Nokea
A nurse is preparing a scholarly publication on the prevalence of hepatitis A worldwide. The most efficient and effective means of conducting an Internet search to gather information for this publication is to use:
- A. a search engine such as Google or Yahoo.
- B. a consumer health website.
- C. a decision support system.
- D. MEDLINE database.
Correct Answer: D
Rationale: The correct answer is D: MEDLINE database. MEDLINE is a reputable database that provides access to a vast array of peer-reviewed medical literature, making it an excellent resource for scholarly publications. Here's the rationale:
1. Credibility: MEDLINE contains high-quality, peer-reviewed articles from reputable medical journals, ensuring the information obtained is reliable and accurate.
2. Specificity: The database is focused on medical research, including studies on hepatitis A, providing targeted and relevant information for the nurse's publication.
3. Efficiency: Search results in MEDLINE are organized and easily accessible, allowing the nurse to efficiently gather information without sifting through irrelevant sources.
4. Up-to-date: MEDLINE is regularly updated with the latest research findings, ensuring the nurse has access to the most current information on hepatitis A.
In summary, using MEDLINE is the best choice for the nurse as it offers credible, specific, efficient, and up-to-date information compared to the other options.
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When deciding whether and when a task should be completed, a nurse must:
- A. complete all tasks as they are thought of to prevent having to take time to consider which is most important.
- B. procrastinate and hope that someone will volunteer to do it.
- C. ask, "What will happen if I don't complete the task now?"
- D. view large projects holistically and not as many small pieces.
Correct Answer: C
Rationale: The correct answer is C: ask, "What will happen if I don't complete the task now?" This is the best approach as it helps prioritize tasks based on their urgency and importance. By considering the consequences of not completing a task immediately, the nurse can focus on critical tasks first to ensure patient safety and efficient workflow.
Choice A is incorrect because completing all tasks as they are thought of without prioritizing can lead to neglecting important tasks and compromising patient care. Choice B is incorrect as procrastination is not a professional or effective way to manage tasks in a healthcare setting. Choice D is incorrect as viewing large projects holistically is important, but it doesn't address the immediate need to prioritize individual tasks.
A large corporation employs nurses all over the United States. Nurses in one agency learned that fellow nurses in another agency are striking because they are required to work 16-hour shifts to cover for nurses who have left due to unsafe staffing practices. The union of the nonstriking agency nurses decides to stop work to support the nurses who are striking; thus, this union:
- A. is placing nurses at risk for a lawsuit because their direct employer did not cause the strike.
- B. must be an industry union representing both parties.
- C. is participating in a sympathy strike, which, if done correctly, is legal.
- D. must pay for any losses incurred by the agency during the strike.
Correct Answer: C
Rationale: The correct answer is C because the union of the nonstriking agency nurses is engaging in a sympathy strike to support their fellow nurses who are striking due to unsafe working conditions. A sympathy strike is legal as long as it is conducted correctly. In this case, the nonstriking agency nurses are showing solidarity with their colleagues to address the issue of unsafe staffing practices.
Choice A is incorrect because the union's decision to support the striking nurses does not automatically expose them to a lawsuit. Choice B is incorrect as the union represents only one group of nurses, not both parties. Choice D is incorrect because there is no legal requirement for the union to pay for any losses incurred by the agency during the strike.
Overall, the correct answer is C because it accurately reflects the union's action of participating in a sympathy strike to show support for the striking nurses.
A priority action for the nurse who works with culturally diverse clients is completion of a:
- A. sign language course.
- B. cultural self-assessment.
- C. cultural client assessment.
- D. continuing education course on how to speak Spanish.
Correct Answer: B
Rationale: The correct answer is B: cultural self-assessment. This is important as it helps the nurse understand their own beliefs, values, and biases, which can impact how they interact with culturally diverse clients. By being self-aware, the nurse can better recognize and address any potential cultural misunderstandings or conflicts.
A: Taking a sign language course is not the priority as not all culturally diverse clients are deaf or use sign language.
C: While cultural client assessment is important, it is secondary to the nurse understanding their own cultural biases first.
D: Taking a course on how to speak Spanish is helpful but may not address the broader cultural competence needed to work with diverse clients.
An orthopedic unit is considering different types of care delivery models and staff have an opportunity to ask questions about how the models differ. The nurse manager provides an overview and uses the above visual to demonstrate which model of care delivery?
- A. Team
- B. Partnership
- C. Primary
- D. Functional
Correct Answer: A
Rationale: The correct answer is A: Team. In a team care delivery model, multiple healthcare professionals work collaboratively to provide comprehensive care to patients. This is demonstrated in the visual of the orthopedic unit considering different types of care delivery models. The team model emphasizes teamwork, communication, and coordination among healthcare providers to ensure holistic patient care.
Summary of why other choices are incorrect:
B: Partnership typically involves collaboration between healthcare providers and patients but may not necessarily involve multiple healthcare professionals working together as a team.
C: Primary care delivery model focuses on the patient's main point of contact, usually a primary care physician, rather than a team approach.
D: Functional care delivery model organizes care based on specific functions or tasks, which may not emphasize the collaborative teamwork seen in a team care delivery model.
When an RN is asked to accept an assignment that he or she may not be qualified to perform, the nurse should:
- A. accept the assignment as appropriate if assigned by a legitimate power.
- B. be primarily concerned with the number of patients being assigned.
- C. ask how other nurses have handled the assignment in the past.
- D. determine whether he or she is familiar with the types of patients being assigned.
Correct Answer: D
Rationale: Step-by-step rationale for why Answer D is correct:
1. Ensures patient safety: RN should only accept assignments they are qualified for to provide safe care.
2. Upholds professional standards: Accepting only familiar assignments aligns with nursing scope of practice.
3. Legal and ethical responsibility: RN must prioritize patient well-being over external pressures.
4. Promotes personal growth: RN can seek additional training for unfamiliar assignments.
Summary:
- A: Incorrect. Accepting based on power dynamics disregards patient safety and professional ethics.
- B: Incorrect. Patient safety should be the primary concern over workload.
- C: Incorrect. Past handling may not guarantee appropriateness. Focus should be on personal qualification.