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Attending a continuing education class on advanced technology in health care is interpreted as which of the following by the nurse manager?
- A. Only important for nurse managers
- B. Not important
- C. A waste of time
- D. Essential to nursing care
Correct Answer: D
Rationale: The correct answer is D: Essential to nursing care. Attending a continuing education class on advanced technology in health care is essential for nurses to stay updated with the latest advancements, improve patient care, and enhance their clinical skills. It helps nurses deliver high-quality care, adapt to changes in healthcare practices, and improve patient outcomes. The other choices are incorrect because continuing education benefits all healthcare professionals, not just nurse managers. It is not unimportant or a waste of time, as it directly impacts the quality of nursing care provided.
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Which of the following best describes the role of a nurse case manager?
- A. To provide direct patient care
- B. To manage healthcare facilities
- C. To advocate for patient rights
- D. To coordinate long-term care services
Correct Answer: D
Rationale: The correct answer is D: To coordinate long-term care services. Nurse case managers focus on coordinating and managing the long-term care needs of patients, ensuring continuity and quality of care. They work with healthcare providers, patients, and families to develop and implement care plans.
Explanation:
A: Providing direct patient care is typically the role of nurses, not specifically nurse case managers.
B: Managing healthcare facilities is the responsibility of healthcare administrators, not nurse case managers.
C: Advocating for patient rights is important but not the primary role of a nurse case manager; their focus is on coordinating care services.
1. Which patient action indicates good understanding of the nurse’s teaching about
administration of aspart (NovoLog) insulin?
- A. The patient avoids injecting the insulin into the upper abdominal area
- B. The patient cleans the skin with soap and water before insulin administration.
- C. The patient stores the insulin in the freezer after administering the prescribed dose.
- D. The patient pushes the plunger down while removing the syringe from the injection site
Correct Answer: B
Rationale: The correct answer is B because cleaning the skin with soap and water before insulin administration helps prevent infection. Proper skin preparation is essential for safe injection practices. Choice A is incorrect because the abdominal area is a recommended site for insulin injection. Choice C is incorrect because insulin should not be stored in the freezer. Choice D is incorrect because pushing the plunger down while removing the syringe could result in incomplete dosing.
Which of the following scenarios would be an example of shared governance on a nursing unit?
- A. Staff nurses delegate activities to CNAs.
- B. Procedure manuals are written by a committee of nurse managers.
- C. Staff nurses and CNAs make their own schedules.
- D. A unit manager seeks advice from her supervisor.
Correct Answer: C
Rationale: The correct answer is C because shared governance involves staff nurses and CNAs collaborating in decision-making processes, such as creating schedules. This promotes autonomy, teamwork, and mutual respect. Option A involves delegation, not shared decision-making. Option B shows centralized authority by nurse managers. Option D indicates hierarchical decision-making, not shared governance. In summary, choice C aligns with the principles of shared governance, while the other options do not involve the active involvement of both staff nurses and CNAs in decision-making.
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.
Which of the following is an example of a tertiary prevention activity?
- A. Administering immunizations
- B. Physical therapy for stroke patients
- C. Routine health screenings
- D. Health education campaigns
Correct Answer: B
Rationale: The correct answer is B: Physical therapy for stroke patients, as it falls under tertiary prevention aimed at reducing the impact of a disease or disability. Physical therapy helps stroke patients regain function and improve quality of life post-onset. A: Administering immunizations is an example of primary prevention, preventing a disease from occurring. C: Routine health screenings are a form of secondary prevention, detecting diseases early to prevent progression. D: Health education campaigns can be both primary (preventing disease occurrence) or secondary prevention (early detection).