Nokea
All hospitals receiving Medicare and Medicaid funds must ask clients whether they have a living will or a durable power of attorney. This act is known as the:
- A. Emergency Treatment and Active Labor Law.
- B. Americans with Disabilities Act.
- C. Uniform Health Care Decisions Act.
- D. doctrine of res ipsa loquitur.
Correct Answer: C
Rationale: The correct answer is C: Uniform Health Care Decisions Act. This act mandates hospitals to inquire if clients have a living will or durable power of attorney to ensure patients' healthcare wishes are honored. A: Emergency Treatment and Active Labor Law pertains to emergency care. B: Americans with Disabilities Act focuses on discrimination against individuals with disabilities. D: Doctrine of res ipsa loquitur involves negligence cases where the injury speaks for itself. Therefore, the correct choice is C as it directly addresses the requirement for hospitals receiving Medicare and Medicaid funds.
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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.
What effect did the movie One Flew Over the Cuckoo's Nest have on health care?
- A. Funding for mental health care increased, allowing the point of care to change from the community to standardized institutional care.
- B. The public and the nursing profession were made aware of the rights of vulnerable populations.
- C. Nurses were seen as advocates for individuals who cannot advocate for themselves.
- D. Funding for nursing traineeships was eliminated.
Correct Answer: B
Rationale: The correct answer is B because "One Flew Over the Cuckoo's Nest" raised awareness about the mistreatment of vulnerable populations in mental health institutions. It highlighted the need to uphold the rights of such individuals.
A is incorrect because the movie did not specifically lead to an increase in funding for mental health care or a shift to institutional care.
C is incorrect because while the movie portrayed nurses advocating for patients, it did not necessarily lead to a widespread perception of nurses as advocates for vulnerable populations.
D is incorrect because there is no evidence to suggest that funding for nursing traineeships was eliminated as a direct result of the movie.
A novice nurse notices a patient is pacing the floor and twisting his hands. When the nurse enters the room, the patient stares at her and mumbles, "Can't anyone understand what I want?" while smiling and reaching out to shake the nurse's hand. The nurse recognizes a risk for violence based on which clinical findings? (select all that apply)
- A. Glaring at the nurse
- B. Nervousness, twisting of hands
- C. Murmuring when talking
- D. Diagnosis of a terminal illness
Correct Answer: A
Rationale: The correct answer is A because glaring at the nurse indicates potential aggression and hostility, which are red flags for violence risk. Glaring can be a non-verbal sign of anger or frustration, signaling a potential escalation. In contrast, nervousness and twisting of hands (choice B) may indicate anxiety or distress but not necessarily violence. Murmuring when talking (choice C) may suggest communication difficulties but does not directly indicate violence risk. Lastly, a diagnosis of a terminal illness (choice D) is not directly related to the immediate risk of violence in this scenario.
A nurse is interested in practicing in a faith-based community; when researching the role of the parish nurse, the nurse finds that:
- A. certification is available at a basic level after a qualifying examination is completed and a set number of practice hours have been worked, as defined by the state's nurse practice act.
- B. this advanced practice role focuses on health promotion and disease prevention.
- C. this role has no set standards or scope of practice but instead follows the doctrine of the denomination being served.
- D. this role is recognized by the American Nurses Association (ANA) as a specialty with a defined set of practice guidelines.
Correct Answer: B
Rationale: The correct answer is B because the role of a parish nurse primarily focuses on health promotion and disease prevention within a faith-based community. Parish nurses typically work to integrate spiritual care with traditional healthcare services. This choice aligns with the core responsibilities of a parish nurse and accurately reflects the primary focus of their practice.
Summary of other choices:
A: Incorrect. While certification may be available for parish nurses, the process and requirements are not solely defined by state regulations; it usually involves additional training in faith-based healthcare practices.
C: Incorrect. The role of a parish nurse is typically guided by professional standards and organizational protocols rather than being solely dictated by the doctrines of a specific denomination.
D: Incorrect. While the ANA may acknowledge the role of parish nursing, it does not have specific practice guidelines for this specialty.
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.