Nokea
The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2
diabetes about home management of the disease. Which action should the nurse take first?
- A. Ask the patient’s family to participate in the diabetes education program.
- B. Assess the patient’s perception of what it means to have diabetes mellitus.
- C. Demonstrate how to check glucose using capillary blood glucose monitoring.
- D. Discuss the need for the patient to actively participate in diabetes management.
Correct Answer: B
Rationale: The correct answer is B: Assess the patient’s perception of what it means to have diabetes mellitus. This is the first step because understanding the patient's perception allows the nurse to tailor education to address any misconceptions or concerns. It helps establish a baseline of the patient's knowledge and beliefs about diabetes, enabling the nurse to provide accurate and relevant information.
Option A is incorrect as involving the family should come after assessing the patient's individual understanding and needs. Option C is incorrect as demonstrating blood glucose monitoring should follow assessing the patient's perception to ensure relevance. Option D is incorrect as discussing active participation should also come after assessing the patient's perception to ensure the information is personalized and effective.
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Which of the following is the preferable alternative to firing an employee?
- A. Voluntary resignation
- B. Training
- C. Confrontation
- D. Coaching
Correct Answer: A
Rationale: The correct answer is A: Voluntary resignation. This option allows the employee to leave on their own terms, preserving their dignity and potentially avoiding negative consequences of being fired. Training (B) may not address the root issue leading to termination. Confrontation (C) can create a hostile environment and damage morale. Coaching (D) is more focused on improving performance rather than addressing termination. Opting for voluntary resignation promotes a more amicable separation and can benefit both the employee and the organization.
The charge nurse role has negatively affected your relationship with your friends and made you feel tense and isolated. You decide that you will delegate more time-consuming tasks to staff who are not your friends, who then complain to your nurse manager about your perceived unfairness. You decide to:
- A. Talk with your friends individually to let them know that you will be assigning patients to all staff in an equitable manner.
- B. Not express your angry feelings.
- C. Talk about staff who are annoying you with staff on other units.
- D. Ignore your feelings of uncertainty, hoping they will diminish.
Correct Answer: A
Rationale: The correct answer is A because it addresses the issue directly and effectively. By talking individually with your friends and explaining the need for equitable patient assignments, you are promoting fairness and transparency in your delegation process. This approach fosters open communication and helps maintain professional boundaries.
Choice B is incorrect because suppressing your feelings of anger can lead to further tension and unresolved conflicts. Choice C is inappropriate as it involves gossiping about other staff members, which is unprofessional and can create additional problems. Choice D is not a proactive solution and avoiding addressing the issue will only prolong the negative impact on your relationships and work environment.
What is the primary focus of Lean methodology in healthcare?
- A. Reduce healthcare costs
- B. Enhance patient satisfaction
- C. Increase patient throughput
- D. Standardize care processes
Correct Answer: D
Rationale: The correct answer is D: Standardize care processes. Lean methodology in healthcare aims to streamline and standardize processes to eliminate waste and improve efficiency. By standardizing care processes, healthcare organizations can ensure consistent quality of care, reduce errors, and enhance patient safety. This focus on standardization is essential for achieving continuous improvement and delivering better outcomes.
Explanation of other choices:
A: Reduce healthcare costs - While reducing costs is a potential benefit of Lean methodology, it is not the primary focus. Cost reduction is a byproduct of improving processes and eliminating waste.
B: Enhance patient satisfaction - While patient satisfaction is important in healthcare, it is not the primary focus of Lean methodology. Improving patient satisfaction may be a result of implementing Lean principles, but it is not the main goal.
C: Increase patient throughput - While increasing patient throughput is a common goal in healthcare, it is not the primary focus of Lean methodology. Lean focuses on improving processes to deliver better quality care, rather than simply increasing the
The nurse manager has two employees with a longstanding conflict that is affecting the group's productivity and cohesiveness. She decides to meet with the employees in private, bring the conflict out into the open, and attempt to resolve it through knowledge and reason. Which conflict management strategy did she employ?
- A. Confrontation
- B. Suppression
- C. Collaboration
- D. Intervention
Correct Answer: A
Rationale: The correct answer is A: Confrontation. In this scenario, the nurse manager directly addresses the conflict by meeting with the employees in private. Confrontation involves facing the conflict head-on, bringing it out into the open, and attempting to resolve it through open communication and discussion. By addressing the conflict directly, the nurse manager is using a proactive approach to resolve the issue.
Summary of other choices:
B: Suppression - This involves ignoring or avoiding the conflict, which is not what the nurse manager is doing in this scenario.
C: Collaboration - While collaboration involves working together to find a mutually beneficial solution, the nurse manager is taking a more direct approach by confronting the conflict.
D: Intervention - This typically involves a third party stepping in to mediate the conflict, which is not what is happening in this scenario.
A manager has been given a deadline to complete an assignment by the end of the day. It will take every minute left of the afternoon to complete. Which interventions illustrate assertiveness to minimize interruptions in order to meet the deadline? (Select all that apply.)
- A. Allowing voicemail to answer all incoming calls or turning off email notification
- B. Delegating a discharge planning issue for a patient to one of the staff nurses
- C. Placing a 'Do Not Disturb for the Afternoon' sign on the office door
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D because all the interventions mentioned demonstrate assertiveness in minimizing interruptions to meet the deadline.
A: Allowing voicemail or turning off email notifications shows assertiveness in managing communication.
B: Delegating tasks to staff nurses frees up the manager's time to focus on the assignment.
C: Placing a 'Do Not Disturb' sign sets clear boundaries to avoid interruptions.
In summary, each intervention in choice D actively addresses potential interruptions, allowing the manager to concentrate on completing the assignment within the deadline.