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Which of the following best describes the role of a nurse navigator?
- A. Provide direct patient care
- B. Coordinate complex care
- C. Assist with administrative tasks
- D. Manage clinical trials
Correct Answer: B
Rationale: The correct answer is B because a nurse navigator's role is to coordinate complex care for patients by guiding them through the healthcare system, connecting them with resources, and ensuring continuity of care. Providing direct patient care (A) is typically the responsibility of nurses, not nurse navigators. Assisting with administrative tasks (C) is more aligned with roles such as medical assistants or administrative staff. Managing clinical trials (D) involves research and regulatory responsibilities that are distinct from the care coordination focus of a nurse navigator. Therefore, the best description of a nurse navigator's role is coordinating complex care.
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If a task is delegated to someone, they need to be granted the ___________ to complete the task.
- A. Authority
- B. Planning
- C. Organizing
- D. Controlling
Correct Answer: A
Rationale: The correct answer is A: Authority. When a task is delegated, the individual needs the authority to make decisions and take actions to complete it effectively. Authority grants the power to make decisions, allocate resources, and enforce actions. Planning (B) involves creating a roadmap for achieving goals, organizing (C) involves arranging resources and tasks, and controlling (D) involves monitoring and ensuring tasks are on track. However, without authority, the delegated individual may face obstacles in executing the task. Therefore, the most essential aspect for successful delegation is granting authority.
Your values do not coincide with your colleagues. When you report for your shift on nights and staff are not responding to patient requests for pain medication, you, as the nurse responsible for collecting data about patient quality of care, should:
- A. Explain to the nurse manager that quality problems are because of staff apathy.
- B. Issue a memo to staff to assess patients and document their response to the pain medication.
- C. Explain to staff that improving quality is one of your annual goals and you expect them to follow through.
- D. Schedule meetings to engage with staff to monitor pain management.
Correct Answer: D
Rationale: The correct answer is D because scheduling meetings to engage with staff to monitor pain management is the most effective approach to address the issue. This option promotes open communication, collaboration, and continuous monitoring to ensure patient needs are met. By engaging with staff, you can identify root causes of the problem, provide education or training if needed, and establish a plan for improvement.
Option A is incorrect as blaming staff apathy without further investigation is not constructive. Option B is also incorrect as issuing a memo may not address the underlying issues causing staff not to respond to patient requests. Option C is not as effective as scheduling meetings because simply expecting staff to follow through without addressing their concerns or providing support may not lead to sustainable improvements.
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 action by a patient indicates that the home health nurse’s teaching about glargine and
regular insulin has been successful?
- A. The patient administers the glargine 30 minutes before each meal
- B. The patient’s family prefills the syringes with the mix of insulins weekly.
- C. The patient draws up the regular insulin and then the glargine in the same syringe.
- D. The patient disposes of the open vials of glargine and regular insulin after 4 weeks
Correct Answer: D
Rationale: Step 1: Glargine and regular insulin should not be mixed in the same syringe as they have different onset and duration of action.
Step 2: Administering glargine 30 minutes before each meal is incorrect as it is a long-acting insulin.
Step 3: Pre-filling syringes weekly with the mix of insulins can lead to incorrect dosing or contamination.
Step 4: Disposing of open vials after 4 weeks is the correct action to ensure potency and safety of the insulin.
Summary: Choice D is correct because it demonstrates proper insulin storage and disposal practices. Choices A, B, and C are incorrect as they involve incorrect administration techniques or storage practices.
Which of the following best describes the ethical concept of values?
- A. Values are an individual’s feelings about situations.
- B. Values are learned through family systems.
- C. Values are organized ways of thinking about the meaning of life.
- D. Values determine the rightness or wrongness of behavior.
Correct Answer: A
Rationale: The correct answer is A because values are subjective and personal beliefs that influence one's feelings and attitudes towards situations. This aligns with the definition of values as individual's principles or standards of behavior.
B is incorrect because values are not solely learned through family systems, but can also be influenced by culture, education, and personal experiences.
C is incorrect because values are more about personal beliefs and principles rather than organized ways of thinking about the meaning of life.
D is incorrect because values are not the sole determinants of rightness or wrongness of behavior, as ethical principles and moral standards also play a role in making such judgments.