Nokea
Nursing in the 1990s was characterized by:
- A. men leaving nursing to enter the armed services.
- B. traditional 8-hour shifts to nurse burnout and compassion fatigue.
- C. a focus on preventable diseases.
- D. a decrease in nursing research.
Correct Answer: C
Rationale: The correct answer is C: a focus on preventable diseases. In the 1990s, nursing shifted towards preventative care due to the rise in chronic diseases. Nurses focused on educating patients on disease prevention strategies and promoting healthy lifestyles. This shift was in response to the increasing healthcare costs associated with treating preventable illnesses.
A: Men leaving nursing to enter the armed services is irrelevant to the characterization of nursing in the 1990s.
B: Traditional 8-hour shifts leading to nurse burnout and compassion fatigue may have been a challenge in the 1990s, but it does not characterize the entire nursing profession during that time.
D: There was actually an increase in nursing research during the 1990s, so this choice is incorrect.
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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.
One difference between a leader and a manager is that a:
- A. leader has legitimate authority.
- B. manager motivates and inspires others.
- C. manager focuses on coordinating resources.
- D. leader focuses on accomplishing goals of the organization.
Correct Answer: C
Rationale: Step 1: A manager focuses on coordinating resources, such as people, time, and materials, to achieve organizational goals.
Step 2: Coordinating resources is a key responsibility of a manager, as it involves planning, organizing, and controlling to ensure efficient operations.
Step 3: Leaders, on the other hand, focus on setting a vision, inspiring and motivating others to achieve goals.
Step 4: While both leaders and managers play crucial roles, the distinction lies in their primary focus and responsibilities.
Step 5: Therefore, the correct answer is C, as it accurately reflects the key difference between a leader and a manager.
Nurses in a unionized hospital are paid "compensatory pay" when working holidays equal to the number of hours worked with no extra compensation. Although they have suggested changes during the annual survey of employee satisfaction, management refuses to consider another system for compensatory pay. A trained member listened to both nurses and management to make recommendations that were not legally binding. This type of settlement is termed:
- A. picketing.
- B. binding arbitration.
- C. mediation.
- D. grievance.
Correct Answer: C
Rationale: The correct answer is C: mediation. In this scenario, a trained member listened to both parties (nurses and management) and made recommendations that were not legally binding. Mediation involves a neutral third party facilitating communication and negotiation between conflicting parties to help them reach a mutually acceptable resolution. It is non-binding, unlike binding arbitration, where a decision is imposed on the parties. Picketing involves organized striking by employees to protest against employer practices. Grievance is a formal complaint process within an organization. Mediation is the appropriate term for this non-binding settlement process in this context.
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 novice nurse is in the "rejection phase" of stress and wonders if she made the right decision when deciding nursing was her chosen career. Which strategy would help the novice nurse cope with transition into practice and reduce stress?
- A. When asked by the charge nurse to accept the new admission even though she had no discharges, the novice nurse stops and considers if this request is acceptable and safe, then accepts the assignment based on two patients having a low acuity level.
- B. Refusing to eat anywhere but the hospital cafeteria to ensure a balanced diet and time to socialize with other staff and visitors.
- C. Avoid wasting time by listening to coworkers' problems or ideas on how to staff the unit during the upcoming holiday since the novice nurse's time is valuable and better spent getting her own work completed.
- D. Make an effort to "win over" hostile or angry coworkers who find fault with the novice nurse's work performance.
Correct Answer: A
Rationale: The correct answer is A because it demonstrates a proactive and thoughtful approach to decision-making. By stopping to consider the request and assessing its safety implications before accepting it based on patient acuity levels, the novice nurse is prioritizing patient safety and her own capabilities. This strategy helps her cope with the transition into practice by promoting critical thinking and confidence in her decision-making skills.
Summary of why the other choices are incorrect:
B: Refusing to eat anywhere but the hospital cafeteria may lead to social isolation and restrict the novice nurse's ability to engage with others outside of work.
C: Ignoring coworkers' problems or staffing ideas can create a negative work environment and hinder teamwork, potentially increasing stress levels for the novice nurse.
D: Focusing on winning over hostile coworkers may detract from the novice nurse's professional growth and cause unnecessary stress from seeking validation from others.