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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.
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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.
Which of the following is a common characteristic of a Magnet-designated hospital?
- A. High nurse turnover rates
- B. Strong emphasis on interdisciplinary teamwork
- C. Limited opportunities for professional development
- D. Focus on advanced technology for patient care
Correct Answer: B
Rationale: The correct answer is B: Strong emphasis on interdisciplinary teamwork. Magnet-designated hospitals are recognized for their commitment to nursing excellence and quality patient care. Interdisciplinary teamwork is crucial for enhancing patient outcomes and promoting a holistic approach to healthcare. Collaboration among healthcare professionals ensures comprehensive patient care. Other choices are incorrect because high nurse turnover rates, limited professional development opportunities, and a focus on advanced technology do not necessarily define a Magnet-designated hospital.
During a home safety assessment, a nurse is evaluating a client who is receiving supplemental oxygen. Which observation should the nurse identify as a proper safety protocol?
- A. The client has a weekly inspection checklist for oxygen equipment.
- B. The client stores an extra oxygen tank on its side under their bed.
- C. The client identifies the location of a fire extinguisher.
- D. The client uses a wool blanket on their bed.
Correct Answer: A
Rationale: The correct answer is A because having a weekly inspection checklist for oxygen equipment ensures the client is monitoring the equipment regularly for safety. Choice B is incorrect as storing an oxygen tank on its side can be dangerous. Choice C is not directly related to oxygen safety. Choice D is incorrect because wool blankets can create static electricity, which is a fire hazard.
Nonverbal messages in communication, including body language and environmental factors, are called ___________.
- A. lateral communication
- B. upward communication
- C. metacommunications
- D. downward communication
Correct Answer: C
Rationale: The correct answer is C: metacommunications. Nonverbal messages in communication, such as body language and environmental factors, are referred to as metacommunications because they convey additional meaning beyond the verbal message. This term encompasses the subtle cues and signals that influence the interpretation of the message. Lateral communication (A) refers to communication between individuals or groups at the same hierarchical level, not specifically related to nonverbal cues. Upward communication (B) involves communication from lower levels to higher levels in an organization. Downward communication (D) refers to communication from higher levels to lower levels. These choices are incorrect as they do not specifically address the role of nonverbal cues in communication.
Which of the following leaders would be considered a transformational leader?
- A. The supervisor of a unit who requests staff to work overtime.
- B. The unit secretary who encourages staff to use the proper forms.
- C. A unit manager who reminds a CNA (Certified Nursing Assistant) to work on time management skills.
- D. The Advanced Practice Nurse who encourages a staff nurse to pursue additional education for career advancement.
Correct Answer: D
Rationale: The correct answer is D because a transformational leader inspires and motivates followers to achieve their full potential. In this scenario, the Advanced Practice Nurse is encouraging the staff nurse to pursue additional education, showing a commitment to individual growth and development. This aligns with the characteristics of a transformational leader.
Choice A is incorrect because simply requesting staff to work overtime does not demonstrate transformational leadership qualities. Choice B is incorrect as encouraging staff to use proper forms is more aligned with transactional leadership. Choice C is incorrect as reminding a CNA to work on time management skills is more about task-oriented leadership rather than transformational leadership.