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What is the main goal of discharge planning?
- A. To ensure that patients are discharged as quickly as possible
- B. To prevent hospital readmissions
- C. To educate patients about their medications
- D. To transition patients from one level of care to another
Correct Answer: B
Rationale: The main goal of discharge planning is to prevent hospital readmissions by ensuring patients have a clear and effective plan for post-discharge care. This includes coordinating follow-up appointments, medication management, and providing necessary support services to promote a successful transition from the hospital to home or another care setting. Choices A, C, and D are incorrect because discharge planning is not primarily about speedy discharge, medication education, or transitioning between care levels; its main focus is on preventing readmissions through comprehensive post-discharge care.
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Which of the following is an example of a sentinel event in healthcare?
- A. A patient falling in the hospital without injury
- B. A near-miss medication error
- C. An unexpected patient death unrelated to the natural course of illness
- D. A patient developing an infection during a hospital stay
Correct Answer: C
Rationale: The correct answer is C. A sentinel event in healthcare is an unexpected patient death unrelated to the natural course of illness. These events are serious occurrences that warrant immediate investigation and response to prevent their recurrence and ensure patient safety. Choices A, B, and D do not fit the definition of a sentinel event. A patient falling without injury, a near-miss medication error, and a patient developing an infection, while concerning, do not meet the criteria of an unexpected patient death unrelated to the natural course of illness.
A 48-year-old male patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L). The nurse will plan to teach the patient about
- A. self-monitoring of blood glucose
- B. using low doses of regular insulin
- C. lifestyle changes to lower blood glucose
- D. effects of oral hypoglycemic medications
Correct Answer: C
Rationale: When a patient has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L), indicating prediabetes, the initial approach is focused on lifestyle modifications to lower blood glucose levels. These changes may include dietary adjustments, increased physical activity, and weight management. Self-monitoring of blood glucose, insulin therapy, and oral hypoglycemic medications are not typically the first-line interventions for patients with prediabetes. Educating the patient about lifestyle changes to lower blood glucose is the most appropriate action at this stage.
Caring is a fundamental value in nursing and serves as the basis for caring leadership. Which of the following statements is true about a caring leader?
- A. A caring leader prioritizes serving others before leading.
- B. A caring leader recognizes and acknowledges the emotions of others.
- C. Traits of a caring leader involve respecting coworkers as individuals and empathizing with their needs and concerns.
- D. A caring leader demonstrates fairness and honesty.
Correct Answer: C
Rationale: A caring leader embodies traits such as respecting coworkers as unique individuals and showing empathy towards their needs and concerns. These qualities are essential for fostering a supportive and compassionate work environment, where team members feel valued and understood. Choice A is incorrect because a caring leader balances serving others with effective leadership, not prioritizing one over the other. Choice B, though important, focuses solely on recognizing emotions and does not encompass the broader traits of caring leadership. Choice D is also important but does not capture the essence of respecting individuals and empathizing with their needs, which are core aspects of caring leadership.
An RN’s current patient and family have presented her with an ethical dilemma. What is the first step the RN should take to find a workable solution to the problem?
- A. Planning
- B. Assessment
- C. Evaluation
- D. Implementation
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is a common barrier to effective delegation?
- A. Lack of trust in team members
- B. Lack of communication
- C. Inadequate training
- D. Lack of resources
Correct Answer: A
Rationale: One of the common barriers to effective delegation is a lack of trust in team members. Delegating tasks involves entrusting responsibilities to others, and without trust in the team members' capabilities, the delegator may struggle to effectively assign tasks. Trust is essential for successful delegation as it allows for empowerment and accountability within the team. Lack of communication is also crucial for effective delegation, but the lack of trust has a more profound impact as it directly affects the ability to delegate tasks. Inadequate training and lack of resources, while important factors, are not as fundamental as trust in team members when it comes to effective delegation.