Nokea
What behaviors can be observed before a person becomes violent? (EXCEPT)
- A. Wandering
- B. Tense shoulders and clenched fists
- C. Blank stare
- D. Positioned with one foot in back and an arm pulled back
Correct Answer: A
Rationale: The correct answer is A because wandering is not typically associated with violent behavior. Tense shoulders and clenched fists (B), blank stare (C), and positioned with one foot in back and an arm pulled back (D) are commonly observed behaviors before a person becomes violent. Tense shoulders and clenched fists indicate agitation, a blank stare can indicate aggression, and the specific body positioning described in D suggests readiness for physical aggression. Wandering, however, is more likely to indicate confusion or aimlessness rather than impending violence.
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Which of the following is used as an indirect estimate of voluntary absenteeism?
- A. Involuntary absenteeism
- B. Voluntary absenteeism
- C. Total time lost
- D. Absence frequency
Correct Answer: D
Rationale: The correct answer is D, Absence frequency. This is because absence frequency provides a measure of how often employees are absent voluntarily, serving as an indirect estimate of voluntary absenteeism. In contrast, A (Involuntary absenteeism) refers to absences that are beyond the employee's control, while B (Voluntary absenteeism) is the direct measure of voluntary absences. C (Total time lost) is a measure of the overall time lost due to both voluntary and involuntary absences, not specifically focusing on voluntary absenteeism.
A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client's family questions the nurse about the reasons for the transfer. Which of the following responses made by the nurse is appropriate?
- A. The transfer of your family member is being done because the provider knows what's best.
- B. Would you like us to discuss the transfer with your family member?
- C. Why are you so concerned about this transfer?
- D. I know how you feel. My parent had to be transferred to a long-term care facility.
Correct Answer: A
Rationale: Step 1: The nurse's response should be professional and informative.
Step 2: Response A provides a clear and professional explanation for the transfer.
Step 3: Mentioning the provider's decision conveys expertise and reassurance to the family.
Step 4: It shows respect for the provider's judgment and helps build trust with the family.
Step 5: Responses B, C, and D do not directly address the family's concerns or provide a suitable explanation for the transfer.
Under which category does a violation of the nurse practice act fall?
- A. Juvenile
- B. Felony
- C. Misdemeanor
- D. Tort
Correct Answer: B
Rationale: The correct answer is B: Felony. Violating the nurse practice act involves serious breaches of professional standards, such as negligence or misconduct, which are considered criminal offenses. Committing a felony indicates a severe violation of the law, carrying significant legal consequences. Choices A, C, and D do not accurately represent the gravity of the offense, as they pertain to different legal categories with varying levels of severity. A juvenile offense is a violation committed by a minor, a misdemeanor is a lesser criminal offense, and a tort is a civil wrongdoing resulting in harm.
When utilizing an internal float pool, which of the following pools is most efficient?
- A. Centralized
- B. Flexible
- C. Mixed
- D. Decentralized
Correct Answer: A
Rationale: The correct answer is A: Centralized. A centralized internal float pool is the most efficient because it allows for better coordination and utilization of resources. With a centralized pool, there is a single point of control and oversight, ensuring optimal allocation of staff and resources. This centralized approach minimizes redundancies and streamlines processes, leading to increased efficiency.
Summary:
B: Flexible - While flexibility is important, it can lead to inefficiencies if not properly managed within a float pool system.
C: Mixed - A mixed pool may result in complexities and challenges in resource allocation and coordination.
D: Decentralized - Decentralization can lead to fragmentation and lack of standardization, reducing overall efficiency in resource utilization.
Which of the following is an essential element of a quality improvement (QI) program?
- A. Blame and punishment
- B. Employee satisfaction
- C. Continual monitoring
- D. Strict adherence to policies
Correct Answer: C
Rationale: The correct answer is C: Continual monitoring. Quality improvement programs require ongoing monitoring to assess progress, identify areas for improvement, and make data-driven decisions. Continual monitoring allows for timely adjustments to processes and interventions to ensure sustained quality improvement. Blame and punishment (A) are counterproductive in a QI program as they can create a culture of fear and hinder open communication. Employee satisfaction (B) is important but not necessarily an essential element of a QI program. Strict adherence to policies (D) is important but alone may not lead to continuous improvement without the feedback loop provided by continual monitoring.