Nokea
To ensure that nursing legislation is current and is reviewed by specific dates, if a nurse practice act fails to be reviewed, it is automatically rescinded under which law?
- A. Nurse review act
- B. Sunset legislation
- C. Mandatory revocation
- D. Grandfathering
Correct Answer: B
Rationale: The correct answer is B: Sunset legislation. Sunset legislation mandates that laws, including nurse practice acts, must be reviewed periodically to determine if they are still needed. If a nurse practice act is not reviewed by the specified date, it is automatically rescinded. This process ensures that laws are current and relevant.
Incorrect Choices:
A: Nurse review act - There is no specific law called the Nurse review act that pertains to the automatic rescinding of nurse practice acts.
C: Mandatory revocation - This choice does not align with the process of automatic rescinding based on a failure to review.
D: Grandfathering - Grandfathering refers to exempting individuals from new regulations based on previous circumstances, not the automatic rescinding of laws.
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A nurse learns in orientation that an incident report does not "blame" anyone but concisely documents the events leading up to an occurrence. Which events would warrant completion of an incident report? (select all that apply)
- A. The client is crying and distraught when he learns of a diagnosis of cancer.
- B. An intravenous antibiotic given preoperatively does not infuse because of a faulty pump.
- C. The nurse is unable to carry out orders written by the specialist because of illegibility.
- D. A client falls while in the shower, although she was told not to get up alone.
Correct Answer: B
Rationale: The correct answer is B because it involves a medical error that could potentially harm the patient. An incident report is necessary to document such events for quality improvement and patient safety. Choice A does not involve a preventable adverse event, so it does not require an incident report. Choice C is related to communication issues and can be resolved without an incident report. Choice D involves a patient fall, which is a reportable event, but the client was informed not to get up alone, making it less urgent for an incident report compared to a medication error.
Nurses working on an orthopedic unit use personal digital assistants (PDAs) to review medications prior to administration to reduce potential drug interactions. Software is also installed that provides video clips of common procedures performed by nurses. Nurses on this unit are best demonstrating which QSEN competencies?
- A. Patient-centered care
- B. Informatics
- C. Teamwork
- D. Quality improvement
Correct Answer: B
Rationale: The correct answer is B: Informatics. Nurses on the orthopedic unit are demonstrating informatics competency by using PDAs for medication review and accessing video clips for procedures. This showcases their ability to utilize technology to enhance patient care. Patient-centered care (A) focuses on individualized care, teamwork (C) emphasizes collaboration, and quality improvement (D) pertains to enhancing processes. The use of technology in this scenario aligns most closely with the informatics competency, making it the best choice.
As a patient's condition moves toward their impending death, which nursing intervention demonstrates how the focus of palliative care change?
- A. The patient is encouraged to discuss their spiritual needs.
- B. The patient is educated concerning the physical changes associated with the dying process.
- C. The patient's advance care plan is formulated and implemented.
- D. The patient's comfort needs are identified.
Correct Answer: D
Rationale: The correct answer is D because as a patient approaches death, the focus of palliative care shifts towards providing comfort and symptom management to improve their quality of life. Identifying and addressing the patient's comfort needs becomes crucial in ensuring a peaceful and dignified end-of-life experience.
A: While discussing spiritual needs can be important, the primary focus shifts towards physical comfort in the final stages of life.
B: Educating the patient about physical changes is important, but it may not be the priority as the focus shifts towards comfort care.
C: Advance care planning is essential but may have already been addressed before the patient reaches the impending death stage.
A staff nurse provides care based on intuition and always seems to be in control of her personal and professional life, serving on the board of the state nurses association, serving as the nursing unit's representative on the ethics committee, and coaching her daughter's soft ball team. Many of the staff observes how she manages time and provides care. This nurse's power comes from which type of power?
- A. Referent
- B. Legitimate
- C. Information
- D. Connection
Correct Answer: A
Rationale: The correct answer is A: Referent power. Referent power is based on an individual's personal characteristics that others admire and seek to emulate. In this case, the nurse's ability to manage time effectively, maintain control in her personal and professional life, and serve in various leadership roles demonstrates her influence over others through admiration and respect. It is not legitimate power (B) as her authority does not stem from a formal position. It is not information power (C) as her power is not derived from possessing or sharing specific knowledge. It is not connection power (D) as her influence is not based on her network or relationships but rather on her personal qualities.
The staff on a nursing unit notes that patient satisfaction varies from month to month. They plot the degree of patient satisfaction each month for 1 year to determine when the periods of greatest dissatisfaction are occurring. The staff uses which type of graph?
- A. Time plot
- B. Pareto chart
- C. Flowchart
- D. Cause-and-effect diagram
Correct Answer: A
Rationale: The correct answer is A: Time plot. A time plot is the most appropriate graph for displaying data over time to identify trends and patterns. In this scenario, plotting patient satisfaction levels monthly over a year allows the staff to analyze fluctuations and identify periods of greatest dissatisfaction accurately.
Summary of other choices:
B: Pareto chart - Pareto charts are used to display the frequency of occurrences in a dataset in descending order. It is not suitable for analyzing trends over time.
C: Flowchart - Flowcharts are used to represent processes and workflows, not suitable for displaying time-series data.
D: Cause-and-effect diagram - Cause-and-effect diagrams are used to identify and analyze potential causes of a problem, not suitable for displaying time-series data.