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In deciding whether to say no to a request that involves a time commitment, the professional nurse must consider:
- A. the cost-benefit ratio.
- B. the time commitment of coworkers.
- C. ways to buffer saying no.
- D. personal preference.
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct:
1. Cost-benefit ratio involves weighing the benefits of saying yes against the costs of the time commitment.
2. Professional nurses must consider the impact on patient care, workload, and personal well-being.
3. By evaluating the cost-benefit ratio, nurses can make informed decisions aligned with professional responsibilities and ethical standards.
Summary:
Choice A is correct because it emphasizes a systematic approach to decision-making based on evaluating the overall impact of the time commitment. Choices B, C, and D are incorrect as they do not address the essential consideration of weighing costs and benefits in decision-making.
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The Karnofsky prognostication scale is most appropriately used to screen patients with which medical diagnoses?
- A. Respiratory diseases
- B. Cancers
- C. Cardiac diseases
- D. AIDS
Correct Answer: D
Rationale: The Karnofsky Prognostication Scale is commonly used in patients with terminal illness, such as AIDS, to assess their functional status and predict their prognosis. Patients with AIDS often experience rapid decline in health, making this scale useful in determining their overall well-being and potential outcomes.
Incorrect choices:
A: Respiratory diseases - The Karnofsky scale is not commonly used for screening patients with respiratory diseases.
B: Cancers - While the Karnofsky scale can be used for cancer patients, it is most commonly associated with terminal illnesses like AIDS.
C: Cardiac diseases - The Karnofsky scale is not typically used for screening patients with cardiac diseases.
An inexperienced nurse has heard of other novice nurses who take shortcuts in providing patient care. This nurse feels that this is unacceptable and that all tasks must be performed faultlessly, which leads to her inability to complete all assigned tasks. This nurse would benefit from the seminar "Obstacles to Time Management: How to Deal with:
- A. Creativity."
- B. Perfectionism."
- C. Failure."
- D. Downtime."
Correct Answer: B
Rationale: The correct answer is B: Perfectionism. This nurse's belief that all tasks must be performed faultlessly is indicative of perfectionism, which can lead to inefficiency and inability to prioritize tasks effectively. By attending a seminar on overcoming perfectionism, the nurse can learn strategies to manage time more efficiently and prioritize tasks based on their importance. Creativity (option A) is not directly related to the nurse's struggle with completing tasks. Failure (option C) does not address the root cause of the nurse's issue. Downtime (option D) does not address the underlying perfectionism that is hindering the nurse's time management.
A staff nurse states, "I really enjoyed having dinner with the Chief of Medical Staff and the President of the hospital. We hope to meet again soon." Which source of power does this nurse possess?
- A. Expert
- B. Legitimate
- C. Connection
- D. Reward
Correct Answer: C
Rationale: The correct answer is C: Connection. The nurse's power comes from her ability to network and build relationships with influential individuals like the Chief of Medical Staff and the President of the hospital. This grants her access to information, resources, and opportunities not available to others. This power is based on who she knows rather than her expertise (A), position (B), or ability to offer rewards (D). The nurse's statement implies that her influence stems from her connections, making choice C the most appropriate answer.
A patient with complicated diabetes is scheduled for a below the knee amputation at 7 AM. The surgical team adheres to the 2012 National Patient Safety Goals by implementing which protocols? (select all that apply)
- A. The surgical team asks the patient to verify his or her name, type of surgery, and limb to be removed.
- B. Ask each member of the surgical team to provide a copy of licensure and, if applicable, certification to patient and family.
- C. The surgical team uses the chart number and name/hospital number to ensure they have the correct patient.
- D. Mark the procedure site with "X" and again ask the patient to verify correct site.
Correct Answer: A
Rationale: The correct answer is A because it aligns with the 2012 National Patient Safety Goals, specifically the goal of improving the accuracy of patient identification. By asking the patient to confirm their name, type of surgery, and limb to be removed, the surgical team is ensuring that they have the correct patient and are performing the correct procedure. This protocol helps prevent errors and ensures patient safety.
Option B is incorrect because asking for licensure and certification does not directly relate to patient safety or accurate patient identification.
Option C is incorrect because relying solely on chart numbers or hospital numbers may not be sufficient to prevent errors in patient identification.
Option D is incorrect because while marking the procedure site is important, relying solely on the patient to verify the correct site may not be as effective as having the healthcare team confirm this information with the patient.
Which nurse best portrays nursing as a "knowledge worker"?
- A. Nurse in matched scrubs with lab coat, hair back, small stud earrings
- B. Nurse in mismatched scrubs, no lab coat, large hoop earrings
- C. Nurse in white uniform with apron with no jewelry/hair back
- D. Nurse with nose ring and eyebrow piercing with starched white uniform and cap
Correct Answer: A
Rationale: The correct answer is A because the nurse in matched scrubs with a lab coat and minimal jewelry portrays professionalism and adherence to safety standards. The lab coat signifies a commitment to infection control and respect for the clinical environment. The hair being pulled back ensures cleanliness and prevents hair from falling into a patient's wound. Small stud earrings are safe and do not pose a risk of injury to the nurse or patient.
Choice B is incorrect because mismatched scrubs and large hoop earrings may not reflect professionalism or attention to detail, which are crucial in nursing practice.
Choice C is incorrect as the nurse in a white uniform with apron and no jewelry may seem traditional but lacks the modern approach and attention to safety standards displayed by choice A.
Choice D is incorrect because the nurse with nose and eyebrow piercings, despite wearing a starched white uniform and cap, may not be perceived as a professional and may not adhere to conservative workplace standards.