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The nurse is demonstrating active listening when:
- A. while assessing the patient's vital signs, the nurse records the data and states, "You are improving, your vital signs are normal."
- B. eye contact is maintained while focusing on the patient as the patient describes the current pain level and location.
- C. he or she states, "I know how you feel, I recently lost my father and I am still hurting."
- D. cultural values are in opposition to the patient but shares that "I agree with your decision to use herbs rather than the prescribed medications."
Correct Answer: B
Rationale: The correct answer is B because maintaining eye contact while focusing on the patient's description of pain level and location demonstrates active listening. This non-verbal communication shows empathy and attentiveness to the patient's concerns. Choice A focuses on providing information rather than actively listening. Choice C involves personalizing the situation rather than focusing on the patient's needs. Choice D involves agreeing with the patient's decision rather than actively listening to understand their perspective.
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A nurse is given a referral to make a home visit to a Russian immigrant. The nurse knows very little about the health beliefs of this ethnic group. To research this group, she can use an Internet search engine and enter the term "Russian cultures" or "Russian health beliefs." To obtain more generalized information, she could also search under:
- A. federally recognized minorities.
- B. marginalized populations.
- C. Asian/Pacific Islander cultures.
- D. Latino cultures.
Correct Answer: A
Rationale: The correct answer is A: federally recognized minorities. This is because Russian immigrants are considered a federally recognized minority group in the United States. By searching under this category, the nurse can find specific and relevant information about the health beliefs and practices of this particular ethnic group. Choices B, C, and D are incorrect because they do not specifically pertain to the Russian immigrant population. Marginalized populations (B) may include various minority groups but may not provide specific information about Russian immigrants. Similarly, Asian/Pacific Islander cultures (C) and Latino cultures (D) do not encompass the unique health beliefs and practices of Russian immigrants.
The practice of public health nursing and the Henry Street Settlement are credited to:
- A. Mary Breckenridge.
- B. Mary Seacole.
- C. Clara Barton.
- D. Lillian Wald.
Correct Answer: D
Rationale: The correct answer is D: Lillian Wald. Lillian Wald is credited with founding the Henry Street Settlement in New York City in 1893, which pioneered the practice of public health nursing in the United States. She emphasized the importance of providing healthcare services to underserved populations in their own communities. Mary Breckenridge, known for establishing the Frontier Nursing Service, is not associated with the Henry Street Settlement. Mary Seacole was a British-Jamaican nurse known for her work during the Crimean War, not for public health nursing in the US. Clara Barton is known for founding the American Red Cross, not the Henry Street Settlement. Therefore, the correct answer is D, Lillian Wald.
A concern that nurses were being asked to perform tasks that went beyond the state's nurse practice act was brought to the union's attention. Nurses were informed that either mediation or binding arbitration will be used to resolve the issue. A novice nurse asks about the difference between these techniques and is informed that:
- A. mediation is sanctioned by the National Labor Relations Board (NLRB) to formally discuss concerns with management and labor.
- B. binding arbitration is a formal discussion between labor and management in which the arbitrator's recommendations are compulsory.
- C. mediation uses a trained person to negotiate a legally binding plan.
- D. binding arbitration requires both labor and management to participate in discussions on the least destructive approach to allow self-governance by employees.
Correct Answer: B
Rationale: The correct answer is B because binding arbitration involves a formal discussion where the arbitrator's recommendations are compulsory, meaning both parties must abide by the decision. This ensures a resolution to the issue at hand.
A is incorrect because mediation is not necessarily sanctioned by the NLRB for formal discussions.
C is incorrect because mediation does not typically result in a legally binding plan; it is a negotiation process to reach a mutually acceptable agreement.
D is incorrect because binding arbitration does not specifically focus on the least destructive approach or self-governance by employees; it is about reaching a binding decision by a neutral third party arbitrator.
A nurse who is teaching a class to introduce telehealth to the staff would include which example?
- A. A robot performs menial housekeeping chores for an invalid patient.
- B. A computer software program alerts the nurse or physician who is reviewing orders that an order for a new drug can cause synergy of the theophylline inhaler.
- C. A physician speaks into a computer, and the admission history is recorded and saved in the patient file.
- D. While a patient in Wyoming performs peritoneal dialysis, a nurse watches remotely from California to ensure that all steps are being followed correctly.
Correct Answer: D
Rationale: The correct answer is D because it demonstrates the use of telehealth in monitoring and providing remote care to a patient. In this scenario, a nurse is able to supervise and ensure the correct execution of peritoneal dialysis by observing the patient from a different location. This exemplifies the practical application of telehealth in enhancing patient care and safety.
Choice A is incorrect because it describes a robot performing housekeeping chores, which is not directly related to telehealth or patient care. Choice B is incorrect as it focuses on computer software alerting about drug interactions, but it does not involve remote patient care or monitoring. Choice C is incorrect as it describes a physician dictating an admission history, which is not a direct example of telehealth involving remote patient monitoring or care.
A nurse realizes that a health care concern related to globalization was:
- A. the emergence of epidemic hepatitis A.
- B. the pandemic of H1N1 "swine flu."
- C. reemergence of polio.
- D. an increase in chronic illnesses.
Correct Answer: B
Rationale: The correct answer is B: the pandemic of H1N1 "swine flu." This is because the H1N1 flu pandemic was a global health concern directly linked to globalization due to the rapid spread of the virus across borders. The emergence of epidemic hepatitis A (choice A) is not directly tied to globalization. The reemergence of polio (choice C) is more associated with gaps in vaccination coverage rather than globalization. An increase in chronic illnesses (choice D) can be influenced by various factors, but it is not specifically a result of globalization in the context of this question.