Nursing Elites

1. While caring for a client with tuberculosis, which of the following actions should the nurse take?

• A. Use antimicrobial sanitizer for hand hygiene.
• B. Wear a surgical mask when providing client care.
• C. Limit each visitor to 2-hour increments.
• D. Wear gloves when assisting the client with oral care.

Correct answer: A

Rationale: The correct action for the nurse to take when caring for a client with tuberculosis is to use antimicrobial sanitizer for hand hygiene. Tuberculosis is primarily spread through the air, so wearing a surgical mask when providing care (choice B) would be more appropriate for diseases transmitted via droplets. Limiting visitors (choice C) and wearing gloves for oral care (choice D) are important infection control measures but are not specifically tailored to tuberculosis transmission.

2. What is the main purpose of health informatics?

• A. To manage patient care
• B. To store patient records
• C. To enhance clinical decision making
• D. To improve healthcare policies

Correct answer: C

Rationale: The main purpose of health informatics is to enhance clinical decision making. While managing patient care (choice A) and storing patient records (choice B) are important functions within health informatics, the primary goal is to improve decision making processes by utilizing technology and data. Improving healthcare policies (choice D) is not the main purpose of health informatics, although it can be a byproduct of better-informed decision making.

3. Which of the following statements is true regarding nursing ethics?

• A. Nursing ethics focus on the organizational level at the workplace.
• B. Nursing ethics focus on the duties and rules of behavior for professional nurses.
• C. Nursing ethics focus on the moral character of nurses.
• D. Nursing ethics focus on the experiences and needs of nurses.

Correct answer: D

Rationale: Nursing ethics not only focus on the experiences and needs of nurses, but also on the nurses� perceptions of these experiences.

4. During a staffing crisis, managers may need to use nurse extenders. These individuals are better known as:

• A. Float RNs.
• B. Unlicensed assistive personnel.
• C. LPNs.
• D. Agency nurses.

Correct answer: B

Rationale: During a staffing crisis, managers may need to utilize unlicensed assistive personnel (UAPs) as nurse extenders. UAPs help free up nurses' time, enabling them to focus more on direct client care. Float RNs (Choice A) refer to registered nurses who work in various units as needed, not specifically as nurse extenders during crises. LPNs (Choice C) are licensed practical nurses, not typically used as nurse extenders. Agency nurses (Choice D) are temporary nurses hired from external agencies, not necessarily designated as nurse extenders.

5. Which of the following best describes decertification?

• A. Encourage union affiliation
• B. Change union affiliation
• C. Reward union affiliation
• D. Empower union affiliation

Correct answer: B

Rationale: Decertification is the process of removing or changing union affiliation. Choosing option B, 'Change union affiliation,' correctly reflects this definition. Option A, 'Encourage union affiliation,' is incorrect as decertification is not about promoting union membership but rather altering it. Option C, 'Reward union affiliation,' is incorrect as decertification does not involve rewarding union membership. Option D, 'Empower union affiliation,' is incorrect as decertification does not empower union membership but rather modifies or eliminates it.

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