Nokea
What effect did the movie One Flew Over the Cuckoo's Nest have on health care?
- A. Funding for mental health care increased, allowing the point of care to change from the community to standardized institutional care.
- B. The public and the nursing profession were made aware of the rights of vulnerable populations.
- C. Nurses were seen as advocates for individuals who cannot advocate for themselves.
- D. Funding for nursing traineeships was eliminated.
Correct Answer: B
Rationale: The correct answer is B because "One Flew Over the Cuckoo's Nest" raised awareness about the mistreatment of vulnerable populations in mental health institutions. It highlighted the need to uphold the rights of such individuals.
A is incorrect because the movie did not specifically lead to an increase in funding for mental health care or a shift to institutional care.
C is incorrect because while the movie portrayed nurses advocating for patients, it did not necessarily lead to a widespread perception of nurses as advocates for vulnerable populations.
D is incorrect because there is no evidence to suggest that funding for nursing traineeships was eliminated as a direct result of the movie.
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A novice nurse is stressed due to always being behind with her assignments. She is overheard saying, "No one here worries about checking nasogastric tube placement before they give medications and hang feedings. Skipping that step would save me an extra 30 minutes to be used for charting. If they can do it, so can I." This nurse is experiencing which stage of reality shock?
- A. loner.
- B. "rutter."
- C. change agent.
- D. "native."
Correct Answer: D
Rationale: The correct answer is D, "native." In this scenario, the nurse is rationalizing skipping a crucial safety step by justifying it with the actions of others, indicating a lack of understanding regarding the importance of the procedure. The "native" stage of reality shock occurs when individuals start to adopt the norms and behaviors of their workplace without questioning or critically evaluating them. This nurse is displaying a mindset of conforming to unsafe practices to fit in with her colleagues, which aligns with the characteristics of the "native" stage.
Incorrect choices:
A: "loner" does not apply as the nurse is not isolating herself but rather seeking to emulate the actions of others.
B: "rutter" does not fit as this stage involves feeling overwhelmed by the demands of the job, not justifying unsafe practices.
C: "change agent" is not relevant as the nurse is not actively seeking to instigate change but rather conforming to existing practices.
Students are assigned to write to their state leaders about an issue affecting their community. One student writes about the need among rural community for greater access to acute care services. Which of the following pieces of legislation should the student use as a reference?
- A. Social Security Act
- B. Hill-Burton Act
- C. Sheppard-Towner Act
- D. U.S. Civil Service Act
Correct Answer: B
Rationale: The correct answer is B: Hill-Burton Act. This legislation established a program to provide federal grants for the construction of hospitals and healthcare facilities in underserved areas. It specifically addressed the need to improve access to healthcare services, aligning with the student's concern about acute care services in rural communities. The other choices are incorrect because: A: Social Security Act primarily focuses on social insurance programs; C: Sheppard-Towner Act focused on maternal and child healthcare; D: U.S. Civil Service Act pertains to regulations for federal employees, none of which directly address the issue of access to acute care services in rural communities.
A nursing student scores 95% on the written examination for the adult health course. To be successful in this course, this same student must then perform an indwelling catheter insertion and wound care in a simulated environment meeting core competencies. The student asks, "What are core competencies?" The nursing instructor replies, "Core competencies are:
- A. a trend used in nursing education to reduce attrition in prelicensure students."
- B. those skills necessary for safe, competent nursing practice."
- C. educational opportunities that provide remediation when student is unable to perform psychomotor skills correctly."
- D. critical thinking exercises aimed to improve reading and math skills."
Correct Answer: B
Rationale: The correct answer is B: those skills necessary for safe, competent nursing practice. Core competencies refer to the essential skills and knowledge required for safe and competent nursing practice. In the scenario provided, the nursing student needs to demonstrate proficiency in indwelling catheter insertion and wound care to meet these core competencies. These skills are crucial for providing quality patient care and ensuring patient safety.
Choice A is incorrect because core competencies are not about reducing attrition but rather about ensuring students possess the necessary skills for nursing practice. Choice C is incorrect as core competencies focus on skills required for practice, not on educational remediation. Choice D is incorrect because core competencies are not about improving reading and math skills but about the specific nursing skills needed for practice.
A nurse on the unit is heard saying, "I am not going to document that I used four catheters to start that IV; it doesn't matter anyway." What action can help the staff nurse understand the financial budget goals of the unit?
- A. Have the nurse work in payroll for a week.
- B. Enroll the staff in continuing education units (CEU) for personal finance.
- C. Ask the nurse to represent the unit on the budget planning committee.
- D. Make the nurse responsible for monitoring all disposable equipment and supplies.
Correct Answer: C
Rationale: Rationale: Choice C is correct because asking the nurse to represent the unit on the budget planning committee will directly expose them to the financial budget goals. This involvement will provide insight into the importance of accurate documentation and resource utilization. It offers a practical understanding of how decisions impact the unit's financial health.
Summary:
A: Working in payroll does not directly connect the nurse to the unit's financial goals.
B: Personal finance CEUs are not specific to the unit's budget goals.
D: Monitoring supplies is important but does not provide a comprehensive understanding of the unit's financial budget goals.
The nurse managers of an organization are meeting with administration to plan the budget. The above graph shows last year's 2011 expenditures, and the team will trend the upcoming budget knowing that, with the slowdown in the economy, patient census will be lower. Which budget approach is being used?
- A. Incremental
- B. Zero-based
- C. Productivity metrics
- D. Capital
Correct Answer: B
Rationale: The correct answer is B: Zero-based. Zero-based budgeting requires starting from scratch each budget cycle, meaning all expenses must be justified regardless of previous budgets. In this scenario, the nurse managers are planning for a budget based on the expectation of lower patient census due to the economic slowdown. This aligns with the zero-based approach as they will need to re-evaluate and justify all expenses to accommodate the changes in patient volume.
A: Incremental budgeting involves making adjustments to the previous budget, which is not suitable for significant changes like a decrease in patient census.
C: Productivity metrics focus on measuring efficiency and performance, rather than the budgeting approach.
D: Capital budgeting is related to long-term investments in assets, which is not the primary focus in this scenario.