Nursing Elites

1. The staff of a medical-surgical unit is in disagreement about holiday scheduling. The nurse manager knows that this is what type of conflict?

• A. Intragroup conflict
• B. Intergroup conflict
• C. Interpersonal conflict
• D. Intrapersonal conflict

Correct answer: A

Rationale: The correct answer is A: Intragroup conflict. Intragroup conflict occurs within one group, in this case, the staff of the medical-surgical unit. Intergroup conflict, on the other hand, happens between two or more groups. Interpersonal conflict involves conflicts between two or more individuals, and intrapersonal conflict is conflict within one individual. Since the disagreement about holiday scheduling involves members within the same group (staff of the medical-surgical unit), it is an example of intragroup conflict. Therefore, the nurse manager would recognize this as an intragroup conflict rather than any of the other types mentioned.

2. A nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressing should the nurse use?

• A. Hydrocolloid
• B. Transparent
• C. Gauze
• D. Alginate

Correct answer: A

Rationale: The correct answer is A: Hydrocolloid. For a stage 2 pressure injury, a hydrocolloid dressing is recommended. Hydrocolloid dressings provide a moist environment that promotes healing and is effective for wounds with moderate exudate. Choice B (Transparent) is not typically used for stage 2 pressure injuries as it is more suitable for superficial wounds. Choice C (Gauze) is not ideal for stage 2 pressure injuries as it can adhere to the wound bed and cause trauma upon removal. Choice D (Alginate) is more appropriate for wounds with heavy exudate, not typically seen in stage 2 pressure injuries.

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

• A. Juvenile offenses
• B. Felonies
• C. Misdemeanors
• D. Torts

Correct answer: D

Rationale: A violation of the nurse practice act falls under the category of tort. Tort refers to civil wrongs that cause harm or loss to another person, and a violation of the nurse practice act can result in a civil lawsuit against the nurse for negligence or malpractice. Choices A, B, and C are incorrect because a violation of the nurse practice act does not fall under juvenile offenses, felonies, or misdemeanors, but rather under civil wrongs known as torts.

4. Which of the following best describes intrinsic values?

• A. Intrinsic values are often abstract ideas.
• B. Intrinsic values are basic needs for sustaining life.
• C. Intrinsic values are qualities patients consider to be important in their private lives.
• D. Intrinsic values are qualities patients consider important for nurses to have.

Correct answer: B

Rationale: The correct answer is B because intrinsic values refer to fundamental beliefs and principles that guide a person's behavior and decision-making. These values are deeply ingrained and are essential for sustaining life and well-being. Choices A, C, and D are incorrect because intrinsic values are not just abstract ideas, qualities important in private lives, or qualities patients desire in others; they are the core principles that individuals hold dear to lead a fulfilling life.

5. 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.

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