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Which nursing theory might a nurse use as a conceptual framework to determine how to meet the needs of immigrants while ensuring provision of high-quality and culturally sensitive care?
- A. Martha Rogers' nursing theory
- B. Dorothea Orem's nursing theory
- C. Hildegard Peplau's nursing theory
- D. Madeleine Leininger's nursing theory
Correct Answer: D
Rationale: The correct answer is D, Madeleine Leininger's nursing theory. Leininger's Cultural Care Theory emphasizes the importance of providing culturally congruent care to individuals, taking into account their cultural beliefs, values, and practices. This theory is particularly relevant when caring for immigrants as it helps nurses understand and address their unique cultural needs.
A: Martha Rogers' nursing theory focuses on the science of unitary human beings and energy fields, not specifically on cultural care.
B: Dorothea Orem's nursing theory, the Self-Care Deficit Theory, emphasizes the individual's ability to perform self-care activities, not specifically cultural care.
C: Hildegard Peplau's nursing theory, the Theory of Interpersonal Relations, focuses on the nurse-patient relationship and therapeutic communication, not specifically on cultural care for immigrants.
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A graduate is preparing for the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination. Based on the latest practice survey, the candidate would focus the most amount of time on which content?
- A. Stages of grief
- B. Pharmacologic pain management
- C. Practices to promote rest and sleep
- D. Prioritization of workload to manage time effectively
Correct Answer: B
Rationale: The correct answer is B: Pharmacologic pain management. This is the most important content area to focus on for the NCLEX-RN exam because pain management is a critical aspect of nursing care. Nurses must understand different types of pain, medications used for pain management, side effects, and assessment techniques. Pharmacologic pain management directly impacts patient comfort and quality of care.
Rationale:
1. Pain management is a fundamental aspect of nursing care.
2. Pharmacologic pain management knowledge is crucial for safe and effective patient care.
3. NCLEX commonly tests on pharmacological interventions and their implications.
4. Understanding pain management aligns with nursing scope of practice and ethical responsibilities.
Other Choices:
A: Stages of grief - While important in nursing, this topic is not as high-priority for the NCLEX-RN exam.
C: Practices to promote rest and sleep - Important, but not as directly related to pharmacological interventions.
D: Prioritization of workload to manage time effectively - Relevant
An RN testifies at a trial where domestic violence is being investigated. She had previously assisted with specimen collection and had assessed the victim. The nurse is involved in nursing.
- A. triage
- B. forensic
- C. flight
- D. entrepreneurial
Correct Answer: B
Rationale: The correct answer is B: forensic. In this scenario, the nurse's involvement in specimen collection and assessment of the victim relates to forensic nursing, which involves providing healthcare in legal contexts like investigations and court proceedings. Triage (A) is the process of prioritizing patient care based on severity. Flight (C) and entrepreneurial (D) have no relevance to the situation described.
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.
The occupational health and safety nurse would like to develop programs designed to decrease mortality and morbidity among the workforce. When considering factors related to mortality among health care workers, the nurse should focus efforts on prevention of:
- A. suicide.
- B. violence related injury.
- C. bloodborne disease.
- D. ergonomic hazards.
Correct Answer: C
Rationale: The correct answer is C: bloodborne disease. Health care workers are at risk for exposure to bloodborne pathogens such as HIV and hepatitis B and C. Prevention strategies include proper use of personal protective equipment and adherence to infection control protocols. Bloodborne diseases can have serious consequences on the health and well-being of healthcare workers, leading to mortality and morbidity if not properly prevented.
Explanation for incorrect choices:
A: Suicide - While mental health is an important concern, it is not specifically related to mortality among healthcare workers.
B: Violence related injury - While workplace violence is a concern, it may not be the leading cause of mortality among healthcare workers.
D: Ergonomic hazards - While important for preventing injuries, it may not directly relate to mortality among healthcare workers compared to bloodborne diseases.
The advanced practice nurse who is seeking information about requirements for practice in a specialized area should contact the:
- A. American Nurses Association (ANA).
- B. National League for Nursing (NLN).
- C. American Nurses Credentialing Center (ANCC).
- D. National Council of State Boards of Nursing (NCSBN).
Correct Answer: C
Rationale: The correct answer is C: American Nurses Credentialing Center (ANCC). ANCC is the primary organization responsible for certifying advanced practice nurses in specialized areas. They provide information on requirements for practice, certification exams, and continuing education. ANA (A) focuses on promoting the profession of nursing. NLN (B) focuses on nursing education. NCSBN (D) oversees the state boards of nursing and does not specifically provide information on requirements for practice in specialized areas.