Nokea
What is the main purpose of a utilization review?
- A. Evaluate patient outcomes
- B. Ensure compliance with regulations
- C. Reduce hospital readmissions
- D. Assess financial impact
Correct Answer: A
Rationale: The main purpose of a utilization review is to evaluate patient outcomes. This process involves assessing the appropriateness, necessity, and quality of healthcare services provided to patients. By evaluating patient outcomes, healthcare providers can ensure that patients receive effective and efficient care, leading to better health outcomes.
Choice B (Ensure compliance with regulations) is incorrect because while utilization review may involve ensuring compliance with regulations, it is not the primary purpose of the process.
Choice C (Reduce hospital readmissions) is incorrect as reducing hospital readmissions is a specific goal within healthcare quality improvement initiatives, but it is not the main purpose of utilization review.
Choice D (Assess financial impact) is incorrect as while financial considerations may play a role in utilization review, the primary focus is on evaluating patient outcomes rather than financial implications.
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Which of the following is an example of a primary prevention strategy?
- A. Administering vaccinations
- B. Performing a surgical procedure
- C. Teaching healthy lifestyle choices
- D. Prescribing medication
Correct Answer: A
Rationale: The correct answer is A, administering vaccinations, because primary prevention aims to prevent the occurrence of a disease or injury before it occurs. Vaccinations protect individuals from getting infected by certain diseases, thus directly preventing the onset of the disease. This strategy targets the root cause of the problem, which aligns with the goal of primary prevention.
B: Performing a surgical procedure is a treatment intervention, not a prevention strategy.
C: Teaching healthy lifestyle choices is a health promotion strategy, not solely focused on preventing diseases.
D: Prescribing medication is a treatment intervention and not aimed at preventing the initial occurrence of a disease.
When using an open irrigation technique to irrigate a client's indwelling urinary catheter, which of the following actions should the nurse take?
- A. Position the client in a side-lying position.
- B. Perform the irrigation using a 20-mL syringe.
- C. Instill 15 mL of irrigation fluid into the catheter with each flush.
- D. Measure and record the amount of irrigant used.
Correct Answer: B
Rationale: The correct answer is B: Perform the irrigation using a 20-mL syringe. This is the correct action because using a 20-mL syringe allows for precise and controlled instillation of the irrigation fluid into the catheter. Using a smaller syringe helps prevent excessive pressure within the catheter, reducing the risk of trauma or damage to the client's urinary system.
A: Positioning the client in a side-lying position is not essential for open irrigation technique, as long as the client is comfortable and the procedure can be safely performed.
C: Instilling 15 mL of irrigation fluid with each flush may not be appropriate as the volume needed may vary based on the client's condition.
D: Although measuring and recording the amount of irrigant used is important for documentation purposes, it is not the immediate action to ensure the safe and effective irrigation of the catheter.
Which of the following is a key component of patient-centered care?
- A. Provider-centered decision making
- B. Timely discharge
- C. Respect for patient preferences
- D. Focusing on clinical outcomes
Correct Answer: C
Rationale: The correct answer is C: Respect for patient preferences. Patient-centered care focuses on involving patients in the decision-making process and respecting their values, preferences, and needs. This approach emphasizes open communication, shared decision-making, and individualized care. Choice A is incorrect because patient-centered care prioritizes patient preferences over provider preferences. Choice B is incorrect as timely discharge is not a key component of patient-centered care. Choice D is incorrect as patient-centered care goes beyond clinical outcomes to consider holistic well-being and patient satisfaction.
What is the primary role of the nurse manager in risk management?
- A. Ensure compliance with regulations
- B. Report incidents to higher authorities
- C. Minimize risks to patients and staff
- D. Educate staff about safe practices
Correct Answer: C
Rationale: The primary role of the nurse manager in risk management is to minimize risks to patients and staff. This involves identifying potential risks, implementing strategies to prevent harm, and ensuring a safe environment. By minimizing risks, the nurse manager promotes patient safety and staff well-being.
A: Ensuring compliance with regulations is important but not the primary role of the nurse manager in risk management.
B: Reporting incidents to higher authorities is a part of risk management, but not the primary role of the nurse manager.
D: Educating staff about safe practices is crucial in risk management, but the primary role of the nurse manager is to minimize risks directly.
Which statement by the patient indicates a need for additional instruction in administering
insulin?
- A. 'I need to rotate injection sites among my arms, legs, and abdomen each day.'
- B. 'I can buy the 0.5 mL syringes because the line markings will be easier to see.'
- C. 'I should draw up the regular insulin first after injecting air into the NPH bottle.'
- D. 'I do not need to aspirate the plunger to check for blood before injecting insulin.'
Correct Answer: A
Rationale: The correct answer is A: "I need to rotate injection sites among my arms, legs, and abdomen each day." This statement indicates a need for additional instruction because rotating injection sites within the same day is not recommended. Insulin injections should be given at the same general time each day but rotated within the same anatomical site to avoid inconsistent absorption rates and potential lipohypertrophy. Choices B, C, and D all demonstrate correct understanding of insulin administration techniques, including syringe selection based on markings, correct order of drawing up insulin types, and the lack of need to aspirate the plunger to check for blood before injecting.