Nokea
A student nurse who is preparing to graduate and take the licensure examination asks, "What is compulsory licensure?" The appropriate response of the nursing advisor is which of the following?
- A. All candidates wishing to take the licensure examination must pass a drug screen.
- B. Candidates must not have a felony conviction.
- C. To practice as an RN, the nurse must be licensed as an RN.
- D. An impaired nurse must sign a legal document to acknowledge limitations on his or her practice.
Correct Answer: C
Rationale: The correct answer is C because compulsory licensure means that in order to practice as an RN, the nurse must be licensed as an RN. This is a fundamental requirement for anyone wanting to work as a registered nurse to ensure they meet the necessary qualifications and standards set by the licensing board.
Choice A is incorrect as passing a drug screen is not the definition of compulsory licensure. Choice B is incorrect as having a felony conviction may impact eligibility for licensure but is not the definition of compulsory licensure. Choice D is incorrect as acknowledging limitations due to impairment is related to professional conduct but not specifically about licensure requirements.
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The practice of public health nursing and the Henry Street Settlement are credited to:
- A. Mary Breckenridge.
- B. Mary Seacole.
- C. Clara Barton.
- D. Lillian Wald.
Correct Answer: D
Rationale: The correct answer is D: Lillian Wald. Lillian Wald is credited with founding the Henry Street Settlement in New York City in 1893, which pioneered the practice of public health nursing in the United States. She emphasized the importance of providing healthcare services to underserved populations in their own communities. Mary Breckenridge, known for establishing the Frontier Nursing Service, is not associated with the Henry Street Settlement. Mary Seacole was a British-Jamaican nurse known for her work during the Crimean War, not for public health nursing in the US. Clara Barton is known for founding the American Red Cross, not the Henry Street Settlement. Therefore, the correct answer is D, Lillian Wald.
Which nurse died after deliberately acquiring two bites from yellow fever carrier mosquitoes to enable her to provide care to soldiers with yellow fever during the Spanish-American War?
- A. Florence Nightingale
- B. Margaret Hoolihan
- C. Clara Maas
- D. Sairy Gamp
Correct Answer: C
Rationale: The correct answer is C: Clara Maas. Clara Maas died after deliberately acquiring two bites from yellow fever carrier mosquitoes to provide care during the Spanish-American War. This is correct because Clara Maas was a real historical figure known for her selfless dedication to nursing and her sacrifice to help others. Florence Nightingale (A) is renowned for her work in nursing during the Crimean War, but she did not die from acquiring yellow fever. Margaret Hoolihan (B) and Sairy Gamp (D) are fictional characters and not relevant to the historical context of the Spanish-American War.
If a nurse practicing in a mental health agency could only belong to one professional organization, what criteria could be used to select the organization with the biggest impact?
- A. The American Nurses Association has a strong voice representing the nation's entire RN population.
- B. Specialty organizations such as the American Psychiatric Nurses Association lobby for higher education requirements for nurses.
- C. State nursing associations have limited power because they can lobby only state representatives.
- D. Professional organizations such as The American Association for the History of Nursing (AAHN) record the history of mental health nursing.
Correct Answer: B
Rationale: The correct answer is B: Specialty organizations such as the American Psychiatric Nurses Association lobby for higher education requirements for nurses.
Rationale:
1. Specialty organizations like the American Psychiatric Nurses Association focus specifically on mental health nursing, ensuring targeted advocacy and support.
2. Lobbying for higher education requirements demonstrates a commitment to advancing the profession and improving the quality of care.
3. Higher education requirements can lead to better outcomes for patients and enhance the credibility and expertise of mental health nurses.
Summary:
A: The American Nurses Association may have a broad reach, but it may not prioritize mental health nursing specifically.
C: State nursing associations may have limitations in lobbying power, focusing more on state-level issues.
D: Professional organizations like AAHN, while valuable for preserving history, may not actively advocate for current professional development and standards.
A hospital converts to a system of care delivery in which RNs, LPNs, and unlicensed assistive personnel (UAP) are responsible for implementing a specific task, such as medication administration or personal hygiene, for the entire nursing unit. This type of delivery system is:
- A. total patient care.
- B. functional nursing.
- C. team nursing.
- D. primary nursing.
Correct Answer: B
Rationale: The correct answer is B: functional nursing. In functional nursing, tasks are divided among different levels of nursing staff based on their skills and qualifications. This system is task-oriented, with each staff member responsible for a specific function, such as medication administration or personal hygiene, for the entire unit. This allows for efficient and specialized care delivery.
A: Total patient care involves one nurse providing all aspects of care to a group of patients.
C: Team nursing involves a team of healthcare professionals working collaboratively to provide care to a group of patients.
D: Primary nursing assigns one nurse to oversee the care of a group of patients from admission to discharge.
The priority intervention to improve work-related quality of life for nurses is to:
- A. provide safe harbors for unjust or unsafe work assignments.
- B. improve nurse physician communications.
- C. require professional development courses for bedside nurses.
- D. determine strategies to improve vertical working relationships between staff nurses and nursing administration.
Correct Answer: A
Rationale: The correct answer is A: provide safe harbors for unjust or unsafe work assignments. This is the priority intervention because ensuring a safe work environment is crucial for nurses' well-being and quality of life. By addressing unjust or unsafe work assignments, nurses can feel supported and protected, leading to improved job satisfaction and overall quality of life.
Option B: improving nurse-physician communications is important but not as critical as ensuring a safe work environment. Option C: requiring professional development courses is beneficial but may not directly address the immediate concerns of nurses' quality of life. Option D: improving vertical working relationships is important, but addressing unsafe work conditions should take precedence for nurses' well-being.