Nokea
Which of the following best describes the concept of resilience in healthcare?
- A. Ability to recover quickly from setbacks
- B. Strict adherence to protocols
- C. Adapting to changing environments
- D. Maintaining consistent performance
Correct Answer: A
Rationale: The correct answer is A: Ability to recover quickly from setbacks. Resilience in healthcare refers to the capacity to bounce back from challenges and setbacks effectively. This ability is crucial in handling unexpected situations and maintaining quality patient care. Choice B, strict adherence to protocols, focuses on following guidelines rather than bouncing back. Choice C, adapting to changing environments, is related to flexibility rather than recovery from setbacks. Choice D, maintaining consistent performance, emphasizes stability rather than the ability to recover quickly. Overall, option A best captures the essence of resilience in healthcare.
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What behaviors can be observed before a person becomes violent? (EXCEPT)
- A. Wandering
- B. Tense shoulders and clenched fists
- C. Blank stare
- D. Positioned with one foot in back and an arm pulled back
Correct Answer: A
Rationale: The correct answer is A because wandering is not typically associated with violent behavior. Tense shoulders and clenched fists (B), blank stare (C), and positioned with one foot in back and an arm pulled back (D) are commonly observed behaviors before a person becomes violent. Tense shoulders and clenched fists indicate agitation, a blank stare can indicate aggression, and the specific body positioning described in D suggests readiness for physical aggression. Wandering, however, is more likely to indicate confusion or aimlessness rather than impending violence.
Quality management and benchmarking are two approaches used to improve the quality of care. The major difference between these two approaches is which of the following?
- A. Quality management is not useful in the outpatient setting
- B. Benchmarking compares outcomes in a variety of settings and disciplines
- C. Quality management is used only in the primary care setting
- D. Benchmarking looks only at outcomes specific to nursing
Correct Answer: B
Rationale: The correct answer is B: Benchmarking compares outcomes in a variety of settings and disciplines. Quality management focuses on establishing processes to ensure quality care within a specific setting, while benchmarking involves comparing performance metrics across different settings and disciplines to identify best practices and areas for improvement. Therefore, B is the correct answer as it highlights the key difference between quality management and benchmarking.
Incorrect answers:
A: Quality management can be useful in any healthcare setting, not limited to outpatient.
C: Quality management is applicable across various healthcare settings, not just primary care.
D: Benchmarking looks at outcomes in various areas, not just nursing.
An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic. Which finding may indicate the need for a change in therapy?
- A. Hemoglobin A1C level 6.2%
- B. Blood pressure 146/88 mmHg
- C. Heart rate at rest 58 beats/minute
- D. High-density lipoprotein (HDL) level 65 mg/dL
Correct Answer: B
Rationale: The correct answer is B because a blood pressure of 146/88 mmHg indicates hypertension, which is a common complication of diabetes. High blood pressure can lead to cardiovascular complications and may warrant a change in therapy. A: Hemoglobin A1C level 6.2% is within the target range for diabetes control. C: Resting heart rate of 58 beats/minute is within the normal range for an active individual. D: HDL level of 65 mg/dL is considered high and is actually beneficial for cardiovascular health.
An RN’s current patient and family have presented her with an ethical dilemma. What is the first step the RN should take to find a workable solution to the problem?
- A. Planning
- B. Assessment
- C. Evaluation
- D. Implementation
Correct Answer: B
Rationale: The correct answer is B: Assessment. The first step in resolving an ethical dilemma is to thoroughly assess the situation. This involves gathering all relevant information, understanding the perspectives of the patient and family, and identifying key ethical principles at stake. Assessment allows the RN to have a clear understanding of the dilemma and its implications before proceeding with any planning, implementation, or evaluation. Planning (A), Implementation (D), and Evaluation (C) are all important steps in the problem-solving process, but without a comprehensive assessment, the RN may not have a solid foundation to address the ethical dilemma effectively.
While caring for a client with tuberculosis, which of the following actions should the nurse take?
- A. Use antimicrobial sanitizer for hand hygiene.
- B. Wear a surgical mask when providing client care.
- C. Limit each visitor to 2-hour increments.
- D. Wear gloves when assisting the client with oral care.
Correct Answer: A
Rationale: The correct answer is A: Use antimicrobial sanitizer for hand hygiene. Hand hygiene is crucial in preventing the spread of tuberculosis. TB is transmitted through respiratory droplets, not contact, so wearing a mask (choice B) is not effective. Limiting visitor time (choice C) may help reduce exposure, but hand hygiene is more critical. Wearing gloves for oral care (choice D) is important for standard precautions, but hand hygiene is the priority for TB prevention.