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Constant reports of inadequate pain control in clients indicate which of the following?
- A. Improper administration of medications
- B. Potential substance abuse by the healthcare provider
- C. Poorly written prescriptions
- D. Inadequate scheduling by healthcare providers
Correct Answer: B
Rationale: The correct answer is B: Potential substance abuse by the healthcare provider. Constant reports of inadequate pain control could indicate potential substance abuse by the healthcare provider. This is because substance abuse can impair judgment and lead to inappropriate prescribing practices, resulting in inadequate pain management for clients. The other choices are incorrect because improper administration of medications (A), poorly written prescriptions (C), and inadequate scheduling by healthcare providers (D) are more likely to be isolated incidents rather than consistent patterns of inadequate pain control.
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What characteristics will you emphasize in a job interview that will positively influence the meeting?
- A. Patient diagnoses that are of greatest interest.
- B. Avoiding challenging patient assignments to minimize the risk of making a mistake.
- C. Number of times you inserted a nasogastric tube.
- D. Your grades on your scholarly papers in nursing school.
Correct Answer: D
Rationale: The correct answer is D because emphasizing your grades on scholarly papers in nursing school shows your academic achievements and commitment to learning. It demonstrates your ability to grasp complex nursing concepts and apply them effectively. This can positively influence the interview by showcasing your strong foundation in nursing knowledge and skills.
A, patient diagnoses, may be important but focusing solely on this may not demonstrate your overall capabilities as a nurse. B, avoiding challenging patient assignments, shows a lack of confidence and willingness to grow. C, number of times you inserted a nasogastric tube, is a specific skill that may not be relevant to all nursing positions and doesn't reflect your overall competence as a nurse.
In our culturally diverse society, barriers to health care result from:
- A. Prejudice
- B. Different socioeconomic status
- C. Differences in language
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D, "All of the above." Prejudice can lead to discrimination in healthcare access. Different socioeconomic status can limit affordability of healthcare services. Differences in language can hinder effective communication and understanding of healthcare information. All three factors contribute to barriers in healthcare access, affecting individuals from diverse backgrounds. By selecting D, we acknowledge the multifaceted nature of barriers to healthcare in a culturally diverse society.
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.
Which of the following is one of the sources used to determine the reason for voluntary turnover?
- A. Following-up phone calls
- B. Employee questioning
- C. Benchmarking
- D. Exit interviewing
Correct Answer: D
Rationale: The correct answer is D: Exit interviewing. Exit interviews involve conducting structured interviews with employees who are leaving an organization voluntarily to understand their reasons for leaving. This method provides valuable insights into the factors contributing to turnover. Exit interviews are a direct way to gather feedback and identify patterns or issues that may be leading to voluntary turnover.
A: Following-up phone calls may not provide in-depth information or allow for a structured approach to understanding the reasons for turnover.
B: Employee questioning is vague and does not specify a method for gathering feedback, unlike the structured approach of exit interviews.
C: Benchmarking involves comparing data with industry standards and may not provide specific insights into individual reasons for voluntary turnover within an organization.
In summary, exit interviewing is the most effective source for determining the reasons for voluntary turnover as it offers a structured and direct approach to gathering valuable feedback from departing employees.
The complexities of the current health care delivery systems require a variety of leadership styles. Which of the following leadership styles would be most effective in this environment?
- A. Autocratic leadership
- B. Laissez-faire leadership
- C. Transactional leadership
- D. Transformational leadership
Correct Answer: D
Rationale: The correct answer is D: Transformational leadership. In the current health care environment, transformational leadership is most effective as it focuses on inspiring and motivating individuals to achieve a common goal through innovation and vision. This style encourages creativity, adaptability, and collaboration, which are essential in navigating the complexities of the health care delivery systems. Transformational leaders empower their team members, foster a culture of continuous improvement, and drive positive change. Autocratic leadership (A) is too controlling, Laissez-faire leadership (B) lacks direction and accountability, and Transactional leadership (C) focuses on rewards and punishments rather than inspiring and developing individuals.