Nokea
The healthcare provider is developing a critical pathway for congestive heart failure (CHF). Which components are essential to include? (Select ONE that does not apply.)
- A. Expected length of stay
- B. Assigned staff healthcare provider
- C. Patient outcomes
- D. Medical diagnosis
Correct Answer: B
Rationale: The correct answer is B because the assigned staff healthcare provider is not an essential component in developing a critical pathway for congestive heart failure (CHF). The rationale is that the focus of a critical pathway is on standardizing the care process to improve outcomes and efficiency. Including specific assigned staff members may not be feasible due to staffing variations and may limit flexibility in care delivery. Expected length of stay (A) helps in planning resources, patient outcomes (C) are crucial for evaluating effectiveness, and medical diagnosis (D) guides treatment protocols. Therefore, choice B is not essential compared to the other components.
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What is the primary goal of patient advocacy in nursing?
- A. To ensure patient safety
- B. To provide emotional support
- C. To advocate for patient rights
- D. To provide financial assistance
Correct Answer: C
Rationale: The correct answer is C: To advocate for patient rights. Patient advocacy in nursing involves ensuring that patients have their rights respected, protected, and upheld. Advocating for patient rights involves empowering patients to make informed decisions about their care, ensuring they receive quality care, and advocating for their best interests. Advocacy goes beyond just providing emotional support or financial assistance, although these may be part of the advocacy process. Ensuring patient safety is important, but the primary goal of advocacy is to uphold and protect the rights of the patient.
Which of the following is one important factor in sustaining employee satisfaction?
- A. Organization culture
- B. Individual performance
- C. Performance evaluation
- D. Job satisfaction
Correct Answer: D
Rationale: The correct answer is D: Job satisfaction. Job satisfaction is crucial in sustaining employee satisfaction as it directly impacts how content and fulfilled employees feel in their roles. When employees are satisfied with their jobs, they are more likely to be engaged, motivated, and productive. This leads to higher retention rates and overall better performance. On the other hand, organization culture (A) is important but not the sole factor in sustaining employee satisfaction. Individual performance (B) and performance evaluation (C) are more related to assessing employee output rather than directly impacting their satisfaction levels.
Which of the following may be considered an absenteeism management strategy?
- A. Holding regular meetings to address absenteeism
- B. Limiting career growth opportunities
- C. Reducing job stress
- D. Neglecting the issue
Correct Answer: C
Rationale: The correct answer is C: Reducing job stress. This is an absenteeism management strategy because high job stress can lead to increased absenteeism. By reducing stress through various methods such as workload management, providing support, and promoting work-life balance, organizations can effectively reduce absenteeism rates. Holding regular meetings (A) is important for communication but not a direct absenteeism strategy. Limiting career growth opportunities (B) may actually increase absenteeism due to lack of motivation. Neglecting the issue (D) will only worsen absenteeism rates.
Which theory views motivation as learning?
- A. Reinforcement
- B. Process
- C. Operant
- D. Conditioning
Correct Answer: A
Rationale: The correct answer is A: Reinforcement. Reinforcement theory views motivation as learning through the use of positive or negative reinforcement to increase the likelihood of a behavior being repeated. By associating certain behaviors with rewards or punishments, individuals learn to be motivated to engage in those behaviors. The other choices, B: Process, C: Operant, and D: Conditioning, are incorrect because they do not specifically focus on motivation as a learned behavior through reinforcement. Process theory emphasizes cognitive processes, Operant theory focuses on shaping behavior through consequences, and Conditioning theory is a general term for learning through associations.
The nurse determines a need for additional instruction when the patient with newly diagnosed
type 1 diabetes says which of the following?
- A. “I can have an occasional alcoholic drink if I include it in my meal plan.”
- B. “I will need a bedtime snack because I take an evening dose of NPH insulin.”
- C. “I can choose any foods, as long as I use enough insulin to cover the calories.”
- D. “I will eat something at meal times to prevent hypoglycemia, even if I am not hungry.”
Correct Answer: C
Rationale: The correct answer is C because stating "I can choose any foods, as long as I use enough insulin to cover the calories" shows a lack of understanding of diabetes management. In type 1 diabetes, it's crucial to follow a balanced diet to regulate blood sugar levels. Choosing any foods without considering their impact on blood sugar control can lead to unstable glucose levels.
Explanation for why the other choices are incorrect:
A: Choosing to have an occasional alcoholic drink if included in the meal plan is acceptable as long as it's done in moderation and accounted for in the overall diabetes management plan.
B: Needing a bedtime snack with NPH insulin is appropriate to prevent hypoglycemia overnight.
D: Eating something at meal times to prevent hypoglycemia, even if not hungry, is a good practice to maintain stable blood sugar levels.