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What effect did the movie One Flew Over the Cuckoo's Nest have on health care?

A. Funding for mental health care increased, allowing the point of care to change from the community to standardized institutional care.
B. The public and the nursing profession were made aware of the rights of vulnerable populations.
C. Nurses were seen as advocates for individuals who cannot advocate for themselves.
D. Funding for nursing traineeships was eliminated.

Correct Answer: B

Rationale: The correct answer is B because "One Flew Over the Cuckoo's Nest" raised awareness about the mistreatment of vulnerable populations in mental health institutions. It highlighted the need to uphold the rights of such individuals.

A is incorrect because the movie did not specifically lead to an increase in funding for mental health care or a shift to institutional care.

C is incorrect because while the movie portrayed nurses advocating for patients, it did not necessarily lead to a widespread perception of nurses as advocates for vulnerable populations.

D is incorrect because there is no evidence to suggest that funding for nursing traineeships was eliminated as a direct result of the movie.

The demographics of the twenty-first century nursing population indicate that:

A. individuals entering nursing are second-degree students who average 45 years of age.
B. more white nurses enter and obtain graduate degrees than any other ethnic group.
C. the highest level of nursing education for most RNs is an associate degree.
D. the majority of nurses practice in hospitals.

Correct Answer: C

Rationale: The correct answer is C because the highest level of nursing education for most RNs is an associate degree. This is supported by data showing that a significant proportion of registered nurses have obtained their education through associate degree programs. Additionally, pursuing an associate degree is a common pathway for individuals entering the nursing profession due to its accessibility and shorter duration compared to obtaining a bachelor's or graduate degree.

Choice A is incorrect because while there may be second-degree nursing students entering the field, the average age of individuals entering nursing is typically younger than 45 years old. Choice B is incorrect as there is increasing diversity in the nursing workforce, with nurses from various ethnic backgrounds entering and obtaining graduate degrees. Choice D is incorrect as the majority of nurses are not practicing in hospitals, with many working in other healthcare settings such as clinics, long-term care facilities, and community health centers.

The RN who identifies the best resources at the lowest cost to achieve optimal health outcomes for the client is fulfilling the role of:

A. informatics specialist.
B. educator.
C. case manager.
D. quality manager.

Correct Answer: C

Rationale: The correct answer is C: case manager. A case manager coordinates resources to achieve optimal health outcomes for clients efficiently. They assess, plan, implement, and evaluate care while considering cost-effectiveness. Informatics specialists focus on data and technology, educators provide knowledge, and quality managers ensure high standards. In this scenario, the key role is coordinating resources, making C the best choice.

A staff nurse provides care based on intuition and always seems to be in control of her personal and professional life, serving on the board of the state nurses association, serving as the nursing unit's representative on the ethics committee, and coaching her daughter's soft ball team. Many of the staff observes how she manages time and provides care. This nurse's power comes from which type of power?

A. Referent
B. Legitimate
C. Information
D. Connection

Correct Answer: A

Rationale: The correct answer is A: Referent power. Referent power is based on an individual's personal characteristics that others admire and seek to emulate. In this case, the nurse's ability to manage time effectively, maintain control in her personal and professional life, and serve in various leadership roles demonstrates her influence over others through admiration and respect. It is not legitimate power (B) as her authority does not stem from a formal position. It is not information power (C) as her power is not derived from possessing or sharing specific knowledge. It is not connection power (D) as her influence is not based on her network or relationships but rather on her personal qualities.

When the job applicant is asked to identify weaknesses, one appropriate reply for the novice nurse might be:

A. "I have no weaknesses."
B. "Are you trying to set me up?"
C. "Delegating to peers."
D. "Caring requires weakness."

Correct Answer: C

Rationale: The correct answer is C: "Delegating to peers." This response shows self-awareness and willingness to improve by acknowledging a common weakness for novice nurses - difficulty in delegating tasks to peers. It demonstrates a willingness to learn and grow in the role.

A: "I have no weaknesses." - This answer lacks self-awareness and does not show a willingness to improve. It comes across as overconfident.
B: "Are you trying to set me up?" - This response is defensive and unprofessional. It does not address the question directly.
D: "Caring requires weakness." - This answer is vague and does not provide a specific weakness or show a proactive approach to self-improvement.

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