Nokea
Which of the following best describes the concept of holistic nursing?
- A. An approach that integrates the mind, body, and spirit in patient care
- B. A method that focuses solely on physical health
- C. A practice that considers only the patient's physical condition
- D. A framework for improving hospital administration
Correct Answer: A
Rationale: The correct answer is A because holistic nursing emphasizes integrating the mind, body, and spirit in patient care, considering the patient as a whole being. This approach recognizes the interconnectedness of physical, emotional, social, and spiritual aspects of health, promoting overall well-being. Choice B is incorrect because holistic nursing goes beyond physical health. Choice C is incorrect as it neglects the emotional and spiritual aspects. Choice D is unrelated to holistic nursing as it focuses on hospital administration rather than patient care. Holistic nursing aims to provide comprehensive and individualized care, acknowledging the importance of addressing all dimensions of a patient's health.
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During a staffing crisis, managers may need to use nurse extenders. These individuals are better known as:
- A. Float RNs.
- B. Unlicensed assistive personnel.
- C. LPNs.
- D. Agency nurses.
Correct Answer: B
Rationale: The correct answer is B: Unlicensed assistive personnel. Nurse extenders are typically nursing assistants or other unlicensed staff who provide basic patient care under the supervision of registered nurses. They help alleviate the workload during staffing shortages but do not have the same level of education and training as licensed nurses. Float RNs (A) are registered nurses who work in various units as needed. LPNs (C) are licensed practical nurses who have more training than nursing assistants. Agency nurses (D) are temporary nurses hired from external agencies. Unlicensed assistive personnel best fit the description of nurse extenders due to their role in providing direct patient care under supervision.
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.
Which of the following would be considered an urgent and important issue?
- A. Replacing two staff who were injured while caring for a violent patient
- B. Updating the employee break room with new furniture
- C. Preparing educational packets on self-administration of insulin for patients
- D. Arranging a team-building event for staff members
Correct Answer: A
Rationale: The correct answer is A because replacing injured staff dealing with a violent patient is urgent due to staff shortage and important for patient safety. Choice B is not urgent or directly related to patient care. Choice C is important but not urgent. Choice D is important for team morale but not urgent or directly related to patient care.
After working at your job for 10 months and feeling unable to tolerate the tension and stress between staff nurses and the laissez-faire nurse manager who is not a leader, what is the best course of action?
- A. Submit a resignation and leave within 30 days.
- B. Complain to staff about the nurse manager.
- C. Seek another position within the healthcare organization and apply for a transfer.
- D. Inform the chief nursing officer that you are leaving and explain your dissatisfaction with the lack of leadership.
Correct Answer: C
Rationale: The correct answer is C because seeking another position within the healthcare organization and applying for a transfer allows you to address the issue of tension and stress while staying within the organization. This option demonstrates a proactive approach to resolving the conflict and shows a commitment to finding a solution rather than just quitting. By transferring to a different position, you can potentially avoid the negative environment while still utilizing your skills and experience within the organization.
Choices A, B, and D are incorrect because they do not address the underlying issue effectively. Option A of submitting a resignation and leaving within 30 days is a hasty decision without exploring potential solutions within the organization. Option B of complaining to staff about the nurse manager may create more conflict and worsen the situation. Option D of informing the chief nursing officer about leaving does not provide a constructive solution to the tension and stress between staff nurses and the nurse manager.
Which information is most important for the nurse to report to the health care provider before
a patient with type 2 diabetes is prepared for a coronary angiogram?
- A. The patient’s most recent HbA1C was 6.5%
- B. The patient’s admission blood glucose is 128 mg/dL.
- C. The patient took the prescribed metformin (Glucophage) today
- D. The patient took the prescribed captopril (Capoten) this morning.
Correct Answer: C
Rationale: The correct answer is C because metformin is typically held before a coronary angiogram due to the risk of lactic acidosis. This information is crucial for the health care provider to know to prevent potential complications during the procedure. Option A is not as urgent as the patient's current medication status. Option B is less relevant as it does not impact the procedure directly. Option D is important but not as critical as knowing the status of metformin intake. Reporting the patient's current medication, especially metformin, is vital for ensuring patient safety during the coronary angiogram.