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1. Achieving Magnet Hospital designation offers hospitals the following advantages: (Select all that apply.)
- A. Greater client satisfaction.
- B. Improved nursing recruitment.
- C. Greater client workload.
- D. Nurses who are independent decision makers.
Correct answer: C
Rationale: Achieving Magnet Hospital designation offers hospitals advantages such as improved nursing recruitment and greater nursing retention. The empowered, independent problem-solving nurses resulting from this designation contribute to greater client satisfaction and improved nursing care. Therefore, the correct answer is 'Greater client workload' (C). Choices A, B, and D are incorrect because although they are beneficial outcomes of achieving Magnet Hospital designation, they are not advantages specifically mentioned in the provided rationale.
2. A nurse is planning an educational program for a group of older adults at a senior living center. Which of the following recommendations should the nurse include?
- A. You should receive a pneumococcal vaccine when you are 65 years old.
- B. You should receive a shingles vaccine when you are 70 years old.
- C. You should receive a tetanus booster every 5 years.
- D. You should have an eye examination every 2 years.
Correct answer: A
Rationale: The correct answer is A. The CDC recommends a pneumococcal vaccine for all adults aged 65 years and older. This vaccine helps protect against serious pneumococcal disease. Choice B is incorrect as the shingles vaccine is recommended for adults aged 50 years and older, not specifically at 70 years. Choice C is incorrect because a tetanus booster is recommended every 10 years, not every 5 years. Choice D is incorrect as the general recommendation for eye examinations in older adults is annually, not every 2 years.
3. Which of the following is an example of an ethical dilemma in nursing?
- A. Choosing between two equally undesirable alternatives
- B. Reporting a colleague's unethical behavior
- C. Balancing patient confidentiality with the need to disclose information
- D. Deciding whether to comply with a patient's request that conflicts with professional ethics
Correct answer: D
Rationale: The correct answer is D. An ethical dilemma in nursing involves deciding whether to comply with a patient's request that conflicts with professional ethics, balancing competing values and principles. Choices A, B, and C do not directly represent ethical dilemmas in nursing. Choice A describes a general ethical dilemma, choice B involves professional conduct rather than a dilemma, and choice C refers to a confidentiality issue rather than conflicting ethical principles.
4. Which of the following best describes the concept of cultural humility in nursing?
- A. A fixed set of cultural competencies
- B. Recognizing and addressing power imbalances
- C. Adapting care to fit different cultural contexts
- D. Learning from patients and adapting to their needs
Correct answer: D
Rationale: Cultural humility in nursing is about approaching patient care with an open mind, being willing to learn from patients, and adapting to their individual needs. Choice A is incorrect as cultural humility is not about a fixed set of competencies, but rather an ongoing process of self-reflection and learning. Choice B, recognizing and addressing power imbalances, is related to cultural competence but not the core concept of cultural humility. Choice C, adapting care to fit different cultural contexts, is more aligned with cultural competence rather than cultural humility.
5. Which of the following best describes the role of a nurse case manager?
- A. To provide direct patient care
- B. To manage healthcare facilities
- C. To advocate for patient rights
- D. To coordinate long-term care services
Correct answer: D
Rationale: The correct answer is D: 'To coordinate long-term care services.' A nurse case manager's primary role is to coordinate and manage long-term care services for patients, ensuring continuity and quality of care. Choice A is incorrect because providing direct patient care is typically the responsibility of nurses, not nurse case managers. Choice B is incorrect as managing healthcare facilities is a role usually fulfilled by healthcare administrators. Choice C is incorrect as advocating for patient rights is important but not the primary role of a nurse case manager.
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