Nokea
How did the Social Security Act of 1935 impact public health nursing?
- A. Disabled children
- B. Mentally disabled
- C. Older adults
- D. Opioid addicts
Correct Answer: A
Rationale: The Social Security Act of 1935 impacted public health nursing by providing financial assistance to families with disabled children. This support helped improve access to healthcare services and resources for disabled children, leading to better health outcomes. The Act did not specifically address mentally disabled individuals, older adults, or opioid addicts in the same way as it did for disabled children. Therefore, choice A is correct as it directly aligns with the Act's provisions for supporting disabled children.
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Which of the following best describes the role of a nurse advocate?
- A. Direct patient care provider
- B. Advocate for patient needs
- C. Manage nursing staff
- D. Ensure policy adherence
Correct Answer: B
Rationale: The correct answer is B, advocate for patient needs. A nurse advocate acts as a voice for patients, ensuring their rights are respected and needs are met. This involves advocating for proper care, treatment, and support. Direct patient care provider (A) focuses on hands-on patient care. Managing nursing staff (C) involves overseeing and coordinating staff, not directly advocating for patients. Ensuring policy adherence (D) involves following organizational policies and procedures, not necessarily advocating for individual patient needs. In summary, the role of a nurse advocate is to prioritize and champion the best interests of the patient.
An expensive variable in salary budgets is overtime pay. Which of the following is a viable option to reduce overtime?
- A. Limiting overtime for highly paid workers
- B. Reducing the number of beds
- C. Using per diem workers
- D. Refusing to pay overtime
Correct Answer: C
Rationale: The correct answer is C: Using per diem workers. This option is viable because per diem workers can be brought in to cover shifts without incurring overtime costs. By utilizing per diem workers, the organization can reduce the need for regular staff to work overtime hours, hence decreasing overall overtime expenses.
A: Limiting overtime for highly paid workers is not a practical solution as all workers, regardless of pay, may contribute to the need for overtime.
B: Reducing the number of beds may lead to reduced capacity and impact patient care, not directly addressing the issue of reducing overtime.
D: Refusing to pay overtime is not a sustainable solution as it may lead to legal issues and impact employee morale and productivity.
When a client experiences a major incident, what is the time frame for reporting the incident?
- A. 24 hours.
- B. 36 hours.
- C. 48 hours.
- D. 72 hours.
Correct Answer: A
Rationale: The correct answer is A: 24 hours. Reporting a major incident within 24 hours is crucial for prompt resolution and mitigation of potential impacts. This timeframe allows for timely assessment, communication, and implementation of necessary actions. Reporting within 24 hours enables the organization to adhere to regulatory requirements, maintain transparency, and initiate the incident management process effectively. Choices B, C, and D are incorrect as delaying reporting beyond 24 hours can result in increased risks, hinder the organization's ability to respond effectively, and may lead to non-compliance with regulations.
A manager has been given a deadline to complete an assignment by the end of the day. It will take every minute left of the afternoon to complete. Which interventions illustrate assertiveness to minimize interruptions in order to meet the deadline? (Select all that apply.)
- A. Allowing voicemail to answer all incoming calls or turning off email notification
- B. Delegating a discharge planning issue for a patient to one of the staff nurses
- C. Placing a 'Do Not Disturb for the Afternoon' sign on the office door
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D because all the interventions mentioned demonstrate assertiveness in minimizing interruptions to meet the deadline.
A: Allowing voicemail or turning off email notifications shows assertiveness in managing communication.
B: Delegating tasks to staff nurses frees up the manager's time to focus on the assignment.
C: Placing a 'Do Not Disturb' sign sets clear boundaries to avoid interruptions.
In summary, each intervention in choice D actively addresses potential interruptions, allowing the manager to concentrate on completing the assignment within the deadline.
A few weeks after an 82-year-old with a new diagnosis of type 2 diabetes has been placed on metformin (Glucophage) therapy and taught about appropriate diet and exercise, the home health nurse makes a visit. Which finding by the nurse is most important to discuss with the healthcare provider?
- A. Hemoglobin A1C level is 7.9%.
- B. Last eye exam was 18 months ago.
- C. Glomerular filtration rate is decreased.
- D. Patient has questions about the prescribed diet.
Correct Answer: C
Rationale: The correct answer is C: Glomerular filtration rate is decreased. This finding is most important to discuss because metformin can potentially worsen kidney function, especially in older adults. A decreased GFR could indicate renal impairment, making it necessary to reevaluate the medication regimen.
A: Hemoglobin A1C level is 7.9% - While this indicates poor diabetic control, it is not as urgent as addressing potential renal issues with metformin.
B: Last eye exam was 18 months ago - While regular eye exams are important for diabetic patients, it is not as critical as addressing renal function.
D: Patient has questions about the prescribed diet - While patient education is crucial, it is not as urgent as addressing potential renal complications.
In summary, the priority is to address the decreased GFR to ensure the patient's safety and well-being.