Nokea
An RN with excellent assessment and psychomotor skills would derive power on the basis of which source?
- A. Rewards
- B. Coercion
- C. Expert
- D. Legitimate
Correct Answer: C
Rationale: The correct answer is C: Expert. An RN with excellent assessment and psychomotor skills derives power from their expertise in the field. They are respected and trusted for their knowledge and abilities, giving them influence over others. Rewards (A) and coercion (B) are forms of power derived from external factors like incentives or threats, not skills. Legitimate power (D) comes from one's position or title, not necessarily from skills. In this case, the RN's power comes from their expertise, making choice C the most appropriate answer.
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Nurses in a nonprofit hospital have expressed an interest in forming a union to secure fair wages and ensure client safety. To form a core support group of nurses, the union organizer can conduct meetings to gather initial information:
- A. away from the worksite with a group of managers to learn both sides of the situation.
- B. at the worksite with staff nurses who are respected leaders.
- C. in homes or local businesses with staff nurses.
- D. after photographing management meeting to discuss their strategies to decrease interest in unionization.
Correct Answer: B
Rationale: The correct answer is B because conducting meetings at the worksite with respected staff nurses allows for direct engagement with potential union supporters. This approach fosters a sense of unity and trust among the nurses, making it easier to form a core support group. Additionally, meeting at the worksite enables easy access for all nurses and ensures a safe and neutral environment for discussions.
Choices A, C, and D are incorrect because:
A: Meeting away from the worksite with managers may create a conflict of interest and could lead to a biased understanding of the situation.
C: Meeting in homes or local businesses may not provide a professional setting for discussions and may not be convenient for all nurses to attend.
D: Photographing management meetings and discussing their strategies is unethical and could potentially harm the relationship between nurses and management.
According to the Palliative Performance Scale which patient is considered to possess 70% of normal function?
- A. 40 year old diagnosed with AIDS whose condition makes it impossible to hold a job.
- B. 70 year old diagnosed with end stage renal failure who spends most of the day in bed.
- C. 50 year old diagnosed with emphysema whose disease has begun to impact normal ambulate.
- D. 30 year old diagnosed with muscular dystrophy who is bed bound.
Correct Answer: C
Rationale: The correct answer is C because the Palliative Performance Scale assesses functional status in palliative care. A patient with 70% normal function would have a score of 70 on the scale, indicating that they are still able to ambulate but with limitations due to their illness. Choice A is incorrect because inability to hold a job does not directly correlate with functional status. Choice B is incorrect as spending most of the day in bed suggests a lower level of functioning. Choice D is incorrect as being bed bound indicates a more severe impairment in function compared to a patient who can still ambulate with limitations.
Qualified nursing school applicants have continued to be turned away, limiting enrollment due to a shortage of faculty, which is attributed to several factors, including:
- A. nursing faculty are subject to high levels of burnout and job dissatisfaction.
- B. only the number of faculty in Associate Degree programs remain stable.
- C. the mean age of nursing faculty continues to decrease and older faculty mentors have left the profession.
- D. increasing job competition from higher paying clinical sites, even as the economy recovers.
Correct Answer: A
Rationale: The correct answer is A because it directly addresses the shortage of nursing faculty by highlighting the issue of burnout and job dissatisfaction, which leads to faculty turnover and limits enrollment. This explanation aligns with the initial statement that qualified applicants are being turned away due to the shortage of faculty.
Choices B, C, and D are incorrect because they do not directly address the main issue of faculty shortage. B talks about the stability of faculty numbers in Associate Degree programs, which is irrelevant to the shortage. C discusses the decrease in the mean age of nursing faculty and the departure of older mentors, but this does not explain the shortage of faculty. D mentions increasing job competition from clinical sites, which is not the primary reason for the shortage of nursing faculty.
Nurses working on an orthopedic unit use personal digital assistants (PDAs) to review medications prior to administration to reduce potential drug interactions. Software is also installed that provides video clips of common procedures performed by nurses. Nurses on this unit are best demonstrating which QSEN competencies?
- A. Patient-centered care
- B. Informatics
- C. Teamwork
- D. Quality improvement
Correct Answer: B
Rationale: The correct answer is B: Informatics. Nurses on the orthopedic unit are demonstrating informatics competency by using PDAs for medication review and accessing video clips for procedures. This showcases their ability to utilize technology to enhance patient care. Patient-centered care (A) focuses on individualized care, teamwork (C) emphasizes collaboration, and quality improvement (D) pertains to enhancing processes. The use of technology in this scenario aligns most closely with the informatics competency, making it the best choice.
The staff on a nursing unit notes that patient satisfaction varies from month to month. They plot the degree of patient satisfaction each month for 1 year to determine when the periods of greatest dissatisfaction are occurring. The staff uses which type of graph?
- A. Time plot
- B. Pareto chart
- C. Flowchart
- D. Cause-and-effect diagram
Correct Answer: A
Rationale: The correct answer is A: Time plot. A time plot is the most appropriate graph for displaying data over time to identify trends and patterns. In this scenario, plotting patient satisfaction levels monthly over a year allows the staff to analyze fluctuations and identify periods of greatest dissatisfaction accurately.
Summary of other choices:
B: Pareto chart - Pareto charts are used to display the frequency of occurrences in a dataset in descending order. It is not suitable for analyzing trends over time.
C: Flowchart - Flowcharts are used to represent processes and workflows, not suitable for displaying time-series data.
D: Cause-and-effect diagram - Cause-and-effect diagrams are used to identify and analyze potential causes of a problem, not suitable for displaying time-series data.