Nokea
Nurse practice acts:
- A. are written and passed by legislators.
- B. cannot be influenced by special interest groups.
- C. reflect only the concerns of RNs.
- D. are affected by the practice of dentists.
Correct Answer: A
Rationale: The correct answer is A: Nurse practice acts are written and passed by legislators. This is because nurse practice acts are laws that govern the scope of practice for nurses, outlining their responsibilities, licensure requirements, and standards of care. Legislators create and pass these acts to ensure public safety and regulate the nursing profession. Choice B is incorrect because special interest groups can influence legislation. Choice C is incorrect as nurse practice acts also apply to other types of nurses, not just RNs. Choice D is incorrect as dentist practices are governed by separate laws and regulations.
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In the preparedness phase for disasters, the community plans for a possible terrorist attack using anthrax as the weapon of destruction. What treatments and/or preparations would be needed?
- A. Vaccines and Level B Personal Protection Equipment (PPE)
- B. Treatment for burns, decontamination, and Level A PPE
- C. Social distance determination, decontamination for radioactive fallout
- D. Identify and detect incendiary devices, treatment for burns and propellants
Correct Answer: A
Rationale: The correct answer is A: Vaccines and Level B Personal Protection Equipment (PPE). In the preparedness phase for a terrorist attack using anthrax, vaccines are crucial for prevention. Level B PPE provides respiratory protection and skin protection against anthrax spores. This is essential for healthcare workers and first responders.
Choice B is incorrect as it mentions treatment for burns, which is not relevant to anthrax exposure. Decontamination and Level A PPE are not specifically needed for anthrax. Choice C is incorrect as it mentions radioactive fallout, which is not relevant to anthrax. Social distancing is also not effective in preventing anthrax exposure. Choice D is incorrect as it mentions incendiary devices and treatment for burns, which are not related to anthrax exposure. Identifying and detecting propellants is also not relevant to anthrax preparedness.
A novice nurse is unsure of his ability to insert a nasogastric tube for one of the assigned patients who is vomiting coffee ground emesis. The novice nurse waits, hoping that someone with more experience will volunteer to do the job, or he just waits until the end of the shift. This nurse is practicing:
- A. energy management.
- B. priority setting.
- C. procrastination.
- D. introspection.
Correct Answer: C
Rationale: The correct answer is C: procrastination. Procrastination is the act of delaying or avoiding a task that needs to be accomplished. In this scenario, the novice nurse is avoiding the task of inserting a nasogastric tube for a patient who needs it due to uncertainty and fear. Waiting for someone else to volunteer or delaying the task until the end of the shift are clear examples of procrastination. Energy management (A) involves efficiently allocating time and resources, which is not demonstrated here. Priority setting (B) would involve recognizing the urgency of the situation and taking appropriate action. Introspection (D) refers to self-reflection and analyzing one's thoughts and feelings, which is not the primary issue at hand in this scenario.
According to the unit's policy for call-ins, a nurse is suspended for 3 days because of excessive call-ins that occur within 15 minutes of shift change. The nurse states, "You are unfair to me." Which theory would disprove the nurse's statement?
- A. Authoritative
- B. Closed systems
- C. Open systems
- D. Trait
Correct Answer: C
Rationale: The correct answer is C: Open systems. In an open system theory, organizations interact with their environment, adapting to changes and feedback. In this case, the nurse's repeated excessive call-ins affecting shift change demonstrate a lack of consideration for the team and patient care, disrupting the system's functioning. This theory emphasizes the interconnectedness and impact of individual actions on the entire system, refuting the nurse's claim of unfair treatment.
Summary:
A: Authoritative - Focuses on centralized decision-making authority, not relevant to addressing the nurse's behavior.
B: Closed systems - Operate independently without external influences, not applicable as the nurse's actions impact the system.
D: Trait - Focuses on individual characteristics, not addressing the systemic impact of the nurse's behavior.
Which experience is best designed to support a nursing student's preparation for interprofessional team participation?
- A. Attending a seminar on interprofessional team cooperation
- B. Completing a preceptorship with an advanced practice nurse
- C. Carrying for three patients with varying medical diagnoses
- D. Presenting patient information at the daily care planning meeting on a mental health unit
Correct Answer: B
Rationale: The correct answer is B, completing a preceptorship with an advanced practice nurse. This experience allows the nursing student to directly work with and learn from a more experienced healthcare professional, gaining firsthand knowledge of interprofessional collaboration, communication, and teamwork. The preceptorship provides practical, real-world exposure to interprofessional team dynamics and allows for mentorship and guidance.
A: Attending a seminar may provide theoretical knowledge but lacks the practical application and direct experience of working within a team.
C: Caring for patients with varying medical diagnoses is important for developing clinical skills but may not specifically focus on interprofessional team participation.
D: Presenting patient information at a meeting involves communication skills but does not offer the same level of hands-on experience in interprofessional teamwork as a preceptorship.
A nurse is interested in learning how reminiscence therapy can improve memory in cognitively intact persons over the age of 65 years. Findings from three groups are compared. Group 1 receives music therapy, Group 2 receives life review therapy, and Group 3 does not receive therapy, but data are collected from all three groups and compared. Group 3 is known as the:
- A. pilot study.
- B. survey.
- C. needs assessment.
- D. control group.
Correct Answer: D
Rationale: The correct answer is D: control group. In this study design, Group 3 serves as the control group to compare the effects of music therapy and life review therapy on memory. The control group does not receive any intervention, allowing researchers to isolate the impact of the therapies. This helps determine if any observed improvements in memory are due to the therapies and not other factors. A pilot study (A) is a small-scale preliminary investigation, not a comparison group. A survey (B) is a data collection method, not a comparison group. A needs assessment (C) is used to determine needs, not a comparison group. Thus, the control group is essential in research to establish causal relationships.