Nokea
When assessing an ethical issue, the nurse must first:
- A. ask, "What is the issue?"
- B. identify all possible alternatives.
- C. select the best option from a list of alternatives.
- D. justify the choice of action or inaction.
Correct Answer: A
Rationale: The correct answer is A because before addressing any ethical issue, it is vital to first identify and define the issue clearly. This helps in understanding the context and scope of the problem. Without knowing the specific ethical issue at hand, it is impossible to proceed with identifying alternatives, selecting the best option, or justifying the choice of action. Therefore, asking "What is the issue?" is the initial step in the ethical decision-making process.
Summary:
- Option B is incorrect because identifying alternatives comes after defining the issue.
- Option C is incorrect as selecting the best option should be based on a clear understanding of the issue.
- Option D is incorrect as justifying actions or inactions should come after determining the ethical problem.
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When participating in a nurse licensure compact, the nurse:
- A. is held responsible for complying with the nursing practice laws in the state where practicing at the time care is rendered.
- B. must purchase a license in each state but does not retake the licensure examination.
- C. determines residency based on the state where educated as registered nurse.
- D. may practice using one license in any state or territory in the United States that recognizes the NCLEX as the source of licensure.
Correct Answer: D
Rationale: The correct answer is D because the Nurse Licensure Compact (NLC) allows nurses to practice using one license in any state that is part of the compact and recognizes the NCLEX as the source of licensure. This promotes mobility and access to care across state lines. Choice A is incorrect because the nurse is not held responsible for complying with the nursing practice laws of each state individually. Choice B is incorrect as purchasing a license in each state defeats the purpose of the compact. Choice C is incorrect as residency is not determined by where the nurse was educated but by the state where they hold a license.
A patient with complicated diabetes is scheduled for a below the knee amputation at 7 AM. The surgical team adheres to the 2012 National Patient Safety Goals by implementing which protocols? (select all that apply)
- A. The surgical team asks the patient to verify his or her name, type of surgery, and limb to be removed.
- B. Ask each member of the surgical team to provide a copy of licensure and, if applicable, certification to patient and family.
- C. The surgical team uses the chart number and name/hospital number to ensure they have the correct patient.
- D. Mark the procedure site with "X" and again ask the patient to verify correct site.
Correct Answer: A
Rationale: The correct answer is A because it aligns with the 2012 National Patient Safety Goals, specifically the goal of improving the accuracy of patient identification. By asking the patient to confirm their name, type of surgery, and limb to be removed, the surgical team is ensuring that they have the correct patient and are performing the correct procedure. This protocol helps prevent errors and ensures patient safety.
Option B is incorrect because asking for licensure and certification does not directly relate to patient safety or accurate patient identification.
Option C is incorrect because relying solely on chart numbers or hospital numbers may not be sufficient to prevent errors in patient identification.
Option D is incorrect because while marking the procedure site is important, relying solely on the patient to verify the correct site may not be as effective as having the healthcare team confirm this information with the patient.
A nurse is given a referral to make a home visit to a Russian immigrant. The nurse knows very little about the health beliefs of this ethnic group. To research this group, she can use an Internet search engine and enter the term "Russian cultures" or "Russian health beliefs." To obtain more generalized information, she could also search under:
- A. federally recognized minorities.
- B. marginalized populations.
- C. Asian/Pacific Islander cultures.
- D. Latino cultures.
Correct Answer: A
Rationale: The correct answer is A: federally recognized minorities. This is because Russian immigrants are considered a federally recognized minority group in the United States. By searching under this category, the nurse can find specific and relevant information about the health beliefs and practices of this particular ethnic group. Choices B, C, and D are incorrect because they do not specifically pertain to the Russian immigrant population. Marginalized populations (B) may include various minority groups but may not provide specific information about Russian immigrants. Similarly, Asian/Pacific Islander cultures (C) and Latino cultures (D) do not encompass the unique health beliefs and practices of Russian immigrants.
A client involved in a motor vehicle accident is blinded. The nurse helps the client obtain a guide dog so the client may continue grocery shopping and visiting friends and family. This enables the client to cope with the handicap and perform activities of daily living. Which nursing theory can be applied to this scenario?
- A. Watson's philosophy and science of caring and humanistic nursing
- B. Mishel's uncertainty in illness
- C. Orem's self-care deficit
- D. Rogers' science of unitary human beings
Correct Answer: A
Rationale: The correct answer is A: Watson's philosophy and science of caring and humanistic nursing. This theory emphasizes the importance of the nurse-client relationship, caring, and holistic care. In this scenario, obtaining a guide dog for the client reflects the nurse's caring actions to promote the client's independence and well-being. By helping the client cope with the handicap and continue daily activities, the nurse embodies the essence of caring and humanistic nursing.
Incorrect Choices:
B: Mishel's uncertainty in illness - This theory focuses on how individuals respond to uncertainty in illness situations, which does not directly apply to the scenario of obtaining a guide dog for a blinded client.
C: Orem's self-care deficit - This theory emphasizes the nurse's role in assisting clients with self-care activities when they are unable to do so independently. While related to the scenario, it does not capture the essence of caring and humanistic nursing demonstrated in the client's situation.
D: Rogers' science of unitary human beings - This
A nurse plans care knowing when specific recovery milestones are expected. The nurse is providing care via:
- A. patient classification systems.
- B. clinical pathways.
- C. functional nursing.
- D. case management.
Correct Answer: B
Rationale: The correct answer is B: clinical pathways. Clinical pathways are structured, evidence-based plans of care that outline the expected recovery milestones and interventions for a specific condition or procedure. By following a clinical pathway, nurses can effectively plan care and monitor progress based on established guidelines. Patient classification systems (A) categorize patients based on acuity levels, not recovery milestones. Functional nursing (C) involves delegating specific tasks to different staff members. Case management (D) focuses on coordinating care across multiple providers, not specifically on recovery milestones.