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A nurse manager is mentoring a novice nurse manager in determining staffing needs. The mentor explains, "We must determine the acuity level of the patient by:
- A. assessing patient satisfaction with nursing care."
- B. quantifying the amount and intensity of care required."
- C. examining the skill mix and educational preparation of the staff."
- D. determining the number of hospital days required by the patients."
Correct Answer: B
Rationale: The correct answer is B because quantifying the amount and intensity of care required is essential to determine staffing needs based on patient acuity. This involves assessing the complexity and severity of patients' conditions, which directly impacts the level of care needed. Patient satisfaction (A) does not provide objective data on acuity. Examining skill mix (C) is important but not the primary factor in determining acuity. Hospital days (D) reflect length of stay, not acuity level.
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In today's world of fast, effective communication, what is the most commonly used means of societal communication?
- A. Facial expression
- B. Spoken word
- C. Written messages
- D. Electronic messaging
Correct Answer: D
Rationale: The correct answer is D: Electronic messaging. In today's fast-paced world, electronic messaging, such as emails, text messages, and social media, is the most commonly used means of societal communication due to its immediacy, convenience, and widespread accessibility. It allows people to communicate quickly across long distances and reach a large audience efficiently. Facial expressions (A) are important but limited in reach. Spoken word (B) is also crucial but less prevalent in today's digital age. Written messages (C) are still used but electronic messaging has largely replaced traditional written communication for its speed and efficiency.
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.
The primary focus of the care provider role for the nurse involves:
- A. using the nursing process to provide guidance to the patient in recovery.
- B. encouraging consumer self-responsibility and emphasizing health promotion/maintenance.
- C. focusing on increasing satisfaction among professional nurses.
- D. advancing nursing practice through research.
Correct Answer: B
Rationale: The correct answer is B because the primary focus of the care provider role for a nurse is to encourage consumer self-responsibility and emphasize health promotion/maintenance. This involves empowering patients to take control of their own health, promoting wellness, and preventing illness. The other choices are incorrect because: A) using the nursing process is essential but not the primary focus, C) increasing satisfaction among professional nurses is important but not the primary role of a care provider, and D) advancing nursing practice through research is valuable but not the primary responsibility of a care provider.
The crisis communication officer may first inform the public or health care facility of a disaster or an act of terrorism. This representative has the responsibility to:
- A. contain the facts to within the administration group.
- B. incite the public to quickly take cover and obtain emergency supplies.
- C. provide understandable and straightforward facts about the event within the facility and possibly to the news media.
- D. inform the public that no information can be released until it has been confirmed by state and federal agencies.
Correct Answer: C
Rationale: The correct answer is C because the crisis communication officer's primary responsibility is to provide clear and factual information about the event within the facility and potentially to the news media. This helps to ensure transparency, maintain credibility, and prevent misinformation. Choice A is incorrect as containing facts within the administration group limits transparency. Choice B is incorrect as inciting panic is counterproductive. Choice D is incorrect as withholding information until confirmed by state and federal agencies may lead to unnecessary delays in communication.
The nurse is demonstrating active listening when:
- A. while assessing the patient's vital signs, the nurse records the data and states, "You are improving, your vital signs are normal."
- B. eye contact is maintained while focusing on the patient as the patient describes the current pain level and location.
- C. he or she states, "I know how you feel, I recently lost my father and I am still hurting."
- D. cultural values are in opposition to the patient but shares that "I agree with your decision to use herbs rather than the prescribed medications."
Correct Answer: B
Rationale: The correct answer is B because maintaining eye contact while focusing on the patient's description of pain level and location demonstrates active listening. This non-verbal communication shows empathy and attentiveness to the patient's concerns. Choice A focuses on providing information rather than actively listening. Choice C involves personalizing the situation rather than focusing on the patient's needs. Choice D involves agreeing with the patient's decision rather than actively listening to understand their perspective.