Nokea
When a client with a terminal diagnosis asks about advance directives, what should the nurse do?
- A. Engage the client and ask why they want to discuss this without their partner present.
- B. Provide information on advance directives and offer brochures.
- C. Advise the client to schedule a discussion with their provider.
- D. Focus on the client's current feelings and postpone planning for a later time.
Correct Answer: A
Rationale: The correct answer is A because it prioritizes client autonomy and respects their wishes. By engaging the client and asking why they want to discuss advance directives without their partner present, the nurse acknowledges the client's right to make decisions about their own healthcare. This approach promotes open communication and allows the client to express their concerns and preferences freely.
Choice B is incorrect as it assumes the client only needs information and brochures without addressing their specific needs or concerns. Choice C is incorrect as it delays addressing the client's immediate questions and concerns about advance directives. Choice D is incorrect as it disregards the client's request to discuss advance directives and focuses solely on their current feelings.
You may also like to solve these questions
In the traditional rating scale, what is the time period typically used for evaluation?
- A. Twelve months
- B. Six months
- C. Three months
- D. One month
Correct Answer: A
Rationale: The correct answer is A: Twelve months. In traditional rating scales, evaluations are typically conducted over a period of twelve months to allow for a comprehensive assessment of an individual's performance over an extended period. This timeframe allows for a more accurate reflection of the individual's overall performance, taking into account various factors and performance trends throughout the year.
Explanation for why the other choices are incorrect:
- B: Six months: Six months is a relatively shorter timeframe compared to the traditional annual evaluation period. It may not provide a comprehensive view of the individual's performance over a longer period.
- C: Three months: Three months is too short of a timeframe to evaluate performance comprehensively. It may not capture long-term performance trends and variations.
- D: One month: One month is too brief to assess performance effectively. It may not account for fluctuations in performance or provide a holistic view of the individual's capabilities over time.
What term refers to the situation where the pay of newer employees is similar to or higher than that of more experienced employees?
- A. Salary compression
- B. Salary expectations
- C. Salary range
- D. Salary inflation
Correct Answer: A
Rationale: The correct answer is A: Salary compression. Salary compression occurs when the pay of newer employees is comparable to or higher than that of more experienced employees due to various factors such as market trends, limited salary budgets, or lack of adjustments for inflation. This can lead to decreased morale and motivation among the experienced employees.
Choice B, salary expectations, does not specifically refer to the situation described in the question. Choice C, salary range, is a term used to define the minimum and maximum pay levels for a particular job position and does not address the relationship between newer and more experienced employees' pay. Choice D, salary inflation, refers to the general increase in wages over time due to factors such as rising costs of living and economic growth, but it does not specifically address the scenario of newer employees earning more than experienced employees.
What is the main focus of the Six Sigma methodology in healthcare?
- A. Reducing healthcare costs
- B. Improving patient satisfaction
- C. Enhancing clinical decision making
- D. Increasing healthcare access
Correct Answer: C
Rationale: The main focus of Six Sigma methodology in healthcare is enhancing clinical decision making. This is because Six Sigma aims to reduce variations and defects in processes, leading to improved quality and efficiency. By enhancing clinical decision making, healthcare providers can make more accurate and timely decisions, resulting in better patient outcomes.
Incorrect choices:
A: Reducing healthcare costs is a common goal in healthcare improvement initiatives but not the main focus of Six Sigma.
B: Improving patient satisfaction is important but not the primary focus of Six Sigma, which aims at process improvement.
D: Increasing healthcare access is crucial, but it is not the main focus of Six Sigma, which is more about quality improvement within existing processes.
What is the primary goal of the Affordable Care Act (ACA)?
- A. To reduce healthcare costs
- B. To expand access to healthcare
- C. To improve healthcare quality
- D. To increase healthcare funding
Correct Answer: B
Rationale: The correct answer is B: To expand access to healthcare. The primary goal of the ACA is to increase the number of Americans with access to affordable healthcare coverage. This is achieved through measures such as expanding Medicaid, creating health insurance marketplaces, and providing subsidies for low-income individuals. By increasing access to healthcare, the ACA aims to improve health outcomes and reduce disparities.
Choice A (To reduce healthcare costs) is not the primary goal of the ACA, although cost containment is an important aspect. Choice C (To improve healthcare quality) is also a key goal, but not the primary focus. Choice D (To increase healthcare funding) is not the primary goal either, as the ACA aims to improve access and quality of care rather than simply increasing funding.
Which of the following is an example of a macro-level health policy?
- A. Local health ordinances
- B. State licensing regulations
- C. National healthcare legislation
- D. Institutional policies
Correct Answer: C
Rationale: The correct answer is C: National healthcare legislation. Macro-level health policies are those that are implemented at the national level and have a broad impact on a large population. National healthcare legislation falls under this category as it sets guidelines and regulations for the entire country's healthcare system. Local health ordinances (A) are specific regulations for a particular locality, state licensing regulations (B) are at the state level, and institutional policies (D) are specific to individual healthcare institutions. Therefore, the correct choice is C as it aligns with the definition of macro-level health policy.