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An RN with a diploma preparation wants to participate in decisions about health care and decides the first step is to obtain a BSN. The nurse enrolls in a nursing program offering self-scheduling and a self-paced curriculum. This nurse is taking advantage of:
- A. educational mobility.
- B. a traditional nursing program.
- C. training for advanced practice nursing.
- D. credit by examination.
Correct Answer: A
Rationale: Rationale for Correct Answer (A - educational mobility):
1. Educational mobility refers to the ability to move between different levels of education in nursing.
2. The nurse with a diploma seeking a BSN is utilizing educational mobility by advancing to a higher level of education.
3. Choosing a program with self-scheduling and a self-paced curriculum allows for flexibility, facilitating educational mobility.
Summary of Incorrect Choices:
B: Traditional nursing programs typically have fixed schedules and structured curricula, not aligned with self-paced learning.
C: Training for advanced practice nursing involves pursuing education beyond a BSN to become an advanced practice nurse, not directly related to obtaining a BSN.
D: Credit by examination allows students to earn credits based on prior knowledge, but it does not specifically relate to pursuing a BSN for educational mobility.
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A nurse has heard rumors that other nurses are interested in unionizing but knows little about the purpose of unions. The nurse's first action is to:
- A. contact an arbitrator who has worked with other nurses in unions.
- B. picket the agency where employed to gain inside information as to why unionization is sought.
- C. sign the dual-purpose union authorization card.
- D. review the National Nurses United website for collective bargaining information.
Correct Answer: D
Rationale: The correct answer is D because reviewing the National Nurses United website for collective bargaining information is the most appropriate first action. This option allows the nurse to educate themselves on the purpose of unions and understand the benefits of collective bargaining. It promotes informed decision-making and empowers the nurse with knowledge before taking any further actions.
A: Contacting an arbitrator may be premature as the nurse needs to first understand the basics of unions.
B: Picketing the agency is counterproductive and may create a hostile environment without proper information.
C: Signing a union authorization card without understanding the implications is not advisable and may lead to unintended consequences.
Summary: Option D is correct as it promotes education and informed decision-making, while the other choices are premature, potentially harmful, or lack necessary information.
Which experience is best designed to support a nursing student's preparation for interprofessional team participation?
- A. Attending a seminar on interprofessional team cooperation
- B. Completing a preceptorship with an advanced practice nurse
- C. Carrying for three patients with varying medical diagnoses
- D. Presenting patient information at the daily care planning meeting on a mental health unit
Correct Answer: B
Rationale: The correct answer is B, completing a preceptorship with an advanced practice nurse. This experience allows the nursing student to directly work with and learn from a more experienced healthcare professional, gaining firsthand knowledge of interprofessional collaboration, communication, and teamwork. The preceptorship provides practical, real-world exposure to interprofessional team dynamics and allows for mentorship and guidance.
A: Attending a seminar may provide theoretical knowledge but lacks the practical application and direct experience of working within a team.
C: Caring for patients with varying medical diagnoses is important for developing clinical skills but may not specifically focus on interprofessional team participation.
D: Presenting patient information at a meeting involves communication skills but does not offer the same level of hands-on experience in interprofessional teamwork as a preceptorship.
A nurse is listening to a patient's apical heart rate. The patient asks, "Is everything okay?" The nurse says nothing and shrugs her shoulders. The nurse is demonstrating:
- A. open communication.
- B. filtration.
- C. blocking.
- D. false assurance.
Correct Answer: D
Rationale: The correct answer is D: false assurance. By not providing a verbal response to the patient's question and shrugging her shoulders, the nurse is not giving any indication of the patient's actual condition. This lack of communication can lead the patient to interpret the nurse's actions as reassurance that everything is fine, which is a form of false assurance. This behavior can be misleading and may prevent the patient from receiving important information about their health status.
Incorrect choices:
A: open communication - The nurse's lack of verbal response and shrugging shoulders does not demonstrate open communication.
B: filtration - Filtration is not relevant to the situation described.
C: blocking - While the nurse is not providing necessary information, the term "blocking" does not accurately describe the situation.
The use of herbs has become a popular alternative to prescription drugs in today's health care milieu. During which other historical periods did health practices focus on the use of herbs?
- A. Prehistoric times and the Middle Ages
- B. Civil War period and World War I
- C. Renaissance and Reformation periods and the Colonial American period
- D. Crimean War and Civil War periods
Correct Answer: A
Rationale: The correct answer is A: Prehistoric times and the Middle Ages. In prehistoric times, herbs were used as the primary form of medicine. During the Middle Ages, herbal medicine continued to be prevalent due to limited medical knowledge. Other choices are incorrect because B, C, and D do not align with historical periods where herbal medicine was a dominant health practice.
Advanced practice nurses are prepared minimally at the master's degree level with prescriptive privileges; these professionals include: (select all that apply)
- A. clinical nurse leader.
- B. nurse practitioner.
- C. nursing administrator.
- D. certified nurse-midwife.
Correct Answer: B
Rationale: The correct answer is B: nurse practitioner. Nurse practitioners are advanced practice nurses prepared at the master's level with prescriptive privileges. They are trained to provide comprehensive care, including diagnosing and prescribing medications.
A: Clinical nurse leader focuses on improving patient outcomes in a specific unit or department, but they do not have prescriptive privileges.
C: Nursing administrator is a managerial role that does not typically involve direct patient care or prescribing medications.
D: Certified nurse-midwife is an advanced practice nurse focused on maternal and newborn care, but they do not have prescriptive privileges unless they also hold a nurse practitioner certification.