Nursing Elites

1. An RN’s current patient and family have presented her with an ethical dilemma. What is the first step the RN should take to find a workable solution to the problem?

• A. Planning
• B. Assessment
• C. Evaluation
• D. Implementation

Correct answer: B

Rationale: The first step the RN should take to find a workable solution to the problem is assessment.

2. Which of the following is a common characteristic of a Magnet-designated hospital?

• A. High nurse turnover rates
• B. Strong emphasis on interdisciplinary teamwork
• C. Limited opportunities for professional development
• D. Focus on advanced technology for patient care

Correct answer: B

Rationale: A common characteristic of a Magnet-designated hospital is a strong emphasis on interdisciplinary teamwork. This emphasis promotes collaboration among healthcare professionals from different disciplines to provide holistic and patient-centered care. Choice A is incorrect as Magnet hospitals typically have lower nurse turnover rates due to better work environments. Choice C is also incorrect as Magnet hospitals usually offer ample opportunities for professional growth and development. Choice D is not a defining characteristic of Magnet hospitals, although they may utilize advanced technology, the primary focus is on the quality of care provided through teamwork and excellence in nursing practice.

3. When a policy violation occurs, what are the necessary steps for the nurse manager? (EXCEPT)

• A. Describing the staff nurse's behavior that violated the policy
• B. Terminating the staff immediately
• C. Confrontation
• D. Determining the employee's awareness of the policy

Correct answer: B

Rationale: When a policy violation occurs, the necessary steps for the nurse manager include: describing the staff nurse's behavior that violated the policy, confrontation as a communication technique to address specific issues, and determining the employee's awareness of the policy. Terminating the employee immediately is not always the appropriate response to a policy violation, as there may be other corrective actions or interventions that can be taken to address the issue without resorting to termination. It is crucial to follow due process, provide guidance, and support to help employees understand and rectify their behavior.

4. When considering virtue ethics, which of the following is true?

• A. Virtue ethics attributes behaviors to moral rules.
• B. Virtue ethics attributes behaviors to knowledge of consequences.
• C. Virtue ethics focuses on moral character, rather than rules for behavior.
• D. Virtue ethics is a formal statement of rules for behavior.

Correct answer: C

Rationale: The correct answer is C: Virtue ethics focuses on moral character, rather than rules for behavior. Virtue ethics is a branch of ethical theory that emphasizes an individual's character and virtues rather than focusing on specific rules or consequences. Choice A is incorrect as virtue ethics does not attribute behaviors to moral rules; instead, it emphasizes developing virtuous character traits. Choice B is incorrect because virtue ethics does not attribute behaviors to knowledge of consequences; it looks at the moral character of the individual. Choice D is incorrect as virtue ethics is not a formal statement of rules for behavior but rather a perspective that emphasizes the importance of developing virtuous character traits.

5. Which of the following describes the ability to enter into a contract with an employer?

• A. Certification to contract
• B. Certification to represent
• C. Bargaining agreement
• D. Contract agreement

Correct answer: A

Rationale: The correct answer is A, 'Certification to contract,' which refers to the process by which a union, certified by the NLRB as a bargaining agent, can enter into a contract with an employer that has been voted on by the union membership. The other choices are incorrect because 'Certification to represent' does not specifically address entering into a contract, 'Bargaining agreement' refers to the actual agreement reached through negotiation, and 'Contract agreement' is redundant, as it simply repeats the term 'contract.'

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