Nokea
Why are nurses increasingly providing care in clients homes rather than in hospitals? (Select all that apply.)
- A. Home care is less expensive.
- B. It is much more efficient to give care in the home.
- C. Nurses prefer to give home care with individual attention.
- D. People prefer to receive care in their homes rather than in hospitals.
Correct Answer: A
Rationale: The correct answer is A: Home care is less expensive. This is because providing care in clients' homes eliminates the high costs associated with hospital stays, such as room charges, equipment use, and overhead expenses. Nurses can provide necessary care in a cost-effective manner by visiting clients in their homes.
Other choices are incorrect:
B: Efficiency may vary depending on the situation, and home care may not always be more efficient.
C: While nurses may appreciate the individual attention aspect of home care, personal preference is not the primary reason for the shift.
D: While some people may prefer to receive care at home, this alone is not the main driver for the trend towards home care.
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A nurse is a member of an interdisciplinary committee whose goal is to develop a culturally and linguistically competent organization. Which action by the committee would help to meet this goal?
- A. Develop an organizational mission statement for cultural competence
- B. Encourage each department to develop a cultural competency plan
- C. Encourage employees to find ways to develop their cultural competence
- D. Hire individuals with the most work experience
Correct Answer: A
Rationale: The correct answer is A, developing an organizational mission statement for cultural competence. This is crucial as it sets the tone and direction for the entire organization's commitment to cultural and linguistic competence. It provides a clear framework and guiding principles for all activities and decisions related to this goal. Choices B and C are not sufficient on their own as they lack a cohesive and overarching strategy. Choice D is irrelevant to the goal of cultural competence. It is important to have a clear, shared vision through the mission statement to ensure alignment and accountability across all departments and individuals.
The nurse often has to make resource allocation decisions. Which of the following best describes the
- A. The specific moral or ethical principle related to the situation
- B. The cheapest, most economical approach
- C. The most rational probable outcome
- D. The needs of the aggregate rather than a few individuals
Correct Answer: A
Rationale: The correct answer is A: The specific moral or ethical principle related to the situation. In resource allocation decisions, nurses must consider ethical principles such as beneficence, justice, autonomy, and nonmaleficence. By applying these principles, nurses can ensure fair and ethical distribution of resources. Choice B (The cheapest, most economical approach) may not always align with ethical principles and could compromise quality of care. Choice C (The most rational probable outcome) may not necessarily consider ethical implications. Choice D (The needs of the aggregate rather than a few individuals) could lead to neglecting individual patient needs.
Which of the following types of study should the nurse researcher choose if the goal is to identify the
- A. Cross-sectional study
- B. Ecologic study
- C. Clinical trial
- D. Retrospective analysis
Correct Answer: A
Rationale: The correct answer is A: Cross-sectional study. This type of study is best suited for identifying the current prevalence of a condition or characteristic within a population at a specific point in time. It provides a snapshot of the population, allowing for quick and efficient data collection. Cross-sectional studies are ideal for determining associations between variables but cannot establish causality. The other choices are incorrect because: B: Ecologic study examines population-level data rather than individual-level data, making it less suitable for identifying specific characteristics within a population. C: Clinical trial focuses on testing interventions and treatments rather than identifying characteristics. D: Retrospective analysis looks back at past data and may not provide a current snapshot of the population.
Two women seem to agree on almost everything from favorite music to favorite media stars to the
- A. They are both members of the same birth cohort.
- B. They are close friends.
- C. They attended the same school.
- D. They both go the same church.
Correct Answer: A
Rationale: The correct answer is A because being members of the same birth cohort means they were born in the same time period. This implies they likely grew up in the same cultural and societal influences, leading to similar preferences. B is incorrect as close friends may have different tastes. C and D are also incorrect as shared experiences at school or church do not guarantee alignment in preferences.
Which action by a nurse represents the practice of decolonization?
- A. Enforcing Eurocentric ideologies to maintain cultural uniformity
- B. Prioritizing certain cultural perspectives over others
- C. Recognizing and challenging dominating colonial influences
- D. Eliminating all traditional healing practices to standardize care
Correct Answer: C
Rationale: The correct answer is C: Recognizing and challenging dominating colonial influences. Decolonization in nursing involves acknowledging and addressing historical power imbalances and colonial legacies in healthcare. By recognizing and challenging dominating colonial influences, nurses advocate for culturally safe care and work towards dismantling systemic inequalities. Enforcing Eurocentric ideologies (choice A) and prioritizing certain cultural perspectives (choice B) can perpetuate colonization rather than decolonization. Eliminating traditional healing practices (choice D) disregards cultural diversity and goes against the principles of decolonization.