Nokea
How did the Social Security Act of 1935 impact public health nursing?
- A. Disabled children
- B. Mentally disabled
- C. Older adults
- D. Opioid addicts
Correct Answer: A
Rationale: The Social Security Act of 1935 impacted public health nursing by providing financial assistance to families with disabled children. This support helped improve access to healthcare services and resources for disabled children, leading to better health outcomes. The Act did not specifically address mentally disabled individuals, older adults, or opioid addicts in the same way as it did for disabled children. Therefore, choice A is correct as it directly aligns with the Act's provisions for supporting disabled children.
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An RN enters a patient’s room to place an indwelling urinary catheter, as ordered by the health-care professional. The client is alert and oriented and tells the RN he wants to leave the hospital now and not receive further treatment. Which of the following actions by the RN would be considered false imprisonment?
- A. The RN tells the client he is not allowed to leave until the physician has released him.
- B. The RN asks the client why he wishes to leave.
- C. The RN asks the client to explain what he understands about his medical diagnosis.
- D. The RN asks the client to sign an against medical advice discharge form.
Correct Answer: A
Rationale: The correct answer is A because the RN is restricting the patient's freedom to leave the hospital against his will, which constitutes false imprisonment. The patient has the right to refuse treatment and leave the facility. Choice B is incorrect because asking the client why he wishes to leave shows respect for his autonomy. Choice C is incorrect as it pertains to educating the patient about his medical condition, not restricting his freedom. Choice D is incorrect as asking the client to sign an against medical advice form is a way to document his decision and protect the healthcare provider legally.
Which of the following leaders would be considered a transformational leader?
- A. The supervisor of a unit who requests staff to work overtime.
- B. The unit secretary who encourages staff to use the proper forms.
- C. A unit manager who reminds a CNA (Certified Nursing Assistant) to work on time management skills.
- D. The Advanced Practice Nurse who encourages a staff nurse to pursue additional education for career advancement.
Correct Answer: D
Rationale: The correct answer is D because a transformational leader inspires and motivates followers to achieve their full potential. In this scenario, the Advanced Practice Nurse is encouraging the staff nurse to pursue additional education, showing a commitment to individual growth and development. This aligns with the characteristics of a transformational leader.
Choice A is incorrect because simply requesting staff to work overtime does not demonstrate transformational leadership qualities. Choice B is incorrect as encouraging staff to use proper forms is more aligned with transactional leadership. Choice C is incorrect as reminding a CNA to work on time management skills is more about task-oriented leadership rather than transformational leadership.
Which of the following actions best demonstrates effective delegation by a nurse manager?
- A. Retaining all tasks
- B. Assigning tasks without supervision
- C. Delegating tasks and providing oversight
- D. Avoiding delegation
Correct Answer: C
Rationale: The correct answer is C because effective delegation involves assigning tasks to appropriate staff members while providing oversight. This ensures tasks are completed safely and accurately. Retaining all tasks (A) does not promote staff development. Assigning tasks without supervision (B) can lead to errors. Avoiding delegation (D) limits staff growth. Effective delegation (C) maximizes efficiency and empowers staff.
A new nurse manager is attempting to solve a management issue by using one solution after another until she solves the problem. This would be known as what type of method?
- A. Decision making
- B. Trial and error
- C. Experimentation
- D. Analysis
Correct Answer: B
Rationale: The correct answer is B: Trial and error. This method involves attempting different solutions sequentially until the problem is solved. Decision making (A) refers to making choices based on available information. Experimentation (C) involves testing hypotheses through controlled trials. Analysis (D) is the process of examining data and information to understand a situation. In this scenario, the nurse manager is not systematically testing hypotheses (experimentation), analyzing data (analysis), or making informed decisions (decision making), but rather trying different solutions until finding the one that works, which aligns with the trial and error method.
An expensive variable in salary budgets is overtime pay. Which of the following is a viable option to reduce overtime?
- A. Limiting overtime for highly paid workers
- B. Reducing the number of beds
- C. Using per diem workers
- D. Refusing to pay overtime
Correct Answer: C
Rationale: The correct answer is C: Using per diem workers. This option is viable because per diem workers can be brought in to cover shifts without incurring overtime costs. By utilizing per diem workers, the organization can reduce the need for regular staff to work overtime hours, hence decreasing overall overtime expenses.
A: Limiting overtime for highly paid workers is not a practical solution as all workers, regardless of pay, may contribute to the need for overtime.
B: Reducing the number of beds may lead to reduced capacity and impact patient care, not directly addressing the issue of reducing overtime.
D: Refusing to pay overtime is not a sustainable solution as it may lead to legal issues and impact employee morale and productivity.