Nokea
It is important to realize that nurses may seek unionization if: (select all that apply)
- A. physicians rotate on-call coverage among group members for complicated long-term clients.
- B. scheduling is presented that provides adequate staffing on holidays by rotation of time off for holidays among nurses.
- C. incident report trends indicate medication errors are caused by shift reports being taped and heard after nurses from the prior shift have left the unit.
- D. physicians, nurses, nutritionists, and physical therapists visit concurrently with clients to plan care.
Correct Answer: C
Rationale: Rationale:
Choice C is correct because it highlights a significant issue related to patient safety - medication errors caused by delayed shift reports. This creates a legitimate concern for nurses regarding the effectiveness of communication and ultimately patient care. Seeking unionization could be a way for nurses to address this issue collectively.
Summary:
- Choice A is incorrect as it focuses on physician coverage rather than nurse concerns.
- Choice B is incorrect as it addresses staffing and scheduling but does not directly relate to nurses seeking unionization.
- Choice D is incorrect as it describes a collaborative care approach, which does not necessarily indicate a need for unionization among nurses.
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When an RN is asked to accept an assignment that he or she may not be qualified to perform, the nurse should:
- A. accept the assignment as appropriate if assigned by a legitimate power.
- B. be primarily concerned with the number of patients being assigned.
- C. ask how other nurses have handled the assignment in the past.
- D. determine whether he or she is familiar with the types of patients being assigned.
Correct Answer: D
Rationale: Step-by-step rationale for why Answer D is correct:
1. Ensures patient safety: RN should only accept assignments they are qualified for to provide safe care.
2. Upholds professional standards: Accepting only familiar assignments aligns with nursing scope of practice.
3. Legal and ethical responsibility: RN must prioritize patient well-being over external pressures.
4. Promotes personal growth: RN can seek additional training for unfamiliar assignments.
Summary:
- A: Incorrect. Accepting based on power dynamics disregards patient safety and professional ethics.
- B: Incorrect. Patient safety should be the primary concern over workload.
- C: Incorrect. Past handling may not guarantee appropriateness. Focus should be on personal qualification.
A young child is having abdominal pain, and the doctor informs the parents that a computed tomography (CT or CAT) scan of the abdomen will be ordered. The doctor tells the child, "This CAT scan won't hurt you." The child is visibly upset because of a fear of cats. According to Mishel's uncertainty in illness theory, which stage of the framework is represented?
- A. Stimuli frame
- B. Appraisal stage
- C. Initiation of coping mechanisms
- D. Adaptation
Correct Answer: A
Rationale: Step 1: The child is upset due to a fear of cats, leading to uncertainty about the situation.
Step 2: Mishel's uncertainty in illness theory focuses on how individuals respond to uncertainty in health-related situations.
Step 3: In this case, the child's fear of cats creates a misinterpretation of the term "CAT scan."
Step 4: This misinterpretation falls under the Stimuli frame stage, where the individual perceives the situation based on external cues.
Step 5: Other choices are incorrect as they do not directly address the initial misinterpretation caused by the fear of cats.
In summary, choice A is correct because it aligns with Mishel's theory by highlighting the initial stimuli (fear of cats) causing uncertainty in the child's understanding of the situation. Choices B, C, and D are incorrect as they do not address the specific misinterpretation of the term "CAT scan" due to the fear of cats.
A state is devastated by a tornado killing many people, destroying communication systems, utility services, homes, and medical facilities. The state requests immediate assistance from the U.S. Congress and from surrounding states. The affected state should first contact the:
- A. Emergency Management Assistance Compact (EMAC).
- B. Institute of Medicine (IOM).
- C. Red Cross.
- D. Strategic National Stockpile.
Correct Answer: A
Rationale: The correct answer is A: Emergency Management Assistance Compact (EMAC).
1. EMAC is a mutual aid agreement among states for disaster response.
2. It allows affected states to request and receive assistance from other states.
3. It facilitates coordination and deployment of resources quickly in emergencies.
4. IOM focuses on health research, Red Cross on humanitarian aid, and Strategic National Stockpile on medical supplies, but they do not provide the immediate multi-sectoral assistance needed in this scenario.
The novice nurse arrives on the nursing unit, is introduced to the staff, is assigned a preceptor, and is asked to participate in the next staff meeting. This introduction into nursing is appropriately termed:
- A. biculturalism.
- B. socialization.
- C. transition.
- D. "going native."
Correct Answer: B
Rationale: The correct answer is B: socialization. Socialization is the process by which individuals learn and adapt to the values, norms, and behaviors of a particular group, in this case, the nursing profession. In this scenario, the novice nurse is being introduced to the staff, assigned a preceptor, and asked to participate in a staff meeting, all of which are key components of the socialization process in nursing.
A: Biculturalism refers to the coexistence of two distinct cultures within one society, which is not applicable in this context.
C: Transition is the process of changing from one state to another, which is a broader concept than just the introduction to a new profession.
D: "Going native" is a colloquial term that refers to adopting the lifestyle or customs of a foreign culture, which is not relevant to the scenario of a novice nurse being introduced to the nursing profession.
Nurses caring for the victims of a mass casualty incident:
- A. determine the common terminology to be used by hospitals and participating agencies.
- B. take charge of communicating with the news media.
- C. determine whether there is a credible threat of a terrorist attack.
- D. give priority for care to those with the greatest chance of survival rather than those most critically ill.
Correct Answer: D
Rationale: The correct answer is D because prioritizing care based on the greatest chance of survival maximizes the number of lives saved in a mass casualty incident. This approach follows the principle of triage, which aims to allocate resources efficiently. Choice A is incorrect as it pertains to coordination rather than immediate patient care. Choice B is incorrect as it is not the primary role of nurses during a mass casualty incident. Choice C is incorrect as determining a credible threat is the responsibility of security and law enforcement, not nurses.