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Which nurse best portrays nursing as a "knowledge worker"?
- A. Nurse in matched scrubs with lab coat, hair back, small stud earrings
- B. Nurse in mismatched scrubs, no lab coat, large hoop earrings
- C. Nurse in white uniform with apron with no jewelry/hair back
- D. Nurse with nose ring and eyebrow piercing with starched white uniform and cap
Correct Answer: A
Rationale: The correct answer is A because the nurse in matched scrubs with a lab coat and minimal jewelry portrays professionalism and adherence to safety standards. The lab coat signifies a commitment to infection control and respect for the clinical environment. The hair being pulled back ensures cleanliness and prevents hair from falling into a patient's wound. Small stud earrings are safe and do not pose a risk of injury to the nurse or patient.
Choice B is incorrect because mismatched scrubs and large hoop earrings may not reflect professionalism or attention to detail, which are crucial in nursing practice.
Choice C is incorrect as the nurse in a white uniform with apron and no jewelry may seem traditional but lacks the modern approach and attention to safety standards displayed by choice A.
Choice D is incorrect because the nurse with nose and eyebrow piercings, despite wearing a starched white uniform and cap, may not be perceived as a professional and may not adhere to conservative workplace standards.
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An RN is consistently late to work, causing reassignment of patient care and the need for repeated shift reports. The nurse, who receives a warning for repeated tardiness, states, "My husband left me, I have no car, no family close by, and the bus is always late, which makes me late. The nurse manager doesn't care how hard I try to get here, and I am raising a child by myself." The nurse is using which type of logical fallacy?
- A. Appeal to emotion
- B. Appeal to tradition
- C. Hasty generalization
- D. Confusing cause and effect
Correct Answer: A
Rationale: The correct answer is A: Appeal to emotion. The nurse is trying to justify their repeated tardiness by appealing to the emotions of the nurse manager, by invoking pity and sympathy. This type of logical fallacy involves using emotional manipulation to distract from the real issue of consistently being late to work. The nurse's personal circumstances are valid but do not excuse the behavior.
Summary of other choices:
B: Appeal to tradition - This fallacy involves justifying a belief or action based on the fact that it has been done that way in the past. This is not evident in the nurse's response.
C: Hasty generalization - Drawing a conclusion based on insufficient evidence. The nurse's explanation is specific to their own situation and not a broad generalization.
D: Confusing cause and effect - Mistaking the cause of a situation for the effect or vice versa. The nurse is trying to use their personal circumstances as the cause of being consistently late, rather than taking responsibility for their actions.
The crisis communication officer may first inform the public or health care facility of a disaster or an act of terrorism. This representative has the responsibility to:
- A. contain the facts to within the administration group.
- B. incite the public to quickly take cover and obtain emergency supplies.
- C. provide understandable and straightforward facts about the event within the facility and possibly to the news media.
- D. inform the public that no information can be released until it has been confirmed by state and federal agencies.
Correct Answer: C
Rationale: The correct answer is C because the crisis communication officer's primary responsibility is to provide clear and factual information about the event within the facility and potentially to the news media. This helps to ensure transparency, maintain credibility, and prevent misinformation. Choice A is incorrect as containing facts within the administration group limits transparency. Choice B is incorrect as inciting panic is counterproductive. Choice D is incorrect as withholding information until confirmed by state and federal agencies may lead to unnecessary delays in communication.
A nurse is interviewing for a job and recently read the American Nurses Association's (ANA) recommendation for questions to ask regarding before accepting employment. Which questions should the nurse ask?
- A. Do you have flexible scheduling?
- B. What are the expectations for advancement?
- C. How long do staff nurses stay before resigning?
- D. What is the mission of the parent organization?
Correct Answer: D
Rationale: The correct answer is D because understanding the mission of the parent organization is crucial for aligning personal values with the organizational goals. This knowledge can help the nurse assess if their values and beliefs are in line with the organization's mission, leading to better job satisfaction and performance.
A: Flexible scheduling is important but not specified in ANA's recommendations.
B: Advancement expectations are important, but not a priority in ANA's recommendations.
C: Staff retention is relevant, but not emphasized in ANA's recommendations.
A nursing student asks, "I wonder if the reason that the nursing shortage is so severe is that registered nurses are unhappy with their jobs." To research the answer, the National Survey of Registered Nurses was reviewed and found:
- A. registered nurses change employers every year to prevent burnout and to keep the nursing shortage from increasing.
- B. nursing faculty are aging or leaving academia due to increased work demands and generational difference from students.
- C. practicing registered nurses are satisfied with their job and most remain with same employer they worked for the previous year.
- D. registered nurses were the least satisfied with their job of all health care providers.
Correct Answer: C
Rationale: Step 1: The question asks about the reason for the nursing shortage and references the National Survey of Registered Nurses.
Step 2: Choice C states that practicing registered nurses are satisfied with their jobs and most remain with the same employer they worked for the previous year.
Step 3: This suggests that the nursing shortage is not due to registered nurses being unhappy with their jobs and leaving.
Step 4: Therefore, the correct answer is C, as it directly addresses the misconception presented in the question.
Step 5: Choices A, B, and D are incorrect because they do not align with the information provided in the National Survey of Registered Nurses and do not address the actual reason for the nursing shortage.
A nurse works on a unit where electronic health records (EHR) are being initiated and asks, "What is meant by 'meaningful use' standards that are in our education packet?" The best answer is that "meaningful use":
- A. identifies a set of EHR proficiencies and benchmarks that EHR systems must meet to be certain that they are functioning to their maximum capacity and meeting this standard allows companies/organizations to qualify for funds to defray cost of the EHR from Medicare.
- B. refers to training competencies that all users must achieve to be able to access and transfer patient data/information.
- C. refers to a requirement that at least 50% plus one of all patients have data entered into the EHR.
- D. the requirement that rigorous confidentiality security is in place to protect all patient information from sources which have no right to the data.
Correct Answer: A
Rationale: The correct answer is A because "meaningful use" standards in EHR refer to specific criteria that healthcare providers must meet to receive incentives for using EHR effectively. This includes improving quality, safety, efficiency, and reducing health disparities. By meeting these benchmarks, providers can qualify for funds from Medicare.
Choice B is incorrect because "meaningful use" is not just about training competencies but about how EHR systems are used to improve patient care.
Choice C is incorrect as it misinterprets the concept of meaningful use. It is not about a specific percentage of patients with data entered, but about the overall impact of EHR on healthcare delivery.
Choice D is incorrect because while confidentiality and security are important aspects of EHR, they are not the sole focus of meaningful use standards.