Nokea
A nurse notices that care is often withheld until an interpreter arrives, if the nurse is not multilingual. The nurse discusses this with the management team and suggests a three- part series be presented to the nursing staff to teach some commonly used medical terms in Spanish. This nurse is involved in the role of:
- A. change agent.
- B. educator.
- C. manager.
- D. coordinator.
Correct Answer: A
Rationale: The correct answer is A: change agent. The nurse is acting as a change agent by identifying a problem (care being withheld until an interpreter arrives) and proposing a solution (teaching common medical terms in Spanish). As a change agent, the nurse is promoting positive change within the organization to improve patient care. The other choices are incorrect because:
B: Educator - While the nurse is providing education, the primary role in this scenario is not solely that of an educator.
C: Manager - The nurse is not directly managing staff or resources in this scenario.
D: Coordinator - The nurse is not primarily coordinating activities or resources in this scenario.
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A certified oncology nurse notices that a novice nurse is unsure of decision making and lacks technical skills. The novice nurse gains confidence by sharing and learning with the experienced nurse. This relationship continues and builds, allowing the novice nurse to become more confident. This relationship is known as:
- A. mentoring.
- B. role modeling.
- C. a preceptorship.
- D. socialization.
Correct Answer: A
Rationale: The correct answer is A: mentoring. Mentoring involves an experienced individual guiding and supporting a less experienced individual to help them develop skills, confidence, and knowledge. In this scenario, the certified oncology nurse is providing guidance and support to the novice nurse, helping them gain confidence and improve decision-making and technical skills. Mentoring fosters a personalized and supportive relationship that allows for growth and development.
Summary of other choices:
B: Role modeling involves observing and emulating behaviors of others, but it does not necessarily involve the direct guidance and support seen in mentoring.
C: Preceptorship typically refers to a structured program where a more experienced individual (preceptor) guides a less experienced individual (preceptee) for a specific period, which is more formalized than the relationship described in the scenario.
D: Socialization refers to the process of adapting to the norms and values of a group or society, which is not directly related to the mentorship relationship described in the scenario.
A teenage patient is using earphones to listen to hard rock music and is making gestures in rhythm to the music. The nurse assesses the amount of urine output in the Foley catheter and leaves the room. What communication technique is demonstrated in both of these situations?
- A. Blocking
- B. Filtration
- C. Empathy
- D. False assurance
Correct Answer: A
Rationale: The correct answer is A: Blocking. In both situations, the patient's actions are ignored or dismissed, indicating a lack of active listening. Blocking involves avoiding communication by not acknowledging the patient's gestures or needs. The nurse fails to engage with the patient and address their non-verbal cues.
Summary:
B: Filtration is not relevant as it involves selectively presenting information.
C: Empathy is not demonstrated as the nurse is not responding to the patient's non-verbal cues.
D: False assurance is not applicable as it involves giving misleading reassurance, which is not present in the scenario.
A person interested in employment in the health care sector has less than 1 year to pursue his or her education and wants to focus on functional aspects of patient care. He/she desires to work in a long-term facility. Which type of nursing program should this person request information about?
- A. Bachelor's degree in nursing (BSN)
- B. Licensed practical nurse (LPN)
- C. Associate degree in nursing
- D. Master's degree in nursing
Correct Answer: C
Rationale: Rationale:
1. An associate degree in nursing (ADN) is a 2-year program, making it suitable for someone with less than 1 year to pursue education.
2. ADN programs focus on the functional aspects of patient care, aligning with the person's interest.
3. Working in a long-term care facility typically does not require a BSN or MSN.
4. LPN programs are shorter but have a different scope of practice than what the person desires.
Managers at an acute care facility value the contributions of their aging nursing workforce and make recommendations to accommodate for an aging nursing workforce. They institute for which changes? (select all that apply)
- A. Supplies such as dressing change and Foley catheter kits are placed on the nursing unit.
- B. Teamwork and development of new roles such as admission nurse are encouraged.
- C. Daycare centers for sick children are put into place to prevent the stress of having to find alternative daycare.
- D. Assistive devices for lifting as recommended by ANA's Handle with Care are made available.
Correct Answer: A
Rationale: The correct answer is A because placing supplies on the nursing unit helps accommodate aging nursing workforce by reducing physical strain from frequent trips to supply rooms. This change supports ergonomic principles and promotes efficiency. Choice B may not directly address the physical challenges of aging nurses. Choice C addresses a different issue unrelated to accommodating aging nurses. Choice D, while important, focuses on one specific aspect of accommodation and may not be as universally beneficial as having supplies readily available.
A cultural phenomenon that is based on biologic variation would include:
- A. belief that exposure of a pregnant woman to an eclipse can result in cleft lip.
- B. denser bones in blacks result in less morbidity associated with osteoporosis.
- C. the grandmother who determines that her grandchild has scoliosis and should seek treatment, then informs the parents of her decision.
- D. a family that participates in feasts prepared to celebrate and make decisions.
Correct Answer: A
Rationale: The correct answer is A because it describes a cultural belief that attributes a physical trait (cleft lip) to a specific biological event (exposure to an eclipse during pregnancy). This choice demonstrates a cultural phenomenon based on biologic variation.
Choice B is incorrect because it attributes denser bones in blacks to less morbidity from osteoporosis, which is a generalization and not necessarily a cultural phenomenon. Choice C is incorrect as it describes a family dynamic related to healthcare decision-making and not a cultural belief based on biologic variation. Choice D is incorrect as it describes a family tradition related to feasting and decision-making, which does not directly involve biologic variation.