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Which nursing model is referred to as the "class without walls"?
- A. Articulation
- B. Career ladder (2 +
- C. Nightingale’s Environmental Nursing Theory
- D. Online Nursing Learning Framework
Correct Answer: A
Rationale: The correct answer is A: Articulation. This nursing model is referred to as the "class without walls" because it focuses on seamless academic progression and collaboration between educational institutions. Articulation promotes a smooth transition of nursing students from one level of education to another, eliminating barriers and creating a cohesive learning experience. The other choices (B, C, D) do not specifically emphasize the concept of breaking down walls or barriers in education like the Articulation model does.
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The nurse manager is planning staffing levels and realizes that the first step is to:
- A. know the intensity of care needed by patients according to physical and psychosocial factors.
- B. examine the educational level of the staff.
- C. assess the skill level of caregivers.
- D. review the budget to determine the financial consequences of past staffing patterns.
Correct Answer: A
Rationale: The correct answer is A because knowing the intensity of care needed by patients based on physical and psychosocial factors is essential to determine appropriate staffing levels. Understanding patient needs ensures adequate staff allocation for quality care delivery. Examining staff education (B) and skill level (C) is important but comes after assessing patient needs. Reviewing the budget (D) is necessary but should not be the first step in staffing planning.
The mentor states, "Prevention was the focus of nursing when I graduated. We stressed preventive health measures such as smoking cessation education to reduce preventable diseases and prevention to reduce the spread of infectious disease such as AIDS." The mentor asks, "What do you think the challenges will be for nurses graduating now? The correct response would be: (select all that apply)
- A. coordinating care for a more diverse aging population who have complex health values.
- B. managing care provided by nurses who are technologically advanced and skilled at interprofessional collaboration.
- C. providing care to well-informed consumers who are younger with narrow health values.
- D. redesigning nursing care delivery models to streamline care based on fewer generational differences.
Correct Answer: A
Rationale: Step 1: The correct answer is A because nurses now face challenges in coordinating care for a more diverse aging population. This is due to the increasing complexity of health issues and values among this demographic.
Step 2: As the aging population grows, nurses must be equipped to address the unique needs and preferences of diverse individuals, which requires a deep understanding of cultural, social, and health-related factors.
Step 3: Nurses need to adapt their care delivery strategies to provide patient-centered care that considers the individual's values, beliefs, and preferences. This includes coordinating care across different healthcare settings and disciplines to ensure holistic and effective care.
Summary: Choices B, C, and D are incorrect because they do not address the specific challenges faced by nurses graduating now, which primarily revolve around managing the complexities of caring for a diverse aging population with varying health values.
Which functions can be delegated only to another RN with appropriate experience and training? (select all that apply)
- A. Assessment of skin integrity on third day of hospitalization
- B. Evaluation of patient teaching related to turn, cough, and deep breathing exercises
- C. Nursing judgment related to withholding medication based on vital signs
- D. RNs do not delegate to other RNs, they delegate only to licensed practical nurses or unlicensed assistive personnel
Correct Answer: C
Rationale: The correct answer is C because nursing judgment related to withholding medication based on vital signs requires critical thinking, clinical knowledge, and experience. This decision-making process involves assessing the patient's condition, interpreting vital signs, and determining if medication should be given or withheld to ensure patient safety. This function cannot be delegated to someone without the appropriate training and expertise.
A: Assessment of skin integrity on the third day of hospitalization can be delegated to other healthcare team members such as LPNs or nursing assistants, as long as they have been trained and deemed competent.
B: Evaluation of patient teaching related to turn, cough, and deep breathing exercises can be delegated to other healthcare team members, as long as they have the appropriate training and supervision.
D: The statement that RNs do not delegate to other RNs is incorrect. RNs can delegate certain tasks to other RNs based on their scope of practice and level of experience. It is not limited to LPNs or unlicensed assistive personnel.
A researcher is interested in learning if elderly persons perceive their health to be satisfactory even with comorbidities and chronic illness. A large multisite assistive living facility will be the site. The researcher lists residents in alphabetical order and chooses every third person on the list. To ensure improved generalizability, the researcher is using:
- A. triangulation.
- B. randomization.
- C. informed consent.
- D. a meta-analysis approach.
Correct Answer: B
Rationale: The correct answer is B: randomization. Randomization helps ensure improved generalizability by reducing bias and increasing the likelihood that the sample is representative of the population. In this scenario, choosing every third person from an alphabetical list introduces a systematic bias and may not represent the entire population accurately. Triangulation involves using multiple methods or data sources to validate findings, which is not applicable here. Informed consent is a necessary ethical consideration but does not directly impact generalizability. A meta-analysis approach involves combining and analyzing data from multiple studies, which is not relevant to the sampling method in this scenario. Thus, randomization is the best choice to improve generalizability in this study.
What is the initial step when addressing an ethically challenging situation?
- A. Identify all those who are involved in the situation.
- B. Review the overall situation to identify the core issues.
- C. Gather all the relevant facts about the situations.
- D. Determine what the ethical dilemma is.
Correct Answer: B
Rationale: The correct answer is B: Review the overall situation to identify the core issues. This is the initial step when addressing an ethically challenging situation because it allows you to gain a comprehensive understanding of the situation before delving into specific details. By reviewing the overall situation, you can identify the key ethical issues at play and prioritize which aspects need to be addressed first. This step sets the foundation for developing an effective strategy to navigate the ethical dilemma.
Incorrect answers:
A: Identifying all those involved is important, but it should come after reviewing the situation.
C: Gathering facts is necessary, but reviewing the overall situation should precede this step.
D: Determining the ethical dilemma is crucial, but it is more effective to first review the entire situation to fully grasp the complexities before pinpointing the ethical issue.