Nokea
For the evaluation feedback process to be effective, the medical-surgical nurse who is a manager
- A. conducts weekly meetings with staff members.
- B. considers staff members' interests and abilities when delegating tasks.
- C. provides goals for staff members to meet.
- D. informs staff members regularly of how well they are performing their jobs.
Correct Answer: D
Rationale: Regular feedback helps staff understand their performance and areas for improvement.
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A client wants help choosing between apitherapy and chiropractic treatments. Compare and contrast the two methods in terms of safety and insurance coverage.
- A. Apitherapy involves bee venom therapy and may not be covered by insurance; chiropractic treatments focus on spinal manipulation and are often covered.
- B. Both methods are equally safe and covered by insurance.
- C. Neither method is safe or covered by insurance.
- D. Safety and coverage depend solely on the client's insurance provider.
Correct Answer: A
Rationale: Apitherapy and chiropractic treatments differ in safety profiles and insurance coverage, requiring careful evaluation.
19. Which herb may relieve anxiety but can cause hepatotoxicity?
- A. Kava
- B. Ginseng
- C. Milk thistle
- D. Ginkgo biloba
Correct Answer: A
Rationale: Kava (option A) is known for its anxiolytic properties but carries a risk of hepatotoxicity if misused.
Which action occurs primarily during the evaluation phase of the nursing process?
- A. Data collection.
- B. Decision-making and judgment.
- C. Priority-setting and expected outcomes.
- D. Reassessment and audit.
Correct Answer: B
Rationale: Evaluation involves assessing whether goals were met and making judgments about care effectiveness.
Which of the following cancer patients could less ergenically be placed together as roommates?
- A. A patient with a neutrophil count of 1000/mm³.
- B. A patient who underwent debulking of a tumor to relieve pressure.
- C. A patient receiving high-dose chemotherapy after a bone marrow harvest.
- D. A patient who is post-op laminectomy for spinal cord compression.
Correct Answer: B
Rationale: Patients undergoing debulking surgery are generally less immunocompromised compared to those receiving high-dose chemotherapy or with severely low neutrophil counts.
Denise is recovering from an open cholecystectomy. You know that because of the location of the surgery, she has an increased risk of postoperative:
- A. Myocardial infarction.
- B. Respiratory complications.
- C. Deep vein thrombosis.
- D. Wound infection.
Correct Answer: B
Rationale: Open cholecystectomy involves abdominal surgery, which can impair respiratory function due to pain and reduced mobility. This increases the risk of respiratory complications such as atelectasis or pneumonia.