Nokea
When choosing to delegate, the nurse should delegate the task to the most qualified person or to the person he or she wishes to:
- A. develop.
- B. promote.
- C. punish.
- D. reward.
Correct Answer: A
Rationale: The correct answer is A: develop. When delegating tasks, it is important for the nurse to choose the most qualified person to ensure safe and effective care. By delegating tasks to someone who needs development, the nurse can provide opportunities for growth and skill enhancement. This benefits both the individual being delegated to and the overall team. Choices B, C, and D are incorrect because promoting, punishing, or rewarding someone based on task delegation can lead to bias, unfairness, or inappropriate incentives, which are not conducive to effective delegation practices.
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A nurse is caring for a client who just consented to an elective abortion. The nurse is unsure of his or her own values as they relate to this issue. The nurse must:
- A. know his or her own values and how these values relate to beliefs and the philosophy of nursing.
- B. rid the impurities in his or her value system.
- C. ignore his or her own values.
- D. realize that values do not change and that they cannot be influenced by others.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Understanding one's values: It is essential for the nurse to know their own values and how these impact their nursing practice.
2. Relationship to beliefs and nursing philosophy: Knowing one's values helps align with the ethical principles and philosophy of nursing.
3. Ethical decision-making: By understanding personal values, the nurse can make informed and ethical decisions in the care of the client.
4. Professional integrity: Being aware of personal values promotes professional integrity and ensures the nurse's actions are in line with ethical standards.
Summary:
- Option B is incorrect as the focus should be on understanding and reconciling one's values rather than eliminating them.
- Option C is incorrect as ignoring one's values can lead to ethical dilemmas and compromise the quality of care.
- Option D is incorrect as values are subject to change and can be influenced by various factors, including professional experiences and education.
Which statements concerning licensure as a registered nurse are correct? (select all that apply)
- A. Nurses who graduate from different types of nursing education programs are granted different types of licenses, those with a baccalaureate degree having the most expanded role.
- B. A nursing license cannot be revoked, only suspended.
- C. Each nurse practice act describes requirements for initial licensure.
- D. It is illegal for states to ask about the mental or physical status of an applicant.
Correct Answer: A
Rationale: Rationale:
A: Correct. Nurses with different education levels (e.g., associate vs. bachelor's degree) have varied scope of practice. BSN-prepared nurses typically have a broader scope compared to ADN-prepared nurses.
B: Incorrect. Nursing licenses can be revoked or suspended for various reasons such as misconduct or negligence.
C: Incorrect. Nurse practice acts outline licensure requirements, but not specifically for initial licensure.
D: Incorrect. States may inquire about the mental or physical status of applicants to ensure they are fit to practice safely.
Nurses working on an orthopedic unit use personal digital assistants (PDAs) to review medications prior to administration to reduce potential drug interactions. Software is also installed that provides video clips of common procedures performed by nurses. Nurses on this unit are best demonstrating which QSEN competencies?
- A. Patient-centered care
- B. Informatics
- C. Teamwork
- D. Quality improvement
Correct Answer: B
Rationale: The correct answer is B: Informatics. Nurses on the orthopedic unit are demonstrating informatics competency by using PDAs for medication review and accessing video clips for procedures. This showcases their ability to utilize technology to enhance patient care. Patient-centered care (A) focuses on individualized care, teamwork (C) emphasizes collaboration, and quality improvement (D) pertains to enhancing processes. The use of technology in this scenario aligns most closely with the informatics competency, making it the best choice.
A nurse is brought in who testifies that a professional with the knowledge and skill of an RN should understand that, before administering this drug, potassium level and pulse level is always checked to prevent such an occurrence. The nurse's testimony as to what constitutes reasonable care is based on:
- A. the legal definition of standard of care.
- B. the legal definition of the informed consent process.
- C. the doctrine of res ipsa loquitur.
- D. governmental immunity.
Correct Answer: A
Rationale: The correct answer is A: the legal definition of standard of care. In healthcare, the standard of care refers to the level of care that a reasonably prudent healthcare professional would provide in similar circumstances. Checking potassium level and pulse before administering a drug is considered standard practice to prevent adverse reactions. The nurse's testimony is based on this standard of care requirement to ensure patient safety and avoid potential harm. Choices B, C, and D are incorrect because they do not directly relate to the concept of standard of care in healthcare practice. B pertains to patient consent, C to the doctrine of "the thing speaks for itself," and D to immunity from liability for certain actions.
In the near future, the largest segment of the population will be those over age 65 years. To advocate for this vulnerable population, a nurse was a strong supporter for the Medicare Modernization Act (Medicare Part D), which:
- A. provided vision care benefits to elderly persons who were diagnosed as legally blind.
- B. removed limits to access to mental health/substance abuse services which are the most commonly used service in this population.
- C. provided coverage for medications for Medicare enrollees that constituted a huge expense for the elderly.
- D. expanded the practice opportunities for advanced practice registered nurses (APRN) who provide the majority of care for this population.
Correct Answer: C
Rationale: The correct answer is C because the Medicare Modernization Act (Medicare Part D) provided coverage for medications that constituted a huge expense for the elderly. This is crucial for the aging population as they often require multiple medications for chronic conditions. Choice A is incorrect because vision care benefits for legally blind individuals are usually covered under Medicare Part B. Choice B is incorrect as the act specifically focused on medication coverage, not mental health/substance abuse services. Choice D is incorrect as the act did not directly address expanding practice opportunities for APRNs, but rather focused on medication coverage for the elderly population.