Nokea
What is the primary focus of case management in nursing?
- A. Direct patient care
- B. Resource management
- C. Financial planning
- D. Quality assurance
Correct Answer: A
Rationale: The correct answer is A: Direct patient care. Case management in nursing focuses primarily on coordinating care, advocating for patients, and ensuring their needs are met. This involves direct patient interaction, collaborating with healthcare providers, and addressing the patient's physical, emotional, and social well-being. Resource management (B) involves allocating resources efficiently, financial planning (C) focuses on budgeting and financial aspects, and quality assurance (D) pertains to monitoring and improving healthcare standards. These options are important in healthcare but are not the primary focus of case management in nursing.
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Which of the following presents an important emerging challenge to changes in health care?
- A. Decreased immigration
- B. Nursing staff shortages
- C. Bioterrorism
- D. Increased surgical procedures
Correct Answer: C
Rationale: The correct answer is C: Bioterrorism. This is because bioterrorism poses a serious threat to public health and healthcare systems worldwide, requiring preparedness and response strategies.
- A: Decreased immigration is not a significant emerging challenge to changes in healthcare.
- B: Nursing staff shortages are an ongoing issue but not necessarily a new emerging challenge.
- D: Increased surgical procedures may strain resources but are not a specific emerging challenge like bioterrorism.
A few weeks after an 82-year-old with a new diagnosis of type 2 diabetes has been placed on metformin (Glucophage) therapy and taught about appropriate diet and exercise, the home health nurse makes a visit. Which finding by the nurse is most important to discuss with the healthcare provider?
- A. Hemoglobin A1C level is 7.9%.
- B. Last eye exam was 18 months ago.
- C. Glomerular filtration rate is decreased.
- D. Patient has questions about the prescribed diet.
Correct Answer: C
Rationale: The correct answer is C: Glomerular filtration rate is decreased. This finding is most important to discuss because metformin can potentially worsen kidney function, especially in older adults. A decreased GFR could indicate renal impairment, making it necessary to reevaluate the medication regimen.
A: Hemoglobin A1C level is 7.9% - While this indicates poor diabetic control, it is not as urgent as addressing potential renal issues with metformin.
B: Last eye exam was 18 months ago - While regular eye exams are important for diabetic patients, it is not as critical as addressing renal function.
D: Patient has questions about the prescribed diet - While patient education is crucial, it is not as urgent as addressing potential renal complications.
In summary, the priority is to address the decreased GFR to ensure the patient's safety and well-being.
When matching a job with an experienced RN, what is the first step in the selection process?
- A. Job analysis
- B. Selection techniques
- C. Methods of recruiting
- D. Assurance of legal requirements
Correct Answer: A
Rationale: The correct answer is A: Job analysis. This is the first step in the selection process as it involves identifying the specific duties, responsibilities, and requirements of the job. By conducting a job analysis, an organization can ensure that they have a clear understanding of what the job entails, which is crucial for effectively matching it with an experienced RN.
Choice B, selection techniques, comes after job analysis and involves determining the most appropriate methods for evaluating candidates. Choice C, methods of recruiting, focuses on attracting candidates and is not the first step in the selection process. Choice D, assurance of legal requirements, is important but typically occurs later in the process after job analysis has been completed.
By using ___________ in the workplace, nurses increase their professional influence.
- A. political skills
- B. reward power
- C. expert power
- D. power and politics
Correct Answer: C
Rationale: The correct answer is C: expert power. Nurses increase their professional influence by demonstrating expertise, knowledge, and skills in their field. This expertise allows them to gain credibility and influence others based on their competence. Expert power is based on respect and trust earned through proficiency in their profession. Choice A (political skills) focuses on manipulation and may not lead to genuine influence. Choice B (reward power) involves using rewards to influence behavior, which is different from professional influence. Choice D (power and politics) is a broad concept that encompasses various types of power dynamics, but expert power specifically highlights the importance of knowledge and skills in increasing influence in the workplace.
Which of the following best describes intrinsic values?
- A. Intrinsic values are often abstract ideas.
- B. Intrinsic values are basic needs for sustaining life.
- C. Intrinsic values are qualities patients consider to be important in their private lives.
- D. Intrinsic values are qualities patients consider important for nurses to have.
Correct Answer: B
Rationale: Correct Answer: B - Intrinsic values are basic needs for sustaining life.
Rationale:
1. Intrinsic values refer to inherent qualities that are fundamental and essential.
2. Basic needs for sustaining life, such as food, water, shelter, and safety, are considered intrinsic values.
3. These needs are universal and essential for human survival.
4. Choices A, C, and D describe different aspects of values but do not capture the core concept of intrinsic values as essential for survival.