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Managers at an acute care facility value the contributions of their aging nursing workforce and make recommendations to accommodate for an aging nursing workforce. They institute for which changes? (select all that apply)
- A. Supplies such as dressing change and Foley catheter kits are placed on the nursing unit.
- B. Teamwork and development of new roles such as admission nurse are encouraged.
- C. Daycare centers for sick children are put into place to prevent the stress of having to find alternative daycare.
- D. Assistive devices for lifting as recommended by ANA's Handle with Care are made available.
Correct Answer: A
Rationale: The correct answer is A because placing supplies on the nursing unit helps accommodate aging nursing workforce by reducing physical strain from frequent trips to supply rooms. This change supports ergonomic principles and promotes efficiency. Choice B may not directly address the physical challenges of aging nurses. Choice C addresses a different issue unrelated to accommodating aging nurses. Choice D, while important, focuses on one specific aspect of accommodation and may not be as universally beneficial as having supplies readily available.
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A nurse is hoping for a promotion and seeks the help of a coach to improve time management skills. The first task assigned by the coach is for the nurse to list all external distractors that prevent organization and completion of tasks. The nurse would include:
- A. waiting for oncoming shift to start walking rounds.
- B. failure to delegate tasks to the licensed practical nurse and unlicensed assistive personnel and instead, completing task herself.
- C. talking with a patient's family member who is also a personal friend.
- D. spending time thinking about the vacation to the beach.
Correct Answer: A
Rationale: The correct answer is A because waiting for the oncoming shift to start walking rounds is an external distractor that can affect time management. The nurse cannot control when the shift starts, leading to potential delays in task completion.
Incorrect choices:
B: Failure to delegate tasks is an internal issue, not an external distractor.
C: Talking with a patient's family member who is a personal friend is a boundary issue, not necessarily an external distractor.
D: Thinking about a vacation is also an internal distraction, not an external one.
In summary, the correct answer focuses on an external factor that the nurse cannot directly control, affecting time management, while the other choices are related to internal issues or personal boundaries.
Nurses on a unit provide personal hygiene, administer medications, educate the patient and family about treatments, and provide emotional support. These nurses provide patient care based on which nursing delivery system?
- A. Total patient care
- B. Partnership nursing
- C. Team nursing
- D. Functional nursing
Correct Answer: A
Rationale: The correct answer is A: Total patient care. Total patient care system involves one nurse being responsible for all aspects of care for a specific patient, including personal hygiene, medication administration, education, and emotional support. This system ensures continuity, individualized care, and better communication between the nurse, patient, and family. Partnership nursing (B) involves collaboration between the nurse and patient, team nursing (C) involves a team of healthcare providers working together, and functional nursing (D) involves dividing tasks among different healthcare professionals, none of which fully align with the comprehensive care provided in total patient care system.
In the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination test plan, client needs form the organizing framework of the examination with questions in four categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiologic integrity. Certain processes are then integrated throughout the categories of client needs. Which process is integrated into all client need categories?
- A. Teaching/learning
- B. Health promotion
- C. Infection control
- D. Pharmacology
Correct Answer: C
Rationale: 1. Infection control is crucial in ensuring safe and effective care for all clients.
2. Infection control measures are essential in preventing the spread of infections in healthcare settings.
3. Infection control is relevant in promoting and maintaining health by preventing illness.
4. Psychosocial integrity can be compromised by infections, making infection control important in this category.
5. Physiologic integrity involves preventing and managing infections through proper protocols.
6. While teaching/learning, health promotion, and pharmacology are important, they are not integrated into all client need categories like infection control.
A nurse providing care at the bedside receives an "alert" that a patient's stat potassium level is 5 and digoxin (Lanoxin) is scheduled. The nurse holds the medication and prevents a possible complication. This feature of the Electronic Health Record is available through which core function of EHR?
- A. Order entry/order management
- B. Decision support
- C. Patient support
- D. Administrative support
Correct Answer: B
Rationale: The correct answer is B: Decision support. In this scenario, the nurse received an alert regarding a potential drug interaction between the patient's potassium level and the scheduled digoxin. Decision support in EHR provides real-time clinical guidance to healthcare providers, helping them make informed decisions to improve patient safety. Holding the medication in response to the alert demonstrates the effective use of decision support to prevent adverse drug events. Choices A, C, and D do not directly relate to the situation described and do not involve the clinical decision-making support provided by EHRs.
When the job applicant is asked to identify weaknesses, one appropriate reply for the novice nurse might be:
- A. "I have no weaknesses."
- B. "Are you trying to set me up?"
- C. "Delegating to peers."
- D. "Caring requires weakness."
Correct Answer: C
Rationale: The correct answer is C: "Delegating to peers." This response shows self-awareness and willingness to improve by acknowledging a common weakness for novice nurses - difficulty in delegating tasks to peers. It demonstrates a willingness to learn and grow in the role.
A: "I have no weaknesses." - This answer lacks self-awareness and does not show a willingness to improve. It comes across as overconfident.
B: "Are you trying to set me up?" - This response is defensive and unprofessional. It does not address the question directly.
D: "Caring requires weakness." - This answer is vague and does not provide a specific weakness or show a proactive approach to self-improvement.