Nokea
Describe how you would go about building a case plan as a case manager.
- A. Assess needs, set goals, identify resources, monitor
- B. Dictate goals, enforce rules, evaluate compliance
- C. Focus only on individual issues, ignore family
- D. Refer out all tasks to specialists
Correct Answer: A
Rationale: Building a case plan involves collaborative assessment, goal-setting, resource linkage, and progress tracking.
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You are the Nurse Manager for the trauma unit. Which of these staff comments or statements do not indicate the need for you to provide an educational activity relating to confidentiality and information security?
- A. “A computer in the hallway was left unattended and a client's medical record was visible to me.â€
- B. “I j ust saw a nursing student looking at the medical record for a client that they are NOT caring for during this clinical experience.â€
- C. “As I was walking past the nursing station, I saw a dietician reading the progress notes written by members of the laboratory department in addition to other dieticians' progress notes.â€
- D. “I refused the nursing supervisor's request to share my electronic password for the new nurse on the unit.â€
Correct Answer: D
Rationale: These scenarios highlight breaches in confidentiality and security.
If it is the right of the patient to decide whom to disclose personal medical information to, how should the physician respond when requested to withhold information about a diagnosis from family members?
- A. Attempt to convince the patient to tell his/her family of their diagnosis
- B. Ignore the patient's request and ask to have a family conference
- C. Accept the patient's wishes without further discussion
- D. Initiate further discussion and help the patient identify a surrogate decision maker
Correct Answer: D
Rationale: Discussion respects autonomy while preparing for future decision-making needs.
Which nursing-focused activity is best directed toward the future of evidence-based psychiatric nursing practice?
- A. Offering depression screening to all ages on a regular basis
- B. Working towards an advanced practice psychiatric nursing degree
- C. Discussing nursing interventions with the client's multidisciplinary care team
- D. Re-evaluating the validity of traditionally accepted psychiatric nursing care interventions
Correct Answer: D
Rationale: The correct answer is D because re-evaluating the validity of traditionally accepted psychiatric nursing care interventions aligns with evidence-based practice principles. By critically examining current practices and seeking evidence to support them, nurses can ensure that interventions are based on the best available evidence.
A: Offering depression screening is important but does not specifically address evidence-based practice for psychiatric nursing.
B: Pursuing an advanced practice degree is beneficial for individual growth but does not directly impact evidence-based practice for the field.
C: Discussing nursing interventions with the care team is collaborative but may not necessarily focus on evidence-based practice specifically.
Which statement is most concerning regarding a depressed client's state of mind?
- A. I just want to go to sleep and not wake up.'
- B. When I get out of here I'm going to kill myself.'
- C. I'm so tired of living like this; I want it to be over.'
- D. Shooting myself with dad's gun will end it all quickly.'
Correct Answer: D
Rationale: The correct answer is D because it specifically mentions a method of suicide involving a gun, indicating a higher level of planning and immediacy. This statement suggests a clear intent to harm oneself and poses an immediate risk. Choice A expresses a desire to escape but lacks a specific plan. Choice B indicates a future intent, which may not necessarily pose an immediate risk. Choice C expresses a desire for the suffering to end but does not specify a method, indicating a lower level of immediate risk compared to choice D.
he theorist who believes that human have free will is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: B
Rationale: Carl Rogers' humanistic theory emphasizes free will and agency.