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How has advanced technology in health care, such as integrated health records, benefited nurses?
- A. Skip the assessment step of the nursing process
- B. Order medications
- C. Take blood samples
- D. Track patients' vital signs
Correct Answer: D
Rationale: The correct answer is D: Track patients' vital signs. Advanced technology in health care, like integrated health records, allows nurses to efficiently monitor and analyze patients' vital signs in real-time. This helps them make informed decisions and provide timely interventions. Nurses still need to conduct thorough assessments (eliminating choice A), order medications (not solely technology-dependent like choice B), and take blood samples (a part of physical assessments, not solely technology-related like choice C). Tracking vital signs is crucial in patient care, as it provides continuous monitoring and early detection of any changes, allowing nurses to intervene promptly.
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The complexities of the current health care delivery systems require a variety of leadership styles. Which of the following is one that has emerged in response to these changes?
- A. Quantum
- B. Servant
- C. Autocratic
- D. Democratic
Correct Answer: A
Rationale: The correct answer is A: Quantum. Quantum leadership style emphasizes adaptability, innovation, and collaboration, which are essential in navigating the complexities of modern healthcare systems. This style encourages leaders to be flexible, open to change, and able to think holistically.
Servant leadership (B) focuses on serving others and may not provide the agility needed to address the rapidly evolving healthcare landscape. Autocratic leadership (C) is authoritative and may not foster the necessary collaboration and empowerment required in modern healthcare settings. Democratic leadership (D) involves shared decision-making but might not be as transformative and adaptable as quantum leadership in response to the complexities of healthcare delivery systems.
There are many ways to ensure that your appraisal system is nondiscriminatory. Which of the following is one way to ensure this?
- A. Giving the appraisal once per year
- B. Having no appeal process
- C. Withholding information from the employee
- D. Not allowing any input from the employee
Correct Answer: A
Rationale: Step-by-step rationale:
1. Giving the appraisal once per year ensures consistency and fairness in evaluating employee performance.
2. Regular appraisals help in tracking progress, identifying areas of improvement, and providing feedback.
3. Annual appraisals reduce the likelihood of biases affecting the evaluation process.
4. This approach allows for a structured review process and aligns with best practices in performance management.
Summary:
- Choice B is incorrect as having no appeal process can lead to unfairness and lack of transparency.
- Choice C is incorrect as withholding information hinders employee development and communication.
- Choice D is incorrect as employee input is essential for a comprehensive and balanced appraisal process.
Which statement by the patient indicates a need for additional instruction in administering
insulin?
- A. 'I need to rotate injection sites among my arms, legs, and abdomen each day.'
- B. 'I can buy the 0.5 mL syringes because the line markings will be easier to see.'
- C. 'I should draw up the regular insulin first after injecting air into the NPH bottle.'
- D. 'I do not need to aspirate the plunger to check for blood before injecting insulin.'
Correct Answer: A
Rationale: The correct answer is A: "I need to rotate injection sites among my arms, legs, and abdomen each day." This statement indicates a need for additional instruction because rotating injection sites within the same day is not recommended. Insulin injections should be given at the same general time each day but rotated within the same anatomical site to avoid inconsistent absorption rates and potential lipohypertrophy. Choices B, C, and D all demonstrate correct understanding of insulin administration techniques, including syringe selection based on markings, correct order of drawing up insulin types, and the lack of need to aspirate the plunger to check for blood before injecting.
As part of Magnet Recognition, you are asked to present your evidence-based practice poster at a national conference. The health care facility supports your participation. Where would information about your participation in the conference need to be communicated? (Select all that apply.)
- A. In a communication to all staff nurses to inspire them.
- B. At a conference within the health care facility.
- C. In an email to a friend.
- D. In a presentation with select individuals.
Correct Answer: A
Rationale: The correct answer is A. By communicating your participation to all staff nurses, you can inspire them to engage in evidence-based practice. This fosters a culture of learning and innovation. Choice B is incorrect because the conference is external and not held within the health care facility. Choice C is irrelevant as it involves informing a friend rather than the professional environment. Choice D is also incorrect as it limits the audience to select individuals, missing the opportunity to spread awareness and inspire a broader group within the facility.
A nurse enters a client's room and finds them on the floor. The client's roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. Which of the following statements should the nurse document about this incident?
- A. Incident report completed.
- B. Client climbed over the side rails.
- C. Client was trying to get out of bed.
- D. Client found lying on floor.
Correct Answer: C
Rationale: Rationale: The correct answer is C because it accurately describes the situation based on the information provided. Documenting that the client was trying to get out of bed aligns with the roommate's report of the incident. This statement is factual and relevant to the client's condition.
Summary:
A: Incident report completed - Not relevant to documenting the client's actions during the fall.
B: Client climbed over the side rails - Assumes an action not reported by the roommate.
D: Client found lying on floor - Describes the outcome, but does not explain the cause of the fall.