Nokea
Which of the following situations would be appropriate for the supervisory level of initial direction and/or periodic inspection?
- A. Experienced RNs work together to provide care for a group of patients newly diagnosed with meningitis.
- B. The RN assigns the LPN tasks within her scope of practice and checks back during the shift to ensure the tasks are completed correctly.
- C. A new graduate nurse is assigned care to a male patient with a hematocrit of 11.0 g of hemoglobin per deciliter and is receiving a blood transfusion. The charge nurse checks on the patient status every 15 to 30 minutes and asks the graduate to explain "next steps."
- D. No supervision is necessary since both are registered nurses.
Correct Answer: B
Rationale: The correct answer is B because the scenario describes a situation appropriate for the supervisory level of initial direction and periodic inspection. The RN assigning tasks to the LPN within her scope of practice and checking back ensures tasks are completed correctly, aligning with the supervisory role. This level of oversight is necessary for safe and effective patient care.
Choice A is incorrect as experienced RNs working together do not require supervisory direction for caring for patients. Choice C involves the charge nurse providing frequent oversight to a new graduate nurse, which is more than just periodic inspection. Choice D is incorrect because regardless of both being registered nurses, supervision may still be necessary, especially when assigning tasks to a different level of healthcare provider like an LPN.
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An older adult is unable to reach the telephone and is found dead at home several hours later. The son of the deceased person arrives at the hospital and asks, "Can I just please stay and hold my dad's hand? He was so afraid of dying alone." Which response by the nurse shows empathy?
- A. "You are just too late for that. Where were you when he needed you?"
- B. "Did you ever consider purchasing a cell phone for your dad to prevent this from happening?"
- C. "I'll close the door so you can spend time with your dad. I will check back in a few minutes."
- D. "I lost my dad last year. He died alone. He was a policeman. I am just like you. Let me stay here and console you."
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy by acknowledging the son's request and providing support. By closing the door to allow privacy and promising to check back, the nurse shows understanding and compassion for the son's emotional needs.
Choice A is incorrect as it is insensitive and blames the son. Choice B is inappropriate as it shifts the focus to purchasing a cell phone rather than addressing the son's emotional state. Choice D is also incorrect as it redirects the attention to the nurse's personal experience, failing to address the son's specific request.
A new graduate nurse is applying for the exciting first position and states, "I am only applying to Magnet hospitals because those work environments:
- A. attract physicians who are the best health care providers to improve quality of care."
- B. require all registered nurses to be certified in the area of practice."
- C. not only attract but also retain professional nurses."
- D. discourage nurses from advancing their current level of education and I don't want to return to school for many years."
Correct Answer: C
Rationale: The correct answer is C because Magnet hospitals are recognized for their ability to not only attract but also retain professional nurses. These hospitals create a positive work environment that values and supports nursing staff, leading to higher job satisfaction and lower turnover rates. Choice A is incorrect because while Magnet hospitals may attract top healthcare providers, it's not solely focused on physicians. Choice B is incorrect as certification is not a mandatory requirement for all RNs in Magnet hospitals. Choice D is incorrect as Magnet hospitals actually encourage nurses to advance their education and professional development.
Nurses caring for the victims of a mass casualty incident:
- A. determine the common terminology to be used by hospitals and participating agencies.
- B. take charge of communicating with the news media.
- C. determine whether there is a credible threat of a terrorist attack.
- D. give priority for care to those with the greatest chance of survival rather than those most critically ill.
Correct Answer: D
Rationale: The correct answer is D because prioritizing care based on the greatest chance of survival maximizes the number of lives saved in a mass casualty incident. This approach follows the principle of triage, which aims to allocate resources efficiently. Choice A is incorrect as it pertains to coordination rather than immediate patient care. Choice B is incorrect as it is not the primary role of nurses during a mass casualty incident. Choice C is incorrect as determining a credible threat is the responsibility of security and law enforcement, not nurses.
The informed consent documents must include: (select all that apply)
- A. an explanation of potential risks and benefits to participants in the study.
- B. medical terminology rather than lay terms to prevent misunderstanding of the study.
- C. a statement on how the anonymity and confidentiality of participants are protected.
- D. explanation of the cost of the study.
Correct Answer: A
Rationale: The correct answer is A because informed consent documents must provide participants with an explanation of potential risks and benefits to ensure they fully understand what they are agreeing to. This helps participants make an informed decision about participating. Option B is incorrect because using medical terminology can actually increase misunderstanding; lay terms are recommended. Option C is incorrect as it is essential to include a statement on protecting anonymity and confidentiality to ensure participant privacy. Option D is incorrect as explaining the cost of the study is not a necessary component of informed consent.
Which of the following are concepts related to nursing theory? (select all that apply)
- A. Environment
- B. Health
- C. Nursing
- D. Relevance
Correct Answer: A
Rationale: The correct answer is A: Environment. Nursing theory often includes the concept of environment, which encompasses physical, social, and psychological factors influencing a patient's health. This concept helps nurses understand the context in which care is provided and how it impacts health outcomes.
Incorrect choices:
B: Health - While health is a fundamental aspect of nursing, it is not specific to nursing theory concepts.
C: Nursing - This is a broad term encompassing the profession itself, not a specific concept within nursing theory.
D: Relevance - This term is not directly associated with nursing theory concepts and does not provide a framework for understanding nursing practice.