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Which statement related to delegation is correct?
- A. The practice of unlicensed assistive personnel (UAP) is defined in the nurse practice act.
- B. Nursing practice can be delegated only when the LPN/LVN and UAP have received adequate training.
- C. Supervision is not required when routine tasks are delegated to a competent individual.
- D. The RN must be knowledgeable about the laws and regulations that govern nursing practice, as well as those that have no clearly defined parameters, such as for UAP.
Correct Answer: D
Rationale: The correct answer is D because the RN must have knowledge of laws and regulations governing nursing practice, including those that have unclear boundaries for UAP. This is crucial to ensure safe and effective delegation. Option A is incorrect because the nurse practice act typically does not define UAP roles. Option B is incorrect as delegation also requires assessing competency, not just training. Option C is incorrect as supervision is necessary regardless of the task's routine nature. The correct answer emphasizes the importance of legal knowledge for proper delegation.
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Although the NCLEX-RN examination has new formats for questions, the most common format is the:
- A. fill-in-the-blank item because candidates are not provided with clues from distracters.
- B. multiple-choice question item, which allows candidates to select the one correct answer.
- C. multiple-response item because these questions require a higher level of critical thinking.
- D. hot-spot item because these questions are written at the application level of Bloom's analysis.
Correct Answer: B
Rationale: The correct answer is B: multiple-choice question item, which allows candidates to select the one correct answer. This is because the multiple-choice format is widely used in the NCLEX-RN examination as it is effective in assessing a candidate's knowledge, critical thinking skills, and ability to make decisions. The distractors in the answer choices provide clues and test the candidate's ability to differentiate between correct and incorrect information.
Choices A, C, and D are incorrect:
A: fill-in-the-blank item is not the most common format for NCLEX-RN questions as candidates are indeed provided with clues from distractors in multiple-choice questions.
C: multiple-response item, although requiring critical thinking, is not the most common format on the NCLEX-RN exam.
D: hot-spot item is not the most common format on the NCLEX-RN exam, and it is not necessarily written at the application level of Bloom's analysis.
A nurse is preparing a scholarly publication on the prevalence of hepatitis A worldwide. The most efficient and effective means of conducting an Internet search to gather information for this publication is to use:
- A. a search engine such as Google or Yahoo.
- B. a consumer health website.
- C. a decision support system.
- D. MEDLINE database.
Correct Answer: D
Rationale: The correct answer is D: MEDLINE database. MEDLINE is a reputable database that provides access to a vast array of peer-reviewed medical literature, making it an excellent resource for scholarly publications. Here's the rationale:
1. Credibility: MEDLINE contains high-quality, peer-reviewed articles from reputable medical journals, ensuring the information obtained is reliable and accurate.
2. Specificity: The database is focused on medical research, including studies on hepatitis A, providing targeted and relevant information for the nurse's publication.
3. Efficiency: Search results in MEDLINE are organized and easily accessible, allowing the nurse to efficiently gather information without sifting through irrelevant sources.
4. Up-to-date: MEDLINE is regularly updated with the latest research findings, ensuring the nurse has access to the most current information on hepatitis A.
In summary, using MEDLINE is the best choice for the nurse as it offers credible, specific, efficient, and up-to-date information compared to the other options.
A peaceful death is best characterized by which terminally ill patient?
- A. One who is surrounded by family
- B. One who uses meditation to help manage pain
- C. One who has advanced directives in place
- D. One who has drifted from lethargy to coma
Correct Answer: A
Rationale: The correct answer is A because being surrounded by family provides emotional support, comfort, and a sense of closure. Family presence can alleviate fear, anxiety, and loneliness, contributing to a peaceful death experience. Choice B focuses on pain management but does not address emotional well-being. Choice C, while important for end-of-life care, does not directly impact the patient's immediate comfort. Choice D indicates a decline in consciousness, which may not necessarily lead to a peaceful death experience as the patient may not be aware of their surroundings or loved ones.
When reviewing the literature on the effects of Medicaid on health care for the poor, the nurse researcher found that the poor:
- A. have less access than even the uninsured.
- B. receive many unnecessary treatments.
- C. lack consistent providers.
- D. abuse preventive services.
Correct Answer: C
Rationale: The correct answer is C because lacking consistent providers is a common issue among the poor utilizing Medicaid. This impacts continuity of care, leading to fragmented health services and poor health outcomes. Choice A is incorrect as Medicaid does provide some level of access to healthcare. Choice B is incorrect as unnecessary treatments are not a common issue among the poor on Medicaid. Choice D is incorrect as preventive services are underutilized rather than abused by the poor on Medicaid.
A nursing unit is comparing team nursing to the partnership model and finds that:
- A. with the partnership model, an RN does not have to be part of the mix.
- B. leadership abilities of the RN is a major determinant of effectiveness of care for both models.
- C. the RN teaches the LPN/LVN or unlicensed assistive personnel (UAP) how to apply the nursing process in team nursing.
- D. with team nursing the RN cares for the patient while the team members work with the family or significant others.
Correct Answer: B
Rationale: The correct answer is B because the leadership abilities of the RN are crucial in both team nursing and the partnership model. In team nursing, the RN coordinates care provided by team members. In the partnership model, the RN collaborates with a partner to deliver care effectively.
Choice A is incorrect because the presence of an RN is essential in both models to ensure the delivery of safe and high-quality care.
Choice C is incorrect because the RN's role in teaching how to apply the nursing process is not specific to team nursing or the partnership model but is a general nursing responsibility.
Choice D is incorrect because in team nursing, the RN is responsible for coordinating care for the patient, including working with the family or significant others, rather than solely caring for the patient while others work with the family.