Nokea
Which question during the assessment of a diabetic patient will help the nurse identify
autonomic neuropathy?
- A. “Do you feel bloated after eating?”
- B. “Have you seen any skin changes?”
- C. “Do you need to increase your insulin dosage when you are stressed?”
- D. “Have you noticed any painful new ulcerations or sores on your feet?”
Correct Answer: A
Rationale: Rationale: Autonomic neuropathy affects digestion, leading to bloating after eating. This symptom is related to the dysfunction of the autonomic nervous system. Skin changes, insulin dosage changes due to stress, and new ulcerations are not specific to autonomic neuropathy. Bloated feeling after eating is a classic symptom of autonomic neuropathy due to impaired gastrointestinal motility.
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The staff in the emergency department has presented the nurse leader with a suggestion for streamlining the triage process, cutting down on wait times. Which of the following qualities does the leader specifically need to implement the suggestion?
- A. Courage
- B. Integrity
- C. Energy
- D. Initiative
Correct Answer: D
Rationale: The correct answer is D: Initiative. In this scenario, the nurse leader needs to take the initiative to implement the suggested changes for streamlining the triage process. By showing initiative, the leader demonstrates the willingness to take action and drive the necessary changes forward. Courage (A) may be needed to face challenges, but it doesn't directly address the need for proactive action. Integrity (B) is important but doesn't specifically relate to implementing changes. Energy (C) is beneficial for motivation but doesn't focus on taking the first step to make changes happen. Therefore, the key quality required in this situation is initiative to drive process improvements efficiently.
The problem of overrating staff performance is called ___________ .
- A. Recency error
- B. Absolute judgment
- C. Halo error
- D. Leniency error
Correct Answer: D
Rationale: The correct answer is D: Leniency error. This occurs when a rater consistently rates employees higher than deserved. This leads to inflated performance evaluations, hindering accurate assessment and feedback. Recency error (A) is when recent performance influences ratings. Absolute judgment (B) is when a rater uses the same rating scale for all employees. Halo error (C) is when one positive trait influences overall rating. In this case, leniency error best describes the problem of overrating staff performance.
Which of the following is one of the sources used to determine the reason for voluntary turnover?
- A. Following-up phone calls
- B. Employee questioning
- C. Benchmarking
- D. Exit interviewing
Correct Answer: D
Rationale: The correct answer is D: Exit interviewing. Exit interviews involve conducting structured interviews with employees who are leaving an organization voluntarily to understand their reasons for leaving. This method provides valuable insights into the factors contributing to turnover. Exit interviews are a direct way to gather feedback and identify patterns or issues that may be leading to voluntary turnover.
A: Following-up phone calls may not provide in-depth information or allow for a structured approach to understanding the reasons for turnover.
B: Employee questioning is vague and does not specify a method for gathering feedback, unlike the structured approach of exit interviews.
C: Benchmarking involves comparing data with industry standards and may not provide specific insights into individual reasons for voluntary turnover within an organization.
In summary, exit interviewing is the most effective source for determining the reasons for voluntary turnover as it offers a structured and direct approach to gathering valuable feedback from departing employees.
A female patient is scheduled for an oral glucose tolerance test. Which information from the
patient’s health history is most important for the nurse to communicate to the health care
provider?
- A. The patient uses oral contraceptives.
- B. The patient runs several days a week.
- C. The patient has been pregnant three times
- D. The patient has a family history of diabetes
Correct Answer: A
Rationale: The correct answer is A: The patient uses oral contraceptives. This information is important because oral contraceptives can affect glucose tolerance test results. The hormones in oral contraceptives can impact insulin sensitivity, potentially leading to inaccurate test results. It is crucial for the healthcare provider to be aware of this as it may influence the interpretation of the test.
Other choices are incorrect:
B: The patient runs several days a week - This information is not directly relevant to the oral glucose tolerance test and does not impact the test results.
C: The patient has been pregnant three times - While pregnancy can affect glucose tolerance, the current pregnancy status of the patient is not as pertinent as the use of oral contraceptives in this specific context.
D: The patient has a family history of diabetes - Although family history is a risk factor for diabetes, it is not as immediately relevant to the oral glucose tolerance test as the use of oral contraceptives.
What is the primary role of a nurse mentor?
- A. To supervise nursing staff
- B. To provide emotional support
- C. To guide new nurses in their roles
- D. To enforce policy compliance
Correct Answer: C
Rationale: The primary role of a nurse mentor is to guide new nurses in their roles (Choice C). This involves providing support, advice, and knowledge to help new nurses navigate their responsibilities and develop their skills. Mentors help new nurses adapt to the clinical environment, build confidence, and improve their clinical practice. Supervising nursing staff (Choice A) is typically the responsibility of nurse managers. Providing emotional support (Choice B) is important but not the primary role of a mentor. Enforcing policy compliance (Choice D) is important but does not encompass the full scope of a nurse mentor's role.