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A nurse realizes that much time is wasted during shift report when coworkers discuss personal items such as recent movies or department store sales. Which statement would help with time management during this critical interaction?
- A. "Let's talk only about one movie you recently watched."
- B. "I like to know about department store sales, but we need to get through this report, so let's talk about sales as we walk between patient rooms."
- C. "I know your shift has been busy. What went wrong?"
- D. "I have the list of patients; let's start with revisions to the plan of care and scheduled activities for the next shift."
Correct Answer: D
Rationale: The correct answer is D because it directly addresses the issue of time management during shift report by focusing on the essential tasks that need to be discussed. By starting with revisions to the plan of care and scheduled activities for the next shift, the nurse ensures that the most critical information is covered efficiently. This approach helps prioritize the discussion and prevent unnecessary time spent on non-essential topics.
Option A is incorrect because limiting the discussion to just one movie does not address the overall time management issue during shift report. Option B is incorrect because discussing department store sales while walking between patient rooms may still lead to distractions and inefficiencies in the report.
Option C is incorrect as it focuses on what went wrong during the shift rather than addressing the need for efficient time management during the report. The correct answer, D, is the most effective choice as it directly tackles the issue of time wasted during shift report by emphasizing the essential tasks that need to be covered.
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A patient is admitted for a hysterectomy, and the RN develops and implements the plan of care but also delegates to the LPN/LVN the responsibility of administering oral medications. While off duty, this RN receives a call requesting a change in the plan of care because the patient has developed deep vein thrombosis. The nurse who originally planned the care is practicing which type of nursing care delivery?
- A. Modular
- B. Primary
- C. Team
- D. Functional
Correct Answer: B
Rationale: The correct answer is B: Primary nursing care delivery. In primary nursing, one nurse assumes 24-hour responsibility for planning, implementing, and evaluating the care of a patient. In this scenario, the RN developed and implemented the plan of care and delegated specific tasks to the LPN/LVN. The RN remains responsible for the overall care even while off duty, as evidenced by receiving a call regarding a change in the plan of care. The other choices are incorrect because:
A: Modular nursing involves a team of healthcare providers working together, sharing responsibilities, and providing care collectively.
C: Team nursing involves a team of healthcare providers with different levels of expertise working collaboratively to deliver patient care.
D: Functional nursing divides tasks among different team members based on their skill sets, which is not the case in the scenario provided.
When working with the family of a patient receiving palliative care, what is the nurse's initial intervention?
- A. Determining who will be the patient's durable power of attorney
- B. Identifying what types of help the family will need to care for the patient
- C. Completely an assessment of the family's strengths and weaknesses
- D. Discuss the dynamics of the family with the patient
Correct Answer: B
Rationale: The correct initial intervention for the nurse when working with the family of a patient receiving palliative care is to identify what types of help the family will need to care for the patient (Choice B). This is because understanding the family's needs and resources is essential for providing effective support. By identifying the specific types of assistance required, the nurse can tailor the care plan to meet the family's needs, enhancing the quality of care provided to the patient.
Determining the patient's durable power of attorney (Choice A) is important but usually comes later in the process after understanding the family's needs. Completing an assessment of the family's strengths and weaknesses (Choice C) is valuable but not the initial step. Discussing the dynamics of the family with the patient (Choice D) may be relevant but is not the priority when initiating support for the family.
Historically, what movement most influenced unionization in American health care agencies/hospitals?
- A. Immigration laws protected foreign employees from discrimination in hiring or discharge on the basis of national origin and citizenship status.
- B. Women entered the workforce, gaining voice to support unions.
- C. The Industrial Revolution led to poor working conditions and the need to protect workers.
- D. Nurses were exposed to communicable diseases, which led to death and disability.
Correct Answer: C
Rationale: Step 1: The Industrial Revolution introduced poor working conditions in factories, which extended to hospitals.
Step 2: Poor conditions in hospitals led to the need to protect healthcare workers, sparking unionization.
Step 3: This movement influenced the unionization in American health care agencies and hospitals.
Step 4: As a result, choice C is the correct answer.
Summary:
Choice A is incorrect as immigration laws did not directly influence the unionization movement in American healthcare. Choice B is incorrect as women entering the workforce, while significant, did not have the most influence on healthcare unionization. Choice D is incorrect as the exposure to diseases among nurses, while important, did not drive the overall movement for worker protection in healthcare during that time.
Faculty comes to class to present information about joining the Student Nurses Association (SNA). A student is heard saying, "Why join this organization? It is just a bunch of students like us. I'll wait and join the real nursing organization after graduation." This student is not aware of which benefits of SNA? (select all that apply)
- A. Members are eligible to sit for the licensure examination at a reduced rate.
- B. Leadership skills can be refined by working with other schools of nursing.
- C. The National SNA provides discounted rates for study abroad opportunities.
- D. A global view of nursing can be obtained through networking internationally.
Correct Answer: A
Rationale: The correct answer is A: Members are eligible to sit for the licensure examination at a reduced rate. This benefit is specific to the Student Nurses Association (SNA) and is not available in other nursing organizations. It provides a tangible advantage for members to pursue licensure after graduation, which is a critical step in their nursing career.
Incorrect choices:
B: While leadership skills can be refined by working with other schools of nursing through SNA, this is not a unique benefit that distinguishes SNA from other organizations.
C: The National SNA providing discounted rates for study abroad opportunities is a beneficial offering, but it does not address the immediate benefit of reduced licensure examination rates.
D: Obtaining a global view of nursing through networking internationally is a valuable experience, but it does not directly relate to the licensure examination benefit provided by SNA.
A community in the New Madrid fault zone experiences an earthquake resulting in injuries from propelled objects and abrasions for many victims. The local supply of antibiotics is quickly exhausted. Local authorities would contact the:
- A. Commissioned Corps Readiness Force.
- B. Strategic National Stockpile.
- C. Department of Homeland Security.
- D. local Young Men's Christian Association (YMCA).
Correct Answer: B
Rationale: The correct answer is B: Strategic National Stockpile. This is because the Strategic National Stockpile is a federal repository of antibiotics, medical supplies, and equipment to respond to public health emergencies. In this scenario, the local supply of antibiotics is exhausted, so contacting the Strategic National Stockpile would provide the necessary antibiotics to treat the injured victims.
Explanation for why other choices are incorrect:
A: The Commissioned Corps Readiness Force is a team of health professionals who can be deployed during public health emergencies, but they do not specifically store or distribute medical supplies like antibiotics.
C: The Department of Homeland Security focuses on national security and disaster response, but they do not directly handle the distribution of medical supplies like antibiotics.
D: The local Young Men's Christian Association (YMCA) is a community organization that is not equipped to provide medical supplies for emergency response situations like this earthquake scenario.