A nurse is having difficulty managing assignments at work, which results in a feeling of "failure" and tasks that are not completed or that are not completed satisfactorily. The mentor suggests some tips for time management. These include: (select all that apply)

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct: 1. Planning for tomorrow today allows the nurse to set clear goals and prioritize tasks in advance. 2. By planning ahead, the nurse can allocate time efficiently, reducing the feeling of overwhelm. 3. This approach fosters better organization and focus, enhancing productivity and task completion. 4. Planning helps in identifying potential obstacles and developing strategies to overcome them. 5. Ultimately, effective planning leads to better time management and a sense of accomplishment. Summary of why other choices are incorrect: A: Focusing on activities rather than objectives can lead to a lack of direction and prioritization. C: Making the last hours most productive neglects the importance of consistent time management throughout the day. D: Maintaining a log of time spent can be helpful but does not address the proactive approach of planning ahead for better time management.

Correct Answer: C

Rationale: The correct answer is C because nursing judgment related to withholding medication based on vital signs requires critical thinking, clinical knowledge, and experience. This decision-making process involves assessing the patient's condition, interpreting vital signs, and determining if medication should be given or withheld to ensure patient safety. This function cannot be delegated to someone without the appropriate training and expertise. A: Assessment of skin integrity on the third day of hospitalization can be delegated to other healthcare team members such as LPNs or nursing assistants, as long as they have been trained and deemed competent. B: Evaluation of patient teaching related to turn, cough, and deep breathing exercises can be delegated to other healthcare team members, as long as they have the appropriate training and supervision. D: The statement that RNs do not delegate to other RNs is incorrect. RNs can delegate certain tasks to other RNs based on their scope of practice and level of experience. It is not limited to LPNs or unlicensed assistive personnel.

Correct Answer: A

Rationale: The correct answer is A because a cover letter should express genuine interest in the employer and show that you have taken the time to understand their organization. This demonstrates professionalism and a tailored approach. Choice B is incorrect because handwritten letters are rarely used in the digital age, and legibility is not a primary concern. Choice C is incorrect as cover letters should provide sufficient information to showcase qualifications, not limited to one paragraph. Choice D is incorrect because revealing desired salary, shift, and area of practice is typically done during the interview process, not in the initial application.

Correct Answer: B

Rationale: The correct answer is B: letters of commendation. Nursing professionals typically include letters of commendation in their portfolios to showcase their achievements, skills, and positive feedback from colleagues or supervisors. This demonstrates their competence and professionalism. Family pictures (A) and high school achievements (D) are not relevant to a nursing portfolio. Articles describing lack of quality in healthcare (C) could reflect negatively on the professional and are not typically included in a portfolio meant to highlight accomplishments.

Correct Answer: B

Rationale: The correct answer is B: forensic. In this scenario, the nurse's involvement in specimen collection and assessment of the victim relates to forensic nursing, which involves providing healthcare in legal contexts like investigations and court proceedings. Triage (A) is the process of prioritizing patient care based on severity. Flight (C) and entrepreneurial (D) have no relevance to the situation described.

Correct Answer: C

Rationale: The correct answer is C: bloodborne disease. Health care workers are at risk for exposure to bloodborne pathogens such as HIV and hepatitis B and C. Prevention strategies include proper use of personal protective equipment and adherence to infection control protocols. Bloodborne diseases can have serious consequences on the health and well-being of healthcare workers, leading to mortality and morbidity if not properly prevented. Explanation for incorrect choices: A: Suicide - While mental health is an important concern, it is not specifically related to mortality among healthcare workers. B: Violence related injury - While workplace violence is a concern, it may not be the leading cause of mortality among healthcare workers. D: Ergonomic hazards - While important for preventing injuries, it may not directly relate to mortality among healthcare workers compared to bloodborne diseases.

Correct Answer: A

Rationale: The correct answer is A because it specifies a measurable and achievable goal related to improving cardiac function through physical activities. It follows the SMART criteria (Specific, Measurable, Achievable, Relevant, Time-bound). Option B does not provide a specific outcome, while Option C focuses on pharmaceutical approaches rather than outcomes. Option D is unrelated to the goal of improving outcomes for heart failure patients. Thus, option A is the most appropriate choice for a well-defined and relevant outcome for the care of heart failure patients.

Correct Answer: A

Rationale: The correct answer is A because being surrounded by family provides emotional support, comfort, and a sense of closure. Family presence can alleviate fear, anxiety, and loneliness, contributing to a peaceful death experience. Choice B focuses on pain management but does not address emotional well-being. Choice C, while important for end-of-life care, does not directly impact the patient's immediate comfort. Choice D indicates a decline in consciousness, which may not necessarily lead to a peaceful death experience as the patient may not be aware of their surroundings or loved ones.

Correct Answer: A

Rationale: The correct answer is A because most states require certification for all specialty roles identified as advanced practice. This is crucial for ensuring that nurse practitioners have met specific educational and clinical practice requirements to provide safe and competent care. Explanation for why other choices are incorrect: B: Nurse anesthetists and nurse-midwives are not the only advanced practice roles that require certification in most states. Other roles such as nurse practitioners and clinical nurse specialists also require certification. C: The increasing number of new advanced practice roles does not necessarily mean that the scope of practice remains unclear in state nurse practice acts. Certification requirements help define the scope of practice for each role. D: Certification is not automatic when applying for an advanced practice license. Nurses must complete specific educational programs and pass certification exams to obtain certification for their chosen specialty role.