Nokea
A registered nurse (RN) who usually uses public transportation has not renewed her driver’s license. During a recent car trip with a friend, she took over driving when her friend became tired. Which of the following is true?
- A. She has acted in a professional manner.
- B. She may lose her RN license for driving without a license.
- C. She should renew her driver’s license as soon as possible.
- D. Under the circumstances, she will not be faulted for driving without a license.
Correct Answer: B
Rationale: The correct answer is B: She may lose her RN license for driving without a license. As a registered nurse, she is held to a high standard of professional conduct. Driving without a valid license is illegal and unethical, potentially endangering herself and others. This behavior could be viewed as a violation of professional ethics, leading to disciplinary action by the licensing board. Choices A, C, and D are incorrect because they do not address the legal and ethical implications of driving without a valid license for a healthcare professional. A nurse should always adhere to legal and ethical standards to maintain the trust and integrity of the profession.
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What is the primary purpose of a nurse staffing committee?
- A. To oversee patient safety initiatives
- B. To develop staffing policies and procedures
- C. To coordinate patient care
- D. To manage nurse recruitment
Correct Answer: B
Rationale: The correct answer is B: To develop staffing policies and procedures. The primary purpose of a nurse staffing committee is to establish guidelines and protocols for nurse staffing levels to ensure safe and effective patient care. By developing staffing policies, the committee can address issues such as nurse-to-patient ratios, shift scheduling, and workload distribution. This helps maintain quality care and prevent burnout among nurses.
Incorrect options:
A: To oversee patient safety initiatives - While patient safety is a critical aspect of nursing care, the primary focus of the staffing committee is on developing policies related to nurse staffing, not overseeing patient safety initiatives.
C: To coordinate patient care - While coordinating patient care is essential, the primary role of the staffing committee is to focus on staffing policies rather than direct patient care coordination.
D: To manage nurse recruitment - Nurse recruitment is typically handled by human resources or a recruitment team, not the staffing committee. The staffing committee's main function is to determine appropriate staffing levels and guidelines.
If a staff member does not respond to discipline, the manager must ______ employment.
- A. Terminate
- B. Confront
- C. Describe the staff nurse's behavior that violated the policy
- D. Determine the employee's awareness of the policy
Correct Answer: A
Rationale: The correct answer is A: Terminate. If a staff member is not responding to discipline, it indicates a serious issue with their behavior or performance. Terminating their employment may be necessary to maintain discipline and uphold organizational standards. Confronting (B) and describing behavior (C) are initial steps in addressing the issue but may not be effective if the staff member continues to be non-responsive. Determining awareness (D) of the policy is important but does not directly address the lack of response to discipline. Terminating employment may be a last resort to maintain the integrity of the organization.
Which statement to a patient newly diagnosed with type 2 diabetes is correct?
- A. Complications of type 2 diabetes are less serious than those of type 1 diabetes.
- B. Insulin is not used to control blood glucose in patients with type 2 diabetes.
- C. Changes in diet and exercise may control blood glucose levels in type 2 diabetes.
- D. Type 2 diabetes is usually diagnosed when the patient is admitted with a hyperglycemic coma.
Correct Answer: C
Rationale: Step 1: In type 2 diabetes, the body either becomes resistant to insulin or doesn't produce enough insulin.
Step 2: Diet and exercise can help improve insulin sensitivity and control blood glucose levels in type 2 diabetes.
Step 3: Medications may also be prescribed if diet and exercise alone are not effective.
Step 4: Insulin therapy may be necessary in some cases but is not the first-line treatment for type 2 diabetes.
Step 5: Complications of type 2 diabetes can be serious and include cardiovascular issues, neuropathy, and kidney disease.
Step 6: Type 2 diabetes is typically diagnosed through blood tests, not by admission with a hyperglycemic coma.
Summary:
Choice A is incorrect because complications can be severe in type 2 diabetes. Choice B is incorrect as insulin may be used in some cases. Choice D is incorrect as type 2 diabetes is usually diagnosed through blood tests. Choice C is correct as diet and exercise play a
Which of the following is an example of a macro-level health policy?
- A. Local health ordinances
- B. State licensing regulations
- C. National healthcare legislation
- D. Institutional policies
Correct Answer: C
Rationale: The correct answer is C: National healthcare legislation. Macro-level health policies are those that are implemented at the national level and have a broad impact on a large population. National healthcare legislation falls under this category as it sets guidelines and regulations for the entire country's healthcare system. Local health ordinances (A) are specific regulations for a particular locality, state licensing regulations (B) are at the state level, and institutional policies (D) are specific to individual healthcare institutions. Therefore, the correct choice is C as it aligns with the definition of macro-level health policy.
Many patient classification systems have some type of shortcoming. Among these are:
- A. The client's condition changes before the next shift.
- B. The staffing needs are predicted on a short-term basis.
- C. The potential admissions cannot be accounted for.
- D. The staffing mix changes because of illness.
Correct Answer: C
Rationale: The correct answer is C because patient classification systems often struggle to accurately predict potential admissions, leading to challenges in allocating appropriate staffing levels and resources. This is a crucial shortcoming as it can result in understaffing or overstaffing, impacting patient care quality and staff workload. Options A, B, and D are incorrect as they address different issues such as changes in patient conditions between shifts, short-term staffing needs prediction, and staffing mix changes due to illness, which are not directly related to the specific shortcoming of accounting for potential admissions.