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The nurse manager determines that four RNs, five LPN/LVNs, and two unlicensed assistive personnel (UAP) are required per shift to meet the needs of the patient population on the unit, according to acuity and census. The nurse manager is concerned with:
- A. assignments.
- B. staffing.
- C. output.
- D. productivity.
Correct Answer: B
Rationale: The correct answer is B: staffing. The nurse manager's concern is related to ensuring adequate numbers of RNs, LPN/LVNs, and UAPs per shift to meet patient needs. Staffing refers to the appropriate allocation of personnel to provide safe and effective care. Assignments (A) are specific tasks given to staff, output (C) is the end result of a process, and productivity (D) is efficiency in completing tasks - these are not the primary focus of the nurse manager's concern in this scenario. Staffing directly addresses the crucial aspect of having the right mix and number of staff members to deliver quality care.
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A patient presents with chest pain that increases when lying flat and low-grade fever. Assessment reveals muffled heart sounds, tachycardia, and 3+ edema in the lower extremities. The nurse asks the patient to learn forward, which eases respiratory efforts. The nurse then places the stethoscope at which area on the chest to facilitate auscultation? The above question represents which type of alternate-format question written at which level of Bloom's taxonomy?
- A. Multiple-response item, comprehension level
- B. Hot-spot item, analysis level
- C. Chart/exhibit item, application level
- D. Drag-and-drop item, knowledge level
Correct Answer: B
Rationale: The correct answer is B: Hot-spot item, analysis level. In this scenario, the patient's symptoms suggest pericardial effusion or cardiac tamponade. To facilitate auscultation, the nurse should place the stethoscope at the point of maximal intensity of the heart sounds, which is typically at the apex of the heart or the lower left sternal border. This requires the nurse to analyze the patient's symptoms and apply knowledge of cardiac anatomy to determine the optimal auscultation site.
A: Multiple-response item, comprehension level - This choice involves selecting multiple correct answers from a list of options based on understanding the presented information. It doesn't require the critical thinking and analysis needed in this scenario.
C: Chart/exhibit item, application level - This choice involves interpreting information presented in a chart or exhibit to apply it to a specific situation. While it involves application, it doesn't require the same level of analysis as determining the best auscultation site.
D: Drag-and
Health care professionals have been activated to respond to a disaster, and the registered nurse who is coordinating the effort realizes that: (select all that apply)
- A. in the event of a mass casualty incident, care is prioritized to those who have the greatest chance of surviving.
- B. communities should use their own resources first to attempt to stabilize and organize the response.
- C. state assistance occurs any time a disaster occurs, regardless of the community's resources.
- D. the emergency operating plan developed by one central agency rather than individual facilities should be put into operation.
Correct Answer: A
Rationale: The correct answer is A because in a mass casualty incident, triage principles dictate that care should be prioritized to those with the greatest chance of survival to maximize overall survival rates. This ensures that limited resources are used efficiently.
Choices B, C, and D are incorrect:
B: Using only community resources first may not be sufficient in a large-scale disaster and could delay the response, leading to unnecessary loss of life.
C: State assistance may not be automatically available in every disaster situation and is typically coordinated based on the severity and impact of the disaster.
D: Emergency operating plans should be tailored to individual facilities' needs and capabilities, as a one-size-fits-all approach may not be effective in all scenarios.
A certified oncology nurse notices that a novice nurse is unsure of decision making and lacks technical skills. The novice nurse gains confidence by sharing and learning with the experienced nurse. This relationship continues and builds, allowing the novice nurse to become more confident. This relationship is known as:
- A. mentoring.
- B. role modeling.
- C. a preceptorship.
- D. socialization.
Correct Answer: A
Rationale: The correct answer is A: mentoring. Mentoring involves an experienced individual guiding and supporting a less experienced individual to help them develop skills, confidence, and knowledge. In this scenario, the certified oncology nurse is providing guidance and support to the novice nurse, helping them gain confidence and improve decision-making and technical skills. Mentoring fosters a personalized and supportive relationship that allows for growth and development.
Summary of other choices:
B: Role modeling involves observing and emulating behaviors of others, but it does not necessarily involve the direct guidance and support seen in mentoring.
C: Preceptorship typically refers to a structured program where a more experienced individual (preceptor) guides a less experienced individual (preceptee) for a specific period, which is more formalized than the relationship described in the scenario.
D: Socialization refers to the process of adapting to the norms and values of a group or society, which is not directly related to the mentorship relationship described in the scenario.
Which statements concerning licensure as a registered nurse are correct? (select all that apply)
- A. Nurses who graduate from different types of nursing education programs are granted different types of licenses, those with a baccalaureate degree having the most expanded role.
- B. A nursing license cannot be revoked, only suspended.
- C. Each nurse practice act describes requirements for initial licensure.
- D. It is illegal for states to ask about the mental or physical status of an applicant.
Correct Answer: A
Rationale: Rationale:
A: Correct. Nurses with different education levels (e.g., associate vs. bachelor's degree) have varied scope of practice. BSN-prepared nurses typically have a broader scope compared to ADN-prepared nurses.
B: Incorrect. Nursing licenses can be revoked or suspended for various reasons such as misconduct or negligence.
C: Incorrect. Nurse practice acts outline licensure requirements, but not specifically for initial licensure.
D: Incorrect. States may inquire about the mental or physical status of applicants to ensure they are fit to practice safely.
A nurse takes a day to travel to a state park where she can sit by the river alone to reflect over recent events and put things into perspective. She recalls the time she was complimented for her ability to deal with a difficult patient and another time when she was criticized for lack of teamwork. This nurse is improving which source of energy?
- A. Emotional
- B. Spiritual
- C. Physical
- D. Mental
Correct Answer: B
Rationale: The nurse is reflecting on her personal growth and finding meaning in her experiences, indicating a focus on values, purpose, and inner strength, which align with the spiritual source of energy. This choice is correct as it involves connecting with higher values and beliefs to find motivation and resilience. Emotional energy (choice A) focuses on feelings and expression, physical energy (choice C) relates to the body's vitality, and mental energy (choice D) pertains to cognitive abilities and focus. In this scenario, the nurse's focus is on introspection and personal growth rather than emotional, physical, or mental aspects, making choice B the most appropriate.