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An RN is reviewing professional behavior expectations with a group of new nurses. Which of the following statements should be included in the teaching?
- A. It is not OK to discuss your days at work on social media.
- B. When you are passionate about a topic, speak up in professional platforms.
- C. Your behavior outside of the practice setting can impact your license.
- D. Nurses may lose their licenses for unprofessional actions.
Correct Answer: D
Rationale: Correct Answer: D
Rationale:
1. Nurses are held to high professional standards, and unprofessional actions can lead to license revocation.
2. Maintaining professionalism is crucial to ensuring patient safety and trust in the healthcare system.
3. Highlighting consequences reinforces the importance of adhering to ethical standards.
Summary:
A: Irrelevant to professional behavior expectations.
B: While encouraged, passion must be expressed appropriately.
C: True, but does not emphasize the serious consequences of unprofessional behavior.
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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 is an example of a secondary prevention activity?
- A. Blood pressure screening
- B. Administering medications
- C. Developing a care plan
- D. Providing rehabilitation
Correct Answer: A
Rationale: Step-by-step rationale:
1. Secondary prevention aims to detect and treat diseases early to prevent complications.
2. Blood pressure screening helps identify individuals at risk for hypertension-related issues.
3. Early detection through screening allows for timely interventions to prevent further health problems.
4. Administering medications, developing a care plan, and providing rehabilitation are tertiary prevention activities focused on managing existing conditions rather than early detection.
Summary:
Blood pressure screening is the correct example of a secondary prevention activity as it focuses on early detection and intervention to prevent the progression of health issues. Administering medications, developing a care plan, and providing rehabilitation are not considered secondary prevention activities as they are more related to managing existing conditions.
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.
1. To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually (select one that doesn't apply)?
- A. Blood pressure
- B. Serum creatinine
- C. Chest x-ray
- D. Urine for microalbuminuria
Correct Answer: C
Rationale: Step-by-step rationale for correct answer (C):
1. Chest x-ray is not routinely recommended for monitoring complications of type 2 diabetes.
2. Annual blood pressure monitoring is crucial for assessing cardiovascular risk in diabetic patients.
3. Serum creatinine test helps evaluate kidney function, which is often impaired in diabetes.
4. Urine microalbuminuria test detects early signs of kidney damage, common in diabetes.
Summary of incorrect choices:
A: Blood pressure monitoring is essential for assessing cardiovascular risk in diabetes.
B: Serum creatinine test is important for evaluating kidney function in diabetic patients.
D: Urine microalbuminuria test helps detect early kidney damage in diabetes.
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching they received about pain management?
- A. ''I think I should take my pain medication more often, since it is not controlling my pain.''
- B. ''Breathing faster will help me keep my mind off of the pain.''
- C. ''It might help me to listen to music while I'm lying in bed.''
- D. ''I don't want to walk today because I have some pain.''
Correct Answer: D
Rationale: Step 1: The client is verbalizing pain as a 2 indicating mild pain.
Step 2: The client understands the preoperative teaching if they prioritize mobility despite mild pain.
Step 3: Choice D reflects this understanding, as the client is aware of the importance of walking postoperatively.
Step 4: Choices A, B, and C do not demonstrate understanding of preoperative teaching as they focus on increasing medication, distracting from pain, and using music for comfort rather than prioritizing mobility.
Summary: Choice D is correct as it aligns with the goal of postoperative pain management, while choices A, B, and C do not address the importance of mobility in pain management.