Nursing Elites

1. Upon noticing a visitor who is loud and active and carrying a gun on the unit where you are in charge, what should you do immediately?

• A. Ask the visitor to leave.
• B. Talk quietly to calm the visitor.
• C. Ask the visitor for the gun.
• D. Notify security with the details of the situation.

Correct answer: D

Rationale: In a situation where a visitor arrives on the unit with a gun, it is essential to prioritize the safety of patients and staff. Immediately notifying security with all the relevant details is the correct course of action. Asking the visitor to leave or engaging them could escalate the situation and put everyone at risk. Similarly, requesting the gun from the visitor directly is not advisable as it could lead to a dangerous confrontation. By alerting security promptly, you enable trained professionals to handle the situation safely and effectively, minimizing risks and ensuring the safety of all individuals involved.

2. Under which category does a violation of the nurse practice act fall?

• A. Juvenile
• B. Felony
• C. Misdemeanor
• D. Tort

Correct answer: B

Rationale: A violation of the nurse practice act falls under the category of a felony. Felony offenses are the most serious and can include acts like homicide and violations of professional practice regulations. Choices A, C, and D are incorrect because violations of the nurse practice act are considered more severe than misdemeanors, torts, or related to juvenile cases.

3. Which agency reviews whether an organization meets its own criteria for staffing?

• A. American Nurses Association (ANA)
• B. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
• C. Patient Classification Systems (PCSs)
• D. Nursing Care Hours (NCHs)

Correct answer: B

Rationale: The correct answer is the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). This agency specifies that the right number of competent staff should be provided to meet client's needs. Choices A, C, and D are incorrect as they do not focus on the review of staffing criteria within an organization. The American Nurses Association (ANA) is an organization that supports nurses, Patient Classification Systems (PCSs) are tools used for patient classification, and Nursing Care Hours (NCHs) are related to the number of care hours provided.

4. Successful professional nurses benefit from working with mentors. What mutually rewarding outcomes are realized in mentoring relationships? (EXCEPT)

• A. Instilling a sense of accomplishing a meaningful effort
• B. Assuming each other's characteristics
• C. Fostering an interdependent relationship
• D. Promoting self-esteem

Correct answer: B

Rationale: Professional nurses who seek mentoring relationships work with their mentors to gain objective feedback, guidance, and confidence. A mentoring relationship is critical when making job decisions, establishing goals, discussing professional judgment, considering ethical issues, and in determining challenges for growth. Choice B, "Assuming each other's characteristics," is incorrect because mentoring is about learning, guidance, and support to develop one's own professional identity, not about assuming someone else's characteristics. Choices A, C, and D are all beneficial outcomes of mentoring relationships, including instilling a sense of accomplishment, fostering interdependence, and promoting self-esteem, respectively.

5. What information will the nurse include in teaching a female patient who has peripheral arterial disease, type 2 diabetes, and sensory neuropathy of the feet and legs?

• A. Select flat-soled leather shoes
• B. Apply heating pads on a low temperature.
• C. Avoid using callus remover for corns or calluses.
• D. Refrain from soaking feet in warm water for an hour each day.

Correct answer: A

Rationale: The correct answer is to select flat-soled leather shoes. Patients with peripheral arterial disease, type 2 diabetes, and sensory neuropathy are at risk for foot injuries due to decreased sensation and poor circulation. Flat-soled leather shoes can help prevent injuries and provide adequate support without causing pressure points. Choice B is incorrect as using heating pads can lead to burns for patients with sensory neuropathy. Choice C is wrong because using callus remover may lead to skin damage for patients with compromised circulation. Choice D is not recommended as soaking feet in warm water can further damage the skin due to decreased sensation.

Similar Questions