Nursing Elites

1. A nurse recognizes which of the following as a primary goal of nursing?

• A. Assist patients to achieve a peaceful death.
• B. Improve personal knowledge and skills to enhance patient outcomes.
• C. Advocate for quality of life over the quantity of life.
• D. Work to control costs to enhance patients' quality of life.

Correct answer: A

Rationale: The correct answer is A: 'Assist patients to achieve a peaceful death.' One of the primary goals of nursing is to help patients experience a comfortable and peaceful passing when faced with terminal illness or at the end of life. This involves providing holistic care, managing symptoms, and ensuring that patients are as comfortable and pain-free as possible. Choices B, C, and D are incorrect because while improving knowledge and skills, advocating for quality of life, and controlling costs are important aspects of nursing care, they are not the primary goal related to end-of-life care.

2. In preparation for a client's procedure with a latex allergy, which of the following precautions should the nurse take?

• A. Ensure sterilization of nondisposable items with ethylene oxide.
• B. Wear hypoallergenic latex gloves that do not contain powder.
• C. Cleanse latex ports on IV tubing with chlorhexidine before injecting medication.
• D. Wrap monitoring cords with stockinette and tape them in place.

Correct answer: B

Rationale: The correct answer is B: Wear hypoallergenic latex gloves that do not contain powder. When a client has a latex allergy, it is crucial to avoid direct contact with latex-containing products to prevent an allergic reaction. Choosing hypoallergenic latex gloves that are powder-free reduces the risk of the client being exposed to latex allergens. Option A is incorrect because using ethylene oxide for sterilization does not directly address the client's latex allergy. Option C is incorrect because cleansing latex ports with chlorhexidine does not eliminate the risk of latex exposure. Option D is incorrect as it does not specifically address the issue of latex allergy during the procedure.

3. If the nurse and nurse manager did not resolve the situation related to the physician's report about the nurse's performance, what is the length of time allowed for the nurse to submit an appeal?

• A. 10 days
• B. 15 days
• C. 20 days
• D. 30 days

Correct answer: A

Rationale: If the informal discussion between the nurse and nurse manager does not resolve the issue regarding the physician's report on the nurse's performance, the nurse can submit a written appeal within 10 days, according to the healthcare facility policy. This 10-day timeframe ensures a prompt resolution of disputes and maintains clear communication channels within the healthcare setting. Choices B, C, and D are incorrect as they exceed the time limit allowed for the nurse to submit an appeal, which is specified to be 10 days.

4. Which of the following best describes the role of a nurse leader?

• A. Managing patient care directly
• B. Enforcing healthcare policies
• C. Inspiring and motivating the healthcare team
• D. Ensuring regulatory compliance

Correct answer: C

Rationale: The correct answer is C: 'Inspiring and motivating the healthcare team.' Nurse leaders play a crucial role in fostering a positive and collaborative work environment by motivating and inspiring their team members. Choice A is incorrect because managing patient care directly is typically the responsibility of staff nurses, while nurse leaders focus on leadership and coordination. Choice B is incorrect as enforcing healthcare policies is usually a function of compliance officers or administrators. Choice D is also incorrect as ensuring regulatory compliance is important but is usually overseen by compliance officers or regulatory affairs specialists, not specifically the role of a nurse leader.

5. What innate tendency influences staff to act in a certain way?

• A. Instinct
• B. Appreciation
• C. Control
• D. Esteem

Correct answer: A

Rationale: The correct answer is A: Instinct. Instinct theory suggests that behaviors are influenced by inherited or innate tendencies, guiding individuals to act in specific ways without conscious reasoning. In the context of staff behavior, instinct can play a significant role in shaping their actions and responses. Choices B, C, and D are incorrect. Appreciation, control, and esteem are external factors that may influence staff behavior, but in this context, the question specifically asks for an innate tendency that influences staff to act in a certain way, which aligns more closely with instinctive tendencies rather than external factors like appreciation, control, or esteem.

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