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Nurse Managers work with staff to educate them about ways to diffuse potentially violent situations. Which of the following diagnoses can staff expect to be more frequently associated with violence?
- A. Alcohol or drug withdrawal
- B. Anxiety
- C. Depression
- D. Confusion
Correct Answer: A
Rationale: The correct answer is A: Alcohol or drug withdrawal. This is because individuals experiencing withdrawal from alcohol or drugs may exhibit aggressive behavior due to physical and psychological effects of withdrawal. This can lead to volatile and potentially violent situations.
Choice B: Anxiety, and choice C: Depression, are less likely to be directly associated with violent behavior compared to withdrawal symptoms.
Choice D: Confusion, while it can lead to misunderstandings or agitation, is not as consistently linked to violent behavior as alcohol or drug withdrawal.
Therefore, staff should be more prepared to manage and diffuse potentially violent situations when dealing with individuals experiencing alcohol or drug withdrawal.
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When a patient with type 2 diabetes is admitted for a cholecystectomy, which nursing action can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?
- A. Communicate the blood glucose level and insulin dose to the circulating nurse in surgery.
- B. Discuss the reason for the use of insulin therapy during the immediate postoperative period.
- C. Administer the prescribed lispro (Humalog) insulin before transporting the patient to surgery.
- D. Plan strategies to minimize the risk for hypoglycemia or hyperglycemia during the postoperative period.
Correct Answer: C
Rationale: The correct answer is C: Administer the prescribed lispro (Humalog) insulin before transporting the patient to surgery.
Rationale:
1. Administering insulin falls under the scope of practice for an LPN/LVN.
2. Administering lispro insulin before surgery helps maintain the patient's blood glucose within a safe range during the procedure.
3. LPN/LVNs are trained to administer medications safely and accurately.
Summary:
A: Communication with the circulating nurse requires critical thinking and interpretation, which may be beyond the scope of an LPN/LVN.
B: Discussing the reason for insulin therapy involves patient education and interpretation, which are typically responsibilities of a registered nurse.
D: Planning strategies to prevent hypoglycemia or hyperglycemia requires higher-level critical thinking and assessment skills, usually performed by a registered nurse.
Which of the following statements about time management is true?
- A. Time management is not important in nursing
- B. Writing goals will increase stress
- C. Effective time management reduces stress
- D. Setting goals is a time waster
Correct Answer: C
Rationale: The correct answer is C: Effective time management reduces stress. This is because when you manage your time well, you are able to prioritize tasks, allocate sufficient time for each activity, and avoid feeling overwhelmed. By having a clear plan and schedule, you can reduce stress levels and increase productivity.
Now, let's analyze why the other choices are incorrect:
A: Time management is not important in nursing - This is incorrect because time management is crucial in nursing to ensure patient care is delivered efficiently.
B: Writing goals will increase stress - This is incorrect as setting goals helps in providing direction and motivation, reducing stress in the long run.
D: Setting goals is a time waster - This is incorrect because setting goals helps in defining objectives and tracking progress, which is essential for effective time management.
A Nurse Manager completes an interruption log and identifies two staff members who take an inordinate amount of time with drop-in issues that are not urgent. What are some methods to address this behavior in an attempt to better manage time? (Select all that apply.)
- A. Designate specific time slots for drop-in visits.
- B. Position the desk chair so it is not facing the hallway.
- C. Communicate with staff about using e-mail for non-urgent matters to improve time management.
- D. When staff members drop in, the manager should stand and remain standing during the conversation.
Correct Answer: A
Rationale: Correct Answer: A: Designate specific time slots for drop-in visits.
Rationale:
1. Designating specific time slots for drop-in visits allows for better time management by setting boundaries and expectations.
2. It helps staff members plan their interactions with the Nurse Manager, reducing interruptions throughout the day.
3. This method promotes efficiency and productivity by consolidating similar tasks into designated blocks of time.
Summary of other choices:
B: Position the desk chair so it is not facing the hallway - This may help reduce distractions but does not directly address time management.
C: Communicate with staff about using e-mail for non-urgent matters to improve time management - While this is a good practice, it does not specifically address the issue of inordinate time spent on drop-in visits.
D: When staff members drop in, the manager should stand and remain standing during the conversation - Standing may convey urgency, but it does not provide a structured approach to managing time effectively.
Which finding indicates a need to contact the health care provider before the nurse
administers metformin (Glucophage)?
- A. The patient’s blood glucose level is 174 mg/dL.
- B. The patient has gained 2 lb (0.9 kg) since yesterday.
- C. The patient is scheduled for a chest x-ray in an hour
- D. The patient’s blood urea nitrogen (BUN) level is 52 mg/dL.
Correct Answer: D
Rationale: The correct answer is D because an elevated BUN level of 52 mg/dL indicates potential kidney dysfunction, which is a contraindication for metformin due to the risk of lactic acidosis.
A: Blood glucose level of 174 mg/dL is slightly high but not a contraindication for metformin.
B: Weight gain is unrelated to metformin administration.
C: Chest x-ray does not directly impact metformin administration.
Lippitt's phases of change are important factors in the change process. The phase that involves key people in data collection is known as:
- A. Assess the motivation.
- B. Choose a change agent.
- C. Diagnose the problem.
- D. Maintain the change.
Correct Answer: C
Rationale: The correct answer is C: Diagnose the problem. In Lippitt's phases of change, this phase involves key people in data collection to identify the root cause of the issue. Assessing motivation (A) comes before diagnosing the problem, choosing a change agent (B) is about selecting a person to lead the change effort, and maintaining the change (D) occurs after implementation. Diagnosing the problem is crucial as it sets the foundation for developing effective strategies to address the identified issues.