Nokea
Which of the following best describes the concept of shared governance?
- A. Top-down management
- B. Nurse-led committees
- C. Shared decision making
- D. Hierarchical structure
Correct Answer: C
Rationale: The correct answer is C: Shared decision making. Shared governance involves collaborative decision-making among healthcare professionals, including nurses, to improve patient care and organizational outcomes. This approach empowers frontline staff to have a voice in decisions that affect their work environment and patient care. Nurse-led committees (option B) may be a part of shared governance but do not fully encompass the concept. Top-down management (option A) and hierarchical structure (option D) are opposite to the principles of shared governance as they involve centralized decision-making and lack of employee involvement in decision-making processes.
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Knowing the different modes of communication used by men and women is important for the nurse manager. Which of the following is a difference in communication in unpleasant situations?
- A. Men tend to talk more, and women withdraw.
- B. Men tend to use tag questions.
- C. Women disagree more.
- D. Women talk longer and faster, men disclose more.
Correct Answer: A
Rationale: The correct answer is A because it highlights a common difference in communication styles between men and women in unpleasant situations. Men tend to talk more to assert dominance or control the situation, while women may withdraw to avoid conflict. This difference can impact how conflicts are resolved and relationships are maintained.
Choice B is incorrect as using tag questions is not specifically a gender difference in communication during unpleasant situations. Choice C is incorrect as it generalizes that women disagree more without specifying the context of unpleasant situations. Choice D is incorrect as it focuses on the length and speed of communication rather than addressing the specific behavior in unpleasant situations.
An RN’s current patient and family have presented her with an ethical dilemma. What is the first step the RN should take to find a workable solution to the problem?
- A. Planning
- B. Assessment
- C. Evaluation
- D. Implementation
Correct Answer: B
Rationale: The correct answer is B: Assessment. The first step in resolving an ethical dilemma is to thoroughly assess the situation. This involves gathering all relevant information, understanding the perspectives of the patient and family, and identifying key ethical principles at stake. Assessment allows the RN to have a clear understanding of the dilemma and its implications before proceeding with any planning, implementation, or evaluation. Planning (A), Implementation (D), and Evaluation (C) are all important steps in the problem-solving process, but without a comprehensive assessment, the RN may not have a solid foundation to address the ethical dilemma effectively.
When a patient who takes metformin (Glucophage) to manage type 2 diabetes develops an allergic rash from an unknown cause, the healthcare provider prescribes prednisone (Deltasone). The nurse will anticipate that the patient may
- A. require administration of insulin while taking prednisone
- B. develop acute hypoglycemia while taking prednisone
- C. require administration of insulin while taking prednisone
- D. have rashes caused by metformin-prednisone interactions
Correct Answer: C
Rationale: Rationale for Correct Answer C (require administration of insulin while taking prednisone):
1. Prednisone can increase blood glucose levels by reducing insulin sensitivity.
2. Metformin alone may not control blood glucose levels adequately in the presence of prednisone.
3. Therefore, the patient may require insulin to manage blood glucose levels while on prednisone.
Summary of Incorrect Choices:
A: This is incorrect because insulin administration is not necessary due to the rash or the interaction between metformin and prednisone.
B: This is incorrect because prednisone can actually increase blood glucose levels, leading to hyperglycemia rather than hypoglycemia.
D: This is incorrect because the rash is not likely caused by an interaction between metformin and prednisone, but rather an allergic reaction to an unknown cause.
Which of the following best describes the role of an informatics nurse specialist?
- A. Managing electronic health records
- B. Providing technical support
- C. Educating nursing staff
- D. Improving patient care through technology
Correct Answer: D
Rationale: The correct answer is D: Improving patient care through technology. Informatics nurse specialists focus on utilizing technology to enhance patient outcomes and streamline healthcare processes. They analyze data, implement new technologies, and design systems to improve efficiency and quality of care. This role involves understanding both nursing practice and technology to bridge the gap between the two, ultimately benefiting patients.
A: Managing electronic health records - While informatics nurse specialists may oversee EHR systems, their primary focus is on using technology to enhance patient care, not just managing records.
B: Providing technical support - While they may provide some technical support, their main role is to leverage technology to improve patient outcomes, not solely to troubleshoot technical issues.
C: Educating nursing staff - While education is a part of their role, the primary objective of an informatics nurse specialist is to improve patient care through technology, not just educating staff.
Which of the following best describes the role of a clinical nurse specialist (CNS)?
- A. Direct patient care provider
- B. Administrator of healthcare facilities
- C. Consultant for nursing staff
- D. Policy maker in healthcare organizations
Correct Answer: C
Rationale: The correct answer is C because a clinical nurse specialist (CNS) primarily serves as a consultant for nursing staff. They provide expert guidance, education, and support to improve clinical practice and patient outcomes. This role involves collaborating with nurses to enhance their skills and knowledge.
A: Direct patient care provider - While CNS may provide direct patient care, their main focus is on educating and supporting nursing staff.
B: Administrator of healthcare facilities - This role is typically carried out by nurse administrators, not CNS.
D: Policy maker in healthcare organizations - Policy-making is usually the responsibility of healthcare executives or policymakers, not CNS.