Nokea
A nurse who functions in the role of team leader can be held negligent for matters involving:
- A. inadequate training.
- B. lack of development of proper policies and procedures.
- C. failure to discipline unsafe workers.
- D. delegation of client care tasks.
Correct Answer: D
Rationale: The correct answer is D: delegation of client care tasks. A team leader nurse can be held negligent for improper delegation as they are responsible for assigning tasks to appropriate staff ensuring safe and effective care. This is crucial for patient safety. Choices A, B, and C are incorrect because inadequate training, lack of policies, and failure to discipline unsafe workers are not directly related to the nurse's role in delegation and immediate patient care responsibilities.
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The practice of public health nursing and the Henry Street Settlement are credited to:
- A. Mary Breckenridge.
- B. Mary Seacole.
- C. Clara Barton.
- D. Lillian Wald.
Correct Answer: D
Rationale: The correct answer is D: Lillian Wald. Lillian Wald is credited with founding the Henry Street Settlement in New York City in 1893, which pioneered the practice of public health nursing in the United States. She emphasized the importance of providing healthcare services to underserved populations in their own communities. Mary Breckenridge, known for establishing the Frontier Nursing Service, is not associated with the Henry Street Settlement. Mary Seacole was a British-Jamaican nurse known for her work during the Crimean War, not for public health nursing in the US. Clara Barton is known for founding the American Red Cross, not the Henry Street Settlement. Therefore, the correct answer is D, Lillian Wald.
A patient is admitted for a hip replacement complicated by uncontrolled diabetes and early dementiThe nurse coordinates referrals to an endocrinologist to establish an insulin protocol and organizes out-patient physical therapy in an Alzheimer's assisted living facility upon discharge. The role of this nurse is the:
- A. informatics specialist.
- B. educator.
- C. case manager.
- D. quality manager.
Correct Answer: C
Rationale: Step-by-step rationale for why choice C (case manager) is correct:
1. A case manager coordinates referrals and services for patients with complex needs, such as this patient with diabetes and dementia.
2. In this scenario, the nurse is coordinating referrals to an endocrinologist and organizing physical therapy, which aligns with the role of a case manager.
3. Case managers ensure continuity of care and facilitate communication between different healthcare providers.
4. The nurse's role in organizing follow-up care and services for the patient falls under the responsibilities of a case manager.
Summary of why other choices are incorrect:
A: Informatics specialist - This role focuses on managing health information systems, not coordinating referrals and services for patients.
B: Educator - While education may be a component of the nurse's role, the primary focus in this scenario is on coordinating referrals and services, which is more in line with a case manager's responsibilities.
D: Quality manager - Quality managers focus on ensuring healthcare services meet quality standards
The nurse prepares to apply sterile gloves needed for a procedure. After introducing self and verifying patient information, the nurse performs hand hygiene. The nurse should open the outer package and then perform the following steps in order: (items on left will be moved in correct order on the right) Open inner package, taking care not to touch inner surface. Put the glove on the nondominant hand using the sterile gloved hand. Put glove on dominant hand by grasping folded cuff edge, touching only inside of cuff. Adjust each glove carefully by sliding finders under the cuffs. The above question represents which type of alternate-format question written at which level of Bloom's taxonomy?
- A. Drag-and-drop item, comprehension
- B. Chart/exhibit item, analysis
- C. Multiple-response, application
- D. Hot-spot item, knowledge
Correct Answer: A
Rationale: The correct answer is A: Drag-and-drop item, comprehension. This question requires the nurse to demonstrate understanding of the correct sequence for applying sterile gloves. The drag-and-drop format assesses the ability to organize steps in a specific order, which falls under the comprehension level of Bloom's taxonomy, where the individual is required to understand the information provided. The other choices are incorrect because:
B: Chart/exhibit item, analysis - This choice involves interpreting data or information presented in a chart or exhibit, which is not the case in this question.
C: Multiple-response, application - This choice requires selecting multiple correct responses to a scenario, which is not the format of this question.
D: Hot-spot item, knowledge - This choice involves identifying a specific area or point on an image, which is not relevant to the question about the correct sequence for applying sterile gloves.
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.
An RN is consistently late to work, causing reassignment of patient care and the need for repeated shift reports. The nurse, who receives a warning for repeated tardiness, states, "My husband left me, I have no car, no family close by, and the bus is always late, which makes me late. The nurse manager doesn't care how hard I try to get here, and I am raising a child by myself." The nurse is using which type of logical fallacy?
- A. Appeal to emotion
- B. Appeal to tradition
- C. Hasty generalization
- D. Confusing cause and effect
Correct Answer: A
Rationale: The correct answer is A: Appeal to emotion. The nurse is trying to justify their repeated tardiness by appealing to the emotions of the nurse manager, by invoking pity and sympathy. This type of logical fallacy involves using emotional manipulation to distract from the real issue of consistently being late to work. The nurse's personal circumstances are valid but do not excuse the behavior.
Summary of other choices:
B: Appeal to tradition - This fallacy involves justifying a belief or action based on the fact that it has been done that way in the past. This is not evident in the nurse's response.
C: Hasty generalization - Drawing a conclusion based on insufficient evidence. The nurse's explanation is specific to their own situation and not a broad generalization.
D: Confusing cause and effect - Mistaking the cause of a situation for the effect or vice versa. The nurse is trying to use their personal circumstances as the cause of being consistently late, rather than taking responsibility for their actions.