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Staff are sometimes injured when a patient or visitor becomes agitated. If a staff member reports an injury, the following actions should take place: (EXCEPT)
- A. Notify security.
- B. Complete an incident report.
- C. Notify the nursing supervisor.
- D. Ensure that staff has been examined.
Correct Answer: B
Rationale: The correct answer is B: Complete an incident report. This is because completing an incident report is crucial for documenting the details of the injury, initiating an investigation, and implementing preventive measures. Notifying security (A) is important for immediate assistance. Notifying the nursing supervisor (C) ensures appropriate follow-up care. Ensuring staff has been examined (D) is essential for assessing and treating injuries. Completing an incident report is a standard protocol in healthcare settings to ensure proper documentation and accountability.
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Which of the following are effective ways to apply power and politics in nursing? (EXCEPT)
- A. Picketing the employer
- B. Networking with other professionals
- C. Writing letters to legislators
- D. Joining professional organizations
Correct Answer: A
Rationale: The correct answer is A. Picketing the employer is not an effective way to apply power and politics in nursing because it can create conflict and strain relationships.
1. Networking with other professionals (B) is effective for building alliances and influencing decisions.
2. Writing letters to legislators (C) can help advocate for policy changes and influence healthcare laws.
3. Joining professional organizations (D) provides a platform to collaborate with others and have a collective voice in shaping the nursing profession.
In summary, options B, C, and D are effective ways to apply power and politics in nursing, while option A can be counterproductive.
The nurse is taking a health history from a 29-year-old pregnant patient at the first prenatal visit. The patient reports no personal history of diabetes but has a parent who is diabetic. Which action will the nurse plan to take first?
- A. Teach the patient about administering regular insulin.
- B. Schedule the patient for a fasting blood glucose level.
- C. Discuss an oral glucose tolerance test for the twenty-fourth week of pregnancy.
- D. Provide teaching about an increased risk for fetal problems with gestational diabetes.
Correct Answer: B
Rationale: The correct answer is B: Schedule the patient for a fasting blood glucose level. At the first prenatal visit, it is important to assess the patient's risk factors for developing gestational diabetes, especially with a family history of diabetes. A fasting blood glucose level will provide an initial screening to determine if the patient is at risk for gestational diabetes. This test is non-invasive, cost-effective, and provides valuable information early in the pregnancy. Teaching about administering regular insulin (A) is premature without confirming a diagnosis. An oral glucose tolerance test at the twenty-fourth week (C) is typically done later in pregnancy to diagnose gestational diabetes. Providing teaching about fetal problems with gestational diabetes (D) is important but should come after confirming the diagnosis.
Which of the following is a challenge the profession of nursing faced?
- A. Nursing contributing to the stigma of AIDS in the 1980s out of fear.
- B. Nursing practice flourishing in field hospitals during the Korean War with abundant supplies and equipment.
- C. Many nurses feeling frustrated with the lack of independent functioning after the Vietnam War.
- D. A decline in the number of hospice nurses due to ethical dilemmas.
Correct Answer: C
Rationale: The correct answer is C because many nurses felt frustrated with the lack of independent functioning after the Vietnam War. This is a significant challenge as nurses were accustomed to a high level of autonomy in field hospitals during wartime but faced restrictions in civilian healthcare settings. This led to dissatisfaction and a sense of limitation in their professional roles.
Explanation of why other choices are incorrect:
A: Nursing contributing to the stigma of AIDS in the 1980s out of fear is not a challenge that the profession faced but rather a societal issue related to lack of knowledge and fear of the disease.
B: Nursing practice flourishing in field hospitals during the Korean War with abundant supplies and equipment is not a challenge but a positive aspect of nursing history.
D: A decline in the number of hospice nurses due to ethical dilemmas is a specific problem related to hospice care and not a widespread challenge faced by the entire profession of nursing.
A nurse is assessing a client's readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn?
- A. "I can concentrate best in the morning."
- B. "It is difficult to read the instructions because my glasses are at home."
- C. "I'm wondering why I need to learn this."
- D. "You will have to talk to my partner about this."
Correct Answer: D
Rationale: The correct answer is D because it shows the client is willing to involve their partner in the learning process, indicating readiness for education. Involving a partner can enhance support and understanding, leading to better adherence. A: Time preference does not directly relate to readiness to learn about insulin. B: Difficulty reading instructions due to glasses is a practical issue, not an indicator of readiness. C: Expressing doubt or questioning the necessity of learning indicates potential resistance or lack of motivation.
Professionalism has historically been difficult to define. Early definitions of professionalism included which of the following characteristics?
- A. Expertise
- B. Empathy
- C. Ethical and moral values
- D. Honesty
Correct Answer: A
Rationale: The correct answer is A: Expertise. Professionalism is often associated with possessing a high level of expertise or specialized knowledge in a particular field. This expertise allows professionals to perform their duties effectively and competently. Early definitions of professionalism emphasized the importance of possessing the necessary skills and knowledge to excel in one's profession.
Choices B, C, and D are incorrect because while empathy, ethical and moral values, and honesty are important characteristics of professionalism, they are not the defining factors. Empathy, ethics, and honesty are crucial components of professional behavior, but without expertise, a professional may not be able to effectively fulfill their responsibilities in their chosen field.