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Although the media portrayed nursing in a negative light in M*A*S*H through the character of a promiscuous, uncaring nurse, it also provided Americans with a promising glimpse of:
- A. nurses who can be promiscuous and still help doctors.
- B. the fact that caring is not as important as the desire to serve one's country.
- C. the ability of nurses to cope with the dreadfulness of war by using humor.
- D. the contributions of male military nurses.
Correct Answer: C
Rationale: The correct answer is C because the media in M*A*S*H showed how nurses coped with the horrors of war through humor, highlighting their resilience and adaptability. This is a positive portrayal of nurses as capable and strong individuals. Choices A and B are incorrect as they misrepresent the values and professionalism of nurses. Choice A promotes negative stereotypes, while choice B undermines the importance of compassion in nursing. Choice D is incorrect as the show primarily focused on female nurses, not male nurses.
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A nurse researcher is attempting to describe the demographics of today's RNs and reports that:
- A. less than half of all RNs work in hospital settings.
- B. the average age for an RN is 50 years.
- C. approximately 25% of RNs are male.
- D. most RN are practicing with a bachelor's degree.
Correct Answer: A
Rationale: Correct Answer: A
Rationale: The correct answer is A because statistics show that currently, less than half of all registered nurses work in hospital settings, with the majority working in community, home health, long-term care, and other non-hospital settings. This information is supported by recent workforce studies and trends in nursing practice.
Summary of other choices:
B: The average age for an RN is not necessarily 50 years, as there is a wide range of ages among RNs, with many entering the profession at younger ages.
C: Approximately 25% of RNs are male, which is a significant proportion but does not encompass the majority of the nursing workforce.
D: While the number of RNs with bachelor's degrees is increasing, the majority of RNs still do not hold a bachelor's degree as their highest level of education.
A qualitative researcher reviews data collected with a grief support group to develop a theory of how widows and widowers mourn. The researcher is using which qualitative research design?
- A. Phenomenology
- B. Grounded theory
- C. Case study
- D. Hypothesis generation
Correct Answer: B
Rationale: Grounded theory is the correct answer because it involves developing a theory based on analyzing data collected from participants. In this case, the researcher is reviewing data from a grief support group to identify patterns and themes, ultimately leading to the development of a theory on how widows and widowers mourn. Phenomenology focuses on understanding individuals' lived experiences, not developing theories. Case study involves an in-depth analysis of a single case, not suitable for developing a theory. Hypothesis generation is part of quantitative research, not qualitative research design.
An RN delegates to the unlicensed assistive personnel (UAP) the task of performing blood pressure checks for a group of patients on a nursing unit. The UAP accepts the task and is responsible for:
- A. delegating the task to another UAP if he or she does not have the time or skill to complete the task.
- B. keeping the RN informed of any abnormal blood pressure readings.
- C. calling the physician when the patient's vital signs are not within established parameters.
- D. informing the dietary department to initiate a low-sodium diet for patients who are hypertensive.
Correct Answer: B
Rationale: The correct answer is B because keeping the RN informed of any abnormal blood pressure readings is an essential part of the UAP's responsibility. This ensures that the RN is aware of any potential issues with the patients' health and can intervene if necessary. It is important for the UAP to communicate such vital information promptly to the RN, who has the clinical expertise to assess the situation and make appropriate decisions.
Choice A is incorrect because the UAP should not delegate tasks to another UAP without prior authorization from the RN. Choice C is incorrect because calling the physician directly is beyond the scope of practice for a UAP. Choice D is incorrect because initiating a low-sodium diet for hypertensive patients is a clinical decision that should be made by the RN or physician, not the UAP.
A new graduate secures the first interview and wants to work where cultural diversity is appreciated. The applicant feels that accepting this interview was the right choice when the recruiter states, "We do not discriminate based on sex, race, or age and practice inclusiveness of diversity." Which question would reflect this statement?
- A. "Nurses must work a master schedule where one month is Monday through Friday and the next month is the weekend shift. What is your religious belief about working on Sunday?"
- B. "We offer many benefits for employees such as educational benefits and health insurance."
- C. "Our mission is to provide patient-centered care that reflects the belief of the patient and family with an aim to win them over to Western medicine and less superstition, don't you agree?"
- D. "Do you have any issues with working with patients who are from a disadvantaged background because we have many people who refuse to work then want free care?"
Correct Answer: B
Rationale: The correct answer is B because it focuses on the benefits offered to employees, which aligns with the recruiter's statement about inclusiveness and non-discrimination. Asking about educational benefits and health insurance shows that the organization values its employees' well-being and development regardless of their background.
Choice A is incorrect because it is discriminatory to ask about religious beliefs related to work schedules. Choice C is incorrect because it promotes a biased perspective on patient care and cultural beliefs. Choice D is incorrect as it implies a negative stereotype about patients from disadvantaged backgrounds, which goes against the principles of inclusivity and non-discrimination stated by the recruiter.
A hospital's policy requires that all nurse managers must have a minimum of a bachelor's degree in nursing. A BSN nurse new to the hospital has recently been hired as nurse manager for the oncology unit. An RN who has worked on this unit for many years is unable to be promoted to a nurse manager position because of his educational status and has been commenting to physicians and staff, "The new nurse manager has book sense but no leadership abilities." What is the best approach that can be used by the new nurse manager who is attempting to gain the trust and respect of the nursing staff on the unit?
- A. Send memos to all staff except the upset nurse to invite them to a luncheon.
- B. Ask management to transfer the upset nurse to another unit.
- C. Assign the upset nurse to committees that do not directly affect that nursing unit.
- D. Acknowledge the clinical expertise of the upset nurse and clearly explain the expectations for teamwork and open, honest communication.
Correct Answer: D
Rationale: Step 1: Acknowledge the clinical expertise of the upset nurse - This shows respect for the upset nurse's experience and expertise.
Step 2: Clearly explain the expectations for teamwork - Setting clear expectations fosters a collaborative environment.
Step 3: Emphasize open, honest communication - Encouraging open dialogue helps address concerns and build trust among the team.
Overall, option D is the best approach as it combines acknowledging the upset nurse's expertise, setting expectations for teamwork, and promoting open communication, which are crucial for gaining trust and respect among the nursing staff.
Summary of other choices:
A: Sending memos excludes the upset nurse and may create further resentment.
B: Transferring the upset nurse does not address the issue and may lead to more conflict.
C: Assigning the upset nurse to unrelated committees may isolate them and not address the underlying problem of lack of trust and respect on the unit.