Nokea
Which question during the assessment of a diabetic patient will help the nurse identify
autonomic neuropathy?
- A. “Do you feel bloated after eating?”
- B. “Have you seen any skin changes?”
- C. “Do you need to increase your insulin dosage when you are stressed?”
- D. “Have you noticed any painful new ulcerations or sores on your feet?”
Correct Answer: A
Rationale: Rationale: Autonomic neuropathy affects digestion, leading to bloating after eating. This symptom is related to the dysfunction of the autonomic nervous system. Skin changes, insulin dosage changes due to stress, and new ulcerations are not specific to autonomic neuropathy. Bloated feeling after eating is a classic symptom of autonomic neuropathy due to impaired gastrointestinal motility.
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In our culturally diverse society, barriers to health care result from:
- A. Prejudice
- B. Different socioeconomic status
- C. Differences in language
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D, "All of the above." Prejudice can lead to discrimination in healthcare access. Different socioeconomic status can limit affordability of healthcare services. Differences in language can hinder effective communication and understanding of healthcare information. All three factors contribute to barriers in healthcare access, affecting individuals from diverse backgrounds. By selecting D, we acknowledge the multifaceted nature of barriers to healthcare in a culturally diverse society.
What are the final stages of the conflict process?
- A. Antecedent conditions
- B. Perceived and felt conflict
- C. Suppression and resolution
- D. Conflict behavior
Correct Answer: C
Rationale: The correct answer is C: Suppression and resolution. In the final stages of the conflict process, individuals may try to suppress their feelings or behaviors related to the conflict, and ultimately work towards resolving the conflict through communication, negotiation, or seeking a mutually agreeable solution. Antecedent conditions (A) refer to factors that lead to conflict, perceived and felt conflict (B) are early stages of conflict where individuals become aware of the disagreement, and conflict behavior (D) pertains to the actions taken during the active conflict phase. Therefore, C is the correct choice as it specifically addresses the final actions taken to manage and resolve the conflict.
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.
A registered nurse (RN) administered a patient’s morning insulin as the breakfast tray arrived at 0800. The RN performed a complete assessment at the same time. Then, the RN got busy with her other patients and did not check on the patient until 1400. At that time, she found the patient unresponsive with a blood glucose of 23. Both the breakfast and lunch tray were at the bedside untouched. Which of the following could the RN be charged with?
- A. Quasi-intentional tort
- B. Misdemeanor
- C. Negligence
- D. Juvenile offense
Correct Answer: C
Rationale: The correct answer is C: Negligence. The RN failed to monitor the patient after administering insulin, leading to a critical situation. Negligence in nursing involves a breach of duty of care that results in harm to the patient. In this case, the RN's failure to check on the patient for several hours directly contributed to the patient becoming unresponsive with dangerously low blood glucose levels. This constitutes a clear case of nursing negligence.
A: Quasi-intentional tort involves intentional actions that result in harm, such as defamation or invasion of privacy. This scenario does not involve intentional harm.
B: Misdemeanor refers to a criminal offense less serious than a felony. Negligence in nursing is typically addressed through civil, not criminal, proceedings.
D: Juvenile offense pertains to actions committed by minors. The RN is a healthcare professional, not a minor, and the offense here is related to professional negligence, not juvenile misconduct.
A nurse manager needs to resolve a conflict between the staff nurses and the physical therapy department. What type of power might the manager utilize? (EXCEPT)
- A. Connection and referent power
- B. Reward and punishment power
- C. Legitimate power
- D. Information power
Correct Answer: C
Rationale: The correct answer is C: Legitimate power. In this scenario, the nurse manager can utilize legitimate power, which comes from their position of authority within the organization. They can use their formal authority to resolve the conflict between the staff nurses and the physical therapy department by making decisions and enforcing policies.
A: Connection and referent power are based on relationships and personal connections, which may not be as effective in this situation where formal authority is needed.
B: Reward and punishment power may not be the most appropriate in resolving conflicts as it can lead to resentment and may not address the underlying issues.
D: Information power is about having access to valuable information, which may be helpful but may not be the most effective in resolving conflicts that require formal authority.