Nokea
The best way to objectively evaluate the effectiveness of an individual staff member's time management skills in a longitudinal manner is to:
- A. Observe the staff member during an entire shift of duty to determine whether or not the nurse has accurately and appropriately established priorities.
- B. Observe the staff member during an entire shift of duty to determine whether or not the nurse has accurately and appropriately completed priority tasks.
- C. Ask the staff member how they feel like they have been able to employ their time management skills for the last six months.
- D. Collect outcome data over time and then aggregate and analyze this data to determine whether or not the staff member has completed reasonable assignments in the allotted time before the end of their shift of duty.
Correct Answer: D
Rationale: Longitudinal evaluation requires data collection and analysis over time.
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When advising an Asian Indian patient to reduce his/her risk for coronary heart disease, which of the following dietary changes would be the most effective?
- A. Recommend healthy substitutions for ingredients typically found in traditional food
- B. Avoid curry, a common Indian spice
- C. Recommend the addition of lean beef
- D. Replace herbs in the patient's diet with salt
Correct Answer: A
Rationale: Substitutions maintain cultural relevance while improving heart health.
Which question best assesses an individual's ability to cope with the potential emotional crisis resulting from the death of a parent?
- A. Have you ever lost a loved one before?'
- B. Do you think you will be able to cope well?'
- C. Do you feel you have supportive people to rely upon?'
- D. Are you able to draw on fond memories of your parent?'
Correct Answer: A
Rationale: The correct answer is A, "Have you ever lost a loved one before?" This question assesses the individual's prior experience with loss, providing insight into their coping mechanisms. It allows the individual to reflect on past experiences and potentially apply strategies used previously. Choice B is too direct and may not accurately predict coping ability. Choice C focuses on external support rather than individual coping skills. Choice D assumes positive memories are always accessible, which may not be the case in grief.
A nurse interviews a homeless parent with two teenage children. To best assess the familys use of resources, the nurse should ask:
- A. Can you describe a problem your family has successfully resolved?
- B. What community agencies have you found helpful in the past?
- C. What aspect of being homeless is most frightening for you?
- D. Do you feel you have adequate resources to survive?
Correct Answer: B
Rationale: The correct option asks about use of resources in an open, direct fashion. It will give information about choices the family has made regarding use of resources in the community. The other questions do not address prior use of resources or focus on other aspects of coping.
Which of the following is an effective way to address cultural issues about personal contact in a clinical care setting?
- A. Be considerate of the patient's requests not to be touched
- B. Attempt to accommodate the patient's requests whenever possible, while providing medically appropriate care
- C. Identify a chaperone and override the patient's requests in order to expedite their care
- D. Ask that a family member remain at the bedside at all times to oversee patient care
Correct Answer: B
Rationale: Accommodation balances cultural sensitivity with medical necessity.
A young adult tells the nurse at the local free clinic that he is currently living in his car and panhandling for money. The nurse asks the individual the reason for his decision to live as he does. Which response will the nurse follow up on to determine if the individual is experiencing mental health issues?
- A. I'll live in a house and get a job when the government gives everyone those opportunities.'
- B. I live like this for 3 months each year just to remind myself how much I really have.'
- C. This way they can't find me and if they can't find me they can't hurt me.'
- D. The law says I can live any way I want to as long as I'm not hurting anyone.'
Correct Answer: C
Rationale: The correct answer is C because the response indicates a potential underlying fear of being harmed, which could suggest paranoia or anxiety related to mental health issues. This response shows a sense of vulnerability and a need for safety by avoiding potential harm. Choices A and D do not directly address any mental health concerns but rather focus on external factors and legalities. Choice B suggests a purposeful and temporary choice that does not indicate mental health issues. Therefore, the nurse should follow up on choice C to further assess the individual's mental well-being.