Nokea
Verbal interventions with an agitated patient may be calming. These interventions include:
- A. Holding and reassuring the patient
- B. Encouraging other staff to distract the patient
- C. Remaining calm and keeping an arm's distance
- D. Standing close to the patient while talking
Correct Answer: C
Rationale: The correct answer is C because remaining calm and keeping an arm's distance is crucial when dealing with an agitated patient. This approach helps prevent escalating the situation and promotes a sense of safety. Holding and reassuring the patient (A) can be perceived as intrusive and may escalate the agitation. Encouraging other staff to distract the patient (B) can also be counterproductive as it may increase the patient's distress. Standing close to the patient while talking (D) can be perceived as threatening and may escalate the situation further. Thus, maintaining calm and keeping a safe distance is the most effective verbal intervention strategy.
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The healthcare provider is developing a critical pathway for congestive heart failure (CHF). Which components are essential to include? (Select ONE that does not apply.)
- A. Expected length of stay
- B. Assigned staff healthcare provider
- C. Patient outcomes
- D. Medical diagnosis
Correct Answer: B
Rationale: The correct answer is B because the assigned staff healthcare provider is not an essential component in developing a critical pathway for congestive heart failure (CHF). The rationale is that the focus of a critical pathway is on standardizing the care process to improve outcomes and efficiency. Including specific assigned staff members may not be feasible due to staffing variations and may limit flexibility in care delivery. Expected length of stay (A) helps in planning resources, patient outcomes (C) are crucial for evaluating effectiveness, and medical diagnosis (D) guides treatment protocols. Therefore, choice B is not essential compared to the other components.
Which of the following types of leadership behaviors would be most useful when managing a staff of newly trained CNAs (Certified Nursing Assistants)?
- A. Achievement-oriented
- B. Supportive
- C. Participative
- D. Directive
Correct Answer: D
Rationale: The correct answer is D: Directive. In managing newly trained CNAs, directive leadership is most useful as it provides clear instructions and guidance for the inexperienced staff. This helps ensure they understand expectations and tasks. Achievement-oriented leadership (A) may be overwhelming for new staff, supportive leadership (B) may not provide enough structure, and participative leadership (C) may be confusing for staff who require clear direction and guidance. Ultimately, directive leadership is the most appropriate for managing newly trained CNAs due to the need for clear instructions and structure.
There are several pitfalls that should be avoided when using social media of any type. For example, a nurse or student could be found guilty of libel in which of the following scenarios?
- A. Snapping a selfie with a patient
- B. Posting a positive review of the hospital where the student completed clinicals
- C. Creating a closed online forum where students can discuss clinical experiences without providing client information
- D. Complaining about her nurse preceptor on social media, discussing the preceptor’s unprofessional characteristics.
Correct Answer: D
Rationale: The correct answer is D because complaining about a nurse preceptor on social media and discussing their unprofessional characteristics can be considered libel if it damages the preceptor's reputation. This action violates professional and ethical standards by publicly criticizing a colleague.
A: Snapping a selfie with a patient is a breach of patient privacy but not necessarily libel.
B: Posting a positive review of the hospital is not libelous.
C: Creating a closed forum to discuss clinical experiences without client information is not libelous as long as confidentiality is maintained.
A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?
- A. Wear an N95 respirator when giving direct care to the client.
- B. Place the client in a private room with negative-pressure airflow.
- C. Ensure the client's room has at least six air exchanges per hour.
- D. Ensure the client wears a mask when outside their room if there is construction in the area.
Correct Answer: A
Rationale: The correct answer is A: Wear an N95 respirator when giving direct care to the client. This is correct because allogeneic stem cell transplant recipients are at high risk for infection due to immunosuppression. An N95 respirator helps protect the nurse from inhaling airborne pathogens when in close contact with the client.
Choice B is incorrect because negative-pressure airflow rooms are typically used for clients with airborne infections, not for those at risk due to immunosuppression.
Choice C is incorrect because although adequate air exchanges are important for infection control, it is not the specific precaution needed for a client with an allogeneic stem cell transplant.
Choice D is incorrect because wearing a mask outside the room is not as effective in preventing transmission of infections as wearing an N95 respirator during direct care.
Which of the following describes the concept of ratification?
- A. Contract administration
- B. Contract passage
- C. Contract denial
- D. Contract reorganization
Correct Answer: B
Rationale: Ratification is the act of formally approving or confirming a previously unauthorized or informal agreement, making it legally binding. In the context of a contract, ratification occurs after the initial negotiation and agreement have taken place. Choice B, "Contract passage," aligns with this definition as it accurately describes the process of a contract being ratified or officially accepted. Choice A, "Contract administration," refers to the management of a contract after it has been ratified, not the ratification process itself. Choice C, "Contract denial," is incorrect as it opposes the concept of ratification. Choice D, "Contract reorganization," does not relate to the formal approval of a contract, making it an incorrect choice.