Which actions would result in a greater number of nurses entering and staying in practice, given today's state of nursing? (select all that apply)
- A. Determine why few black women enter graduate school.
- B. Provide incentives for minorities and men to enter nursing.
- C. Obtain grant funding to increase the number of faculty members and scholarship availability for students entering baccalaureate nursing programs.
- D. Survey nurses to determine why their job satisfaction is lower than that of other health care professions.
Correct Answer: B
Rationale: The correct answer is B: Provide incentives for minorities and men to enter nursing. This is because increasing diversity in the nursing profession can help address shortages and improve patient care. Incentives can attract underrepresented groups and address disparities.
A, determining why few black women enter graduate school, may address a specific subgroup but not the broader issue of nursing shortages.
C, obtaining grant funding for faculty and scholarships, may help improve education opportunities but may not directly address the retention and recruitment of nurses.
D, surveying nurses about job satisfaction, is important but may not directly address attracting more nurses into the profession or keeping them in practice.
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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.
To conduct a productive meeting, the nurse should:
- A. provide each person all the time needed to discuss desired topics.
- B. cover all emotional topics first.
- C. create an agenda with specific times allotted for each agenda item.
- D. wait for latecomers and ask for their excuse for being late.
Correct Answer: C
Rationale: The correct answer is C because creating an agenda with specific times allotted for each agenda item helps in ensuring a focused and efficient meeting. It allows for proper time management, ensures all important topics are covered, and keeps the meeting on track. Providing unlimited time for each person (A) can lead to inefficiency and derail the meeting. Covering emotional topics first (B) may not be appropriate for all meetings and could affect the flow. Waiting for latecomers and asking for excuses (D) disrupts the meeting schedule and sets a precedent for unpunctuality.
A nurse involved in researching the leading causes of death for minorities considers the federally defined minority groups, which include: (select all that apply)
- A. Blacks
- B. Russians
- C. Hispanics
- D. Asians or Pacific Islanders
Correct Answer: A
Rationale: The correct answer is A: Blacks. The rationale for this is that federally defined minority groups in the US typically include African Americans or Blacks. This group has historically faced disparities in healthcare access and outcomes. Russians (B) are not federally defined as a minority group in the US; Hispanics (C) and Asians or Pacific Islanders (D) are also federally recognized minority groups, but the question asks for all options that apply, and only A is explicitly mentioned in the question stem. Therefore, A is the correct answer based on the information provided.
A patient is admitted with hypotension, shortness of breath, flushing, and hives. All levels of staff have been trained to assess vital signs. Given budget restrictions and proper delegation rules, to which care provider would the RN delegate the task of obtaining the initial blood pressure reading?
- A. RN
- B. LPN/LVN
- C. Unlicensed assistive personnel (UAP)
- D. Use the blood pressure obtained in the ambulance, because it was assessed via electronic monitoring.
Correct Answer: C
Rationale: The correct answer is C. The Unlicensed Assistive Personnel (UAP) can be delegated the task of obtaining the initial blood pressure reading because this task is within their scope of practice and does not require specialized nursing knowledge or assessment skills. The UAP can be trained and supervised to accurately measure blood pressure, freeing up the RN to focus on assessing the patient's overall condition and providing necessary interventions. Delegating this task to the UAP is cost-effective and efficient, allowing the RN to prioritize critical nursing assessments and interventions for the patient's presenting symptoms.
Incorrect choices:
A: RN - The RN should not perform tasks that can be safely delegated to other members of the healthcare team to optimize efficiency and resource utilization.
B: LPN/LVN - While LPNs/LVNs have more advanced training than UAPs, obtaining a blood pressure reading is a basic task that can be appropriately delegated to UAPs.
D: Using the blood pressure obtained in the ambulance - This option does
When planning health care, the nurse should be mindful that members of the Asian culture tend to:
- A. miss appointments because they are present oriented and time is viewed as flexible.
- B. look to their ancestors for guidance.
- C. plan ahead and be future oriented.
- D. arrive early because they have no concept of time.
Correct Answer: C
Rationale: The correct answer is C because Asian culture tends to be future-oriented, emphasizing planning and preparation. This is reflected in their approach to health care where they prioritize preventive measures and long-term health goals. Choice A is incorrect as missing appointments is not a common behavior due to cultural time perception. Choice B is incorrect as while ancestors may hold significance, they do not guide health care decisions. Choice D is incorrect as Asians are often punctual and value time.
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