A nurse is working in a health care organization that has achieved Magnet status. Which components are indicators of this status? (Select all that apply.)
- A. Empirical quality results
- B. Structural empowerment
- C. Transformational leadership
- D. Exemplary professional practice
Correct Answer: A
Rationale: The American Nurses Credentialing Center (ANCC) established the Magnet Recognition Program to recognize health care organizations that achieve excellence in nursing practice. The five components are Transformational Leadership; Structural Empowerment; Exemplary Professional Practice; New Knowledge, Innovation, and Improvements; and Empirical Quality Results.
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On the third postpartum day a client tells the nurse that she feels sad and that she cries easily. The nurse should explain about which of the following?
- A. These feelings are normal and should diminish when the baby is a week or so old.
- B. The physician will likely order an antidepressant for the client to take at home.
- C. If the client focuses on the fact that she has a healthy baby, the feelings will cease.
- D. When the client is home with her family and friends, her sad feelings will disappear.
Correct Answer: A
Rationale: Postpartum blues are common and usually resolve within a week or two. Persistent sadness may indicate postpartum depression, but initial feelings are normal.
A young man is planning to use the condom as a contraceptive device. The nurse should teach him that which of the following actions is needed to maximize the condom's effectiveness?
- A. Use only water-soluble lubricants.
- B. Use only natural lambskin condoms.
- C. Apply the condom to a flaccid penis.
- D. Apply it tightly to the tip of the penis.
Correct Answer: A
Rationale: Water-soluble lubricants should be used with condoms to prevent breakage. Natural lambskin condoms do not protect against STIs, and condoms should be applied to an erect penis.
When should the nurse begin discharge planning?
- A. When the patient is ready
- B. Close to the time of discharge
- C. Upon admission to the hospital
- D. After an order is written/prescribed
Correct Answer: C
Rationale: Discharge planning begins the moment a patient is admitted to a health care facility.
A 1-week-postpartum client calls her obstetrician’s office and states, 'I am a breastfeeding mother and my nipples are cracked and bleeding.' Which of the following comments by the nurse is appropriate at this time?
- A. You will need to be seen by the doctor today.'
- B. The blood will make the baby very sick. You should pump and dump your milk for at least 1 week.'
- C. You are very high risk for infection. You should cleanse your nipples with dilute hydrogen peroxide twice every day.'
- D. Lanolin cream applied after each feeding will help you to heal.'
Correct Answer: D
Rationale: Lanolin cream helps soothe and heal cracked nipples without harming the baby.
The triage nurse is interviewing a client, 19 years old, unmarried, who states, 'I felt a hard thing on the lip of my vagina this morning. It doesn’t hurt.' Which of the following questions is most important for the nurse to ask at this time?
- A. Have any of your partners ever hurt you?'
- B. Do you ever have unprotected intercourse?'
- C. Have you ever had a baby?'
- D. Do you think you may be pregnant?'
Correct Answer: B
Rationale: Unprotected intercourse increases the risk of sexually transmitted infections (STIs), which could explain the hard lump.