professional duty to render patient-centered care"even when it is in direct conflict with the nurse's own beliefs"or be held liable for withholding treatment.
- B. consider whether the right to act according to one's inner beliefs will continue to be permissible when federal health insurance becomes fully enacted.
- C. discuss with the patient and family different options in hopes they will accept the nurse's health care beliefs.
- D. suggest to the hospital administration that they not accept federal funding to prevent controversial health practices.
Correct Answer: A
Rationale: Step-by-step rationale for why answer A is correct:
1. Professional duty: Nurses have a duty to provide patient-centered care regardless of personal beliefs.
2. Legal liability: Withholding treatment based on personal beliefs can lead to legal consequences.
3. Ethical considerations: Nurses must prioritize patient care over personal beliefs.
4. Rights of conscience: Nurses may have the right to refuse to participate in certain treatments, but they must still ensure patient care.
5. Patient-centered care: Nurses must respect patient autonomy and provide care based on the patient's wishes.
Summary of why the other choices are incorrect:
B. Irrelevant to the nurse's duty to provide patient-centered care.
C. Nurses should not impose their beliefs on patients but should respect and support their choices.
D. Suggesting the hospital not accept federal funding does not address the nurse's duty to provide patient-centered care.
A nurse wants to apply open communication to obtain a thorough history and to determine cognitive function. Which question represents the use of open communication?
- A. Is today Wednesday?
- B. Do you know what day it is?
- C. Tell me what day of the week today is.
- D. Do you know what the first day of the week is?
Correct Answer: C
Rationale: The correct answer is C because it encourages the patient to provide detailed information and express themselves freely. By asking the patient to "Tell me what day of the week today is," the nurse is prompting an open-ended response, allowing the patient to share their understanding. Choice A is closed-ended, requiring a simple yes/no answer. Choice B is slightly better as it prompts for information, but it is still closed-ended. Choice D is irrelevant to the question of determining cognitive function and history. In summary, C promotes open communication by encouraging the patient to elaborate, while the other choices limit the patient's response.
A concerned nursing student calls the office of an elected official to voice support for the bill to ban smoking in all public places. The secretary asks, "Are you a constituent?" What does the term constituent mean?
- A. A member of a professional organization who supports the organization's political issue
- B. A citizen who is registered and is eligible to vote for a representative
- C. An elected official who proposes legislation to be considered as a potential law
- D. A member of the House of Representatives who is seeking support for a particular bill
Correct Answer: B
Rationale: The correct answer is B because a constituent refers to a citizen who is registered and eligible to vote for a representative. In this scenario, the nursing student is calling the office of an elected official, indicating that they are a citizen who can vote for that official.
Choice A is incorrect as it refers to a member of a professional organization, not a citizen eligible to vote. Choice C is incorrect as it refers to an elected official, not a citizen. Choice D is incorrect as it refers to a member of the House of Representatives, not a citizen eligible to vote.
When paper-and-pencil medical records are compared with computer-based records:
- A. paper-and-pencil records provide controls to determine who has viewed the health information.
- B. information contained in a paper-and-pencil record has the capability of being more in-depth than that found in computer-based records.
- C. patients have the right to know that the confidentiality of their records is strictly maintained, regardless of the type of medical record used.
- D. patients must sign for each item of information released on the computer record.
Correct Answer: A
Rationale: Rationale:
A is correct as paper-and-pencil records can physically track who accessed them, ensuring privacy and security. B is incorrect as computer-based records can also be detailed. C is irrelevant to the comparison. D is incorrect as signing for each item is not a standard practice in computer-based records.