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A nurse is assessing a client's readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn?
- A. "I can concentrate best in the morning."
- B. "It is difficult to read the instructions because my glasses are at home."
- C. "I'm wondering why I need to learn this."
- D. "You will have to talk to my partner about this."
Correct Answer: D
Rationale: The correct answer is D because it shows the client is willing to involve their partner in the learning process, indicating readiness for education. Involving a partner can enhance support and understanding, leading to better adherence. A: Time preference does not directly relate to readiness to learn about insulin. B: Difficulty reading instructions due to glasses is a practical issue, not an indicator of readiness. C: Expressing doubt or questioning the necessity of learning indicates potential resistance or lack of motivation.
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Which of the following is a recommendation for avoiding charges of negligence and false imprisonment for confused clients?
- A. Carefully assess and document client status.
- B. Ensure all patient information is secure and the nurse has logged out of the computer before leaving the computer station.
- C. Keep detailed notes while providing care to ensure accurate documentation later in the day.
- D. Discuss safety needs with clients.
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct:
1. Careful assessment helps in understanding the client's condition and needs.
2. Documenting client status provides evidence of the care provided.
3. It ensures that necessary actions are taken promptly to prevent negligence.
4. Documentation serves as legal protection against false imprisonment accusations.
Summary:
- Choice B is about data security, not directly related to preventing negligence and false imprisonment.
- Choice C focuses on accurate documentation but lacks the emphasis on assessment.
- Choice D is vague and does not specifically address the legal aspects of negligence and false imprisonment.
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.
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.
What is the main concern with collective bargaining?
- A. Create tension among nurses.
- B. Reform health care.
- C. Secure economic security.
- D. Unite the nurses.
Correct Answer: A
Rationale: The correct answer is A: Create tension among nurses. Collective bargaining involves negotiation between labor unions and employers, which can lead to disagreements and conflicts among nurses over issues such as wages, working conditions, and benefits. This tension is a common concern as it can impact unity and collaboration within the nursing workforce.
Summary:
B: Reform health care - This is incorrect as collective bargaining focuses on labor relations, not healthcare reform.
C: Secure economic security - This is incorrect as securing economic security is one of the goals of collective bargaining, not a concern.
D: Unite the nurses - This is incorrect as collective bargaining can sometimes lead to division and tension among nurses rather than uniting them.
Which of the following is a challenge the profession of nursing faced?
- A. Nursing contributing to the stigma of AIDS in the 1980s out of fear.
- B. Nursing practice flourishing in field hospitals during the Korean War with abundant supplies and equipment.
- C. Many nurses feeling frustrated with the lack of independent functioning after the Vietnam War.
- D. A decline in the number of hospice nurses due to ethical dilemmas.
Correct Answer: C
Rationale: The correct answer is C because many nurses felt frustrated with the lack of independent functioning after the Vietnam War. This is a significant challenge as nurses were accustomed to a high level of autonomy in field hospitals during wartime but faced restrictions in civilian healthcare settings. This led to dissatisfaction and a sense of limitation in their professional roles.
Explanation of why other choices are incorrect:
A: Nursing contributing to the stigma of AIDS in the 1980s out of fear is not a challenge that the profession faced but rather a societal issue related to lack of knowledge and fear of the disease.
B: Nursing practice flourishing in field hospitals during the Korean War with abundant supplies and equipment is not a challenge but a positive aspect of nursing history.
D: A decline in the number of hospice nurses due to ethical dilemmas is a specific problem related to hospice care and not a widespread challenge faced by the entire profession of nursing.