Nokea
Which of the following is a key principle of the patient-centered care model?
- A. Healthcare provider satisfaction
- B. Cost reduction
- C. Patient autonomy
- D. Provider convenience
Correct Answer: C
Rationale: The correct answer is C: Patient autonomy. Patient-centered care emphasizes the importance of involving patients in their own healthcare decisions, respecting their preferences, values, and needs. This principle ensures that patients are active participants in their care, leading to improved health outcomes and patient satisfaction.
Incorrect choices:
A: Healthcare provider satisfaction - While important, patient-centered care focuses on the patient's experience and outcomes rather than the provider's satisfaction.
B: Cost reduction - While costs are a consideration in healthcare delivery, patient-centered care prioritizes the patient's well-being over cost savings.
D: Provider convenience - Patient-centered care does not prioritize provider convenience; instead, it prioritizes meeting the individual needs and preferences of the patient.
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During a physical assessment of adult clients, which of the following techniques should the nurse use?
- A. Use the Face, Legs, Activity, Cry, and Consolability (FLACC) pain rating scale for a client experiencing pain.
- B. Palpate the client's abdomen before auscultating bowel sounds.
- C. Ensure the bladder of the blood pressure cuff surrounds 80% of the client's arm.
- D. Obtain an apical heart rate by auscultating at the third intercostal space to the left of the sternum.
Correct Answer: B
Rationale: Step 1: Palpating the client's abdomen before auscultating bowel sounds is the correct technique during a physical assessment. This sequence is important because palpation can potentially disrupt bowel sounds, leading to inaccurate assessment results.
Step 2: Palpation helps to identify any tenderness, masses, or abnormalities in the abdomen before proceeding to auscultate bowel sounds. This way, any abnormal findings during palpation can be correlated with bowel sound assessment.
Step 3: By following this sequence, the nurse ensures a systematic and accurate assessment of the client's abdomen, which is crucial for detecting any gastrointestinal issues or abnormalities.
In summary, option B is correct because it follows the appropriate sequence of assessment techniques, ensuring a thorough and accurate evaluation of the client's abdomen. Options A, C, and D are incorrect because they do not pertain to the correct sequence or technique for assessing the abdomen during a physical assessment.
How can a staff nurse recognize they are experiencing burnout? (EXCEPT)
- A. They are spending more time talking to staff on other units.
- B. Staff is questioning their clinical judgment.
- C. They sleep longer hours, sometimes coming in late to work.
- D. They are drinking alcohol more frequently to relax.
Correct Answer: A
Rationale: Rationale: A staff nurse experiencing burnout may isolate themselves, leading to less interaction with staff on other units. This can result in spending less time talking to staff on other units. Choices B, C, and D are incorrect as they are common signs of burnout: staff questioning clinical judgment, increased sleep, and increased alcohol consumption.
A nurse manager is considering the variances of the budget. Fewer monies were spent than expected. What type of variance is this?
- A. Unfavorable variance
- B. Favorable variance
- C. Dependent variance
- D. Independent variance
Correct Answer: B
Rationale: The correct answer is B: Favorable variance. This is because spending less money than expected is positive for the budget, indicating efficiency. A favorable variance means actual costs are lower than budgeted, leading to cost savings. In contrast, an unfavorable variance (option A) would occur if more money was spent than anticipated, indicating overspending. Choices C and D are incorrect as they do not directly address the concept of budget variances and are not commonly used terms in budgeting analysis.
When a nurse observes a fellow nurse preparing an incorrect dose of medication, what is the best action to take?
- A. Ignore the error
- B. Administer the medication anyway
- C. Correct the error without informing the nurse
- D. Report the error to the supervisor immediately
Correct Answer: D
Rationale: The correct answer is D: Report the error to the supervisor immediately. This action prioritizes patient safety and prevents harm. It follows ethical guidelines by promoting transparency and accountability. Reporting the error also upholds professional standards and fosters a culture of continuous learning and improvement. Ignoring the error (A) risks patient harm. Administering the medication anyway (B) compromises patient safety. Correcting the error without informing the nurse (C) overlooks the importance of addressing the root cause and preventing future mistakes.
Which of the following is a skill emotionally intelligent leaders must develop?
- A. Encourage constructive criticism.
- B. Work to complete all assigned tasks on his or her own.
- C. Minimize one’s own emotions, instead of seeking to understand the emotions of others.
- D. Encourage others to work efficiently and independently.
Correct Answer: A
Rationale: The correct answer is A. Emotionally intelligent leaders must develop the skill of encouraging constructive criticism because it fosters open communication, builds trust, and promotes growth and learning within the team. By actively seeking feedback and input from others, leaders show humility, empathy, and a willingness to improve. This skill also helps in creating a positive work environment where team members feel valued and supported.
Choice B is incorrect because emotionally intelligent leaders understand the importance of collaboration and delegating tasks effectively rather than working solely on their own. Choice C is incorrect because minimizing one's own emotions hinders effective communication and empathy, which are crucial aspects of emotional intelligence. Choice D is incorrect because while encouraging others to work efficiently is important, it does not specifically address the need for constructive criticism in developing emotional intelligence.