Nokea
What is a common barrier to effective delegation?
- A. Lack of trust in team members
- B. Lack of communication
- C. Inadequate training
- D. Lack of resources
Correct Answer: A
Rationale: One of the common barriers to effective delegation is a lack of trust in team members. Delegating tasks involves entrusting responsibilities to others, and without trust in the team members' capabilities, the delegator may struggle to effectively assign tasks. Trust is essential for successful delegation as it allows for empowerment and accountability within the team. Lack of communication is also crucial for effective delegation, but the lack of trust has a more profound impact as it directly affects the ability to delegate tasks. Inadequate training and lack of resources, while important factors, are not as fundamental as trust in team members when it comes to effective delegation.
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What is the primary focus of the Institute for Healthcare Improvement (IHI)?
- A. Patient safety
- B. Cost reduction
- C. Healthcare innovation
- D. Research funding
Correct Answer: A
Rationale: The primary focus of the Institute for Healthcare Improvement (IHI) is patient safety. IHI is renowned for its efforts in developing and implementing evidence-based practices to enhance patient safety and improve the quality of care in healthcare settings. While cost reduction, healthcare innovation, and research funding are important aspects of healthcare, the core mission of the IHI revolves around prioritizing patient safety by reducing medical errors, enhancing care processes, and creating a safer environment for patients.
After receiving change-of-shift report, which patient should the nurse assess first?
- A. 19-year-old with type 1 diabetes who has a hemoglobin A1C of 12%
- B. 23-year-old with type 1 diabetes who has a blood glucose of 40 mg/dL
- C. 40-year-old who is pregnant and has an oral glucose tolerance test result of 202 mg/dL
- D. 50-year-old who uses exenatide (Byetta) and is complaining of acute abdominal pain
Correct Answer: B
Rationale: The patient with a blood glucose level of 40 mg/dL (hypoglycemia) needs immediate attention as it is an emergency situation that requires prompt intervention to prevent adverse effects. Severe hypoglycemia can lead to serious complications, such as seizures or loss of consciousness. Therefore, the nurse should prioritize assessing and managing this patient first to prevent further deterioration. Choices A, C, and D do not present immediate life-threatening situations requiring urgent intervention like severe hypoglycemia does. A high hemoglobin A1C level, an abnormal oral glucose tolerance test result, and acute abdominal pain, while important, do not pose an immediate threat to the patient's life compared to severe hypoglycemia.
Under which category does a violation of the nurse practice act fall?
- A. Juvenile
- B. Felony
- C. Misdemeanor
- D. Tort
Correct Answer: D
Rationale: A violation of the nurse practice act falls under the category of tort. Tort refers to civil wrongs that cause harm or loss to another person, and a violation of the nurse practice act can result in a civil lawsuit against the nurse for negligence or malpractice. Choices A, B, and C are incorrect because a violation of the nurse practice act does not fall under juvenile offenses, felonies, or misdemeanors, but rather under civil wrongs known as torts.
A 48-year-old male patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L). The nurse will plan to teach the patient about
- A. self-monitoring of blood glucose
- B. using low doses of regular insulin
- C. lifestyle changes to lower blood glucose
- D. effects of oral hypoglycemic medications
Correct Answer: C
Rationale: When a patient has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L), indicating prediabetes, the initial approach is focused on lifestyle modifications to lower blood glucose levels. These changes may include dietary adjustments, increased physical activity, and weight management. Self-monitoring of blood glucose, insulin therapy, and oral hypoglycemic medications are not typically the first-line interventions for patients with prediabetes. Educating the patient about lifestyle changes to lower blood glucose is the most appropriate action at this stage.
Which regulatory body mandates the provision of immunizations, especially for hepatitis B?
- A. American Nurses Association (ANA)
- B. Occupational Safety and Health Administration (OSHA)
- C. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
- D. State board of nursing
Correct Answer: B
Rationale: The correct answer is B - Occupational Safety and Health Administration (OSHA). OSHA mandates that the hepatitis B vaccine series must be offered to healthcare workers who are not immune to hepatitis. This requirement aims to protect healthcare workers from occupational exposure to bloodborne pathogens, including the hepatitis B virus. The American Nurses Association (ANA) (Choice A) is a professional organization for nurses, not a regulatory body. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) (Choice C) focuses on accrediting healthcare organizations for quality and safety, not mandating immunizations. The State board of nursing (Choice D) is responsible for regulating nursing practice within a specific state, not mandating immunizations.