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, Franklyn A Plus Pass
Rationale 1: Magnet status is a designation developed by the American Nurses Credentialing Center.
Rationale 2: Facilities with magnet designation attract nurses because of their work environment. Often
there is no need to pay recruitment bonuses.
Rationale 3: Magnet status is awarded to hospitals that are able to prove their commitment to professional
nursing practices.
Rationale 4: Nurse-to-patient ratios are not part of the magnet hospital designation. Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: 1-2
Question 6 Type: MCSA
A team of nurses would like to research outcomes of intensive care that expand beyond those that are
normally studied. This team would recognize which outcome as most commonly studied?
1. Patient comfort
2. Patient perceived quality of life
3. Functional status
4. Mortality
Correct Answer: 4
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Rationale 1: Patient comfort is a very important outcome, but is not the one most commonly studied.
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Rationale 2: Quality of life after intensive care is a very important outcome, but is not the one most
commonly studied.
Rationale 3: Functional status after treatment in the intensive care unit is a very important outcome, but is
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not the one most commonly studied.
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Rationale 4: Mortality is the most commonly studied outcome of intensive care treatment. Global
Rationale:
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Cognitive Level: Applying
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Client Need: Safe Effective Care Environment Client Need Sub: Management of Care
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Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 1-2
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Question 7 Type: MCSA
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, Franklyn A Plus Pass
A newly employed nurse is working with an experienced registered nurse. During the shift, the
experienced nurse routinely uses her personal digital assistant. How would the nurse explain the use of
this device to the novice nurse?
1. I use my PDA as a reference tool several times every day.
2. I can access my patients old medical records on this PDA.
3. I use my PDA to let the pharmacy know when I need medications.
4. I use my PDA to write nursing notes. Correct Answer: 1
Rationale 1: The personal digital assistant (PDA) is used to provide quick bedside information to the
nurse.
Rationale 2: The patients personal medical records would not be accessible through the PDA. Rationale 3:
The PDA would not be useful for this application.
Rationale 4: The nurse should not record nursing notes on the PDA. Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 1-3
Question 8 Type: MCSA
A nurse says, I worry that all of these machines in the intensive care unit interfere with my ability to to
establish a therapeutic relationship with my patients. What response by the nurse manager is indicated?
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1. Technology improves our patient outcomes.
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2. I completely understand how you feel.
3. There are ways to increase your interaction with your assigned patients.
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4. These feelings may be a sign that this is not the work environment for you. Correct Answer: 3
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Rationale 1: Technology does improve outcomes but the nurse has more immediate concerns. Rationale
2: Telling the nurse that you understand his feelings does little to meet his need for education.
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Rationale 3: The use of technology can lead the nurse to feel distanced from the patient. There are
strategies the nurse can use to personalize care. He should be reminded that the use of machines does not
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take away the need for nursing assessment and care.
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Rationale 4: It is premature to decide that this nurse is not suited to the intensive care work environment.
Global Rationale:
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Cognitive Level: Analyzing
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