Nokea
The nurse reviewed Mr. Gary's care to reduce errors. This is an example of?
- A. Quality improvement
- B. Patient-centered care
- C. Nursing informatics
- D. Health promotion
Correct Answer: A
Rationale: Reviewing care to reduce errors is quality improvement (A) enhancing processes, per definition. Patient-centered (B) tailors, informatics (C) tech, promotion (D) well-being not error-focused. A fits QI's aim, making it correct.
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A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:
- A. At bedtime
- B. With breakfast
- C. Before lunch
- D. After dinner
Correct Answer: B
Rationale: Taking Glucotrol XL with breakfast aligns with its peak action to control post-meal glucose in diabetes bedtime, pre-lunch, or post-dinner mistime it. Nurses teach this, ensuring glycemic control, vital for managing type 2 diabetes effectively.
Roger has been seen agitated, shouting and running. As Nurse Aida approaches, he shouts and swear, calling Aida names. Nurse Aida told Roger 'That is an unacceptable behavior Roger, Stop and go to your room now.' The situation is most likely in what phase of NPR?
- A. Pre Orientation
- B. Orientation
- C. Working
- D. Termination
Correct Answer: C
Rationale: This scenario fits the Working phase (C). Roger's agitation and Aida's response setting boundaries suggest an established relationship where interventions address behaviors. Pre-Orientation (A) is pre-contact, Orientation (B) builds trust, not confrontation, and Termination (D) ends care. In Peplau's Working phase, the nurse actively helps the client manage issues, as Aida does here, making C the likely phase.
What type of patient care model is the most common for student nurses and private duty nurses?
- A. Total patient care
- B. Team nursing
- C. Primary Nursing
- D. Case management
Correct Answer: A
Rationale: Total patient care, where one nurse handles all client needs like meds and hygiene is prevalent for student nurses and private duty nurses. Students benefit from focused, hands-on learning (e.g., managing a post-op patient solo), while private nurses provide personalized attention (e.g., home care). Team nursing splits tasks, primary nursing ensures continuity, and case management coordinates, but total care's simplicity suits training and one-on-one settings. Its direct accountability fosters skill mastery, widely used in educational and private contexts.
You are caring for a client who has just returned from surgery and has received intravenous morphine minutes before leaving the recovery room. You need to assess the client's pain now and again at which of the following times?
- A. in 20 to 30 minutes
- B. in one hour
- C. in two hours
- D. in 3 to 4 hours
Correct Answer: A
Rationale: Post-morphine pain assessment at 20-30 minutes evaluates peak effect, critical post-surgery. Later checks miss this window. Nurses time this for efficacy.
The nurse and doctor jointly planned Mr. Gary's treatment. This is an example of?
- A. Collaboration
- B. Professionalism
- C. Health literacy
- D. Care transition
Correct Answer: A
Rationale: Joint planning with doctor is collaboration (A) working together, per definition. Professionalism (B) standards, literacy (C) understanding, transition (D) moves not joint-specific. A fits teamwork, making it correct.