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A person who is covered by Medicaid moves from one state to another and asks the nurse at the health department why the benefits changed. The correct response by the nurse is:
- A. "Local government controls which benefits each county can provide to Medicaid recipients."
- B. "The federal government does not fund any part of Medicaid, so each state must find ways to pay for benefits."
- C. "Each state determines benefits on the basis of the present economy."
- D. "Medicaid is funded by both state and federal governments, but benefits vary from state to state."
Correct Answer: D
Rationale: The correct answer is D: "Medicaid is funded by both state and federal governments, but benefits vary from state to state."
Rationale:
1. Medicaid is a joint federal and state program, meaning it is funded by both levels of government.
2. States have flexibility in designing and administering their Medicaid programs, leading to variations in benefits across states.
3. When an individual covered by Medicaid moves to a different state, they may experience changes in benefits due to these state-specific variations.
Summary:
A: Incorrect. While local governments may have some influence, Medicaid is primarily funded by both state and federal governments.
B: Incorrect. The federal government does provide funding for Medicaid, but states also contribute, and benefits do vary across states.
C: Incorrect. State benefits under Medicaid are not solely determined by the present economy; they are influenced by various factors and state policies.
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The informed consent documents must include: (select all that apply)
- A. an explanation of potential risks and benefits to participants in the study.
- B. medical terminology rather than lay terms to prevent misunderstanding of the study.
- C. a statement on how the anonymity and confidentiality of participants are protected.
- D. explanation of the cost of the study.
Correct Answer: A
Rationale: The correct answer is A because informed consent documents must provide participants with an explanation of potential risks and benefits to ensure they fully understand what they are agreeing to. This helps participants make an informed decision about participating. Option B is incorrect because using medical terminology can actually increase misunderstanding; lay terms are recommended. Option C is incorrect as it is essential to include a statement on protecting anonymity and confidentiality to ensure participant privacy. Option D is incorrect as explaining the cost of the study is not a necessary component of informed consent.
Nurses entering the workforce at a large urban hospital soon began volunteering for excessive overtime. A focus group found that upon graduation, many of these nurses purchased expensive cars and furniture. They lacked skills in managing their checkbook and were often unable to pay recurring bills; this finding would be relevant to which component of the Workforce Advocacy Ecosystem Model?
- A. Staffing
- B. Workflow design
- C. Organizational factors
- D. Personal and social factors
Correct Answer: D
Rationale: The correct answer is D: Personal and social factors. This finding is relevant to personal and social factors because it highlights the individual behaviors and financial decisions of the nurses entering the workforce. The nurses' lack of financial management skills and tendency to overspend on luxury items indicate personal factors influencing their ability to handle their finances effectively. Additionally, their social environment, such as peer influences or societal pressure to display wealth, could also contribute to their financial struggles.
Incorrect choices:
A: Staffing - This choice focuses on the recruitment and deployment of staff, which is not directly related to the nurses' personal financial management issues.
B: Workflow design - This choice pertains to how tasks are organized and coordinated within the workplace, which is not directly related to the nurses' personal financial challenges.
C: Organizational factors - This choice refers to the broader context of the hospital's policies, culture, and structures, which may indirectly influence the nurses' financial behaviors but are not as directly related as personal and social factors
A nurse practicing on a unit where domestic violence is common wants to learn how to apply nursing theory to practice on this unit. She considers the interrelatedness of the constructs of Watson's Theory of Caring and designs:
- A. conceptual model of caring.
- B. hypothesis of the impact of caring on domestic violence.
- C. proposition of how caring is conceptualized.
- D. theory of scientific inquiry.
Correct Answer: A
Rationale: The correct answer is A: conceptual model of caring. In this scenario, the nurse wants to apply nursing theory to practice in a unit dealing with domestic violence. Watson's Theory of Caring emphasizes the importance of the nurse-patient relationship, which is central when addressing sensitive issues like domestic violence. By considering the interrelatedness of the constructs of this theory, the nurse can develop a conceptual model that guides her practice in providing caring and compassionate care to domestic violence survivors. This model will help her incorporate key elements of caring, such as empathy and respect, into her nursing interventions.
Summary:
B: Hypothesis of the impact of caring on domestic violence - This choice is incorrect as it focuses on the impact of caring on domestic violence, rather than the application of a nursing theory to practice.
C: Proposition of how caring is conceptualized - This choice is incorrect as it only addresses the conceptualization of caring, not the practical application of a nursing theory to practice.
D: Theory of scientific
A group of nurses meet with a state representative to explain the importance of allowing registered nurses the right to sign death certificates for patients who were under their care. As constituents and nurses, they requested that the senator vote against the bill restricting this practice. These nurses are serving as:
- A. lobbyists.
- B. policymakers.
- C. officials with regulatory power.
- D. advocates for the Patient Safety and Quality Improvement Act.
Correct Answer: A
Rationale: The correct answer is A: lobbyists. The nurses are acting as lobbyists by advocating for a specific cause (allowing RNs to sign death certificates) to the state representative. They are not policymakers (B) because they are not directly making decisions or creating policies. They are also not officials with regulatory power (C) as they are not in a position to enforce regulations. Lastly, they are not advocating for the Patient Safety and Quality Improvement Act (D) specifically in this scenario.
Although the NCLEX-RN examination has new formats for questions, the most common format is the:
- A. fill-in-the-blank item because candidates are not provided with clues from distracters.
- B. multiple-choice question item, which allows candidates to select the one correct answer.
- C. multiple-response item because these questions require a higher level of critical thinking.
- D. hot-spot item because these questions are written at the application level of Bloom's analysis.
Correct Answer: B
Rationale: The correct answer is B: multiple-choice question item, which allows candidates to select the one correct answer. This is because the multiple-choice format is widely used in the NCLEX-RN examination as it is effective in assessing a candidate's knowledge, critical thinking skills, and ability to make decisions. The distractors in the answer choices provide clues and test the candidate's ability to differentiate between correct and incorrect information.
Choices A, C, and D are incorrect:
A: fill-in-the-blank item is not the most common format for NCLEX-RN questions as candidates are indeed provided with clues from distractors in multiple-choice questions.
C: multiple-response item, although requiring critical thinking, is not the most common format on the NCLEX-RN exam.
D: hot-spot item is not the most common format on the NCLEX-RN exam, and it is not necessarily written at the application level of Bloom's analysis.