The nurse executive and the human resources manager of a hospital meet to discuss the recent increase in nursing turnover. Which statement reflects the best source of information about this increase?
1. "What have the exit interviews shown as reasons for the resignations?"
2. "Were the reports from nurse managers on resignations completed accurately?"
3. "What are the reasons given in the survey mailed out 6 weeks after resignation?"
4. "Has the human resources staff been making telephone calls to employees when they turn in their resignation?"
3
Rationale 1: Although an exit interview is usually done, it may not be the most effective method of evaluating the employee's satisfaction. An employee may not be fully truthful if he or she intends to use the previous employer as a reference for a future job.
Rationale 2: The nurse manager may or may not be aware of the reasons for nurses leaving their positions and may have a bias toward an unhappy employee.
Rationale 3: A survey mailed weeks after the employee resignation may be the most effective method to measure nursing turnover. Several weeks later an employee may be in a new job, which could allow for a more honest reflection on reasons for leaving the previous position.
Rationale 4: A telephone call from someone in human resources has the same limitations as the person-to-person exit interview.
Global Rationale:
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The nurse is evaluating a patient admitted to the emergency department with an evolving STEMI for possible administration of thrombolytic therapy. Which of the following identified during history taking would contraindicate this type of therapy?
a. The patient just completed her last menstrual cycle. b. The patient states that the chest pain started 1 hour ago. c. The patient has a history of a small cerebral aneurysm. d. The patient has hypertension that is well controlled by diuretic therapy.
What is the best explanation for why changes in blood pH reflect the adequacy of acid-base homeostatic mechanisms?
A. Body fluid pH is a measure of the blood hydrogen ion concentration, and the ac-id-base homeostatic mechanisms control this concentration. B. Body fluid pH is a measure of the blood bicarbonate concentration, and the ac-id-base homeostatic mechanisms control this concentration. C. When homeostatic mechanisms are functioning properly, the blood electrolyte concentrations are normal, as measured by pH. D. When body fluid pH is normal, acid-base homeostatic mechanisms are not needed.
The nurse is examining a newborn male client's genitalia and notes that the opening of the foreskin is so small that it cannot be pulled back at all. What condition would the nurse document on the client record?
A) Prepuce B) Phimosis C) Hypospadias D) Epispadias
The proliferation of health care resources on the Internet is indicative of
A) a decrease in technology access. B) an increase in health seeking behaviors. C) a decrease in provider to client health education. D) an increased interest in alternative therapies.