Nokea
This certificate of inspection is health policy enforced at which level of government?
- A. Local
- B. State
- C. Federal
- D. International
Correct Answer: B
Rationale: The correct answer is B: State. State governments are responsible for enforcing health policies such as certificates of inspection within their own jurisdiction. They have the authority to regulate and monitor health standards at the state level. Local governments (A) typically focus on implementing policies within their specific region, while federal governments (C) oversee broader health policies that apply across the entire country. International (D) level does not have jurisdiction over local health policies. Therefore, the state level is the most appropriate answer for enforcing a certificate of inspection in this context.
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A patient is admitted with hypotension, shortness of breath, flushing, and hives. All levels of staff have been trained to assess vital signs. Given budget restrictions and proper delegation rules, to which care provider would the RN delegate the task of obtaining the initial blood pressure reading?
- A. RN
- B. LPN/LVN
- C. Unlicensed assistive personnel (UAP)
- D. Use the blood pressure obtained in the ambulance, because it was assessed via electronic monitoring.
Correct Answer: C
Rationale: The correct answer is C. The Unlicensed Assistive Personnel (UAP) can be delegated the task of obtaining the initial blood pressure reading because this task is within their scope of practice and does not require specialized nursing knowledge or assessment skills. The UAP can be trained and supervised to accurately measure blood pressure, freeing up the RN to focus on assessing the patient's overall condition and providing necessary interventions. Delegating this task to the UAP is cost-effective and efficient, allowing the RN to prioritize critical nursing assessments and interventions for the patient's presenting symptoms.
Incorrect choices:
A: RN - The RN should not perform tasks that can be safely delegated to other members of the healthcare team to optimize efficiency and resource utilization.
B: LPN/LVN - While LPNs/LVNs have more advanced training than UAPs, obtaining a blood pressure reading is a basic task that can be appropriately delegated to UAPs.
D: Using the blood pressure obtained in the ambulance - This option does
When comparing mentoring and role modeling, the role of mentoring is represented by which of the following situations?
- A. The experienced nurse is unaware that the novice nurse is observing him or her gathering supplies needed to start intravenous antibiotics.
- B. The novice nurse mimics conversations with his or her own patients that were unobtrusively overheard between the experienced nurse and his or her patients.
- C. The novice nurse receives feedback from the experienced nurse related to the use of a new occlusive dressing product and is told, "I couldn't have done it better myself."
- D. An experienced nurse is nominated for outstanding employee of the month by the novice nurse.
Correct Answer: C
Rationale: The correct answer is C because it exemplifies the role of mentoring where the experienced nurse provides feedback and guidance to the novice nurse. Mentoring involves a structured and purposeful relationship aimed at professional growth. In this situation, the experienced nurse is directly interacting with the novice nurse, giving specific feedback on a task and showing support and encouragement. This helps the novice nurse improve their skills and knowledge.
Option A is incorrect because it describes role modeling, where the novice nurse is observing without direct interaction. Option B is incorrect as it also describes role modeling through observation and mimicry. Option D is incorrect as it does not involve direct feedback or guidance from the experienced nurse to the novice nurse.
Which item below correctly describes the U.S. Bureau of Labor Statistics predictions by 2020?
- A. Positions that historically required registered nurses will be filled by unlicensed personnel.
- B. The job growth rate for RNs will surpass job growth in all other occupations.
- C. The need for hospital nurses will dramatically decrease.
- D. Hospitals will finally achieve the required RN workforce.
Correct Answer: B
Rationale: The correct answer is B because the U.S. Bureau of Labor Statistics predicts that the job growth rate for RNs will surpass job growth in all other occupations by 2020. This is supported by the increasing demand for healthcare services due to an aging population and advancements in medical technology. Choice A is incorrect as the need for registered nurses is expected to continue due to the complexity of patient care. Choice C is incorrect as the need for hospital nurses is projected to increase, not decrease. Choice D is incorrect as many hospitals still struggle to achieve the required RN workforce due to various factors like turnover and retention issues.
A Southeast Asian woman brings her baby into the clinic because the baby is lethargic. The nurse determines that the baby has had diarrhea and vomiting for several days, resulting in dehydration. Physical examination reveals small, round burns on the abdomen. These burns probably are the result of cigarettes or burning cotton used to:
- A. try to quiet the child and is considered child abuse.
- B. bring out toxic wind from the body.
- C. balance heat loss from the body.
- D. brush the body with ruda to allow spirits to return.
Correct Answer: A
Rationale: The correct answer is A: try to quiet the child and is considered child abuse. The small, round burns on the baby's abdomen are likely caused by cigarettes or burning cotton as a form of child abuse known as "cigarette burns." This type of abuse is characterized by deliberately causing harm to a child by burning them with cigarettes or other hot objects. The other choices (B, C, D) are incorrect as they do not address the intentional harm and abuse inflicted upon the child in this scenario. Choice B about bringing out toxic wind is not a valid cultural or medical practice and is not relevant in this context. Choice C about balancing heat loss is not related to the burns observed. Choice D about brushing the body with ruda for spirits to return is not a known or appropriate intervention for addressing burns or abuse.
In attempting to decide which services should be offered to a community, the public health nurse decides to implement hypertension screening and treatment because most of the residents are hypertensive. This decision is based on the principle of:
- A. veracity.
- B. values.
- C. utilitarianism.
- D. autonomy.
Correct Answer: C
Rationale: The correct answer is C: utilitarianism. Utilitarianism is the ethical principle that actions should be chosen based on their ability to maximize overall happiness or well-being. In this scenario, implementing hypertension screening and treatment for a community where most residents are hypertensive aligns with utilitarianism as it aims to benefit the greatest number of people by improving their health outcomes. This decision focuses on the overall good of the community, making it the most ethical choice.
Rationale for why other choices are incorrect:
A: Veracity is the principle of truthfulness. While honesty is important in healthcare decision-making, it is not the primary factor in this scenario.
B: Values refer to personal beliefs and principles. While values may influence decision-making, the primary focus in this scenario is on maximizing community health outcomes.
D: Autonomy is the principle of respecting individuals' right to make their own decisions. While autonomy is important in healthcare, it is not the guiding principle in this scenario where the focus is