Nokea
When differentiating between slander and libel, the nurse knows that libel:
- A. results from defamation caused by subjective comments written in the nurse's notes.
- B. results from negative subjective comments made to those who are not providing care.
- C. occurs when the nurse verbally describes to the oncoming nurse assigned to the client objective data that place the client in a negative light.
- D. consists of repeating prejudiced comments made by the primary caregiver to a neighbor at the local supermarket.
Correct Answer: A
Rationale: The correct answer is A because libel refers to written defamatory statements. In this scenario, subjective comments written in the nurse's notes can be considered libel as they are documented in writing.
Choice B is incorrect because it describes negative comments made verbally, which would be considered slander, not libel.
Choice C is incorrect as it involves verbal communication, which falls under slander, not libel.
Choice D is incorrect as it describes repeating prejudiced comments verbally, which is also considered slander, not libel.
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A staff nurse provides care based on intuition and always seems to be in control of her personal and professional life, serving on the board of the state nurses association, serving as the nursing unit's representative on the ethics committee, and coaching her daughter's soft ball team. Many of the staff observes how she manages time and provides care. This nurse's power comes from which type of power?
- A. Referent
- B. Legitimate
- C. Information
- D. Connection
Correct Answer: A
Rationale: The correct answer is A: Referent power. Referent power is based on an individual's personal characteristics that others admire and seek to emulate. In this case, the nurse's ability to manage time effectively, maintain control in her personal and professional life, and serve in various leadership roles demonstrates her influence over others through admiration and respect. It is not legitimate power (B) as her authority does not stem from a formal position. It is not information power (C) as her power is not derived from possessing or sharing specific knowledge. It is not connection power (D) as her influence is not based on her network or relationships but rather on her personal qualities.
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.
A nurse providing care at the bedside receives an "alert" that a patient's stat potassium level is 5 and digoxin (Lanoxin) is scheduled. The nurse holds the medication and prevents a possible complication. This feature of the Electronic Health Record is available through which core function of EHR?
- A. Order entry/order management
- B. Decision support
- C. Patient support
- D. Administrative support
Correct Answer: B
Rationale: The correct answer is B: Decision support. In this scenario, the nurse received an alert regarding a potential drug interaction between the patient's potassium level and the scheduled digoxin. Decision support in EHR provides real-time clinical guidance to healthcare providers, helping them make informed decisions to improve patient safety. Holding the medication in response to the alert demonstrates the effective use of decision support to prevent adverse drug events. Choices A, C, and D do not directly relate to the situation described and do not involve the clinical decision-making support provided by EHRs.
A certified oncology nurse notices that a novice nurse is unsure of decision making and lacks technical skills. The novice nurse gains confidence by sharing and learning with the experienced nurse. This relationship continues and builds, allowing the novice nurse to become more confident. This relationship is known as:
- A. mentoring.
- B. role modeling.
- C. a preceptorship.
- D. socialization.
Correct Answer: A
Rationale: The correct answer is A: mentoring. Mentoring involves an experienced individual guiding and supporting a less experienced individual to help them develop skills, confidence, and knowledge. In this scenario, the certified oncology nurse is providing guidance and support to the novice nurse, helping them gain confidence and improve decision-making and technical skills. Mentoring fosters a personalized and supportive relationship that allows for growth and development.
Summary of other choices:
B: Role modeling involves observing and emulating behaviors of others, but it does not necessarily involve the direct guidance and support seen in mentoring.
C: Preceptorship typically refers to a structured program where a more experienced individual (preceptor) guides a less experienced individual (preceptee) for a specific period, which is more formalized than the relationship described in the scenario.
D: Socialization refers to the process of adapting to the norms and values of a group or society, which is not directly related to the mentorship relationship described in the scenario.
To ensure that nursing legislation is current and is reviewed by specific dates, if a nurse practice act fails to be reviewed, it is automatically rescinded under which law?
- A. Nurse review act
- B. Sunset legislation
- C. Mandatory revocation
- D. Grandfathering
Correct Answer: B
Rationale: The correct answer is B: Sunset legislation. Sunset legislation mandates that laws, including nurse practice acts, must be reviewed periodically to determine if they are still needed. If a nurse practice act is not reviewed by the specified date, it is automatically rescinded. This process ensures that laws are current and relevant.
Incorrect Choices:
A: Nurse review act - There is no specific law called the Nurse review act that pertains to the automatic rescinding of nurse practice acts.
C: Mandatory revocation - This choice does not align with the process of automatic rescinding based on a failure to review.
D: Grandfathering - Grandfathering refers to exempting individuals from new regulations based on previous circumstances, not the automatic rescinding of laws.