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Which of the following would a nurse suggest are significant benefits to an organization that is considering adoption of a practice partnership model? (Select one that does not apply.)
- A. Clients express greater satisfaction.
- B. It is more expensive to implement than other models.
- C. Continuity of care is facilitated.
- D. Leadership is well accepted.
Correct Answer: B
Rationale: The correct answer is B because suggesting that the practice partnership model is more expensive to implement than other models would not be a significant benefit to an organization. A: Clients' greater satisfaction would be a benefit as it could lead to improved outcomes. C: Facilitated continuity of care would also be a benefit by improving coordination and patient experience. D: Leadership being well accepted is also a benefit as it can enhance organizational effectiveness.
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A healthcare professional is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes should the healthcare professional identify as an indication that the treatment was successful?
- A. Increase in hematocrit
- B. Increase in respiratory rate
- C. Decrease in heart rate
- D. Decrease in capillary refill time
Correct Answer: D
Rationale: The correct answer is D: Decrease in capillary refill time. Administering 0.9% sodium chloride helps to increase blood volume and improve tissue perfusion, leading to a decrease in capillary refill time. This improvement indicates that the treatment was successful in addressing the fluid volume deficit.
A: Increase in hematocrit would not be an immediate indication of the success of fluid resuscitation as it may take time for the hematocrit levels to reflect changes in blood volume.
B: Increase in respiratory rate could indicate respiratory distress or other issues not related to the effectiveness of fluid resuscitation.
C: Decrease in heart rate could be due to various factors and may not directly correlate with the success of fluid replacement therapy.
In summary, the most immediate and direct indicator of successful fluid resuscitation in this scenario is a decrease in capillary refill time.
As the definition of nursing evolved, which of the following nurse theorists focused on the uniqueness of nursing?
- A. Florence Nightingale
- B. Virginia Henderson
- C. Martha Rogers
- D. Abraham Maslow
Correct Answer: B
Rationale: Virginia Henderson is the correct answer because she emphasized the unique role of nursing in helping individuals achieve independence in meeting their basic needs. Henderson's theory focuses on the holistic approach to patient care, highlighting the importance of individualized care and the nurse's role in assisting patients to reach their optimal health potential.
Florence Nightingale, known as the founder of modern nursing, focused on sanitation and environmental factors in health care. Martha Rogers emphasized the interconnectedness of humans with their environment. Abraham Maslow is known for his hierarchy of needs theory, which is more aligned with psychology than nursing.
Lippitt's phases of change are important factors in the change process. The phase that involves key people in data collection is known as:
- A. Assess the motivation.
- B. Choose a change agent.
- C. Diagnose the problem.
- D. Maintain the change.
Correct Answer: C
Rationale: The correct answer is C: Diagnose the problem. In Lippitt's phases of change, this phase involves key people in data collection to identify the root cause of the issue. Assessing motivation (A) comes before diagnosing the problem, choosing a change agent (B) is about selecting a person to lead the change effort, and maintaining the change (D) occurs after implementation. Diagnosing the problem is crucial as it sets the foundation for developing effective strategies to address the identified issues.
Strategies to advance your career and opportunities available in your first job can coexist. Identify factors that will help you prioritize these opportunities to fulfill your goals. (Select all that apply.)
- A. Self-actualization and assessing your values and your lifestyle.
- B. Determine where you can grow and develop professionally.
- C. Your ability to work as a team member.
- D. Reflect on your long-term career aspirations.
Correct Answer: A
Rationale: The correct answer is A because self-actualization and assessing your values and lifestyle are essential for aligning your career goals with personal values, leading to long-term satisfaction and fulfillment. By understanding your core values and lifestyle preferences, you can prioritize job opportunities that align with your aspirations.
Choice B is incorrect because while professional growth is important, it may not necessarily align with your personal values and lifestyle. Choice C is incorrect as teamwork skills are important, but they do not directly relate to prioritizing career opportunities based on personal values. Choice D is incorrect as reflecting on long-term career aspirations alone may not provide a holistic view of how to prioritize opportunities in alignment with personal values and lifestyle.
What is the best description of cultural competence in nursing?
- A. Ignoring cultural differences
- B. Adapting care to cultural needs
- C. Learning about different cultures
- D. Teaching cultural awareness
Correct Answer: B
Rationale: The correct answer is B because cultural competence in nursing involves adapting care to meet the cultural needs and preferences of each individual patient. This includes understanding and respecting their beliefs, values, and practices to provide effective and respectful care. Ignoring cultural differences (A) goes against the core principle of cultural competence. Simply learning about different cultures (C) is not enough; it is essential to apply that knowledge in practice. Teaching cultural awareness (D) is important but does not fully capture the holistic approach of adapting care to meet cultural needs.