Nokea
Which of the following best describes the concept of shared governance?
- A. Top-down management
- B. Nurse-led committees
- C. Shared decision making
- D. Hierarchical structure
Correct Answer: C
Rationale: The correct answer is C: Shared decision making. Shared governance involves collaborative decision-making among healthcare professionals, including nurses, to improve patient care and organizational outcomes. This approach empowers frontline staff to have a voice in decisions that affect their work environment and patient care. Nurse-led committees (option B) may be a part of shared governance but do not fully encompass the concept. Top-down management (option A) and hierarchical structure (option D) are opposite to the principles of shared governance as they involve centralized decision-making and lack of employee involvement in decision-making processes.
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What is the primary role of a nurse in palliative care?
- A. To provide emotional support to patients and families
- B. To coordinate patient care and provide pain management
- C. To administer medications and treatments
- D. To conduct research on end-of-life care
Correct Answer: B
Rationale: The correct answer is B because in palliative care, nurses play a crucial role in coordinating patient care and providing effective pain management. This involves working closely with patients, families, and other healthcare professionals to ensure holistic care and comfort for the patient. Nurses are responsible for assessing and addressing the physical, emotional, and psychological needs of patients in palliative care. Providing pain relief and symptom management is a key aspect of improving the quality of life for patients. Emotional support (choice A) is important but not the primary role. Administering medications (choice C) is a task within the role but not the primary focus. Conducting research (choice D) is valuable but not the primary responsibility of a nurse in palliative care.
How are values learned?
- A. Reading books
- B. Formal degrees
- C. Continuous reinforcement
- D. Meeting diverse individuals
Correct Answer: C
Rationale: Continuous reinforcement is the correct answer because values are primarily learned through repeated exposure and reinforcement of certain behaviors or beliefs. This process helps to internalize and solidify values over time. Reading books (A) may provide knowledge but does not necessarily lead to value formation. Formal degrees (B) offer education but do not guarantee value acquisition. Meeting diverse individuals (D) can broaden perspectives but may not directly teach values through reinforcement. Continuous reinforcement, on the other hand, ensures consistent learning and reinforcement of values.
After discussing alternatives to dressing change procedures to minimize discomfort, the nursing staff accepted a new procedure. This is an example of which stage of Havelock's model of change?
- A. Moving
- B. Self-renewal
- C. Refreezing
- D. Unfreezing
Correct Answer: A
Rationale: The correct answer is A: Moving. In Havelock's model of change, the Moving stage involves implementing the chosen change after considering alternatives. In this scenario, the nursing staff accepted a new procedure, indicating they are moving forward with the change. This stage focuses on putting the change into action.
Summary of other choices:
B: Self-renewal - This choice is not applicable as self-renewal refers to personal growth and development, not organizational change stages.
C: Refreezing - This choice is incorrect as refreezing involves stabilizing the change and ensuring it becomes the new norm, which comes after the Moving stage.
D: Unfreezing - This choice is incorrect as unfreezing refers to preparing for change by overcoming resistance and creating readiness, which precedes the Moving stage.
A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain?
- A. Is your pain constant or intermittent?
- B. What would you rate your pain on a scale of 0 to 10?
- C. Does the pain radiate?
- D. Is your pain sharp or dull?
Correct Answer: D
Rationale: The correct answer is D: Is your pain sharp or dull? This question helps differentiate between different types of pain, which can provide valuable information about the underlying cause and guide appropriate interventions. Sharp pain is often associated with nerve or tissue damage, while dull pain may indicate inflammation or muscle strain. Asking about the quality of pain is crucial in pain assessment.
A: Is your pain constant or intermittent? - This question focuses on the duration of pain rather than the quality.
B: What would you rate your pain on a scale of 0 to 10? - This question assesses pain intensity, not quality.
C: Does the pain radiate? - This question assesses pain distribution, not quality.
A manager identifies that he is spending more time than desired on completing repetitive paperwork. Which of the following would be appropriate ways to address this issue? (EXCEPT)
- A. Combining data reports to reduce duplication
- B. Delegating staff evaluations to the staff nurse on the unit with the most experience
- C. Assigning the preliminary draft of the schedule to a subcommittee of staff nurses
- D. Saying no to inappropriate paperwork assignments
Correct Answer: B
Rationale: The correct answer is B because delegating staff evaluations to the staff nurse with the most experience is not an appropriate solution to reduce repetitive paperwork for the manager. Delegating evaluations may not necessarily address the issue of spending too much time on paperwork.
A: Combining data reports can help reduce duplication and streamline the paperwork process.
C: Assigning the preliminary draft of the schedule to a subcommittee can distribute the workload and free up time for the manager.
D: Saying no to inappropriate paperwork assignments is a valid approach to manage workload effectively.
In summary, B is the correct answer as it does not directly address the issue of spending excessive time on paperwork compared to the other options provided.