Nokea
When the policy process is compared with the nursing process, identifying the issue is consistent with which step of the nursing process?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
Correct Answer: A
Rationale: The correct answer is A: Assessment. In the nursing process, the first step is assessment, which involves gathering data to identify the issue or problem. Similarly, in the policy process, identifying the problem is equivalent to the assessment phase. This step sets the foundation for the subsequent steps of diagnosis, planning, and implementation.
Choice B: Diagnosis is incorrect as it comes after assessment in the nursing process and focuses on analyzing the data to determine the underlying cause of the issue.
Choice C: Planning is incorrect as it follows diagnosis in the nursing process and involves developing a plan of action based on the identified problem.
Choice D: Implementation is incorrect as it is the final step in the nursing process where the plan is put into action after assessment, diagnosis, and planning have been completed.
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A nurse is assisting with the delivery of twins. The first infant is placed on the scale to be weighed. The physician requests an instrument stat. The nurse turns to hand the instrument to the physician, and the infant falls off the scale. When evaluating the incident, the nurse and her manager list contributory factors such as the need for two nurses when multiple births are known, and the location of the scale so far from the delivery field. These nurses are performing a(n):
- A. standardization of care.
- B. root cause analysis.
- C. process variation.
- D. analysis of a deployment flowchart.
Correct Answer: B
Rationale: The correct answer is B: root cause analysis. Root cause analysis involves identifying the underlying causes of an incident to prevent its recurrence. In this scenario, the nurse and manager are examining factors contributing to the infant falling off the scale. They are looking beyond the immediate event to understand the systemic issues that led to the incident, such as the need for additional staff during multiple births and the placement of the scale far from the delivery field. By conducting a root cause analysis, they aim to address these underlying issues and prevent similar incidents in the future.
A: Standardization of care refers to consistent application of best practices, which is not the focus of the nurse and manager's actions in this situation.
C: Process variation involves analyzing inconsistencies in processes, which is not the primary concern in this incident.
D: Analysis of a deployment flowchart examines the flow of resources in a process, which is not directly related to identifying the root causes of the incident.
The appropriate procedure for addressing a cover letter when the applicant is unsure of the name and title of the person to whom the letter should be addressed is to:
- A. address the letter to "To Whom It May Concern."
- B. address the letter to "Nurse Recruiter."
- C. call the facility to inquire about the name and title of the person.
- D. leave the salutation blank if the name and the title are unknown.
Correct Answer: A
Rationale: The correct answer is A: address the letter to "To Whom It May Concern." This is the appropriate procedure when the applicant is unsure of the recipient's name and title. It is a professional and formal way to address a cover letter when the specific recipient is unknown.
Option B is incorrect as addressing the letter to a generic title like "Nurse Recruiter" may not be appropriate if the recipient does not hold that specific title. Option C may be time-consuming and unnecessary if the applicant can use a more general salutation. Option D is incorrect because leaving the salutation blank can come across as unprofessional and lazy.
A nurse who is licensed in Georgia and moves to Oregon:
- A. must check Oregon's nurse practice act related to licensure for endorsement.
- B. will automatically be grandfathered in as a licensed registered nurse.
- C. may request certification in Oregon rather than licensure, so as not to have to retake the NCLEX-RN®.
- D. should contact the American Nurses Credentialing Center to determine whether he or she is eligible to practice in an another state.
Correct Answer: A
Rationale: The correct answer is A because when a nurse moves to a new state, they must check the new state's nurse practice act related to licensure for endorsement. This is important to ensure the nurse meets all requirements and regulations for practicing in the new state. Option B is incorrect as licensure is not automatically transferred. Option C is incorrect as certification is different from licensure, and the NCLEX-RN® is typically required for licensure. Option D is incorrect as the American Nurses Credentialing Center is not responsible for determining state licensure eligibility. Checking the new state's nurse practice act is the standard procedure for obtaining licensure endorsement.
The nurse caring for a patient who practices Ayurveda would assess for:
- A. an increased stool osmolality gap resulting from dehydration.
- B. petechiae resulting from fine-needle punctures.
- C. use of over-the-counter remedies intended for intended symptom.
- D. magnets strategically placed on affected joints.
Correct Answer: C
Rationale: The correct answer is C, as Ayurveda is a traditional Indian medicine system using herbal remedies. Assessing for over-the-counter remedies aligns with Ayurvedic practices.
A: Stool osmolality gap and dehydration are not directly related to Ayurveda.
B: Petechiae from fine-needle punctures are not typically associated with Ayurveda.
D: Magnets on joints are not a common Ayurvedic practice.
In summary, assessing for over-the-counter remedies is the most relevant choice for a patient who practices Ayurveda.
On the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination, when the candidate is asked to set goals in collaboration with other members of the health care team, the nurse is being tested in the area of:
- A. assessment.
- B. planning.
- C. analysis.
- D. implementation.
Correct Answer: B
Rationale: The correct answer is B: planning. Setting goals in collaboration with other healthcare team members falls under the planning phase of the nursing process. During this phase, nurses work with the healthcare team to establish specific, measurable, achievable, relevant, and time-bound (SMART) goals for patient care. This involves identifying priorities, outlining interventions, and determining the expected outcomes. Collaboration with the healthcare team ensures that goals are comprehensive and align with the overall care plan.
Incorrect Choices:
A: Assessment - Assessment involves collecting and analyzing data to identify the patient's needs and problems. Setting goals is not part of the assessment phase.
C: Analysis - Analysis involves interpreting data and identifying patterns or relationships. Setting goals is more focused on planning and identifying interventions.
D: Implementation - Implementation involves carrying out the planned interventions to achieve the established goals. Setting goals precedes the implementation phase.