Nokea
A Staff Nurse submits a six-week notice of resignation. The Nurse Manager prepares a request to immediately post the position and begin interviews. This action is best described as which of the following?
- A. Delegation
- B. A time-waster
- C. Reactive management
- D. Proactive management
Correct Answer: D
Rationale: The correct answer is D: Proactive management. This is because the Nurse Manager is taking preemptive action by posting the position and starting interviews immediately upon receiving the resignation notice. This proactive approach ensures a smooth transition and minimizes disruptions in patient care.
Choice A, Delegation, is incorrect because the Nurse Manager is not assigning tasks to others but taking direct action. Choice B, A time-waster, is incorrect as the Manager's actions are aimed at being efficient and timely. Choice C, Reactive management, is incorrect as the Manager is not waiting for an issue to arise but is being proactive in planning for the future.
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What is a common method used to collect work activity information from an applicant?
- A. Self-report logs
- B. Work sample questions
- C. Motion studies
- D. Interviewing
Correct Answer: B
Rationale: The correct answer is B: Work sample questions. This method allows applicants to demonstrate their skills in real work scenarios, providing concrete evidence of their abilities. Self-report logs (A) rely on subjective information, which may not accurately reflect the applicant's actual work activity. Motion studies (C) involve observing and analyzing work processes, but do not directly collect information from applicants. Interviewing (D) is a common method for gathering information but may not always provide specific details about an applicant's work activities compared to work sample questions.
What is the main purpose of health informatics?
- A. To manage patient care
- B. To store patient records
- C. To enhance clinical decision making
- D. To improve healthcare policies
Correct Answer: C
Rationale: The correct answer is C: To enhance clinical decision making. Health informatics involves utilizing technology to collect, store, analyze, and present healthcare data to support clinical decision-making processes. By leveraging data and information systems, healthcare providers can access relevant information quickly and make informed decisions that improve patient outcomes.
Explanation of why the other choices are incorrect:
A: To manage patient care - While health informatics plays a role in managing patient care through data management and analysis, its primary purpose is to improve decision-making processes rather than directly managing care.
B: To store patient records - Storing patient records is an essential function of health informatics, but the main purpose goes beyond mere storage to include utilizing data to support decision-making.
D: To improve healthcare policies - Health informatics can contribute to evidence-based policymaking by providing data insights, but its main focus is on enhancing clinical decision-making rather than policy development.
Which of the following laws govern nursing practice?
- A. Statutory laws
- B. Common law
- C. Administrative laws
- D. Constitutional laws
Correct Answer: A
Rationale: The correct answer is A: Statutory laws. Nursing practice is primarily governed by statutory laws, which are laws enacted by legislative bodies such as state nursing practice acts. These laws outline the scope of practice, licensure requirements, and standards of care for nurses. Common law, administrative laws, and constitutional laws do not specifically regulate nursing practice. Common law refers to legal precedents established by court decisions, administrative laws pertain to regulations set by administrative agencies, and constitutional laws deal with the fundamental principles outlined in the constitution. Therefore, A is the correct choice as it directly relates to the specific legal framework that governs nursing practice.
A healthcare professional is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes should the healthcare professional identify as an indication that the treatment was successful?
- A. Increase in hematocrit
- B. Increase in respiratory rate
- C. Decrease in heart rate
- D. Decrease in capillary refill time
Correct Answer: D
Rationale: The correct answer is D: Decrease in capillary refill time. Administering 0.9% sodium chloride helps to increase blood volume and improve tissue perfusion, leading to a decrease in capillary refill time. This improvement indicates that the treatment was successful in addressing the fluid volume deficit.
A: Increase in hematocrit would not be an immediate indication of the success of fluid resuscitation as it may take time for the hematocrit levels to reflect changes in blood volume.
B: Increase in respiratory rate could indicate respiratory distress or other issues not related to the effectiveness of fluid resuscitation.
C: Decrease in heart rate could be due to various factors and may not directly correlate with the success of fluid replacement therapy.
In summary, the most immediate and direct indicator of successful fluid resuscitation in this scenario is a decrease in capillary refill time.
A client experiences difficulty breathing after the change of shift. The nurse on duty discovers that the IVFs were infusing at a rate 10 times the calculated normal. After notifying the physician and correcting the 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 in the client's care because documenting the incident is crucial for quality improvement and patient safety. It helps identify the root cause, prevent future errors, and ensure accountability. Notifying the family (A) may be necessary but not the immediate next step. Disciplining the previous nurse (B) is not appropriate without a thorough investigation. Obtaining legal consultation (D) may be needed later but is not the immediate priority.