Nokea
When a client with a terminal diagnosis asks about advance directives, what should the nurse do?
- A. Engage the client and ask why they want to discuss this without their partner present.
- B. Provide information on advance directives and offer brochures.
- C. Advise the client to schedule a discussion with their provider.
- D. Focus on the client's current feelings and postpone planning for a later time.
Correct Answer: A
Rationale: The correct answer is A because it prioritizes client autonomy and respects their wishes. By engaging the client and asking why they want to discuss advance directives without their partner present, the nurse acknowledges the client's right to make decisions about their own healthcare. This approach promotes open communication and allows the client to express their concerns and preferences freely.
Choice B is incorrect as it assumes the client only needs information and brochures without addressing their specific needs or concerns. Choice C is incorrect as it delays addressing the client's immediate questions and concerns about advance directives. Choice D is incorrect as it disregards the client's request to discuss advance directives and focuses solely on their current feelings.
You may also like to solve these questions
Which of the following are essential components of strategic planning? (Select all that apply.)
- A. Values
- B. Vision & Mission statements
- C. Reengineering
- D. A & B
Correct Answer: D
Rationale: The correct answer is D because values and vision & mission statements are essential components of strategic planning. Values guide decision-making and behavior, ensuring alignment with the organization's principles. Vision & mission statements define the organization's purpose and goals, providing a roadmap for strategic direction. Reengineering, as mentioned in choice C, is a process improvement approach and not an inherent component of strategic planning. Therefore, choice D is the correct answer as it includes the key components necessary for effective strategic planning.
What is the primary goal of a nursing informatics specialist?
- A. Manage patient care
- B. Implement new technology
- C. Improve healthcare delivery
- D. Support clinical decisions
Correct Answer: C
Rationale: The primary goal of a nursing informatics specialist is to improve healthcare delivery. This involves utilizing technology and data to enhance patient outcomes, streamline processes, and increase efficiency in healthcare settings. Nursing informatics specialists focus on integrating information systems to provide better decision-making tools for healthcare providers, ultimately leading to improved patient care. Managing patient care (choice A) is typically the responsibility of healthcare providers, while implementing new technology (choice B) and supporting clinical decisions (choice D) are important aspects but not the primary goal of a nursing informatics specialist, whose main focus is on enhancing healthcare delivery through the effective use of technology and data.
In the grievance process, a nurse disagrees with statements made by a physician about performance and talks to the nurse manager. Which step in the process is this?
- A. First
- B. Second
- C. Third
- D. Fourth
Correct Answer: A
Rationale: The correct answer is A, the first step in the grievance process. When a nurse disagrees with a physician's statements, consulting the nurse manager is an initial step to address the issue informally. This step allows for clarification, communication, and resolution at a lower level before escalating to formal grievance procedures. Choices B, C, and D are incorrect because they pertain to subsequent steps in the process after the issue has become more formalized and escalated beyond the initial stage.
Which of the following best describes the role of a nurse preceptor?
- A. Supervisor of all nursing staff
- B. Mentor and educator for new nurses
- C. Director of nursing services
- D. Coordinator of patient care
Correct Answer: B
Rationale: The correct answer is B: Mentor and educator for new nurses. A nurse preceptor guides and supports new nurses in their transition to the workplace, providing mentorship and educational resources. This role involves teaching clinical skills, sharing knowledge, and offering emotional support.
A: Supervisor of all nursing staff - Incorrect. A nurse preceptor focuses on mentoring new nurses, not supervising all nursing staff.
C: Director of nursing services - Incorrect. The director of nursing services is a higher-level administrative position responsible for overseeing the nursing department.
D: Coordinator of patient care - Incorrect. While a nurse preceptor may assist in coordinating patient care for their assigned nurse, their primary role is to mentor and educate new nurses.
When addressing a policy violation, what is one of the initial steps to take?
- A. Terminate the employee.
- B. Confront the employee.
- C. Discipline the employee immediately.
- D. Determine whether the employee is aware of the policy.
Correct Answer: D
Rationale: The correct answer is D: Determine whether the employee is aware of the policy. This is the initial step to ensure fairness and due process. By confirming the employee's knowledge of the policy, you can address any potential misunderstandings or gaps in communication. Terminating the employee (A) without first verifying their awareness would be hasty and unfair. Confronting the employee (B) may be necessary later, but not as an initial step. Disciplining the employee immediately (C) without understanding their knowledge of the policy could lead to unnecessary conflicts and legal implications. Thus, D is the most appropriate initial step in addressing a policy violation.