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An RN has critical care experience and is proficient in advanced cardiac life support and often helps to lead "codes" and is an expert clinician with superior health assessment skills. Enjoying a challenge of a fast-paced environment with autonomy, this nurse would best be suited for which nursing role?
- A. Flight nurse
- B. Home health nurse
- C. Hospice nurse
- D. Occupational health nurse
Correct Answer: A
Rationale: The correct answer is A: Flight nurse. This nurse is described as having critical care experience, proficiency in advanced cardiac life support, leading "codes," and superior health assessment skills, indicating a high level of clinical expertise. Flight nursing involves providing critical care in high-stress environments, often in emergency situations where quick thinking and advanced skills are crucial. The fast-paced environment and autonomy mentioned align well with the responsibilities of a flight nurse, who must make rapid decisions and provide life-saving interventions in challenging conditions. Home health, hospice, and occupational health nursing roles typically do not involve the same level of acuity, speed, and independence required in flight nursing.
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As part of a quality assurance project, a nurse is to round on every patient daily for 1 month to ensure the intravenous tubing is labeled with date hung and nurse's initials. The nurse is hoping to be promoted to a full-time position within the quality department, and her success on this project is very important to her receiving the position. The nurse retains all other assignments, and she is often interrupted to help other staff or answer call lights. The nurse discusses her concerns with the manager, who frees her for 1 hour each day to make rounds. During this 1 hour each day the nurse will organize herself and environment by practicing the:
- A. art of "no detourism."
- B. reducing stacked-desk syndrome.
- C. art of "wastebasketry."
- D. managing e-mail and memo mania.
Correct Answer: B
Rationale: The correct answer is B: reducing stacked-desk syndrome. This term refers to the practice of organizing tasks and environment to prevent work from piling up. In this scenario, the nurse is given 1 hour each day to focus solely on the quality assurance project, helping her prevent tasks from accumulating and ensuring she can complete her rounds efficiently. This practice enhances productivity and enables the nurse to manage her workload effectively.
Choice A, "art of 'no detourism,'" is irrelevant in this context as it does not address the issue of organizing tasks and environment. Choice C, "art of 'wastebasketry,'" is not applicable as it pertains to the skill of decision-making and prioritization, which is not the primary concern in this scenario. Choice D, "managing e-mail and memo mania," is also not directly related to the nurse's need to organize herself and environment for the quality assurance project.
A new graduate arrives for the first interview feeling prepared and excited about beginning a nursing career but quickly becomes concerned when the recruiter asks which illegal question?
- A. "Have you been convicted of a crime other than a minor traffic violation?"
- B. "We are very interested in hiring you but you do understand the position is contingent on the results of the preemployment physical and background check?"
- C. "What do you consider to be your major weaknesses for this particular position?"
- D. "Because you are applying for a position in the operating room, you must be able to be on call. How many children do you have responsibility for at home?"
Correct Answer: D
Rationale: The correct answer is D because asking about the number of children the candidate has could potentially lead to discrimination based on family responsibilities, which is illegal. This question is not related to the candidate's ability to perform the job duties in the operating room.
A: Asking about criminal convictions is legal for certain positions for safety reasons.
B: Mentioning pre-employment checks is standard practice and not illegal.
C: Inquiring about weaknesses is a common interview question and not discriminatory.
A 13-year-old female is brought to the family planning clinic by her enraged father, who has just learned that she is pregnant. The pregnant client states, "I want to have this baby and give it up for adoption." However, the father is adamant that she will disgrace the family and demands that the health care providers tell his daughter that she has a physical condition that would prohibit her from carrying this baby to a viable stage. The nurse realizes that this is a conflict that involves the ethical principle of:
- A. deontology.
- B. veracity.
- C. autonomy.
- D. beneficence.
Correct Answer: C
Rationale: The correct answer is C: autonomy. Autonomy refers to a patient's right to make their own decisions about their healthcare, including the right to accept or refuse treatment. In this scenario, the 13-year-old female has expressed her desire to have the baby and give it up for adoption. By respecting her autonomy, healthcare providers must support her decision, even if it goes against her father's wishes.
A: Deontology is a moral theory that emphasizes the importance of following moral rules and duties. While autonomy is a principle within deontology, the main focus in this scenario is on respecting the patient's autonomy rather than following a specific moral rule.
B: Veracity refers to the principle of truth-telling. While honesty is important in healthcare, the main issue in this scenario is respecting the patient's autonomy rather than truth-telling.
D: Beneficence refers to the duty to do good and promote the well-being of the patient. In this scenario, respecting the patient's autonomy is
An older adult has atrial fibrillation, which causes the heart to have an irregular rhythm. The client uses imagery to alter the dysrhythmiThe client is using which type of complementary alternative medicine (CAM)?
- A. Ayurveda
- B. Dosha
- C. Homeopathy
- D. Biofeedback
Correct Answer: D
Rationale: The correct answer is D: Biofeedback. Biofeedback is a type of CAM that involves using electronic devices to help individuals gain awareness and control over physiological processes, such as heart rate and muscle tension. In this case, the older adult is using imagery as a form of biofeedback to alter the dysrhythmia. Ayurveda (A) and Dosha (B) are traditional Indian systems of medicine based on balancing bodily energies, not directly related to using imagery for heart rhythm control. Homeopathy (C) is a system of alternative medicine based on the concept that "like cures like" and uses highly diluted substances, not imagery or biofeedback techniques.
A nurse is interviewing for a job and recently read the American Nurses Association's (ANA) recommendation for questions to ask regarding before accepting employment. Which questions should the nurse ask?
- A. Do you have flexible scheduling?
- B. What are the expectations for advancement?
- C. How long do staff nurses stay before resigning?
- D. What is the mission of the parent organization?
Correct Answer: D
Rationale: The correct answer is D because understanding the mission of the parent organization is crucial for aligning personal values with the organizational goals. This knowledge can help the nurse assess if their values and beliefs are in line with the organization's mission, leading to better job satisfaction and performance.
A: Flexible scheduling is important but not specified in ANA's recommendations.
B: Advancement expectations are important, but not a priority in ANA's recommendations.
C: Staff retention is relevant, but not emphasized in ANA's recommendations.