What is the most important driving force behind the movement for multistate licensure?

1. The issue of multiple licenses held by a number of practicing nurses
2. Safety of consumers who use call-in phone lines for health advice
3. Advancing technologies, especially telehealth and telephone triage
4. Oversupply of nurses at a time when there is no nursing shortage


3
Rationale: Advancing technology is the primary driving force for this issue. While patient safety is always a concern, this mode of patient care is just one aspect of the problem as it exists today. Nurses have frequently held multiple licenses while practicing in various states, and there is not an oversupply of nurses. The nursing shortage is not the driving force for this issue.

Nursing

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Drugs do not metabolize the same way in all people. For what patient would a nurse expect to assess for an alteration in drug metabolism?

A) A 35-year-old woman with cervical cancer B) A 41-year-old man with kidney stones C) A 50-year-old man with cirrhosis of the liver D) A 62-year-old woman in acute renal failure

Nursing

During a health teaching session, the nurse notes that the client is not attentive and loses concentration easily. Which of the following techniques is most appropriate to capture the attention of the client during the teaching?

A) Repeat directions several times B) Tell the client when the session will end C) Use verbal modes of instruction D) Involve the client in an active way

Nursing

Mrs. Gilbert, a 72-year-old patient with congestive heart failure, states that she is fatigued and often feels faint when trying to get up and walk. She currently takes digitoxin and Lasix (furosemide). What is the most likely cause of her problem?

A) Dimished blood flow to the brain B) Dimished blood flow to the extremities C) Hypokalemia D) Hyperkalemia

Nursing

Peggy is a nurse who has just transferred from a general psychiatric unit to work on a forensic psychiatric unit

Peggy finds it easier to communicate with these clients because, for the most part, their inappropriate behaviors and cognitive disorders have responded positively to treatment. Many of the clients have been on the unit for 3 or more years, and Peggy has been unable to note any indicators of psychiatric problems in several of the clients. The nurse has grown exceptionally close to Gene, who has gone out of his way to make Peggy feel welcome and appreciated. One afternoon in December, Gene asks Peggy for her address so he can send her a Christmas card. Which of the following responses should Peggy make to Gene's request? A) "Sure, let me write it down for you; it would be great to hear from you." B) "I read in your record that you molested a 4-year-old girl. I have a 2-year-old child at home. I would have to be out my mind to give you my address." C) "We need to get to know each other better before I would feel right about giving you my address." D) "It would not be appropriate for me to give you my address because our relationship is professional rather than social."

Nursing