A nurse who is licensed in Georgia and moves to Oregon:
- A. must check Oregon's nurse practice act related to licensure for endorsement.
- B. will automatically be grandfathered in as a licensed registered nurse.
- C. may request certification in Oregon rather than licensure, so as not to have to retake the NCLEX-RN®.
- D. should contact the American Nurses Credentialing Center to determine whether he or she is eligible to practice in an another state.
Correct Answer: A
Rationale: The correct answer is A because when a nurse moves to a new state, they must check the new state's nurse practice act related to licensure for endorsement. This is important to ensure the nurse meets all requirements and regulations for practicing in the new state. Option B is incorrect as licensure is not automatically transferred. Option C is incorrect as certification is different from licensure, and the NCLEX-RN® is typically required for licensure. Option D is incorrect as the American Nurses Credentialing Center is not responsible for determining state licensure eligibility. Checking the new state's nurse practice act is the standard procedure for obtaining licensure endorsement.
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When comparing mentoring and role modeling, the role of mentoring is represented by which of the following situations?
- A. The experienced nurse is unaware that the novice nurse is observing him or her gathering supplies needed to start intravenous antibiotics.
- B. The novice nurse mimics conversations with his or her own patients that were unobtrusively overheard between the experienced nurse and his or her patients.
- C. The novice nurse receives feedback from the experienced nurse related to the use of a new occlusive dressing product and is told, "I couldn't have done it better myself."
- D. An experienced nurse is nominated for outstanding employee of the month by the novice nurse.
Correct Answer: C
Rationale: The correct answer is C because it exemplifies the role of mentoring where the experienced nurse provides feedback and guidance to the novice nurse. Mentoring involves a structured and purposeful relationship aimed at professional growth. In this situation, the experienced nurse is directly interacting with the novice nurse, giving specific feedback on a task and showing support and encouragement. This helps the novice nurse improve their skills and knowledge.
Option A is incorrect because it describes role modeling, where the novice nurse is observing without direct interaction. Option B is incorrect as it also describes role modeling through observation and mimicry. Option D is incorrect as it does not involve direct feedback or guidance from the experienced nurse to the novice nurse.
World War I contributed to the advancement of health care by:
- A. increasing the number of private care hospitals and decreasing the role of public health services.
- B. employing a large number of civilians to provide care to returning soldiers through the Red Cross.
- C. introducing specialists in nursing such as nurse anesthetists.
- D. increasing the number of community health nurses.
Correct Answer: C
Rationale: The correct answer is C because World War I led to the introduction of specialized roles in nursing, such as nurse anesthetists, to address the increasing medical needs of soldiers. This advancement in nursing specialization improved the quality of care provided during the war and paved the way for future developments in healthcare.
Choice A is incorrect because World War I actually increased the role of public health services to address the healthcare needs of the population during the war. Choice B is incorrect as the Red Cross primarily provided emergency medical care during the war, not long-term healthcare advancements. Choice D is incorrect as there is no direct evidence that World War I specifically increased the number of community health nurses.
A nurse hopes to improve time management skills using the ABC prioritization approach. Which tasks would be prioritized as "B"? (select all that apply)
- A. Turn in time sheet due in 3 days.
- B. Review dress code policy to give feedback before appointment in the morning.
- C. Perform blood glucose test on a patient admitted with Kussmaul respirations and change in level of consciousness.
- D. Complete patient teaching prior to discharge in 2 hours.
Correct Answer: B
Rationale: The correct answer is B because reviewing the dress code policy to give feedback before an appointment in the morning is time-sensitive and directly impacts the nurse's professional responsibilities. This task falls under the "B" category in the ABC prioritization approach, which prioritizes tasks that are important but not urgent. This task requires attention before the morning appointment to ensure professionalism and compliance.
Tasks A, C, and D are not prioritized as "B" because they are either more urgent or less important compared to reviewing the dress code policy before the morning appointment. Task A is important but not urgent as the time sheet is not due immediately. Task C is categorized as "A" as it involves a critical patient situation that requires immediate attention. Task D is categorized as "C" as it is important and time-sensitive, needing completion before discharge in 2 hours.
When the policy process is compared with the nursing process, identifying the issue is consistent with which step of the nursing process?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
Correct Answer: A
Rationale: The correct answer is A: Assessment. In the nursing process, the first step is assessment, which involves gathering data to identify the issue or problem. Similarly, in the policy process, identifying the problem is equivalent to the assessment phase. This step sets the foundation for the subsequent steps of diagnosis, planning, and implementation.
Choice B: Diagnosis is incorrect as it comes after assessment in the nursing process and focuses on analyzing the data to determine the underlying cause of the issue.
Choice C: Planning is incorrect as it follows diagnosis in the nursing process and involves developing a plan of action based on the identified problem.
Choice D: Implementation is incorrect as it is the final step in the nursing process where the plan is put into action after assessment, diagnosis, and planning have been completed.
When reading about nursing as a career, a student is interested in learning about violence in the profession. Which statement accurately reflects violence in health care and the profession of nursing?
- A. Nursing is the most trusted profession and therefore violence is rare.
- B. All nurses should be advocates for violence prevention programs.
- C. Physical violence between peers constitutes lateral violence; however, verbal assault is not recognized as violence.
- D. Professional organizations have recognized a need to evaluate all nurses for the risk of committing acts of violence.
Correct Answer: B
Rationale: The correct answer is B because nurses play a crucial role in advocating for violence prevention programs to create a safe work environment. Nurses can raise awareness, implement policies, and support victims.
Incorrect answers:
A: Trust in nursing doesn't prevent violence. Violence can still occur due to various factors.
C: Verbal assault is recognized as a form of violence in the nursing profession.
D: Evaluating all nurses for the risk of committing violence may not be feasible or effective in preventing violence.