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A nurse is planning care of an adolescent who is postoperative following a lumbar laminectomy. Which of the following interventions should the nurse include in the plan of care?
- A. Limit the adolescent's visitors.
- B. Select the adolescent's food choices.
- C. Encourage the adolescent's guardian to assist with personal hygiene.
- D. Allow the adolescent to make decisions regarding their daily routine.
Correct Answer: C
Rationale: The correct answer is C. Encouraging the adolescent's guardian to assist with personal hygiene is crucial after a lumbar laminectomy. Postoperatively, the adolescent may require assistance with activities of daily living due to limited mobility and risk of injury. Involving the guardian ensures proper care and promotes faster recovery.
Choice A is incorrect as limiting visitors can negatively impact the adolescent's emotional well-being and support system. Choice B is incorrect as food choices are not typically restricted postoperatively unless medically necessary. Choice D is incorrect as the adolescent may not be in the optimal state to make decisions regarding their daily routine immediately after surgery.
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A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client's family questions the nurse about the reasons for the transfer. Which of the following responses made by the nurse is appropriate?
- A. The transfer of your family member is being done because the provider knows what's best.
- B. Would you like us to discuss the transfer with your family member?
- C. Why are you so concerned about this transfer?
- D. I know how you feel. My parent had to be transferred to a long-term care facility.
Correct Answer: A
Rationale: Step 1: The nurse's response should be professional and informative.
Step 2: Response A provides a clear and professional explanation for the transfer.
Step 3: Mentioning the provider's decision conveys expertise and reassurance to the family.
Step 4: It shows respect for the provider's judgment and helps build trust with the family.
Step 5: Responses B, C, and D do not directly address the family's concerns or provide a suitable explanation for the transfer.
The nurse manager needs to buy six new hospital beds for the unit. What type of budget will be used for this expenditure?
- A. Operating budget
- B. Capital budget
- C. Salary budget
- D. Revenue budget
Correct Answer: B
Rationale: The correct answer is B: Capital budget. A capital budget is used for long-term investments in assets like equipment and facilities, such as hospital beds. This type of budget is for significant expenditures that have a lasting impact on the organization. Operating budget (A) covers day-to-day expenses, not major purchases. Salary budget (C) is for staffing costs, not equipment purchases. Revenue budget (D) focuses on projected income, not capital expenditures. Therefore, the capital budget is the appropriate choice for buying new hospital beds.
What is the main focus of a clinical governance framework?
- A. Financial performance
- B. Regulatory compliance
- C. Patient care quality
- D. Staff satisfaction
Correct Answer: C
Rationale: The main focus of a clinical governance framework is patient care quality. This is because clinical governance aims to ensure that healthcare services provided are safe, effective, and of high quality. By focusing on patient care quality, healthcare organizations can improve outcomes and patient satisfaction. Financial performance (A) is important but not the main focus. Regulatory compliance (B) is necessary but not the primary goal. Staff satisfaction (D) is important for a positive work environment, but it is not the main focus of a clinical governance framework.
The healthcare provider is developing a critical pathway for congestive heart failure (CHF). Which components are essential to include? (Select all that apply.)
- A. Expected length of stay
- B. Assigned healthcare team
- C. Patient outcomes
- D. Medical history
Correct Answer: C
Rationale: Rationale:
- Patient outcomes are essential in a critical pathway for CHF to track progress and effectiveness of interventions.
- Expected length of stay is not a core component but can be useful for resource planning.
- Assigned healthcare team is important but not a core component in the critical pathway.
- Medical history is relevant but not essential in the development of a critical pathway for CHF.
One of the perceptions of turnover is:
- A. Poor management
- B. Rejection of the job
- C. Loss of poor performers
- D. Poor job atmosphere
Correct Answer: B
Rationale: The correct answer is B: Rejection of the job. Turnover can occur when employees feel dissatisfied with their job roles, responsibilities, or work environment, leading them to reject the job and seek opportunities elsewhere. This perception aligns with the concept of voluntary turnover, where employees choose to leave due to personal reasons rather than external factors like poor management (A), loss of poor performers (C), or poor job atmosphere (D). These other choices focus on external factors or outcomes of turnover, whereas choice B directly addresses the personal perspective of the employee as a key driver of turnover.