Nokea
An Asian teenager is admitted with an eating disorder which she contributes to by not meeting the academic expectations of her parents. The nurse is overheard saying, "That isn't the reason; all Asians are really smart." This nurse is demonstrating:
- A. cultural humility.
- B. stereotyping.
- C. cultural assimilation.
- D. acculturation.
Correct Answer: B
Rationale: The correct answer is B: stereotyping. The nurse is making a generalization about an entire group based on a perceived characteristic. This statement is not only inaccurate but also perpetuates harmful stereotypes. Cultural humility (A) involves recognizing and respecting the differences and complexities of various cultures. Cultural assimilation (C) refers to adopting the cultural norms of a dominant group, which is not applicable in this scenario. Acculturation (D) is the process of adapting to a new culture, which is also not relevant to the nurse's statement. Stereotyping is the most appropriate choice as it directly addresses the nurse's biased and inaccurate assumption about intelligence based on race.
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The Affordable Care Act of 2011:
- A. requires that by 2020 all newly licensed nurses have a bachelor's degree at minimum.
- B. would provide health care benefits to millions who were previously uninsurable or unable to afford insurance.
- C. caps the amount that hospitals and physicians can charge for procedures.
- D. subsidizes private insurance companies, thereby reducing health care costs for individuals who have chronic or catastrophic illness such as cancer.
Correct Answer: B
Rationale: The correct answer is B because the Affordable Care Act of 2011 aimed to provide health care benefits to millions who were previously uninsurable or unable to afford insurance. This is in line with the main goal of the act, which was to increase access to affordable health care for Americans. Choice A is incorrect as the act does not mandate educational requirements for nurses. Choice C is incorrect as the act does not specifically cap the amount that hospitals and physicians can charge for procedures. Choice D is incorrect as the act focuses on expanding access to health insurance rather than directly subsidizing private insurance companies to reduce costs for individuals with chronic illnesses.
A contractual agreement between the insurer and the provider in which covered members are encouraged to use specific health care providers in return for reduced rates is which type of arrangement?
- A. Health maintenance organization
- B. Preferred provider organization
- C. Fee-for-service arrangement
- D. Philanthropic agency
Correct Answer: B
Rationale: The correct answer is B: Preferred provider organization (PPO). PPOs offer reduced rates to covered members who use specific healthcare providers within their network. This arrangement incentivizes members to choose in-network providers, resulting in cost savings for both the insurer and the member. In contrast, A (Health maintenance organization) focuses on preventive care and requires members to select a primary care physician, C (Fee-for-service arrangement) allows members to choose any provider with varying reimbursement rates, and D (Philanthropic agency) is not related to health insurance arrangements.
A new graduate nurse is preparing for an interview for her first position and knows that: (select all that apply)
- A. the primary goal for the first job is to complete orientation and should be considered as an extension of nursing school.
- B. appointments for interviews should be scheduled immediately after graduation to avoid rushing into a position.
- C. self-confidence can be improved with self-talk, which reminds the graduate that peers from her school are effective practitioners.
- D. work history of even nonmedical positions can demonstrate commitment and reliability so letters from these employers should be in portfolio.
Correct Answer: A
Rationale: The correct answer is A because the primary goal for a new graduate nurse in their first job is to successfully complete the orientation process. This is crucial for transitioning from the academic setting to the professional nursing environment. Completing orientation ensures that the nurse is equipped with the necessary knowledge and skills to provide safe and effective patient care.
Choice B is incorrect because scheduling interviews immediately after graduation may not allow the nurse enough time to prepare adequately for the interview process.
Choice C is incorrect because while self-confidence is important, relying solely on past achievements of peers may not be a sustainable source of confidence in a new work environment.
Choice D is incorrect because while work history and letters of recommendation can be valuable, they may not necessarily be the primary focus during the initial stages of a new nurse's career.
Which nurse is more prone to burnout? The nurse who:
- A. graduated last in the class.
- B. is industrious and conscientious.
- C. refuses to work an extra shift even though he or she needs the money.
- D. volunteers to serve on only one committee and keeps in touch with schoolmates.
Correct Answer: C
Rationale: The correct answer is C because the nurse who refuses to work an extra shift despite needing money is more prone to burnout. This choice indicates a lack of work-life balance and boundary-setting, leading to increased stress and potential burnout. Refusing to take breaks or extra shifts can result in exhaustion and emotional strain.
Option A is incorrect as academic performance does not necessarily correlate with burnout. Option B, being industrious and conscientious, is actually a positive trait that may help prevent burnout through effective time management and self-care. Option D's involvement in one committee and maintaining school connections is also not indicative of burnout risk, as long as boundaries are maintained.
A new trend in nursing education that is consistent with real-world practice is focused on:
- A. outcomes.
- B. objectives.
- C. goals.
- D. subjective appraisals.
Correct Answer: A
Rationale: The correct answer is A: outcomes. Nursing education focused on outcomes aligns with real-world practice by emphasizing measurable results and the impact of nursing interventions on patient care. Objectives (B) are specific steps to achieve outcomes, while goals (C) are broader aims. Subjective appraisals (D) lack the objective, evidence-based focus required in nursing education. Therefore, focusing on outcomes ensures that nursing students are prepared for the demands of real-world practice.