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Which statement is true regarding the shortage of nurses in the United States?
- A. There are a larger proportion of younger nurses in the workforce as compared with older nurses.
- B. As a result of decreased RN-to-patient ratios, there is a decrease in patient mortality in the clinical setting.
- C. Nursing programs are turning away qualified applicants.
- D. There are adequate classroom and clinical facilities for training RNs.
Correct Answer: C
Rationale: The statement that nursing programs are turning away qualified applicants is true regarding the shortage of nurses in the United States. Despite the growing demand for healthcare services and the critical need for more nurses, nursing schools across the country face challenges in accepting all qualified applicants due to a shortage of nursing faculty, limited clinical space, and budget constraints. This bottleneck in nursing education and training contributes to the shortage of nurses in the workforce. As a result, many potential nursing students who are qualified and interested in pursuing a career in nursing are being turned away from programs, exacerbating the shortage.
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A nurse is assessing a newborn who is 10 hr olWhich of the following findings should the nurse report to the provider?
- A. Axillary temperature 36.5° C (97.7° F)
- B. Nasal flaring
- C. Heart rate 158/min
- D. One void since birth
Correct Answer: B
Rationale: Nasal flaring is a sign of respiratory distress in a newborn, which may indicate underlying conditions such as transient tachypnea or respiratory infection. Prompt evaluation and intervention are necessary to ensure adequate oxygenation.
The nurses working at a newly established birthing center have begun to compare their performance in providing maternal-newborn care against clinical standards. This comparison process is most commonly known as what?
- A. Best practices network
- B. Clinical benchmarking
- C. Outcomes-oriented practice
- D. Evidence-based practice
Correct Answer: C
Rationale: Outcomes-oriented practice measures the effectiveness of interventions and quality of care against benchmarks or standards.
The nurse is providing care to a patient who was just admitted to the labor and birth unit in active labor at term. The patient informed the nurse, “I have not received any prenatal care because I cannot afford to go to the doctor. And, this is my third baby, so I know what to expect.” What is the nurse’s primary concern when developing the patient’s plan of care?
- A. Low birth weight
- B. Oligohydramnios
- C. Gestational diabetes
- D. Gestational hypertension
Correct Answer: A
Rationale: The nurse's primary concern when developing the plan of care for a patient who has not received prenatal care and is now in active labor is the risk of low birth weight for the baby. Prenatal care plays a crucial role in monitoring the health of the pregnant woman and her baby, ensuring appropriate growth and development, and identifying any potential issues early on. Without prenatal care, important factors such as maternal nutritional status, appropriate weight gain, screening for conditions that can affect the baby's growth, and management of any complications during pregnancy may not have been addressed. As a result, the baby is at increased risk for being born with a low birth weight, which can lead to various health problems and complications both immediately after birth and in the long term. Therefore, the nurse should prioritize monitoring and addressing the risk of low birth weight in this situation.
Historically what was the justification for the victimization of women?
- A. Women were regarded as possessions.
- B. Women were created subordinate to men.
- C. Women were the 'weaker sex.'
- D. Control of women was necessary to protect them.
Correct Answer: A
Rationale: Misogyny, patriarchy, devaluation of women, power imbalance, a view of women as property, gender-role stereotyping, and acceptance of aggressive male behaviors as appropriate contributed and continue to contribute to the subordinate status of women in many of the world's societies.
A charge nurse is working on a postpartum unit and discovers that one of the patients did not receive AM care during her shift assessment. The charge nurse questions the nurse assigned to provide care and finds out that the nurse thought “the patient should just do it by herself because she will have to do this at home.” On further questioning of the nurse, it is determined that the rest of her assigned patients were provided AM care. The assigned nurse has violated which ethical principle?
- A. Justice
- B. Truth
- C. Confidentiality
- D. Autonomy
Correct Answer: A
Rationale: Justice in healthcare ethics refers to the fair and equal distribution of resources, care, and treatment. In this scenario, the nurse's decision to not provide AM care to the specific patient, while providing care to other patients, violates the principle of justice. It is unfair and unjust to selectively provide care based on personal assumptions rather than patients' needs. All patients should be treated equally and receive appropriate care regardless of individual beliefs or assumptions.