Nokea
A nurse studied a community to determine if there were clients who would benefit from a hospice program if one were developed. This type of research is:
- A. a survey.
- B. quasi-experimental.
- C. a needs assessment method.
- D. a pilot study.
Correct Answer: C
Rationale: The correct answer is C: a needs assessment method. A needs assessment method is used to identify gaps or deficiencies in services, programs, or resources in a community. In this scenario, the nurse is determining if there is a need for a hospice program, which aligns with the purpose of a needs assessment. A survey (choice A) involves collecting data from a sample group to gather insights, but it doesn't necessarily focus on identifying specific needs. Quasi-experimental (choice B) and pilot study (choice D) are research designs used to test interventions or programs, which are not the primary goal in this case.
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The nurse manager determines that four RNs, five LPN/LVNs, and two unlicensed assistive personnel (UAP) are required per shift to meet the needs of the patient population on the unit, according to acuity and census. The nurse manager is concerned with:
- A. assignments.
- B. staffing.
- C. output.
- D. productivity.
Correct Answer: B
Rationale: The correct answer is B: staffing. The nurse manager's concern is related to ensuring adequate numbers of RNs, LPN/LVNs, and UAPs per shift to meet patient needs. Staffing refers to the appropriate allocation of personnel to provide safe and effective care. Assignments (A) are specific tasks given to staff, output (C) is the end result of a process, and productivity (D) is efficiency in completing tasks - these are not the primary focus of the nurse manager's concern in this scenario. Staffing directly addresses the crucial aspect of having the right mix and number of staff members to deliver quality care.
A care provider sacrifices an animal and waves an herb-filled sack over a client who is complaining of painful joints and chest pain with exertion. This ritual represents health care during:
- A. the prehistoric period.
- B. early civilization in Egypt.
- C. the Renaissance.
- D. the Middle Ages.
Correct Answer: A
Rationale: The correct answer is A: the prehistoric period. During this time, people relied heavily on spiritual beliefs and rituals for healing. Sacrificing animals and using herbs in rituals to treat ailments was common practice. In contrast, early civilization in Egypt (B) had more advanced medical practices, the Renaissance (C) saw a shift towards scientific medicine, and the Middle Ages (D) had a mix of spiritual and medical practices, but not as primitive as the prehistoric period.
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.
When differentiating between slander and libel, the nurse knows that libel:
- A. results from defamation caused by subjective comments written in the nurse's notes.
- B. results from negative subjective comments made to those who are not providing care.
- C. occurs when the nurse verbally describes to the oncoming nurse assigned to the client objective data that place the client in a negative light.
- D. consists of repeating prejudiced comments made by the primary caregiver to a neighbor at the local supermarket.
Correct Answer: A
Rationale: The correct answer is A because libel refers to written defamatory statements. In this scenario, subjective comments written in the nurse's notes can be considered libel as they are documented in writing.
Choice B is incorrect because it describes negative comments made verbally, which would be considered slander, not libel.
Choice C is incorrect as it involves verbal communication, which falls under slander, not libel.
Choice D is incorrect as it describes repeating prejudiced comments verbally, which is also considered slander, not libel.
During the relief response phase of a disaster resulting from a "dirty bomb":
- A. treatment for burns and poisoning is provided for victims.
- B. emergency plans are coordinated between agencies.
- C. reconstruction of destroyed facilities and homes begins.
- D. food stores are collected for potential victims.
Correct Answer: A
Rationale: The correct answer is A because during the relief response phase of a "dirty bomb" disaster, victims are likely to suffer from burns and poisoning due to radiation exposure. Providing treatment for burns and poisoning is crucial to saving lives and preventing further health complications.
Choice B is incorrect because emergency plans coordination typically occurs during the preparedness phase, not the relief response phase. Choice C is incorrect as reconstruction usually takes place in the recovery phase, which follows the relief response phase. Choice D is incorrect as collecting food stores is more related to preparedness or immediate response, not specifically during the relief response phase.