Nokea
People-related supervisory tasks include all of the following except:
- A. coaching.
- B. encouraging.
- C. target setting.
- D. rewarding.
Correct Answer: D
Rationale: Target-setting is the projection of goals or objectives to be accomplished and is considered to be a task-centered, supervisory responsibility. Coaching, encouraging, rewarding, evaluating, and facilitating are supervisory activities that are people related as they involve direct interaction with those doing the work.
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The physician's role in case management includes all of the following except:
- A. participating in interdisciplinary planning for clients.
- B. serving as the expert for resource utilization.
- C. consulting with the case management team to facilitate timely orders as needed.
- D. contributing to the documentation of a client's needs for services.
Correct Answer: B
Rationale: The physician is an integral part of the case-management process in terms of assisting with defining the client's needs and the time frames for movement through the health care system; however, the physician is the expert for medical diagnosis and treatment rather than resource utilization.
The nurse is working the same shift two days in a row. On the first of these days, while caring for one assigned client, the client says, 'Will you promise me you will be my nurse tomorrow?' Which response is most appropriate.
- A. Yes, I promise you I will be your nurse during my shift tomorrow.'
- B. You will need to speak to my supervisor about this request.'
- C. While I cannot promise that I will be your nurse tomorrow, I can talk to the charge nurse about this request.'
- D. Because of confidentiality, I cannot discuss tomorrow's assignments with you.'
Correct Answer: C
Rationale: While the nurse should not make any promises to the client, they can attempt to accommodate this request by speaking with their supervisor.
During an emergency procedure, is the surgical timeout a requirement?
- A. As long as the surgical timeout would not cause a delay leading to injury or death, the time-out should be performed by the surgical team.
- B. No, in an emergency procedure, the timeout does not need to be performed.
- C. No, the surgical timeout is optional depending on the surgeon's preferences.
- D. Yes, the surgical timeout should be performed in all cases.
Correct Answer: A
Rationale: The surgical timeout should be performed as long as the delay in performing the timeout would not have negative consequences.
When choosing a needle gauge for an intramuscular injection in a 12 year old boy. Which of the following gauges would you choose?
- A. 27 gauge
- B. 25 gauge
- C. 22 gauge
- D. 20 gauge
Correct Answer: C
Rationale: 22 gauge is recommended for school age children, toddlers, and adolescents while 23-25 gauge is recommended for infants.
Which of the following is true of advanced directives?
- A. They should be appropriately documented in the client's chart.
- B. They are only applicable if the client has a terminal illness.
- C. They are required if the client is unconscious.
- D. They are non-legal requests.
Correct Answer: A
Rationale: Advanced directives are legal requests regarding a client's health care regardless of the severity of their illness or level of consciousness. They should be verified on admission and documented in the client's chart.