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The advanced practice nurse who is seeking information about requirements for practice in a specialized area should contact the:
- A. American Nurses Association (ANA).
- B. National League for Nursing (NLN).
- C. American Nurses Credentialing Center (ANCC).
- D. National Council of State Boards of Nursing (NCSBN).
Correct Answer: C
Rationale: The correct answer is C: American Nurses Credentialing Center (ANCC). ANCC is the primary organization responsible for certifying advanced practice nurses in specialized areas. They provide information on requirements for practice, certification exams, and continuing education. ANA (A) focuses on promoting the profession of nursing. NLN (B) focuses on nursing education. NCSBN (D) oversees the state boards of nursing and does not specifically provide information on requirements for practice in specialized areas.
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A patient experiences migraine headaches that are not relieved by traditional Western medical practices. The family physician suggests acupuncture, which: (select all that apply)
- A. is based on the belief that meridians are vital for life, and when they are out of balance, pain occurs.
- B. uses strategically placed, slender needles for pain relief.
- C. uses breathing exercises and meditation to relieve pain.
- D. corrects metabolic imbalance through purification regimens.
Correct Answer: A
Rationale: The correct answer is A because acupuncture is indeed based on the belief that meridians, energy pathways in the body, are vital for life and when they are out of balance, pain occurs. Acupuncture aims to restore the balance of these meridians to alleviate pain.
Explanation:
1. Acupuncture theory is rooted in Traditional Chinese Medicine, which emphasizes the flow of energy (Qi) along meridians.
2. By inserting needles at specific points along the meridians, acupuncturists aim to restore the balance of Qi and alleviate pain.
3. Meridian theory is fundamental to the practice of acupuncture and differentiates it from other pain relief modalities.
4. Choices B, C, and D are incorrect as they do not accurately represent the core principles of acupuncture and how it works.
Summary:
Option A is correct because it aligns with the foundational principles of acupuncture, focusing on meridians and energy balance. Options B, C, and D are
A nurse manager plans the fiscal budget to include salaries for two RNs for two 12-hour shifts with a patient census of 6 in the short-stay observation room. The nurse manager reviews the budget report 3 months later and notes that the salary expenses are higher than was budgeted because of higher-than-planned RN staff salaries. This additional RN staff is necessary to meet patient care needs because the census has remained constant at 10 patients rather than the 6 projected when the budget was developed. The difference between the planned budget and the actual cost is known as:
- A. revenue.
- B. variance.
- C. monitoring.
- D. capital expenditures.
Correct Answer: B
Rationale: The correct answer is B: variance. In this scenario, the nurse manager planned a budget based on a patient census of 6 but the actual census remained constant at 10, leading to higher-than-planned RN staff salaries. The difference between the planned budget and the actual cost is known as a variance. Variances help identify discrepancies between planned and actual expenses, enabling managers to adjust budgets accordingly. Revenue (A) refers to income generated, not the difference between planned and actual expenses. Monitoring (C) is the process of overseeing and evaluating activities, not specifically related to budget discrepancies. Capital expenditures (D) are long-term investments in assets, not related to budget variances.
An older adult is unable to reach the telephone and is found dead at home several hours later. The son of the deceased person arrives at the hospital and asks, "Can I just please stay and hold my dad's hand? He was so afraid of dying alone." Which response by the nurse shows empathy?
- A. "You are just too late for that. Where were you when he needed you?"
- B. "Did you ever consider purchasing a cell phone for your dad to prevent this from happening?"
- C. "I'll close the door so you can spend time with your dad. I will check back in a few minutes."
- D. "I lost my dad last year. He died alone. He was a policeman. I am just like you. Let me stay here and console you."
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy by acknowledging the son's request and providing support. By closing the door to allow privacy and promising to check back, the nurse shows understanding and compassion for the son's emotional needs.
Choice A is incorrect as it is insensitive and blames the son. Choice B is inappropriate as it shifts the focus to purchasing a cell phone rather than addressing the son's emotional state. Choice D is also incorrect as it redirects the attention to the nurse's personal experience, failing to address the son's specific request.
Florence Nightingale is attributed with being intelligent (she developed statistical methods to evaluate health care), dependable (she often worked long hours to care for the injured), and ambitious (she fought against society's perception of nursing). Those who depict her as a leader on the basis of these qualities are practicing which leadership theory?
- A. Trait
- B. Chaos
- C. Bureaucracy
- D. Organizational
Correct Answer: A
Rationale: Step 1: Identify the qualities attributed to Florence Nightingale: intelligent, dependable, ambitious.
Step 2: Recognize these qualities as traits.
Step 3: Trait theory states that effective leaders possess certain traits.
Step 4: Florence Nightingale's leadership qualities align with trait theory.
Step 5: Therefore, depicting her as a leader based on her traits falls under trait theory.
Summary:
A: Trait theory focuses on inherent qualities of leaders, which align with Florence Nightingale's qualities.
B: Chaos theory emphasizes unpredictability and complexity, not relevant here.
C: Bureaucracy theory centers on structured organizations, not applicable to Nightingale's personal traits.
D: Organizational theory addresses structure and management within organizations, not related to individual leadership attributes like traits.
A bronze statue of a nurse in battle fatigues who is obviously exhausted but demonstrates caring by holding a soldier's head is an artistic representation of nurses who served in which war?
- A. World War I
- B. World War II
- C. Spanish-American War
- D. Vietnam War
Correct Answer: B
Rationale: The correct answer is B: World War II. This statue represents the iconic image of a nurse caring for a soldier during WWII. Nurses played a crucial role in providing medical care and support during the war, often under extreme conditions. The exhausted yet caring portrayal of the nurse holding the soldier's head captures the compassion and dedication of nurses during WWII.
Explanation for other choices:
A: World War I - While nurses also served valiantly in WWI, the imagery of this statue is more closely associated with WWII.
C: Spanish-American War - Nurses did serve in this war, but the statue's depiction aligns more with the context of WWII.
D: Vietnam War - The statue's portrayal does not align with the historical context or imagery commonly associated with nurses in the Vietnam War.