Nokea
What factor has had the greatest impact on the current nursing shortage?
- A. Later age at which women have children
- B. Decrease in the number of women being born
- C. Overall unemployment rate
- D. Increased employment options for women
Correct Answer: D
Rationale: The correct answer is D. The increased employment options for women have had a significant impact on the current nursing shortage. With more career choices available to women, there is a decrease in the number of individuals pursuing nursing as a profession, contributing to the shortage. This is because women are choosing diverse career paths due to increased opportunities. Choices A, B, and C are incorrect. A later age at which women have children and the decrease in the number of women being born are not directly related to the nursing shortage. The overall unemployment rate, while influencing job availability, is not the primary factor driving the shortage of nurses.
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The nurse is providing pre-operative teaching to the anxious patient, who doesn't seem to be learning. What need must the nurse help this patient meet before continuing to teach?
- A. Self-esteem
- B. Love and belonging
- C. Safety
- D. Self-actualization
Correct Answer: C
Rationale: The correct answer is C: Safety. Before effective learning can occur, the patient's safety needs must be addressed. When patients feel safe and secure, they are better able to focus on receiving and processing information. Ensuring the patient's safety is a fundamental step in providing care and support, especially in a pre-operative setting where anxiety and concerns about the procedure may be high. Choices A, B, and D are incorrect because while self-esteem, love and belonging, and self-actualization are important needs, the immediate priority in this scenario is addressing the patient's safety concerns to create a conducive environment for learning.
While working in a long-term care facility, the nurse notices that older residents take pleasure in telling stories about their earlier lives and reliving special events. The nurse recognizes this helps residents meet which level of Maslow's Hierarchy of needs?
- A. Self-esteem
- B. Love and belonging
- C. Safety
- D. Self-actualization
Correct Answer: D
Rationale: The act of telling stories and reliving special events by the older residents in the long-term care facility helps them achieve self-actualization. Self-actualization involves realizing personal potential, self-fulfillment, seeking personal growth, and reflecting on their lives and achievements, which aligns with the behavior observed by the nurse. Choices A, B, and C are incorrect because self-esteem is related to confidence and respect, love and belonging refer to social relationships and connections, and safety pertains to physical and psychological security, which are not directly addressed by the residents' behavior of storytelling and reliving special events.
What is the difference between the LPN and LVN nursing titles?
- A. LPNs and LVNs have the same educational program length.
- B. LVNs and LPNs have the same duties and skills but hold different titles.
- C. LVNs are able to perform venipuncture, whereas LPNs cannot.
- D. LPNs can pursue an RN license, while LVNs are not on the same path.
Correct Answer: B
Rationale: The correct answer is B. LPNs and LVNs have the same duties and skills but hold different titles. The distinction between the two titles is primarily regional, with some states using LPN (Licensed Practical Nurse) and others using LVN (Licensed Vocational Nurse) to refer to the same role. Their scope of practice, responsibilities, and educational requirements are essentially equivalent, with the only notable difference being the title itself. Choices A, C, and D are incorrect because LPNs and LVNs generally have similar educational program lengths, both can perform venipuncture, and both have the potential to pursue further education and licensure to become registered nurses (RNs) if they choose to do so.
While working in the clinical facility, the student nurse learns that a family member has been admitted to the same facility. What statement is true about the student's access to the family member's medical record?
- A. The student may access the family member's medical record as a nurse in the facility.
- B. The student nurse should not access the family member's record until obtaining instructor approval.
- C. The student may access the family member's medical record because of the family relationship.
- D. The student nurse should not view the record unless they are providing care for the family member.
Correct Answer: D
Rationale: The student nurse should not view the family member's record unless they are directly involved in providing care to maintain confidentiality. Accessing the record without a legitimate reason breaches patient confidentiality and violates ethical principles. Choice A is incorrect because being a nurse in the facility does not automatically grant access to a family member's record. Choice B is incorrect as it does not address the primary concern of direct involvement in care. Choice C is incorrect as family relationship alone does not justify accessing the medical record.
The educator is teaching a group about paradigm thinking and defines it as what?
- A. One's mathematical knowledge and ability to solve math problems
- B. The ability to see 20 feet away without wearing glasses
- C. An individual's perception or frame of reference about the world
- D. A healthcare provider's ability to solve patient-care problems
Correct Answer: C
Rationale: Paradigm thinking refers to an individual's perception or frame of reference about the world. It involves understanding how one sees and interprets the world around them, which can influence their beliefs, decisions, and actions. Choices A, B, and D are incorrect as they do not accurately describe paradigm thinking. Paradigm thinking is not solely related to mathematical knowledge, eyesight, or healthcare problem-solving skills.