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What is the term for working on a schedule within the unit, involving only those who are working within that unit?
- A. Flexible staffing
- B. Self-staffing
- C. Internal pools
- D. Management scheduling
Correct Answer: B
Rationale: The correct answer is B: Self-staffing. Self-staffing refers to employees within a unit scheduling themselves to work according to the unit's needs. This approach empowers employees to manage their own schedules, ensuring coverage within the unit.
A: Flexible staffing typically involves adjusting staffing levels based on fluctuating demand, not limited to a specific unit.
C: Internal pools usually refer to a group of employees who can be assigned to various units based on need, not limited to a specific unit.
D: Management scheduling involves supervisors or managers creating schedules for employees, not necessarily limited to a specific unit.
In summary, the term for working on a schedule within the unit involving only those who are working within that unit is self-staffing because it allows employees to self-schedule within their own unit's context.
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The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2
diabetes about home management of the disease. Which action should the nurse take first?
- A. Ask the patient’s family to participate in the diabetes education program.
- B. Assess the patient’s perception of what it means to have diabetes mellitus.
- C. Demonstrate how to check glucose using capillary blood glucose monitoring.
- D. Discuss the need for the patient to actively participate in diabetes management.
Correct Answer: B
Rationale: The correct answer is B: Assess the patient’s perception of what it means to have diabetes mellitus. This is the first step because understanding the patient's perception allows the nurse to tailor education to address any misconceptions or concerns. It helps establish a baseline of the patient's knowledge and beliefs about diabetes, enabling the nurse to provide accurate and relevant information.
Option A is incorrect as involving the family should come after assessing the patient's individual understanding and needs. Option C is incorrect as demonstrating blood glucose monitoring should follow assessing the patient's perception to ensure relevance. Option D is incorrect as discussing active participation should also come after assessing the patient's perception to ensure the information is personalized and effective.
How did the Social Security Act of 1935 impact public health nursing?
- A. Disabled children
- B. Mentally disabled
- C. Older adults
- D. Opioid addicts
Correct Answer: A
Rationale: The Social Security Act of 1935 impacted public health nursing by providing financial assistance to families with disabled children. This support helped improve access to healthcare services and resources for disabled children, leading to better health outcomes. The Act did not specifically address mentally disabled individuals, older adults, or opioid addicts in the same way as it did for disabled children. Therefore, choice A is correct as it directly aligns with the Act's provisions for supporting disabled children.
The changes brought forth by the state boards of nursing are an example of which type of change agent?
- A. Resistance
- B. Empirical-rational
- C. Normative-reeducative
- D. Power-coercive
Correct Answer: D
Rationale: The correct answer is D: Power-coercive. State boards of nursing have the authority to enforce regulations and standards through legal power, making them a power-coercive change agent. They can mandate compliance and impose consequences for non-compliance, utilizing their regulatory power to drive change.
A: Resistance is incorrect as state boards of nursing do not resist change but rather implement and enforce it.
B: Empirical-rational is incorrect as this approach involves presenting data and information to persuade individuals to change, which may not align with the state boards' regulatory enforcement.
C: Normative-reeducative is incorrect as it focuses on changing beliefs and values through education and social influence, which is not the primary method used by state boards of nursing for implementing change.
A client is discussing the use of herbal supplements for health promotion with a nurse. Which of the following client statements indicates an understanding of herbal supplement use?
- A. I can take echinacea to improve my immune system.
- B. I can take feverfew to reduce my level of anxiety.
- C. I can take ginger to improve my memory.
- D. I can take ginkgo biloba to relieve nausea.
Correct Answer: D
Rationale: The correct answer is D because ginkgo biloba is commonly used to improve memory and cognitive function, not to relieve nausea. Echinacea is known for immune support (A), feverfew for migraine prevention (B), and ginger for nausea relief (C). Understanding the intended use of each herb is crucial for safe and effective supplementation.
The charge nurse role has negatively affected your relationship with your friends and made you feel tense and isolated. You decide that you will delegate more time-consuming tasks to staff who are not your friends, who then complain to your nurse manager about your perceived unfairness. You decide to:
- A. Talk with your friends individually to let them know that you will be assigning patients to all staff in an equitable manner.
- B. Not express your angry feelings.
- C. Talk about staff who are annoying you with staff on other units.
- D. Ignore your feelings of uncertainty, hoping they will diminish.
Correct Answer: A
Rationale: The correct answer is A because it addresses the issue directly and effectively. By talking individually with your friends and explaining the need for equitable patient assignments, you are promoting fairness and transparency in your delegation process. This approach fosters open communication and helps maintain professional boundaries.
Choice B is incorrect because suppressing your feelings of anger can lead to further tension and unresolved conflicts. Choice C is inappropriate as it involves gossiping about other staff members, which is unprofessional and can create additional problems. Choice D is not a proactive solution and avoiding addressing the issue will only prolong the negative impact on your relationships and work environment.