Which item below correctly describes the U.S. Bureau of Labor Statistics predictions by 2020?
- A. Positions that historically required registered nurses will be filled by unlicensed personnel.
- B. The job growth rate for RNs will surpass job growth in all other occupations.
- C. The need for hospital nurses will dramatically decrease.
- D. Hospitals will finally achieve the required RN workforce.
Correct Answer: B
Rationale: The correct answer is B because the U.S. Bureau of Labor Statistics predicts that the job growth rate for RNs will surpass job growth in all other occupations by 2020. This is supported by the increasing demand for healthcare services due to an aging population and advancements in medical technology. Choice A is incorrect as the need for registered nurses is expected to continue due to the complexity of patient care. Choice C is incorrect as the need for hospital nurses is projected to increase, not decrease. Choice D is incorrect as many hospitals still struggle to achieve the required RN workforce due to various factors like turnover and retention issues.
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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.
A nurse is asked to "float" to another area where the patients require total care. The nurse smiles, picks up her stethoscope, and says, "I'll come back and eat lunch with everyone here." When she enters the elevator she hits the wall and mutters, "Always me. Don't I have any rights"? The nurse is demonstrating which communication style?
- A. Assertive
- B. Aggressive
- C. Passive
- D. Passive-aggressive
Correct Answer: D
Rationale: The correct answer is D, passive-aggressive. The nurse is indirectly expressing her displeasure and resistance to floating by smiling and agreeing to come back for lunch, but then displaying negative body language and muttering under her breath. This behavior is passive on the surface but aggressive in the underlying tone. The nurse is not openly confronting the issue but is still showing resistance and frustration.
A: Assertive communication involves expressing one's needs and feelings in a direct and respectful manner. The nurse is not openly communicating her feelings or needs in this scenario.
B: Aggressive communication involves expressing needs and feelings in a forceful and hostile manner. The nurse's behavior is not openly hostile towards others.
C: Passive communication involves avoiding conflict and not expressing one's needs or feelings. The nurse is indirectly expressing her displeasure, so it's not purely passive.
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 for a hysterectomy, and the RN develops and implements the plan of care but also delegates to the LPN/LVN the responsibility of administering oral medications. While off duty, this RN receives a call requesting a change in the plan of care because the patient has developed deep vein thrombosis. The nurse who originally planned the care is practicing which type of nursing care delivery?
- A. Modular
- B. Primary
- C. Team
- D. Functional
Correct Answer: B
Rationale: The correct answer is B: Primary nursing care delivery. In primary nursing, one nurse assumes 24-hour responsibility for planning, implementing, and evaluating the care of a patient. In this scenario, the RN developed and implemented the plan of care and delegated specific tasks to the LPN/LVN. The RN remains responsible for the overall care even while off duty, as evidenced by receiving a call regarding a change in the plan of care. The other choices are incorrect because:
A: Modular nursing involves a team of healthcare providers working together, sharing responsibilities, and providing care collectively.
C: Team nursing involves a team of healthcare providers with different levels of expertise working collaboratively to deliver patient care.
D: Functional nursing divides tasks among different team members based on their skill sets, which is not the case in the scenario provided.
According to the unit's policy for call-ins, a nurse is suspended for 3 days because of excessive call-ins that occur within 15 minutes of shift change. The nurse states, "You are unfair to me." Which theory would disprove the nurse's statement?
- A. Authoritative
- B. Closed systems
- C. Open systems
- D. Trait
Correct Answer: C
Rationale: The correct answer is C: Open systems. In an open system theory, organizations interact with their environment, adapting to changes and feedback. In this case, the nurse's repeated excessive call-ins affecting shift change demonstrate a lack of consideration for the team and patient care, disrupting the system's functioning. This theory emphasizes the interconnectedness and impact of individual actions on the entire system, refuting the nurse's claim of unfair treatment.
Summary:
A: Authoritative - Focuses on centralized decision-making authority, not relevant to addressing the nurse's behavior.
B: Closed systems - Operate independently without external influences, not applicable as the nurse's actions impact the system.
D: Trait - Focuses on individual characteristics, not addressing the systemic impact of the nurse's behavior.
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