Organizations are made up of intertwined links and diversified choices that generate unanticipated consequences. This defines which of the following theories?
- A. Contingency theory
- B. Closed system theory
- C. Open system theory
- D. Chaos theory
Correct Answer: D
Rationale: The correct answer is D: Chaos theory. Chaos theory explains how complex systems, like organizations, can exhibit unpredictable behavior due to small changes in initial conditions. In this context, the interconnectedness and diverse choices within organizations result in unanticipated consequences. Contingency theory (A) focuses on adapting to environmental factors, closed system theory (B) suggests organizations are isolated from the environment, and open system theory (C) emphasizes interactions with the external environment, but none directly address the unpredictable consequences arising from intertwined links and diverse choices within organizations like Chaos theory does.
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What is the primary focus of case management in nursing?
- A. Direct patient care
- B. Resource management
- C. Financial planning
- D. Quality assurance
Correct Answer: A
Rationale: The correct answer is A: Direct patient care. Case management in nursing focuses primarily on coordinating care, advocating for patients, and ensuring their needs are met. This involves direct patient interaction, collaborating with healthcare providers, and addressing the patient's physical, emotional, and social well-being. Resource management (B) involves allocating resources efficiently, financial planning (C) focuses on budgeting and financial aspects, and quality assurance (D) pertains to monitoring and improving healthcare standards. These options are important in healthcare but are not the primary focus of case management in nursing.
A 26-year-old patient with diabetes rides a bicycle to and from work every day. Which site should the nurse teach the patient to administer the morning insulin?
- A. Thigh
- B. Buttock
- C. Abdomen
- D. Upper arm
Correct Answer: C
Rationale: The correct site to administer morning insulin for a patient who rides a bicycle daily is the abdomen. The abdomen has consistent and faster absorption rates due to increased blood flow and muscle activity during exercise, ensuring better insulin absorption and efficacy. Insulin absorption is slower in the thigh and buttock due to less muscle movement and blood flow. The upper arm may not be as convenient for self-administration and may result in inconsistent absorption.
Nonverbal messages in communication, including body language and environmental factors, are called ___________.
- A. lateral communication
- B. upward communication
- C. metacommunications
- D. downward communication
Correct Answer: C
Rationale: The correct answer is C: metacommunications. Nonverbal messages in communication, such as body language and environmental factors, are referred to as metacommunications because they convey additional meaning beyond the verbal message. This term encompasses the subtle cues and signals that influence the interpretation of the message. Lateral communication (A) refers to communication between individuals or groups at the same hierarchical level, not specifically related to nonverbal cues. Upward communication (B) involves communication from lower levels to higher levels in an organization. Downward communication (D) refers to communication from higher levels to lower levels. These choices are incorrect as they do not specifically address the role of nonverbal cues in communication.
How did the Social Security Act of 1935 impact public health nursing?
- A. Disabled children
- B. Mentally disabled
- C. Older adults
- D. Opioid addicts
Correct Answer: A
Rationale: The Social Security Act of 1935 impacted public health nursing by providing financial assistance to families with disabled children. This support helped improve access to healthcare services and resources for disabled children, leading to better health outcomes. The Act did not specifically address mentally disabled individuals, older adults, or opioid addicts in the same way as it did for disabled children. Therefore, choice A is correct as it directly aligns with the Act's provisions for supporting disabled children.
An RN enters a patient’s room to place an indwelling urinary catheter, as ordered by the health-care professional. The client is alert and oriented and tells the RN he wants to leave the hospital now and not receive further treatment. Which of the following actions by the RN would be considered false imprisonment?
- A. The RN tells the client he is not allowed to leave until the physician has released him.
- B. The RN asks the client why he wishes to leave.
- C. The RN asks the client to explain what he understands about his medical diagnosis.
- D. The RN asks the client to sign an against medical advice discharge form.
Correct Answer: A
Rationale: The correct answer is A because the RN is restricting the patient's freedom to leave the hospital against his will, which constitutes false imprisonment. The patient has the right to refuse treatment and leave the facility. Choice B is incorrect because asking the client why he wishes to leave shows respect for his autonomy. Choice C is incorrect as it pertains to educating the patient about his medical condition, not restricting his freedom. Choice D is incorrect as asking the client to sign an against medical advice form is a way to document his decision and protect the healthcare provider legally.