Nokea
The role of the Clinical Nurse Leader (CNL) would include:
- A. diagnosing a patient with pneumonia and prescribing antibiotics.
- B. teaching members of a faith community how to avoid skin cancer and referring those with suspicious lesions.
- C. participating in the team who is investigating possible abuse of elderly persons by members of a gang known to sell illegal drugs.
- D. coordinating care of a patient admitted 4 days ago with stage IV heart failure and chronic bronchitis by revising care plan to include ambulation 50 feet with assistance.
Correct Answer: D
Rationale: The correct answer is D because the role of a Clinical Nurse Leader (CNL) involves coordinating and managing the care of patients. In this scenario, the CNL is revising the care plan for a patient with complex health issues, such as heart failure and chronic bronchitis, by incorporating specific interventions like ambulation with assistance. This aligns with the core responsibilities of a CNL, which include care coordination, implementation of evidence-based practice, and leadership in interdisciplinary teams.
Choice A is incorrect because nurses, including CNLs, do not have the authority to diagnose and prescribe medications, as this falls under the scope of practice of a physician or advanced practice nurse.
Choice B is incorrect because while health education and referral are important aspects of nursing practice, they are more aligned with the role of a community health nurse rather than a CNL.
Choice C is incorrect because investigating abuse and criminal activities is beyond the scope of a CNL's role, as their focus is primarily on
You may also like to solve these questions
A client states, "I am leaving. No one here knows what they are doing." The nurse completing the Against Medical Advice form must:
- A. defer notifying the provider until the client has had ample time to leave.
- B. state in medical terms the risks of leaving.
- C. inform the client that leaving could result in complications and impairment.
- D. detain the person with the use of soft restraints until security arrives.
Correct Answer: C
Rationale: Rationale: Choice C is correct because informing the client of potential complications and impairment is essential to ensure the client makes an informed decision. This aligns with the principle of autonomy and informed consent. Choice A is incorrect as delaying notification can jeopardize the client's safety. Choice B is incorrect because using medical jargon may not effectively communicate the risks to the client. Choice D is incorrect as using restraints is a violation of the client's rights and autonomy.
A bronze statue of a nurse in battle fatigues who is obviously exhausted but demonstrates caring by holding a soldier's head is an artistic representation of nurses who served in which war?
- A. World War I
- B. World War II
- C. Spanish-American War
- D. Vietnam War
Correct Answer: B
Rationale: The correct answer is B: World War II. This statue represents the iconic image of a nurse caring for a soldier during WWII. Nurses played a crucial role in providing medical care and support during the war, often under extreme conditions. The exhausted yet caring portrayal of the nurse holding the soldier's head captures the compassion and dedication of nurses during WWII.
Explanation for other choices:
A: World War I - While nurses also served valiantly in WWI, the imagery of this statue is more closely associated with WWII.
C: Spanish-American War - Nurses did serve in this war, but the statue's depiction aligns more with the context of WWII.
D: Vietnam War - The statue's portrayal does not align with the historical context or imagery commonly associated with nurses in the Vietnam War.
A nurse manager plans the fiscal budget to include salaries for two RNs for two 12-hour shifts with a patient census of 6 in the short-stay observation room. The nurse manager reviews the budget report 3 months later and notes that the salary expenses are higher than was budgeted because of higher-than-planned RN staff salaries. This additional RN staff is necessary to meet patient care needs because the census has remained constant at 10 patients rather than the 6 projected when the budget was developed. The difference between the planned budget and the actual cost is known as:
- A. revenue.
- B. variance.
- C. monitoring.
- D. capital expenditures.
Correct Answer: B
Rationale: The correct answer is B: variance. In this scenario, the nurse manager planned a budget based on a patient census of 6 but the actual census remained constant at 10, leading to higher-than-planned RN staff salaries. The difference between the planned budget and the actual cost is known as a variance. Variances help identify discrepancies between planned and actual expenses, enabling managers to adjust budgets accordingly. Revenue (A) refers to income generated, not the difference between planned and actual expenses. Monitoring (C) is the process of overseeing and evaluating activities, not specifically related to budget discrepancies. Capital expenditures (D) are long-term investments in assets, not related to budget variances.
In differentiating between interprofessional and multidisciplinary:
- A. multidisciplinary refers to the care of many diverse patients by one discipline.
- B. interprofessional involves members of many disciplines working together to provide patient care to a distinct population.
- C. interprofessional refers to members of the same discipline working together to provide patient care to a distinct population.
- D. interprofessional is the use of multiple interventions by nurses with varying levels of education.
Correct Answer: B
Rationale: The correct answer is B because interprofessional involves members of different disciplines collaborating to provide patient care, promoting a holistic approach. This fosters shared decision-making and communication among healthcare professionals, leading to improved patient outcomes.
A is incorrect because multidisciplinary involves multiple disciplines treating a single patient, not many diverse patients.
C is incorrect because interprofessional involves different disciplines, not members of the same discipline working together.
D is incorrect because interprofessional is about collaboration between different disciplines, not the use of multiple interventions by nurses specifically.
A graduate is preparing for the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination. Based on the latest practice survey, the candidate would focus the most amount of time on which content?
- A. Stages of grief
- B. Pharmacologic pain management
- C. Practices to promote rest and sleep
- D. Prioritization of workload to manage time effectively
Correct Answer: B
Rationale: The correct answer is B: Pharmacologic pain management. This is the most important content area to focus on for the NCLEX-RN exam because pain management is a critical aspect of nursing care. Nurses must understand different types of pain, medications used for pain management, side effects, and assessment techniques. Pharmacologic pain management directly impacts patient comfort and quality of care.
Rationale:
1. Pain management is a fundamental aspect of nursing care.
2. Pharmacologic pain management knowledge is crucial for safe and effective patient care.
3. NCLEX commonly tests on pharmacological interventions and their implications.
4. Understanding pain management aligns with nursing scope of practice and ethical responsibilities.
Other Choices:
A: Stages of grief - While important in nursing, this topic is not as high-priority for the NCLEX-RN exam.
C: Practices to promote rest and sleep - Important, but not as directly related to pharmacological interventions.
D: Prioritization of workload to manage time effectively - Relevant