Nokea
A nurse takes a day to travel to a state park where she can sit by the river alone to reflect over recent events and put things into perspective. She recalls the time she was complimented for her ability to deal with a difficult patient and another time when she was criticized for lack of teamwork. This nurse is improving which source of energy?
- A. Emotional
- B. Spiritual
- C. Physical
- D. Mental
Correct Answer: B
Rationale: The nurse is reflecting on her personal growth and finding meaning in her experiences, indicating a focus on values, purpose, and inner strength, which align with the spiritual source of energy. This choice is correct as it involves connecting with higher values and beliefs to find motivation and resilience. Emotional energy (choice A) focuses on feelings and expression, physical energy (choice C) relates to the body's vitality, and mental energy (choice D) pertains to cognitive abilities and focus. In this scenario, the nurse's focus is on introspection and personal growth rather than emotional, physical, or mental aspects, making choice B the most appropriate.
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A nurse is admitting a Mexican-American child, and the mother comments that the child was exposed to mal ojo. The nurse should expect to find which symptom associated with this exposure?
- A. Fever
- B. Nervous tension
- C. Bruising
- D. Somnolence
Correct Answer: B
Rationale: The correct answer is B: Nervous tension. Mal ojo, commonly known as the evil eye, is a belief in many Latin American cultures that certain people have the power to cause harm with their gaze. Symptoms associated with mal ojo typically include nervous tension, irritability, and restlessness. Fever (choice A) is not a common symptom of mal ojo. Bruising (choice C) is also not typically associated with mal ojo. Somnolence (choice D) refers to excessive sleepiness, which is not a common symptom of mal ojo. Therefore, the correct answer is B as it aligns with the cultural belief and expected symptoms of mal ojo.
A nurse is offered several health care plans as part of employee benefits. Which plan is based on a monthly fee per participant and offers a range of preventive, diagnostic, and treatment services?
- A. Prospective payment system
- B. Retrospective payment system
- C. Single-payer system
- D. Capitation
Correct Answer: D
Rationale: The correct answer is D: Capitation. Capitation is a payment model where healthcare providers receive a fixed amount per patient per month to provide all necessary healthcare services. This aligns with the description of the plan in the question, offering services based on a monthly fee per participant. Capitation also emphasizes preventive care, diagnostic services, and treatment, making it the most suitable choice.
A: Prospective payment system is a method where healthcare providers are paid a fixed amount per service in advance. This does not match the description of the plan in the question.
B: Retrospective payment system involves reimbursing healthcare providers after services are delivered based on the actual costs incurred. This is not based on a monthly fee per participant.
C: Single-payer system refers to a healthcare system where a single public or quasi-public agency organizes healthcare financing. This is not based on a monthly fee per participant.
During a search for the term informatics, when the nurse finds the domain ".edu," the site is affiliated with a(n):
- A. government agency.
- B. commercial site.
- C. educational institution
- D. Internet service provider.
Correct Answer: C
Rationale: The correct answer is C: educational institution. ".edu" domain is reserved for educational institutions in the United States, indicating that the website is affiliated with an educational organization. Government agencies typically use ".gov" domain (A), commercial sites use ".com" domain (B), and Internet service providers use ".net" domain (D). Therefore, the presence of ".edu" in the domain indicates that the site is associated with an educational institution.
When the nurse manager conducts a qualitative analysis of budget variances, he or she is:
- A. determining the percentage increase of supply usage from the last quarter to the current quarter.
- B. identifying the overall increase in the dollar amount of salaries paid for overtime.
- C. comparing productivity metrics across all nursing units in the facility.
- D. reconciling with current conditions the underlying assumptions on which the budget was based.
Correct Answer: D
Rationale: The correct answer is D because when a nurse manager conducts a qualitative analysis of budget variances, they need to reconcile the underlying assumptions on which the budget was based with current conditions. This involves reviewing the initial budget assumptions to see if they still hold true and adjusting them accordingly. This step ensures that the budget remains relevant and accurate.
A is incorrect because determining the percentage increase of supply usage does not involve a qualitative analysis of budget variances. B is incorrect because identifying the overall increase in the dollar amount of salaries paid for overtime is a quantitative analysis, not qualitative. C is incorrect because comparing productivity metrics across nursing units is a different type of analysis and not specifically related to budget variances.
Nurses working on an orthopedic unit use personal digital assistants (PDAs) to review medications prior to administration to reduce potential drug interactions. Software is also installed that provides video clips of common procedures performed by nurses. Nurses on this unit are best demonstrating which QSEN competencies?
- A. Patient-centered care
- B. Informatics
- C. Teamwork
- D. Quality improvement
Correct Answer: B
Rationale: The correct answer is B: Informatics. Nurses on the orthopedic unit are demonstrating informatics competency by using PDAs for medication review and accessing video clips for procedures. This showcases their ability to utilize technology to enhance patient care. Patient-centered care (A) focuses on individualized care, teamwork (C) emphasizes collaboration, and quality improvement (D) pertains to enhancing processes. The use of technology in this scenario aligns most closely with the informatics competency, making it the best choice.