Nokea
A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client's family questions the nurse about the reasons for the transfer. Which of the following responses made by the nurse is appropriate?
- A. The transfer of your family member is being done because the provider knows what's best.
- B. Would you like us to discuss the transfer with your family member?
- C. Why are you so concerned about this transfer?
- D. I know how you feel. My parent had to be transferred to a long-term care facility.
Correct Answer: A
Rationale: Step 1: The nurse's response should be professional and informative.
Step 2: Response A provides a clear and professional explanation for the transfer.
Step 3: Mentioning the provider's decision conveys expertise and reassurance to the family.
Step 4: It shows respect for the provider's judgment and helps build trust with the family.
Step 5: Responses B, C, and D do not directly address the family's concerns or provide a suitable explanation for the transfer.
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The process by which registered nurses assess and judge the performance of peers against some predetermined standard is called:
- A. Group evaluation.
- B. Peer review.
- C. Forced distribution evaluation.
- D. Essay evaluation.
Correct Answer: B
Rationale: The correct answer is B: Peer review. Peer review involves registered nurses evaluating and judging the performance of their peers against predetermined standards. This process allows for feedback, improvement, and accountability within the nursing profession.
A: Group evaluation involves assessing the performance of a group as a whole, not individual peers.
C: Forced distribution evaluation is a performance appraisal method where ratings are distributed in a predetermined pattern, not specific to peer assessment.
D: Essay evaluation is a method of assessment based on written responses and does not specifically involve peer assessment.
In summary, peer review is the appropriate term for nurses assessing and judging their peers' performance against predetermined standards.
An RN’s current patient and family have presented her with an ethical dilemma. What is the first step the RN should take to find a workable solution to the problem?
- A. Planning
- B. Assessment
- C. Evaluation
- D. Implementation
Correct Answer: B
Rationale: The correct answer is B: Assessment. The first step in resolving an ethical dilemma is to thoroughly assess the situation. This involves gathering all relevant information, understanding the perspectives of the patient and family, and identifying key ethical principles at stake. Assessment allows the RN to have a clear understanding of the dilemma and its implications before proceeding with any planning, implementation, or evaluation. Planning (A), Implementation (D), and Evaluation (C) are all important steps in the problem-solving process, but without a comprehensive assessment, the RN may not have a solid foundation to address the ethical dilemma effectively.
Quality management and benchmarking are two approaches used to improve the quality of care. The major difference between these two approaches is which of the following?
- A. Quality management is not useful in the outpatient setting
- B. Benchmarking compares outcomes in a variety of settings and disciplines
- C. Quality management is used only in the primary care setting
- D. Benchmarking looks only at outcomes specific to nursing
Correct Answer: B
Rationale: The correct answer is B: Benchmarking compares outcomes in a variety of settings and disciplines. Quality management focuses on establishing processes to ensure quality care within a specific setting, while benchmarking involves comparing performance metrics across different settings and disciplines to identify best practices and areas for improvement. Therefore, B is the correct answer as it highlights the key difference between quality management and benchmarking.
Incorrect answers:
A: Quality management can be useful in any healthcare setting, not limited to outpatient.
C: Quality management is applicable across various healthcare settings, not just primary care.
D: Benchmarking looks at outcomes in various areas, not just nursing.
When a patient who takes metformin (Glucophage) to manage type 2 diabetes develops an allergic rash from an unknown cause, the healthcare provider prescribes prednisone (Deltasone). The nurse will anticipate that the patient may
- A. require administration of insulin while taking prednisone
- B. develop acute hypoglycemia while taking prednisone
- C. require administration of insulin while taking prednisone
- D. have rashes caused by metformin-prednisone interactions
Correct Answer: C
Rationale: Rationale for Correct Answer C (require administration of insulin while taking prednisone):
1. Prednisone can increase blood glucose levels by reducing insulin sensitivity.
2. Metformin alone may not control blood glucose levels adequately in the presence of prednisone.
3. Therefore, the patient may require insulin to manage blood glucose levels while on prednisone.
Summary of Incorrect Choices:
A: This is incorrect because insulin administration is not necessary due to the rash or the interaction between metformin and prednisone.
B: This is incorrect because prednisone can actually increase blood glucose levels, leading to hyperglycemia rather than hypoglycemia.
D: This is incorrect because the rash is not likely caused by an interaction between metformin and prednisone, but rather an allergic reaction to an unknown cause.
There are several elements in recruiting strategies. Which of the following is one of those elements?
- A. Not selling
- B. How to sell
- C. When to sell
- D. What to sell
Correct Answer: B
Rationale: The correct answer is B: How to sell. In recruiting strategies, knowing how to sell refers to effectively communicating the value proposition of the job opportunity to potential candidates. This involves showcasing the benefits, career growth opportunities, company culture, and other enticing factors. By mastering the art of selling, recruiters can attract and engage top talent.
A: Not selling - This is incorrect because recruiting strategies involve actively selling and promoting job opportunities to candidates.
C: When to sell - This is incorrect as it focuses on timing rather than the actual selling process in recruiting.
D: What to sell - This is incorrect as it pertains to the actual job offering rather than the selling strategy itself.