Nursing Elites

1. What is the primary responsibility of a nurse manager in a healthcare setting?

• A. To provide direct patient care
• B. To manage healthcare facilities
• C. To oversee administrative tasks
• D. To conduct clinical research

Correct answer: C

Rationale: The correct answer is C: 'To oversee administrative tasks.' Nurse managers in healthcare settings are primarily responsible for managing the administrative aspects of a unit, ensuring smooth operations and efficiency. Choice A is incorrect because providing direct patient care is usually the responsibility of staff nurses, not nurse managers. Choice B is incorrect as managing healthcare facilities involves a broader scope of responsibilities beyond the role of a nurse manager. Choice D is also incorrect as conducting clinical research is typically not a primary responsibility of a nurse manager in a healthcare setting.

2. Which of the following is a challenge the profession of nursing faced?

• A. Nursing contributing to the stigma of AIDS in the 1980s out of fear.
• B. Nursing practice flourishing in field hospitals during the Korean War with abundant supplies and equipment.
• C. Many nurses feeling frustrated with the lack of independent functioning after the Vietnam War.
• D. A decline in the number of hospice nurses due to ethical dilemmas.

Correct answer: C

Rationale: The correct answer is C. After the Vietnam War, many nurses felt frustrated with the lack of independent functioning when they returned home. This challenge was faced by the profession of nursing as nurses who functioned independently in mobile hospital units during the war found themselves restricted in their practice upon returning. Choices A, B, and D are incorrect because they do not address the specific challenge of lack of independent functioning faced by nurses after the Vietnam War.

3. There are several elements in recruiting strategies. Which of the following is one of those elements?

• A. Not selling
• B. How to sell
• C. When to sell
• D. What to sell

Correct answer: B

Rationale: The correct answer is B: 'How to sell.' In any recruiting strategy, key elements include where to look, how to look, when to look, and finally, how to sell. 'How to sell' refers to the tactics and techniques used to attract and persuade potential candidates. Choices A, C, and D are incorrect because 'Not selling,' 'When to sell,' and 'What to sell' are not primary elements in recruiting strategies.

4. A nurse is caring for a client who has diarrhea due to shigella. Which of the following precautions should the nurse implement for this client?

• A. Have the client wear a mask when receiving visitors.
• B. Limit the client's time with visitors to no more than 30 minutes per day.
• C. Assign the client to a room with negative-pressure airflow exchange.
• D. Wear a gown when caring for the client.

Correct answer: B

Rationale: The correct answer is B because limiting the client's time with visitors helps prevent the spread of shigella infection to others. Shigella is transmitted through the fecal-oral route, so minimizing contact time reduces the risk of transmission. Choice A is incorrect as there is no need for the client to wear a mask in this situation. Choice C is also incorrect as negative-pressure airflow exchange rooms are typically used for clients with airborne infections. Choice D is incorrect as wearing a gown is not the primary precaution needed for shigella infection.

5. Which of the following is a recommendation for avoiding charges of negligence and false imprisonment for confused clients?

• A. Carefully assess and document client status.
• B. Ensure all patient information is logged out and the nurse has signed out of the computer before leaving the computer station.
• C. Keep careful notes while providing care to ensure accurate documentation later in the day.
• D. Discuss safety needs with clients.

Correct answer: A

Rationale: The correct answer is A: Carefully assess and document client status. By carefully assessing and documenting the client's status, healthcare providers can ensure they have a clear understanding of the client's condition, needs, and any potential risks. This helps in providing appropriate care and avoiding situations that may lead to charges of negligence or false imprisonment. Choice B is incorrect because logging out of computer systems is more related to data security and confidentiality rather than preventing negligence or false imprisonment. Choice C is not directly related to avoiding charges of negligence and false imprisonment but rather ensuring accurate documentation. Choice D, while important for overall client safety, does not specifically address the issue of avoiding charges of negligence and false imprisonment for confused clients.

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