Nursing Elites

1. An RN is reviewing professional behavior expectations with a group of new nurses. Which of the following statements should be included in the teaching?

• A. It is not OK to discuss your days at work on social media.
• B. When you are passionate about a topic, speak up in professional platforms.
• C. Your behavior outside of the practice setting can impact your license.
• D. Nurses may lose their licenses for unprofessional actions.

Correct answer: D

Rationale: The correct statement to include in the teaching is that nurses may lose their licenses for unprofessional actions. This is an important reminder to new nurses about the serious consequences of unprofessional behavior in the healthcare field. Choice A is incorrect because discussing work on social media can breach patient confidentiality. Choice B is incorrect as speaking up in blogs and forums may not always align with professional conduct standards. Choice C is incorrect as behavior outside the practice setting, if unprofessional, can indeed impact a nurse's license.

2. In our culturally diverse society, barriers to health care result from:

• A. Prejudice
• B. Different socioeconomic status
• C. Differences in language
• D. All of the above

Correct answer: D

Rationale: In a culturally diverse society, barriers to health care can stem from various factors. These include differences in language, various socioeconomic statuses, and prejudices. These factors can create obstacles for individuals in accessing healthcare services. Therefore, the correct answer is 'All of the above' as all the provided choices contribute to barriers in healthcare access. Choice A, 'Prejudice,' is correct as biases and discrimination can prevent individuals from receiving proper care. Choice B, 'Different socioeconomic status,' is accurate as financial disparities can limit access to healthcare services. Choice C, 'Differences in language,' is also valid as language barriers can hinder effective communication and understanding between patients and healthcare providers.

3. A nurse supervisor is planning an educational session for her staff regarding improving teamwork among different generations. Which of the following recommendations will reduce potential generational conflicts?

• A. Involve only millennials in technology decisions.
• B. Focus on the team as a whole, rather than individual generations.
• C. Involve only the baby boomers in technology decisions.
• D. Practice active and assertive communication techniques.

Correct answer: D

Rationale: Active and assertive communication will assist each generation to value the others’ skills and perspectives.

4. Which of the following describes the concept of ratification?

• A. Contract administration
• B. Contract passage
• C. Contract denial
• D. Contract reorganization

Correct answer: B

Rationale: The correct answer is B: 'Contract passage.' Ratification refers to the approval or confirmation of a contract by a simple majority of members who vote to pass it. Choice A, 'Contract administration,' does not accurately describe ratification as it focuses more on the management of contracts rather than their approval. Choice C, 'Contract denial,' is incorrect as ratification implies acceptance or approval, not denial. Choice D, 'Contract reorganization,' is also incorrect as ratification does not involve restructuring or reorganizing a contract, but rather confirming its validity.

5. When using an open irrigation technique to irrigate a client's indwelling urinary catheter, which of the following actions should the nurse take?

• A. Position the client in a side-lying position.
• B. Perform the irrigation using a 20-mL syringe.
• C. Instill 15 mL of irrigation fluid into the catheter with each flush.
• D. Measure and record the amount of irrigant used.

Correct answer: B

Rationale: When irrigating an indwelling urinary catheter, the nurse should use a 20-mL syringe for the procedure. This syringe size helps to provide adequate pressure for effective irrigation. Placing the client in a side-lying position is not necessary for this procedure. Instilling a specific amount of irrigation fluid into the catheter is not mentioned in the scenario. Subtracting the amount of irrigant used from the client's urine output is not a standard practice in catheter irrigation.

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