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What does the Spirit of Nursing statue honor?
- A. Florence Nightingale's accomplishments in public health
- B. Edith Cavell's attempt to help the victims of the Tuskegee experiment seek treatment
- C. Clara Maas, who found the cure for yellow fever during WWII
- D. All military nurses for their bravery and compassion
Correct Answer: D
Rationale: The Spirit of Nursing statue honors all military nurses for their bravery and compassion. This is the correct answer because military nurses have demonstrated exceptional dedication and sacrifice in providing care to wounded soldiers during times of conflict. They embody the spirit of selflessness and service that is essential in the nursing profession.
Incorrect answers:
A: Florence Nightingale is known for her contributions to nursing and public health, but the statue specifically honors military nurses.
B: Edith Cavell was a nurse who helped Allied soldiers escape from German-occupied Belgium during WWI, not related to the Tuskegee experiment.
C: Clara Maas was a nurse who volunteered for yellow fever experiments, but her work was not during WWII and did not lead to a cure for the disease.
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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.
A nurse works on a unit where electronic health records (EHR) are being initiated and asks, "What is meant by 'meaningful use' standards that are in our education packet?" The best answer is that "meaningful use":
- A. identifies a set of EHR proficiencies and benchmarks that EHR systems must meet to be certain that they are functioning to their maximum capacity and meeting this standard allows companies/organizations to qualify for funds to defray cost of the EHR from Medicare.
- B. refers to training competencies that all users must achieve to be able to access and transfer patient data/information.
- C. refers to a requirement that at least 50% plus one of all patients have data entered into the EHR.
- D. the requirement that rigorous confidentiality security is in place to protect all patient information from sources which have no right to the data.
Correct Answer: A
Rationale: The correct answer is A because "meaningful use" standards in EHR refer to specific criteria that healthcare providers must meet to receive incentives for using EHR effectively. This includes improving quality, safety, efficiency, and reducing health disparities. By meeting these benchmarks, providers can qualify for funds from Medicare.
Choice B is incorrect because "meaningful use" is not just about training competencies but about how EHR systems are used to improve patient care.
Choice C is incorrect as it misinterprets the concept of meaningful use. It is not about a specific percentage of patients with data entered, but about the overall impact of EHR on healthcare delivery.
Choice D is incorrect because while confidentiality and security are important aspects of EHR, they are not the sole focus of meaningful use standards.
A patient with complicated diabetes is scheduled for a below the knee amputation at 7 AM. The surgical team adheres to the 2012 National Patient Safety Goals by implementing which protocols? (select all that apply)
- A. The surgical team asks the patient to verify his or her name, type of surgery, and limb to be removed.
- B. Ask each member of the surgical team to provide a copy of licensure and, if applicable, certification to patient and family.
- C. The surgical team uses the chart number and name/hospital number to ensure they have the correct patient.
- D. Mark the procedure site with "X" and again ask the patient to verify correct site.
Correct Answer: A
Rationale: The correct answer is A because it aligns with the 2012 National Patient Safety Goals, specifically the goal of improving the accuracy of patient identification. By asking the patient to confirm their name, type of surgery, and limb to be removed, the surgical team is ensuring that they have the correct patient and are performing the correct procedure. This protocol helps prevent errors and ensures patient safety.
Option B is incorrect because asking for licensure and certification does not directly relate to patient safety or accurate patient identification.
Option C is incorrect because relying solely on chart numbers or hospital numbers may not be sufficient to prevent errors in patient identification.
Option D is incorrect because while marking the procedure site is important, relying solely on the patient to verify the correct site may not be as effective as having the healthcare team confirm this information with the patient.
As part of a quality assurance project, a nurse is to round on every patient daily for 1 month to ensure the intravenous tubing is labeled with date hung and nurse's initials. The nurse is hoping to be promoted to a full-time position within the quality department, and her success on this project is very important to her receiving the position. The nurse retains all other assignments, and she is often interrupted to help other staff or answer call lights. The nurse discusses her concerns with the manager, who frees her for 1 hour each day to make rounds. During this 1 hour each day the nurse will organize herself and environment by practicing the:
- A. art of "no detourism."
- B. reducing stacked-desk syndrome.
- C. art of "wastebasketry."
- D. managing e-mail and memo mania.
Correct Answer: B
Rationale: The correct answer is B: reducing stacked-desk syndrome. This term refers to the practice of organizing tasks and environment to prevent work from piling up. In this scenario, the nurse is given 1 hour each day to focus solely on the quality assurance project, helping her prevent tasks from accumulating and ensuring she can complete her rounds efficiently. This practice enhances productivity and enables the nurse to manage her workload effectively.
Choice A, "art of 'no detourism,'" is irrelevant in this context as it does not address the issue of organizing tasks and environment. Choice C, "art of 'wastebasketry,'" is not applicable as it pertains to the skill of decision-making and prioritization, which is not the primary concern in this scenario. Choice D, "managing e-mail and memo mania," is also not directly related to the nurse's need to organize herself and environment for the quality assurance project.
A nurse is concerned that the policy of using povidone-iodine (Betadine) to clean foot ulcers may lead to unwarranted allergic reactions and drying of surrounding tissue. A literature review is performed to determine the "best practice" related to care of foot ulcers. This nurse: (select all that apply)
- A. is applying evidence-based practice to the clinical setting.
- B. is using critical thinking to change procedures performed in the care of foot ulcers.
- C. is minimally educated at the master's level and participating in research to provide cost-effective care (soap is less expensive than povidone-iodine).
- D. lacks clinical competence in health assessment and in application of theory to the clinical setting.
Correct Answer: A
Rationale: The correct answer is A because the nurse is using evidence-based practice by conducting a literature review to determine the best practice for caring for foot ulcers. Evidence-based practice involves integrating the best available evidence with clinical expertise and patient values to make informed decisions about patient care. This nurse is ensuring that the care provided is based on current research and best practices, which can lead to better patient outcomes.
Choices B, C, and D are incorrect because they do not directly relate to the nurse's action of conducting a literature review to determine best practices for foot ulcer care. Choice B mentions critical thinking but does not specifically address evidence-based practice. Choice C focuses on cost-effectiveness and level of education, which are not relevant to the nurse's evidence-based practice. Choice D refers to clinical competence, which is not the main focus of the nurse's action in this scenario.