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When a client who is in pain refuses to be repositioned, what should the nurse consider first in making a decision about what to do?
- A. Why a decision is needed.
- B. Who actually gets to make the decision?
- C. What are the alternatives?
- D. When a decision is needed.
Correct Answer: A
Rationale: Step-by-step rationale:
1. Understanding why a decision is needed is crucial in this situation to prioritize the client's well-being.
2. The nurse needs to assess the reasons behind the client's refusal to be repositioned, considering factors such as pain level and potential harm.
3. By determining the underlying cause, the nurse can make an informed decision on the best course of action to address the client's needs promptly.
4. Considering the alternatives (choice C) is important but secondary to understanding the urgency and necessity of the decision (choice A).
5. Who makes the decision (choice B) and when it is needed (choice D) are not as critical as the rationale behind the decision-making process.
Summary:
Choice A is correct because understanding the reason for the decision is essential for prioritizing the client's well-being. Choices B, C, and D are incorrect as they do not directly address the immediate need to assess the situation and make an informed decision based on the client's condition
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Two RNs are discussing the benefits of professional liability insurance. Which of the following is a reason for an RN to have a professional liability insurance policy?
- A. No expenses are involved in frivolous lawsuits.
- B. If a nurse is found guilty of malpractice, the institution cannot sue the nurse.
- C. Liability policies may also cover charges of libel, slander, assault, and HIPAA violations.
- D. Only doctors are sued for malpractice.
Correct Answer: C
Rationale: The correct answer is C because professional liability insurance for RNs can cover charges of libel, slander, assault, and HIPAA violations in addition to malpractice. This coverage protects the nurse's assets and provides legal defense in case of such claims. Option A is incorrect because there are expenses involved in defending against frivolous lawsuits. Option B is incorrect as institutions can still sue a nurse found guilty of malpractice. Option D is incorrect as nurses can also be sued for malpractice, not just doctors.
When a Nurse Manager leaves the facility, and one of the remaining managers is given that assignment in addition to her current load without the open position being filled, this is an example of which of the following?
- A. Job enlargement
- B. Proactive management
- C. Time log
- D. Prioritizing
Correct Answer: A
Rationale: The correct answer is A: Job enlargement. Job enlargement involves adding more tasks of a similar level of complexity to an existing job role. In this scenario, the manager is given additional responsibilities without a new hire, which expands the scope of their role. This aligns with the concept of job enlargement.
Explanation for why other choices are incorrect:
B: Proactive management typically involves taking preventive actions to address potential issues before they occur. This situation does not involve proactive measures.
C: Time log refers to tracking and recording time spent on various tasks, which is not relevant to the scenario described.
D: Prioritizing involves determining the order of importance of tasks. While prioritizing may be necessary in this situation, it is not the best fit for the scenario provided.
Your nurse manager talks with you once per week to determine how you are adjusting to your role as a new nurse. She asks if you feel that you are able to provide good care to your patients, whether you are becoming familiar with the electronic health record, and whether your preceptor is encouraging your independence. This manager is demonstrating:
- A. An intrusive style.
- B. An effort to understand if you are coping with the demands.
- C. An attempt to intimidate.
- D. An authoritarian style.
Correct Answer: B
Rationale: The correct answer is B because the nurse manager is showing genuine concern for the new nurse's well-being and professional development. By asking about the nurse's ability to provide care, familiarity with the EHR, and support from the preceptor, the manager is seeking to understand and support the nurse's adjustment to the new role. This approach fosters open communication and a supportive environment.
Incorrect Choices:
A: An intrusive style implies invading personal boundaries, which is not evident in the scenario.
C: Intimidation involves creating fear or anxiety, which is not reflected in the manager's behavior.
D: An authoritarian style is characterized by strict control and limited feedback, which contradicts the manager's supportive and open approach.
A healthcare professional is admitting a client who has rubella. Which of the following types of transmission-based precautions should the nurse initiate?
- A. Airborne
- B. Protective environment
- C. Contact
- D. Droplet
Correct Answer: B
Rationale: The correct answer is B: Protective environment. Rubella is transmitted through droplets and requires the use of protective environment precautions due to its high infectivity. This includes a private room with controlled airflow and specialized ventilation. Airborne precautions (A) are for diseases spread through small particles in the air, like tuberculosis. Contact precautions (C) are for diseases spread by direct or indirect contact with the patient or their environment. Droplet precautions (D) are for diseases transmitted through respiratory droplets, like influenza. In the case of rubella, protective environment precautions are necessary to prevent the spread of the virus to other vulnerable individuals.
An RN is writing reminders for good documentation for the nurses on her staff. The purpose is to ensure nursing documentation is legally credible. Which of the following is a recommendation she should include in the reminders?
- A. Use shortcuts in documentation.
- B. Only use approved abbreviations.
- C. Documentation should be subjective.
- D. Document after care is provided.
Correct Answer: B
Rationale: The correct answer is B: Only use approved abbreviations. Using approved abbreviations in nursing documentation helps ensure clarity, accuracy, and consistency, which are crucial for legal credibility. Abbreviations can lead to misunderstandings or errors if not standardized.
Explanation for other choices:
A: Using shortcuts in documentation can compromise accuracy and lead to incomplete or unclear information, which could result in legal issues.
C: Documentation should be objective, not subjective, to provide an accurate portrayal of the patient's condition and care. Subjective documentation can be challenged legally.
D: Documenting after care is provided is important, but documenting in a timely manner is crucial for legal credibility. Delayed documentation can raise questions about the accuracy and reliability of the information.