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What is the primary role of practicing nurses in the research process?
- A. Designing research studies
- B. Collecting data for other researchers
- C. Identifying researchable problems
- D. Seeking funding to support research studies
Correct Answer: C
Rationale: When problems are identified, research can be properly conducteResearch of healthcare issues leads to evidence-based practice guidelines.
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In which step of the nursing process does the nurse determine the appropriate interventions for the identified nursing diagnosis?
- A. Planning
- B. Evaluation
- C. Assessment
- D. Intervention
Correct Answer: A
Rationale: In the nursing process, planning is the step where the nurse determines the appropriate interventions for the identified nursing diagnosis. Firstly, after assessing the patient's needs (Assessment), the nurse analyzes the data to identify nursing diagnoses. Next, in the Planning step, the nurse sets goals, establishes priorities, and decides on specific interventions to address the nursing diagnoses. This step involves developing a comprehensive care plan tailored to the individual patient's needs. Evaluation comes after the interventions are implemented to assess the effectiveness of the care provided. The Intervention step involves carrying out the planned interventions. Thus, the correct answer is A: Planning.
The most conservative approach for early breast cancer treatment involves lumpectomy followed by which procedure?
- A. Radiation
- B. Adjuvant systemic therapy
- C. Hormonal therapy
- D. Chemotherapy
Correct Answer: A
Rationale: Radiation therapy is typically used after lumpectomy to treat early-stage breast cancer.
What guidance should the nurse provide to a man who smokes two packs a day and is concerned about infertility?
- A. Your sperm count seems to be okay in the first semen analysis.'
- B. Only marijuana cigarettes affect sperm count.'
- C. Although smoking has no effect on sperm count, it can give you lung cancer.'
- D. Smoking can reduce the quality of your sperm.'
Correct Answer: D
Rationale: Cigarette smoking can affect sperm quality, including abnormal sperm, decreased count, and chromosomal damage.
A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?
- A. There is stratification of communication in a directed manner between nursing staff and administration.
- B. There is increased job satisfaction of nurses, with a lower staff turnover rate.
- C. Physicians are certified in their respective specialty areas.
- D. All nurses have baccalaureate degrees and certification in their clinical specialty area.
Correct Answer: B
Rationale: The correct answer is B because increased job satisfaction and lower staff turnover are key indicators of Magnet status, which focuses on nursing excellence and quality care. This is supported by research showing a correlation between Magnet hospitals and positive nurse outcomes. Choices A, C, and D are incorrect as they do not directly align with the criteria for Magnet status, which primarily emphasizes nursing excellence rather than physician certification or educational requirements for nurses.
The nurse is writing an expected outcome for the nursing diagnosis—acute pain related to
tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale
of 10. Which expected outcome is correctly stated for this problem?
- A. Patient will state that pain is a 2 on a scale of 10.
- B. Patient will have a reduction in pain after administration of the prescribed
- C. Patient will state an absence of pain 1 hour after administration of the prescribed
- D. Patient will state that pain is a 2 on a scale of 10, 1 hour after the administration of
Correct Answer: D
Rationale: The correct answer is D because it reflects a specific, measurable, and realistic expected outcome for the nursing diagnosis of acute pain. It includes the patient's subjective pain rating (2 on a scale of 10) and a time frame (1 hour after administration of medication). This outcome is achievable and provides a clear target for evaluating the effectiveness of pain management.
Option A is incorrect as it does not specify a time frame or intervention. Option B is vague and lacks a measurable outcome. Option C is also vague and lacks a clear time frame for evaluation. Overall, option D is the best choice as it aligns with the SMART criteria for expected outcomes in nursing care planning.