Nokea
A nurse is preparing to administer a medication by using the vastus lateralis site and is unfamiliar with the process. A step-by-step reference that shows how to complete the process is called a:
- A. deployment flowchart.
- B. top-down flowchart.
- C. Pareto chart.
- D. control plot.
Correct Answer: A
Rationale: The correct answer is A: deployment flowchart. A deployment flowchart is a visual representation that outlines the steps involved in a specific process, making it ideal for the nurse to follow when administering medication at the vastus lateralis site. It provides a detailed, step-by-step guide, ensuring the process is carried out accurately and safely.
Explanation of other choices:
B: Top-down flowchart - This type of flowchart shows the hierarchy or sequence of steps in a process but may not provide the specific details needed for the nurse's task.
C: Pareto chart - A Pareto chart is used to prioritize and identify the most significant factors in a process, not suitable for providing step-by-step instructions.
D: Control plot - This term is not related to providing detailed instructions for a process, making it an incorrect choice.
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Nurses on a busy medical schedule want to reduce documentation time and improve order entry. Additionally, patient records from previous visits are often incomplete or do not include care from other providers. To improve patient care, a taskforce suggests using an Electronic Medical Record for 1 month to determine whether this provides the desired outcomes. This unit is participating in which type of study?
- A. Ethnography
- B. Pilot
- C. Secondary data analysis
- D. Phenomenology
Correct Answer: B
Rationale: The correct answer is B: Pilot. A pilot study involves testing a new intervention on a small scale to assess feasibility and potential outcomes before implementing it on a larger scale. In this case, the unit is planning to use an Electronic Medical Record for a limited time to evaluate its impact on documentation time and patient care. This approach allows for targeted feedback and adjustments based on the outcomes observed during the trial period.
A: Ethnography involves in-depth observation and analysis of a specific culture or group, which is not the focus of the scenario.
C: Secondary data analysis involves the use of existing data for research purposes, not the implementation of a new intervention.
D: Phenomenology focuses on understanding individuals' subjective experiences, which is not the primary goal of implementing an Electronic Medical Record in this case.
According to the Hallmarks of the Professional Nursing Environment, a nurse should ask a potential employer:
- A. how salaries compare with those of larger facilities.
- B. what benefits are provided to RNs that are not available to other health care providers.
- C. what role nurses have in determining the quality of care.
- D. how the employer plans to provide long-term economic security to RNs.
Correct Answer: C
Rationale: Rationale for Correct Answer (C): Asking about the role nurses have in determining the quality of care is crucial to understanding the level of autonomy and influence nurses have in the workplace. This question shows the nurse's commitment to patient care and the importance of nursing contributions in improving outcomes. It also indicates the nurse's interest in being part of a collaborative healthcare team.
Summary of Incorrect Choices:
A: This question focuses primarily on financial aspects and does not address the nurse's professional role in patient care.
B: While benefits are important, asking about benefits specific to RNs only may come off as self-centered and not reflective of the nurse's commitment to patient care.
D: Inquiring about long-term economic security is essential, but it does not directly address the nurse's role in quality care delivery, which is the primary focus of professional nursing practice.
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.
The nurse prepares to apply sterile gloves needed for a procedure. After introducing self and verifying patient information, the nurse performs hand hygiene. The nurse should open the outer package and then perform steps in which order. Put a comma and space between each answer choice (e.g., a, b, c, d).
- A. Open inner package, taking care not to touch inner surface.
- B. Put the glove on the nondominant hand using the sterile gloved hand.
- C. Put glove on dominant hand by grasping folded cuff edge, touching only inside of cuff.
- D. Adjust each glove carefully by sliding finders under the cuff.
Correct Answer: A
Rationale: The correct order is to first open the outer package to access the inner package containing the gloves. This ensures that the gloves remain sterile until they are needed. Opening the inner package first would expose the gloves to potential contamination. Putting on the gloves should be done after opening the inner package, starting with the nondominant hand to prevent contamination. Adjusting the gloves carefully should be the final step after both gloves are on to ensure a proper fit. Therefore, choice A is correct as it establishes the correct sequence for maintaining sterility throughout the process.
Ethics applied to nursing can best be defined as:
- A. doing what is best for the client.
- B. making good decisions about care.
- C. care based on what should be done in keeping with the values of the client.
- D. rules for providing competent care that is based on scientific principles.
Correct Answer: C
Rationale: Ethics applied to nursing can best be defined as care based on what should be done in keeping with the values of the client (Choice C). This answer emphasizes the importance of respecting the client's values and preferences in decision-making, which is a fundamental aspect of ethical nursing practice. It involves considering the client's beliefs, culture, and autonomy when providing care.
Other choices are incorrect:
A: Doing what is best for the client (Choice A) is subjective and may not always align with the client's values.
B: Making good decisions about care (Choice B) is vague and does not specifically address the ethical considerations related to the client's values.
D: Rules for providing competent care based on scientific principles (Choice D) focus on clinical competence rather than the ethical dimension of nursing practice.