Nokea
People-related supervisory tasks include all of the following except:
- A. coaching.
- B. encouraging.
- C. target setting.
- D. rewarding.
Correct Answer: D
Rationale: Target-setting is the projection of goals or objectives to be accomplished and is considered to be a task-centered, supervisory responsibility. Coaching, encouraging, rewarding, evaluating, and facilitating are supervisory activities that are people related as they involve direct interaction with those doing the work.
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When choosing a needle gauge for an intramuscular injection in a 12 year old boy. Which of the following gauges would you choose?
- A. 27 gauge
- B. 25 gauge
- C. 22 gauge
- D. 20 gauge
Correct Answer: C
Rationale: 22 gauge is recommended for school age children, toddlers, and adolescents while 23-25 gauge is recommended for infants.
Referral for client education in the community can be accomplished through all of the following except:
- A. community agencies such as the American Heart Association.
- B. parish nurses.
- C. home health care agencies.
- D. unlicensed massage therapists.
Correct Answer: D
Rationale: Client education should be completed by an individual or individuals with acknowledged expertise in the subject area and credentials to support activity within the health care community.
When a client who is having trouble conceiving says to the nurse, 'I have started taking ginseng,' the best response by the nurse is:
- A. No studies show that ginseng is effective for infertility.'
- B. Some studies show that ginseng enhances in vitro sperm motility.'
- C. Why don't you try acupuncture instead. Many studies have shown it to be effective for infertility.'
- D. It's probably not going to hurt you, but it's also probably not going to help. Let's look at some other alternatives.'
Correct Answer: B
Rationale: Acknowledging studies suggesting ginseng may enhance sperm motility validates the client's efforts while fostering open discussion about fertility options.
The LPN notices a client with poor gait and balance. She is currently being treated for hypertension, but the nurse is concerned. What should the nurse do?
- A. Add this issue to the nursing care plan and have daily gait/balance training as an intervention.
- B. Do nothing as this has nothing to do with why the client was hospitalized.
- C. Speak with the attending physician about his concerns and request a referral for the client to go to the hospital gym.
- D. Speak with the attending physician about his concerns and request a referral to physical therapy.
Correct Answer: D
Rationale: Nurses need to be aware of clients' needs even if they do not pertain to the reason for hospitalization and treatment. It is important to advocate for clients and request referrals when concerns and/or issues arise during care.
A nurse discharge planner is preparing a client for discharge from an acute care setting. The nurse assesses that skilled home care services are clinically indicated. This assessment is based on all of the following indicators except:
- A. the client has been admitted to the hospital three times in the last 2 months.
- B. the client has a Foley catheter.
- C. the client's family is available to care for him 24 hours a day.
- D. the client is ordered to continue IV antibiotics 5 days post discharge.
Correct Answer: C
Rationale: Family availability to provide care and assistance is not an indicator for skilled home care. In fact, the nurse might see some opportunity for family education in meeting the client's needs so that less community support is needed. Frequent hospital readmissions imply that the client has not been able to manage either due to condition instability or lack of care needs being met. This is a red flag for home care services to be able to meet those needs and appropriately monitor the client. A Foley catheter is an indication for home care due to infection potential and care requirements. IV antibiotics involve home care due to maintaining line patency and assessment of the site.