Nokea
1. To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually (select one that doesn't apply)?
- A. Blood pressure
- B. Serum creatinine
- C. Chest x-ray
- D. Urine for microalbuminuria
Correct Answer: C
Rationale: Step-by-step rationale for correct answer (C):
1. Chest x-ray is not routinely recommended for monitoring complications of type 2 diabetes.
2. Annual blood pressure monitoring is crucial for assessing cardiovascular risk in diabetic patients.
3. Serum creatinine test helps evaluate kidney function, which is often impaired in diabetes.
4. Urine microalbuminuria test detects early signs of kidney damage, common in diabetes.
Summary of incorrect choices:
A: Blood pressure monitoring is essential for assessing cardiovascular risk in diabetes.
B: Serum creatinine test is important for evaluating kidney function in diabetic patients.
D: Urine microalbuminuria test helps detect early kidney damage in diabetes.
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What type of staffing involves scheduling a certain number of people per day consistently?
- A. Flexible
- B. Mixed
- C. Block
- D. Creative
Correct Answer: C
Rationale: The correct answer is C: Block staffing. Block staffing involves scheduling a fixed number of employees per day consistently, typically in blocks of time. This type of staffing is efficient for roles that require a consistent number of staff members each day, such as in healthcare settings where a certain number of nurses are needed for each shift.
Rationale:
1. Block staffing ensures consistent coverage: By scheduling a set number of employees each day, organizations can ensure that they have adequate coverage for their operations.
2. Predictability and stability: With block staffing, employees know when they are expected to work, providing stability in scheduling.
3. Efficient resource allocation: Block staffing allows for efficient allocation of resources by matching the workforce to the demand for services.
Other choices are incorrect:
A: Flexible staffing involves adjusting the number of employees based on fluctuating demand.
B: Mixed staffing combines different types of staffing models based on varying needs.
D: Creative staffing involves innovative approaches to staffing, which may not necessarily involve consistent scheduling
Which of the following factors contributes to conflicts in professional nursing today?
- A. Some nurses who had planned to retire but find themselves forced to continue working because of the current economic situation
- B. Balancing state practice acts, codes of ethics, and standards of practice
- C. Advances in technology
- D. Multiple generations in the workforce
Correct Answer: D
Rationale: The correct answer is D: Multiple generations in the workforce. This factor contributes to conflicts in professional nursing today because different generations may have different communication styles, work preferences, and values, leading to misunderstandings and tension in the workplace. For example, older nurses may prefer traditional methods of communication, while younger nurses may be more tech-savvy and prefer digital communication. This generation gap can result in conflicts and challenges in collaboration and teamwork.
A: Some nurses who had planned to retire but find themselves forced to continue working because of the current economic situation - While this may contribute to workforce dynamics, it is not a primary factor in conflicts among nurses.
B: Balancing state practice acts, codes of ethics, and standards of practice - This is important for maintaining professionalism but does not directly contribute to conflicts among nurses.
C: Advances in technology - While technology can impact nursing practice, it is not a primary factor in conflicts among nurses compared to the generational differences.
What is the primary purpose of a patient-centered medical home (PCMH)?
- A. To coordinate all aspects of patient care
- B. To reduce healthcare costs
- C. To implement the latest clinical guidelines
- D. To provide financial incentives for providers
Correct Answer: A
Rationale: The primary purpose of a patient-centered medical home (PCMH) is to coordinate all aspects of patient care (Choice A). This model aims to improve patient outcomes by ensuring comprehensive and coordinated care that meets the individual's needs. PCMH focuses on enhancing patient-provider communication, care coordination, and patient engagement to deliver high-quality care. Choices B, C, and D are incorrect because while PCMH may indirectly contribute to reducing healthcare costs and implementing clinical guidelines, the main focus is on improving patient care coordination and quality outcomes. Providing financial incentives for providers is not the primary purpose of PCMH, but rather a potential outcome of improved care coordination.
The staff in the emergency department has presented the nurse leader with a suggestion for streamlining the triage process, cutting down on wait times. Which of the following qualities does the leader specifically need to implement the suggestion?
- A. Courage
- B. Integrity
- C. Energy
- D. Initiative
Correct Answer: D
Rationale: The correct answer is D: Initiative. In this scenario, the nurse leader needs to take the initiative to implement the suggested changes for streamlining the triage process. By showing initiative, the leader demonstrates the willingness to take action and drive the necessary changes forward. Courage (A) may be needed to face challenges, but it doesn't directly address the need for proactive action. Integrity (B) is important but doesn't specifically relate to implementing changes. Energy (C) is beneficial for motivation but doesn't focus on taking the first step to make changes happen. Therefore, the key quality required in this situation is initiative to drive process improvements efficiently.
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching they received about pain management?
- A. ''I think I should take my pain medication more often, since it is not controlling my pain.''
- B. ''Breathing faster will help me keep my mind off of the pain.''
- C. ''It might help me to listen to music while I'm lying in bed.''
- D. ''I don't want to walk today because I have some pain.''
Correct Answer: D
Rationale: Step 1: The client is verbalizing pain as a 2 indicating mild pain.
Step 2: The client understands the preoperative teaching if they prioritize mobility despite mild pain.
Step 3: Choice D reflects this understanding, as the client is aware of the importance of walking postoperatively.
Step 4: Choices A, B, and C do not demonstrate understanding of preoperative teaching as they focus on increasing medication, distracting from pain, and using music for comfort rather than prioritizing mobility.
Summary: Choice D is correct as it aligns with the goal of postoperative pain management, while choices A, B, and C do not address the importance of mobility in pain management.