Nokea
Which of the following is one important factor in sustaining employee satisfaction?
- A. Organization culture
- B. Individual performance
- C. Performance evaluation
- D. Job satisfaction
Correct Answer: D
Rationale: The correct answer is D: Job satisfaction. Job satisfaction is crucial in sustaining employee satisfaction as it directly impacts how content and fulfilled employees feel in their roles. When employees are satisfied with their jobs, they are more likely to be engaged, motivated, and productive. This leads to higher retention rates and overall better performance. On the other hand, organization culture (A) is important but not the sole factor in sustaining employee satisfaction. Individual performance (B) and performance evaluation (C) are more related to assessing employee output rather than directly impacting their satisfaction levels.
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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.
A healthcare professional is caring for a client who has a sodium level of 125 mEq/L (136 to 145 mEq/L). Which of the following findings should the healthcare professional expect?
- A. Positive Chvostek's sign
- B. Bradycardia
- C. Numbness of the extremities
- D. Abdominal cramping
Correct Answer: D
Rationale: The correct answer is D: Abdominal cramping. A sodium level of 125 mEq/L indicates hyponatremia, which can lead to abdominal cramping due to electrolyte imbalance affecting muscle function. Chvostek's sign (choice A) is associated with hypocalcemia, not hyponatremia. Bradycardia (choice B) is more commonly seen in hyperkalemia. Numbness of the extremities (choice C) is a symptom of hypocalcemia or peripheral neuropathy, not specifically related to hyponatremia. In summary, the healthcare professional should expect abdominal cramping as a result of the low sodium level in this client.
What is the primary goal of patient advocacy in nursing?
- A. To ensure patient safety
- B. To provide emotional support
- C. To advocate for patient rights
- D. To provide financial assistance
Correct Answer: C
Rationale: The correct answer is C: To advocate for patient rights. Patient advocacy in nursing involves ensuring that patients have their rights respected, protected, and upheld. Advocating for patient rights involves empowering patients to make informed decisions about their care, ensuring they receive quality care, and advocating for their best interests. Advocacy goes beyond just providing emotional support or financial assistance, although these may be part of the advocacy process. Ensuring patient safety is important, but the primary goal of advocacy is to uphold and protect the rights of the patient.
What is the role of the Joint Commission in healthcare?
- A. Advocacy for patients
- B. Setting standards for patient care
- C. Providing direct patient care
- D. Approving healthcare facilities
Correct Answer: D
Rationale: The correct answer is D because the Joint Commission is responsible for accrediting and certifying healthcare organizations and programs, ensuring they meet certain standards. This includes approving healthcare facilities based on their compliance with quality and safety regulations. Choices A and B are incorrect because the Joint Commission focuses on accreditation and standards, not advocacy or setting standards for patient care. Choice C is incorrect as the Joint Commission does not provide direct patient care.
Which of the following best describes the ethical concept of values?
- A. Values are an individual’s feelings about situations.
- B. Values are learned through family systems.
- C. Values are organized ways of thinking about the meaning of life.
- D. Values determine the rightness or wrongness of behavior.
Correct Answer: A
Rationale: The correct answer is A because values are subjective and personal beliefs that influence one's feelings and attitudes towards situations. This aligns with the definition of values as individual's principles or standards of behavior.
B is incorrect because values are not solely learned through family systems, but can also be influenced by culture, education, and personal experiences.
C is incorrect because values are more about personal beliefs and principles rather than organized ways of thinking about the meaning of life.
D is incorrect because values are not the sole determinants of rightness or wrongness of behavior, as ethical principles and moral standards also play a role in making such judgments.