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Which of the following is an example of an outcome measure in healthcare?
- A. Patient satisfaction scores
- B. Length of hospital stay
- C. Healthcare provider performance reviews
- D. Number of diagnostic tests ordered
Correct Answer: A
Rationale: The correct answer is A: Patient satisfaction scores. In healthcare, outcome measures are indicators of the impact of care on patients' health. Patient satisfaction scores directly reflect patients' experiences and perceptions of their care, making it a relevant outcome measure. This measure assesses the quality of care provided and the effectiveness of healthcare services in meeting patients' needs and expectations. In contrast, options B and D are process measures that do not directly reflect patient outcomes. Option C, healthcare provider performance reviews, are more related to evaluating individual provider performance rather than overall healthcare outcomes.
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After the nurse has finished teaching a patient who has a new prescription for exenatide
(Byetta), which patient statement indicates that the teaching has been effective?
- A. “I may feel hungrier than usual when I take this medicine.”
- B. “I will not need to worry about hypoglycemia with the Byetta.”
- C. “I should take my daily aspirin at least an hour before the Byetta.”
- D. “I will take the pill at the same time I eat breakfast in the morning.”
Correct Answer: C
Rationale: The correct answer is C. This statement indicates effective teaching because taking aspirin at least an hour before exenatide (Byetta) helps prevent any potential interactions between the two medications. By understanding the importance of timing, the patient shows comprehension of medication management and potential risks.
Incorrect choices:
A: This choice is incorrect because exenatide is known to reduce appetite, not increase hunger.
B: This choice is incorrect because hypoglycemia is still a risk with exenatide, especially if used with other medications that lower blood sugar.
D: This choice is incorrect because exenatide is injected, not taken as a pill, and should be taken before meals, not with breakfast.
As a new nurse on a pediatric unit, you must work nights and you have minimal time to spend with your children. Your colleague observes that you speak abruptly with parents and you become easily annoyed when the patients cry or when they are demanding. You realize you are becoming increasingly more distressed and that you have no time with your children and, as a result you: (Select all that apply.)
- A. Express negative comments to colleagues about patients and parents who annoy you.
- B. Ask the nurse manager to have a schedule with an equal number of day and night shifts so that you can be with your children.
- C. Call off sick as frequently as you can without violating policies so that you have more time with your children.
- D. Minimize your communication with patients and parents so you do not offend them.
Correct Answer: B
Rationale: The correct answer is B because it addresses the root of the issue by requesting a schedule change that allows for a better work-life balance. This solution promotes your well-being and maintains professionalism.
A: Expressing negative comments is unprofessional and can create a toxic work environment. It does not address the underlying problem.
C: Calling off sick frequently is unethical and can compromise patient care. It does not address the issue at hand.
D: Minimizing communication with patients and parents is not appropriate as it goes against the principles of patient-centered care and can harm the therapeutic relationship.
Which of the following types of leadership behaviors would be most useful when managing a staff of newly trained CNAs (Certified Nursing Assistants)?
- A. Achievement-oriented
- B. Supportive
- C. Participative
- D. Directive
Correct Answer: D
Rationale: The correct answer is D: Directive. In managing newly trained CNAs, directive leadership is most useful as it provides clear instructions and guidance for the inexperienced staff. This helps ensure they understand expectations and tasks. Achievement-oriented leadership (A) may be overwhelming for new staff, supportive leadership (B) may not provide enough structure, and participative leadership (C) may be confusing for staff who require clear direction and guidance. Ultimately, directive leadership is the most appropriate for managing newly trained CNAs due to the need for clear instructions and structure.
One of the critical elements in interviewing is:
- A. Time management during the interview.
- B. Involving others in the interview process.
- C. Choosing the interview location.
- D. Developing an interview guide.
Correct Answer: D
Rationale: The correct answer is D: Developing an interview guide. This is critical because it helps structure the interview, ensuring all relevant topics are covered and consistency in questioning. It helps the interviewer stay focused and gather necessary information effectively. A: Time management is important but not a critical element. B: Involving others can be beneficial but not essential. C: Choosing the location is important for comfort but not as critical as having a structured guide.
The nurse identifies a need for additional teaching when the patient who is self-monitoring blood glucose
- A. washes the puncture site using warm water and soap
- B. chooses a puncture site in the center of the finger pad
- C. hangs the arm down for a minute before puncturing the site
- D. says the result of 120 mg indicates good blood sugar control
Correct Answer: B
Rationale: The correct answer is B because choosing a puncture site in the center of the finger pad can lead to increased pain and potential nerve damage. Washing the puncture site with warm water and soap (A) is important for hygiene. Hanging the arm down before puncturing (C) can help with blood flow. Interpreting a blood sugar level of 120 mg as good control (D) is incorrect as it is above the normal range. By selecting the center of the finger pad, the patient risks causing unnecessary pain and nerve damage.