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According to the Hallmarks of the Professional Nursing Environment, a nurse should ask a potential employer:
- A. how salaries compare with those of larger facilities.
- B. what benefits are provided to RNs that are not available to other health care providers.
- C. what role nurses have in determining the quality of care.
- D. how the employer plans to provide long-term economic security to RNs.
Correct Answer: C
Rationale: Rationale for Correct Answer (C): Asking about the role nurses have in determining the quality of care is crucial to understanding the level of autonomy and influence nurses have in the workplace. This question shows the nurse's commitment to patient care and the importance of nursing contributions in improving outcomes. It also indicates the nurse's interest in being part of a collaborative healthcare team.
Summary of Incorrect Choices:
A: This question focuses primarily on financial aspects and does not address the nurse's professional role in patient care.
B: While benefits are important, asking about benefits specific to RNs only may come off as self-centered and not reflective of the nurse's commitment to patient care.
D: Inquiring about long-term economic security is essential, but it does not directly address the nurse's role in quality care delivery, which is the primary focus of professional nursing practice.
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A nurse is interested in studying the rituals of a tribe living in remote areas of AfricThe researcher is accepted into the tribe and observes firsthand the rituals practiced. Themes were analyzed to arrive at a description of the culture including rituals. The nurse is practicing which type of research?
- A. Qualitative, Ethnography
- B. Qualitative, Phenomenology
- C. Quantitative, Quasi-experimental
- D. Quantitative, Secondary data analysis
Correct Answer: A
Rationale: The correct answer is A: Qualitative, Ethnography. Ethnography involves studying a culture through direct observation and interaction, which aligns with the nurse's approach of observing the tribe's rituals firsthand. This type of research focuses on understanding cultural practices and behaviors in their natural context, making it suitable for studying the tribe's rituals.
Choice B: Qualitative, Phenomenology focuses on exploring individuals' lived experiences and perceptions, not cultural practices like rituals. Choice C: Quantitative, Quasi-experimental involves manipulating variables in controlled settings, not ethnographic observation. Choice D: Quantitative, Secondary data analysis involves analyzing existing numerical data, not direct observation of cultural rituals.
A nurse practices a relaxing massage technique to stimulate and apply pressure to the feet or hands, increasing blood supply circulation to various parts of the body and relieving pain. The massage technique used by the practitioner is referred to as:
- A. reflexology.
- B. Feldenkrais method.
- C. Reiki.
- D. Rolfing.
Correct Answer: A
Rationale: The correct answer is A: reflexology. Reflexology is a practice based on the theory that specific areas on the feet and hands correspond to different organs and systems in the body. By stimulating these areas through massage techniques, blood circulation is increased, promoting healing and pain relief.
- Choice B, Feldenkrais method, focuses on improving movement and function through awareness and gentle movements, not specifically targeting reflex points.
- Choice C, Reiki, involves the transfer of energy to promote healing, but does not involve massage techniques or specific reflex points.
- Choice D, Rolfing, is a type of bodywork that focuses on manipulating the body's connective tissues to improve posture and alignment, not specifically targeting reflex points like in reflexology.
A community health nurse has been visiting a postpartum client who suffered domestic violence throughout the pregnancy, and now the infant may be at risk. The nurse assisted the client in finding shelter and legal protection. The nurse's role and the conceptual framework involved are:
- A. change agent, according to Roy's adaptation model.
- B. translator, according to Leininger's theory of cultural care diversity and universality.
- C. case manager, according to Peplau's interpersonal relations model.
- D. caregiver, according to Rogers' science of unitary human beings.
Correct Answer: C
Rationale: The correct answer is C: case manager, according to Peplau's interpersonal relations model. In this scenario, the nurse is coordinating resources and services for the client, which aligns with the role of a case manager. Peplau's model emphasizes the therapeutic relationship between the nurse and client, focusing on understanding the client's needs and providing support. The nurse in this situation is not just providing direct care (caregiver), advocating for change (change agent), or focusing solely on cultural aspects (translator). The nurse's role as a case manager involves addressing the client's complex needs, coordinating care, and advocating for the client's well-being, making it the most appropriate choice in this context.
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.
Ethics applied to nursing can best be defined as:
- A. doing what is best for the client.
- B. making good decisions about care.
- C. care based on what should be done in keeping with the values of the client.
- D. rules for providing competent care that is based on scientific principles.
Correct Answer: C
Rationale: Ethics applied to nursing can best be defined as care based on what should be done in keeping with the values of the client (Choice C). This answer emphasizes the importance of respecting the client's values and preferences in decision-making, which is a fundamental aspect of ethical nursing practice. It involves considering the client's beliefs, culture, and autonomy when providing care.
Other choices are incorrect:
A: Doing what is best for the client (Choice A) is subjective and may not always align with the client's values.
B: Making good decisions about care (Choice B) is vague and does not specifically address the ethical considerations related to the client's values.
D: Rules for providing competent care based on scientific principles (Choice D) focus on clinical competence rather than the ethical dimension of nursing practice.