A novice nurse is assigned a patient who has an order to draw blood for culture and sensitivity from a central line before antibiotic therapy is started. The novice reads and rereads the procedure manual. An hour later he stands at the bedside of the patient and stares at the central line, without knowing how to proceed. This phase of reality shock is termed:

Correct Answer: B

Rationale: The correct answer is B: shock or rejection. This phase of reality shock is characterized by feelings of being overwhelmed, confused, and unsure of how to proceed despite having knowledge. The novice nurse is experiencing a sense of rejection towards the situation due to the gap between theoretical knowledge and practical application. This phase is common among new healthcare professionals as they transition from academic learning to real-world clinical practice. A: Honeymoon phase refers to the initial period of excitement and enthusiasm in a new role. C: Recovery phase is when the individual starts to adapt and become more comfortable with the new role. D: Resolution phase is the final stage where the individual fully integrates into the role and becomes confident and competent. In this scenario, the novice nurse is clearly struggling and feeling overwhelmed, indicating that they are in the shock or rejection phase, making choice B the correct answer.

Correct Answer: C

Rationale: The correct answer is C: case manager. A case manager coordinates resources to achieve optimal health outcomes for clients efficiently. They assess, plan, implement, and evaluate care while considering cost-effectiveness. Informatics specialists focus on data and technology, educators provide knowledge, and quality managers ensure high standards. In this scenario, the key role is coordinating resources, making C the best choice.

Correct Answer: A

Rationale: Rationale: A: Correct. Nurses with different education levels (e.g., associate vs. bachelor's degree) have varied scope of practice. BSN-prepared nurses typically have a broader scope compared to ADN-prepared nurses. B: Incorrect. Nursing licenses can be revoked or suspended for various reasons such as misconduct or negligence. C: Incorrect. Nurse practice acts outline licensure requirements, but not specifically for initial licensure. D: Incorrect. States may inquire about the mental or physical status of applicants to ensure they are fit to practice safely.

Correct Answer: B

Rationale: The correct answer is B: Nervous tension. Mal ojo, commonly known as the evil eye, is a belief in many Latin American cultures that certain people have the power to cause harm with their gaze. Symptoms associated with mal ojo typically include nervous tension, irritability, and restlessness. Fever (choice A) is not a common symptom of mal ojo. Bruising (choice C) is also not typically associated with mal ojo. Somnolence (choice D) refers to excessive sleepiness, which is not a common symptom of mal ojo. Therefore, the correct answer is B as it aligns with the cultural belief and expected symptoms of mal ojo.

Correct Answer: D

Rationale: The correct answer is D because listing education in reverse chronological order helps emphasize recent and relevant qualifications first. It showcases academic progression and achievements. A is incorrect as high school is typically not included. B is incorrect as including all colleges, even without a degree, can clutter the resume. C is incorrect as omitting the university address may limit the employer's ability to verify information.

Correct Answer: C

Rationale: The correct answer is C because nurses being voted as the most honest and ethical profession indicates their strong commitment to patient care and ethics. Therefore, nurses may find participating in strikes conflicting with their core values of serving and protecting patients. This conflict can deter nurses from engaging in union activities like strikes, as they prioritize patient well-being over their own interests. A is incorrect because while nurses prioritize client safety, participating in strikes may not always align with this goal. B is incorrect as evidence-based studies may support various perspectives, but nurses' ethical standards and commitment to patient care are the primary factors influencing their decision to engage in strikes. D is incorrect as legal repercussions for striking nurses focus on professional misconduct rather than the ethical dilemma nurses face when considering strikes.

Correct Answer: C

Rationale: The correct answer is C: credible threat. In this scenario, a credible threat refers to a specific and tangible indication that a harmful event may occur. The information provided by the FBI about a bomb in possession of a known terrorist group targeting government buildings is a clear example of a credible threat. This term is specifically used in emergency management to indicate a situation where there is a realistic possibility of harm. A is incorrect because an all-hazards approach involves preparing for and responding to a wide range of potential disasters, not specifically a bomb threat. B is incorrect because a biologic event refers to an outbreak of a biological agent, not a bomb threat. D is incorrect because a natural disaster involves events caused by natural forces, not intentional acts by terrorist groups.

Correct Answer: A

Rationale: The correct answer is A because it directly addresses the shortage of nursing faculty by highlighting the issue of burnout and job dissatisfaction, which leads to faculty turnover and limits enrollment. This explanation aligns with the initial statement that qualified applicants are being turned away due to the shortage of faculty. Choices B, C, and D are incorrect because they do not directly address the main issue of faculty shortage. B talks about the stability of faculty numbers in Associate Degree programs, which is irrelevant to the shortage. C discusses the decrease in the mean age of nursing faculty and the departure of older mentors, but this does not explain the shortage of faculty. D mentions increasing job competition from clinical sites, which is not the primary reason for the shortage of nursing faculty.

Correct Answer: A

Rationale: The correct answer is A: letter. Writing a physical letter and sending it through traditional mail is the least timely method of reaching elected officials. It takes longer for letters to be delivered and processed compared to other electronic forms of communication like telephone, email, and fax. Elected officials may not receive and respond to letters in a timely manner, especially when time is crucial. Telephone, email, and fax offer quicker and more direct communication, allowing for faster responses and action. Therefore, choosing to reach out to elected officials via a letter would be the least timely method in this scenario.