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What is the most effective policy a staff nurse can implement to help decrease medical errors on the unit?
- A. Forgo opportunities for continuing education so the unit is never understaffed.
- B. Foster a collaborative working environment on the unit.
- C. Check all medications a minimum of three times before administering them.
- D. Develop a policy that mandates the firing of any nurse who commits an error.
Correct Answer: B
Rationale: A collaborative working environment improves communication and reduces errors by addressing systemic issues.
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An emergency department provides care for all individuals regardless of circumstances and ability to pay. This is an example of:
- A. Ethic of justice
- B. Ethic of care
- C. Applied ethics
- D. Metaethics
Correct Answer: A
Rationale: The ethic of justice is characterized by impartial, nondiscriminatory care.
A nurse is providing care for a 40-year-old adult with a BMI of 32. Which of the following best describes this person?
- A. Normal weight
- B. Overweight
- C. Obese
- D. Morbidly obese
Correct Answer: C
Rationale: A BMI of 32 is categorized as obese in adults.
In response to the growing elderly population, community health nurses should do which of the following?
- A. Work with the state and local departments of health to increase nursing home beds.
- B. Work with local health departments to increase recreational activities for the elderly
- C. Work with the board of education to emphasize the importance of physical activity for children
- D. Work with local nursing schools to emphasize the importance of geriatric training
Correct Answer: B
Rationale: Local health departments should focus on increasing recreational activities to improve the health of the elderly.
A parent expresses her frustration over the constant fighting between her toddler and preschooler. Which of the following would be an appropriate response from the nurse?
- A. Tell the mother not to worry about it and continue with the office visit
- B. Tell the mother this is normal behavior for the toddler, and she should be firm with the child without taking sides
- C. Say to the mother, “Don’t you remember fighting with your sibling? Don’t worry; everything will work out.”
- D. Say to the mother, “Don’t worry; this behavior will all end soon.”
Correct Answer: B
Rationale: Sibling rivalry is normal, and the nurse should provide guidance on firm, fair discipline without taking sides.
The nurse suspects a 5-year-old child has asthma. Which information from the child’s past medical history is a risk factor?
- A. The child was breast-fed.
- B. The child had respiratory infections as an infant.
- C. The child was born via a C-section.
- D. The child had pressure equalizer tubes as an infant.
Correct Answer: B
Rationale: Respiratory infections as an infant, such as RSV, are a known risk factor for asthma.