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Which of the following best describes the concept of just culture in a healthcare organization?
- A. A culture of blaming individuals for mistakes
- B. A culture of encouraging reporting and learning from errors
- C. A culture of punishing individuals for errors
- D. A culture of ignoring errors
Correct Answer: B
Rationale: The correct answer is B because a just culture in healthcare encourages reporting and learning from errors to improve patient safety and quality of care. This fosters a transparent environment where individuals feel safe to report errors without fear of punishment. By analyzing mistakes, healthcare organizations can implement preventive measures and enhance systems to prevent future errors. Choice A is incorrect as just culture avoids blaming individuals; Choice C is incorrect as it does not promote punishment but focuses on learning; and Choice D is incorrect as just culture acknowledges and addresses errors for continuous improvement.
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What is the term used for assigning a rating based on an overall impression?
- A. Recency error.
- B. Leniency error.
- C. Absolute judgment.
- D. Halo error.
Correct Answer: D
Rationale: The correct answer is D: Halo error. Halo error is the term used for assigning a rating based on an overall impression, where one positive attribute influences the overall perception of an individual or object. This can lead to biased evaluations. Recency error (A) is when recent events have a disproportionate impact on the evaluation. Leniency error (B) is when the rater consistently rates all items positively. Absolute judgment (C) is when each item is evaluated independently without considering the overall impression.
Which finding indicates a need to contact the health care provider before the nurse
administers metformin (Glucophage)?
- A. The patient’s blood glucose level is 174 mg/dL.
- B. The patient has gained 2 lb (0.9 kg) since yesterday.
- C. The patient is scheduled for a chest x-ray in an hour
- D. The patient’s blood urea nitrogen (BUN) level is 52 mg/dL.
Correct Answer: D
Rationale: The correct answer is D because an elevated BUN level of 52 mg/dL indicates potential kidney dysfunction, which is a contraindication for metformin due to the risk of lactic acidosis.
A: Blood glucose level of 174 mg/dL is slightly high but not a contraindication for metformin.
B: Weight gain is unrelated to metformin administration.
C: Chest x-ray does not directly impact metformin administration.
A nurse is planning an educational program for a group of older adults at a senior living center. Which of the following recommendations should the nurse include?
- A. You should receive a pneumococcal vaccine when you are 65 years old.
- B. You should receive a shingles vaccine when you are 70 years old.
- C. You should receive a tetanus booster every 5 years.
- D. You should have an eye examination every 2 years.
Correct Answer: A
Rationale: Rationale: Choice A is correct because the pneumococcal vaccine is recommended for adults aged 65 and older to prevent pneumonia and other pneumococcal diseases. This recommendation aligns with the age group of the older adults at the senior living center. A shingles vaccine is actually recommended at age 50, not 70 (B). Tetanus boosters are recommended every 10 years, not 5 (C). Eye examinations are typically recommended annually, not every 2 years (D). Therefore, choice A is the most appropriate recommendation for the nurse to include in the educational program.
As the definition of nursing evolved, which of the following nurse theorists focused on the uniqueness of nursing?
- A. Florence Nightingale
- B. Virginia Henderson
- C. Martha Rogers
- D. Abraham Maslow
Correct Answer: B
Rationale: Virginia Henderson is the correct answer because she emphasized the unique role of nursing in helping individuals achieve independence in meeting their basic needs. Henderson's theory focuses on the holistic approach to patient care, highlighting the importance of individualized care and the nurse's role in assisting patients to reach their optimal health potential.
Florence Nightingale, known as the founder of modern nursing, focused on sanitation and environmental factors in health care. Martha Rogers emphasized the interconnectedness of humans with their environment. Abraham Maslow is known for his hierarchy of needs theory, which is more aligned with psychology than nursing.
The staff on a medical-surgical unit is in conflict with the occupational therapy department. What type of communication will be used to discuss the problems?
- A. Downward communication
- B. Lateral communication
- C. Distorted communication
- D. Upward communication
Correct Answer: B
Rationale: The correct answer is B: Lateral communication. In this scenario, the conflict between the staff and the occupational therapy department requires communication between individuals at the same hierarchical level. Lateral communication enables direct discussion and collaboration among peers to address issues and find solutions.
A: Downward communication involves communication from higher to lower levels in the hierarchy, which would not be suitable for resolving conflicts between different departments.
C: Distorted communication implies a breakdown in the communication process, leading to misunderstandings and misinterpretations, which would not be effective in addressing the conflict.
D: Upward communication involves communication from lower to higher levels in the hierarchy, which may not be the most appropriate method for resolving conflicts between departments.