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When the job applicant is asked to identify weaknesses, one appropriate reply for the novice nurse might be:
- A. "I have no weaknesses."
- B. "Are you trying to set me up?"
- C. "Delegating to peers."
- D. "Caring requires weakness."
Correct Answer: C
Rationale: The correct answer is C: "Delegating to peers." This response shows self-awareness and willingness to improve by acknowledging a common weakness for novice nurses - difficulty in delegating tasks to peers. It demonstrates a willingness to learn and grow in the role.
A: "I have no weaknesses." - This answer lacks self-awareness and does not show a willingness to improve. It comes across as overconfident.
B: "Are you trying to set me up?" - This response is defensive and unprofessional. It does not address the question directly.
D: "Caring requires weakness." - This answer is vague and does not provide a specific weakness or show a proactive approach to self-improvement.
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Health care is one of the major stories in newspaper and television and a group of nurses are interested in how the economy impacts their nursing practice. The group critiques the relationship between contemporary economic trends and professional nursing practice and finds:
- A. the implementation of the DRG system led to the nursing shortage since cost of nursing care is not billed.
- B. nursing care is focused on technologically advanced acute care rather than preventive, patient-centered care.
- C. with pay for performance, nurses have a significant effect on the quality of patient outcomes by reducing errors and providing care based on best practices.
- D. economic issues have little or no impact on nursing practice.
Correct Answer: C
Rationale: The correct answer is C because pay for performance initiatives incentivize nurses to improve patient outcomes by reducing errors and following best practices. This directly links economic incentives to nursing practice. Choice A is incorrect because the DRG system primarily affects hospital reimbursement, not nursing shortages. Choice B is incorrect as it focuses on the type of care, not the economic impact on nursing practice. Choice D is incorrect as economic factors like funding, resources, and reimbursement significantly influence nursing practice.
The use of research to guide nursing practice is called:
- A. utilization.
- B. dissemination.
- C. generalizability.
- D. analysis.
Correct Answer: A
Rationale: The correct answer is A: utilization. Research utilization refers to the application of research findings in nursing practice to improve patient outcomes. Utilization involves integrating research evidence into clinical decision-making. Dissemination (B) refers to sharing research findings. Generalizability (C) pertains to the extent to which research findings can be applied to different populations or settings. Analysis (D) involves examining data to draw conclusions, but it does not specifically relate to using research in practice like utilization does.
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.
A client is in extreme pain after he was involved in a motor vehicle accident, and morphine has been ordered every hour for pain. The nurse injects saline into the client's IV line and takes the morphine for herself. The nurse is violating which principle of ethics?
- A. Autonomy
- B. Utilitarianism
- C. Beneficence
- D. Dilemmas
Correct Answer: C
Rationale: The correct answer is C: Beneficence. Beneficence is the ethical principle that emphasizes the obligation to act in the best interest of the client and to do good. In this scenario, the nurse is not acting in the best interest of the client by withholding the prescribed medication for personal gain. This action goes against the principle of beneficence as it is causing harm to the client by denying them the necessary pain relief.
Summary:
A: Autonomy is the right of the client to make their own decisions, which is not the main issue in this scenario.
B: Utilitarianism focuses on maximizing overall good for the greatest number of people, which is not directly applicable here.
D: Dilemmas do not represent a specific ethical principle being violated in this situation.
A nurse is interested in practicing in a faith-based community; when researching the role of the parish nurse, the nurse finds that:
- A. certification is available at a basic level after a qualifying examination is completed and a set number of practice hours have been worked, as defined by the state's nurse practice act.
- B. this advanced practice role focuses on health promotion and disease prevention.
- C. this role has no set standards or scope of practice but instead follows the doctrine of the denomination being served.
- D. this role is recognized by the American Nurses Association (ANA) as a specialty with a defined set of practice guidelines.
Correct Answer: B
Rationale: The correct answer is B because the role of a parish nurse primarily focuses on health promotion and disease prevention within a faith-based community. Parish nurses typically work to integrate spiritual care with traditional healthcare services. This choice aligns with the core responsibilities of a parish nurse and accurately reflects the primary focus of their practice.
Summary of other choices:
A: Incorrect. While certification may be available for parish nurses, the process and requirements are not solely defined by state regulations; it usually involves additional training in faith-based healthcare practices.
C: Incorrect. The role of a parish nurse is typically guided by professional standards and organizational protocols rather than being solely dictated by the doctrines of a specific denomination.
D: Incorrect. While the ANA may acknowledge the role of parish nursing, it does not have specific practice guidelines for this specialty.