Nokea
What is the primary focus of transitional care?
- A. To improve clinical outcomes
- B. To manage chronic diseases
- C. To facilitate smooth transitions between care settings
- D. To support family caregivers
Correct Answer: C
Rationale: The primary focus of transitional care is to facilitate smooth transitions between care settings. This involves ensuring continuity of care, coordination between healthcare providers, and patient education during transitions. This helps prevent medical errors, improve patient safety, and reduce hospital readmissions. Managing chronic diseases (B) and improving clinical outcomes (A) are important aspects but not the primary focus. While supporting family caregivers (D) is crucial, it is not the main goal of transitional care.
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A nurse manager has two out of six staff nurses call in sick for one shift. Because of reduced availability of staff, the manager decides to manage the unit with the three remaining nurses, which keeps the unit at minimal staffing standards. What type of decision-making strategy would this be?
- A. Satisficing
- B. Routine
- C. Adaptive
- D. Rationalizing
Correct Answer: A
Rationale: The correct answer is A: Satisficing. Satisficing is a decision-making strategy where the decision-maker selects the first option that meets the minimum criteria or satisfies the immediate need. In this scenario, the nurse manager is making a decision to manage the unit with the three remaining nurses to meet the minimal staffing standards due to the unexpected absence of two nurses. This decision is based on satisfying the immediate need of maintaining minimal staffing levels despite not having the full staff complement available.
Summary:
B: Routine decision-making involves following established procedures and protocols, which is not the case in this scenario.
C: Adaptive decision-making involves adapting to changing circumstances, which is not the primary focus here.
D: Rationalizing decision-making involves thoroughly evaluating options and selecting the best one, which is not happening in this situation where the focus is on meeting minimum staffing standards quickly.
The manager of a medical-surgical unit is very task-motivated. Using Fiedler's Contingency Theory, under what circumstances would the manager be most effective?
- A. Only during highly stressful situations.
- B. When there is little to no stress.
- C. Under highly structured situations.
- D. When the situation is loosely structured.
Correct Answer: C
Rationale: According to Fiedler's Contingency Theory, task-motivated leaders are most effective in highly structured situations. This is because in such environments, the leader can focus on task accomplishment and clearly defined goals without needing to rely heavily on interpersonal relationships. In contrast, in loosely structured situations, task-motivated leaders may struggle as the lack of clear direction and ambiguity can hinder their task-oriented approach. Therefore, the correct answer is C. Choices A and B are incorrect as they focus on stress levels, which are not directly related to the effectiveness of task-motivated leaders. Choice D is incorrect because loosely structured situations are not ideal for task-motivated leaders according to Fiedler's theory.
When someone is consistently late for work due to unreliable transportation, this is known as which type of barrier?
- A. Attendance
- B. Voluntary
- C. Motivation
- D. Involuntary
Correct Answer: A
Rationale: The correct answer is A: Attendance. This is because being consistently late for work due to unreliable transportation directly impacts one's ability to be present at work on time, affecting attendance. It is not voluntary (B) as the individual is not choosing to be late, nor is it related to motivation (C) as it is an external factor beyond their control. It is also not involuntary (D) as the lateness is a result of a specific issue rather than a lack of intention.
Factors that may contribute to workplace violence in a health care setting include:
- A. Lack of armed security
- B. Continuous loud noises and/or poorly monitored entrances
- C. Poor staff interactions
- D. Tense shoulders and clenched fists
Correct Answer: B
Rationale: The correct answer is B because continuous loud noises and poorly monitored entrances can create a stressful environment, leading to heightened emotions and potential triggers for violence. Loud noises can increase agitation, while poorly monitored entrances can allow unauthorized individuals to enter, posing a security risk. The other choices are incorrect because lack of armed security (A) is not a direct cause of workplace violence, poor staff interactions (C) may contribute to a negative work environment but not necessarily violence, and tense shoulders and clenched fists (D) are physical signs of stress but do not directly cause workplace violence.
A 38-year-old patient who has type 1 diabetes plans to swim laps daily at 1:00 PM. The clinic nurse will plan to teach the patient to
- A. check glucose levels before, during, and after swimming.
- B. delay eating the noon meal until after swimming.
- C. increase the morning dose of neutral protamine Hagedorn (NPH) insulin.
- D. time the morning insulin injection so that the peak occurs while swimming.
Correct Answer: A
Rationale: The correct answer is A because the patient with type 1 diabetes should check glucose levels before, during, and after swimming to monitor for fluctuations and adjust insulin or food intake accordingly. This allows for better glycemic control and prevents hypoglycemia or hyperglycemia during and after swimming.
Choice B is incorrect because delaying eating can lead to hypoglycemia during swimming due to increased insulin action without adequate glucose intake. Choice C is incorrect as increasing NPH insulin dose without monitoring glucose levels can result in hypoglycemia during exercise. Choice D is incorrect because timing the insulin injection for peak action while swimming can also lead to hypoglycemia if glucose levels are not monitored.