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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.
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The nurse is taking a health history from a 29-year-old pregnant patient at the first prenatal visit. The patient reports no personal history of diabetes but has a parent who is diabetic. Which action will the nurse plan to take first?
- A. Teach the patient about administering regular insulin.
- B. Schedule the patient for a fasting blood glucose level.
- C. Discuss an oral glucose tolerance test for the twenty-fourth week of pregnancy.
- D. Provide teaching about an increased risk for fetal problems with gestational diabetes.
Correct Answer: B
Rationale: The correct answer is B: Schedule the patient for a fasting blood glucose level. At the first prenatal visit, it is important to assess the patient's risk factors for developing gestational diabetes, especially with a family history of diabetes. A fasting blood glucose level will provide an initial screening to determine if the patient is at risk for gestational diabetes. This test is non-invasive, cost-effective, and provides valuable information early in the pregnancy. Teaching about administering regular insulin (A) is premature without confirming a diagnosis. An oral glucose tolerance test at the twenty-fourth week (C) is typically done later in pregnancy to diagnose gestational diabetes. Providing teaching about fetal problems with gestational diabetes (D) is important but should come after confirming the diagnosis.
Which of the following is one of the positive benefits of conflict within an organization?
- A. Conflict leads to compromise on values and beliefs.
- B. Conflict leads to intergroup competition.
- C. Conflict helps people recognize differences and motivates people towards improved performance.
- D. Conflict always leads to a win-win resolution.
Correct Answer: C
Rationale: The correct answer is C because conflict can help individuals recognize differences and perspectives, leading to increased understanding and motivation for improved performance. Conflict can stimulate creativity and innovation, encouraging teams to consider different viewpoints and solutions. It does not always result in a win-win resolution (D) as conflicts can have winners and losers. Compromising on values and beliefs (A) is not a positive outcome of conflict, as it may undermine organizational integrity. Intergroup competition (B) may escalate conflicts and hinder collaboration.
Penalties should be __________ .
- A. Determining the employee's awareness of the policy
- B. Describing the staff nurse's behavior that violated the policy
- C. Progressive
- D. Confrontation
Correct Answer: C
Rationale: The correct answer is C: Progressive. Progressive penalties involve a gradual increase in severity for repeated violations, promoting learning and corrective action. This approach allows for improvement and prevents immediate termination. Choice A is incorrect as awareness is not a basis for penalties. Choice B focuses on describing behavior rather than the penalty itself. Choice D, confrontation, is not a recommended penalty approach as it can lead to negative outcomes. Therefore, the progressive approach is the most effective in promoting growth and compliance.
A nurse is talking with the partner of a client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. The nurse should identify that the partner is experiencing which of the following types of role-performance stress?
- A. Role ambiguity
- B. Role overload
- C. Role conflict
- D. Sick role
Correct Answer: C
Rationale: The correct answer is C: Role conflict. Role conflict occurs when an individual experiences conflicting demands from different roles they hold, causing stress. In this scenario, the partner is struggling to balance the roles of caregiver and managing household responsibilities, leading to frustration.
A: Role ambiguity refers to uncertainty or lack of clarity about one's responsibilities, which is not evident in the scenario.
B: Role overload is when an individual has too many responsibilities to manage effectively, but in this case, the partner is specifically struggling with conflicting roles.
D: Sick role is when an individual's illness affects their ability to fulfill their roles, which is not the primary issue in this scenario.
In summary, the partner's frustration in balancing caregiving and household responsibilities indicates role conflict as the correct type of role-performance stress being experienced.
How can a staff nurse recognize they are experiencing burnout? (EXCEPT)
- A. They are spending more time talking to staff on other units.
- B. Staff is questioning their clinical judgment.
- C. They sleep longer hours, sometimes coming in late to work.
- D. They are drinking alcohol more frequently to relax.
Correct Answer: A
Rationale: Rationale: A staff nurse experiencing burnout may isolate themselves, leading to less interaction with staff on other units. This can result in spending less time talking to staff on other units. Choices B, C, and D are incorrect as they are common signs of burnout: staff questioning clinical judgment, increased sleep, and increased alcohol consumption.