The NCLEX-RN exam is designed to judge the candidate's ability to perform at the minimal standards for safety as an RN. When a new graduate gets the results, they understand which of the following?
a. Magnet Hospitals only hire those gradu-ates who score very high on the exam.
b. This is a pass-fail exam.
c. Review courses were a waste of time and money.
d. Waiting for months after graduation al-lowed for more study time.
ANS: B
This is a pass-fail exam. No scores are available. It is a test of minimal competency. Option A is incorrect because SBON do not submit a score—only pass or fail. Options C and D are incorrect because there is no evidence that this statement is true.
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Jean Piaget's theory of cognitive development identifies an interrelationship between the __________ and the __________ functions in the development of one's personality
a. Id; ego b. Intellectual; emotional c. Anxiety; affective d. Personified; cognitive
A group of nurses are concerned about the chronic understaffing and mandatory overtime requirements of their state's hospitals. How could this group best help solve this issue?
1. Talk to state legislatures about establishing staffing ratios. 2. Advise nurses to go home after their assigned shift instead of working overtime. 3. Lobby for legislation supporting safe staffing measures. 4. Develop policies whereby nurse managers are the only ones required to work overtime.
Which of the following indicates safe delegation?
a. The nurse supervisor for a large urban acute care department asks the unit manager to accept two new acutely ill patients, which the manager does. The unit is short two staff, and the replacement is inexperienced. b. A unit manager agrees to release a staff from her unit to Unit B. The staff member she agrees to release is experienced on Unit B and is agreeable to the change. The unit manager's unit is fully staffed and patients are stable. c. The nurse supervisor asks the head nurse for Unit A to make do without a replacement for an ill staff member because Unit A was originally overstaffed anyway. Patient acuity levels are very high on Unit A and two staff are orientating. d. The nurse supervisor asks the charge nurse on Unit B to cover Unit F, which is two floors up, because the charge nurse for Unit F is ill. The charge nurse for Unit B is an experienced manager but has no experience with the nursing care required on Unit F. ANS: B When span of control (number of individuals for whom a manager is responsible) is compromised by geographic factors such as lack of proximity, instability in patients' conditions, or lack of experience, the span of control that is being delegated may lead to unsafe care.
Smith describes her theory at which of the following levels of theory development?
A. Grand B. Middle C. Micro D. Macro