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Which of the following best describes the role of a nurse case manager?
- A. To provide direct patient care
- B. To manage healthcare facilities
- C. To advocate for patient rights
- D. To coordinate long-term care services
Correct Answer: D
Rationale: The correct answer is D: To coordinate long-term care services. Nurse case managers focus on coordinating and managing the long-term care needs of patients, ensuring continuity and quality of care. They work with healthcare providers, patients, and families to develop and implement care plans.
Explanation:
A: Providing direct patient care is typically the role of nurses, not specifically nurse case managers.
B: Managing healthcare facilities is the responsibility of healthcare administrators, not nurse case managers.
C: Advocating for patient rights is important but not the primary role of a nurse case manager; their focus is on coordinating care services.
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Which nursing action can the nurse delegate to unlicensed assistive personnel (UAP) working in the diabetic clinic?
- A. Measure the ankle-brachial index.
- B. Check for changes in skin pigmentation.
- C. Assess for unilateral or bilateral foot drop.
- D. Ask the patient about symptoms of depression.
Correct Answer: A
Rationale: The correct answer is A, "Measure the ankle-brachial index." This task involves using a blood pressure cuff and Doppler ultrasound to assess blood flow in the lower extremities, which is within the scope of practice for UAPs. It is a non-invasive procedure that does not require specialized training.
Choice B, "Check for changes in skin pigmentation," involves assessing for potential skin changes related to circulation issues, which requires more in-depth knowledge and interpretation than what UAPs are trained for.
Choice C, "Assess for unilateral or bilateral foot drop," involves evaluating muscle strength and nerve function, which requires clinical judgment and knowledge beyond the scope of UAP practice.
Choice D, "Ask the patient about symptoms of depression," involves assessing mental health and requires communication skills and training that UAPs do not typically have.
Which of the following statements accurately describes the relationship between ethical principles and laws?
- A. The government enforces ethics.
- B. Laws guide decision making by setting standards.
- C. Ethics are highly detailed.
- D. Ethical principles can serve as the foundation for laws.
Correct Answer: D
Rationale: The correct answer is D because ethical principles can indeed serve as the foundation for laws. Laws often reflect societal ethical values and principles. Ethical principles provide a moral framework that lawmakers may use to create laws that promote justice and fairness. By basing laws on ethical principles, societies aim to uphold shared values and promote good conduct. In contrast, A is incorrect as the government enforces laws, not ethics. B is incorrect because laws are legal rules, not ethical principles. C is incorrect as ethics are principles of right and wrong, not necessarily highly detailed.
A postoperative nurse is caring for a client after knee replacement. She discovers the consent was not signed before the surgery. Which of the following charges could be filed?
- A. False imprisonment
- B. Libel
- C. Battery
- D. Malpractice
Correct Answer: C
Rationale: The correct answer is C: Battery. Battery refers to the intentional harmful or offensive touching of another person without consent. In this case, performing the surgery without obtaining informed consent from the client constitutes battery. The lack of signed consent implies the client did not agree to the procedure, making it an unauthorized touching. This is a clear violation of the client's rights and can lead to a charge of battery.
False imprisonment (A) involves restricting someone's freedom of movement unlawfully, which is not applicable here. Libel (B) refers to written defamation, which is not relevant to the situation. Malpractice (D) involves professional negligence in providing healthcare, not obtaining consent before surgery would fall under battery rather than malpractice.
What is the main purpose of recruitment activities?
- A. Assess an applicant's motivation
- B. Generate a pool of qualified applicants
- C. Assess an applicant's skills
- D. Assess an applicant's ability
Correct Answer: B
Rationale: The correct answer is B: Generate a pool of qualified applicants. The main purpose of recruitment activities is to attract and identify a diverse pool of qualified candidates for a job vacancy. By generating a pool of qualified applicants, the organization increases the chances of finding the best fit for the position. Option A, assessing motivation, is not the main purpose but can be a part of the recruitment process. Option C, assessing skills, and option D, assessing ability, are more related to the selection process rather than recruitment.
Professionalism has historically been difficult to define. Early definitions of professionalism included which of the following characteristics?
- A. Expertise
- B. Empathy
- C. Ethical and moral values
- D. Honesty
Correct Answer: A
Rationale: The correct answer is A: Expertise. Professionalism is often associated with possessing a high level of expertise or specialized knowledge in a particular field. This expertise allows professionals to perform their duties effectively and competently. Early definitions of professionalism emphasized the importance of possessing the necessary skills and knowledge to excel in one's profession.
Choices B, C, and D are incorrect because while empathy, ethical and moral values, and honesty are important characteristics of professionalism, they are not the defining factors. Empathy, ethics, and honesty are crucial components of professional behavior, but without expertise, a professional may not be able to effectively fulfill their responsibilities in their chosen field.