Nokea
Knowing the different modes of communication used by men and women is important for the nurse manager. Which of the following is a difference in communication in unpleasant situations?
- A. Men tend to talk more, and women withdraw.
- B. Men tend to use tag questions.
- C. Women disagree more.
- D. Women talk longer and faster, men disclose more.
Correct Answer: A
Rationale: The correct answer is A because it highlights a common difference in communication styles between men and women in unpleasant situations. Men tend to talk more to assert dominance or control the situation, while women may withdraw to avoid conflict. This difference can impact how conflicts are resolved and relationships are maintained.
Choice B is incorrect as using tag questions is not specifically a gender difference in communication during unpleasant situations. Choice C is incorrect as it generalizes that women disagree more without specifying the context of unpleasant situations. Choice D is incorrect as it focuses on the length and speed of communication rather than addressing the specific behavior in unpleasant situations.
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For a 55-year-old female patient with type 2 diabetes and a nursing diagnosis of imbalanced nutrition: more than body requirements, which goal is most important?
- A. The patient will reach a glycosylated hemoglobin level of less than 7%.
- B. The patient will follow a diet and exercise plan that results in weight loss.
- C. The patient will choose a diet that distributes calories throughout the day.
- D. The patient will state the reasons for eliminating simple sugars in the diet.
Correct Answer: A
Rationale: The correct answer is A: The patient will reach a glycosylated hemoglobin level of less than 7%. This goal is most important because it directly addresses the patient's diabetes management by aiming to achieve good glycemic control. Lowering the HbA1c level to less than 7% is a key indicator of reduced risk for diabetes-related complications. Options B, C, and D are not as critical in addressing the specific nursing diagnosis of imbalanced nutrition. Option B focuses on weight loss, which may not necessarily address the underlying issue of imbalanced nutrition. Option C addresses meal distribution but does not directly target improved glycemic control. Option D emphasizes eliminating simple sugars but does not encompass the comprehensive management of diabetes.
A nurse manager wants to implement a new policy on the unit. What is the first step in the change process according to Lewin's Change Theory?
- A. Unfreeze the system
- B. Move the system to a new level
- C. Refreeze the system
- D. Evaluate the system
Correct Answer: A
Rationale: The correct answer is A: Unfreeze the system. According to Lewin's Change Theory, the first step in the change process is to unfreeze the current state or system to prepare for change. This involves creating awareness of the need for change, addressing any resistance, and establishing a sense of urgency. Moving the system to a new level (choice B) and refreezing the system (choice C) are subsequent steps in the change process after unfreezing. Evaluating the system (choice D) comes later in the process to assess the effectiveness of the change implemented. Therefore, unfreezing the system is the critical initial step to facilitate successful change implementation.
What is the primary role of a nurse in palliative care?
- A. To provide emotional support to patients and families
- B. To coordinate patient care and provide pain management
- C. To administer medications and treatments
- D. To conduct research on end-of-life care
Correct Answer: B
Rationale: The correct answer is B because in palliative care, nurses play a crucial role in coordinating patient care and providing effective pain management. This involves working closely with patients, families, and other healthcare professionals to ensure holistic care and comfort for the patient. Nurses are responsible for assessing and addressing the physical, emotional, and psychological needs of patients in palliative care. Providing pain relief and symptom management is a key aspect of improving the quality of life for patients. Emotional support (choice A) is important but not the primary role. Administering medications (choice C) is a task within the role but not the primary focus. Conducting research (choice D) is valuable but not the primary responsibility of a nurse in palliative care.
What is the main focus of the Magnet Recognition Program?
- A. Nurse satisfaction
- B. Patient outcomes
- C. Financial performance
- D. Nursing excellence
Correct Answer: D
Rationale: The correct answer is D: Nursing excellence. The main focus of the Magnet Recognition Program is to recognize healthcare organizations that demonstrate nursing excellence in practice. This includes promoting a positive work environment, professional development, and quality patient care outcomes. Choice A, nurse satisfaction, is important but not the primary focus of the program. Choice B, patient outcomes, is related to nursing excellence but not the main focus of the program. Choice C, financial performance, is not directly related to nursing excellence and is not a focus of the Magnet Recognition Program.
When a patient who takes metformin (Glucophage) to manage type 2 diabetes develops an allergic rash from an unknown cause, the healthcare provider prescribes prednisone (Deltasone). The nurse will anticipate that the patient may
- A. require administration of insulin while taking prednisone
- B. develop acute hypoglycemia while taking prednisone
- C. require administration of insulin while taking prednisone
- D. have rashes caused by metformin-prednisone interactions
Correct Answer: C
Rationale: Rationale for Correct Answer C (require administration of insulin while taking prednisone):
1. Prednisone can increase blood glucose levels by reducing insulin sensitivity.
2. Metformin alone may not control blood glucose levels adequately in the presence of prednisone.
3. Therefore, the patient may require insulin to manage blood glucose levels while on prednisone.
Summary of Incorrect Choices:
A: This is incorrect because insulin administration is not necessary due to the rash or the interaction between metformin and prednisone.
B: This is incorrect because prednisone can actually increase blood glucose levels, leading to hyperglycemia rather than hypoglycemia.
D: This is incorrect because the rash is not likely caused by an interaction between metformin and prednisone, but rather an allergic reaction to an unknown cause.