Nokea
After the nurse has finished teaching a patient who has a new prescription for exenatide
(Byetta), which patient statement indicates that the teaching has been effective?
- A. “I may feel hungrier than usual when I take this medicine.”
- B. “I will not need to worry about hypoglycemia with the Byetta.”
- C. “I should take my daily aspirin at least an hour before the Byetta.”
- D. “I will take the pill at the same time I eat breakfast in the morning.”
Correct Answer: C
Rationale: The correct answer is C. This statement indicates effective teaching because taking aspirin at least an hour before exenatide (Byetta) helps prevent any potential interactions between the two medications. By understanding the importance of timing, the patient shows comprehension of medication management and potential risks.
Incorrect choices:
A: This choice is incorrect because exenatide is known to reduce appetite, not increase hunger.
B: This choice is incorrect because hypoglycemia is still a risk with exenatide, especially if used with other medications that lower blood sugar.
D: This choice is incorrect because exenatide is injected, not taken as a pill, and should be taken before meals, not with breakfast.
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Which of the following strategies is most effective for improving staff morale?
- A. Increasing workload
- B. Increasing salaries
- C. Providing feedback
- D. Offering incentives
Correct Answer: C
Rationale: The correct answer is C: Providing feedback. Feedback is essential for staff morale as it communicates appreciation, areas for improvement, and fosters a sense of engagement. It allows employees to understand their performance, feel valued, and motivated to improve. Increasing workload (A) can lead to burnout and decreased morale. While increasing salaries (B) can boost morale, it may not address underlying issues. Offering incentives (D) can be effective, but they are short-term solutions and may not address intrinsic motivation or long-term morale. Feedback, on the other hand, provides ongoing support and guidance to employees, making it the most effective strategy for improving staff morale.
Which theory views motivation as learning?
- A. Reinforcement
- B. Process
- C. Operant
- D. Conditioning
Correct Answer: A
Rationale: The correct answer is A: Reinforcement. Reinforcement theory views motivation as learning through the use of positive or negative reinforcement to increase the likelihood of a behavior being repeated. By associating certain behaviors with rewards or punishments, individuals learn to be motivated to engage in those behaviors. The other choices, B: Process, C: Operant, and D: Conditioning, are incorrect because they do not specifically focus on motivation as a learned behavior through reinforcement. Process theory emphasizes cognitive processes, Operant theory focuses on shaping behavior through consequences, and Conditioning theory is a general term for learning through associations.
What is the main purpose of a healthcare proxy?
- A. To manage financial affairs
- B. To make medical decisions on behalf of the patient
- C. To provide legal representation
- D. To oversee patient discharge planning
Correct Answer: B
Rationale: The main purpose of a healthcare proxy is to make medical decisions on behalf of the patient when the patient is unable to do so. This includes decisions about treatment options, procedures, and end-of-life care. A healthcare proxy does not manage financial affairs (A), provide legal representation (C), or oversee patient discharge planning (D). These roles are typically carried out by different individuals or entities with specific responsibilities. The core function of a healthcare proxy is to ensure that the patient's medical wishes and best interests are upheld when they are unable to communicate or make decisions for themselves.
Which of the following types of leadership behaviors would be most useful when managing a staff of newly trained CNAs (Certified Nursing Assistants)?
- A. Achievement-oriented
- B. Supportive
- C. Participative
- D. Directive
Correct Answer: D
Rationale: The correct answer is D: Directive. In managing newly trained CNAs, directive leadership is most useful as it provides clear instructions and guidance for the inexperienced staff. This helps ensure they understand expectations and tasks. Achievement-oriented leadership (A) may be overwhelming for new staff, supportive leadership (B) may not provide enough structure, and participative leadership (C) may be confusing for staff who require clear direction and guidance. Ultimately, directive leadership is the most appropriate for managing newly trained CNAs due to the need for clear instructions and structure.
Which of the following is an example of an outcome measure in healthcare?
- A. Patient satisfaction scores
- B. Length of hospital stay
- C. Healthcare provider performance reviews
- D. Number of diagnostic tests ordered
Correct Answer: A
Rationale: The correct answer is A: Patient satisfaction scores. In healthcare, outcome measures are indicators of the impact of care on patients' health. Patient satisfaction scores directly reflect patients' experiences and perceptions of their care, making it a relevant outcome measure. This measure assesses the quality of care provided and the effectiveness of healthcare services in meeting patients' needs and expectations. In contrast, options B and D are process measures that do not directly reflect patient outcomes. Option C, healthcare provider performance reviews, are more related to evaluating individual provider performance rather than overall healthcare outcomes.