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Which of the following is true regarding the Affordable Care Act?
- A. The Affordable Care Act addressed issues of interest to nursing without controversy.
- B. The Affordable Care Act addressed issues of mandatory overtime, incivility, and high workloads for nurses.
- C. The Affordable Care Act provided a new patient-centered model for health care.
- D. The Affordable Care Act attempted to address many of the issues of interest to nursing, but came with much controversy.
Correct Answer: D
Rationale: The correct answer is D. The Affordable Care Act attempted to address many issues relevant to nursing, such as mandatory overtime, incivility, and high workloads, but it faced significant controversy. Choice A is incorrect as the act did not address nursing issues without controversy. Choice B is incorrect as it inaccurately lists the issues the act addressed. Choice C is incorrect as it does not fully capture the controversy surrounding the Affordable Care Act.
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What is the normal sodium level in the body?
- A. 135 to 145 milliequivalents per liter.
- B. 3 to 5 milliequivalents per liter.
- C. 135 to 145 microequivalents per liter.
- D. 3 to 5 microequivalents per liter.
Correct Answer: A
Rationale: The correct answer is A: 135 to 145 milliequivalents per liter. The normal range for sodium levels in the body is expressed in milliequivalents per liter, not microequivalents. Choice B and D provide a significantly lower range which is not within the normal values for sodium. Choice C incorrectly states 'microequivalents' instead of the correct unit 'milliequivalents'. Therefore, A is the correct answer.
Which nursing diagnosis is commonly used among patients affected by fibromyalgia?
- A. Decreased self-care in activities of daily living related to fatigue
- B. Impaired mental functioning related to electrolyte imbalances
- C. Increased vigilance secondary to electrolyte imbalances
- D. At risk for a swallowing disorder related to fibromyalgia
Correct Answer: A
Rationale: The correct answer is A: 'Decreased self-care in activities of daily living related to fatigue.' Patients with fibromyalgia commonly experience fatigue, which can lead to decreased ability to perform self-care activities. This nursing diagnosis addresses a direct consequence of fibromyalgia. Choices B, C, and D are incorrect because they do not directly correlate with the common manifestations of fibromyalgia. Impaired mental functioning related to electrolyte imbalances and increased vigilance secondary to electrolyte imbalances are not typical presentations of fibromyalgia. 'At risk for a swallowing disorder related to fibromyalgia' is not a common nursing diagnosis associated with fibromyalgia; swallowing disorders are not a primary symptom of this condition.
What is the purpose of a healthcare audit?
- A. To increase paperwork
- B. To assess and improve quality of care
- C. To reduce patient satisfaction
- D. To limit healthcare services
Correct Answer: B
Rationale: The correct answer is B: 'To assess and improve quality of care.' Healthcare audits are conducted to evaluate the quality and efficiency of healthcare services provided. Choice A, 'To increase paperwork,' is incorrect as audits aim to streamline processes and reduce unnecessary paperwork. Choice C, 'To reduce patient satisfaction,' is incorrect as audits are meant to identify areas for improvement to enhance patient satisfaction. Choice D, 'To limit healthcare services,' is also incorrect as audits help in optimizing healthcare services rather than limiting them.
To resolve a conflict between staff members regarding potential changes in policy, a nurse manager decides to implement the changes she prefers regardless of the feelings of those who oppose those changes. Which of the following conflict-resolution strategies is the nurse manager using?
- A. Competing
- B. Collaborating
- C. Compromising
- D. Cooperating
Correct Answer: A
Rationale: The nurse manager is utilizing the competing conflict-resolution strategy. Competing involves making decisions based on one's preferences without considering the opinions or feelings of others. In this scenario, the nurse manager is unilaterally implementing changes despite opposition, demonstrating a competitive approach. Collaborating involves working together to find a mutually beneficial solution, compromising involves finding a middle ground acceptable to both parties, and cooperating involves working together towards a shared goal. These options are not applicable in this situation as the nurse manager is imposing her preferred changes without regard for others' input.
You are working on a pediatric unit. Which toy or other diversional item or activity is most appropriate for your 18-month-old patient?
- A. Story books
- B. Beach balls
- C. An interactive play session with other children less than 2 years of age
- D. Pickup sticks
Correct Answer: B
Rationale: A beach ball is appropriate for an 18-month-old as it is safe and can help with motor skills development. Choice A, storybooks, may not be suitable for this age group due to limited attention span. Choice C involves interaction with other children which may not always be feasible in a healthcare setting. Choice D, pickup sticks, poses a choking hazard and is not suitable for toddlers.