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Which trend is an effect of the nursing shortage on nursing education?
- A. Only devoted qualified nurses are continuing to provide bedside nursing because of the complexity of care required, resulting in excellent preceptorships for students.
- B. The number of applicants to nursing programs has risen, but enrollment is limited because of a decrease in the number of available scholarships and grants.
- C. With an increase in the number of nurses who are entering graduate school to escape bedside nursing, students will soon enjoy a lower faculty/student ratio.
- D. Students may be assigned to preceptors who have not yet developed expertise in the field of interest.
Correct Answer: D
Rationale: The correct answer is D because the nursing shortage has led to a situation where students may be assigned to preceptors who have not yet developed expertise in the field of interest. This is a direct effect of the shortage as experienced and qualified nurses may not always be available to mentor students. This can impact the quality of education and training students receive, potentially hindering their learning and skill development.
Options A, B, and C are incorrect:
A: While it is true that devoted qualified nurses may be providing bedside nursing due to the complexity of care required, this does not directly relate to the effect of the nursing shortage on nursing education.
B: The increase in the number of applicants and limited enrollment due to financial reasons is a separate issue from the shortage's impact on nursing education.
C: The increase in nurses entering graduate school does not necessarily result in a lower faculty/student ratio for nursing students and is not a direct effect of the nursing shortage on nursing education.
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A group of registered nurses with ADN degrees are concerned that the minimum educational standard for licensure as a registered nurse is being raised to the bachelor's (BSN) level. After contacting the American Nurses Association, they learn they will be "grandfathered" in. Under the "grandfather clause," nurses with associate degrees will:
- A. be required to complete a bridge program to earn a BSN and then be tested only on material that was not part of the ASN curriculum.
- B. continue to use the title "registered nurse."
- C. have 10 years to obtain a BSN or the license will be revoked.
- D. use whatever title is established for associate degree nurses.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. The "grandfather clause" typically allows individuals to maintain current status or privileges despite changes in requirements.
2. The clause ensures that nurses with ADN degrees can continue using the title "registered nurse" without needing to upgrade to a BSN.
3. This aligns with the principle of honoring past qualifications while moving forward with new standards.
4. Choice A is incorrect as it introduces additional requirements beyond what the clause typically allows.
5. Choice C is incorrect as it imposes a strict time limit, which is not a common practice under grandfather clauses.
6. Choice D is incorrect as it suggests using a new title, which contradicts the purpose of grandfathering in existing qualifications.
A novice nurse notices a patient is pacing the floor and twisting his hands. When the nurse enters the room, the patient stares at her and mumbles, "Can't anyone understand what I want?" while smiling and reaching out to shake the nurse's hand. The nurse recognizes a risk for violence based on which clinical findings? (select all that apply)
- A. Glaring at the nurse
- B. Nervousness, twisting of hands
- C. Murmuring when talking
- D. Diagnosis of a terminal illness
Correct Answer: A
Rationale: The correct answer is A because glaring at the nurse indicates potential aggression and hostility, which are red flags for violence risk. Glaring can be a non-verbal sign of anger or frustration, signaling a potential escalation. In contrast, nervousness and twisting of hands (choice B) may indicate anxiety or distress but not necessarily violence. Murmuring when talking (choice C) may suggest communication difficulties but does not directly indicate violence risk. Lastly, a diagnosis of a terminal illness (choice D) is not directly related to the immediate risk of violence in this scenario.
Charles Dickens' character Sairy Gamp:
- A. portrayed nurses as trained professional individuals who put others before themselves.
- B. chose nursing because she had no other avenue for employment.
- C. was a prostitute who took advantage of sick old men.
- D. characterized nurses as being at the forefront of technology and autonomy.
Correct Answer: B
Rationale: The correct answer is B because in Charles Dickens' novel, "Martin Chuzzlewit," Sairy Gamp is depicted as a character who chose nursing as a means of employment due to her lack of other opportunities. This is evident through her portrayal as a self-serving and unprofessional individual, focusing more on her own comfort and benefits rather than the well-being of her patients. Choices A, C, and D are incorrect because they do not align with the actual portrayal of Sairy Gamp in the novel, who is not depicted as a trained professional, a prostitute, or a forward-thinking nurse.
A staff nurse provides care based on intuition and always seems to be in control of her personal and professional life, serving on the board of the state nurses association, serving as the nursing unit's representative on the ethics committee, and coaching her daughter's soft ball team. Many of the staff observes how she manages time and provides care. This nurse's power comes from which type of power?
- A. Referent
- B. Legitimate
- C. Information
- D. Connection
Correct Answer: A
Rationale: The correct answer is A: Referent power. Referent power is based on an individual's personal characteristics that others admire and seek to emulate. In this case, the nurse's ability to manage time effectively, maintain control in her personal and professional life, and serve in various leadership roles demonstrates her influence over others through admiration and respect. It is not legitimate power (B) as her authority does not stem from a formal position. It is not information power (C) as her power is not derived from possessing or sharing specific knowledge. It is not connection power (D) as her influence is not based on her network or relationships but rather on her personal qualities.
When deciding which staffing option to use on a nursing unit that will open soon, the manager realizes that:
- A. continuity of care is enhanced and errors are reduced when nurses provide care over longer shifts and consecutive workdays, such as 12-hour shifts on 3 consecutive days per week.
- B. the use of part-time nurses provides the variability needed to meet diverse patient needs.
- C. satisfaction of the staff equates to satisfaction of patients.
- D. nurses provide the same level of care, regardless of the work environment.
Correct Answer: A
Rationale: Step 1: Continuity of care is enhanced with longer shifts because nurses have more time to build relationships with patients and understand their needs.
Step 2: Working consecutive days per week reduces handoffs, which can lead to errors and miscommunications.
Step 3: 12-hour shifts allow nurses to have more days off, reducing burnout and fatigue.
Summary:
Choice B is incorrect as part-time nurses may not provide consistent care. Choice C is incorrect as staff satisfaction doesn't always translate to patient satisfaction. Choice D is incorrect as the work environment can impact the quality of care provided by nurses.