Nokea
A nurse who wishes to practice in another state: (select all that apply)
- A. must retake the NCLEX-RN for that state.
- B. should determine whether the state is a compact state.
- C. may obtain licensure by endorsement.
- D. must revoke licensure in the current state because nurses cannot be licensed in more than one state concurrently.
Correct Answer: B
Rationale: Step-by-step rationale:
1. Determining if the state is a compact state is important because nurses from compact states can practice in other compact states without obtaining additional licenses.
2. If the state is not a compact state, the nurse can obtain licensure by endorsement, which means transferring their license to the new state without retaking the NCLEX-RN.
3. Revoking licensure in the current state is not necessary, as nurses can hold licenses in multiple states through either compact agreements or endorsement.
Therefore, the correct answer is B. Choice A is incorrect because the nurse does not have to retake the NCLEX-RN. Choice C is incorrect because obtaining licensure by endorsement is an option. Choice D is incorrect as nurses can hold licenses in multiple states.
You may also like to solve these questions
A contractual agreement between the insurer and the provider in which covered members are encouraged to use specific health care providers in return for reduced rates is which type of arrangement?
- A. Health maintenance organization
- B. Preferred provider organization
- C. Fee-for-service arrangement
- D. Philanthropic agency
Correct Answer: B
Rationale: The correct answer is B: Preferred provider organization (PPO). PPOs offer reduced rates to covered members who use specific healthcare providers within their network. This arrangement incentivizes members to choose in-network providers, resulting in cost savings for both the insurer and the member. In contrast, A (Health maintenance organization) focuses on preventive care and requires members to select a primary care physician, C (Fee-for-service arrangement) allows members to choose any provider with varying reimbursement rates, and D (Philanthropic agency) is not related to health insurance arrangements.
A newly hired nurse is asked to serve on a committee formed to recruit and retain nurses. At the committee meeting, the nurse learns that:
- A. older nurses are being encouraged to retire so that younger, more efficient nurses can practice.
- B. Magnet hospitals are able to attract nurses with sign-on bonuses and flexible work hours but fail to retain nurses because insufficient autonomy over professional practice is provided.
- C. multitasking is seldom desired by the younger generation of nurses.
- D. many younger workers are less concerned with longevity and are willing to change institutions to achieve professional advancement and flexible work hours.
Correct Answer: D
Rationale: Step 1: Many younger workers prioritize professional advancement and flexible work hours over longevity.
Step 2: This mindset leads them to change institutions to achieve their career goals.
Step 3: The nurse learns about this behavior during the committee meeting.
Step 4: Therefore, the correct answer is D as it aligns with the behavior and motivations of younger nurses.
Summary:
A: Encouraging older nurses to retire is age discrimination and does not address retention issues.
B: Magnet hospitals attract nurses with benefits, but lack of autonomy is not the primary reason for retention issues.
C: Multitasking preferences do not directly relate to recruitment and retention challenges.
An explosion just occurred at the local factory, and hundreds of employees have sustained varying degrees of injury. Which type of nursing leadership is most effective in this situation?
- A. Autocratic
- B. Democratic
- C. Laissez-faire
- D. Referent
Correct Answer: B
Rationale: The most effective nursing leadership style in a crisis like this is democratic. In this situation, collaboration and input from all team members are essential for quick decision-making and effective communication. Democratic leadership promotes teamwork, empowers staff, and fosters open communication, leading to better coordination and outcomes. Autocratic leadership may hinder staff engagement and morale. Laissez-faire lacks direction and may result in chaos during a crisis. Referent leadership focuses on personal relationships rather than team dynamics, not the most effective approach in this urgent situation.
A manager just finished the last annual performance review of the staff, reviews the unexpected expenditures for the month due to use of agency nurses, and shares the latest quality indicators with the staff nurses. This manager is performing which management function?
- A. Directing
- B. Planning
- C. Organizing
- D. Controlling
Correct Answer: D
Rationale: The correct answer is D: Controlling. Controlling involves monitoring performance, comparing it to objectives, and taking corrective actions. In this scenario, the manager is reviewing unexpected expenditures and quality indicators to ensure they align with goals and standards. Directing focuses on guiding and motivating employees. Planning involves setting goals and determining actions to achieve them. Organizing involves arranging resources and tasks.
A nurse is charged with battery after helping an invalid patient back to bed and not calling for help due to a reduced staffing level. The patient sustained excessive bruising, sore joints, and extended stay. In this case, the:
- A. patient is the plaintiff.
- B. nurse can be charged with forcefully restraining the patient without orders.
- C. nurse is accountable due to the decreased level of staffing.
- D. charge of invasion of privacy may be withheld.
Correct Answer: C
Rationale: The correct answer is C because the nurse is accountable due to the decreased level of staffing. The nurse's decision not to call for help despite knowing the reduced staffing level directly contributed to the patient's injuries. The nurse had a duty of care to ensure the patient's safety, and failing to do so resulted in harm to the patient. The nurse's actions were negligent and breached the standard of care expected in this situation.
Choices A, B, and D are incorrect because the focus of the question is on the nurse's accountability for the patient's injuries due to staffing levels, not on the patient being the plaintiff, forcefully restraining the patient without orders, or invasion of privacy. These options are not directly related to the nurse's negligence in failing to provide proper care to the patient.