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What is the primary focus of health promotion activities?
- A. To manage chronic diseases
- B. To educate patients about their health
- C. To prevent the onset of disease
- D. To identify and treat diseases early
Correct Answer: C
Rationale: The correct answer is C: To prevent the onset of disease. Health promotion activities aim to prevent illnesses before they occur by promoting healthy behaviors and lifestyles. This is a proactive approach that focuses on preventing diseases rather than managing or treating them after they have developed. Choice A focuses on managing existing conditions, choice B emphasizes educating patients after the fact, and choice D focuses on early detection and treatment rather than prevention. Preventing disease through health promotion is the most effective and cost-efficient approach to improving overall health outcomes.
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There are many ways to ensure that your appraisal system is nondiscriminatory. Which of the following is one way to ensure this?
- A. Giving the appraisal once per year
- B. Having no appeal process
- C. Withholding information from the employee
- D. Not allowing any input from the employee
Correct Answer: A
Rationale: Step-by-step rationale:
1. Giving the appraisal once per year ensures consistency and fairness in evaluating employee performance.
2. Regular appraisals help in tracking progress, identifying areas of improvement, and providing feedback.
3. Annual appraisals reduce the likelihood of biases affecting the evaluation process.
4. This approach allows for a structured review process and aligns with best practices in performance management.
Summary:
- Choice B is incorrect as having no appeal process can lead to unfairness and lack of transparency.
- Choice C is incorrect as withholding information hinders employee development and communication.
- Choice D is incorrect as employee input is essential for a comprehensive and balanced appraisal process.
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.
A nurse enters a client's room and finds them on the floor. The client's roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. Which of the following statements should the nurse document about this incident?
- A. Incident report completed.
- B. Client climbed over the side rails.
- C. Client was trying to get out of bed.
- D. Client found lying on floor.
Correct Answer: C
Rationale: Rationale: The correct answer is C because it accurately describes the situation based on the information provided. Documenting that the client was trying to get out of bed aligns with the roommate's report of the incident. This statement is factual and relevant to the client's condition.
Summary:
A: Incident report completed - Not relevant to documenting the client's actions during the fall.
B: Client climbed over the side rails - Assumes an action not reported by the roommate.
D: Client found lying on floor - Describes the outcome, but does not explain the cause of the fall.
What are the key elements essential to the implementation of case management? (Select all that apply.)
- A. Collaborative practice teams
- B. Established critical pathways
- C. Quality management system
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D because all the elements mentioned - collaborative practice teams, established critical pathways, and quality management system - are essential for effective case management. Collaborative practice teams ensure comprehensive care, critical pathways provide a structured approach to care delivery, and a quality management system ensures high standards of care. Each element plays a crucial role in the successful implementation of case management by promoting coordination, efficiency, and quality assurance. Therefore, selecting all of the above options is necessary to cover all key aspects of effective case management.
What is the primary goal of infection control practices in healthcare settings?
- A. To reduce the length of hospital stays
- B. To ensure patient safety and prevent infections
- C. To control the spread of infections within the healthcare setting
- D. To comply with healthcare regulations
Correct Answer: C
Rationale: The correct answer is C: To control the spread of infections within the healthcare setting. This is the primary goal of infection control practices as it aims to prevent the transmission of infections among patients, healthcare workers, and visitors. By implementing measures such as hand hygiene, proper use of personal protective equipment, and environmental cleaning, healthcare facilities can effectively minimize the risk of infections spreading.
Explanation of why other choices are incorrect:
A: To reduce the length of hospital stays - While infection control practices may contribute to shorter hospital stays indirectly by preventing additional complications from infections, this is not the primary goal.
B: To ensure patient safety and prevent infections - While patient safety and infection prevention are important aspects of infection control, the primary goal is specifically focused on controlling the spread of infections within the healthcare setting.
D: To comply with healthcare regulations - While compliance with regulations is essential for maintaining a safe healthcare environment, it is not the primary goal of infection control practices, which is centered on preventing the spread of infections.