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An RN comes upon a serious motor vehicle accident that has just occurred and no first responders are on the scene. One car has been flipped upside down, and she can see the driver still in the car. The RN decides to stop and help. She knows she is protected from civil liability as long as she does which of the following?
- A. Acts in an ordinary, reasonable, and prudent professional manner
- B. Assures that information obtained is not communicated to anyone else
- C. Does not make any verbal comments that could lead to economic harm
- D. Fails to meet the established standards of practice
Correct Answer: A
Rationale: The correct answer is A: Acts in an ordinary, reasonable, and prudent professional manner. The RN is protected from civil liability under the Good Samaritan laws when they act in a manner that is considered ordinary, reasonable, and prudent for a healthcare professional in an emergency situation. By stopping to help at the accident scene, the RN is fulfilling their duty to provide aid as a healthcare professional. Choices B and C are incorrect because withholding information or refraining from making certain verbal comments would not protect the RN from liability in this emergency scenario. Choice D is incorrect because failing to meet the established standards of practice would expose the RN to potential liability.
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A __________ is often helpful to use when a problem is not easily identified.
- A. trial and error
- B. Delphi method
- C. political decision-making model
- D. affinity map
Correct Answer: D
Rationale: The correct answer is D: affinity map. When a problem is not easily identified, using an affinity map can help organize and visually represent different ideas or information related to the issue. This method allows for clustering similar themes or concepts, leading to a clearer understanding of the problem.
A: Trial and error involves randomly trying different solutions without a systematic approach.
B: The Delphi method is a structured communication technique for gathering opinions from experts, which may not directly help in identifying the problem.
C: Political decision-making model focuses on power dynamics and interests, which may not be relevant for problem identification.
In summary, using an affinity map promotes structured organization of information, making it the most suitable choice for identifying unclear problems.
What is the primary responsibility of a clinical nurse leader (CNL)?
- A. Supervise nursing staff
- B. Coordinate patient care
- C. Develop nursing policies
- D. Implement evidence-based practice
Correct Answer: B
Rationale: The primary responsibility of a clinical nurse leader (CNL) is to coordinate patient care. This involves overseeing the care provided to patients, ensuring proper communication between healthcare team members, and promoting efficient and effective care delivery. CNLs focus on improving patient outcomes and quality of care by coordinating various aspects of patient care. Supervising nursing staff (A) is typically the responsibility of nurse managers or charge nurses. Developing nursing policies (C) is usually the role of nurse educators or nurse administrators. Implementing evidence-based practice (D) is important for all nurses but is not the primary responsibility of a CNL, whose main focus is on coordinating patient care.
Which of the following laws govern nursing practice?
- A. Statutory laws
- B. Common law
- C. Administrative laws
- D. Constitutional laws
Correct Answer: A
Rationale: The correct answer is A: Statutory laws. Nursing practice is primarily governed by statutory laws, which are laws enacted by legislative bodies such as state nursing practice acts. These laws outline the scope of practice, licensure requirements, and standards of care for nurses. Common law, administrative laws, and constitutional laws do not specifically regulate nursing practice. Common law refers to legal precedents established by court decisions, administrative laws pertain to regulations set by administrative agencies, and constitutional laws deal with the fundamental principles outlined in the constitution. Therefore, A is the correct choice as it directly relates to the specific legal framework that governs nursing practice.
A nurse manager is preparing the budget for the year. The budgeted amounts have been set without regard to changes that may occur during the year. What type of budget is the manager preparing?
- A. Fixed budget
- B. Zero-based budget
- C. Variable budget
- D. Operating budget
Correct Answer: A
Rationale: The correct answer is A: Fixed budget. A fixed budget is set without considering changes that may occur during the year. It remains unchanged regardless of actual performance. In this scenario, the budgeted amounts are predetermined and do not adjust based on changing conditions. Other choices are incorrect because:
- B: Zero-based budget requires justifying every expense from scratch, not pre-set amounts.
- C: Variable budget adjusts based on activity levels, not predetermined like in this case.
- D: Operating budget encompasses all revenues and expenses, not necessarily fixed like in this scenario.
Horizontal violence may be observed among staff interactions and causes stress among staff. To minimize stress associated with such interactions, nurses can: (Select all that apply.)
- A. Encourage venting as a way to express feelings.
- B. Take control of the situation by being assertive.
- C. Ignore staff who are volatile.
- D. Avoid interactions with angry staff.
Correct Answer: B
Rationale: The correct answer is B: Take control of the situation by being assertive. Being assertive allows nurses to address the conflict directly, set boundaries, and communicate effectively. This approach can help reduce stress by resolving issues instead of letting them escalate.
A: Encouraging venting may temporarily alleviate feelings but does not address the root cause of the conflict, potentially perpetuating it.
C: Ignoring volatile staff can lead to unresolved tensions and may exacerbate the situation over time.
D: Avoiding interactions with angry staff does not address the issue and may create a culture of avoidance rather than addressing conflicts directly.