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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.
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Which nurse is more prone to burnout? The nurse who:
- A. graduated last in the class.
- B. is industrious and conscientious.
- C. refuses to work an extra shift even though he or she needs the money.
- D. volunteers to serve on only one committee and keeps in touch with schoolmates.
Correct Answer: C
Rationale: The correct answer is C because the nurse who refuses to work an extra shift despite needing money is more prone to burnout. This choice indicates a lack of work-life balance and boundary-setting, leading to increased stress and potential burnout. Refusing to take breaks or extra shifts can result in exhaustion and emotional strain.
Option A is incorrect as academic performance does not necessarily correlate with burnout. Option B, being industrious and conscientious, is actually a positive trait that may help prevent burnout through effective time management and self-care. Option D's involvement in one committee and maintaining school connections is also not indicative of burnout risk, as long as boundaries are maintained.
Nurse practice acts:
- A. are written and passed by legislators.
- B. cannot be influenced by special interest groups.
- C. reflect only the concerns of RNs.
- D. are affected by the practice of dentists.
Correct Answer: A
Rationale: The correct answer is A: Nurse practice acts are written and passed by legislators. This is because nurse practice acts are laws that govern the scope of practice for nurses, outlining their responsibilities, licensure requirements, and standards of care. Legislators create and pass these acts to ensure public safety and regulate the nursing profession. Choice B is incorrect because special interest groups can influence legislation. Choice C is incorrect as nurse practice acts also apply to other types of nurses, not just RNs. Choice D is incorrect as dentist practices are governed by separate laws and regulations.
A nurse is interested in learning how reminiscence therapy can improve memory in cognitively intact persons over the age of 65 years. Findings from three groups are compared. Group 1 receives music therapy, Group 2 receives life review therapy, and Group 3 does not receive therapy, but data are collected from all three groups and compared. Group 3 is known as the:
- A. pilot study.
- B. survey.
- C. needs assessment.
- D. control group.
Correct Answer: D
Rationale: The correct answer is D: control group. In this study design, Group 3 serves as the control group to compare the effects of music therapy and life review therapy on memory. The control group does not receive any intervention, allowing researchers to isolate the impact of the therapies. This helps determine if any observed improvements in memory are due to the therapies and not other factors. A pilot study (A) is a small-scale preliminary investigation, not a comparison group. A survey (B) is a data collection method, not a comparison group. A needs assessment (C) is used to determine needs, not a comparison group. Thus, the control group is essential in research to establish causal relationships.
A nurse who is conducting a staff in-service on the phases of a disaster continuum teaches participants that, during the impact/response stage, activities focus on:
- A. community awareness in anticipation of a terrorist attack or natural disaster.
- B. determining the effectiveness of the disaster medical assistance team (DMAT).
- C. the use of an all-hazards approach.
- D. initiating response activities.
Correct Answer: D
Rationale: The correct answer is D because during the impact/response stage of a disaster, the main focus is on initiating immediate response activities to address the immediate needs of individuals affected by the disaster. This includes activities such as search and rescue, providing medical care, and establishing emergency shelters.
Choice A is incorrect because community awareness and anticipation of disasters typically occur during the preparedness phase, not the impact/response stage.
Choice B is incorrect because determining the effectiveness of DMAT is more relevant to the recovery phase of a disaster, not the immediate response phase.
Choice C is incorrect because the all-hazards approach refers to a comprehensive strategy for addressing various types of disasters, but it does not specifically relate to the activities carried out during the impact/response stage of a disaster.
Studies conducted to determine enrollment trends in nursing schools have found that in the last years:
- A. a greater number of individuals chose nursing as a career but could not meet entrance requirements.
- B. more young people chose to enter the profession of nursing.
- C. fewer career opportunities exist in the profession of nursing and fewer opportunities are projected to exist for women.
- D. men have dominated the profession, and women feel that they have experienced discrimination.
Correct Answer: A
Rationale: The correct answer is A because it directly addresses the enrollment trends in nursing schools. The statement indicates that a greater number of individuals have chosen nursing as a career but could not meet entrance requirements, implying an increase in interest but a barrier to entry.
Explanation:
- Choice A directly relates to enrollment trends by highlighting an increase in interest but a challenge in meeting requirements.
- Choice B is incorrect as the question focuses on enrollment trends, not the age of individuals entering nursing.
- Choice C is incorrect as it suggests a decrease in career opportunities and projects a negative outlook for women, which is not supported by the question.
- Choice D is incorrect as it introduces a gender dynamic not mentioned in the question and does not address enrollment trends.