A nurse hears a co-worker state that anybody could be a nurse since it is so automated with infusion devices and electronic monitoring; technology is doing the work. What is the nurse’s best response?

Correct Answer: A

Rationale: The correct answer is A) Technology use has to be combined with nursing judgment. This response is the best because it highlights the importance of integrating technology with the critical thinking and clinical reasoning skills that are essential to nursing practice. In the modern healthcare setting, technology plays a significant role in patient care, but it cannot replace the expertise and decision-making abilities of a nurse. Option B) The focus of effective nursing care is technology is incorrect because while technology is important, it should not overshadow the holistic and patient-centered approach that defines nursing care. Nurses must prioritize human connection, empathy, and individualized care alongside technological advancements. Option C) If it’s so easy, why don’t you do it? is inappropriate and unprofessional as it does not address the issue at hand or promote a constructive dialogue regarding the role of technology in nursing practice. Option D) That is true in the 20th century is incorrect because the statement made by the co-worker is not limited to a specific time period and is relevant in the current healthcare landscape. In an educational context, this question highlights the need for nurses to understand the balance between utilizing technology to enhance patient care while also relying on their clinical judgment and critical thinking skills. It reinforces the idea that nursing is a dynamic profession that requires a combination of technical expertise and compassionate, patient-centered care.

Correct Answer: B

Rationale: The federal government, the biggest consumer of health care, which pays for Medicare and Medicaid, has created professional standards review organizations (PSROs) to review the quality, quantity, and costs of hospital care. One of the most significant factors that influenced payment for health care was the prospective payment system (PPS). Established by Congress in 1983, the PPS eliminated cost-based reimbursement. Instead, the PPS grouped inpatient hospital services for Medicare patients into diagnosis-related groups (DRGs).

Correct Answer: C

Rationale: The American Nurses Association developed the National Database of Nursing Quality Indicators (NDNQI) to measure and evaluate nursing-sensitive outcomes with the purpose of improving patient safety and quality care. Nursing quality indicators include the following: Hospital readmission rates, nursing hours per patient day, and patient falls/falls with injuries. While every major health care organization measures certain aspects of patient satisfaction, it is not a nursing quality indicator.

Correct Answer: D

Rationale: The correct answer is D) Antibiotics will be administered during labor to prevent vertical transmission of the bacteria. In pregnancy, Group B streptococcus (GBS) is a common bacterium that colonizes the genital tract. It can be passed from the mother to the baby during childbirth, leading to potentially serious complications such as sepsis or pneumonia in the newborn. The standard of care is to administer antibiotics during labor to reduce the risk of vertical transmission to the baby. Option A is incorrect because GBS is not solely transmitted through sexual encounters; it is a normal bacteria that can be present in the genital tract of women. Option B is incorrect as GBS can indeed harm newborns, not just cause a sore throat in the mother. Option C is incorrect as GBS is not typically associated with pelvic inflammatory disease. Educationally, it is crucial for nurses to educate pregnant women about GBS, its transmission, and the importance of receiving antibiotics during labor if they are GBS positive to protect the health of their newborn. This knowledge empowers mothers to make informed decisions about their care and the well-being of their baby.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Placement of a bag on a baby for urine collection, which is appropriate for the nurse to delegate to the certified nursing assistant (CNA). The rationale for choosing C is that the task involves a non-invasive procedure that does not require specialized knowledge or assessment skills beyond the scope of practice for a CNA. Collecting urine for analysis is a routine task that can be safely performed by a CNA under the supervision of an RN. Option A, admission assessment on a newly delivered baby, requires critical thinking skills and clinical judgment that are within the RN's scope of practice. Option B, patient teaching of a neonatal sponge bath, involves providing education and requires knowledge of proper techniques and considerations, making it more appropriate for an RN to handle. Option D, hourly neonatal blood glucose assessments, involves monitoring a critical parameter that requires interpretation and potential interventions, thus falling under the RN's responsibility. This question highlights the importance of understanding scope of practice and delegation in healthcare settings. It is crucial for healthcare professionals to work within their scope and delegate tasks appropriately to ensure safe and effective patient care.