Leadership and Management HESI Quizlet

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Which nonpharmacological technique involves the use of electronic monitoring equipment while the patient controls basic bodily mechanisms?

  • A. Meditation
  • B. Visualization
  • C. Biofeedback
  • D. Chiropractic
Correct Answer: C

Rationale: The correct answer is C: Biofeedback. Biofeedback is a nonpharmacological technique that uses electronic monitoring equipment to provide real-time data on physiological processes such as heart rate, muscle tension, and skin temperature. Through this feedback, patients learn to control and regulate these bodily functions voluntarily.

Choice A, Meditation, involves focusing the mind and reducing stress through techniques like mindfulness or deep breathing, but it does not specifically rely on electronic monitoring equipment. Choice B, Visualization, is a technique where individuals imagine peaceful scenes to promote relaxation and reduce anxiety, and it also does not involve electronic monitoring. Choice D, Chiropractic, is a healthcare profession that focuses on the diagnosis and treatment of musculoskeletal disorders through manual adjustments and manipulation, which is unrelated to the use of electronic monitoring equipment for controlling bodily functions.

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A nurse working on a med-surg unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

  • A. A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL
  • B. A client with type 1 DM who uses an insulin pump
  • C. A client who is receiving heparin and has an aPTT of 34 seconds
  • D. A client with orthostatic hypotension receiving IV fluids
Correct Answer: C

Rationale: The nurse should schedule an interdisciplinary conference for a client who is receiving heparin and has an aPTT of 34 seconds to ensure comprehensive care coordination. In this case, the need for a conference may be to discuss potential adjustments in heparin therapy, monitor for adverse effects, or ensure proper anticoagulation levels. Choices A, B, and D do not specifically indicate the need for interdisciplinary collaboration related to the client's condition or treatment. Therefore, they are not the priority for scheduling an interdisciplinary conference.

Rotating injection sites when administering insulin prevents which of the following complications?

  • A. Insulin edema
  • B. Insulin lipodystrophy
  • C. Insulin resistance
  • D. Systemic allergic reactions
Correct Answer: B

Rationale: Rotating injection sites when administering insulin helps prevent insulin lipodystrophy, which is the abnormal distribution of fat at injection sites. Insulin edema (choice A) is not prevented by rotating injection sites; it is characterized by swelling at the site of insulin injection due to increased capillary permeability. Insulin resistance (choice C) is a condition where the body's cells become less responsive to insulin, and rotating injection sites does not directly prevent this. Systemic allergic reactions (choice D) are not specifically prevented by rotating injection sites; they are related to an allergic response to insulin.

Which technique or method is used to determine whether or not the patient has an irregular pulse?

  • A. Apical pulse
  • B. Inspection
  • C. Auscultation
  • D. Percussion
Correct Answer: A

Rationale: An apical pulse check is used to determine if the patient has an irregular pulse. The apical pulse is located at the point of maximal impulse (PMI) and is assessed using a stethoscope. Choice B, inspection, involves visual examination and is not used to assess pulse irregularities. Choice C, auscultation, involves listening to internal sounds using a stethoscope, which can be used to assess heart sounds but not specifically for pulse irregularities. Choice D, percussion, is a technique used to assess the density of body tissues or detect abnormal masses and is not used to determine pulse irregularities.

A nurse in a long-term care facility is caring for a client who reports the AP repositioned him in bed using excessive force. Which of the following actions should the nurse take?

  • A. Document in the client's chart that an incident report has been filed.
  • B. Contact the nurse manager.
  • C. Reassure the client that the staff is well trained.
  • D. Call risk management to interview the client.
Correct Answer: B

Rationale: The correct action for the nurse to take in this situation is to contact the nurse manager. By doing so, the nurse can escalate the issue appropriately, ensuring that the incident is addressed and necessary actions are taken. Documenting in the client's chart that an incident report has been filed (Choice A) may be necessary but should not be the first step. Reassuring the client that the staff is well trained (Choice C) does not address the client's concern and the need for intervention. Calling risk management to interview the client (Choice D) may be premature at this stage and should be handled by the nurse manager first.

What is a major concern about the health-care system in the United States?

  • A. Emphasis on disease prevention
  • B. Quality of care
  • C. Collaborative care
  • D. Reduction in hospital-acquired drug-resistant infections
Correct Answer: B

Rationale: The major concern about the health-care system in the United States is the quality of care provided. While disease prevention and collaborative care are important aspects, the primary focus of concern is ensuring that the care delivered meets high standards in terms of effectiveness, safety, and patient outcomes. Reduction in hospital-acquired drug-resistant infections, although relevant, is not the primary concern when evaluating the overall quality of healthcare services.

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