When lifting a bedside cabinet to move it closer to a client, what action should the nurse take to prevent self-injury?
- A. Keep the feet close together.
- B. Use the back muscles for lifting.
- C. Stand close to the cabinet when lifting it.
- D. Bend at the waist.
Correct Answer: A
Rationale: The correct answer is A: Keep the feet close together. This helps maintain a stable base of support, improving balance and reducing the risk of injury. The wider the base of support, the more stable the body is during lifting. Keeping the feet close together also helps distribute the weight evenly and allows for better control over the movement.
Summary of why other choices are incorrect:
B: Using the back muscles for lifting can lead to strain and injury. It is important to use the legs and core muscles instead.
C: Standing close to the cabinet when lifting may cause strain due to limited range of motion. It is better to maintain a comfortable distance.
D: Bending at the waist increases the risk of back injury. Instead, it is recommended to bend at the knees and hips while keeping the back straight.
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1. Which patient action indicates good understanding of the nurse’s teaching about
administration of aspart (NovoLog) insulin?
- A. The patient avoids injecting the insulin into the upper abdominal area
- B. The patient cleans the skin with soap and water before insulin administration.
- C. The patient stores the insulin in the freezer after administering the prescribed dose.
- D. The patient pushes the plunger down while removing the syringe from the injection site
Correct Answer: B
Rationale: The correct answer is B because cleaning the skin with soap and water before insulin administration helps prevent infection. Proper skin preparation is essential for safe injection practices. Choice A is incorrect because the abdominal area is a recommended site for insulin injection. Choice C is incorrect because insulin should not be stored in the freezer. Choice D is incorrect because pushing the plunger down while removing the syringe could result in incomplete dosing.
Which of the following best describes the role of a nurse case manager?
- A. To provide direct patient care
- B. To manage healthcare facilities
- C. To advocate for patient rights
- D. To coordinate long-term care services
Correct Answer: D
Rationale: The correct answer is D: To coordinate long-term care services. Nurse case managers focus on coordinating and managing the long-term care needs of patients, ensuring continuity and quality of care. They work with healthcare providers, patients, and families to develop and implement care plans.
Explanation:
A: Providing direct patient care is typically the role of nurses, not specifically nurse case managers.
B: Managing healthcare facilities is the responsibility of healthcare administrators, not nurse case managers.
C: Advocating for patient rights is important but not the primary role of a nurse case manager; their focus is on coordinating care services.
How can a staff nurse recognize they are experiencing burnout? (EXCEPT)
- A. They are spending more time talking to staff on other units.
- B. Staff is questioning their clinical judgment.
- C. They sleep longer hours, sometimes coming in late to work.
- D. They are drinking alcohol more frequently to relax.
Correct Answer: A
Rationale: Rationale: A staff nurse experiencing burnout may isolate themselves, leading to less interaction with staff on other units. This can result in spending less time talking to staff on other units. Choices B, C, and D are incorrect as they are common signs of burnout: staff questioning clinical judgment, increased sleep, and increased alcohol consumption.
Which of the following best defines the role of a nurse practitioner (NP)?
- A. Provide direct patient care under the supervision of a physician
- B. Diagnose and treat medical conditions independently
- C. Assist with administrative tasks in a healthcare setting
- D. Specialize in a specific area of nursing practice
Correct Answer: B
Rationale: The correct answer is B because nurse practitioners (NPs) are advanced practice registered nurses who can diagnose and treat medical conditions independently, under the scope of their licensure. NPs have the authority to prescribe medications, order diagnostic tests, and provide primary care services. This role allows them to manage patient care autonomously, without direct supervision from a physician.
Choice A is incorrect because NPs do not provide direct patient care under the supervision of a physician; they work independently. Choice C is incorrect because NPs focus on clinical care rather than administrative tasks. Choice D is incorrect because while NPs may specialize in specific areas of nursing practice, the defining characteristic of their role is the ability to diagnose and treat medical conditions independently.
One of the steps in coaching is often overlooked and taken for granted. What is this step?
- A. Stating the target
- B. Jumping to conclusions
- C. Asking for suggestions
- D. Tying the problem to clients' care
Correct Answer: D
Rationale: Step 1: Tying the problem to clients' care is crucial in coaching to ensure the client sees the relevance and importance of addressing the issue.
Step 2: This step helps create motivation and engagement for the client to actively work towards solving the problem.
Step 3: By connecting the problem to the client's values and well-being, it enhances the client's commitment to the coaching process.
Step 4: This step also promotes a deeper understanding of the impact the problem has on the client's life, driving them towards meaningful change.
Step 5: Overall, tying the problem to clients' care is essential for effective coaching by fostering a client-centered approach and facilitating meaningful progress.
Summary:
A: Stating the target is important but not as overlooked as tying the problem to clients' care.
B: Jumping to conclusions is a common mistake to avoid in coaching.
C: Asking for suggestions can be beneficial, but it is not the often overlooked step in coaching.