Achieving Magnet Hospital designation offers hospitals the following advantages: (Select one that does not apply.)
- A. Greater client satisfaction.
- B. Improved nursing recruitment.
- C. Greater client workload.
- D. Nurses who are independent decision makers.
Correct Answer: C
Rationale: The correct answer is C: Greater client workload. Achieving Magnet Hospital designation typically does not lead to an increase in client workload. The other choices (A, B, D) are advantages of Magnet Hospital designation as they are commonly associated with it. A: Greater client satisfaction is a common outcome due to improved quality of care. B: Improved nursing recruitment is a benefit as it attracts high-quality nurses. D: Nurses who are independent decision makers is a characteristic of Magnet Hospitals, promoting autonomy and professional growth.
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A 32-year-old patient with diabetes is starting on intensive insulin therapy. Which type of insulin will the nurse discuss using for mealtime coverage?
- A. Lispro (Humalog)
- B. Glargine (Lantus)
- C. Detemir (Levemir)
- D. NPH (Humulin N)
Correct Answer: A
Rationale: The correct answer is A: Lispro (Humalog). Lispro is a rapid-acting insulin that is ideal for mealtime coverage in intensive insulin therapy because it mimics the body's natural insulin response after a meal, providing quick and effective blood sugar control. Lispro has a rapid onset of action, peaks quickly, and has a shorter duration of action compared to other types of insulin. This makes it suitable for covering the rise in blood sugar levels that occurs after meals.
Summary of why other choices are incorrect:
B: Glargine (Lantus) is a long-acting insulin used for basal coverage, not for mealtime coverage.
C: Detemir (Levemir) is an intermediate-acting insulin used for basal coverage, not for mealtime coverage.
D: NPH (Humulin N) is an intermediate-acting insulin with a slower onset and longer duration of action, making it less suitable for mealtime coverage in intensive insulin therapy.
After correcting the IVF infusion rate, what should be the next step in the client's care?
- A. Notify family
- B. Discipline the previous nurse
- C. Complete an incident report
- D. Obtain legal consultation
Correct Answer: C
Rationale: The correct answer is C: Complete an incident report. This is the next step to document the error and ensure proper follow-up. It helps in analyzing the root cause, implementing preventive measures, and ensures transparency in patient care. Notifying the family (A) can wait until the situation is under control. Disciplining the previous nurse (B) should not be the immediate focus and may come after a thorough investigation. Obtaining legal consultation (D) is premature and should only be considered if the incident escalates to a legal issue.
Which of the following is a key principle of team nursing?
- A. Decentralized decision making
- B. Centralized decision making
- C. Individual accountability
- D. Shared responsibility
Correct Answer: D
Rationale: The correct answer is D: Shared responsibility. In team nursing, all team members share responsibility for patient care, promoting collaboration and teamwork. This principle ensures that each team member contributes to decision-making and patient outcomes.
A: Decentralized decision making is not a key principle of team nursing as it involves individual team members making decisions independently, which can lead to lack of coordination.
B: Centralized decision making is also not a key principle of team nursing as it involves decision-making being controlled by a single authority, undermining the collaborative nature of team nursing.
C: Individual accountability is important in team nursing, but it is not the key principle. Shared responsibility emphasizes collective accountability and collaboration among team members.
Which of the following best describes the role of a nurse leader?
- A. Managing patient care directly
- B. Enforcing healthcare policies
- C. Inspiring and motivating the healthcare team
- D. Ensuring regulatory compliance
Correct Answer: C
Rationale: The correct answer is C: Inspiring and motivating the healthcare team. A nurse leader's role involves guiding, supporting, and empowering their team to provide high-quality care. Inspiring and motivating the team helps improve morale, teamwork, and ultimately patient outcomes. Managing patient care directly (A) is typically the responsibility of staff nurses, not nurse leaders. Enforcing healthcare policies (B) is important, but it is not the primary role of a nurse leader. Ensuring regulatory compliance (D) is crucial, but it is a shared responsibility among healthcare professionals and not exclusive to nurse leaders.
Which of the following can cause negative effects on decision making among groups?
- A. Rationalization
- B. Groupthink
- C. Risky shift
- D. Dialectical inquiry
Correct Answer: B
Rationale: Groupthink can cause negative effects on decision making among groups as it involves prioritizing harmony and conformity over critical evaluation of alternatives. This can lead to group members suppressing dissenting opinions and making hasty decisions without considering all perspectives. Rationalization, risky shift, and dialectical inquiry do not specifically focus on the negative impact of group dynamics on decision making like groupthink does.