Which task is appropriate for the RN to delegate to the unlicensed assistive personnel (UAP) provided the delegatee has had experience and training?

Correct Answer: D

Rationale: The correct answer is D because obtaining a sterile urine sample from a patient with a Foley catheter connected to a closed drainage system is a task that can be safely delegated to UAP who have experience and training. Here's the rationale: 1. Task Complexity: This task involves a straightforward procedure that does not require specialized medical knowledge. 2. Training and Experience: UAP can be trained to perform this task under supervision and with specific guidelines. 3. Minimal Risk: When performed correctly, obtaining a sterile urine sample carries minimal risk to the patient. 4. Routine Procedure: This task is a common and routine procedure that UAP can be trained to perform effectively. Other Choices: A: Evaluating the ability of a patient to swallow ice after a gastroscopy involves medical assessment and potential risk of aspiration, which should be done by a licensed healthcare professional. B: Assisting a postoperative hip replacement patient to ambulate for the first time requires monitoring for complications and assessing patient response, which should be done

Correct Answer: D

Rationale: Step 1: In the work environment, evaluation focuses on appraising outcomes to assess effectiveness and compliance with policies. Step 2: Appraising outcomes according to policy ensures that results align with organizational objectives. Step 3: This process helps identify areas for improvement and ensures accountability. Step 4: Choices A, B, and C do not directly address the evaluation of outcomes based on policy, making them incorrect. Step 5: Therefore, the correct answer is D as it aligns with the purpose of evaluation in the work environment.

Correct Answer: A

Rationale: The correct answer is A: "most insurance companies will pay for chiropractic treatment." Chiropractic care is a recognized form of treatment by most health insurance providers. Many insurance plans cover chiropractic services for conditions such as back pain. This is because chiropractic care is considered a cost-effective and evidence-based treatment option for musculoskeletal issues. Choice B is incorrect because chiropractors are licensed healthcare professionals in all states and many insurance plans do cover their services. Choice C is incorrect as chiropractic medicine is a well-established form of complementary and alternative medicine that is recognized by insurance companies. Choice D is incorrect because while chiropractic medicine does have preventive aspects, it is still commonly covered by insurance for treatment of various conditions.

Correct Answer: C

Rationale: The correct answer is C because disclosure is a key component of the national patient safety movement. By disclosing the error to the patient and involving them in the decision-making process, the nurse promotes transparency, trust, and patient-centered care. This approach also allows for timely interventions to address the allergic reaction effectively. Choice A is incorrect because prioritizing agency consequences over patient safety goes against ethical principles. Choice B is incorrect as it suggests disclosing before discussing with the physician or management, which could lead to confusion and potential miscommunication. Choice D is incorrect since reporting to the patient's insurance company does not address the immediate patient safety concern of the allergic reaction.

Correct Answer: A

Rationale: The correct answer is A: Watson's Theory of Caring. This theory emphasizes the importance of caring relationships in nursing practice. In this scenario, the nurse is demonstrating caring by helping the patient prevent fatigue, assisting with dressing, and respecting the patient's autonomy in choosing clothes. Watson's theory focuses on promoting holistic care and building a therapeutic nurse-patient relationship. Choices B, C, and D are incorrect: B: Rogers' Theory of Unitary Humans focuses on the interconnectedness of humans with their environment, which is not the primary focus of the nurse's actions in the scenario. C: Levine's Theory of Conservation emphasizes maintaining the patient's energy and structural integrity, which is not the main focus of the nurse's actions in the scenario. D: Leininger's Theory of Transcultural Nursing focuses on providing culturally competent care, which is not the central theme of the nurse's actions in the scenario.

Correct Answer: A

Rationale: Rationale for Correct Answer (A): Graduates from all three types of nursing programs (diploma, associate degree, and baccalaureate degree) take the same examination 1. The NCLEX-RN is a standardized examination administered by the National Council of State Boards of Nursing (NCSBN). 2. The purpose of this exam is to ensure that candidates possess the knowledge and skills necessary to practice safely as entry-level registered nurses. 3. Since the exam serves as a licensure requirement, it must be fair and consistent for all candidates, regardless of their educational background. 4. Therefore, graduates from all types of nursing programs, including diploma, associate degree, and baccalaureate degree programs, take the same NCLEX-RN examination to demonstrate their competency. 5. This standardization ensures that all candidates are held to the same standards and competencies, regardless of the educational pathway they have chosen to become a registered nurse. Summary of Incorrect Choices: B: The

Correct Answer: A

Rationale: The correct answer is A: increased trustworthiness. Acculturation in nursing involves gaining experience and knowledge from various sources, leading to increased credibility and trustworthiness among patients, colleagues, and the healthcare team. This ongoing process helps nurses build rapport and establish trust with diverse patient populations. Explanation for why the other choices are incorrect: B: While enhanced ability to consider many aspects of ethical situations is important in nursing, it is not directly related to the outcome of increased trustworthiness. C: Confidence in making decisions based on experience and ethical intelligence is valuable, but it does not directly lead to increased trustworthiness. D: Improved clinical decision making and advocacy for patient autonomy are crucial aspects of nursing practice, but they do not specifically address the outcome of increased trustworthiness that comes from acculturation.

Correct Answer: C

Rationale: The correct answer is C: Mary Seacole's efforts to care for soldiers during the Crimean War. Mary Seacole was a Jamaican nurse who provided medical care to soldiers during the Crimean War. Her contributions highlighted the important role that black individuals played in nursing. This event marked the first significant recognition of the contributions of blacks to the nursing profession. Explanation of why other choices are incorrect: A: Florence Nightingale's acceptance of black nurses into the first nursing school - While Florence Nightingale is known as a pioneer of modern nursing, her acceptance of black nurses into nursing schools did not specifically lead to the recognition of the contribution of blacks to nursing. B: The contributions of black nurses at the Pennsylvania Hospital, the first hospital in America - While black nurses may have made contributions at Pennsylvania Hospital, this event did not lead to the initial recognition of the contribution of blacks to nursing. D: The work done by wives of wealthy black nobles who carried food and medicine from

Correct Answer: A

Rationale: The correct answer is A: Multiple-response item, comprehension level. This question requires the nurse to understand the medication label information and convert the dosage from mg to mL. It tests comprehension by assessing the nurse's ability to apply knowledge to a practical situation. The other choices are incorrect because: B: Hot-spot item, application level - Hot-spot items require the selection of a specific area on an image, not applicable in this scenario. C: Chart/exhibit item, analysis level - Chart/exhibit items typically involve interpreting data from charts or exhibits to analyze information, not relevant to this question. D: Drag-and-drop item, knowledge level - Drag-and-drop items involve matching or categorizing information, which does not apply to this question's context.