Nokea
When seeking their first nursing job, what is the most important factor that nursing graduates look for?
- A. Location
- B. Money
- C. Orientation
- D. Vacation
Correct Answer: C
Rationale: The correct answer is C: Orientation. Nursing graduates prioritize orientation as the most important factor when seeking their first job because it sets the foundation for their transition into the role. A thorough orientation program provides essential training, support, and guidance, which are crucial for their success and confidence in their new position. Location (A) may be important for convenience, but orientation directly impacts their ability to perform their duties effectively. Money (B) and vacation (D) are important but typically take a back seat to factors that directly impact their ability to excel in their new role.
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What is the primary goal of patient education?
- A. To enhance clinical skills
- B. To ensure patient safety
- C. To empower patients to take control of their health
- D. To improve patient compliance
Correct Answer: C
Rationale: The primary goal of patient education is to empower patients to take control of their health. This helps them make informed decisions, manage their conditions effectively, and improve their overall well-being. By educating patients, healthcare providers enable them to actively participate in their own care, leading to better health outcomes.
Choice A (To enhance clinical skills) is incorrect as patient education focuses on empowering patients rather than improving the skills of healthcare providers.
Choice B (To ensure patient safety) is also incorrect as while patient education contributes to patient safety, the primary goal is to empower patients to manage their health.
Choice D (To improve patient compliance) is not the primary goal of patient education, although improved compliance may be an outcome of patient empowerment.
Cultural diversity presents an important challenge to nurse managers due to which of the following?
- A. A nursing shortage exists
- B. Staff nurses are not trained to be culturally sensitive
- C. 80% of nursing staff comes from one or more minority groups
- D. The increase in cultural diversity is seen both in the patient population and the nursing staff
Correct Answer: D
Rationale: The correct answer is D because an increase in cultural diversity in both the patient population and nursing staff can lead to challenges in communication, understanding beliefs and practices, and providing culturally competent care. This can impact patient outcomes and require nurse managers to address cultural competence training and policies.
Choice A (nursing shortage) is incorrect as it does not directly relate to the challenge of cultural diversity. Choice B (lack of cultural sensitivity training) may contribute to the challenge but is not the primary reason. Choice C (80% of nursing staff from minority groups) is incorrect as it presents a specific statistic without addressing the broader implications of cultural diversity in both patients and staff.
In determining a way to make shift change more effective for the nurse and the client, a hospital implemented a course of action. After a week of implementation, the decision was deemed inappropriate. What step of Roger's diffusion of innovations is this?
- A. Confirmation
- B. Implementation
- C. Knowledge
- D. Persuasion
Correct Answer: A
Rationale: The correct answer is A: Confirmation. In Roger's diffusion of innovations theory, Confirmation is the stage where individuals evaluate the decision to adopt or reject an innovation after trying it out. In this scenario, the hospital implemented a course of action for shift change, and after a week, it was deemed inappropriate, indicating that the decision reached the Confirmation stage.
Summary:
- B: Implementation is incorrect as the hospital had already implemented the course of action.
- C: Knowledge is incorrect as this stage involves acquiring information about the innovation.
- D: Persuasion is incorrect as it focuses on influencing individuals to adopt the innovation, which is not the case in this scenario.
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.
What is the focus of a continuous quality improvement program?
- A. Family
- B. Client
- C. Nurse
- D. Physician
Correct Answer: B
Rationale: The correct answer is B: Client. In a continuous quality improvement program, the primary focus should be on improving the quality of care and services provided to the clients or patients. This ensures that their needs and preferences are met, resulting in better outcomes. A focus on the family (A) or healthcare providers like nurses (C) and physicians (D) may be important, but the ultimate goal of a quality improvement program is to enhance the client's experience and well-being. By prioritizing the client, the program can address issues directly affecting them and tailor improvements to meet their specific needs.