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When deciding which staffing option to use on a nursing unit that will open soon, the manager realizes that:
- A. continuity of care is enhanced and errors are reduced when nurses provide care over longer shifts and consecutive workdays, such as 12-hour shifts on 3 consecutive days per week.
- B. the use of part-time nurses provides the variability needed to meet diverse patient needs.
- C. satisfaction of the staff equates to satisfaction of patients.
- D. nurses provide the same level of care, regardless of the work environment.
Correct Answer: A
Rationale: Step 1: Continuity of care is enhanced with longer shifts because nurses have more time to build relationships with patients and understand their needs.
Step 2: Working consecutive days per week reduces handoffs, which can lead to errors and miscommunications.
Step 3: 12-hour shifts allow nurses to have more days off, reducing burnout and fatigue.
Summary:
Choice B is incorrect as part-time nurses may not provide consistent care. Choice C is incorrect as staff satisfaction doesn't always translate to patient satisfaction. Choice D is incorrect as the work environment can impact the quality of care provided by nurses.
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A physician complains to administration that the nurse working last evening is unethical, based on observing the nurse educate the patient about a new medication ordered. The physician demanded the nurse be reprimanded and reminded that only physicians have the educational background to teach patients about new medications. Which comment and action by the administrator would be most effective in changing nurse-physician relationships in this instance?
- A. Inform the nurse, "You will be suspended for 3 days for going beyond your job description," and enforce the 3-day suspension because the physician did not write the order to "teach the patient about the new medication"
- B. Advise the physician that only nurses can teach patients about medications; the physician's role is to only prescribe. No action will be taken against the nurse.
- C. After investigating the situation, thank the physician while also providing information that patient education related to medication is within the scope of practice of registered nurses. Share the physician's concern and administrator's response with the nurse so both parties are aware of the resolution of the concerns.
- D. Contact the patient's family and ask, "Do you prefer that all teaching related to medications be performed by the physician rather than the nurse" to determine what action to take.
Correct Answer: C
Rationale: Step 1: The administrator acknowledges the physician's concern to maintain a professional relationship.
Step 2: The administrator educates the physician that patient education on medications falls within the nurse's scope of practice.
Step 3: The administrator addresses the nurse and physician to ensure both are informed of the resolution.
Step 4: This approach promotes mutual understanding and respect between nurse and physician.
Summary: Option C is the correct answer as it acknowledges the physician's concern, educates on scope of practice, and fosters communication between both parties. Options A, B, and D are incorrect as they either punish the nurse unjustly, fail to educate the physician, or involve unrelated parties in the decision-making process.
A nurse is delegating to the newly hired nursing unlicensed assistive personnel (UAP) the task of assisting with oral hygiene, knowing that this assignment "does not require decisions based on the nursing process." The nurse is correctly using which of the five rights of delegation?
- A. Supervision
- B. Communication
- C. Person
- D. Circumstance
Correct Answer: C
Rationale: Correct Answer: C - Person
Rationale:
- The five rights of delegation are Right Task, Right Circumstances, Right Person, Right Direction/Communication, and Right Supervision.
- In this scenario, choosing the Right Person means delegating tasks to individuals with appropriate skills and abilities, such as UAP assisting with oral hygiene.
- This choice is correct as the nurse is delegating a task that falls within the UAP's scope of practice without requiring nursing process decisions.
During a search for the term informatics, when the nurse finds the domain ".edu," the site is affiliated with a(n):
- A. government agency.
- B. commercial site.
- C. educational institution
- D. Internet service provider.
Correct Answer: C
Rationale: The correct answer is C: educational institution. ".edu" domain is reserved for educational institutions in the United States, indicating that the website is affiliated with an educational organization. Government agencies typically use ".gov" domain (A), commercial sites use ".com" domain (B), and Internet service providers use ".net" domain (D). Therefore, the presence of ".edu" in the domain indicates that the site is associated with an educational institution.
When preparing the education section of a resume:
- A. list high school, followed by the first college attended.
- B. include all colleges attended, even if a degree was not awarded.
- C. omit the address of the university unless requested by the potential employer.
- D. list in reverse chronologic order the names, dates, and addresses of universities that awarded degrees.
Correct Answer: D
Rationale: The correct answer is D because listing education in reverse chronological order helps emphasize recent and relevant qualifications first. It showcases academic progression and achievements. A is incorrect as high school is typically not included. B is incorrect as including all colleges, even without a degree, can clutter the resume. C is incorrect as omitting the university address may limit the employer's ability to verify information.
A care provider sacrifices an animal and waves an herb-filled sack over a client who is complaining of painful joints and chest pain with exertion. This ritual represents health care during:
- A. the prehistoric period.
- B. early civilization in Egypt.
- C. the Renaissance.
- D. the Middle Ages.
Correct Answer: A
Rationale: The correct answer is A: the prehistoric period. During this time, people relied heavily on spiritual beliefs and rituals for healing. Sacrificing animals and using herbs in rituals to treat ailments was common practice. In contrast, early civilization in Egypt (B) had more advanced medical practices, the Renaissance (C) saw a shift towards scientific medicine, and the Middle Ages (D) had a mix of spiritual and medical practices, but not as primitive as the prehistoric period.