A valuable tool for determining whether a potential employer is suitable for your career goals is to:
- A. call The Joint Commission (TJC) to ask whether the organization meets required standards.
- B. assess the work climate by walking through the facility.
- C. review financial statements of the institution.
- D. ask what they can do for you rather than what you can do for them.
Correct Answer: B
Rationale: The correct answer is B because assessing the work climate by walking through the facility allows you to gain firsthand insight into the organization's culture, values, and overall environment. By observing how employees interact, the cleanliness of the facility, and the general atmosphere, you can assess if it aligns with your career goals and preferences. This method provides tangible and direct evidence that can help you make an informed decision.
Choice A is incorrect because contacting The Joint Commission is not relevant to evaluating a potential employer's suitability for your career goals. Choice C is incorrect as reviewing financial statements may not provide insights into the work environment and culture. Choice D is incorrect because focusing solely on what the employer can do for you may not give a comprehensive understanding of whether the organization is a good fit for your career aspirations.
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In a large health care facility, the executive administrative leaders set the budget goals to decrease full-time equivalents by 3%, eliminate the cost of agency nurses, reduce lost revenue from lost supplies by 1%, and provide a 5% hourly salary incentive for working on a float unit when the assigned unit has a low census. Nurse managers meet with nursing administrators to design their unit budgets to meet these established goals. The budget approach that is being used is the approach.
- A. top-down
- B. participatory
- C. iterative
- D. incremental
Correct Answer: B
Rationale: The correct answer is B: participatory. This is because the nurse managers are actively involved in designing their unit budgets to meet the established goals set by the executive administrative leaders. In a participatory budgeting approach, input and collaboration from lower-level managers or staff members are encouraged, allowing for a more inclusive and bottom-up decision-making process. This approach fosters ownership, accountability, and transparency in budget planning.
Summary of other choices:
A: top-down - This approach involves setting budget goals and directives from the top management without much input or involvement from lower-level managers. Not applicable in this scenario.
C: iterative - This approach involves making continuous adjustments and refinements to the budget based on feedback and performance data. Not explicitly mentioned in the scenario.
D: incremental - This approach involves making small adjustments to the previous budget period. While there may be some incremental changes, the scenario emphasizes a more collaborative process involving nurse managers, making this choice less suitable.
A nurse is preparing to administer a medication by using the vastus lateralis site and is unfamiliar with the process. A step-by-step reference that shows how to complete the process is called a:
- A. deployment flowchart.
- B. top-down flowchart.
- C. Pareto chart.
- D. control plot.
Correct Answer: A
Rationale: The correct answer is A: deployment flowchart. A deployment flowchart is a visual representation that outlines the steps involved in a specific process, making it ideal for the nurse to follow when administering medication at the vastus lateralis site. It provides a detailed, step-by-step guide, ensuring the process is carried out accurately and safely.
Explanation of other choices:
B: Top-down flowchart - This type of flowchart shows the hierarchy or sequence of steps in a process but may not provide the specific details needed for the nurse's task.
C: Pareto chart - A Pareto chart is used to prioritize and identify the most significant factors in a process, not suitable for providing step-by-step instructions.
D: Control plot - This term is not related to providing detailed instructions for a process, making it an incorrect choice.
The primary focus of the care provider role for the nurse involves:
- A. using the nursing process to provide guidance to the patient in recovery.
- B. encouraging consumer self-responsibility and emphasizing health promotion/maintenance.
- C. focusing on increasing satisfaction among professional nurses.
- D. advancing nursing practice through research.
Correct Answer: B
Rationale: The correct answer is B because the primary focus of the care provider role for a nurse is to encourage consumer self-responsibility and emphasize health promotion/maintenance. This involves empowering patients to take control of their own health, promoting wellness, and preventing illness. The other choices are incorrect because: A) using the nursing process is essential but not the primary focus, C) increasing satisfaction among professional nurses is important but not the primary role of a care provider, and D) advancing nursing practice through research is valuable but not the primary responsibility of a care provider.
When using the ABC system of managing time, those items coded A include:
- A. calling the pharmacy to see whether a drug insert is available for a patient.
- B. checking to see why a ventilator is alarming.
- C. organizing the medication cart.
- D. writing memos to remind everyone to contribute to the boss's birthday gift.
Correct Answer: A
Rationale: The correct answer is A because in the ABC system, tasks coded as A are considered the most important and urgent. Calling the pharmacy to check drug availability for a patient directly impacts patient care and safety, making it a priority. B, checking a ventilator alarm, is important but not as urgent as ensuring medication availability. C, organizing the medication cart, is important but not necessarily urgent like patient-related tasks. D, writing memos for a birthday gift, is neither urgent nor directly related to patient care. Therefore, A is the correct choice for being the most critical task in the ABC system.
When participating in a nurse licensure compact, the nurse:
- A. is held responsible for complying with the nursing practice laws in the state where practicing at the time care is rendered.
- B. must purchase a license in each state but does not retake the licensure examination.
- C. determines residency based on the state where educated as registered nurse.
- D. may practice using one license in any state or territory in the United States that recognizes the NCLEX as the source of licensure.
Correct Answer: D
Rationale: The correct answer is D because the Nurse Licensure Compact (NLC) allows nurses to practice using one license in any state that is part of the compact and recognizes the NCLEX as the source of licensure. This promotes mobility and access to care across state lines. Choice A is incorrect because the nurse is not held responsible for complying with the nursing practice laws of each state individually. Choice B is incorrect as purchasing a license in each state defeats the purpose of the compact. Choice C is incorrect as residency is not determined by where the nurse was educated but by the state where they hold a license.