Nokea
Which of the following is NOT considered a withdrawal behavior?
- A. Turnover
- B. Strategies
- C. Stress
- D. Punctuality
Correct Answer: B
Rationale: The correct answer is B: Strategies. Withdrawal behaviors are actions employees take to mentally or physically disengage from their work or organization. Turnover involves leaving the organization, stress is a psychological response, and punctuality relates to attendance. Strategies, on the other hand, refer to the methods or plans individuals use to achieve goals, which is not directly related to withdrawal behaviors. Thus, it is not considered a withdrawal behavior.
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An RN enters a patient’s room to place an indwelling urinary catheter, as ordered by the health-care professional. The client is alert and oriented and tells the RN he wants to leave the hospital now and not receive further treatment. Which of the following actions by the RN would be considered false imprisonment?
- A. The RN tells the client he is not allowed to leave until the physician has released him.
- B. The RN asks the client why he wishes to leave.
- C. The RN asks the client to explain what he understands about his medical diagnosis.
- D. The RN asks the client to sign an against medical advice discharge form.
Correct Answer: A
Rationale: Step 1: The client is alert and oriented, indicating capacity to make decisions.
Step 2: The client expresses the desire to leave the hospital, exercising autonomy.
Step 3: False imprisonment occurs when a person is unlawfully restrained.
Step 4: Choice A is incorrect as it restricts the client's freedom without legal justification.
Step 5: Choices B, C, and D respect the client's autonomy and do not involve restraining.
The decades between the 1960s and 1980s brought about many changes in nursing. Which of the following contributed to advances in nursing?
- A. Decreased demand for health care
- B. Development of specialty care disciplines
- C. Gender discrimination
- D. Advances in technology leading to more generalized care
Correct Answer: B
Rationale: The correct answer is B: Development of specialty care disciplines. During the 1960s-1980s, nursing saw significant advancements as specialty care disciplines emerged, leading to improved patient care and enhanced skills among nurses. Specialty care disciplines expanded nursing knowledge and expertise, allowing for tailored and specialized care for specific patient populations. This shift towards specialization elevated the status of nursing and promoted better outcomes for patients.
Summary:
- A: Decreased demand for health care is incorrect as the period actually saw an increased demand due to population growth and advancements in medical treatments.
- C: Gender discrimination, while a significant issue in nursing history, did not directly contribute to advances in nursing during this specific time period.
- D: Advances in technology did impact nursing care, but it did not lead to more generalized care; instead, it often facilitated the development of specialized care disciplines.
How has advanced technology in health care, such as integrated health records, benefited nurses?
- A. Skip the assessment step of the nursing process
- B. Order medications
- C. Take blood samples
- D. Track patients' vital signs
Correct Answer: D
Rationale: The correct answer is D: Track patients' vital signs. Advanced technology in health care, like integrated health records, allows nurses to efficiently monitor and analyze patients' vital signs in real-time. This helps them make informed decisions and provide timely interventions. Nurses still need to conduct thorough assessments (eliminating choice A), order medications (not solely technology-dependent like choice B), and take blood samples (a part of physical assessments, not solely technology-related like choice C). Tracking vital signs is crucial in patient care, as it provides continuous monitoring and early detection of any changes, allowing nurses to intervene promptly.
A nurse enters a client's room and finds them on the floor. The client's roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. Which of the following statements should the nurse document about this incident?
- A. Incident report completed.
- B. Client climbed over the side rails.
- C. Client was trying to get out of bed.
- D. Client found lying on floor.
Correct Answer: C
Rationale: Rationale: The correct answer is C because it accurately describes the situation based on the information provided. Documenting that the client was trying to get out of bed aligns with the roommate's report of the incident. This statement is factual and relevant to the client's condition.
Summary:
A: Incident report completed - Not relevant to documenting the client's actions during the fall.
B: Client climbed over the side rails - Assumes an action not reported by the roommate.
D: Client found lying on floor - Describes the outcome, but does not explain the cause of the fall.
Which of the following is a key component of patient-centered care?
- A. Provider-centered decision making
- B. Timely discharge
- C. Respect for patient preferences
- D. Focusing on clinical outcomes
Correct Answer: C
Rationale: The correct answer is C: Respect for patient preferences. Patient-centered care focuses on involving patients in the decision-making process and respecting their values, preferences, and needs. This approach emphasizes open communication, shared decision-making, and individualized care. Choice A is incorrect because patient-centered care prioritizes patient preferences over provider preferences. Choice B is incorrect as timely discharge is not a key component of patient-centered care. Choice D is incorrect as patient-centered care goes beyond clinical outcomes to consider holistic well-being and patient satisfaction.