Nokea
The principle of autonomy is best supported by what intervention made available to palliative care patients?
- A. Arranging for in-home health care
- B. Addressing the patient's specific pain management needs
- C. Helping the patient decide on the details of their advanced plan of care
- D. Conducting a thorough performance status screening on the patient
Correct Answer: C
Rationale: The correct answer is C because autonomy in palliative care emphasizes the patient's right to make decisions about their own care. By helping the patient decide on the details of their advanced plan of care, healthcare providers respect the patient's autonomy and ensure their preferences guide the care provided. Arranging in-home health care (A) may be beneficial, but it does not directly support the patient's autonomy. Addressing pain management needs (B) is important but does not specifically relate to decision-making autonomy. Conducting a performance status screening (D) is relevant for assessing the patient's overall health but does not directly support their autonomy in decision-making.
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Complementary alternative medicine (CAM) is gaining popularity in Western society because: (select all that apply)
- A. consumers want knowledgeable, trained physicians to control their care.
- B. CAM consumers want personalized health care.
- C. quantity, rather than quality, of life is most important in Western society.
- D. consumers have access to evidence that support CAMs.
Correct Answer: B
Rationale: The correct answer is B: CAM consumers want personalized health care. This is because CAM focuses on holistic and individualized approaches to health, addressing not just symptoms but underlying causes. Consumers seek CAM for tailored treatments and a more patient-centered approach.
Choice A is incorrect because CAM often involves practitioners who may not be traditional physicians. Choice C is incorrect as quality of life, rather than just quantity, is increasingly valued in Western society. Choice D is incorrect because although there is some evidence supporting CAM, it is not always readily accessible or universally accepted.
Who establishes the "rules" for nursing practice?
- A. Individual state boards of nursing
- B. Employer, based on area of practice
- C. United States Department of Health and Human Services
- D. Local health officials
Correct Answer: A
Rationale: The correct answer is A: Individual state boards of nursing. State boards of nursing are responsible for regulating nursing practice within their respective states, including establishing rules and regulations to ensure safe and competent care. They set standards for licensure, education, and practice, as well as enforce disciplinary actions when necessary. State boards have the authority to govern nursing practice based on state laws and regulations. Employers, the US Department of Health and Human Services, and local health officials do not have the regulatory power to establish the rules for nursing practice at a state level.
A novice nurse is placed in charge just after orientation ends. Which statement by the novice nurse would ensure a smooth delegation experience when delegating to an experienced staff member?
- A. "You have the patients in rooms 1 to
- B. "I need your help; let me know your suggestions."
- C. "You’re experienced, so take over and decide."
- D. "I’m in charge, so do as I say."
Correct Answer: B
Rationale: The correct answer is B because it demonstrates respect for the experienced staff member's expertise by asking for their input and suggestions. This approach fosters open communication, encourages collaboration, and shows a willingness to learn from others. Choice A lacks clarity and assumes the staff member knows the patients in question. Choice C is presumptuous and dismissive of the staff member's autonomy. Choice D is authoritarian and does not promote a positive working relationship. Ultimately, choice B promotes teamwork and mutual respect, leading to a smoother delegation process.
An RN has critical care experience and is proficient in advanced cardiac life support and often helps to lead "codes" and is an expert clinician with superior health assessment skills. Enjoying a challenge of a fast-paced environment with autonomy, this nurse would best be suited for which nursing role?
- A. Flight nurse
- B. Home health nurse
- C. Hospice nurse
- D. Occupational health nurse
Correct Answer: A
Rationale: The correct answer is A: Flight nurse. This nurse is described as having critical care experience, proficiency in advanced cardiac life support, leading "codes," and superior health assessment skills, indicating a high level of clinical expertise. Flight nursing involves providing critical care in high-stress environments, often in emergency situations where quick thinking and advanced skills are crucial. The fast-paced environment and autonomy mentioned align well with the responsibilities of a flight nurse, who must make rapid decisions and provide life-saving interventions in challenging conditions. Home health, hospice, and occupational health nursing roles typically do not involve the same level of acuity, speed, and independence required in flight nursing.
A nurse manager is working with the financial officer to develop the budget of the nursing unit for the next fiscal year. The nurse manager tells the financial officer that which of the following pieces of information will affect budget assumptions?
- A. The capital budget request for new emergency department equipment has been turned in for consideration by the hospital's administrative team.
- B. The patient census likely will increase during the next fiscal year because two large physician groups have transferred their admission privileges to this hospital.
- C. The participatory budgeting approach instituted last year has been helpful in controlling supply costs.
- D. Zero-based budgeting will help the managers to be more efficient in establishing next year's budget.
Correct Answer: B
Rationale: The correct answer is B because an increase in patient census directly impacts the budget assumptions by affecting staffing needs, supply costs, and revenue projections. This information is crucial for accurate budget planning.
Choice A is incorrect because the capital budget request for new equipment does not directly impact the nursing unit's operational budget assumptions.
Choice C is incorrect as the effectiveness of participatory budgeting in controlling supply costs does not directly influence future budget assumptions.
Choice D is incorrect as zero-based budgeting efficiency does not directly address the impact of increased patient census on budget assumptions.