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An experienced nurse volunteers to serve on a task force intended to improve the quality of care because she possesses excellent patient care skills and has selected a career goal of working in quality management. However, the nurse is unable to concentrate on any one task or issue and is unable to view the health care milieu sensibly. Which source of energy is missing in this nurse?
- A. Physical
- B. Mental
- C. Spiritual
- D. Emotional
Correct Answer: B
Rationale: The correct answer is B: Mental. The nurse's inability to concentrate and view the healthcare milieu sensibly indicates a lack of mental energy. Mental energy is crucial for focus, problem-solving, decision-making, and critical thinking skills necessary for quality management. Physical energy (A) is related to physical stamina, spiritual energy (C) to inner peace and purpose, and emotional energy (D) to emotional resilience. However, in this case, the nurse's issue is primarily cognitive, highlighting the absence of mental energy.
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An advanced practice nurse inputs into a computer software program the following clinical manifestations: open wound with tibia exposed, petechial hemorrhage, and temporary loss of consciousness. The computer diagnosis of fat emboli is generated by a system known as:
- A. decision support.
- B. telehealth.
- C. robotic technology.
- D. biometric technology.
Correct Answer: A
Rationale: The correct answer is A: decision support. In this scenario, the nurse inputs clinical manifestations into a computer program to assist in generating a diagnosis. Decision support systems use algorithms and data to provide healthcare professionals with evidence-based recommendations or diagnoses. In this case, the system likely recognized the combination of clinical signs as indicative of fat emboli. Telehealth (B) involves remote healthcare services, not diagnosis. Robotic technology (C) and biometric technology (D) are not directly related to clinical diagnosis like decision support systems are.
During an admission history and physical, a female patient states, "I use 5000 mg/day of calcium to prevent osteoporosis and to maintain health." The nurse should assess for:
- A. excessive bleeding.
- B. kidney stones.
- C. lower blood sugar.
- D. jaundice.
Correct Answer: B
Rationale: The correct answer is B: kidney stones. High calcium intake increases the risk of kidney stones due to excess calcium being excreted in the urine. The nurse should assess for symptoms like flank pain, hematuria, and frequent urination. Excessive bleeding (choice A) is not directly related to high calcium intake. Lower blood sugar (choice C) and jaundice (choice D) are not typically associated with calcium intake.
A nurse is assigned to a unit where 95% of all patients required total care. Most days the assistive personnel are able to complete their assignments and provide high-quality care. A patient returning from a procedure was somehow "skipped" when daily baths were performed and requests that her care now be provided. The nurse discovers the bed is rumpled and damp. The RN joins with some other staff to bathe the patient, change the bed, and help make the patient comfortable. These staff members are demonstrating:
- A. altruism.
- B. veracity.
- C. autonomy.
- D. whistle-blowing.
Correct Answer: A
Rationale: The correct answer is A: altruism. Altruism is the selfless concern for the wellbeing of others, which is demonstrated by the staff members helping the patient in need without hesitation. In this scenario, the staff members are putting the patient's needs above their own, showing compassion and empathy. This aligns with the principle of altruism in nursing, where caregivers prioritize the welfare of their patients.
Choices B, C, and D are incorrect:
B: Veracity refers to truthfulness and honesty. While these are important traits in nursing, they are not the focus of the staff members' actions in this scenario.
C: Autonomy is the right of individuals to make decisions about their own care. In this situation, the patient is not exercising autonomy, but rather relying on the staff for assistance.
D: Whistle-blowing involves reporting unethical or illegal behavior within an organization. There is no indication of any wrongdoing that would require whistle-blowing in this scenario.
Positive time management skills include:
- A. maintaining an open-door policy.
- B. retaining all paperwork.
- C. returning all telephone calls immediately.
- D. scheduling daily activities.
Correct Answer: D
Rationale: The correct answer is D: scheduling daily activities. This is because positive time management skills involve planning and organizing tasks to effectively utilize time. By scheduling daily activities, individuals can prioritize tasks, set goals, and allocate time efficiently. This helps in achieving productivity and reducing stress.
Choice A (maintaining an open-door policy) is incorrect as it pertains to communication style, not time management. Choice B (retaining all paperwork) is not directly related to time management but rather to organization. Choice C (returning all telephone calls immediately) is also not a direct indicator of effective time management as it focuses on communication responsiveness rather than overall time utilization.
An orthopedic unit is considering different types of care delivery models and staff have an opportunity to ask questions about how the models differ. The nurse manager provides an overview and uses the above visual to demonstrate which model of care delivery?
- A. Team
- B. Partnership
- C. Primary
- D. Functional
Correct Answer: A
Rationale: The correct answer is A: Team. In a team care delivery model, multiple healthcare professionals work collaboratively to provide comprehensive care to patients. This is demonstrated in the visual of the orthopedic unit considering different types of care delivery models. The team model emphasizes teamwork, communication, and coordination among healthcare providers to ensure holistic patient care.
Summary of why other choices are incorrect:
B: Partnership typically involves collaboration between healthcare providers and patients but may not necessarily involve multiple healthcare professionals working together as a team.
C: Primary care delivery model focuses on the patient's main point of contact, usually a primary care physician, rather than a team approach.
D: Functional care delivery model organizes care based on specific functions or tasks, which may not emphasize the collaborative teamwork seen in a team care delivery model.