Nokea
A nursing student scores 95% on the written examination for the adult health course. To be successful in this course, this same student must then perform an indwelling catheter insertion and wound care in a simulated environment meeting core competencies. The student asks, "What are core competencies?" The nursing instructor replies, "Core competencies are:
- A. a trend used in nursing education to reduce attrition in prelicensure students."
- B. those skills necessary for safe, competent nursing practice."
- C. educational opportunities that provide remediation when student is unable to perform psychomotor skills correctly."
- D. critical thinking exercises aimed to improve reading and math skills."
Correct Answer: B
Rationale: The correct answer is B: those skills necessary for safe, competent nursing practice. Core competencies refer to the essential skills and knowledge required for safe and competent nursing practice. In the scenario provided, the nursing student needs to demonstrate proficiency in indwelling catheter insertion and wound care to meet these core competencies. These skills are crucial for providing quality patient care and ensuring patient safety.
Choice A is incorrect because core competencies are not about reducing attrition but rather about ensuring students possess the necessary skills for nursing practice. Choice C is incorrect as core competencies focus on skills required for practice, not on educational remediation. Choice D is incorrect because core competencies are not about improving reading and math skills but about the specific nursing skills needed for practice.
You may also like to solve these questions
A nurse walks up to a computer in the hallway and presses the index finger to the sensor, thereby gaining access to patient datA few moments later another nurse performs the same steps and is granted access. A visitor who is watching from a room walks over and places the index finger on the sensor, only to receive an "error and access denied" message. Security is being maintained by:
- A. robot technology.
- B. biometric technology.
- C. telehealth.
- D. ubiquitous computing.
Correct Answer: B
Rationale: The correct answer is B: biometric technology. Biometric technology uses unique physical characteristics, such as fingerprints, to verify identity. In this scenario, the nurse and the other authorized person were granted access because their fingerprints matched the stored data. The visitor was denied access because their fingerprint did not match.
A: Robot technology is not related to verifying identity through fingerprints.
C: Telehealth is a method of providing healthcare remotely and is not related to access control.
D: Ubiquitous computing refers to the idea of computing technology being everywhere, but it is not directly related to biometric security measures like fingerprint scanning.
The nurse who presents a class on different methods of complementary alternative medicine (CAM) differentiates between imagery and hypnosis in which of the following ways?
- A. Imagery involves the dependent mental construction of a picture, whereas hypnosis requires the patient to recall and verbally describe difficult times in his or her life.
- B. Hypnosis requires a trained psychologist, but imagery can be performed by any health care practitioner.
- C. Imagery produces a temporary sense of well-being compared with hypnosis, which evokes a permanent positive effect.
- D. Although both therapies focus on specific problems and guide the patient into relaxation, imagery requires the patient to formulate the impression, whereas the hypnotist constructs the image for the patient.
Correct Answer: D
Rationale: The correct answer is D because it accurately differentiates between imagery and hypnosis. Imagery involves the patient formulating the impression in their mind, while hypnosis involves the hypnotist constructing the image for the patient. This is a key distinction as it highlights the active role of the patient in imagery compared to the more passive role in hypnosis.
Choice A is incorrect because it inaccurately describes the process of hypnosis and imagery. Choice B is incorrect because both imagery and hypnosis can be performed by trained practitioners. Choice C is incorrect as both techniques can have varying durations of effectiveness, and it is not accurate to say that imagery only produces temporary well-being compared to hypnosis.
A teenage patient is using earphones to listen to hard rock music and is making gestures in rhythm to the music. The nurse assesses the amount of urine output in the Foley catheter and leaves the room. What communication technique is demonstrated in both of these situations?
- A. Blocking
- B. Filtration
- C. Empathy
- D. False assurance
Correct Answer: A
Rationale: The correct answer is A: Blocking. In both situations, the patient's actions are ignored or dismissed, indicating a lack of active listening. Blocking involves avoiding communication by not acknowledging the patient's gestures or needs. The nurse fails to engage with the patient and address their non-verbal cues.
Summary:
B: Filtration is not relevant as it involves selectively presenting information.
C: Empathy is not demonstrated as the nurse is not responding to the patient's non-verbal cues.
D: False assurance is not applicable as it involves giving misleading reassurance, which is not present in the scenario.
Nurses working on an orthopedic unit use personal digital assistants (PDAs) to review medications prior to administration to reduce potential drug interactions. Software is also installed that provides video clips of common procedures performed by nurses. Nurses on this unit are best demonstrating which QSEN competencies?
- A. Patient-centered care
- B. Informatics
- C. Teamwork
- D. Quality improvement
Correct Answer: B
Rationale: The correct answer is B: Informatics. Nurses on the orthopedic unit are demonstrating informatics competency by using PDAs for medication review and accessing video clips for procedures. This showcases their ability to utilize technology to enhance patient care. Patient-centered care (A) focuses on individualized care, teamwork (C) emphasizes collaboration, and quality improvement (D) pertains to enhancing processes. The use of technology in this scenario aligns most closely with the informatics competency, making it the best choice.
Health care is one of the major stories in newspaper and television and a group of nurses are interested in how the economy impacts their nursing practice. The group critiques the relationship between contemporary economic trends and professional nursing practice and finds:
- A. the implementation of the DRG system led to the nursing shortage since cost of nursing care is not billed.
- B. nursing care is focused on technologically advanced acute care rather than preventive, patient-centered care.
- C. with pay for performance, nurses have a significant effect on the quality of patient outcomes by reducing errors and providing care based on best practices.
- D. economic issues have little or no impact on nursing practice.
Correct Answer: C
Rationale: The correct answer is C because pay for performance initiatives incentivize nurses to improve patient outcomes by reducing errors and following best practices. This directly links economic incentives to nursing practice. Choice A is incorrect because the DRG system primarily affects hospital reimbursement, not nursing shortages. Choice B is incorrect as it focuses on the type of care, not the economic impact on nursing practice. Choice D is incorrect as economic factors like funding, resources, and reimbursement significantly influence nursing practice.