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A nursing student asks, "I wonder if the reason that the nursing shortage is so severe is that registered nurses are unhappy with their jobs." To research the answer, the National Survey of Registered Nurses was reviewed and found:
- A. registered nurses change employers every year to prevent burnout and to keep the nursing shortage from increasing.
- B. nursing faculty are aging or leaving academia due to increased work demands and generational difference from students.
- C. practicing registered nurses are satisfied with their job and most remain with same employer they worked for the previous year.
- D. registered nurses were the least satisfied with their job of all health care providers.
Correct Answer: C
Rationale: Step 1: The question asks about the reason for the nursing shortage and references the National Survey of Registered Nurses.
Step 2: Choice C states that practicing registered nurses are satisfied with their jobs and most remain with the same employer they worked for the previous year.
Step 3: This suggests that the nursing shortage is not due to registered nurses being unhappy with their jobs and leaving.
Step 4: Therefore, the correct answer is C, as it directly addresses the misconception presented in the question.
Step 5: Choices A, B, and D are incorrect because they do not align with the information provided in the National Survey of Registered Nurses and do not address the actual reason for the nursing shortage.
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A nurse is concerned that the policy of using povidone-iodine (Betadine) to clean foot ulcers may lead to unwarranted allergic reactions and drying of surrounding tissue. A literature review is performed to determine the "best practice" related to care of foot ulcers. This nurse: (select all that apply)
- A. is applying evidence-based practice to the clinical setting.
- B. is using critical thinking to change procedures performed in the care of foot ulcers.
- C. is minimally educated at the master's level and participating in research to provide cost-effective care (soap is less expensive than povidone-iodine).
- D. lacks clinical competence in health assessment and in application of theory to the clinical setting.
Correct Answer: A
Rationale: The correct answer is A because the nurse is using evidence-based practice by conducting a literature review to determine the best practice for caring for foot ulcers. Evidence-based practice involves integrating the best available evidence with clinical expertise and patient values to make informed decisions about patient care. This nurse is ensuring that the care provided is based on current research and best practices, which can lead to better patient outcomes.
Choices B, C, and D are incorrect because they do not directly relate to the nurse's action of conducting a literature review to determine best practices for foot ulcer care. Choice B mentions critical thinking but does not specifically address evidence-based practice. Choice C focuses on cost-effectiveness and level of education, which are not relevant to the nurse's evidence-based practice. Choice D refers to clinical competence, which is not the main focus of the nurse's action in this scenario.
Which action represents the key management function of strategic planning?
- A. Determining that all nurses on the unit understand the current organizational philosophy
- B. Evaluating the communication process between the pharmacy and the nursing departments
- C. Monitoring data from the quality management initiative related to the last three orientation programs
- D. Developing a 5-year plan that will incorporate the clinical nurse leader as a part of all nursing units
Correct Answer: D
Rationale: The correct answer is D because developing a 5-year plan that incorporates the clinical nurse leader aligns with strategic planning, which involves setting long-term goals and outlining strategies to achieve them. This action demonstrates forward-thinking and aligns with the organization's overall vision.
A: Ensuring nurses understand organizational philosophy is important but does not specifically relate to strategic planning.
B: Evaluating communication processes is more operational or tactical in nature, not directly tied to long-term strategic planning.
C: Monitoring data from a quality management initiative is important for quality improvement but does not directly relate to future planning and strategy development.
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 older adult has atrial fibrillation, which causes the heart to have an irregular rhythm. The client uses imagery to alter the dysrhythmiThe client is using which type of complementary alternative medicine (CAM)?
- A. Ayurveda
- B. Dosha
- C. Homeopathy
- D. Biofeedback
Correct Answer: D
Rationale: The correct answer is D: Biofeedback. Biofeedback is a type of CAM that involves using electronic devices to help individuals gain awareness and control over physiological processes, such as heart rate and muscle tension. In this case, the older adult is using imagery as a form of biofeedback to alter the dysrhythmia. Ayurveda (A) and Dosha (B) are traditional Indian systems of medicine based on balancing bodily energies, not directly related to using imagery for heart rhythm control. Homeopathy (C) is a system of alternative medicine based on the concept that "like cures like" and uses highly diluted substances, not imagery or biofeedback techniques.
A group of graduates were just notified that they had successfully passed the licensure examination. During the orientation process at the hospital, one asks, "I am looking at my license, but I don't really know the duties performed by the board of nursing." The staff development nurse explains that the board of nursing: (select all that apply)
- A. grants nursing licensure.
- B. constructs the licensure examination.
- C. assigns disciplinary action when the nurse acts in a manner that results in harm to a patient.
- D. members are appointed.
Correct Answer: A
Rationale: The correct answer is A: grants nursing licensure. The board of nursing is responsible for overseeing the licensure process for nurses, ensuring that they meet the necessary qualifications to practice. They review applications, conduct background checks, and issue licenses to qualified individuals. This is a fundamental duty of the board of nursing, as it regulates the nursing profession and ensures public safety.
Explanation for why other choices are incorrect:
B: Constructs the licensure examination - While the board of nursing may have input in the development of the licensure examination, their primary role is not the construction of the exam itself.
C: Assigns disciplinary action when the nurse acts in a manner that results in harm to a patient - While the board of nursing does have the authority to investigate and take disciplinary action against nurses who violate the nursing practice act, this is not their primary function.
D: Members are appointed - This choice is irrelevant to the duties performed by the board of nursing and does not directly relate to their responsibilities in granting