Nursing Elites

1. How does the high degree of professionalism among nurses impact their willingness to engage in organized strikes?

• A. Nurses often find union activities such as strikes in conflict with the need to serve and protect clients and their profession
• B. Nurses use evidence-based studies that reflect both management and labor views to support participation in unionization
• C. Nurses who strike can be legally punished for abandonment and negligence considered to be professional misconduct
• D. Nurses most often turn to collective bargaining strategies such as strikes to emphasize client's safety initiatives

Correct answer: A

Rationale: The correct answer is A. The high level of professionalism among nurses, as recognized in Gallup polls, often leads them to perceive organized strikes as conflicting with their duty to care for patients and uphold their professional standards. This conflict of interest can cause nurses to be hesitant or reluctant to participate in strikes. Choice B is incorrect because nurses' decision to engage in strikes is more influenced by professional values and patient care rather than evidence-based studies on management and labor views. Choice C is incorrect because while legal consequences may be a concern, the primary factor influencing nurses' decision on strikes is their professional commitment to patient care. Choice D is incorrect as nurses' focus during strikes is more on advocating for patient safety rather than emphasizing safety initiatives.

2. While supervising the care of several clients, which action requires intervention by the charge nurse?

• A. A nurse photocopies a client's diagnostic test results.
• B. An assistive personnel documents the client's vital signs on the client's paper-based graphic record.
• C. The unit secretary faxes a client's laboratory results to the provider.
• D. An RN stays with a client to discuss her understanding of her vital signs that were requested.

Correct answer: A

Rationale: The charge nurse should intervene when a nurse photocopies a client's diagnostic test results as it violates patient confidentiality and privacy. This action breaches HIPAA regulations, and sensitive patient information should not be photocopied without proper authorization. The other actions are within the scope of practice and do not raise concerns regarding patient privacy or confidentiality.

3. What approach does the caring LPN manager avoid when dealing with staff?

• A. Delegating
• B. Understanding
• C. Judging
• D. Evaluating

Correct answer: C

Rationale: The correct answer is C: Judging. The caring LPN manager avoids judging when dealing with staff to create a supportive and positive work environment. Judging can lead to demotivation and hinder effective communication. Understanding is important to empathize with staff, while evaluating is necessary for providing constructive feedback. Delegating is a crucial aspect of management to distribute tasks effectively.

4. What term is used to identify a situation where a specific target and method of attack are identified by a reliable source, such as a bomb in the possession of a known terrorist group targeting a government building in a local community?

• A. Credible threat
• B. Biological event
• C. National disaster
• D. All-hazards approach

Correct answer: A

Rationale: A credible threat is the correct term used to identify a situation where a reliable source specifies both the target and method of attack, such as a bomb possessed by a known terrorist group targeting a government building in a local community. This term signifies a serious and imminent danger substantiated by credible information. Choice B, 'Biological event,' is incorrect as it refers to a different type of threat involving pathogens or biological agents. Choice C, 'National disaster,' is also incorrect as it pertains to large-scale events causing significant harm to a country or region, not a specific targeted attack. Choice D, 'All-hazards approach,' is not the term used to describe a specific identified threat; instead, it refers to a comprehensive strategy that addresses all types of hazards and risks in emergency management.

5. What term is used to identify the care delivery model being used when a nurse makes patient care assignments as follows: RN1 has rooms 202-210, RN2 has rooms 211-221, RN3 has rooms 222-232. The unlicensed assistive personnel have half the rooms, with one assigned to 202-215 and the second to 216-232?

• A. Partnership
• B. Primary
• C. Modular
• D. Team

Correct answer: C

Rationale: The term used to identify the care delivery model being used in this scenario is 'Modular.' In modular nursing, a nursing unit is divided into modules, with each module staffed by a team assigned to specific rooms. This division allows for a more organized and efficient delivery of care, with clear assignments and responsibilities for each team. Choices A, B, and D are incorrect. Partnership typically refers to collaboration between healthcare providers; Primary is related to the patient's main healthcare provider; and Team is a general term that does not specifically describe the modular care delivery model outlined in the question.

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