Nokea
A peaceful death is best characterized by which terminally ill patient?
- A. One who is surrounded by family
- B. One who uses meditation to help manage pain
- C. One who has advanced directives in place
- D. One who has drifted from lethargy to coma
Correct Answer: A
Rationale: The correct answer is A because being surrounded by family provides emotional support, comfort, and a sense of closure. Family presence can alleviate fear, anxiety, and loneliness, contributing to a peaceful death experience. Choice B focuses on pain management but does not address emotional well-being. Choice C, while important for end-of-life care, does not directly impact the patient's immediate comfort. Choice D indicates a decline in consciousness, which may not necessarily lead to a peaceful death experience as the patient may not be aware of their surroundings or loved ones.
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A hospital's policy requires that all nurse managers must have a minimum of a bachelor's degree in nursing. A BSN nurse new to the hospital has recently been hired as nurse manager for the oncology unit. An RN who has worked on this unit for many years is unable to be promoted to a nurse manager position because of his educational status and has been commenting to physicians and staff, "The new nurse manager has book sense but no leadership abilities." What is the best approach that can be used by the new nurse manager who is attempting to gain the trust and respect of the nursing staff on the unit?
- A. Send memos to all staff except the upset nurse to invite them to a luncheon.
- B. Ask management to transfer the upset nurse to another unit.
- C. Assign the upset nurse to committees that do not directly affect that nursing unit.
- D. Acknowledge the clinical expertise of the upset nurse and clearly explain the expectations for teamwork and open, honest communication.
Correct Answer: D
Rationale: Step 1: Acknowledge the clinical expertise of the upset nurse - This shows respect for the upset nurse's experience and expertise.
Step 2: Clearly explain the expectations for teamwork - Setting clear expectations fosters a collaborative environment.
Step 3: Emphasize open, honest communication - Encouraging open dialogue helps address concerns and build trust among the team.
Overall, option D is the best approach as it combines acknowledging the upset nurse's expertise, setting expectations for teamwork, and promoting open communication, which are crucial for gaining trust and respect among the nursing staff.
Summary of other choices:
A: Sending memos excludes the upset nurse and may create further resentment.
B: Transferring the upset nurse does not address the issue and may lead to more conflict.
C: Assigning the upset nurse to unrelated committees may isolate them and not address the underlying problem of lack of trust and respect on the unit.
A student nurse wants to meet other nursing students from different countries and to learn of employment possibilities. The student nurse should:
- A. participate in the clinical facility's employee satisfaction task force.
- B. join the Student Nurses Association.
- C. take part in self-mentoring.
- D. postpone taking the licensure examination so he or she can take a tour of foreign countries.
Correct Answer: B
Rationale: The correct answer is B: join the Student Nurses Association. This option allows the student nurse to meet other nursing students from different countries and learn about employment possibilities. By joining the association, the student can network with peers, attend conferences, and engage in international exchange programs. Option A is incorrect because the employee satisfaction task force is focused on internal staff issues, not networking with other nursing students. Option C is irrelevant to the student nurse's goal of meeting peers from different countries. Option D is impractical and unnecessary as it suggests delaying the licensure examination for travel, which is not a direct way to achieve the student's objectives.
One of the major trends that currently influences nursing education and practice is:
- A. increased technology in the field of critical care.
- B. a narrowing scope of practice for nurses.
- C. incivility or disregard of others' rights in social interactions.
- D. a decrease in ethnicity due to international programs allowing students to study from a distance.
Correct Answer: A
Rationale: The correct answer is A: increased technology in the field of critical care. This trend is shaping nursing education and practice by improving patient care, enhancing efficiency, and requiring nurses to adapt to new technologies. The advancements in critical care technology have revolutionized the way healthcare is delivered and have become essential in providing high-quality patient care. This trend highlights the importance of nurses staying current with the latest technologies to deliver optimal care.
Choice B is incorrect because there is actually an expanding scope of practice for nurses as they take on more responsibilities and roles in healthcare. Choice C is incorrect as incivility and disregard of others' rights would not be considered a major trend shaping nursing education and practice. Choice D is incorrect as international programs increasing diversity in nursing education and practice would not result in a decrease in ethnicity.
An experienced nurse volunteers to serve on a task force intended to improve the quality of care because she possesses excellent patient care skills and has selected a career goal of working in quality management. However, the nurse is unable to concentrate on any one task or issue and is unable to view the health care milieu sensibly. Which source of energy is missing in this nurse?
- A. Physical
- B. Mental
- C. Spiritual
- D. Emotional
Correct Answer: B
Rationale: The correct answer is B: Mental. The nurse's inability to concentrate and view the healthcare milieu sensibly indicates a lack of mental energy. Mental energy is crucial for focus, problem-solving, decision-making, and critical thinking skills necessary for quality management. Physical energy (A) is related to physical stamina, spiritual energy (C) to inner peace and purpose, and emotional energy (D) to emotional resilience. However, in this case, the nurse's issue is primarily cognitive, highlighting the absence of mental energy.
An interdisciplinary team is evaluating the hospital's care of patients admitted with a myocardial infarction (heart attack) compared to national standards. The team analyzes the hospital's clinical indicator, which would be: (select all that apply)
- A. aspirin order within 24 hours of discharge.
- B. patient teaching related to stopping smoking completed prior to discharge.
- C. beta blocker administered upon arrival.
- D. support of employer to modify stress in workplace.
Correct Answer: A
Rationale: The correct answer is A: aspirin order within 24 hours of discharge. This is a key clinical indicator for evaluating care of heart attack patients as aspirin is a standard treatment to prevent further cardiac events. It is crucial for patient safety and adherence to national guidelines.
Choice B is incorrect as patient teaching on smoking cessation, although important, is not a direct clinical indicator for evaluating care of heart attack patients.
Choice C is incorrect as beta blocker administration upon arrival is important for heart attack patients, but it is not specific to evaluating the hospital's care compared to national standards.
Choice D is incorrect as employer support for stress modification is not a clinical indicator relevant to evaluating care of heart attack patients.