Nokea
The nurse has administered 4 oz of orange juice to an alert patient whose blood glucose was 62 mg/dL. Fifteen minutes later, the blood glucose is 67 mg/dL. Which action should the nurse take next?
- A. Give the patient 4 to 6 oz more orange juice.
- B. Administer the PRN glucagon (Glucagon) 1 mg IM.
- C. Have the patient eat some peanut butter with crackers.
- D. Notify the healthcare provider about the hypoglycemia.
Correct Answer: A
Rationale: Rationale: The correct answer is A because the patient's blood glucose level has increased slightly, indicating the orange juice is working. Giving more orange juice is appropriate to continue raising the blood glucose level. Administering glucagon (B) is not necessary as the patient's glucose is improving. Eating peanut butter with crackers (C) may be too slow to raise the glucose level. Notifying the healthcare provider (D) is not needed at this point as the patient is responding to the initial intervention.
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Which of the following types of HMOs (Health Maintenance Organizations) contracts with two or more IPAs (Independent Practice Associations)?
- A. Staff model
- B. Point of service model
- C. Network model
- D. Group model
Correct Answer: C
Rationale: The correct answer is C: Network model. In a network model HMO, the organization contracts with two or more IPAs. IPAs are groups of independent doctors who work together to provide care. This model allows members to choose from a network of providers.
A: Staff model HMOs directly employ physicians.
B: Point of service model HMOs allow members to go out of network for care.
D: Group model HMOs contract with a single medical group, not multiple IPAs.
Therefore, the network model is the correct choice as it specifically involves contracting with multiple IPAs, distinguishing it from the other options.
Which of the following is an example of a primary prevention strategy?
- A. Administering vaccinations
- B. Performing a surgical procedure
- C. Teaching healthy lifestyle choices
- D. Prescribing medication
Correct Answer: A
Rationale: The correct answer is A, administering vaccinations, because primary prevention aims to prevent the occurrence of a disease or injury before it occurs. Vaccinations protect individuals from getting infected by certain diseases, thus directly preventing the onset of the disease. This strategy targets the root cause of the problem, which aligns with the goal of primary prevention.
B: Performing a surgical procedure is a treatment intervention, not a prevention strategy.
C: Teaching healthy lifestyle choices is a health promotion strategy, not solely focused on preventing diseases.
D: Prescribing medication is a treatment intervention and not aimed at preventing the initial occurrence of a disease.
As part of Magnet Recognition, you are asked to present your evidence-based practice poster at a national conference. The health care facility supports your participation. Where would information about your participation in the conference need to be communicated? (Select all that apply.)
- A. In a communication to all staff nurses to inspire them.
- B. At a conference within the health care facility.
- C. In an email to a friend.
- D. In a presentation with select individuals.
Correct Answer: A
Rationale: The correct answer is A. By communicating your participation to all staff nurses, you can inspire them to engage in evidence-based practice. This fosters a culture of learning and innovation. Choice B is incorrect because the conference is external and not held within the health care facility. Choice C is irrelevant as it involves informing a friend rather than the professional environment. Choice D is also incorrect as it limits the audience to select individuals, missing the opportunity to spread awareness and inspire a broader group within the facility.
The belief that effort will lead to a specific performance level in an individual is known as:
- A. Rewards.
- B. Expectancy.
- C. Valence.
- D. Instrumentality.
Correct Answer: B
Rationale: The correct answer is B: Expectancy. Expectancy theory posits that individuals believe that their effort will lead to a specific level of performance. This belief in the relationship between effort and performance is crucial in determining motivation. Rewards (A) refer to the outcomes of the performance, not the belief in effort-performance connection. Valence (C) is the value a person places on a specific reward, not the belief in effort-performance link. Instrumentality (D) is the belief that performance will lead to a certain outcome, not the belief in effort-performance relationship.
There are many ways to ensure that your appraisal system is nondiscriminatory. Which of the following is one way to ensure this?
- A. Giving the appraisal once per year
- B. Having no appeal process
- C. Withholding information from the employee
- D. Not allowing any input from the employee
Correct Answer: A
Rationale: Step-by-step rationale:
1. Giving the appraisal once per year ensures consistency and fairness in evaluating employee performance.
2. Regular appraisals help in tracking progress, identifying areas of improvement, and providing feedback.
3. Annual appraisals reduce the likelihood of biases affecting the evaluation process.
4. This approach allows for a structured review process and aligns with best practices in performance management.
Summary:
- Choice B is incorrect as having no appeal process can lead to unfairness and lack of transparency.
- Choice C is incorrect as withholding information hinders employee development and communication.
- Choice D is incorrect as employee input is essential for a comprehensive and balanced appraisal process.