Power struggles regarding access and distribution of resources occur when:
a. an externally competitive environment is created.
b. there is a failure to understand the role and responsibilities of others.
c. nurses have experience.
d. relationships are maintained at status quo.
B
Power struggles regarding access and distribution of resources often occur when those controlling
access and distribution of resources fail to understand the roles and responsibilities of others outside
their position or when they create an internally competitive work environment. The hard realities of
power in relation to any profession and those who hold it have to be confronted in order for the
profession to survive, much less advance. In times of rapid change, even the experienced nurse may
have difficulty adjusting.
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Which nurse requires certification to practice within her or his role?
a. An RN who assists a physician in the operating room b. A nurse practitioner who performs ambulatory obstetric care for low-risk clients c. A master's prepared nurse who works as the supervisor of a neonatal unit d. An associated-degree nurse who cares for high-risk obstetric clients
A nurse is performing an assessment for a 59-year-old man who has hypertension. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment?
a. Sexual dysfunction may result from use of prescription medications for management of hypertension. b. Such questions are an indirect way of learning about the patient's medication adherence. c. These questions ease the transition to questions about sexual practices in general. d. Sexual dysfunction can cause stress and contribute to increased blood pressure.
Which information is least likely recorded as a part of the initial newborn assessment?
1. Presence or absence of meconium-stained fluid 2. Blood draw for phenylketonuria (PKU) screening 3. Resuscitative measures required in the birthing area 4. Parents' desires regarding circumcision for a male infant
A woman with a history of PKU tells the nurse that she has decided to try to become pregnant. Her serum phenylalanine level is 10 mg/dL. Which of the following is an appropriate response for the nurse to make?
A) "Think carefully about the decision. The child might be mentally retarded if she inherits your PKU, especially if your levels stay that high." B) "It will be best if you cut back on meat, fish, and dairy products before you become pregnant to get your serum phenylalanine level down under 8 mg." C) "It will be best if you cut back on vegetables and fruit before you become pregnant to get your serum phenylalanine level down under 8 mg." D) "The baby won't be able to breast-feed. You know breast-feeding is really the best way to care for a newborn."