Nokea
According to the Palliative Performance Scale which patient is considered to possess 70% of normal function?
- A. 40 year old diagnosed with AIDS whose condition makes it impossible to hold a job.
- B. 70 year old diagnosed with end stage renal failure who spends most of the day in bed.
- C. 50 year old diagnosed with emphysema whose disease has begun to impact normal ambulate.
- D. 30 year old diagnosed with muscular dystrophy who is bed bound.
Correct Answer: C
Rationale: The correct answer is C because the Palliative Performance Scale assesses functional status in palliative care. A patient with 70% normal function would have a score of 70 on the scale, indicating that they are still able to ambulate but with limitations due to their illness. Choice A is incorrect because inability to hold a job does not directly correlate with functional status. Choice B is incorrect as spending most of the day in bed suggests a lower level of functioning. Choice D is incorrect as being bed bound indicates a more severe impairment in function compared to a patient who can still ambulate with limitations.
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A nurse on the unit is heard saying, "I am not going to document that I used four catheters to start that IV; it doesn't matter anyway." What action can help the staff nurse understand the financial budget goals of the unit?
- A. Have the nurse work in payroll for a week.
- B. Enroll the staff in continuing education units (CEU) for personal finance.
- C. Ask the nurse to represent the unit on the budget planning committee.
- D. Make the nurse responsible for monitoring all disposable equipment and supplies.
Correct Answer: C
Rationale: Rationale: Choice C is correct because asking the nurse to represent the unit on the budget planning committee will directly expose them to the financial budget goals. This involvement will provide insight into the importance of accurate documentation and resource utilization. It offers a practical understanding of how decisions impact the unit's financial health.
Summary:
A: Working in payroll does not directly connect the nurse to the unit's financial goals.
B: Personal finance CEUs are not specific to the unit's budget goals.
D: Monitoring supplies is important but does not provide a comprehensive understanding of the unit's financial budget goals.
When the nurse manager conducts a qualitative analysis of budget variances, he or she is:
- A. determining the percentage increase of supply usage from the last quarter to the current quarter.
- B. identifying the overall increase in the dollar amount of salaries paid for overtime.
- C. comparing productivity metrics across all nursing units in the facility.
- D. reconciling with current conditions the underlying assumptions on which the budget was based.
Correct Answer: D
Rationale: The correct answer is D because when a nurse manager conducts a qualitative analysis of budget variances, they need to reconcile the underlying assumptions on which the budget was based with current conditions. This involves reviewing the initial budget assumptions to see if they still hold true and adjusting them accordingly. This step ensures that the budget remains relevant and accurate.
A is incorrect because determining the percentage increase of supply usage does not involve a qualitative analysis of budget variances. B is incorrect because identifying the overall increase in the dollar amount of salaries paid for overtime is a quantitative analysis, not qualitative. C is incorrect because comparing productivity metrics across nursing units is a different type of analysis and not specifically related to budget variances.
In the near future, the largest segment of the population will be those over age 65 years. To advocate for this vulnerable population, a nurse was a strong supporter for the Medicare Modernization Act (Medicare Part D), which:
- A. provided vision care benefits to elderly persons who were diagnosed as legally blind.
- B. removed limits to access to mental health/substance abuse services which are the most commonly used service in this population.
- C. provided coverage for medications for Medicare enrollees that constituted a huge expense for the elderly.
- D. expanded the practice opportunities for advanced practice registered nurses (APRN) who provide the majority of care for this population.
Correct Answer: C
Rationale: The correct answer is C because the Medicare Modernization Act (Medicare Part D) provided coverage for medications that constituted a huge expense for the elderly. This is crucial for the aging population as they often require multiple medications for chronic conditions. Choice A is incorrect because vision care benefits for legally blind individuals are usually covered under Medicare Part B. Choice B is incorrect as the act specifically focused on medication coverage, not mental health/substance abuse services. Choice D is incorrect as the act did not directly address expanding practice opportunities for APRNs, but rather focused on medication coverage for the elderly population.
The RN who identifies the best resources at the lowest cost to achieve optimal health outcomes for the client is fulfilling the role of:
- A. informatics specialist.
- B. educator.
- C. case manager.
- D. quality manager.
Correct Answer: C
Rationale: The correct answer is C: case manager. A case manager coordinates resources to achieve optimal health outcomes for clients efficiently. They assess, plan, implement, and evaluate care while considering cost-effectiveness. Informatics specialists focus on data and technology, educators provide knowledge, and quality managers ensure high standards. In this scenario, the key role is coordinating resources, making C the best choice.
A new graduate desires a position in labor and delivery; however, no position is available. What is the best advice for this nurse?
- A. Continue to study to keep skills current and wait for desired position.
- B. Return to college until a position in labor or delivery opens.
- C. Accept another nursing position and transfer into labor and delivery when a position is available.
- D. Practice obstetrical skills in a simulation lab then present evidence of competency to potential employer.
Correct Answer: C
Rationale: The correct answer is C because it offers a practical solution. By accepting another nursing position and transferring to labor and delivery when a position is available, the nurse can gain experience, maintain employment, and potentially build a relationship with the organization. This approach shows flexibility and commitment.
A: Continuing to study is important, but it may not guarantee a position in labor and delivery.
B: Returning to college is unnecessary and may delay entering the workforce.
D: Practicing skills in a simulation lab is beneficial, but it does not address the immediate need for employment in the desired field.