Nokea
One reason for conducting a comprehensive medical exam on an applicant is:
- A. It is needed to protect the organization from legal actions.
- B. It is required after a strenuous interview.
- C. It is mandated by law.
- D. It is necessary to screen for disabilities that may impact employment.
Correct Answer: A
Rationale: The correct answer is A because conducting a comprehensive medical exam helps protect the organization from potential legal actions related to discriminatory hiring practices. It ensures that the applicant meets the job's physical requirements and doesn't pose a health risk to themselves or others in the workplace. Choice B is incorrect as medical exams are not typically required after interviews. Choice C is incorrect as not all jurisdictions mandate comprehensive medical exams. Choice D is incorrect as screening for disabilities should be done through non-discriminatory means, not solely through medical exams.
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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.
A nurse is caring for a client after knee replacement surgery. The nurse discovers that the consent was not signed before the surgery. Which of the following charges could be filed?
- A. False imprisonment
- B. Libel
- C. Battery
- D. Malpractice
Correct Answer: C
Rationale: The correct answer is C: Battery. In this scenario, performing surgery without obtaining consent constitutes battery, which is the intentional touching of another person without consent. It is a violation of the client's right to autonomy and self-determination. False imprisonment (A) involves restraining someone without justification. Libel (B) is a written defamation of character, and malpractice (D) refers to professional negligence in providing healthcare services. Battery is the most appropriate charge in this situation as it directly addresses the lack of consent for the surgery.
When communicating with a client who has a complaint, what principle is important to keep in mind?
- A. Supervisors should always be involved.
- B. The client's physician is often the cause of the problem.
- C. Avoid discussion of complaints.
- D. Clients and families should be treated with respect; communication should be open and honest.
Correct Answer: D
Rationale: The correct answer is D. It is important to treat clients and families with respect, practicing open and honest communication. This fosters trust, helps address concerns, and improves client satisfaction. Choice A is incorrect as involving supervisors may not always be necessary. Choice B is incorrect as the physician may not always be the cause of the problem. Choice C is incorrect as avoiding discussion can lead to unresolved issues. In summary, choice D promotes a positive and effective client-provider relationship, while the other choices do not address the core principles of effective communication and client-centered care.
What quality is observed among individuals who strive to find the best way to do their job?
- A. Punctuality
- B. Strictness
- C. Honesty
- D. Motivation
Correct Answer: D
Rationale: The correct answer is D: Motivation. Individuals who strive to find the best way to do their job are motivated to continuously improve and excel in their work. Motivation drives them to seek out better methods, innovate, and push boundaries for greater efficiency and effectiveness. Punctuality (A) relates more to timeliness, strictness (B) implies rigidity rather than adaptability, and honesty (C) is important but not directly related to the drive for improvement. Overall, motivation is the key factor that propels individuals to constantly seek the best ways to perform their job.
If a staff member does not respond to discipline, the manager must ______ employment.
- A. Terminate
- B. Confront
- C. Describe the staff nurse's behavior that violated the policy
- D. Determine the employee's awareness of the policy
Correct Answer: A
Rationale: The correct answer is A: Terminate. If a staff member is not responding to discipline, it indicates a serious issue with their behavior or performance. Terminating their employment may be necessary to maintain discipline and uphold organizational standards. Confronting (B) and describing behavior (C) are initial steps in addressing the issue but may not be effective if the staff member continues to be non-responsive. Determining awareness (D) of the policy is important but does not directly address the lack of response to discipline. Terminating employment may be a last resort to maintain the integrity of the organization.