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What is the best way for the individual nurse to maintain the most effective professional image?
- A. Change out of their work attire before running errands.
- B. Renew membership in a nursing organization.
- C. Earning an advanced nursing degree.
- D. Developing effective nurse-physician relationships.
Correct Answer: A
Rationale: The correct answer is A: Change out of their work attire before running errands. This is because maintaining a professional image involves setting clear boundaries between work and personal life. By changing out of work attire before running errands, the nurse avoids potential misconceptions or misunderstandings from the public.
Choice B (Renew membership in a nursing organization) is not directly related to maintaining a professional image, although it is important for professional development. Choice C (Earning an advanced nursing degree) may enhance professional qualifications but does not directly impact the nurse's image. Choice D (Developing effective nurse-physician relationships) is important for teamwork but does not specifically address individual professional image.
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A community in the New Madrid fault zone experiences an earthquake resulting in injuries from propelled objects and abrasions for many victims. The local supply of antibiotics is quickly exhausted. Local authorities would contact the:
- A. Commissioned Corps Readiness Force.
- B. Strategic National Stockpile.
- C. Department of Homeland Security.
- D. local Young Men's Christian Association (YMCA).
Correct Answer: B
Rationale: The correct answer is B: Strategic National Stockpile. This is because the Strategic National Stockpile is a federal repository of antibiotics, medical supplies, and equipment to respond to public health emergencies. In this scenario, the local supply of antibiotics is exhausted, so contacting the Strategic National Stockpile would provide the necessary antibiotics to treat the injured victims.
Explanation for why other choices are incorrect:
A: The Commissioned Corps Readiness Force is a team of health professionals who can be deployed during public health emergencies, but they do not specifically store or distribute medical supplies like antibiotics.
C: The Department of Homeland Security focuses on national security and disaster response, but they do not directly handle the distribution of medical supplies like antibiotics.
D: The local Young Men's Christian Association (YMCA) is a community organization that is not equipped to provide medical supplies for emergency response situations like this earthquake scenario.
A nurse moves from California to Arkansas and due to having 20 years of experience as a registered nurse is immediately placed in charge of the telemetry unit. The staffing consists of LPNs and two unlicensed assistive personnel. The RN is unsure of the scope of practice of the LPNs and reviews the nurse practice act for Arkansas, which lacks clarity on some tasks. The RN should:
- A. query the state nursing association to determine their stance on the role of LPNs.
- B. ask the LPNs on the unit to list what tasks they routinely performed.
- C. contact the state board of nursing to determine legal scope of practice for LPNs.
- D. refer to California's nurse practice act because the scope of LPNs/LVNs is consistent across the United States.
Correct Answer: C
Rationale: The correct answer is C: contact the state board of nursing to determine legal scope of practice for LPNs. This is the most appropriate action because the state board of nursing is the authoritative body that governs nursing practice within a specific state. By contacting the board, the RN can get accurate and up-to-date information on the legal scope of practice for LPNs in Arkansas. This ensures compliance with state regulations and avoids any potential legal issues.
A: Querying the state nursing association may provide some insight, but the state board of nursing is the official entity that regulates nursing practice.
B: Asking the LPNs about their tasks may not provide a comprehensive understanding of their legal scope of practice and could lead to misunderstandings.
D: Referring to California's nurse practice act is irrelevant as each state has its own regulations, and assuming consistency across states can lead to incorrect assumptions.
Consumers are concerned with security issues related to their confidential health information being placed in an electronic health record (EHR). However, when the security of the EHR is compared with that of paper-and-pencil records, the EHR is:
- A. more secure.
- B. less secure.
- C. equivalent.
- D. not comparable with the paper-and-pencil record.
Correct Answer: A
Rationale: The correct answer is A: more secure. Electronic Health Records (EHR) typically have built-in security features such as encryption, access controls, and audit trails, making it more secure than paper-and-pencil records. EHRs offer better protection against unauthorized access, tampering, and loss compared to traditional paper records. This is due to the ability to restrict access to specific users, track changes made to the records, and implement authentication measures. Therefore, the security of EHRs surpasses that of paper-and-pencil records. Choices B, C, and D are incorrect because they do not acknowledge the enhanced security measures and advantages that EHRs provide over traditional paper records.
A nurse who was recently certified in chemotherapy administration fails to check compatibility of phenytoin (Dilantin) before injecting into a continuous infusion of D W leading to occlusion of the line. Which statement by the nurse demonstrates a red herring?
- A. The nurse is upset and states, "I am sure I have injected this before without a problem" and the supervisor interprets this to mean the nurse often take shortcuts.
- B. The nurse states, "You are just upset because I am certified in chemotherapy administration and you are not."
- C. "The nurse who started the IV didn't get a blood return but determined the IV was the patient's"that is the problem."
- D. "This drug always occludes the line because it is so viscous."
Correct Answer: D
Rationale: The correct answer is D because it is a red herring statement that distracts from the main issue. Phenytoin is not known to be viscous enough to cause line occlusion. Step 1: Identify the issue - failure to check compatibility. Step 2: A, B, and C address the issue directly or indirectly, while D deflects blame to the drug's viscosity. Step 3: A acknowledges the mistake, B deflects by attacking the supervisor, and C blames the IV setup. In summary, D is incorrect as it diverts attention from the main issue, making it a red herring.
A director of nursing (DON) asks the staff to list how their nursing unit can help the organization meet its goal to "provide quality patient care with attention to compassion and excellence." An ad hoc committee is formed to develop a timeline of identified actions. The DON coaches the committee to reach desired outcomes. This DON is demonstrating which other role of leadership and management?
- A. Transactional
- B. Clinical consultant
- C. Corporate supporter
- D. Autocratic
Correct Answer: B
Rationale: The correct answer is B: Clinical consultant. In this scenario, the DON is providing guidance and expertise to the ad hoc committee in developing strategies to meet the organization's goal of providing quality patient care. As a clinical consultant, the DON utilizes their clinical knowledge and experience to coach and support the committee in achieving desired outcomes related to patient care. The other choices are incorrect because:
A: Transactional leadership focuses on exchanging rewards for performance and does not align with the DON's role in providing clinical guidance.
C: Corporate supporter role involves advocating for organizational goals at a higher level and is not directly related to coaching a committee on clinical matters.
D: Autocratic leadership style is characterized by making decisions without input from others, which is not demonstrated in the scenario where the DON is coaching and guiding the committee.