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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.
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The staff on a nursing unit notes that patient satisfaction varies from month to month. They plot the degree of patient satisfaction each month for 1 year to determine when the periods of greatest dissatisfaction are occurring. The staff uses which type of graph?
- A. Time plot
- B. Pareto chart
- C. Flowchart
- D. Cause-and-effect diagram
Correct Answer: A
Rationale: The correct answer is A: Time plot. A time plot is the most appropriate graph for displaying data over time to identify trends and patterns. In this scenario, plotting patient satisfaction levels monthly over a year allows the staff to analyze fluctuations and identify periods of greatest dissatisfaction accurately.
Summary of other choices:
B: Pareto chart - Pareto charts are used to display the frequency of occurrences in a dataset in descending order. It is not suitable for analyzing trends over time.
C: Flowchart - Flowcharts are used to represent processes and workflows, not suitable for displaying time-series data.
D: Cause-and-effect diagram - Cause-and-effect diagrams are used to identify and analyze potential causes of a problem, not suitable for displaying time-series data.
A nurse notices that care is often withheld until an interpreter arrives, if the nurse is not multilingual. The nurse discusses this with the management team and suggests a three- part series be presented to the nursing staff to teach some commonly used medical terms in Spanish. This nurse is involved in the role of:
- A. change agent.
- B. educator.
- C. manager.
- D. coordinator.
Correct Answer: A
Rationale: The correct answer is A: change agent. The nurse is acting as a change agent by identifying a problem (care being withheld until an interpreter arrives) and proposing a solution (teaching common medical terms in Spanish). As a change agent, the nurse is promoting positive change within the organization to improve patient care. The other choices are incorrect because:
B: Educator - While the nurse is providing education, the primary role in this scenario is not solely that of an educator.
C: Manager - The nurse is not directly managing staff or resources in this scenario.
D: Coordinator - The nurse is not primarily coordinating activities or resources in this scenario.
A cultural phenomenon that is based on biologic variation would include:
- A. belief that exposure of a pregnant woman to an eclipse can result in cleft lip.
- B. denser bones in blacks result in less morbidity associated with osteoporosis.
- C. the grandmother who determines that her grandchild has scoliosis and should seek treatment, then informs the parents of her decision.
- D. a family that participates in feasts prepared to celebrate and make decisions.
Correct Answer: A
Rationale: The correct answer is A because it describes a cultural belief that attributes a physical trait (cleft lip) to a specific biological event (exposure to an eclipse during pregnancy). This choice demonstrates a cultural phenomenon based on biologic variation.
Choice B is incorrect because it attributes denser bones in blacks to less morbidity from osteoporosis, which is a generalization and not necessarily a cultural phenomenon. Choice C is incorrect as it describes a family dynamic related to healthcare decision-making and not a cultural belief based on biologic variation. Choice D is incorrect as it describes a family tradition related to feasting and decision-making, which does not directly involve biologic variation.
A nurse responsible for staffing a medical-surgical unit must consider: (select all that apply)
- A. the patient census.
- B. physical layout of the unit.
- C. complexity of care required.
- D. educational level of all staff.
Correct Answer: A
Rationale: The correct answer is A: the patient census. This is crucial for determining the appropriate number of staff needed to provide safe and effective care based on the current number of patients. The patient census directly impacts workload and patient acuity levels. Choices B, C, and D are incorrect because although they may be important factors to consider when staffing a medical-surgical unit, they are not as directly related to determining the immediate staffing needs based on the current patient load. The physical layout of the unit, complexity of care required, and educational level of staff are important for overall unit operations and quality of care but do not have the same immediate impact on staffing decisions as the patient census.
A nurse on the unit is heard saying, "I am not going to document that I used four catheters to start that IV; it doesn't matter anyway." What action can help the staff nurse understand the financial budget goals of the unit?
- A. Have the nurse work in payroll for a week.
- B. Enroll the staff in continuing education units (CEU) for personal finance.
- C. Ask the nurse to represent the unit on the budget planning committee.
- D. Make the nurse responsible for monitoring all disposable equipment and supplies.
Correct Answer: C
Rationale: Rationale: Choice C is correct because asking the nurse to represent the unit on the budget planning committee will directly expose them to the financial budget goals. This involvement will provide insight into the importance of accurate documentation and resource utilization. It offers a practical understanding of how decisions impact the unit's financial health.
Summary:
A: Working in payroll does not directly connect the nurse to the unit's financial goals.
B: Personal finance CEUs are not specific to the unit's budget goals.
D: Monitoring supplies is important but does not provide a comprehensive understanding of the unit's financial budget goals.