Nokea
A recruiter is explaining benefits to a group of nursing externs who are highly sought for employment. The recruiter states, "We are the only hospital in town that offers a residency program." The recruiter further explains that a residency program:
- A. provides housing for the graduate nurse to decrease expenses until income is established.
- B. partners a medical resident with a nurse resident to learn interprofessional care.
- C. allows new graduates to work on a higher degree in nursing while being paid full-time.
- D. offers extended time for both theory and clinical activities that promote problem solving and clinical decision making.
Correct Answer: D
Rationale: The correct answer is D because a residency program offers extended time for both theory and clinical activities that promote problem-solving and clinical decision-making skills. This is important for new graduates to enhance their clinical skills and transition into practice effectively.
A: Providing housing for the graduate nurse is not typically a component of a residency program.
B: Partnering a medical resident with a nurse resident for interprofessional care is not a defining feature of a nursing residency program.
C: Allowing new graduates to work on a higher degree in nursing while being paid full-time is not the primary focus of a nursing residency program, which is more about developing clinical skills.
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A nurse is newly employed by a state-owned hospital that provides health care insurance requiring a deductible paid by the employee with the majority of the premium cost covered by the employer. The insurance provided to the nurse is:
- A. private health insurance.
- B. a federal insurances program known as PPACA.
- C. state-subsidized Medicaid insurance.
- D. single-payer system coverage.
Correct Answer: A
Rationale: The correct answer is A: private health insurance. In this scenario, the nurse's insurance is provided by the state-owned hospital, meaning it is not a federal program like PPACA (B) or state-subsidized Medicaid (C). Additionally, it is not a single-payer system (D) since the employer is covering the majority of the premium cost, indicating a private insurance plan. Private health insurance typically involves a deductible paid by the employee, as mentioned in the question. Therefore, the nurse's insurance in this case aligns with the characteristics of private health insurance, making choice A the correct answer.
A nurse is interested in locating reliable information concerning noninvasive blood glucose monitoring. Information is located, and the author is a scientist who conducted studies within the last year on the effectiveness of a particular noninvasive blood glucose monitor. The scientist received funding from a pharmaceutical company to support the studies. The URL indicates the pharmaceutical company site.com. The nurse is concerned about this information's:
- A. authority.
- B. objectivity.
- C. accuracy.
- D. currency.
Correct Answer: B
Rationale: The correct answer is B: objectivity. The nurse should be concerned about the objectivity of the information due to the potential bias introduced by the funding received from a pharmaceutical company. This could influence the scientist's findings and conclusions to favor the interests of the company, affecting the accuracy of the information. Authority (choice A) refers to the expertise of the author, not the potential bias. Accuracy (choice C) is impacted by objectivity and the potential conflict of interest. Currency (choice D) relates to how up-to-date the information is, which is not the main concern in this scenario.
A manager just finished the last annual performance review of the staff, reviews the unexpected expenditures for the month due to use of agency nurses, and shares the latest quality indicators with the staff nurses. This manager is performing which management function?
- A. Directing
- B. Planning
- C. Organizing
- D. Controlling
Correct Answer: D
Rationale: The correct answer is D: Controlling. Controlling involves monitoring performance, comparing it to objectives, and taking corrective actions. In this scenario, the manager is reviewing unexpected expenditures and quality indicators to ensure they align with goals and standards. Directing focuses on guiding and motivating employees. Planning involves setting goals and determining actions to achieve them. Organizing involves arranging resources and tasks.
This certificate of inspection is health policy enforced at which level of government?
- A. Local
- B. State
- C. Federal
- D. International
Correct Answer: B
Rationale: The correct answer is B: State. State governments are responsible for enforcing health policies such as certificates of inspection within their own jurisdiction. They have the authority to regulate and monitor health standards at the state level. Local governments (A) typically focus on implementing policies within their specific region, while federal governments (C) oversee broader health policies that apply across the entire country. International (D) level does not have jurisdiction over local health policies. Therefore, the state level is the most appropriate answer for enforcing a certificate of inspection in this context.
A nurse who was recently certified in chemotherapy administration fails to check compatibility of phenytoin (Dilantin) before injecting into a continuous infusion of D W leading to occlusion of the line. Which statement by the nurse demonstrates a red herring?
- A. The nurse is upset and states, "I am sure I have injected this before without a problem" and the supervisor interprets this to mean the nurse often take shortcuts.
- B. The nurse states, "You are just upset because I am certified in chemotherapy administration and you are not."
- C. "The nurse who started the IV didn't get a blood return but determined the IV was the patient's"that is the problem."
- D. "This drug always occludes the line because it is so viscous."
Correct Answer: D
Rationale: The correct answer is D because it is a red herring statement that distracts from the main issue. Phenytoin is not known to be viscous enough to cause line occlusion. Step 1: Identify the issue - failure to check compatibility. Step 2: A, B, and C address the issue directly or indirectly, while D deflects blame to the drug's viscosity. Step 3: A acknowledges the mistake, B deflects by attacking the supervisor, and C blames the IV setup. In summary, D is incorrect as it diverts attention from the main issue, making it a red herring.