Nokea
When the nurse manager conducts a qualitative analysis of budget variances, he or she is:
- A. determining the percentage increase of supply usage from the last quarter to the current quarter.
- B. identifying the overall increase in the dollar amount of salaries paid for overtime.
- C. comparing productivity metrics across all nursing units in the facility.
- D. reconciling with current conditions the underlying assumptions on which the budget was based.
Correct Answer: D
Rationale: The correct answer is D because when a nurse manager conducts a qualitative analysis of budget variances, they need to reconcile the underlying assumptions on which the budget was based with current conditions. This involves reviewing the initial budget assumptions to see if they still hold true and adjusting them accordingly. This step ensures that the budget remains relevant and accurate.
A is incorrect because determining the percentage increase of supply usage does not involve a qualitative analysis of budget variances. B is incorrect because identifying the overall increase in the dollar amount of salaries paid for overtime is a quantitative analysis, not qualitative. C is incorrect because comparing productivity metrics across nursing units is a different type of analysis and not specifically related to budget variances.
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A nurse is reading an abstract about a study related to Rocky Mountain Spotted Fever. The purpose is stated as follows: "To examine the generalizability of two randomized placebo-controlled clinical trials in patients with Rocky Mountain Spotted Fever to determine whether steroid therapy resulted in the positive outcomes." The nurse knows generalizability refers to the:
- A. conclusion that findings can be generalized from the sample to the entire population.
- B. fact that the group of steroids used are from the same organic compounds.
- C. possibility that the subjects were carefully selected and that outside influence is thus suspected.
- D. fact that the type of bacteria carried by ticks is universal.
Correct Answer: A
Rationale: The correct answer is A. Generalizability refers to the conclusion that findings from a sample can be applied to the entire population. In this case, the purpose of the study is to determine if the positive outcomes of steroid therapy in two randomized placebo-controlled trials for Rocky Mountain Spotted Fever can be generalized to a broader population of patients with the same condition. Choice B is incorrect because generalizability is not about the type of steroids used but about the applicability of study findings. Choice C is incorrect as it refers to selection bias, not generalizability. Choice D is incorrect as generalizability is about the application of findings, not the universality of bacteria types.
Health care professionals have been activated to respond to a disaster, and the registered nurse who is coordinating the effort realizes that: (select all that apply)
- A. in the event of a mass casualty incident, care is prioritized to those who have the greatest chance of surviving.
- B. communities should use their own resources first to attempt to stabilize and organize the response.
- C. state assistance occurs any time a disaster occurs, regardless of the community's resources.
- D. the emergency operating plan developed by one central agency rather than individual facilities should be put into operation.
Correct Answer: A
Rationale: The correct answer is A because in a mass casualty incident, triage principles dictate that care should be prioritized to those with the greatest chance of survival to maximize overall survival rates. This ensures that limited resources are used efficiently.
Choices B, C, and D are incorrect:
B: Using only community resources first may not be sufficient in a large-scale disaster and could delay the response, leading to unnecessary loss of life.
C: State assistance may not be automatically available in every disaster situation and is typically coordinated based on the severity and impact of the disaster.
D: Emergency operating plans should be tailored to individual facilities' needs and capabilities, as a one-size-fits-all approach may not be effective in all scenarios.
A student nurse assigned to work with the charge nurse is given the opportunity to help revise the nursing assessment form. She receives several compliments from management and her nursing instructor for her creative suggestions. The student nurse enjoys the project and attention she is receiving and begins to prolong the conclusion of the project. Although she constantly adds new information, she filters this out slowly to others. The student nurse is subject to the time management obstacle of:
- A. need for perfection.
- B. fear of losing creativity.
- C. unclear goals.
- D. fear of completion.
Correct Answer: D
Rationale: The correct answer is D: fear of completion. This is because the student nurse is prolonging the conclusion of the project despite constantly adding new information and filtering it out slowly to others. This behavior indicates a reluctance to finish the project, likely due to a fear of moving on to the next stage or fear of evaluation. The student nurse is enjoying the attention and positive feedback, leading to a delay in completing the task.
A: The need for perfection is not the primary obstacle in this scenario as the student nurse is not necessarily striving for perfection but rather avoiding completion.
B: Fear of losing creativity is not the main issue here as the student nurse is still adding new information, indicating creativity is not the concern.
C: Unclear goals do not seem to be the obstacle as the student nurse is actively engaged in the project and receiving positive feedback.
A nurse studied a community to determine if there were clients who would benefit from a hospice program if one were developed. This type of research is:
- A. a survey.
- B. quasi-experimental.
- C. a needs assessment method.
- D. a pilot study.
Correct Answer: C
Rationale: The correct answer is C: a needs assessment method. A needs assessment method is used to identify gaps or deficiencies in services, programs, or resources in a community. In this scenario, the nurse is determining if there is a need for a hospice program, which aligns with the purpose of a needs assessment. A survey (choice A) involves collecting data from a sample group to gather insights, but it doesn't necessarily focus on identifying specific needs. Quasi-experimental (choice B) and pilot study (choice D) are research designs used to test interventions or programs, which are not the primary goal in this case.
Nurses in a nonprofit hospital have expressed an interest in forming a union to secure fair wages and ensure client safety. To form a core support group of nurses, the union organizer can conduct meetings to gather initial information:
- A. away from the worksite with a group of managers to learn both sides of the situation.
- B. at the worksite with staff nurses who are respected leaders.
- C. in homes or local businesses with staff nurses.
- D. after photographing management meeting to discuss their strategies to decrease interest in unionization.
Correct Answer: B
Rationale: The correct answer is B because conducting meetings at the worksite with respected staff nurses allows for direct engagement with potential union supporters. This approach fosters a sense of unity and trust among the nurses, making it easier to form a core support group. Additionally, meeting at the worksite enables easy access for all nurses and ensures a safe and neutral environment for discussions.
Choices A, C, and D are incorrect because:
A: Meeting away from the worksite with managers may create a conflict of interest and could lead to a biased understanding of the situation.
C: Meeting in homes or local businesses may not provide a professional setting for discussions and may not be convenient for all nurses to attend.
D: Photographing management meetings and discussing their strategies is unethical and could potentially harm the relationship between nurses and management.