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Nurses working on an orthopedic unit use personal digital assistants (PDAs) to review medications prior to administration to reduce potential drug interactions. Software is also installed that provides video clips of common procedures performed by nurses. Nurses on this unit are best demonstrating which QSEN competencies?
- A. Patient-centered care
- B. Informatics
- C. Teamwork
- D. Quality improvement
Correct Answer: B
Rationale: The correct answer is B: Informatics. Nurses on the orthopedic unit are demonstrating informatics competency by using PDAs for medication review and accessing video clips for procedures. This showcases their ability to utilize technology to enhance patient care. Patient-centered care (A) focuses on individualized care, teamwork (C) emphasizes collaboration, and quality improvement (D) pertains to enhancing processes. The use of technology in this scenario aligns most closely with the informatics competency, making it the best choice.
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A nurse is caring for a client who just consented to an elective abortion. The nurse is unsure of his or her own values as they relate to this issue. The nurse must:
- A. know his or her own values and how these values relate to beliefs and the philosophy of nursing.
- B. rid the impurities in his or her value system.
- C. ignore his or her own values.
- D. realize that values do not change and that they cannot be influenced by others.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Understanding one's values: It is essential for the nurse to know their own values and how these impact their nursing practice.
2. Relationship to beliefs and nursing philosophy: Knowing one's values helps align with the ethical principles and philosophy of nursing.
3. Ethical decision-making: By understanding personal values, the nurse can make informed and ethical decisions in the care of the client.
4. Professional integrity: Being aware of personal values promotes professional integrity and ensures the nurse's actions are in line with ethical standards.
Summary:
- Option B is incorrect as the focus should be on understanding and reconciling one's values rather than eliminating them.
- Option C is incorrect as ignoring one's values can lead to ethical dilemmas and compromise the quality of care.
- Option D is incorrect as values are subject to change and can be influenced by various factors, including professional experiences and education.
A patient observes the practitioner burning a dried herb on the needle during an acupuncture session and asks about this practice. The practitioner responds, "I am inciting the acupuncture points and this is referred to as:
- A. doshas."
- B. moxibustion."
- C. yoga."
- D. kapha."
Correct Answer: B
Rationale: The correct answer is B: moxibustion. Moxibustion is a traditional Chinese medicine technique that involves burning dried herbs on or near acupuncture points to stimulate them. This practice helps to improve the flow of Qi and promote healing. Doshas (choice A) and kapha (choice D) are terms from Ayurveda, not related to acupuncture. Yoga (choice C) is a separate practice that involves physical postures and breathing exercises, not burning herbs on acupuncture points.
Einstein's theory of relativity laid the groundwork for theories of mathematics, and Freud and Jung provided the basis for a philosophy of man. Which nursing theory served as the foundation for nursing science?
- A. Rogers' science of unitary human beings
- B. Nightingale's theory of practice
- C. Watson's theory of human caring
- D. King's theory of goal attainment
Correct Answer: A
Rationale: The correct answer is A: Rogers' science of unitary human beings. Martha Rogers' theory emphasizes the interconnectedness of humans and the environment, showing how individuals are unified with their surroundings. This theory serves as the foundation for nursing science by focusing on the holistic nature of individuals and their environment, aligning with the core principles of nursing practice. Rogers' theory guides nurses in understanding the interconnectedness of human beings and their environment, shaping the way nursing care is delivered.
Summary of other choices:
B: Nightingale's theory of practice focuses on environmental factors and cleanliness in healthcare settings, but it does not provide the comprehensive framework for nursing science.
C: Watson's theory of human caring emphasizes the importance of caring in nursing, but it does not serve as the fundamental basis for nursing science.
D: King's theory of goal attainment emphasizes goal setting and achieving outcomes in nursing care, but it does not lay the foundational principles for nursing science.
Students are assigned to write to their state leaders about an issue affecting their community. One student writes about the need among rural community for greater access to acute care services. Which of the following pieces of legislation should the student use as a reference?
- A. Social Security Act
- B. Hill-Burton Act
- C. Sheppard-Towner Act
- D. U.S. Civil Service Act
Correct Answer: B
Rationale: The correct answer is B: Hill-Burton Act. This legislation established a program to provide federal grants for the construction of hospitals and healthcare facilities in underserved areas. It specifically addressed the need to improve access to healthcare services, aligning with the student's concern about acute care services in rural communities. The other choices are incorrect because: A: Social Security Act primarily focuses on social insurance programs; C: Sheppard-Towner Act focused on maternal and child healthcare; D: U.S. Civil Service Act pertains to regulations for federal employees, none of which directly address the issue of access to acute care services in rural communities.
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.