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A task force is considering factors that contribute to high-quality safe staffing. Which statement reflects an understanding of the American Nurses Association's (ANA) recommendations?
- A. Because patient needs remain constant on a daily shift, staffing needs at the beginning of the shift should be sufficient to provide safe, high-quality care.
- B. Staffing should allow time for the RN to apply the nursing process so decisions result in high-quality, safe patient outcomes.
- C. Patient acuity levels affect staffing by increasing the need for unlicensed personnel to provide routine basic care rather than increasing RNs in staff mix.
- D. RN staffing is not cost-effective; thus is it important for staffing models to limit the number of RNs assigned per shift.
Correct Answer: B
Rationale: The correct answer is B because it aligns with the ANA's recommendations for high-quality safe staffing. The nursing process involves assessment, diagnosis, planning, implementation, and evaluation, which are essential for achieving safe patient outcomes. By allowing RNs enough time to apply this process, they can make informed decisions that promote quality care.
Choice A is incorrect because patient needs can fluctuate throughout the shift, so staffing levels must be flexible to adapt to changing demands. Choice C is incorrect as patient acuity levels may require more RNs to provide complex care, rather than relying solely on unlicensed personnel. Choice D is incorrect as having adequate RN staffing is crucial for patient safety and outcomes, and cutting RN numbers for cost-effectiveness can compromise care quality.
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A patient states, "My cancer is in remission finally after all that chemotherapy, my friend used the same chemotherapy and wasn't so lucky. I want to continue participating in spiritual care and 'mind games' to keep my memory intact. I am also enrolled in Tai chi, but I just can't stop thinking about my sick lung." This patient adheres to which principle underlying alternative healing?
- A. A negative alteration in the body produces a parallel effect on the mind and spirit.
- B. The body can heal itself with the help of complementary alternative therapies.
- C. Approaches to therapy are individualized.
- D. There is a focus on the total lifestyle.
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct:
1. The patient believes in the power of complementary alternative therapies to help the body heal itself.
2. This aligns with the principle underlying alternative healing, which emphasizes the body's innate ability to heal.
3. By engaging in spiritual care, mind games, Tai chi, and focusing on memory and lung health, the patient is supporting the body's natural healing processes.
4. This choice is correct as it reflects the patient's belief in utilizing alternative therapies to support the body's healing mechanisms.
Summary of why other choices are incorrect:
A. This choice suggests a negative alteration affecting the mind and spirit, which is not directly related to the patient's belief in complementary alternative therapies for healing.
C. While individualized approaches to therapy are important in alternative healing, this choice does not directly address the patient's belief in the body's ability to heal itself.
D. While focusing on total lifestyle is important in alternative healing, this choice does not directly
A public health nurse is interested in determining which educational programs are needed in the aggregates served. The researcher personally interviews individuals who are walking on the streets in the community. This type of research design is:
- A. quasi-experimental.
- B. survey.
- C. case study.
- D. ethnography.
Correct Answer: B
Rationale: The correct answer is B: survey. In this scenario, the nurse is conducting personal interviews with individuals to gather information about educational program needs. Surveys involve collecting data from a sample of individuals through questioning, making it suitable for this situation.
A: Quasi-experimental designs involve manipulation of variables and comparison of groups, which is not evident in this scenario.
C: Case studies focus on in-depth analysis of a single case or a small group, not the entire community as in this case.
D: Ethnography involves studying a group's culture and behavior over an extended period, which is not the main focus of the nurse's research.
A nurse manager is working with the financial officer to develop the budget of the nursing unit for the next fiscal year. The nurse manager tells the financial officer that which of the following pieces of information will affect budget assumptions?
- A. The capital budget request for new emergency department equipment has been turned in for consideration by the hospital's administrative team.
- B. The patient census likely will increase during the next fiscal year because two large physician groups have transferred their admission privileges to this hospital.
- C. The participatory budgeting approach instituted last year has been helpful in controlling supply costs.
- D. Zero-based budgeting will help the managers to be more efficient in establishing next year's budget.
Correct Answer: B
Rationale: The correct answer is B because an increase in patient census directly impacts the budget assumptions by affecting staffing needs, supply costs, and revenue projections. This information is crucial for accurate budget planning.
Choice A is incorrect because the capital budget request for new equipment does not directly impact the nursing unit's operational budget assumptions.
Choice C is incorrect as the effectiveness of participatory budgeting in controlling supply costs does not directly influence future budget assumptions.
Choice D is incorrect as zero-based budgeting efficiency does not directly address the impact of increased patient census on budget assumptions.
A nurse is interviewing for a job and recently read the American Nurses Association's (ANA) recommendation for questions to ask regarding before accepting employment. Which questions should the nurse ask?
- A. Do you have flexible scheduling?
- B. What are the expectations for advancement?
- C. How long do staff nurses stay before resigning?
- D. What is the mission of the parent organization?
Correct Answer: D
Rationale: The correct answer is D because understanding the mission of the parent organization is crucial for aligning personal values with the organizational goals. This knowledge can help the nurse assess if their values and beliefs are in line with the organization's mission, leading to better job satisfaction and performance.
A: Flexible scheduling is important but not specified in ANA's recommendations.
B: Advancement expectations are important, but not a priority in ANA's recommendations.
C: Staff retention is relevant, but not emphasized in ANA's recommendations.
The novice nurse calls a supervisor and requests that a "float nurse" be assigned to help with all "assessments of new admissions and postoperative patients." The supervisor asks, "How many admissions and surgery patients have you received?" The novice nurse becomes flustered because she has not checked the census but simply bases the need on feeling overwhelmed. This situation best indicates a lack of skills.
- A. organizational
- B. communication
- C. interpersonal
- D. clinical
Correct Answer: A
Rationale: The correct answer is A: organizational skills. The novice nurse's inability to assess the number of admissions and postoperative patients before requesting assistance indicates a lack of organizational skills. Organizational skills involve prioritizing tasks, managing time efficiently, and planning ahead. In this scenario, the nurse failed to gather essential information before making a decision, leading to inefficiency and potential misallocation of resources.
Choice B: communication skills, is not the best answer because the issue is not primarily related to communication breakdown but rather a lack of organizational skills. Choice C: interpersonal skills, is not the best answer because the problem does not stem from the nurse's ability to interact with others but rather from her inability to organize her workload effectively. Choice D: clinical skills, is not the best answer because the situation is more about managing workload and resources rather than clinical knowledge or expertise.