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Achieving Magnet Hospital designation offers hospitals the following advantages: (Select one that does not apply.)
- A. Greater client satisfaction.
- B. Improved nursing recruitment.
- C. Greater client workload.
- D. Nurses who are independent decision makers.
Correct Answer: C
Rationale: The correct answer is C: Greater client workload. Achieving Magnet Hospital designation typically does not lead to an increase in client workload. The other choices (A, B, D) are advantages of Magnet Hospital designation as they are commonly associated with it. A: Greater client satisfaction is a common outcome due to improved quality of care. B: Improved nursing recruitment is a benefit as it attracts high-quality nurses. D: Nurses who are independent decision makers is a characteristic of Magnet Hospitals, promoting autonomy and professional growth.
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What type of staffing involves scheduling a certain number of people per day consistently?
- A. Flexible
- B. Mixed
- C. Block
- D. Creative
Correct Answer: C
Rationale: The correct answer is C: Block staffing. Block staffing involves scheduling a fixed number of employees per day consistently, typically in blocks of time. This type of staffing is efficient for roles that require a consistent number of staff members each day, such as in healthcare settings where a certain number of nurses are needed for each shift.
Rationale:
1. Block staffing ensures consistent coverage: By scheduling a set number of employees each day, organizations can ensure that they have adequate coverage for their operations.
2. Predictability and stability: With block staffing, employees know when they are expected to work, providing stability in scheduling.
3. Efficient resource allocation: Block staffing allows for efficient allocation of resources by matching the workforce to the demand for services.
Other choices are incorrect:
A: Flexible staffing involves adjusting the number of employees based on fluctuating demand.
B: Mixed staffing combines different types of staffing models based on varying needs.
D: Creative staffing involves innovative approaches to staffing, which may not necessarily involve consistent scheduling
An RN is working through an ethical dilemma involving a patient on his unit. He has just identified the decision-makers involved. Which step best describes the current stage the RN is working through?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
Correct Answer: C
Rationale: The correct answer is C: Planning. In an ethical dilemma, once the decision-makers are identified, the next step is to plan the course of action to address the issue. Planning involves considering the ethical principles, potential outcomes, and identifying the best course of action to resolve the dilemma. Assessment (A) involves gathering information, Diagnosis (B) involves analyzing the information, and Implementation (D) involves executing the chosen plan. Therefore, the RN is currently in the planning stage as he is strategizing on how to address the ethical dilemma effectively.
Which of the following factors contributes to conflicts in professional nursing today?
- A. Some nurses who had planned to retire but find themselves forced to continue working because of the current economic situation
- B. Balancing state practice acts, codes of ethics, and standards of practice
- C. Advances in technology
- D. Multiple generations in the workforce
Correct Answer: D
Rationale: The correct answer is D: Multiple generations in the workforce. This factor contributes to conflicts in professional nursing today because different generations may have different communication styles, work preferences, and values, leading to misunderstandings and tension in the workplace. For example, older nurses may prefer traditional methods of communication, while younger nurses may be more tech-savvy and prefer digital communication. This generation gap can result in conflicts and challenges in collaboration and teamwork.
A: Some nurses who had planned to retire but find themselves forced to continue working because of the current economic situation - While this may contribute to workforce dynamics, it is not a primary factor in conflicts among nurses.
B: Balancing state practice acts, codes of ethics, and standards of practice - This is important for maintaining professionalism but does not directly contribute to conflicts among nurses.
C: Advances in technology - While technology can impact nursing practice, it is not a primary factor in conflicts among nurses compared to the generational differences.
A 32-year-old patient with diabetes is starting on intensive insulin therapy. Which type of insulin will the nurse discuss using for mealtime coverage?
- A. Lispro (Humalog)
- B. Glargine (Lantus)
- C. Detemir (Levemir)
- D. NPH (Humulin N)
Correct Answer: A
Rationale: The correct answer is A: Lispro (Humalog). Lispro is a rapid-acting insulin that is ideal for mealtime coverage in intensive insulin therapy because it mimics the body's natural insulin response after a meal, providing quick and effective blood sugar control. Lispro has a rapid onset of action, peaks quickly, and has a shorter duration of action compared to other types of insulin. This makes it suitable for covering the rise in blood sugar levels that occurs after meals.
Summary of why other choices are incorrect:
B: Glargine (Lantus) is a long-acting insulin used for basal coverage, not for mealtime coverage.
C: Detemir (Levemir) is an intermediate-acting insulin used for basal coverage, not for mealtime coverage.
D: NPH (Humulin N) is an intermediate-acting insulin with a slower onset and longer duration of action, making it less suitable for mealtime coverage in intensive insulin therapy.
Which of the following best defines the role of a nurse educator?
- A. Provide direct patient care
- B. Conduct research on nursing practices
- C. Develop and implement educational programs for nursing staff
- D. Supervise nursing staff
Correct Answer: C
Rationale: The correct answer is C: Develop and implement educational programs for nursing staff. A nurse educator's primary role is to design and deliver educational programs to enhance the knowledge and skills of nursing staff. This includes developing curriculum, conducting training sessions, and evaluating learning outcomes. Providing direct patient care (A) is typically the responsibility of bedside nurses, not nurse educators. Conducting research on nursing practices (B) is more aligned with the role of a nurse researcher. Supervising nursing staff (D) falls under the domain of nurse managers or nurse administrators, not nurse educators. In summary, the unique role of a nurse educator is focused on educational program development and implementation for nursing staff.