Nokea
The nurse is planning a staff education program about conflict resolution strategies. Which of the following would be an effective strategy in conflict resolution?
- A. Attempt to compare the person or situation to other people and situations.'
- B. Avoiding the conflict may ease frustration for those involved.'
- C. The goal of conflict resolution is to create a win-win situation for all.'
- D. Passively listen as individuals express themselves.'
Correct Answer: C
Rationale: Aiming for a win-win situation (C) is an effective conflict resolution strategy, promoting mutual benefit and collaboration. Comparing situations (A) is unhelpful, avoidance (B) delays resolution, and passive listening (D) lacks active engagement.
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The nurse is planning a staff development conference about the care of transgender clients. Which of the following information should the nurse include? Select all that apply.
- A. At the start of the interview, inquire about the client's preferred pronoun.'
- B. Utilize binary gender terms on healthcare documentation.'
- C. Transgender individuals feel a variance between gender and natal sex.'
- D. Clients who are transgender may be reluctant to seek healthcare.'
- E. Inquire about any current or future plans for hormone therapy.'
Correct Answer: A, C, D, E
Rationale: Inquiring about pronouns (A), recognizing gender variance (C), acknowledging healthcare reluctance (D), and discussing hormone therapy (E) are inclusive and relevant. Binary gender terms (B) are inappropriate, as they exclude non-binary identities.
The nurse is caring for the following assigned clients. The nurse should initially follow-up with the client who
- A. is repeatedly washing their hands.
- B. talking over others during group therapy.
- C. yelling and shouting at others.
- D. is voluntarily admitted and requesting discharge.
Correct Answer: C
Rationale: Yelling and shouting at others (C) indicates potential agitation or safety risk, requiring immediate follow-up to de-escalate and ensure unit safety. Hand washing (A), interrupting therapy (B), and discharge requests (D) are less urgent.
The nurse has been made aware that the following clients require assistance. The nurse should first assist the client
- A. experiencing a flare-up of ulcerative colitis and has had 2 bloody bowel movements in the past hour.
- B. with a cerebral aneurysm, has developed nausea and vomiting.
- C. taking prescribed prednisone for an allergic reaction and reports indigestion.
- D. being treated for Bell's palsy and reports ringing in their ears.
Correct Answer: A
Rationale: Bloody bowel movements in ulcerative colitis (A) suggest active bleeding, requiring immediate assistance to prevent hypovolemia. Nausea with aneurysm (B), indigestion with prednisone (C), and tinnitus with Bell’s palsy (D) are less urgent.
The emergency department (ED) nurse is caring for an infant who is choking on a foreign object. On assessment, the infant is conscious and not making any noises. The nurse should immediately
- A. begin chest compressions at 100-120/minute.
- B. attempt a blind finger sweep in the mouth.
- C. perform abdominal thrusts.
- D. give five back blows and five chest thrusts.
Correct Answer: D
Rationale: For a conscious choking infant, five back blows followed by five chest thrusts (D) is the standard intervention to dislodge the foreign object, per pediatric advanced life support guidelines. Chest compressions (A) are for unresponsive infants, blind finger sweeps (B) risk pushing the object deeper, and abdominal thrusts (C) are not used in infants due to injury risk.
The nurse is caring for a client who has been brought to the emergency department after a severe car accident. They require immediate life-saving surgery; however, they are unconscious and unable to consent to the operation. Which of the following is the best course of action?
- A. Ask a friend who was with the client to sign the consent form.
- B. Attempt calling a family member to obtain consent.
- C. Call the on-staff nursing supervisor and request a court order for the surgery.
- D. Immediately transport the client to the operating department without obtaining consent.
Correct Answer: D
Rationale: Implied consent applies for unconscious clients needing life-saving surgery (D), allowing immediate transport to the operating room. Friends (A) cannot legally consent, family contact (B) delays care, and court orders (C) are unnecessary in emergencies.