The nursing administration has instituted a "horizontal promotion" system within the nursing department. What benefit is this program to the staff nurse?
1. The most competent nurses will rise to managerial positions.
2. It rewards the nurse's clinical excellence.
3. Over time the nurse will move steadily upward through the levels.
4. The process is practice based rather than research based.
2
Rationale 1: In horizontal promotion, the system rewards clinical excellence by moving clinically superb nurses upward on a clinical ladder, but they remain at the bedside.
Rationale 2: Horizontal promotion is a reward for clinical excellence.
Rationale 3: This promotion process is based upon the nurse's clinical excellence, not longevity.
Rationale 4: The process is based on Patricia Benner's novice-to-expert concepts.
Global Rationale:
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The learning strategy by which a memorable word or phrase is created from the list of items that an individual is trying to recall is known as:
a. encoding c. mnemonics b. metacognition d. time management
When making an initial assessment on a patient with a hearing deficit, the patient reports that he often feels off balance and is dizzy when he stands up. Which diagnosis might explain these symptoms?
a. Sinus infection b. Rubella c. Otalgia d. Presbycusis
A patient with an intracapsular fracture of the left femur is placed in Buck's traction before surgery for a hip replacement. The patient asks why traction is necessary when surgery is planned. The nurse's response to the patient is based on the knowledge that traction
a. will help prevent flexion contractures of the affected hip. b. is necessary to prevent displacement of the fracture. c. will decrease the incidence of painful muscle spasms d. is used to maintain the leg in the external rotation position.
Friction commonly occurs when
A) dirt, oils, and perspiration are not removed from the skin. B) the patient is positioned directly on a body prominence. C) a patient is dragged across a sheet or other surface. D) the patient is moved by using a lifting sheet.