Nokea
Which statement by the patient indicates a need for additional instruction in administering
insulin?
- A. 'I need to rotate injection sites among my arms, legs, and abdomen each day.'
- B. 'I can buy the 0.5 mL syringes because the line markings will be easier to see.'
- C. 'I should draw up the regular insulin first after injecting air into the NPH bottle.'
- D. 'I do not need to aspirate the plunger to check for blood before injecting insulin.'
Correct Answer: A
Rationale: The correct answer is A: "I need to rotate injection sites among my arms, legs, and abdomen each day." This statement indicates a need for additional instruction because rotating injection sites within the same day is not recommended. Insulin injections should be given at the same general time each day but rotated within the same anatomical site to avoid inconsistent absorption rates and potential lipohypertrophy. Choices B, C, and D all demonstrate correct understanding of insulin administration techniques, including syringe selection based on markings, correct order of drawing up insulin types, and the lack of need to aspirate the plunger to check for blood before injecting.
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Which of the following is an example of a clinical decision support system (CDSS)?
- A. Electronic health record (EHR)
- B. Barcode medication administration
- C. Smart infusion pumps
- D. Automated drug dispensing system
Correct Answer: C
Rationale: The correct answer is C: Smart infusion pumps. A smart infusion pump is an example of a CDSS as it helps healthcare providers in administering medications accurately by providing alerts, dosage calculations, and other decision support tools. This system enhances patient safety and clinical outcomes.
Incorrect choices:
A: Electronic health record (EHR) - While EHRs store and manage patient health information, they do not provide decision support features like CDSS.
B: Barcode medication administration - While barcoding helps in verifying medication administration, it is not a CDSS that provides clinical decision support.
D: Automated drug dispensing system - While these systems help in dispensing medications accurately, they do not provide clinical decision support tools like smart infusion pumps do.
Which of the following is a key component of patient-centered care?
- A. Provider-centered decision making
- B. Timely discharge
- C. Respect for patient preferences
- D. Focusing on clinical outcomes
Correct Answer: C
Rationale: The correct answer is C: Respect for patient preferences. Patient-centered care focuses on involving patients in the decision-making process and respecting their values, preferences, and needs. This approach emphasizes open communication, shared decision-making, and individualized care. Choice A is incorrect because patient-centered care prioritizes patient preferences over provider preferences. Choice B is incorrect as timely discharge is not a key component of patient-centered care. Choice D is incorrect as patient-centered care goes beyond clinical outcomes to consider holistic well-being and patient satisfaction.
The length of a coaching session should be no longer than:
- A. 15 minutes.
- B. 60 minutes.
- C. 10 minutes.
- D. 30 minutes.
Correct Answer: C
Rationale: The correct answer is C: 10 minutes. The rationale is that coaching sessions are most effective when kept concise and focused. A shorter duration helps maintain the participant's attention and ensures key points are covered without overwhelming them. Longer sessions can lead to decreased engagement and retention. Choice A (15 minutes) is slightly longer and may still risk losing focus. Choices B (60 minutes) and D (30 minutes) are too lengthy for a coaching session, increasing the likelihood of information overload and decreased effectiveness.
Which of the following theories explains that organizations are made up of intertwined links and diversified choices that generate unanticipated consequences?
- A. Contingency theory
- B. Closed system theory
- C. Open system theory
- D. Chaos theory
Correct Answer: D
Rationale: The correct answer is D: Chaos theory. This theory explains that organizations are complex systems with interconnected elements that can lead to unpredictable outcomes. Chaos theory emphasizes the nonlinear dynamics and sensitivity to initial conditions within organizations.
A: Contingency theory focuses on the idea that there is no one best way to organize. It does not specifically address the generation of unanticipated consequences.
B: Closed system theory assumes organizations are isolated and self-sufficient, which does not align with the idea of generating unanticipated consequences.
C: Open system theory emphasizes how organizations interact with their environment, but it does not directly address the generation of unanticipated consequences within the organization.
As part of Magnet Recognition, you are asked to present your evidence-based practice poster at a national conference. The health care facility supports your participation. Where would information about your participation in the conference need to be communicated? (Select all that apply.)
- A. In a communication to all staff nurses to inspire them.
- B. At a conference within the health care facility.
- C. In an email to a friend.
- D. In a presentation with select individuals.
Correct Answer: A
Rationale: The correct answer is A. By communicating your participation to all staff nurses, you can inspire them to engage in evidence-based practice. This fosters a culture of learning and innovation. Choice B is incorrect because the conference is external and not held within the health care facility. Choice C is irrelevant as it involves informing a friend rather than the professional environment. Choice D is also incorrect as it limits the audience to select individuals, missing the opportunity to spread awareness and inspire a broader group within the facility.