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Which of the following is a potential benefit of social media?
- A. Sharing the fun side of nursing by posting a video of nurses singing and dancing in the hallways of the hospital while on duty
- B. Connecting with clients to keep up with their health status
- C. Connecting with the public to encourage healthy behaviors
- D. Sharing pictures of interesting clinical experiences with friends
Correct Answer: C
Rationale: The correct answer is C because connecting with the public to encourage healthy behaviors is a potential benefit of social media. It allows healthcare professionals to reach a wider audience and promote positive health practices. Choice A is inappropriate as it may violate patient confidentiality. Choice B is more focused on individual clients rather than a broader public health approach. Choice D may also risk violating patient privacy and lacks the educational aspect of promoting healthy behaviors.
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What is the main purpose of the NCLEX examination?
- A. Ensure that individuals have passed nursing classes.
- B. Provide assurance that nursing schools are part of the service agency.
- C. Enable potential students to determine the best nursing schools.
- D. Ensure the safety of the public.
Correct Answer: D
Rationale: The main purpose of the NCLEX examination is to ensure the safety of the public. The exam assesses if a candidate has the knowledge and skills necessary to provide safe and effective nursing care. It is designed to protect the public by ensuring that only competent individuals are granted nursing licensure. This is crucial in maintaining high standards of healthcare and safeguarding patients' well-being.
Incorrect answers:
A: Ensuring that individuals have passed nursing classes is not the main purpose of the NCLEX. Passing nursing classes is a prerequisite for taking the exam but not its primary goal.
B: Providing assurance that nursing schools are part of the service agency is not the main purpose of the NCLEX. The exam focuses on individual competency rather than accrediting nursing schools.
C: Enabling potential students to determine the best nursing schools is not the main purpose of the NCLEX. The exam does not rank or rate nursing schools; its primary aim is to evaluate individual readiness for nursing practice.
How will working in a high-volume, noisy emergency room in an urban area with a high incidence of assault victims affect staff?
- A. Feelings of extreme overload.
- B. Fear of failure.
- C. A pessimistic sense about the world.
- D. Inability to separate intense work situations from personal situations.
Correct Answer: B
Rationale: The correct answer is B: Fear of failure. Working in a high-volume, noisy emergency room with a high incidence of assault victims can lead to staff experiencing fear of failure due to the intense and high-pressure nature of the work environment. Staff may feel overwhelmed by the constant influx of critical cases and the need to make quick decisions, which can contribute to a fear of not being able to save every patient. This fear can impact their confidence and increase stress levels.
Incorrect choices:
A: Feelings of extreme overload - While staff may feel overwhelmed, the specific impact mentioned in this choice is not directly related to the work environment described.
C: A pessimistic sense about the world - This choice is too broad and not necessarily tied to the specific challenges of working in this type of emergency room.
D: Inability to separate intense work situations from personal situations - While this can be a challenge, it is not the primary effect discussed in the question stem.
Which of the following is considered voluntary turnover?
- A. Desire to leave
- B. Termination
- C. Forced resignation
- D. Floating
Correct Answer: A
Rationale: The correct answer is A: Desire to leave. Voluntary turnover occurs when an employee chooses to leave the organization. This choice could be due to personal reasons, career advancement, or dissatisfaction with the current job. Termination (B) is involuntary, forced resignation (C) is also not voluntary as it involves external pressure, and floating (D) is not a recognized term in the context of turnover. Therefore, A is the correct choice for voluntary turnover.
A unit director at a local hospital knows even leadership may face ethical dilemmas. Which of the following should the director take into consideration when dealing with an employee who is incompetent?
- A. The situation should be tolerated for as long as possible because of the amount of time and paperwork required to terminate an incompetent nurse.
- B. Incompetence only impacts the individual nurse.
- C. The director should follow her institution’s formal process for reporting and handling practices that jeopardize patient safety.
- D. Most nurse practice acts direct how to handle incompetent nurses.
Correct Answer: C
Rationale: The correct answer is C because the director should follow the institution's formal process for reporting and handling practices that jeopardize patient safety. This is crucial to maintain high standards of patient care and ensure accountability. Choice A is incorrect as tolerating incompetence can lead to serious consequences for patient safety. Choice B is incorrect as incompetence can impact patient outcomes and overall quality of care. Choice D is incorrect as nurse practice acts may provide guidelines but the institution's specific process should be followed to address incompetence effectively.
The manager of a medical-surgical unit is very task-motivated. Using Fiedler's Contingency Theory, under what circumstances would the manager be most effective?
- A. Only during highly stressful situations.
- B. When there is little to no stress.
- C. Under highly structured situations.
- D. When the situation is loosely structured.
Correct Answer: C
Rationale: According to Fiedler's Contingency Theory, task-motivated leaders are most effective in highly structured situations. This is because in such environments, the leader can focus on task accomplishment and clearly defined goals without needing to rely heavily on interpersonal relationships. In contrast, in loosely structured situations, task-motivated leaders may struggle as the lack of clear direction and ambiguity can hinder their task-oriented approach. Therefore, the correct answer is C. Choices A and B are incorrect as they focus on stress levels, which are not directly related to the effectiveness of task-motivated leaders. Choice D is incorrect because loosely structured situations are not ideal for task-motivated leaders according to Fiedler's theory.