Nokea
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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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.
What are the final stages of the conflict process?
- A. Antecedent conditions
- B. Perceived and felt conflict
- C. Suppression and resolution
- D. Conflict behavior
Correct Answer: C
Rationale: The correct answer is C: Suppression and resolution. In the final stages of the conflict process, individuals may try to suppress their feelings or behaviors related to the conflict, and ultimately work towards resolving the conflict through communication, negotiation, or seeking a mutually agreeable solution. Antecedent conditions (A) refer to factors that lead to conflict, perceived and felt conflict (B) are early stages of conflict where individuals become aware of the disagreement, and conflict behavior (D) pertains to the actions taken during the active conflict phase. Therefore, C is the correct choice as it specifically addresses the final actions taken to manage and resolve the conflict.
What is the primary focus of the Triple Aim in healthcare?
- A. Improving patient experience
- B. Reducing healthcare costs
- C. Improving population health
- D. Ensuring regulatory compliance
Correct Answer: A
Rationale: The primary focus of the Triple Aim in healthcare is to improve patient experience, which encompasses quality, safety, and satisfaction. This approach aims to enhance care delivery, promote patient-centeredness, and optimize outcomes. Reducing healthcare costs and improving population health are important aspects but are secondary to enhancing the patient experience. Ensuring regulatory compliance is crucial but not the primary objective of the Triple Aim framework. Thus, choice A is correct as it aligns with the core principle of prioritizing the needs and preferences of patients for better overall healthcare outcomes.
Which of the following is a key principle of team nursing?
- A. Decentralized decision making
- B. Centralized decision making
- C. Individual accountability
- D. Shared responsibility
Correct Answer: D
Rationale: The correct answer is D: Shared responsibility. In team nursing, all team members share responsibility for patient care, promoting collaboration and teamwork. This principle ensures that each team member contributes to decision-making and patient outcomes.
A: Decentralized decision making is not a key principle of team nursing as it involves individual team members making decisions independently, which can lead to lack of coordination.
B: Centralized decision making is also not a key principle of team nursing as it involves decision-making being controlled by a single authority, undermining the collaborative nature of team nursing.
C: Individual accountability is important in team nursing, but it is not the key principle. Shared responsibility emphasizes collective accountability and collaboration among team members.
What is the primary purpose of a patient-centered medical home (PCMH)?
- A. To coordinate all aspects of patient care
- B. To reduce healthcare costs
- C. To implement the latest clinical guidelines
- D. To provide financial incentives for providers
Correct Answer: A
Rationale: The primary purpose of a patient-centered medical home (PCMH) is to coordinate all aspects of patient care (Choice A). This model aims to improve patient outcomes by ensuring comprehensive and coordinated care that meets the individual's needs. PCMH focuses on enhancing patient-provider communication, care coordination, and patient engagement to deliver high-quality care. Choices B, C, and D are incorrect because while PCMH may indirectly contribute to reducing healthcare costs and implementing clinical guidelines, the main focus is on improving patient care coordination and quality outcomes. Providing financial incentives for providers is not the primary purpose of PCMH, but rather a potential outcome of improved care coordination.