Nokea
Which of the following is a recommendation for avoiding charges of negligence and false imprisonment for confused clients?
- A. Carefully assess and document client status.
- B. Ensure all patient information is secure and the nurse has logged out of the computer before leaving the computer station.
- C. Keep detailed notes while providing care to ensure accurate documentation later in the day.
- D. Discuss safety needs with clients.
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct:
1. Careful assessment helps in understanding the client's condition and needs.
2. Documenting client status provides evidence of the care provided.
3. It ensures that necessary actions are taken promptly to prevent negligence.
4. Documentation serves as legal protection against false imprisonment accusations.
Summary:
- Choice B is about data security, not directly related to preventing negligence and false imprisonment.
- Choice C focuses on accurate documentation but lacks the emphasis on assessment.
- Choice D is vague and does not specifically address the legal aspects of negligence and false imprisonment.
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A nurse has a seriously ill parent and must take care of the parent at home. Which of the following would NOT be a suitable solution to this problem? (EXCEPT)
- A. Resignation
- B. FMLA
- C. Termination
- D. LOA
Correct Answer: C
Rationale: The correct answer is C: Termination. This is not a suitable solution as it involves ending the nurse's employment, which is extreme and unnecessary. Resignation (A) is a personal choice, FMLA (B) provides job protection while caring for a family member, and LOA (D) offers a temporary leave of absence. Termination would not be appropriate as it negatively impacts the nurse's financial stability and career prospects.
Penalties should be __________ .
- A. Determining the employee's awareness of the policy
- B. Describing the staff nurse's behavior that violated the policy
- C. Progressive
- D. Confrontation
Correct Answer: C
Rationale: The correct answer is C: Progressive. Progressive penalties involve a gradual increase in severity for repeated violations, promoting learning and corrective action. This approach allows for improvement and prevents immediate termination. Choice A is incorrect as awareness is not a basis for penalties. Choice B focuses on describing behavior rather than the penalty itself. Choice D, confrontation, is not a recommended penalty approach as it can lead to negative outcomes. Therefore, the progressive approach is the most effective in promoting growth and compliance.
Which nursing action can the nurse delegate to unlicensed assistive personnel (UAP) working in the diabetic clinic?
- A. Measure the ankle-brachial index.
- B. Check for changes in skin pigmentation.
- C. Assess for unilateral or bilateral foot drop.
- D. Ask the patient about symptoms of depression.
Correct Answer: A
Rationale: The correct answer is A, "Measure the ankle-brachial index." This task involves using a blood pressure cuff and Doppler ultrasound to assess blood flow in the lower extremities, which is within the scope of practice for UAPs. It is a non-invasive procedure that does not require specialized training.
Choice B, "Check for changes in skin pigmentation," involves assessing for potential skin changes related to circulation issues, which requires more in-depth knowledge and interpretation than what UAPs are trained for.
Choice C, "Assess for unilateral or bilateral foot drop," involves evaluating muscle strength and nerve function, which requires clinical judgment and knowledge beyond the scope of UAP practice.
Choice D, "Ask the patient about symptoms of depression," involves assessing mental health and requires communication skills and training that UAPs do not typically have.
A nurse manager is considering the variances of the budget. Fewer monies were spent than expected. What type of variance is this?
- A. Unfavorable variance
- B. Favorable variance
- C. Dependent variance
- D. Independent variance
Correct Answer: B
Rationale: The correct answer is B: Favorable variance. This is because spending less money than expected is positive for the budget, indicating efficiency. A favorable variance means actual costs are lower than budgeted, leading to cost savings. In contrast, an unfavorable variance (option A) would occur if more money was spent than anticipated, indicating overspending. Choices C and D are incorrect as they do not directly address the concept of budget variances and are not commonly used terms in budgeting analysis.
What is the primary responsibility of a nurse manager in a healthcare setting?
- A. To provide direct patient care
- B. To manage healthcare facilities
- C. To oversee administrative tasks
- D. To conduct clinical research
Correct Answer: C
Rationale: The primary responsibility of a nurse manager in a healthcare setting is to oversee administrative tasks (Choice C). This includes managing staff, scheduling, budgeting, ensuring regulatory compliance, and improving patient care quality. Providing direct patient care (Choice A) is typically the responsibility of bedside nurses. Managing healthcare facilities (Choice B) is usually handled by facility administrators. Conducting clinical research (Choice D) is more aligned with the role of a nurse researcher or clinical trials coordinator. Thus, the correct answer (Choice C) focuses on the core duties of a nurse manager in managing the operations and administrative aspects of a healthcare setting.