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Which of the following best describes the purpose of benchmarking in healthcare?
- A. To compare performance metrics across organizations
- B. To identify best practices and implement them
- C. To ensure compliance with standards
- D. To develop new clinical guidelines
Correct Answer: B
Rationale: The correct answer is B: To identify best practices and implement them. Benchmarking in healthcare involves comparing practices, processes, and outcomes with top-performing organizations to identify best practices and improve performance. By analyzing successful strategies and implementing them, healthcare organizations can enhance their quality of care and efficiency. Choice A is incorrect as benchmarking focuses on learning from others rather than just comparing metrics. Choice C is incorrect as compliance is not the primary purpose of benchmarking. Choice D is incorrect as developing new clinical guidelines is a separate process from benchmarking.
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The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2
diabetes about home management of the disease. Which action should the nurse take first?
- A. Ask the patient’s family to participate in the diabetes education program.
- B. Assess the patient’s perception of what it means to have diabetes mellitus.
- C. Demonstrate how to check glucose using capillary blood glucose monitoring.
- D. Discuss the need for the patient to actively participate in diabetes management.
Correct Answer: B
Rationale: The correct answer is B: Assess the patient’s perception of what it means to have diabetes mellitus. This is the first step because understanding the patient's perception allows the nurse to tailor education to address any misconceptions or concerns. It helps establish a baseline of the patient's knowledge and beliefs about diabetes, enabling the nurse to provide accurate and relevant information.
Option A is incorrect as involving the family should come after assessing the patient's individual understanding and needs. Option C is incorrect as demonstrating blood glucose monitoring should follow assessing the patient's perception to ensure relevance. Option D is incorrect as discussing active participation should also come after assessing the patient's perception to ensure the information is personalized and effective.
In order to assist an older diabetic patient to engage in moderate daily exercise, which action is most important for the nurse to take?
- A. Determine what type of activities the patient enjoys.
- B. Remind the patient that exercise will improve self-esteem.
- C. Teach the patient about the effects of exercise on glucose levels.
- D. Give the patient a list of activities that are moderate in intensity.
Correct Answer: A
Rationale: Correct answer: A. Determine what type of activities the patient enjoys.
Rationale:
1. By determining the patient's preferred activities, the nurse can tailor an exercise plan that is more likely to be enjoyable and sustainable for the patient.
2. Enjoyable activities increase motivation and adherence to exercise regimen, leading to better outcomes for the patient.
3. Personalized approach considers the patient's interests and abilities, promoting a positive experience with exercise.
Summary:
B: Reminding the patient about self-esteem doesn't address individual preferences for exercise.
C: Teaching about glucose levels is important but not as crucial as personalizing the exercise plan.
D: Providing a list of activities may not consider the patient's preferences and may not lead to sustained engagement.
Organizations are made up of intertwined links and diversified choices that generate unanticipated consequences. This defines which of the following theories?
- A. Contingency theory
- B. Closed system theory
- C. Open system theory
- D. Chaos theory
Correct Answer: D
Rationale: The correct answer is D: Chaos theory. Chaos theory explains how complex systems, like organizations, can exhibit unpredictable behavior due to small changes in initial conditions. In this context, the interconnectedness and diverse choices within organizations result in unanticipated consequences. Contingency theory (A) focuses on adapting to environmental factors, closed system theory (B) suggests organizations are isolated from the environment, and open system theory (C) emphasizes interactions with the external environment, but none directly address the unpredictable consequences arising from intertwined links and diverse choices within organizations like Chaos theory does.
Which of the following is the preferable alternative to firing an employee?
- A. Voluntary resignation
- B. Training
- C. Confrontation
- D. Coaching
Correct Answer: A
Rationale: The correct answer is A: Voluntary resignation. This option allows the employee to leave on their own terms, preserving their dignity and potentially avoiding negative consequences of being fired. Training (B) may not address the root issue leading to termination. Confrontation (C) can create a hostile environment and damage morale. Coaching (D) is more focused on improving performance rather than addressing termination. Opting for voluntary resignation promotes a more amicable separation and can benefit both the employee and the organization.
A nurse is caring for a client who is postoperative. When the nurse prepares to change the client's dressing, they say, 'Every time you change my bandage, it hurts so much.' Which of the following interventions is the nurse's priority action?
- A. Encourage the client to relax and take deep breaths during the dressing change
- B. Educate the client about the importance of the dressing change to prevent infection
- C. Administer pain medication 45 minutes before changing the client's dressing
- D. Assist the client to a comfortable position for the dressing change
Correct Answer: C
Rationale: The correct answer is C: Administer pain medication 45 minutes before changing the client's dressing. This is the priority action because it directly addresses the client's pain during the dressing change, ensuring their comfort and adherence to the procedure. Administering pain medication in advance allows time for it to take effect, minimizing the discomfort experienced by the client. Encouraging relaxation techniques (A) and educating about the importance of dressing change (B) are important but secondary to addressing the immediate pain issue. Assisting the client to a comfortable position (D) is helpful but does not directly alleviate the pain like pain medication does.