Nokea
A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several months from now. Which test will the nurse schedule to evaluate the effectiveness of treatment for the patient?
- A. Urine dipstick for glucose
- B. Oral glucose tolerance test
- C. Fasting blood glucose level
- D. Glycosylated hemoglobin level
Correct Answer: D
Rationale: The correct answer is D: Glycosylated hemoglobin level. This test provides an average blood glucose level over the past 2-3 months, reflecting long-term glycemic control. It is preferred for monitoring treatment effectiveness in diabetes. Urine dipstick for glucose (A) only detects current glucose levels in urine, not overall control. Oral glucose tolerance test (B) evaluates how the body processes glucose, not long-term control. Fasting blood glucose level (C) provides a snapshot of blood glucose at a specific moment, not long-term control.
You may also like to solve these questions
Horizontal violence may be observed among staff interactions and causes stress among staff. To minimize stress associated with such interactions, nurses can: (Select all that apply.)
- A. Encourage venting as a way to express feelings.
- B. Take control of the situation by being assertive.
- C. Ignore staff who are volatile.
- D. Avoid interactions with angry staff.
Correct Answer: B
Rationale: The correct answer is B: Take control of the situation by being assertive. Being assertive allows nurses to address the conflict directly, set boundaries, and communicate effectively. This approach can help reduce stress by resolving issues instead of letting them escalate.
A: Encouraging venting may temporarily alleviate feelings but does not address the root cause of the conflict, potentially perpetuating it.
C: Ignoring volatile staff can lead to unresolved tensions and may exacerbate the situation over time.
D: Avoiding interactions with angry staff does not address the issue and may create a culture of avoidance rather than addressing conflicts directly.
What is the best description of cultural competence in nursing?
- A. Ignoring cultural differences
- B. Adapting care to cultural needs
- C. Learning about different cultures
- D. Teaching cultural awareness
Correct Answer: B
Rationale: The correct answer is B because cultural competence in nursing involves adapting care to meet the cultural needs and preferences of each individual patient. This includes understanding and respecting their beliefs, values, and practices to provide effective and respectful care. Ignoring cultural differences (A) goes against the core principle of cultural competence. Simply learning about different cultures (C) is not enough; it is essential to apply that knowledge in practice. Teaching cultural awareness (D) is important but does not fully capture the holistic approach of adapting care to meet cultural needs.
Which of the following is an example of a tertiary prevention strategy?
- A. Administering childhood vaccinations
- B. Chemotherapy for cancer treatment
- C. Routine screening for hypertension
- D. Physical therapy for stroke rehabilitation
Correct Answer: D
Rationale: The correct answer is D: Physical therapy for stroke rehabilitation. Tertiary prevention focuses on minimizing the impact of an existing disease or condition. Physical therapy for stroke rehabilitation is an example of tertiary prevention because it aims to improve the quality of life and functionality of an individual who has already experienced a stroke. Administering childhood vaccinations (A) is an example of primary prevention to prevent the onset of diseases. Chemotherapy for cancer treatment (B) is an example of secondary prevention to detect and treat existing cancer. Routine screening for hypertension (C) is an example of secondary prevention to identify and manage hypertension before it progresses.
Which of the following best describes the concept of just culture in a healthcare organization?
- A. A culture of blaming individuals for mistakes
- B. A culture of encouraging reporting and learning from errors
- C. A culture of punishing individuals for errors
- D. A culture of ignoring errors
Correct Answer: B
Rationale: The correct answer is B because a just culture in healthcare encourages reporting and learning from errors to improve patient safety and quality of care. This fosters a transparent environment where individuals feel safe to report errors without fear of punishment. By analyzing mistakes, healthcare organizations can implement preventive measures and enhance systems to prevent future errors. Choice A is incorrect as just culture avoids blaming individuals; Choice C is incorrect as it does not promote punishment but focuses on learning; and Choice D is incorrect as just culture acknowledges and addresses errors for continuous improvement.
Which of the following would a nurse suggest are significant benefits to an organization that is considering adoption of a practice partnership model? (Select one that does not apply.)
- A. Clients express greater satisfaction.
- B. It is more expensive to implement than other models.
- C. Continuity of care is facilitated.
- D. Leadership is well accepted.
Correct Answer: B
Rationale: The correct answer is B because suggesting that the practice partnership model is more expensive to implement than other models would not be a significant benefit to an organization. A: Clients' greater satisfaction would be a benefit as it could lead to improved outcomes. C: Facilitated continuity of care would also be a benefit by improving coordination and patient experience. D: Leadership being well accepted is also a benefit as it can enhance organizational effectiveness.