Which of the staff nurse's personal attributes is an important consideration for the unit manager when deciding whether to make an experienced nurse a preceptor for new graduates? Select All That Apply.

The nurse's willingness to be a preceptor

The ability of the nurse to interact with others

The quality of care the nurse provides

The nurse's ability to organize the work

The nurse's need for the monetary stipend

Answer and Explanation

Correct Answer : A,B,C,D

Preceptorship involves clinical mentorship and the socialization of novices into the nursing profession. Success depends on teaching-learning principles and the preceptor's ability to model professionalism and clinical competence, ensuring the safe transition of new graduates into complex practice environments.

Rationale:

A. Voluntary participation is essential for a successful mentorship relationship. A nurse’s willingness to mentor ensures they are motivated to invest the time and emotional energy required to support a novice’s professional growth.

B. Effective interpersonal communication is vital for providing constructive feedback and fostering a supportive learning environment. A preceptor must be able to interact effectively with the preceptee and the broader multidisciplinary healthcare team.

C. Preceptors serve as clinical role models, so the high quality of care they provide is non-negotiable. Novice nurses learn by observing and emulating the evidence-based practices and clinical standards demonstrated by their mentors.

D. The ability to organize work and manage time effectively is a critical skill for new graduates to acquire. Preceptors must demonstrate prioritization and delegation skills so the preceptee can learn to navigate heavy clinical workloads safely.

E. Selection for a leadership role should be based on clinical merit and teaching ability rather than financial gain. While a monetary stipend may be provided, it is not a personal attribute that predicts mentoring success.

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Correct Answer is B

Explanation

Primary prevention focuses on health promotion and protecting against threats before they occur. This level involves legislative mandates and environmental modifications to eliminate pathogenic exposure risk. Population-based strategies aim to maintain wellness and prevent the initial onset of chronic pulmonary pathology.

Rationale:

A. Secondary prevention involves screening and early detection of existing asymptomatic disease. Since this ordinance targets an entire population to prevent the initiation of smoking, it does not involve case finding or early clinical intervention for current tobacco users.

B. This ordinance represents a primary prevention strategy at the community level. By limiting access to tobacco, the law seeks to prevent the initial exposure of minors to nicotine. This population-wide intervention reduces the future incidence of tobacco-related illness.

C. Primary prevention aims to stop disease before it starts, but an ordinance is a macro-level policy. It applies to the entire county population rather than a single clinical encounter or specific healthcare teaching session aimed at one person.

D. Individual secondary prevention involves specific screening for one person, such as a spirometry test for a smoker. This legislative action is neither individual nor secondary, as it focuses on regulatory control to prevent the behavior entirely.

A. "I should use the minimum amount of dressings when providing wound care." B. "I should delegate providing closed irrigation to an unlicensed assistive personnel." C. "I should use sterile gloves when providing site care to clients who have peripheral IV sites." D. "I should wait to empty my client's drainable colostomy until it is three-fourths full."

Correct Answer is A

Explanation

Cost-effective care delivery integrates resource management with clinical efficiency to optimize healthcare expenditures. It requires stewardship of supplies and time while maintaining quality standards and preventing expensive complications like nosocomial infections or prolonged hospitalizations through evidence-based resource allocation.

Rationale:

A. Utilizing the minimum necessary supplies for wound management demonstrates effective resource stewardship. Avoiding the excessive use of expensive primary and secondary dressings reduces variable costs without compromising the physiological environment required for secondary intention healing or tissue granulation.

B. Delegating complex clinical procedures like closed irrigation to unlicensed assistive personnel is inappropriate. This task requires clinical judgment and sterile technique; improper delegation can lead to complications that ultimately increase the cost of care through extended treatment and infection.

C. Using sterile gloves for peripheral intravenous site care is unnecessary and increases supply costs. Standard clean technique and the use of nonsterile gloves are scientifically sufficient for peripheral site maintenance, as sterile gloves do not further reduce the incidence of phlebitis.

D. Delaying colostomy drainage until it is 75% full increases the risk of pouch failure. The increased weight causes the skin barrier to detach, leading to peristomal skin breakdown and the need for more frequent, costly appliance changes and specialized wound care.

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Which of the staff nurse's personal attributes is an important consideration for the unit manager when deciding whether to make an experienced nurse a preceptor for new graduates? Select All That Apply.

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Naxlex Comprehensive Predictor Exams

A community health nurse is reviewing a new county ordinance that prohibits the sale of tobacco to anyone under 18 years of age. The nurse should recognize this ordinance as which of the following levels of prevention?

Correct Answer is B

Explanation

A nurse manager is presenting an in-service to staff nurses about methods to reduce the costs of client care delivery. Which statement indicates an understanding of the teaching?

Correct Answer is A

Explanation

A client on the oncology unit calls the nurse to report a fire coming from an electrical socket. Which actions should the nurse take? Select All That Apply.

The nurse educator is teaching new nurses about whether children may give consent for their own medical treatment. Which statements should the nurse educator use for examples? Select All That Apply.

A nurse preceptor has asked the new graduate nurse to provide a client with influenza instructions about isolation precautions. Which instruction by the new graduate nurse requires the nurse preceptor to intervene?

The client, who has a recurrence of breast cancer, questions the female nurse about treatment options. Which responses by the nurse would be appropriate? Select All That Apply.

The registered nurse (RN) is the leader of a team on a unit that utilizes a team approach. Which clients should the RN care for? Select All That Apply

The nurse is working in the medical-surgical unit. Which client should the nurse assess first?

The nurse is giving report to the unlicensed assistive personnel on the care of four clients. The nurse should inform the unlicensed assistive personnel to avoid taking a rectal temperature for which client?

The community health nurse is triaging victims at the disaster site. Which client should the nurse categorize as a black tag?