Nokea
Which of the following is a recommendation for avoiding charges of negligence and false imprisonment for confused clients?
- A. Carefully assess and document client status.
- B. Ensure all patient information is secure and the nurse has logged out of the computer before leaving the computer station.
- C. Keep detailed notes while providing care to ensure accurate documentation later in the day.
- D. Discuss safety needs with clients.
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct:
1. Careful assessment helps in understanding the client's condition and needs.
2. Documenting client status provides evidence of the care provided.
3. It ensures that necessary actions are taken promptly to prevent negligence.
4. Documentation serves as legal protection against false imprisonment accusations.
Summary:
- Choice B is about data security, not directly related to preventing negligence and false imprisonment.
- Choice C focuses on accurate documentation but lacks the emphasis on assessment.
- Choice D is vague and does not specifically address the legal aspects of negligence and false imprisonment.
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Professionalism has historically been difficult to define. Early definitions of professionalism included which of the following characteristics?
- A. Expertise
- B. Empathy
- C. Ethical and moral values
- D. Honesty
Correct Answer: A
Rationale: The correct answer is A: Expertise. Professionalism is often associated with possessing a high level of expertise or specialized knowledge in a particular field. This expertise allows professionals to perform their duties effectively and competently. Early definitions of professionalism emphasized the importance of possessing the necessary skills and knowledge to excel in one's profession.
Choices B, C, and D are incorrect because while empathy, ethical and moral values, and honesty are important characteristics of professionalism, they are not the defining factors. Empathy, ethics, and honesty are crucial components of professional behavior, but without expertise, a professional may not be able to effectively fulfill their responsibilities in their chosen field.
Change is a mandatory skill for managers. Successful change agents display certain characteristics. Some of these characteristics are: (Select all that apply.)
- A. Energy
- B. Confidence
- C. Ambiguity
- D. Trustworthiness
Correct Answer: C
Rationale: The correct answer is C: Ambiguity. Successful change agents must be comfortable with uncertainty and ambiguity inherent in the change process. They need to navigate through unknown situations and adapt to unforeseen challenges. Energy and confidence (choices A and B) are valuable traits but not specifically tied to managing change. Trustworthiness (choice D) is important for building relationships but not a defining characteristic of successful change agents.
1. Which patient action indicates good understanding of the nurse’s teaching about
administration of aspart (NovoLog) insulin?
- A. The patient avoids injecting the insulin into the upper abdominal area
- B. The patient cleans the skin with soap and water before insulin administration.
- C. The patient stores the insulin in the freezer after administering the prescribed dose.
- D. The patient pushes the plunger down while removing the syringe from the injection site
Correct Answer: B
Rationale: The correct answer is B because cleaning the skin with soap and water before insulin administration helps prevent infection. Proper skin preparation is essential for safe injection practices. Choice A is incorrect because the abdominal area is a recommended site for insulin injection. Choice C is incorrect because insulin should not be stored in the freezer. Choice D is incorrect because pushing the plunger down while removing the syringe could result in incomplete dosing.
Which of the following is an example of a tertiary prevention activity?
- A. Administering immunizations
- B. Physical therapy for stroke patients
- C. Routine health screenings
- D. Health education campaigns
Correct Answer: B
Rationale: The correct answer is B: Physical therapy for stroke patients, as it falls under tertiary prevention aimed at reducing the impact of a disease or disability. Physical therapy helps stroke patients regain function and improve quality of life post-onset. A: Administering immunizations is an example of primary prevention, preventing a disease from occurring. C: Routine health screenings are a form of secondary prevention, detecting diseases early to prevent progression. D: Health education campaigns can be both primary (preventing disease occurrence) or secondary prevention (early detection).
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.