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Although the NCLEX-RN examination has new formats for questions, the most common format is the:
- A. fill-in-the-blank item because candidates are not provided with clues from distracters.
- B. multiple-choice question item, which allows candidates to select the one correct answer.
- C. multiple-response item because these questions require a higher level of critical thinking.
- D. hot-spot item because these questions are written at the application level of Bloom's analysis.
Correct Answer: B
Rationale: The correct answer is B: multiple-choice question item, which allows candidates to select the one correct answer. This is because the multiple-choice format is widely used in the NCLEX-RN examination as it is effective in assessing a candidate's knowledge, critical thinking skills, and ability to make decisions. The distractors in the answer choices provide clues and test the candidate's ability to differentiate between correct and incorrect information.
Choices A, C, and D are incorrect:
A: fill-in-the-blank item is not the most common format for NCLEX-RN questions as candidates are indeed provided with clues from distractors in multiple-choice questions.
C: multiple-response item, although requiring critical thinking, is not the most common format on the NCLEX-RN exam.
D: hot-spot item is not the most common format on the NCLEX-RN exam, and it is not necessarily written at the application level of Bloom's analysis.
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A researcher is interested in learning if elderly persons perceive their health to be satisfactory even with comorbidities and chronic illness. A large multisite assistive living facility will be the site. The researcher lists residents in alphabetical order and chooses every third person on the list. To ensure improved generalizability, the researcher is using:
- A. triangulation.
- B. randomization.
- C. informed consent.
- D. a meta-analysis approach.
Correct Answer: B
Rationale: The correct answer is B: randomization. Randomization helps ensure improved generalizability by reducing bias and increasing the likelihood that the sample is representative of the population. In this scenario, choosing every third person from an alphabetical list introduces a systematic bias and may not represent the entire population accurately. Triangulation involves using multiple methods or data sources to validate findings, which is not applicable here. Informed consent is a necessary ethical consideration but does not directly impact generalizability. A meta-analysis approach involves combining and analyzing data from multiple studies, which is not relevant to the sampling method in this scenario. Thus, randomization is the best choice to improve generalizability in this study.
Which statement is true regarding health care for minorities?
- A. Federal legislation that provides free health insurance for minorities has resulted in fewer minorities than members of the general population who lack health insurance.
- B. Higher costs of health care coupled with lower wages for minorities have prevented most minorities from seeking health care.
- C. Because many Mexican Americans are highly skilled workers with comparable wages, they have the lowest uninsured rate.
- D. Asians, because of their quiet demeanor and unwillingness to challenge the health care system, have the highest rate of uninsured people.
Correct Answer: A
Rationale: Step-by-step rationale for why answer A is correct:
1. Federal legislation such as the Affordable Care Act has expanded Medicaid coverage and provided subsidies for health insurance.
2. This legislation has helped reduce the number of minorities lacking health insurance.
3. Consequently, fewer minorities than members of the general population now lack health insurance.
4. Therefore, the statement that federal legislation has resulted in fewer minorities lacking health insurance is true.
Summary of why other choices are incorrect:
B. This choice incorrectly attributes the lack of seeking health care by minorities solely to higher costs and lower wages, overlooking the impact of legislation.
C. This choice makes a sweeping generalization about Mexican Americans without considering the broader context of health care access for minorities.
D. This choice relies on stereotypes about Asians and does not take into account the complexities of the health care system and insurance coverage.
A student nurse wants to meet other nursing students from different countries and to learn of employment possibilities. The student nurse should:
- A. participate in the clinical facility's employee satisfaction task force.
- B. join the Student Nurses Association.
- C. take part in self-mentoring.
- D. postpone taking the licensure examination so he or she can take a tour of foreign countries.
Correct Answer: B
Rationale: The correct answer is B: join the Student Nurses Association. This option allows the student nurse to meet other nursing students from different countries and learn about employment possibilities. By joining the association, the student can network with peers, attend conferences, and engage in international exchange programs. Option A is incorrect because the employee satisfaction task force is focused on internal staff issues, not networking with other nursing students. Option C is irrelevant to the student nurse's goal of meeting peers from different countries. Option D is impractical and unnecessary as it suggests delaying the licensure examination for travel, which is not a direct way to achieve the student's objectives.
A researcher calculated the risk-to-benefit ratio and concluded that no harmful effects were associated with a survey of college sophomores. The researcher was applying the principles of:
- A. beneficence.
- B. human dignity.
- C. justice.
- D. human rights.
Correct Answer: A
Rationale: The correct answer is A: beneficence. Beneficence refers to the ethical principle of maximizing benefits and minimizing harm in research. In this scenario, the researcher calculated the risk-to-benefit ratio and concluded that no harmful effects were associated with the survey of college sophomores. By considering the well-being of the research participants and ensuring that the benefits outweigh any potential risks, the researcher demonstrated the application of beneficence.
Summary:
Choice A is correct because it aligns with the ethical principle of beneficence in research. Choices B, C, and D are incorrect as they do not directly relate to the consideration of risks and benefits in research involving human participants.
An orthopedic unit is considering different types of care delivery models and staff have an opportunity to ask questions about how the models differ. The nurse manager provides an overview and uses the above visual to demonstrate which model of care delivery?
- A. Team
- B. Partnership
- C. Primary
- D. Functional
Correct Answer: A
Rationale: The correct answer is A: Team. In a team care delivery model, multiple healthcare professionals work collaboratively to provide comprehensive care to patients. This is demonstrated in the visual of the orthopedic unit considering different types of care delivery models. The team model emphasizes teamwork, communication, and coordination among healthcare providers to ensure holistic patient care.
Summary of why other choices are incorrect:
B: Partnership typically involves collaboration between healthcare providers and patients but may not necessarily involve multiple healthcare professionals working together as a team.
C: Primary care delivery model focuses on the patient's main point of contact, usually a primary care physician, rather than a team approach.
D: Functional care delivery model organizes care based on specific functions or tasks, which may not emphasize the collaborative teamwork seen in a team care delivery model.