Nokea
Which component of budgeting might normally be addressed in the annual performance evaluation for a nurse manager?
- A. Including in the labor budget costs for overtime and benefits
- B. Managing variances in nursing overtime costs and supply usage
- C. Accurately predicting revenues on the basis of unit-of-service
- D. Providing qualitative analysis for variances in the capital budget
Correct Answer: B
Rationale: Step 1: Managing variances in nursing overtime costs and supply usage is crucial for a nurse manager's performance evaluation as it demonstrates their ability to control expenses effectively.
Step 2: This component directly relates to the nurse manager's responsibility in budgeting and financial management.
Step 3: Analyzing and managing variances show the nurse manager's skill in monitoring and adjusting budgetary allocations to meet targets.
Step 4: Other choices are not directly related to the nurse manager's core responsibilities in budgeting or evaluating performance.
Step 5: Labor budget costs for overtime and benefits (Choice A) and predicting revenues (Choice C) are important but not as directly tied to performance evaluation as managing variances in costs.
Step 6: Providing qualitative analysis for variances in the capital budget (Choice D) is not typically a key aspect of a nurse manager's evaluation, as it focuses more on long-term investments rather than day-to-day operational budgeting.
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A nurse is seeking to become culturally competent in regard to obtaining information during health history and when performing physical diagnosis. The nurse is aware that which biologic variation is found in all of the following ethnicities: blacks, Asians, Hispanics, and American Indians?
- A. Mongolian spots
- B. Sickle cell anemia
- C. Lactose intolerance
- D. Thalassemia
Correct Answer: B
Rationale: The correct answer is B: Sickle cell anemia. This genetic disorder is found in individuals of African, Asian, Hispanic, and American Indian descent. Sickle cell anemia is caused by a mutation in the hemoglobin gene, leading to the production of abnormal hemoglobin. This condition is more prevalent in these ethnic groups due to historical reasons and natural selection against malaria.
A: Mongolian spots are common in Asian infants but not in all the mentioned ethnicities.
C: Lactose intolerance is more common in individuals of African, Asian, and Hispanic descent but not specifically in American Indians.
D: Thalassemia is more prevalent in individuals of Mediterranean, African, and Southeast Asian descent, not in all the mentioned ethnicities.
A novice nurse is in the "rejection phase" of stress and wonders if she made the right decision when deciding nursing was her chosen career. Which strategy would help the novice nurse cope with transition into practice and reduce stress?
- A. When asked by the charge nurse to accept the new admission even though she had no discharges, the novice nurse stops and considers if this request is acceptable and safe, then accepts the assignment based on two patients having a low acuity level.
- B. Refusing to eat anywhere but the hospital cafeteria to ensure a balanced diet and time to socialize with other staff and visitors.
- C. Avoid wasting time by listening to coworkers' problems or ideas on how to staff the unit during the upcoming holiday since the novice nurse's time is valuable and better spent getting her own work completed.
- D. Make an effort to "win over" hostile or angry coworkers who find fault with the novice nurse's work performance.
Correct Answer: A
Rationale: The correct answer is A because it demonstrates a proactive and thoughtful approach to decision-making. By stopping to consider the request and assessing its safety implications before accepting it based on patient acuity levels, the novice nurse is prioritizing patient safety and her own capabilities. This strategy helps her cope with the transition into practice by promoting critical thinking and confidence in her decision-making skills.
Summary of why the other choices are incorrect:
B: Refusing to eat anywhere but the hospital cafeteria may lead to social isolation and restrict the novice nurse's ability to engage with others outside of work.
C: Ignoring coworkers' problems or staffing ideas can create a negative work environment and hinder teamwork, potentially increasing stress levels for the novice nurse.
D: Focusing on winning over hostile coworkers may detract from the novice nurse's professional growth and cause unnecessary stress from seeking validation from others.
In differentiating between interprofessional and multidisciplinary:
- A. multidisciplinary refers to the care of many diverse patients by one discipline.
- B. interprofessional involves members of many disciplines working together to provide patient care to a distinct population.
- C. interprofessional refers to members of the same discipline working together to provide patient care to a distinct population.
- D. interprofessional is the use of multiple interventions by nurses with varying levels of education.
Correct Answer: B
Rationale: The correct answer is B because interprofessional involves members of different disciplines collaborating to provide patient care, promoting a holistic approach. This fosters shared decision-making and communication among healthcare professionals, leading to improved patient outcomes.
A is incorrect because multidisciplinary involves multiple disciplines treating a single patient, not many diverse patients.
C is incorrect because interprofessional involves different disciplines, not members of the same discipline working together.
D is incorrect because interprofessional is about collaboration between different disciplines, not the use of multiple interventions by nurses specifically.
An RN recently relocated to another region of the country and immediately assumed the role of charge nurse. When determining the appropriate person to whom to delegate, the RN knows that:
- A. the role of the LPN/LVN is the same from state to state.
- B. the LPN/LVN can be taught to perform all the duties of an RN if approved by the employer and if additional on-the-job training is provided.
- C. he or she must review the state's nurse practice act for LPN/LVNs, because each state defines the role and scope of practice of the LPN/LVN.
- D. The Joint Commission has certified and established roles for the LPN/LVN.
Correct Answer: C
Rationale: The correct answer is C. When delegating tasks to an LPN/LVN, the RN must review the state's nurse practice act because each state defines the role and scope of practice of the LPN/LVN. This is crucial as the LPN/LVN scope of practice can vary significantly from state to state. By reviewing the nurse practice act, the RN ensures that the tasks being delegated fall within the legal scope of practice for the LPN/LVN in that specific state, promoting safe and effective patient care.
Choice A is incorrect because the role of the LPN/LVN can differ between states.
Choice B is incorrect because LPN/LVNs cannot perform all duties of an RN, and additional training does not change their scope of practice.
Choice D is incorrect because the Joint Commission does not establish roles for LPN/LVNs; it focuses on accreditation standards for healthcare organizations.
A patient is placed on reserpine (Serpalan) to decrease mild anxiety and treat hypertension. The patient researches the medication on the Internet and finds that this medication comes from which plant?
- A. Atropa belladonna
- B. Digitalis purpurea
- C. Rauwolfia serpentina
- D. Cephaelis ipecacuanha
Correct Answer: C
Rationale: The correct answer is C: Rauwolfia serpentina. Reserpine is derived from the Rauwolfia serpentina plant. This plant contains alkaloids that act as a central nervous system depressant, reducing anxiety and lowering blood pressure. Atropa belladonna (A) contains toxic alkaloids, Digitalis purpurea (B) contains cardiac glycosides used for heart conditions, and Cephaelis ipecacuanha (D) contains emetine used for inducing vomiting, none of which are related to reserpine's effects.