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While performing a job search, a nurse reviews the list of Magnet hospitals of the American Nurses Credentialing Center because:
- A. these hospitals are able to hold on to revenue gained from patient care.
- B. nursing longevity, autonomy, and self-governance are important features of these institutions.
- C. all RNs have a minimum of a master's degree and are credentialed in the area in which they provide care.
- D. these hospitals have the most up-to-date diagnostic equipment such as magnetic resonance imagery.
Correct Answer: B
Rationale: The correct answer is B because Magnet hospitals are recognized for their nursing excellence, empowering nurses with autonomy and self-governance. This fosters a positive work environment and improves patient outcomes.
Choice A is incorrect because being a Magnet hospital does not guarantee revenue retention, but rather focuses on nursing excellence.
Choice C is incorrect as Magnet hospitals do not require all RNs to have a master's degree. They do emphasize ongoing education and professional development, but not at a specific degree level.
Choice D is incorrect because Magnet status is not related to the availability of diagnostic equipment but rather on nursing quality and excellence.
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To ensure that nursing legislation is current and is reviewed by specific dates, if a nurse practice act fails to be reviewed, it is automatically rescinded under which law?
- A. Nurse review act
- B. Sunset legislation
- C. Mandatory revocation
- D. Grandfathering
Correct Answer: B
Rationale: The correct answer is B: Sunset legislation. Sunset legislation mandates that laws, including nurse practice acts, must be reviewed periodically to determine if they are still needed. If a nurse practice act is not reviewed by the specified date, it is automatically rescinded. This process ensures that laws are current and relevant.
Incorrect Choices:
A: Nurse review act - There is no specific law called the Nurse review act that pertains to the automatic rescinding of nurse practice acts.
C: Mandatory revocation - This choice does not align with the process of automatic rescinding based on a failure to review.
D: Grandfathering - Grandfathering refers to exempting individuals from new regulations based on previous circumstances, not the automatic rescinding of laws.
Registered nurses who are entering the workforce will have expanded leadership responsibilities that include: (select all that apply)
- A. serving on interdisciplinary care teams.
- B. being competent to work in several areas independently when dictated by patient census.
- C. attending a meeting to plan advanced training for unlicensed assistive personnel.
- D. evaluating outcomes of care that are reported to a standing committee.
Correct Answer: A
Rationale: The correct answer is A: serving on interdisciplinary care teams. This is correct because as registered nurses enter the workforce, they are expected to collaborate with other healthcare professionals on interdisciplinary care teams to provide comprehensive patient care. This involves working together with professionals from different disciplines to ensure holistic and effective treatment plans.
Explanation for why the other choices are incorrect:
B: Being competent to work in several areas independently when dictated by patient census - While nurses may need to be versatile, the emphasis on independent work in various areas does not necessarily reflect expanded leadership responsibilities.
C: Attending a meeting to plan advanced training for unlicensed assistive personnel - While important for team collaboration, attending meetings to plan training for support staff does not directly relate to expanded leadership responsibilities.
D: Evaluating outcomes of care that are reported to a standing committee - While evaluating outcomes is important, it may not specifically denote expanded leadership responsibilities compared to the collaborative nature of serving on interdisciplinary care teams.
It is important for nurses to know the functions of the branches of the federal government. At a local meeting of the state nurses' association, an officer reminds members that the branch that is capable of originating major policy initiatives is thebranch.
- A. executive
- B. legislative
- C. judicial
- D. administrative
Correct Answer: B
Rationale: The correct answer is B: legislative. The legislative branch, which consists of Congress, is responsible for creating and enacting laws, including major policy initiatives. This branch has the power to propose, debate, and pass legislation that shapes public policy. The executive branch (choice A) enforces laws, the judicial branch (choice C) interprets laws, and the administrative branch (choice D) oversees the implementation of laws. In this context, the legislative branch is the primary entity for originating major policy initiatives, making it crucial for nurses to understand its functions.
An RN makes the following assignments at the beginning of the shift. Which assignment would be considered high-risk delegation?
- A. A novice RN is assigned a patient with diabetes mellitus requiring mixing of regular and NPH insulin.
- B. An LPN is assigned an older adult with pneumonia and who requires dressing changes on a foot wound.
- C. An unlicensed assistive person is assigned the task of assisting a patient with late stages of Huntington's disease to ambulate a short distance in the hallway.
- D. A float RN from the oncology unit is assigned a patient with a white blood cell count of 4000 mm
Correct Answer: A
Rationale: The correct answer is A because it involves a high-risk delegation. Mixing insulin is a complex task that requires precise measurements and understanding of the patient's condition. A novice RN may lack the experience and knowledge to safely perform this task, leading to potential harm for the patient.
Choice B involves wound care, which is within an LPN's scope of practice and not as high-risk as insulin administration. Choice C involves basic ambulation assistance, which is appropriate for an unlicensed assistive person under supervision. Choice D involves caring for a patient with low white blood cell count, which may be challenging but not as high-risk as insulin mixing for a novice RN.
When practicing in a compact state:
- A. the nurse must abide solely by the practice act of the largest state.
- B. patients' rights in relation to the nurse practice act are protected by the mutual recognition model.
- C. the nurse must pay for a license in all states that participate in the mutual recognition model.
- D. the nurse must refer to the nurse practice act for the list of skills that can be performed.
Correct Answer: B
Rationale: The correct answer is B because in a compact state, the mutual recognition model allows nurses to practice across state lines without obtaining additional licenses. This model ensures that patients' rights are protected by requiring nurses to adhere to the nurse practice act of the state where the patient is located. This promotes nursing mobility while maintaining regulatory standards.
A is incorrect because nurses must follow the nurse practice act of the state where they are practicing, not necessarily the largest state. C is incorrect because nurses do not have to pay for a license in all participating states under the mutual recognition model. D is incorrect because the nurse practice act outlines the scope of practice, not necessarily the list of skills that can be performed across state lines.