Nursing Elites

1. What is the main concern with collective bargaining?

• A. Create tension among nurses.
• B. Reform health care.
• C. Secure economic security.
• D. Unite the nurses.

Correct answer: A

Rationale: The main concern with collective bargaining is that it can create tension among nurses. The bargaining process may lead to divisions between staff nurses and management, rather than uniting them. This tension can arise from differing priorities, goals, or interests between the two groups, potentially impacting the effectiveness of the bargaining process. Choices B, C, and D are incorrect because the primary focus of the concern is on the potential negative impact on nurse relationships, not on reforming healthcare, ensuring economic security, or uniting nurses.

2. Which of the following behaviors would be an early warning sign that you are not handling job stress in a healthy way?

• A. Focusing excessively on patient outcomes
• B. Needing to spend more time alone
• C. Juggling work, studies, and family responsibilities
• D. Awakening in the morning feeling unrested

Correct answer: D

Rationale: The correct answer is D. Awakening in the morning feeling unrested can be an early warning sign that you are not handling job stress in a healthy way. This may indicate that the stress is impacting your quality of sleep, which is essential for managing stress and maintaining overall well-being. Choices A, B, and C are not necessarily indicative of unhealthy stress management. Focusing excessively on patient outcomes may show dedication to work, needing to spend more time alone could be a personal preference, and juggling work, studies, and family responsibilities could be a common challenge that many individuals face.

3. Which of the following laws govern nursing practice?

• A. Statutory laws
• B. Common law
• C. Administrative laws
• D. Constitutional laws

Correct answer: A

Rationale: Statutory laws are laws created by legislative bodies, such as state legislatures. In the context of nursing practice, statutory laws govern areas like licensure requirements, scope of practice, and professional standards. Common law, choice B, is based on court decisions and precedents, not specifically related to nursing practice. Administrative laws, choice C, deal with regulations set by administrative agencies rather than governing nursing practice directly. Constitutional laws, choice D, pertain to the fundamental principles outlined in a country's constitution and are not specific to regulating nursing practice.

4. What is the main purpose of conducting a SWOT analysis in healthcare?

• A. Identify strengths and weaknesses
• B. Develop strategic goals
• C. Assess external opportunities
• D. Streamline healthcare processes

Correct answer: C

Rationale: The main purpose of conducting a SWOT analysis in healthcare is to assess external opportunities along with identifying strengths, weaknesses, and threats. While identifying strengths and weaknesses is a part of the analysis, the primary goal is to evaluate external opportunities and threats to develop strategic goals. Option A is incorrect as the analysis encompasses more than just strengths and weaknesses. Option B is incorrect as developing strategic goals is a result of the analysis, not the main purpose. Option D is incorrect as streamlining healthcare processes is not the primary focus of a SWOT analysis.

5. A nurse is talking with the partner of a client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. The nurse should identify that the partner is experiencing which of the following types of role-performance stress?

• A. Role ambiguity
• B. Role overload
• C. Role conflict
• D. Sick role

Correct answer: C

Rationale: In this scenario, the partner is struggling to balance caring for their loved one with dementia and managing household responsibilities. This situation represents role conflict, where conflicting demands from different roles (caregiver and homemaker) create stress. Role ambiguity (choice A) refers to uncertainty about what is expected in a role, not conflicting demands. Role overload (choice B) occurs when there are too many responsibilities within a single role, not conflicting roles. The sick role (choice D) is a sociological concept related to the rights and responsibilities of individuals who are ill.

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