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Hospitals surveyed nurses who terminated their employment to determine why they chose to leave. One of the most common reasons for leaving was:
- A. decreased pay for alternative shifts.
- B. that the nurse/patient ratio prevents safe care.
- C. that most facilities are choosing an all-RN staff, which decreases opportunities for advancement.
- D. that agency and foreign nurses are favored by administration over full-time nursing staff.
Correct Answer: B
Rationale: The correct answer is B: that the nurse/patient ratio prevents safe care. This answer is correct because inadequate nurse/patient ratios have been consistently identified as a major factor contributing to nurse dissatisfaction and burnout. When nurses are responsible for too many patients, they are unable to provide safe and effective care, leading to increased stress and job dissatisfaction.
Explanation of other choices:
A: Decreased pay for alternative shifts: While decreased pay may be a concern for some nurses, it is not typically cited as one of the most common reasons for leaving a position.
C: Most facilities are choosing an all-RN staff, which decreases opportunities for advancement: While this may be a concern for some nurses, it is not as universally impactful as unsafe nurse/patient ratios.
D: Agency and foreign nurses are favored by administration over full-time nursing staff: While favoritism may be an issue in some cases, it is not typically cited as one of the most common reasons for nurses leaving their employment.
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A group of registered nurses with ADN degrees are concerned that the minimum educational standard for licensure as a registered nurse is being raised to the bachelor's (BSN) level. After contacting the American Nurses Association, they learn they will be "grandfathered" in. Under the "grandfather clause," nurses with associate degrees will:
- A. be required to complete a bridge program to earn a BSN and then be tested only on material that was not part of the ASN curriculum.
- B. continue to use the title "registered nurse."
- C. have 10 years to obtain a BSN or the license will be revoked.
- D. use whatever title is established for associate degree nurses.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. The "grandfather clause" typically allows individuals to maintain current status or privileges despite changes in requirements.
2. The clause ensures that nurses with ADN degrees can continue using the title "registered nurse" without needing to upgrade to a BSN.
3. This aligns with the principle of honoring past qualifications while moving forward with new standards.
4. Choice A is incorrect as it introduces additional requirements beyond what the clause typically allows.
5. Choice C is incorrect as it imposes a strict time limit, which is not a common practice under grandfather clauses.
6. Choice D is incorrect as it suggests using a new title, which contradicts the purpose of grandfathering in existing qualifications.
A nurse walks up to a computer in the hallway and presses the index finger to the sensor, thereby gaining access to patient datA few moments later another nurse performs the same steps and is granted access. A visitor who is watching from a room walks over and places the index finger on the sensor, only to receive an "error and access denied" message. Security is being maintained by:
- A. robot technology.
- B. biometric technology.
- C. telehealth.
- D. ubiquitous computing.
Correct Answer: B
Rationale: The correct answer is B: biometric technology. Biometric technology uses unique physical characteristics, such as fingerprints, to verify identity. In this scenario, the nurse and the other authorized person were granted access because their fingerprints matched the stored data. The visitor was denied access because their fingerprint did not match.
A: Robot technology is not related to verifying identity through fingerprints.
C: Telehealth is a method of providing healthcare remotely and is not related to access control.
D: Ubiquitous computing refers to the idea of computing technology being everywhere, but it is not directly related to biometric security measures like fingerprint scanning.
A nurse is interested in practicing in a faith-based community; when researching the role of the parish nurse, the nurse finds that:
- A. certification is available at a basic level after a qualifying examination is completed and a set number of practice hours have been worked, as defined by the state's nurse practice act.
- B. this advanced practice role focuses on health promotion and disease prevention.
- C. this role has no set standards or scope of practice but instead follows the doctrine of the denomination being served.
- D. this role is recognized by the American Nurses Association (ANA) as a specialty with a defined set of practice guidelines.
Correct Answer: B
Rationale: The correct answer is B because the role of a parish nurse primarily focuses on health promotion and disease prevention within a faith-based community. Parish nurses typically work to integrate spiritual care with traditional healthcare services. This choice aligns with the core responsibilities of a parish nurse and accurately reflects the primary focus of their practice.
Summary of other choices:
A: Incorrect. While certification may be available for parish nurses, the process and requirements are not solely defined by state regulations; it usually involves additional training in faith-based healthcare practices.
C: Incorrect. The role of a parish nurse is typically guided by professional standards and organizational protocols rather than being solely dictated by the doctrines of a specific denomination.
D: Incorrect. While the ANA may acknowledge the role of parish nursing, it does not have specific practice guidelines for this specialty.
In recent Gallop Polls, nurses were voted as the most honest with the highest ethical standards of all professions. How does this degree of professionalism affect nurses' desire to participate in organized strikes?
- A. Nurses most often turn to collective bargaining strategies such as strikes to emphasize client safety initiatives.
- B. Nurses use evidence-based studies that reflect both management and labor views to support participation in unionization.
- C. Nurses often find union activities such as strikes in conflict with the need to serve and protect clients and their profession.
- D. Nurses who strike can be legally punished for abandonment and negligence, considered to be professional misconduct.
Correct Answer: C
Rationale: The correct answer is C because nurses being voted as the most honest and ethical profession indicates their strong commitment to patient care and ethics. Therefore, nurses may find participating in strikes conflicting with their core values of serving and protecting patients. This conflict can deter nurses from engaging in union activities like strikes, as they prioritize patient well-being over their own interests.
A is incorrect because while nurses prioritize client safety, participating in strikes may not always align with this goal. B is incorrect as evidence-based studies may support various perspectives, but nurses' ethical standards and commitment to patient care are the primary factors influencing their decision to engage in strikes. D is incorrect as legal repercussions for striking nurses focus on professional misconduct rather than the ethical dilemma nurses face when considering strikes.
All hospitals receiving Medicare and Medicaid funds must ask clients whether they have a living will or a durable power of attorney. This act is known as the:
- A. Emergency Treatment and Active Labor Law.
- B. Americans with Disabilities Act.
- C. Uniform Health Care Decisions Act.
- D. doctrine of res ipsa loquitur.
Correct Answer: C
Rationale: The correct answer is C: Uniform Health Care Decisions Act. This act mandates hospitals to inquire if clients have a living will or durable power of attorney to ensure patients' healthcare wishes are honored. A: Emergency Treatment and Active Labor Law pertains to emergency care. B: Americans with Disabilities Act focuses on discrimination against individuals with disabilities. D: Doctrine of res ipsa loquitur involves negligence cases where the injury speaks for itself. Therefore, the correct choice is C as it directly addresses the requirement for hospitals receiving Medicare and Medicaid funds.