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A nurse practices a relaxing massage technique to stimulate and apply pressure to the feet or hands, increasing blood supply circulation to various parts of the body and relieving pain. The massage technique used by the practitioner is referred to as:
- A. reflexology.
- B. Feldenkrais method.
- C. Reiki.
- D. Rolfing.
Correct Answer: A
Rationale: The correct answer is A: reflexology. Reflexology is a practice based on the theory that specific areas on the feet and hands correspond to different organs and systems in the body. By stimulating these areas through massage techniques, blood circulation is increased, promoting healing and pain relief.
- Choice B, Feldenkrais method, focuses on improving movement and function through awareness and gentle movements, not specifically targeting reflex points.
- Choice C, Reiki, involves the transfer of energy to promote healing, but does not involve massage techniques or specific reflex points.
- Choice D, Rolfing, is a type of bodywork that focuses on manipulating the body's connective tissues to improve posture and alignment, not specifically targeting reflex points like in reflexology.
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A patient states, "My cancer is in remission finally after all that chemotherapy, my friend used the same chemotherapy and wasn't so lucky. I want to continue participating in spiritual care and 'mind games' to keep my memory intact. I am also enrolled in Tai chi, but I just can't stop thinking about my sick lung." This patient adheres to which principle underlying alternative healing?
- A. A negative alteration in the body produces a parallel effect on the mind and spirit.
- B. The body can heal itself with the help of complementary alternative therapies.
- C. Approaches to therapy are individualized.
- D. There is a focus on the total lifestyle.
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct:
1. The patient believes in the power of complementary alternative therapies to help the body heal itself.
2. This aligns with the principle underlying alternative healing, which emphasizes the body's innate ability to heal.
3. By engaging in spiritual care, mind games, Tai chi, and focusing on memory and lung health, the patient is supporting the body's natural healing processes.
4. This choice is correct as it reflects the patient's belief in utilizing alternative therapies to support the body's healing mechanisms.
Summary of why other choices are incorrect:
A. This choice suggests a negative alteration affecting the mind and spirit, which is not directly related to the patient's belief in complementary alternative therapies for healing.
C. While individualized approaches to therapy are important in alternative healing, this choice does not directly address the patient's belief in the body's ability to heal itself.
D. While focusing on total lifestyle is important in alternative healing, this choice does not directly
A novice nurse is unsure how to correctly administer an injection using the Z-track method. What is the best approach for learning this procedure?
- A. Read the procedure manual and follow the steps exactly.
- B. Make an appointment at the skills laboratory of the former nursing school to practice.
- C. Ask to observe the skill as it is being performed; then perform it under direct supervision.
- D. Try to remember how the task was previously performed during a simulation.
Correct Answer: C
Rationale: The correct answer is C: Ask to observe the skill as it is being performed; then perform it under direct supervision. This approach allows the novice nurse to learn through observation and hands-on practice under direct supervision, ensuring proper technique and safety. By observing the skill first, the nurse can understand the correct steps and potential challenges. Performing the skill under supervision provides real-time feedback and guidance. This method promotes active learning and confidence-building.
Rationale for incorrect choices:
A: Reading the procedure manual is helpful but may not provide the necessary hands-on experience and immediate feedback required for skill acquisition.
B: Practicing in a skills laboratory can be beneficial, but it may not offer the opportunity for direct supervision and feedback from experienced professionals.
D: Trying to remember from a previous simulation may not be reliable and lacks the real-time guidance and correction needed for skill mastery.
In a large health care facility, the executive administrative leaders set the budget goals to decrease full-time equivalents by 3%, eliminate the cost of agency nurses, reduce lost revenue from lost supplies by 1%, and provide a 5% hourly salary incentive for working on a float unit when the assigned unit has a low census. Nurse managers meet with nursing administrators to design their unit budgets to meet these established goals. The budget approach that is being used is the approach.
- A. top-down
- B. participatory
- C. iterative
- D. incremental
Correct Answer: B
Rationale: The correct answer is B: participatory. This is because the nurse managers are actively involved in designing their unit budgets to meet the established goals set by the executive administrative leaders. In a participatory budgeting approach, input and collaboration from lower-level managers or staff members are encouraged, allowing for a more inclusive and bottom-up decision-making process. This approach fosters ownership, accountability, and transparency in budget planning.
Summary of other choices:
A: top-down - This approach involves setting budget goals and directives from the top management without much input or involvement from lower-level managers. Not applicable in this scenario.
C: iterative - This approach involves making continuous adjustments and refinements to the budget based on feedback and performance data. Not explicitly mentioned in the scenario.
D: incremental - This approach involves making small adjustments to the previous budget period. While there may be some incremental changes, the scenario emphasizes a more collaborative process involving nurse managers, making this choice less suitable.
A staff nurse states, "I really enjoyed having dinner with the Chief of Medical Staff and the President of the hospital. We hope to meet again soon." Which source of power does this nurse possess?
- A. Expert
- B. Legitimate
- C. Connection
- D. Reward
Correct Answer: C
Rationale: The correct answer is C: Connection. The nurse's power comes from her ability to network and build relationships with influential individuals like the Chief of Medical Staff and the President of the hospital. This grants her access to information, resources, and opportunities not available to others. This power is based on who she knows rather than her expertise (A), position (B), or ability to offer rewards (D). The nurse's statement implies that her influence stems from her connections, making choice C the most appropriate answer.
A group of graduates were just notified that they had successfully passed the licensure examination. During the orientation process at the hospital, one asks, "I am looking at my license, but I don't really know the duties performed by the board of nursing." The staff development nurse explains that the board of nursing: (select all that apply)
- A. grants nursing licensure.
- B. constructs the licensure examination.
- C. assigns disciplinary action when the nurse acts in a manner that results in harm to a patient.
- D. members are appointed.
Correct Answer: A
Rationale: The correct answer is A: grants nursing licensure. The board of nursing is responsible for overseeing the licensure process for nurses, ensuring that they meet the necessary qualifications to practice. They review applications, conduct background checks, and issue licenses to qualified individuals. This is a fundamental duty of the board of nursing, as it regulates the nursing profession and ensures public safety.
Explanation for why other choices are incorrect:
B: Constructs the licensure examination - While the board of nursing may have input in the development of the licensure examination, their primary role is not the construction of the exam itself.
C: Assigns disciplinary action when the nurse acts in a manner that results in harm to a patient - While the board of nursing does have the authority to investigate and take disciplinary action against nurses who violate the nursing practice act, this is not their primary function.
D: Members are appointed - This choice is irrelevant to the duties performed by the board of nursing and does not directly relate to their responsibilities in granting