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An RN recently relocated to another region of the country and immediately assumed the role of charge nurse. When determining the appropriate person to whom to delegate, the RN knows that:
- A. the role of the LPN/LVN is the same from state to state.
- B. the LPN/LVN can be taught to perform all the duties of an RN if approved by the employer and if additional on-the-job training is provided.
- C. he or she must review the state's nurse practice act for LPN/LVNs, because each state defines the role and scope of practice of the LPN/LVN.
- D. The Joint Commission has certified and established roles for the LPN/LVN.
Correct Answer: C
Rationale: The correct answer is C. When delegating tasks to an LPN/LVN, the RN must review the state's nurse practice act because each state defines the role and scope of practice of the LPN/LVN. This is crucial as the LPN/LVN scope of practice can vary significantly from state to state. By reviewing the nurse practice act, the RN ensures that the tasks being delegated fall within the legal scope of practice for the LPN/LVN in that specific state, promoting safe and effective patient care.
Choice A is incorrect because the role of the LPN/LVN can differ between states.
Choice B is incorrect because LPN/LVNs cannot perform all duties of an RN, and additional training does not change their scope of practice.
Choice D is incorrect because the Joint Commission does not establish roles for LPN/LVNs; it focuses on accreditation standards for healthcare organizations.
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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.
According to current data related to the nursing shortage: (select all that apply)
- A. salaries of nurses are competitive with those of other professionals such as teachers.
- B. only 19% of nurses are minorities.
- C. overall, nurses are satisfied with their jobs but leave the profession because of fear of contracting fatal diseases.
- D. the employment opportunities for nurses continue to be strong.
Correct Answer: D
Rationale: Rationale for Answer D: The correct answer is D because the statement aligns with current data indicating a strong demand for nurses leading to ample job opportunities. This information is supported by various reports and studies highlighting the ongoing nursing shortage and the need for more healthcare professionals. Employment opportunities for nurses are indeed robust, with job growth projected to continue in the coming years due to factors like an aging population and increasing healthcare needs.
Summary of Other Choices:
A: Salaries of nurses being competitive with other professionals like teachers may vary depending on location and specialty, but it is not a direct indicator of the nursing shortage.
B: The percentage of minority nurses is not directly related to the nursing shortage issue, making this statement irrelevant to the current data on the shortage.
C: Job satisfaction and reasons for leaving the nursing profession may include various factors, but fear of contracting diseases is not a primary reason cited in current data on the nursing shortage.
A student is planning to enroll in prerequisite courses after graduating from high school and is researching options for nursing programs. During a career fair the student compares different types of nursing education programs and discovers that:
- A. diploma programs focus on family and community, with an emphasis on health promotion.
- B. most practicing RNs graduated from diploma programs because this was the first type of RN program.
- C. baccalaureate programs focus on technical and hands-on nursing skills in diverse community settings.
- D. master's programs such as that for the clinical nurse leader provide entry into practice with a focus on interdisciplinary and bedside nursing care for complex client populations.
Correct Answer: D
Rationale: The correct answer is D because master's programs, like the one for clinical nurse leaders, indeed provide entry into practice with a focus on interdisciplinary and bedside nursing care for complex client populations. This choice stands out as it specifically addresses the advanced level of education and specialization required for handling complex cases.
Choice A is incorrect because diploma programs typically focus on basic nursing skills rather than specialization in complex client populations.
Choice B is incorrect as most practicing RNs nowadays graduate from associate's or bachelor's degree programs, not diploma programs.
Choice C is incorrect because baccalaureate programs emphasize a broader education including leadership, research, and critical thinking skills rather than just technical and hands-on nursing skills.
The novice nurse arrives on the nursing unit, is introduced to the staff, is assigned a preceptor, and is asked to participate in the next staff meeting. This introduction into nursing is appropriately termed:
- A. biculturalism.
- B. socialization.
- C. transition.
- D. "going native."
Correct Answer: B
Rationale: The correct answer is B: socialization. Socialization is the process by which individuals learn and adapt to the values, norms, and behaviors of a particular group, in this case, the nursing profession. In this scenario, the novice nurse is being introduced to the staff, assigned a preceptor, and asked to participate in a staff meeting, all of which are key components of the socialization process in nursing.
A: Biculturalism refers to the coexistence of two distinct cultures within one society, which is not applicable in this context.
C: Transition is the process of changing from one state to another, which is a broader concept than just the introduction to a new profession.
D: "Going native" is a colloquial term that refers to adopting the lifestyle or customs of a foreign culture, which is not relevant to the scenario of a novice nurse being introduced to the nursing profession.
A patient is upset because her health insurance plan refused to pay for a mammogram and services by a women's health specialist because the primary care physician did not order the referral or the mammogram. Which type of insurance plan adheres to this type of payment system?
- A. Fee for Service
- B. Health Maintenance Organization (HMO)
- C. Preferred Provider Organization (PPO)
- D. Point of Service (POS)
Correct Answer: B
Rationale: The correct answer is B: Health Maintenance Organization (HMO). In an HMO, services are typically provided by a primary care physician who acts as a gatekeeper for all medical services, including referrals to specialists and diagnostic tests like mammograms. The primary care physician must authorize and order these services for them to be covered by the insurance plan. This system helps control costs and ensures coordinated care.
A: Fee for Service does not require a primary care physician to authorize referrals or services.
C: PPO allows patients to see out-of-network providers without referrals.
D: POS plans offer more flexibility in choosing healthcare providers without requiring a primary care physician's referral.