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What is the main focus of the Magnet Recognition Program?
- A. Nurse satisfaction
- B. Patient outcomes
- C. Financial performance
- D. Nursing excellence
Correct Answer: D
Rationale: The correct answer is D: Nursing excellence. The main focus of the Magnet Recognition Program is to recognize healthcare organizations that demonstrate nursing excellence in practice. This includes promoting a positive work environment, professional development, and quality patient care outcomes. Choice A, nurse satisfaction, is important but not the primary focus of the program. Choice B, patient outcomes, is related to nursing excellence but not the main focus of the program. Choice C, financial performance, is not directly related to nursing excellence and is not a focus of the Magnet Recognition Program.
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One of the perceptions of turnover is:
- A. Poor management
- B. Rejection of the job
- C. Loss of poor performers
- D. Poor job atmosphere
Correct Answer: B
Rationale: The correct answer is B: Rejection of the job. Turnover can occur when employees feel dissatisfied with their job roles, responsibilities, or work environment, leading them to reject the job and seek opportunities elsewhere. This perception aligns with the concept of voluntary turnover, where employees choose to leave due to personal reasons rather than external factors like poor management (A), loss of poor performers (C), or poor job atmosphere (D). These other choices focus on external factors or outcomes of turnover, whereas choice B directly addresses the personal perspective of the employee as a key driver of turnover.
A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain?
- A. Is your pain constant or intermittent?
- B. What would you rate your pain on a scale of 0 to 10?
- C. Does the pain radiate?
- D. Is your pain sharp or dull?
Correct Answer: D
Rationale: The correct answer is D: Is your pain sharp or dull? This question helps differentiate between different types of pain, which can provide valuable information about the underlying cause and guide appropriate interventions. Sharp pain is often associated with nerve or tissue damage, while dull pain may indicate inflammation or muscle strain. Asking about the quality of pain is crucial in pain assessment.
A: Is your pain constant or intermittent? - This question focuses on the duration of pain rather than the quality.
B: What would you rate your pain on a scale of 0 to 10? - This question assesses pain intensity, not quality.
C: Does the pain radiate? - This question assesses pain distribution, not quality.
An RN’s current patient and family have presented her with an ethical dilemma. What is the first step the RN should take to find a workable solution to the problem?
- A. Planning
- B. Assessment
- C. Evaluation
- D. Implementation
Correct Answer: B
Rationale: The correct answer is B: Assessment. The first step in resolving an ethical dilemma is to thoroughly assess the situation. This involves gathering all relevant information, understanding the perspectives of the patient and family, and identifying key ethical principles at stake. Assessment allows the RN to have a clear understanding of the dilemma and its implications before proceeding with any planning, implementation, or evaluation. Planning (A), Implementation (D), and Evaluation (C) are all important steps in the problem-solving process, but without a comprehensive assessment, the RN may not have a solid foundation to address the ethical dilemma effectively.
A client discharges AMA (against medical advice). This is an example of the _________ type of risk category?
- A. nurse-focused
- B. physician-focused
- C. medical-legal incident
- D. Patient-focused
Correct Answer: C
Rationale: The correct answer is C: medical-legal incident. When a client discharges AMA, it poses medical-legal risks for healthcare providers. This includes potential liability if the client experiences adverse outcomes post-discharge. Other choices are incorrect because discharging AMA is not solely focused on nurses (A) or physicians (B), but involves legal implications. It is also not purely patient-focused (D) as it impacts the healthcare team's legal responsibilities.
What is the primary role of a nurse in palliative care?
- A. To provide emotional support to patients and families
- B. To coordinate patient care and provide pain management
- C. To administer medications and treatments
- D. To conduct research on end-of-life care
Correct Answer: B
Rationale: The correct answer is B because in palliative care, nurses play a crucial role in coordinating patient care and providing effective pain management. This involves working closely with patients, families, and other healthcare professionals to ensure holistic care and comfort for the patient. Nurses are responsible for assessing and addressing the physical, emotional, and psychological needs of patients in palliative care. Providing pain relief and symptom management is a key aspect of improving the quality of life for patients. Emotional support (choice A) is important but not the primary role. Administering medications (choice C) is a task within the role but not the primary focus. Conducting research (choice D) is valuable but not the primary responsibility of a nurse in palliative care.