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During a home safety assessment, a nurse is evaluating a client who is receiving supplemental oxygen. Which observation should the nurse identify as a proper safety protocol?
- A. The client has a weekly inspection checklist for oxygen equipment.
- B. The client stores an extra oxygen tank on its side under their bed.
- C. The client identifies the location of a fire extinguisher.
- D. The client uses a wool blanket on their bed.
Correct Answer: A
Rationale: The correct answer is A because having a weekly inspection checklist for oxygen equipment ensures the client is monitoring the equipment regularly for safety. Choice B is incorrect as storing an oxygen tank on its side can be dangerous. Choice C is not directly related to oxygen safety. Choice D is incorrect because wool blankets can create static electricity, which is a fire hazard.
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Which of the following is the preferable alternative to firing an employee?
- A. Voluntary resignation
- B. Training
- C. Confrontation
- D. Coaching
Correct Answer: A
Rationale: The correct answer is A: Voluntary resignation. This option allows the employee to leave on their own terms, preserving their dignity and potentially avoiding negative consequences of being fired. Training (B) may not address the root issue leading to termination. Confrontation (C) can create a hostile environment and damage morale. Coaching (D) is more focused on improving performance rather than addressing termination. Opting for voluntary resignation promotes a more amicable separation and can benefit both the employee and the organization.
What is the main goal of a nursing quality improvement (QI) program?
- A. To enhance patient safety
- B. To reduce healthcare costs
- C. To ensure regulatory compliance
- D. To maintain high patient satisfaction
Correct Answer: A
Rationale: The correct answer is A: To enhance patient safety. The main goal of a nursing quality improvement program is to improve the quality of care provided to patients, ultimately leading to better patient outcomes and safety. By implementing strategies to enhance patient safety, such as reducing medical errors and improving communication among healthcare team members, the overall quality of care is improved.
Choice B (To reduce healthcare costs) is incorrect because while cost-efficiency may be a secondary benefit of a QI program, it is not the primary goal. Choice C (To ensure regulatory compliance) is also incorrect as regulatory compliance is important but not the main focus of a QI program. Choice D (To maintain high patient satisfaction) is not the main goal of a QI program as patient satisfaction alone does not guarantee improved patient safety or outcomes.
Which of the following best describes decertification?
- A. Encourage union affiliation
- B. Change union affiliation
- C. Reward union affiliation
- D. Empower union affiliation
Correct Answer: B
Rationale: The correct answer is B: Change union affiliation. Decertification refers to the process of employees voting to remove a union as their bargaining representative. This means changing or ending their current union affiliation.
A: Encouraging union affiliation is not related to decertification, as it involves promoting rather than changing union membership.
C: Rewarding union affiliation is not accurate for decertification, as it does not involve rewarding but rather changing the affiliation.
D: Empowering union affiliation is not the correct choice, as decertification does not enhance but rather changes or removes union representation.
A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take?
- A. Pad the client's wrists before applying the restraints.
- B. Evaluate the client's circulation every 8 hours after application.
- C. Secure the restraint ties to the bed's side rails.
- D. Remove the restraints every 4 hours to evaluate the client's status.
Correct Answer: C
Rationale: The correct answer is C: Secure the restraint ties to the bed's side rails. This is important for ensuring the client's safety and preventing harm. Attaching the restraints to the side rails allows for proper immobilization without causing injury or restricting circulation. Padding the client's wrists (choice A) can be uncomfortable and ineffective. Evaluating circulation every 8 hours (choice B) is not frequent enough for monitoring potential issues. Removing restraints every 4 hours (choice D) can increase the risk of injury and should only be done as necessary.
Which of the following is a common characteristic of a Magnet-designated hospital?
- A. High nurse turnover rates
- B. Strong emphasis on interdisciplinary teamwork
- C. Limited opportunities for professional development
- D. Focus on advanced technology for patient care
Correct Answer: B
Rationale: The correct answer is B: Strong emphasis on interdisciplinary teamwork. Magnet-designated hospitals are recognized for their commitment to nursing excellence and quality patient care. Interdisciplinary teamwork is crucial for enhancing patient outcomes and promoting a holistic approach to healthcare. Collaboration among healthcare professionals ensures comprehensive patient care. Other choices are incorrect because high nurse turnover rates, limited professional development opportunities, and a focus on advanced technology do not necessarily define a Magnet-designated hospital.