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What characteristics are associated with the clinical nurse leader? (select all that apply)
- A. Is a generalist prepared at the master's level.
- B. Provides care at the bedside for complex patients.
- C. Identifies the best resources at the lowest price to achieve best health outcomes for a client.
- D. Serves as care coordinator whose practice is limited to acute care settings.
Correct Answer: A
Rationale: The correct answer is A because the clinical nurse leader is indeed a generalist prepared at the master's level. They have advanced education and training to lead and coordinate care across various settings. Choice B is incorrect as CNLs focus on care coordination and management rather than direct bedside care. Choice C is incorrect as CNLs prioritize quality care over cost. Choice D is incorrect as CNLs can work in various healthcare settings, not limited to acute care.
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A novice nurse notices the medication nurse hurriedly gathering medications to be administered for the entire day, removing them from the packages, and placing them in a paper cup with the patient's name and room number on the cup. When one of the patients points at a pill and asks, "What is this?" and "What does this do?" the medication nurse is uncertain, because it has long since been removed from the packaging. The novice nurse speaks to the nurse manager about her observations and describes her concerns. The novice nurse has assumed the role of:
- A. loner.
- B. "rutter."
- C. change agent.
- D. "native."
Correct Answer: C
Rationale: Correct Answer: C - Change agent
Rationale:
1. A change agent is someone who identifies issues or concerns and takes action to implement positive changes.
2. In this scenario, the novice nurse recognized a potential problem with medication administration and spoke to the nurse manager to address it.
3. By seeking to improve medication safety practices, the novice nurse is actively working towards positive change within the healthcare setting.
4. The other choices are incorrect:
- A "loner" implies someone who prefers to work alone, which is not relevant to the situation.
- "Rutter" and "native" are not recognized terms in this context and do not apply to the nurse's actions.
The surgical team arrives in the operating room and one member states, "Everyone stop. Let's identify the patient and operative site. Now does anyone have any questions or concerns?" This process is known as:
- A. time-out.
- B. a critical pathway.
- C. special cause variation.
- D. lean methodology.
Correct Answer: A
Rationale: The correct answer is A: time-out. A time-out is a crucial pre-operative safety practice where the surgical team pauses to verify the patient's identity, procedure, and surgical site to prevent errors. This step ensures everyone is on the same page and reduces the risk of wrong-site surgeries.
Explanation:
1. Identify patient and operative site: By verifying the patient's identity and the correct surgical site, the team prevents potential mistakes.
2. Address questions or concerns: Encouraging team members to voice any uncertainties or issues promotes open communication and collaboration.
3. Safety measure: The time-out is a key component of the World Health Organization's Surgical Safety Checklist to enhance patient safety.
Summary:
B: A critical pathway is a predetermined sequence of steps in patient care, not specific to surgical safety.
C: Special cause variation refers to statistical process control, unrelated to surgical safety.
D: Lean methodology focuses on efficiency and waste reduction in processes, not directly related to pre-operative safety checks like a time
The RN who identifies the best resources at the lowest cost to achieve optimal health outcomes for the client is fulfilling the role of:
- A. informatics specialist.
- B. educator.
- C. case manager.
- D. quality manager.
Correct Answer: C
Rationale: The correct answer is C: case manager. A case manager coordinates resources to achieve optimal health outcomes for clients efficiently. They assess, plan, implement, and evaluate care while considering cost-effectiveness. Informatics specialists focus on data and technology, educators provide knowledge, and quality managers ensure high standards. In this scenario, the key role is coordinating resources, making C the best choice.
A nurse takes a day to travel to a state park where she can sit by the river alone to reflect over recent events and put things into perspective. She recalls the time she was complimented for her ability to deal with a difficult patient and another time when she was criticized for lack of teamwork. This nurse is improving which source of energy?
- A. Emotional
- B. Spiritual
- C. Physical
- D. Mental
Correct Answer: B
Rationale: The nurse is reflecting on her personal growth and finding meaning in her experiences, indicating a focus on values, purpose, and inner strength, which align with the spiritual source of energy. This choice is correct as it involves connecting with higher values and beliefs to find motivation and resilience. Emotional energy (choice A) focuses on feelings and expression, physical energy (choice C) relates to the body's vitality, and mental energy (choice D) pertains to cognitive abilities and focus. In this scenario, the nurse's focus is on introspection and personal growth rather than emotional, physical, or mental aspects, making choice B the most appropriate.
A nurse caring for a Hispanic child admitted with diarrhea notices the child is wearing red yarn around the wrist. The nurse compliments the child's "jewelry," knowing it is believed to prevent:
- A. mal ojo.
- B. susto.
- C. bilis.
- D. empacho.
Correct Answer: A
Rationale: The correct answer is A: mal ojo. In Hispanic culture, red yarn around the wrist is believed to protect against mal ojo, or "evil eye." This belief stems from the idea that envy or admiration can lead to negative energy being directed at a person, particularly children, causing harm or illness. By complimenting the child's "jewelry," the nurse is acknowledging and respecting the cultural belief in warding off mal ojo.
Summary:
- A: Mal ojo is the correct answer as the red yarn is believed to protect against it.
- B: Susto is a condition related to fright or soul loss, not associated with red yarn.
- C: Bilis refers to bile and is not relevant to the red yarn.
- D: Empacho is a digestive illness, unrelated to the red yarn tradition.