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Current trends in telecommunications and increased mobility of nurses have led to the approval of a mutual recognition model of nursing regulation, in which nurses are allowed to practice in states that are compact states without obtaining a license in each state. On which website would a nurse find a list of current compact states?
- A. National League for Nursing (NLN)
- B. National Council of State Boards of Nursing (NCSBN)
- C. American Association of Colleges of Nursing (AACN)
- D. Commission on Collegiate Nursing Education (CCNE)
Correct Answer: B
Rationale: The correct answer is B: National Council of State Boards of Nursing (NCSBN). NCSBN manages the Nurse Licensure Compact (NLC), which allows nurses to practice in compact states without obtaining additional licenses. Nurses can find a list of current compact states on the NCSBN website. NLN (A) focuses on nursing education, not regulation. AACN (C) is an organization for academic nursing programs. CCNE (D) accredits nursing education programs, not regulatory information.
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A community health nurse has been visiting a postpartum client who suffered domestic violence throughout the pregnancy, and now the infant may be at risk. The nurse assisted the client in finding shelter and legal protection. The nurse's role and the conceptual framework involved are:
- A. change agent, according to Roy's adaptation model.
- B. translator, according to Leininger's theory of cultural care diversity and universality.
- C. case manager, according to Peplau's interpersonal relations model.
- D. caregiver, according to Rogers' science of unitary human beings.
Correct Answer: C
Rationale: The correct answer is C: case manager, according to Peplau's interpersonal relations model. In this scenario, the nurse is coordinating resources and services for the client, which aligns with the role of a case manager. Peplau's model emphasizes the therapeutic relationship between the nurse and client, focusing on understanding the client's needs and providing support. The nurse in this situation is not just providing direct care (caregiver), advocating for change (change agent), or focusing solely on cultural aspects (translator). The nurse's role as a case manager involves addressing the client's complex needs, coordinating care, and advocating for the client's well-being, making it the most appropriate choice in this context.
What does the Spirit of Nursing statue honor?
- A. Florence Nightingale's accomplishments in public health
- B. Edith Cavell's attempt to help the victims of the Tuskegee experiment seek treatment
- C. Clara Maas, who found the cure for yellow fever during WWII
- D. All military nurses for their bravery and compassion
Correct Answer: D
Rationale: The Spirit of Nursing statue honors all military nurses for their bravery and compassion. This is the correct answer because military nurses have demonstrated exceptional dedication and sacrifice in providing care to wounded soldiers during times of conflict. They embody the spirit of selflessness and service that is essential in the nursing profession.
Incorrect answers:
A: Florence Nightingale is known for her contributions to nursing and public health, but the statue specifically honors military nurses.
B: Edith Cavell was a nurse who helped Allied soldiers escape from German-occupied Belgium during WWI, not related to the Tuskegee experiment.
C: Clara Maas was a nurse who volunteered for yellow fever experiments, but her work was not during WWII and did not lead to a cure for the disease.
Complementary alternative medicine (CAM) is gaining popularity in Western society because: (select all that apply)
- A. consumers want knowledgeable, trained physicians to control their care.
- B. CAM consumers want personalized health care.
- C. quantity, rather than quality, of life is most important in Western society.
- D. consumers have access to evidence that support CAMs.
Correct Answer: B
Rationale: The correct answer is B: CAM consumers want personalized health care. This is because CAM focuses on holistic and individualized approaches to health, addressing not just symptoms but underlying causes. Consumers seek CAM for tailored treatments and a more patient-centered approach.
Choice A is incorrect because CAM often involves practitioners who may not be traditional physicians. Choice C is incorrect as quality of life, rather than just quantity, is increasingly valued in Western society. Choice D is incorrect because although there is some evidence supporting CAM, it is not always readily accessible or universally accepted.
The principle of autonomy is best supported by what intervention made available to palliative care patients?
- A. Arranging for in-home health care
- B. Addressing the patient's specific pain management needs
- C. Helping the patient decide on the details of their advanced plan of care
- D. Conducting a thorough performance status screening on the patient
Correct Answer: C
Rationale: The correct answer is C because autonomy in palliative care emphasizes the patient's right to make decisions about their own care. By helping the patient decide on the details of their advanced plan of care, healthcare providers respect the patient's autonomy and ensure their preferences guide the care provided. Arranging in-home health care (A) may be beneficial, but it does not directly support the patient's autonomy. Addressing pain management needs (B) is important but does not specifically relate to decision-making autonomy. Conducting a performance status screening (D) is relevant for assessing the patient's overall health but does not directly support their autonomy in decision-making.
A nurse manager is mentoring a novice nurse manager in determining staffing needs. The mentor explains, "We must determine the acuity level of the patient by:
- A. assessing patient satisfaction with nursing care."
- B. quantifying the amount and intensity of care required."
- C. examining the skill mix and educational preparation of the staff."
- D. determining the number of hospital days required by the patients."
Correct Answer: B
Rationale: The correct answer is B because quantifying the amount and intensity of care required is essential to determine staffing needs based on patient acuity. This involves assessing the complexity and severity of patients' conditions, which directly impacts the level of care needed. Patient satisfaction (A) does not provide objective data on acuity. Examining skill mix (C) is important but not the primary factor in determining acuity. Hospital days (D) reflect length of stay, not acuity level.