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A nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressing should the nurse use?
- A. Hydrocolloid
- B. Transparent
- C. Gauze
- D. Alginate
Correct Answer: A
Rationale: The correct answer is A: Hydrocolloid dressing. For a stage 2 pressure injury, a hydrocolloid dressing is ideal as it maintains a moist environment to promote healing, absorbs excess exudate, and provides a barrier against bacteria. Transparent dressings (B) are more suitable for superficial wounds. Gauze dressings (C) may adhere to the wound bed and cause trauma upon removal. Alginate dressings (D) are better for wounds with heavy exudate, not typically seen in stage 2 pressure injuries.
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Which of the following best describes intrinsic values?
- A. Intrinsic values are often abstract ideas.
- B. Intrinsic values are basic needs for sustaining life.
- C. Intrinsic values are qualities patients consider to be important in their private lives.
- D. Intrinsic values are qualities patients consider important for nurses to have.
Correct Answer: B
Rationale: The correct answer is B because intrinsic values refer to fundamental principles or beliefs that are essential for sustaining life, such as honesty, integrity, or compassion. These values are inherent to an individual's being and are not dependent on external factors. Choice A is incorrect as intrinsic values are not necessarily abstract ideas. Choices C and D are incorrect as they relate to personal preferences or expectations rather than core values necessary for life sustenance.
A Staff Nurse submits a six-week notice of resignation. The Nurse Manager prepares a request to immediately post the position and begin interviews. This action is best described as which of the following?
- A. Delegation
- B. A time-waster
- C. Reactive management
- D. Proactive management
Correct Answer: D
Rationale: The correct answer is D: Proactive management. This is because the Nurse Manager is taking preemptive action by posting the position and starting interviews immediately upon receiving the resignation notice. This proactive approach ensures a smooth transition and minimizes disruptions in patient care.
Choice A, Delegation, is incorrect because the Nurse Manager is not assigning tasks to others but taking direct action. Choice B, A time-waster, is incorrect as the Manager's actions are aimed at being efficient and timely. Choice C, Reactive management, is incorrect as the Manager is not waiting for an issue to arise but is being proactive in planning for the future.
The Hawthorne effect explains that the relationship between people and productivity is enhanced by which of the following?
- A. Special attention
- B. Organizations
- C. Creativity
- D. Groups
Correct Answer: A
Rationale: The correct answer is A: Special attention. The Hawthorne effect states that individuals modify their behavior when they know they are being observed. Providing special attention to individuals can lead to increased productivity as they are more motivated to perform well. This concept emphasizes the importance of personal interactions and recognition in improving productivity.
Summary:
- B: Organizations - While organizations play a role in productivity, the Hawthorne effect focuses on individual behavior rather than organizational structure.
- C: Creativity - While creativity can enhance productivity, the Hawthorne effect specifically highlights the impact of attention and observation on behavior.
- D: Groups - While group dynamics can influence productivity, the Hawthorne effect focuses on individual responses to attention and observation.
A recent ethical issue has resulted in uneasiness and discomfort for several nurses on a unit. The unit manager has decided to discuss the issues at the next team meeting. The situation has resulted in which of the following for some of the nurses?
- A. Moral suffering
- B. Moral distress
- C. Ethical dilemma
- D. Veracity
Correct Answer: A
Rationale: The correct answer is A: Moral suffering. This is because moral suffering refers to the emotional and psychological distress experienced when one's moral values or beliefs are compromised. In this scenario, the nurses are feeling uneasiness and discomfort due to an ethical issue, which aligns with the concept of moral suffering.
Incorrect choices:
B: Moral distress: While moral distress involves the awareness of the morally right course of action but feeling unable to follow it due to external constraints, it doesn't fully capture the emotional turmoil experienced by the nurses in this situation.
C: Ethical dilemma: An ethical dilemma involves having to choose between two conflicting moral principles or courses of action, which may not fully encapsulate the emotional distress experienced by the nurses.
D: Veracity: Veracity refers to truthfulness or accuracy in communication, which is not directly related to the emotional distress experienced by the nurses in this scenario.
Lippitt's phases of change are important factors in the change process. The phase that involves key people in data collection is known as:
- A. Assess the motivation.
- B. Choose a change agent.
- C. Diagnose the problem.
- D. Maintain the change.
Correct Answer: C
Rationale: The correct answer is C: Diagnose the problem. In Lippitt's phases of change, this phase involves key people in data collection to identify the root cause of the issue. Assessing motivation (A) comes before diagnosing the problem, choosing a change agent (B) is about selecting a person to lead the change effort, and maintaining the change (D) occurs after implementation. Diagnosing the problem is crucial as it sets the foundation for developing effective strategies to address the identified issues.