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By using ___________ in the workplace, nurses increase their professional influence.
- A. political skills
- B. reward power
- C. expert power
- D. power and politics
Correct Answer: C
Rationale: The correct answer is C: expert power. Nurses increase their professional influence by demonstrating expertise, knowledge, and skills in their field. This expertise allows them to gain credibility and influence others based on their competence. Expert power is based on respect and trust earned through proficiency in their profession. Choice A (political skills) focuses on manipulation and may not lead to genuine influence. Choice B (reward power) involves using rewards to influence behavior, which is different from professional influence. Choice D (power and politics) is a broad concept that encompasses various types of power dynamics, but expert power specifically highlights the importance of knowledge and skills in increasing influence in the workplace.
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A technique used to eliminate negative behavior by ignoring the behavior is known as __________.
- A. Punishment
- B. Extinction
- C. Shaping
- D. Equity
Correct Answer: B
Rationale: The correct answer is B: Extinction. Extinction is a behavior modification technique where negative behavior is eliminated by withholding reinforcement previously maintaining it. Ignoring the behavior prevents it from being reinforced, leading to its decrease over time. Punishment (A) involves applying aversive consequences to reduce behavior. Shaping (C) is a technique to gradually modify behavior by reinforcing successive approximations. Equity (D) refers to fairness and equal treatment, not a behavior modification technique.
A staff nurse is working with a patient who is on a critical pathway for education in preparation for home care. Which one of the following responsibilities would the nurse address first?
- A. Taking vital signs
- B. Answering the client's questions
- C. Evaluating client teaching
- D. Reviewing the information with the client and family
Correct Answer: D
Rationale: The correct answer is D because reviewing the information with the client and family should be addressed first to ensure understanding and clarity. This step allows for immediate feedback and corrections if needed, promoting effective education. Taking vital signs (A) can be done after educating the client. Answering questions (B) and evaluating teaching (C) come after providing the necessary information.
What is the main goal of a nursing quality improvement (QI) program?
- A. To enhance patient safety
- B. To reduce healthcare costs
- C. To ensure regulatory compliance
- D. To maintain high patient satisfaction
Correct Answer: A
Rationale: The correct answer is A: To enhance patient safety. The main goal of a nursing quality improvement program is to improve the quality of care provided to patients, ultimately leading to better patient outcomes and safety. By implementing strategies to enhance patient safety, such as reducing medical errors and improving communication among healthcare team members, the overall quality of care is improved.
Choice B (To reduce healthcare costs) is incorrect because while cost-efficiency may be a secondary benefit of a QI program, it is not the primary goal. Choice C (To ensure regulatory compliance) is also incorrect as regulatory compliance is important but not the main focus of a QI program. Choice D (To maintain high patient satisfaction) is not the main goal of a QI program as patient satisfaction alone does not guarantee improved patient safety or outcomes.
Which of the following presents an important emerging challenge to changes in health care?
- A. Decreased immigration
- B. Nursing staff shortages
- C. Bioterrorism
- D. Increased surgical procedures
Correct Answer: C
Rationale: The correct answer is C: Bioterrorism. This is because bioterrorism poses a serious threat to public health and healthcare systems worldwide, requiring preparedness and response strategies.
- A: Decreased immigration is not a significant emerging challenge to changes in healthcare.
- B: Nursing staff shortages are an ongoing issue but not necessarily a new emerging challenge.
- D: Increased surgical procedures may strain resources but are not a specific emerging challenge like bioterrorism.
A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate?
- A. Droplet precautions
- B. Protective environment
- C. Airborne precautions
- D. Contact precautions
Correct Answer: D
Rationale: The correct answer is D: Contact precautions. This is because purulent drainage indicates the presence of infectious material that can easily be transmitted through direct contact. By implementing contact precautions, the nurse can prevent the spread of infection to themselves and others. Droplet precautions (A) are used for pathogens spread through respiratory droplets, protective environment (B) is used for immunocompromised patients, and airborne precautions (C) are used for pathogens that remain suspended in the air. These precautions are not relevant to the situation described with purulent drainage.